442 lines
16 KiB
PHP
442 lines
16 KiB
PHP
<?php
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/*
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* description：
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* author：wh
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* email：
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* createTime：{2024/7/12} {11:29}
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*/
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namespace app\api\controller;
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use app\common\model\TabConf;
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use GatewayWorker\Lib\Gateway;
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use think\Db;
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use wanghua\general_utility_tools_php\gpt\chat\ChatGPT;
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use wanghua\general_utility_tools_php\Mmodel;
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use wanghua\general_utility_tools_php\tool\Tools;
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/**
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* 听译-报告
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* Class Reportty
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* @package app\api\controller
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*/
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class Reportty extends BaseHttpApi
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{
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/**
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* desc：听译-生成听诊报告
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*
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* api/Reportty/createReport
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* 参数：ticket
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* from 来源
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* client_id
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*
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* author：wh
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*/
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function createReport(){
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Tools::log_to_write_txt(['input'=>input()]);
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//header('Content-Type: text/event-stream');
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//header('Cache-Control: no-cache');
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//header('Connection: keep-alive');
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//header('X-Accel-Buffering: no');
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$config = config('ai_listen_report_config');
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//$question = '';//input('question','');
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$chatobj = new ChatGPT();
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$chatobj->url = $config['base_url'];
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$chatobj->model = '';
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$chatobj->apiKey = $config['APIKey'];
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$answer_json_arr = [];
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//医生登录的ticket
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$qa_chat_ticket = input('ticket');
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if(empty($qa_chat_ticket)){
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return json(Tools::set_fail('qa_chat_ticket必须'));
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}
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$phone = input('phone');//患者手机号
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if (empty($phone)){
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return json(Tools::set_fail('患者手机号必须'));
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}
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//医生开始对话的token
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$say_token = input('say_token');
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if(empty($say_token)){
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return json(Tools::set_fail('say_token必须'));
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}
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$user = Db::table('fa_hdrdoctorusers')->where('qa_chat_ticket',$qa_chat_ticket)->find();
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if(empty($user)){
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return json(Tools::set_fail('医生不存在，请确认qa_chat_ticket'));
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}
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//$before_report_dataid = input('before_report_dataid');//上一次生成的疼痛科报告id
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//$before_report_content = '';
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//$base_info = [];
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//if($before_report_dataid){
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// $before_report = Db::table('fa_tt_medical_report')
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// ->where('id',$before_report_dataid)
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// ->find();
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// if($before_report){
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// $before_report_content = $before_report['report_content'];
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// //查询基本信息
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// $base_info = Db::table(TabConf::$fa_tt_userbaseinfo)
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// ->where('id',$before_report['hdruserbaseinfo_id'])
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// ->find();
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// }
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//}
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$gender = input('sex');
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if(empty($gender)){
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return json(Tools::set_fail('性别必须'));
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}
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$name = input('name');
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if(empty($name)){
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return json(Tools::set_fail('姓名必须'));
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}
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$hdruserbaseinfo_id = input('hdruserbaseinfo_id');
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if(empty($hdruserbaseinfo_id)){
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return json(Tools::set_fail('hdruserbaseinfo_id必须'));
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}
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//查询历史聊天记录
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$his_record = Db::table('fa_ty_chathistory')
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->where('say_token',$say_token)
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->order('id asc')
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->where('hdruserbaseinfo_id',$hdruserbaseinfo_id)
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//->where('createtime','>',$day3)//3天之内
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->select();
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$config = [
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'stream'=>false,
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'chatId'=>Tools::getMillisecond(),
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];
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//必须
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$reportid = input('reportid');
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if(empty($reportid)){
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return json(Tools::set_fail('数字人的报告id必修'));
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}
