太湖云医医案收集

src/main/java/com/peanut/modules/common/controller/MedicalRecordsController.java

@@ -0,0 +1,115 @@
+package com.peanut.modules.common.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.peanut.common.utils.R;
+import com.peanut.common.utils.ShiroUtils;
+import com.peanut.modules.common.entity.MedicalRecords;
+import com.peanut.modules.common.entity.MedicalRecordsToLabel;
+import com.peanut.modules.common.service.MedicalRecordsService;
+import com.peanut.modules.common.service.MedicalRecordsToLabelService;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.ai.chat.client.ChatClient;
+import org.springframework.ai.tool.ToolCallbackProvider;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.web.bind.annotation.RequestBody;
+import org.springframework.web.bind.annotation.RequestMapping;
+import org.springframework.web.bind.annotation.RestController;
+import java.util.Date;
+import java.util.List;
+import java.util.Map;
+import java.util.UUID;
+
+@Slf4j
+@RestController("commonMedicalRecords")
+@RequestMapping("common/medicalRecords")
+public class MedicalRecordsController {
+
+    private final ChatClient chatClient;
+    @Autowired
+    private MedicalRecordsService medicalRecordsService;
+    @Autowired
+    private MedicalRecordsToLabelService medicalRecordsToLabelService;
+
+    public MedicalRecordsController(ChatClient.Builder chatClientBuilder, ToolCallbackProvider tools) {
+        this.chatClient = chatClientBuilder.defaultToolCallbacks(tools).build();
+    }
+
+    //拆分医案段落
+    @RequestMapping(value = "/medicalRecordsSplit")
+    public R medicalRecordsSplit(@RequestBody Map<String,Object> parmas) {
+        MedicalRecords mr =  new MedicalRecords();
+        String uuid = UUID.randomUUID().toString();
+        StringBuffer sb  = new StringBuffer();
+        Date date = new Date();
+        chatClient.prompt()
+                .user("你是一名文档编辑，给你一份资料，必须按照1.一般信息,2.主诉,3.现病史,4.既往史,5.家族史,6.体格检查,7.诊断,8.治疗和后续治疗；" +
+                        "这8方面进行拆分，不要增删内容,个人信息必须脱敏处理，结果必须是markdown格式;内容如下："+
+                        parmas.get("message").toString())
+                .stream()
+                .content()
+                .doOnNext(data -> {
+                    sb.append(data);
+                })
+                .doFinally(data -> {
+                    System.out.println(sb);
+                    String res = sb.toString().replace("```markdown\n","").replace("```","");
+                    String[] datas = res.split("\n\n");
+                    mr.setUserId(ShiroUtils.getUId());
+                    mr.setInformation(datas[0]);
+                    mr.setChiefComplaint(datas[1]);
+                    mr.setHistoryOfPresentIllness(datas[2]);
+                    mr.setPastHistory(datas[3]);
+                    mr.setPersonalAndFamilyHistory(datas[4]);
+                    mr.setPhysicaExamination(datas[5]);
+                    mr.setDiagnosis(datas[6]);
+                    mr.setTreatmentPlan(datas[7]);
+                    mr.setData(uuid+"->\n"+res);
+                    medicalRecordsService.save(mr);
+                    System.out.println(new Date().getTime()-date.getTime());
+                })
+                .subscribe();
+        return R.ok().put("data",uuid);
+    }
+
+    //查询正在拆分的医案
+    @RequestMapping(value = "/medicalRecordsQuerySplit")
+    public R medicalRecordsQuerySplit(@RequestBody Map<String,Object> parmas) {
+        List<MedicalRecords> list = medicalRecordsService.list(new LambdaQueryWrapper<MedicalRecords>()
+                .like(MedicalRecords::getData,parmas.get("queryFlag")));
+        return R.ok().put("medicalRecords",list.size()>0?list.get(0):null);
+    }
+
+    //暂存或者保存医案
+    @RequestMapping(value = "/saveMedicalRecords")
+    @Transactional
+    public R saveMedicalRecords(@RequestBody MedicalRecords medicalRecords) {
+        MedicalRecordsToLabel toLabel = new MedicalRecordsToLabel();
+        toLabel.setRecordId(medicalRecords.getId());
+        toLabel.setLabelId(medicalRecords.getLabelId());
+        medicalRecordsToLabelService.save(toLabel);
+        if (medicalRecords.getState()==1){
+            if ("儿科".equals(medicalRecords.getLabelTitle())){
+                if ((!medicalRecords.getPastHistory().contains("接种")&&
+                        !medicalRecords.getPastHistory().contains("疫苗"))&&
+                        (!medicalRecords.getPersonalAndFamilyHistory().contains("接种")&&
+                                !medicalRecords.getPersonalAndFamilyHistory().contains("疫苗"))){
+                    return R.error("请补充患者疫苗接种信息");
+                }
+            }
+            if ("妇科".equals(medicalRecords.getLabelTitle())){
+                if ((!medicalRecords.getPastHistory().contains("月经")&&
+                        !medicalRecords.getPastHistory().contains("例假")&&
+                        !medicalRecords.getPastHistory().contains("婚育"))&&
+                        (!medicalRecords.getPersonalAndFamilyHistory().contains("月经")&&
+                                !medicalRecords.getPersonalAndFamilyHistory().contains("例假")&&
+                                !medicalRecords.getPersonalAndFamilyHistory().contains("婚育"))){
+                    return R.error("请补充患者月经婚育信息");
+                }
+            }
+        }
+        medicalRecordsService.save(medicalRecords);
+        return R.ok().put("medicalRecords",medicalRecords);
+    }
+
+}

