feat(aidiagnosis): add AI-assisted diagnosis suggestion module
This commit is contained in:
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-- V87: AI辅助诊疗 - AI诊断建议表
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CREATE TABLE ai_diagnosis_suggestion (
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id BIGSERIAL PRIMARY KEY,
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encounter_id BIGINT NOT NULL,
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patient_id BIGINT NOT NULL,
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symptom_text TEXT,
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diagnosis_suggestions TEXT,
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confidence_score DECIMAL(5,2),
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suggestion_source VARCHAR(32),
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accepted BOOLEAN DEFAULT FALSE,
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tenant_id BIGINT DEFAULT 0,
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delete_flag CHAR(1) DEFAULT '0',
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create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
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create_by VARCHAR(64),
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update_time TIMESTAMP,
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update_by VARCHAR(64)
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);
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COMMENT ON TABLE ai_diagnosis_suggestion IS 'AI辅助诊疗建议';
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COMMENT ON COLUMN ai_diagnosis_suggestion.id IS '建议ID';
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COMMENT ON COLUMN ai_diagnosis_suggestion.encounter_id IS '就诊ID';
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COMMENT ON COLUMN ai_diagnosis_suggestion.patient_id IS '患者ID';
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COMMENT ON COLUMN ai_diagnosis_suggestion.symptom_text IS '症状描述';
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COMMENT ON COLUMN ai_diagnosis_suggestion.diagnosis_suggestions IS '诊断建议';
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COMMENT ON COLUMN ai_diagnosis_suggestion.confidence_score IS '置信度(0-100)';
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COMMENT ON COLUMN ai_diagnosis_suggestion.suggestion_source IS '建议来源(llm/rule/manual)';
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COMMENT ON COLUMN ai_diagnosis_suggestion.accepted IS '是否采纳';
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CREATE INDEX idx_ai_diag_encounter ON ai_diagnosis_suggestion(encounter_id);
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CREATE INDEX idx_ai_diag_patient ON ai_diagnosis_suggestion(patient_id);
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CREATE INDEX idx_ai_diag_source ON ai_diagnosis_suggestion(suggestion_source);
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<?xml version="1.0" encoding="UTF-8"?>
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<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
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<mapper namespace="com.healthlink.his.aidiagnosis.mapper.AiDiagnosisSuggestionMapper">
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<resultMap type="com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion" id="AiDiagnosisSuggestionResult">
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<id column="id" property="id"/>
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<result column="encounter_id" property="encounterId"/>
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<result column="patient_id" property="patientId"/>
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<result column="symptom_text" property="symptomText"/>
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<result column="diagnosis_suggestions" property="diagnosisSuggestions"/>
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<result column="confidence_score" property="confidenceScore"/>
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<result column="suggestion_source" property="suggestionSource"/>
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<result column="accepted" property="accepted"/>
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<result column="tenant_id" property="tenantId"/>
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<result column="create_by" property="createBy"/>
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<result column="create_time" property="createTime"/>
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<result column="update_by" property="updateBy"/>
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<result column="update_time" property="updateTime"/>
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<result column="delete_flag" property="deleteFlag"/>
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</resultMap>
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<sql id="Base_Column_List">
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id, encounter_id, patient_id, symptom_text, diagnosis_suggestions,
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confidence_score, suggestion_source, accepted,
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tenant_id, create_by, create_time, update_by, update_time, delete_flag
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</sql>
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</mapper>
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package com.healthlink.his.aidiagnosis.domain;
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import com.baomidou.mybatisplus.annotation.IdType;
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import com.baomidou.mybatisplus.annotation.TableId;
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import com.baomidou.mybatisplus.annotation.TableName;
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import com.core.common.core.domain.HisBaseEntity;
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import com.fasterxml.jackson.databind.annotation.JsonSerialize;
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import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
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import lombok.Data;
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import lombok.EqualsAndHashCode;
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import lombok.experimental.Accessors;
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import java.math.BigDecimal;
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@Data
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@EqualsAndHashCode(callSuper = false)
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@Accessors(chain = true)
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@TableName("ai_diagnosis_suggestion")
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public class AiDiagnosisSuggestion extends HisBaseEntity {
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@TableId(type = IdType.ASSIGN_ID)
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@JsonSerialize(using = ToStringSerializer.class)
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private Long id;
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@JsonSerialize(using = ToStringSerializer.class)
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private Long encounterId;
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@JsonSerialize(using = ToStringSerializer.class)
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private Long patientId;
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private String symptomText;
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private String diagnosisSuggestions;
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private BigDecimal confidenceScore;
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private String suggestionSource;
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private Boolean accepted;
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}
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package com.healthlink.his.aidiagnosis.mapper;
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import com.baomidou.mybatisplus.core.mapper.BaseMapper;
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import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
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import org.apache.ibatis.annotations.Mapper;
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@Mapper
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public interface AiDiagnosisSuggestionMapper extends BaseMapper<AiDiagnosisSuggestion> {
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}
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package com.healthlink.his.aidiagnosis.service;
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import com.baomidou.mybatisplus.extension.service.IService;
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import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
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import java.util.List;
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public interface IAiDiagnosisService extends IService<AiDiagnosisSuggestion> {
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List<AiDiagnosisSuggestion> findByPatientId(Long patientId);
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List<AiDiagnosisSuggestion> findByEncounterId(Long encounterId);
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}
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package com.healthlink.his.aidiagnosis.service.impl;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