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//查询数字人报告
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$report = Db::table(TabConf::$fa_tt_medical_report)
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->where('id',$reportid)
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->find();
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if(empty($report)){
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return json(Tools::set_fail('数字人报告不存在'));
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}
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$body_check = input('body_check');
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if(empty($body_check)){
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return json(Tools::set_fail('体格检查必须'));
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}
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//设置之前的报告内容
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//$content = [
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// ["role" => "user", "content" => $before_report_content]
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//];
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//添加性别
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//if($gender){
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// $content[] = ["role" => "user", "content" => '【性别】：'.$gender];
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//}
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//$age = $report['age'];
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//$edu = $report['edu'];
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//$career_year = $report['career_year'];
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//$power = $report['power'];
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//$satisfaction = $report['satisfaction'];
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//$old_career_year = $report['old_career_year'];
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//$old_career_power = $report['old_career_power'];
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//$support = $report['support'];
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//$marriage = $report['marriage'];
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//$live = $report['live'];
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//构建基本信息
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//$content[] = ["role" => "user", "content" => "\n\n".'【病人姓名】：'.$name];
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//$content[] = ["role" => "user", "content" => '【病人性别】：'.$gender];
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//$content[] = ["role" => "user", "content" => '【病人年龄】：'.$age];
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//$content[] = ["role" => "user", "content" => '【教育程度】：'.$edu];
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//$content[] = ["role" => "user", "content" => '【职业及年限】：'.$career_year];
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//$content[] = ["role" => "user", "content" => '【体力要求】：'.$power];
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//$content[] = ["role" => "user", "content" => '【经济满意度】：'.$satisfaction];
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//$content[] = ["role" => "user", "content" => '【过往职业及年限】：'.$old_career_year];
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//$content[] = ["role" => "user", "content" => '【过往职业体力要求】：'.$old_career_power];
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//$content[] = ["role" => "user", "content" => '【社会支持度】：'.$support];
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//$content[] = ["role" => "user", "content" => '【婚姻状况】：'.$marriage];
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//$content[] = ["role" => "user", "content" => '【居住情况】：'.$live];
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//对话记录
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$chat_his = "\n\n";
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foreach ($his_record as $item){
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//$content[] = ["role" => "user", "content" => "\n\n".$item['chat_msg']];
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$chat_his .= $item['chat_msg']."\n";
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}
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//$sub_content_msg = [
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// ["role" => "user", "content" => implode('',array_column($content,'content'))]
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//];
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//$chatobj->setBefore($sub_content_msg);
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$num_per_report = $report['report_content'];
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//数字人报告+对话记录
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$question = <<<EOF
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【对话记录】
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$chat_his
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【病例报告】
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$num_per_report
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【体格检查】
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{$body_check}
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EOF;
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//$question = $num_per_report;
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$chatobj->returnAnswer($question,$config,$answer_json_arr);
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Tools::log_to_write_txt(['听译生成报告，请求gpt:'=>$chatobj->post_msg_body]);
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Tools::log_to_write_txt(['听译生成报告，gpt回复:'=>$answer_json_arr]);
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$res_content = [];
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//把返回的报告保存起来
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foreach ($answer_json_arr as $josn){
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$item = json_decode($josn,true);
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$choices = $item['choices'];
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foreach ($choices as $choice){
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$data = [
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'doctor'=>$user['username'],
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//病人
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'report_content'=>$choice['message']['content'],
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'ticket'=>$qa_chat_ticket,
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'from'=>input('from','ty'),//来源
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'name'=>$name,
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'gender'=>$gender,
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'hdruserbaseinfo_id'=>$hdruserbaseinfo_id,
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'username'=>$phone,
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'userbaseid'=>$report['userbaseid'],
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//'diagnostic_result'=>$report['diagnostic_result'],
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//'create_time'=>$report['create_time'],
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'age'=>$report['age'],
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'main_complaint'=>$report['main_complaint'],
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'medical_history'=>$report['medical_history'],
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'past_history'=>$report['past_history'],
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'allergy_history'=>$report['allergy_history'],
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'family_history'=>$report['family_history'],
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'personal_history'=>$report['personal_history'],
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'menstrual_marital_history'=>$report['menstrual_marital_history'],