src/main/java/com/peanut/modules/common/entity/MedicalRecords.java

@@ -1,5 +1,6 @@
 package com.peanut.modules.common.entity;
 
+import com.baomidou.mybatisplus.annotation.TableField;
 import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableLogic;
 import com.baomidou.mybatisplus.annotation.TableName;
@@ -48,5 +49,9 @@ public class MedicalRecords {
     @TableLogic
     private Integer delFlag;
 
+    @TableField(exist = false)
+    private Integer labelId;
+    @TableField(exist = false)
+    private String labelTitle;
 
 }

src/main/java/com/peanut/modules/master/controller/MedicalRecordsController.java

@@ -16,6 +16,7 @@ import org.springframework.web.bind.annotation.RequestBody;
 import org.springframework.web.bind.annotation.RequestMapping;
 import org.springframework.web.bind.annotation.RestController;
 import java.util.List;
+import java.util.Map;
 import java.util.stream.Collectors;
 
 @Slf4j
@@ -30,6 +31,38 @@ public class MedicalRecordsController {
     @Autowired
     private MedicalRecordsToLabelService toLabelService;
 
+
+
+    @RequestMapping("/getMedicalRecordsList")
+    public R getMedicalRecordsList(@RequestBody Map<String,Object> params){
+        MPJLambdaWrapper<MedicalRecords> wrapper = new MPJLambdaWrapper();
+        wrapper.rightJoin(MedicalRecordsToLabel.class,MedicalRecordsToLabel::getRecordId,MedicalRecords::getId);
+        wrapper.selectAll(MedicalRecords.class);
+        wrapper.eq(MedicalRecordsToLabel::getLabelId,params.get("labelId"));
+        wrapper.eq(MedicalRecords::getState,1);
+        wrapper.eq(StringUtils.isNotBlank(params.get("train").toString()),MedicalRecords::getTrain,params.get("train"));
+        wrapper.eq(StringUtils.isNotBlank(params.get("title").toString()),MedicalRecords::getTitle,params.get("title"));
+        Page<MedicalRecords> page = medicalRecordsService.page(new Page<>(
+                Long.parseLong(params.get("current").toString()),Long.parseLong(params.get("limit").toString())),wrapper);
+        return R.ok().put("page",page);
+    }
+
+    @RequestMapping("/addMedicalRecords")
+    public R addMedicalRecords(@RequestBody MedicalRecords  medicalRecords){
+        medicalRecords.setState(1);
+        medicalRecordsService.updateById(medicalRecords);
+        return R.ok();
+    }
+
+    @RequestMapping("/editMedicalRecords")
+    public R editMedicalRecords(@RequestBody MedicalRecords  medicalRecords){
+        medicalRecordsService.updateById(medicalRecords);
+        return R.ok();
+    }
+
+
+
+
     @RequestMapping("/getMedicalRecordsLabelList")
     public R getMedicalRecordsLabelList(){
         return R.ok().put("Medicals", medicalRecordsLabels(0));