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import com.healthlink.his.aidiagnosis.domain.AiDiagnosisSuggestion;
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import com.healthlink.his.aidiagnosis.mapper.AiDiagnosisSuggestionMapper;
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import com.healthlink.his.aidiagnosis.service.IAiDiagnosisService;
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import org.springframework.stereotype.Service;
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import java.util.List;
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@Service
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public class AiDiagnosisServiceImpl extends ServiceImpl<AiDiagnosisSuggestionMapper, AiDiagnosisSuggestion> implements IAiDiagnosisService {
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@Override
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public List<AiDiagnosisSuggestion> findByPatientId(Long patientId) {
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LambdaQueryWrapper<AiDiagnosisSuggestion> wrapper = new LambdaQueryWrapper<>();
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wrapper.eq(AiDiagnosisSuggestion::getPatientId, patientId)
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.orderByDesc(AiDiagnosisSuggestion::getCreateTime);
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return baseMapper.selectList(wrapper);
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}
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@Override
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public List<AiDiagnosisSuggestion> findByEncounterId(Long encounterId) {
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LambdaQueryWrapper<AiDiagnosisSuggestion> wrapper = new LambdaQueryWrapper<>();
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wrapper.eq(AiDiagnosisSuggestion::getEncounterId, encounterId)
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.orderByDesc(AiDiagnosisSuggestion::getCreateTime);
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return baseMapper.selectList(wrapper);
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}
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}
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30
healthlink-his-ui/src/api/aidiagnosis/aiDiagnosis.js
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30
healthlink-his-ui/src/api/aidiagnosis/aiDiagnosis.js
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import request from '@/utils/request'
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export function aiDiagnosisSuggest(data) {
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return request({
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url: '/ai-diagnosis/suggest',
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method: 'post',
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params: data
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})
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}
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export function getAiDiagnosisHistory(patientId) {
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return request({
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url: '/ai-diagnosis/history/' + patientId,
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method: 'get'
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})
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}
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export function getAiDiagnosisHistoryByEncounter(encounterId) {
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return request({
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url: '/ai-diagnosis/history/encounter/' + encounterId,
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method: 'get'
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})
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}
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export function acceptAiDiagnosis(id) {
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return request({
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url: '/ai-diagnosis/accept/' + id,
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method: 'post'
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})
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}
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186
healthlink-his-ui/src/views/aidiagnosis/AiDiagnosisSuggest.vue
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186
healthlink-his-ui/src/views/aidiagnosis/AiDiagnosisSuggest.vue
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<template>
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<div class="app-container">
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<el-form :model="queryParams" ref="queryFormRef" :inline="true" v-show="showSearch" label-width="100px">
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<el-form-item label="患者ID" prop="patientId">
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<el-input v-model="queryParams.patientId" placeholder="请输入患者ID" clearable style="width: 180px" @keyup.enter="handleQuery" />
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</el-form-item>
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<el-form-item>
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<el-button type="primary" icon="Search" @click="handleQuery">查询历史</el-button>
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<el-button icon="Refresh" @click="resetQuery">重置</el-button>
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<el-button type="success" icon="MagicStick" @click="handleNewSuggest">AI辅助诊断</el-button>
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</el-form-item>
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</el-form>
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<vxe-table :data="historyList" :loading="loading" border stripe height="auto">
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<vxe-column type="seq" title="序号" width="70" />
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<vxe-column field="encounterId" title="就诊ID" width="100" />
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<vxe-column field="symptomText" title="症状描述" min-width="200" show-overflow />
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<vxe-column field="diagnosisSuggestions" title="AI诊断建议" min-width="300" show-overflow />
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<vxe-column field="confidenceScore" title="置信度" width="100" align="center">
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<template #default="{ row }">
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<el-progress :percentage="Number(row.confidenceScore) || 0" :stroke-width="12" :text-inside="true" />
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</template>
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</vxe-column>
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<vxe-column field="suggestionSource" title="来源" width="90" align="center">
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<template #default="{ row }">
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<el-tag size="small" :type="row.suggestionSource === 'llm' ? 'success' : 'info'">{{ row.suggestionSource }}</el-tag>
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</template>
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</vxe-column>
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<vxe-column field="accepted" title="状态" width="90" align="center">
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<template #default="{ row }">
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<el-tag :type="row.accepted ? 'success' : 'warning'" size="small">{{ row.accepted ? '已采纳' : '待处理' }}</el-tag>
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</template>
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</vxe-column>
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<vxe-column field="createTime" title="创建时间" width="170" />
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<vxe-column title="操作" width="120" fixed="right" align="center">
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<template #default="{ row }">
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<el-button v-if="!row.accepted" link type="primary" icon="Check" v-hasPermi="['cdss:alert:acknowledge']" @click="handleAccept(row)">采纳</el-button>
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<span v-else class="text-gray">-</span>
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</template>
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</vxe-column>
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</vxe-table>
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<el-dialog title="AI辅助诊断" v-model="suggestDialogVisible" width="600px" append-to-body>
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<el-form :model="suggestForm" label-width="100px">
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<el-form-item label="就诊ID" required>
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<el-input v-model="suggestForm.encounterId" placeholder="请输入就诊ID" />
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</el-form-item>
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<el-form-item label="患者ID" required>
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<el-input v-model="suggestForm.patientId" placeholder="请输入患者ID" />
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</el-form-item>
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<el-form-item label="症状描述" required>
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<el-input v-model="suggestForm.symptomText" type="textarea" :rows="4" placeholder="请输入患者症状描述，如：发热3天，伴咳嗽" />