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'diagnosis'=>$report['diagnosis'],
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'treatment'=>$report['treatment'],
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'phone'=>$report['phone'],
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'status'=>$report['status'],
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//'user_phone'=>$report['user_phone'],
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'date'=>$report['date'],//
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'hdrdepartment_id'=>$report['hdrdepartment_id'],
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'hdrdepartment'=>$report['hdrdepartment'],
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'edu'=>$report['edu'],
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'career_year'=>$report['career_year'],
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'power'=>$report['power'],
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'satisfaction'=>$report['satisfaction'],
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'old_career_year'=>$report['old_career_year'],
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'old_career_power'=>$report['old_career_power'],
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'support'=>$report['support'],
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'marriage'=>$report['marriage'],
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'live'=>$report['live'],
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'home'=>$report['home'],
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'address'=>$report['address'],
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'wechat_no'=>$report['wechat_no'],
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//'is_flow'=>$report['is_flow'],
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];
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$report_id = Db::table('fa_ty_medical_report')->insertGetId($data);
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//日期
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//$data['date'] = date('Y-m-d');
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//【对话记录跟着报告走】
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Db::table(TabConf::$fa_ty_chathistory)
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->where('say_token',$qa_chat_ticket)
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->data(['reportid'=>$report_id])
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->update();
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$res_content[] = ['report_id'=>$report_id,'report_content'=>$choice['message']['content']];
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}
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}
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$client_id = input('client_id');
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if(empty($client_id)){
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return json(Tools::set_fail('client_id必须'));
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}
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//查询广播客户端id
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$arr = Db::table('fa_device')
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->where('ticket',$qa_chat_ticket)
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->select();
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$clientid_arr = array_column($arr,'clientid');
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$json = Tools::wss_json_ok('Reportty/createReport','ok',['flow_code'=>'create_report_end']);
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Gateway::sendToAll($json,$clientid_arr,[$client_id]);
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return json(Tools::set_ok($res_content));
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}
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/**
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* desc：查询报告详情
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*
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* api/Reportty/getReportById
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* 参数：dataid 报告id
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* ticket：用户ticket
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* author：wh
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*/
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function getReportById(){
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return Mmodel::catchJson(function (){
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$info = Db::table('fa_ty_medical_report')
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->where('id',input('dataid'))
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->find();
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return Tools::set_ok($info);
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});
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}
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/**
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* desc：查询报告列表
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*
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* api/Reportty/getReportList
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* 参数：phone
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*
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*
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* author：wh
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*/
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function getReportList(){
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return Mmodel::catchJson(function (){
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$phone = input('phone');
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$obj = Db::table('fa_ty_medical_report');
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if($phone){
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$obj->where('username',$phone);
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}
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$info = $obj->select();
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return Tools::set_ok($info);
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});
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}
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/**
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* 修改报告
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* api/Reportty/editReport
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* 参数：dataid 报告数据id
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* username 医生登录账号（必须）
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name 病人姓名
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gender 病人性别： M=男性， F=女性
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age 病人年龄
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main_complaint 主诉
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medical_history 病史
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past_history 既往史
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allergy_history 过敏史
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family_history 家族史
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personal_history 个人史
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menstrual_marital_history 月经婚育史
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diagnosis 诊断
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treatment 医嘱
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ticket 对话票据
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hdrdepartment_id 科室
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*/
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function editReport(){
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return Mmodel::catchJson(function (){
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$qa_chat_ticket = input('ticket');
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if(empty($qa_chat_ticket)){
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return Tools::set_fail('qa_chat_ticket必须');
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}
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if(empty(input('username'))){
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return Tools::set_fail('医生登录账号必须');
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}
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if(empty(input('name',''))){
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return Tools::set_fail('病人姓名必须');
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}
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if(empty(input('phone',''))){
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return Tools::set_fail('病人手机号必须');
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}
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if(empty(input('diagnosis'))){
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return Tools::set_fail('diagnosis诊断内容必须');
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}
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if(empty(input('gender'))){
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return Tools::set_fail('gender必须');
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}
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//听译问诊-患者病历信息
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$data = [
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'username'=>input('username'),//医生
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'name'=>input('name',''),//病人姓名
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'gender'=>input('gender',''),//病人性别： M=男性， F=女性
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'age'=>input('age',''),//病人年龄
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'main_complaint'=>input('main_complaint','无'),//主诉
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'medical_history'=>input('medical_history','无'),//病史
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'past_history'=>input('past_history','无'),//既往史
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'allergy_history'=>input('allergy_history','无'),//过敏史
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'family_history'=>input('family_history','无'),//家族史
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'personal_history'=>input('personal_history','无'),//个人史
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'menstrual_marital_history'=>input('menstrual_marital_history','无'),//月经婚育史
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'diagnosis'=>input('diagnosis','无'),//诊断
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'treatment'=>input('treatment','无'),//医嘱
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'ticket'=>$qa_chat_ticket,
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'hdrdepartment_id'=>input('hdrdepartment_id'),//科室
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];
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$hdruserbaseinfo_id = input('hdruserbaseinfo_id');
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if(empty(input('hdruserbaseinfo_id'))){
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return Tools::set_fail('hdruserbaseinfo_id必须');
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}
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//医生开始对话的token
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$say_token = input('say_token');
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if(empty($say_token)){
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return Tools::set_fail('say_token必须');
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}
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//查询统一基本信息
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$base_info = Db::table('fa_tt_userbaseinfo')
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->where('id',$hdruserbaseinfo_id)
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->find();
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//校验
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if(empty($base_info)){
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return Tools::set_fail('统一基本信息不存在');
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}
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//修改历史记录的hdruserbaseinfo_id
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Db::table('fa_ty_chathistory')
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->where('say_token',$say_token)
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->update(['hdruserbaseinfo_id'=>$hdruserbaseinfo_id]);
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//听译问诊-患者病历信息
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$medicalrecord = Db::table('fa_ty_userbaseinfo')
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->where('name',input('name',''))
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->find();
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if(empty($medicalrecord)){
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$data['ticket'] = $qa_chat_ticket;
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//新增听译病历信息
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$userbaseid = Db::table('fa_ty_userbaseinfo')->insertGetId($data);
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}else{
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$userbaseid = $medicalrecord['id'];
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Db::table('fa_ty_userbaseinfo')
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->where('ticket',$qa_chat_ticket)
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->update($data);
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}
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$rehabilitation_advice = input('rehabilitation_advice','无');//康复建议
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$test_advice = input('test_advice','无');//检测建议
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//修改报告
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$str = <<<EOF
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【主诉】:{$data['main_complaint']}
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【病史】:{$data['medical_history']}
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【个人史】:{$data['personal_history']}
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【婚姻史】:{$data['menstrual_marital_history']}
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【家族史】:{$data['family_history']}
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【诊断】:{$data['diagnosis']}
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【康复建议】:{$rehabilitation_advice}
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【检查建议】:{$test_advice}
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EOF;
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$dataid = input('dataid');
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if(empty($dataid)){
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return Tools::set_fail('dataid必须');
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}
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Db::table('fa_ty_medical_report')
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->where('id',$dataid)
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->data([
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//病历信息id
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'userbaseid'=>$userbaseid,//创建报告的时候这个字段是空，修改报告再补填这个字段
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'report_content'=>$str,
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'name'=>$data['name'],
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'gender'=>$data['gender'],
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'hdruserbaseinfo_id'=>$hdruserbaseinfo_id,//统一病历基本信息ID
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])
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->update();
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return Tools::set_ok();
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});
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}
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} |