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</el-form-item>
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<el-form-item label="建议来源">
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<el-select v-model="suggestForm.source" placeholder="请选择" clearable>
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<el-option label="AI大模型" value="llm" />
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<el-option label="规则引擎" value="rule" />
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</el-select>
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</el-form-item>
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</el-form>
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<div v-if="suggestResult" class="suggest-result">
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<el-divider content-position="left">AI诊断结果</el-divider>
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<el-descriptions :column="1" border size="small">
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<el-descriptions-item label="诊断建议">{{ suggestResult.diagnosisSuggestions }}</el-descriptions-item>
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<el-descriptions-item label="置信度">
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<el-progress :percentage="Number(suggestResult.confidenceScore) || 0" :stroke-width="14" :text-inside="true" />
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</el-descriptions-item>
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<el-descriptions-item label="建议来源">{{ suggestResult.suggestionSource }}</el-descriptions-item>
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</el-descriptions>
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</div>
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<template #footer>
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<el-button @click="suggestDialogVisible = false">关闭</el-button>
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<el-button v-if="!suggestResult" type="primary" :loading="suggestLoading" @click="submitSuggest">获取建议</el-button>
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<el-button v-if="suggestResult" type="success" @click="handleQuery">查看历史</el-button>
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</template>
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</el-dialog>
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</div>
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</template>
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<script setup name="AiDiagnosisSuggest">
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import { ref, reactive } from 'vue'
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import { ElMessage } from 'element-plus'
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import { aiDiagnosisSuggest, getAiDiagnosisHistory, acceptAiDiagnosis } from '@/api/aidiagnosis/aiDiagnosis'
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const historyList = ref([])
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const loading = ref(false)
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const showSearch = ref(true)
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const queryParams = reactive({
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patientId: ''
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})
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const suggestDialogVisible = ref(false)
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const suggestLoading = ref(false)
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const suggestResult = ref(null)
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const suggestForm = reactive({
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encounterId: '',
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patientId: '',
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symptomText: '',
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source: 'llm'
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})
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const getList = async () => {
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if (!queryParams.patientId) {
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historyList.value = []
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return
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}
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loading.value = true
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try {
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const res = await getAiDiagnosisHistory(queryParams.patientId)
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if (res.code === 200) {
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historyList.value = res.data || []
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}
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} finally {
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loading.value = false
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}
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}
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const handleQuery = () => {
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getList()
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}
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const resetQuery = () => {
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queryParams.patientId = ''
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historyList.value = []
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}
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const handleNewSuggest = () => {
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suggestForm.encounterId = ''
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suggestForm.patientId = ''
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suggestForm.symptomText = ''
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suggestForm.source = 'llm'
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suggestResult.value = null
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suggestDialogVisible.value = true
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}
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const submitSuggest = async () => {
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if (!suggestForm.encounterId || !suggestForm.patientId) {
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ElMessage.error('就诊ID和患者ID不能为空')
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return
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}
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if (!suggestForm.symptomText.trim()) {
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ElMessage.error('症状描述不能为空')
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return
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}
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suggestLoading.value = true
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try {
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const res = await aiDiagnosisSuggest({
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encounterId: suggestForm.encounterId,
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patientId: suggestForm.patientId,
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symptomText: suggestForm.symptomText,
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source: suggestForm.source
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})
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if (res.code === 200) {
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suggestResult.value = res.data
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ElMessage.success('AI诊断建议已生成')
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} else {
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ElMessage.error(res.msg || '生成建议失败')
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}
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} catch (e) {
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ElMessage.error('生成建议失败')
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} finally {
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suggestLoading.value = false
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}
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}
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const handleAccept = async (row) => {
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try {
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const res = await acceptAiDiagnosis(row.id)
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if (res.code === 200) {
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ElMessage.success('已采纳该建议')
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getList()
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} else {
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ElMessage.error(res.msg || '操作失败')
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}
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} catch (e) {
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ElMessage.error('操作失败')
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}
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}
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</script>
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<style scoped>
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.suggest-result {
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margin-top: 16px;
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}
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</style>
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