feat: 病历模块优化、AI辅助问诊、接入deepseek

This commit is contained in:
李琦
2026-08-06 18:08:51 +08:00
parent f9dd9ad3a2
commit 69c3e6d30e
8 changed files with 18 additions and 8 deletions

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@@ -1,775 +0,0 @@
<template>
<view class="consultation-container safe-area-inset-bottom">
<view class="consultation-header">
<view class="header-back" @click="handleHeaderBack">
<text class="iconfont icon-arrow-left"></text>
</view>
<view class="header-title">{{ headerTitle }}</view>
<view class="header-placeholder"></view>
</view>
<view class="notice-box" v-if="showNotice">
<view class="notice-text">
<text v-for="(part, index) in parsedNoticeParts" :key="index">
<text v-if="part.type === 'text'">{{ part.text }}</text>
<text v-else-if="part.type === 'agreement'" class="notice-link" @click="$emit('viewAgreement', part.agreementId)">
{{ part.text }}
</text>
</text>
</view>
</view>
<page-container
:if="agreementPopupVisible"
position="bottom"
round
overlay
custom-style="height:88%;"
@clickoverlay="closeAgreement"
@afterleave="closeAgreement"
>
<view class="agreement-popup">
<view class="agreement-header">
<text class="agreement-title">{{ currentAgreementName || '协议详情' }}</text>
<view class="agreement-close" @click="closeAgreement">×</view>
</view>
<scroll-view scroll-y class="agreement-content" :show-scrollbar="true">
<u-parse :html="agreementContent"></u-parse>
</scroll-view>
</view>
</page-container>
<scroll-view class="messages-scroll" scroll-y="true" :scroll-into-view="scrollIntoView" scroll-with-animation>
<view class="messages-container">
<view v-for="message in displayedMessages" :key="message.id">
<view v-if="message.type === 'welcome'" class="message-item other">
<image class="avatar" :src="assistantAvatar" mode="aspectFill"></image>
<view class="message-content">
<view class="assistant-label">{{ assistantName }}</view>
<view class="message-bubble">
<text>您好! 我是医生助理, 已收到您的用药申请:{{ prescriptionInfo }}, 为了帮助医生判断准确, 请按照您的真实情况回答以下问题</text>
</view>
</view>
</view>
<view v-else-if="message.type === 'question'" class="message-item other" :id="'question-' + message.questionId">
<image class="avatar" :src="assistantAvatar" mode="aspectFill"></image>
<view class="message-content">
<view class="assistant-label">{{ assistantName }}</view>
<view class="message-bubble">
<text>{{ message.content }}</text>
</view>
</view>
</view>
<view v-else-if="message.type === 'answer'" class="message-item mine">
<image class="avatar" :src="userAvatar" mode="aspectFill"></image>
<view class="message-content">
<view class="message-bubble">
<text>{{ message.content }}</text>
</view>
</view>
</view>
<view v-else-if="message.type === 'waiting'" class="message-item other">
<image class="avatar" :src="assistantAvatar" mode="aspectFill"></image>
<view class="message-content">
<view class="assistant-label">{{ assistantName }}</view>
<view class="message-bubble">
<text>请稍等, 正在为您转接医生进行复诊开方...</text>
</view>
</view>
</view>
<view v-else-if="message.type === 'hint'" class="message-item other">
<image class="avatar" :src="assistantAvatar" mode="aspectFill"></image>
<view class="message-content">
<view class="assistant-label">{{ assistantName }}</view>
<view class="message-bubble">
<text>{{ message.content }}</text>
</view>
</view>
</view>
</view>
<view v-if="isTyping" class="message-item other typing-indicator">
<image class="avatar" :src="assistantAvatar" mode="aspectFill"></image>
<view class="message-content">
<view class="assistant-label">{{ assistantName }}</view>
<view class="message-bubble typing-bubble">
<view class="typing-dots">
<view class="dot"></view>
<view class="dot"></view>
<view class="dot"></view>
</view>
</view>
</view>
</view>
<view :id="bottomAnchorId" style="height: 1px;"></view>
</view>
</scroll-view>
<slot v-if="customFooterActive && $slots.footer" name="footer"></slot>
<view
v-else-if="showQuestionButtons && currentQuestion && !isSubmitting && !showWaiting && answerMode === 'multi'"
class="action-footer multi-footer safe-area-inset-bottom"
>
<!-- 多选适用症点选 toggling确认后再提交其他可填自定义症状 -->
<view class="multi-options">
<button
v-for="(answer, index) in currentQuestionAnswers"
:key="index"
hover-class="none"
:class="['multi-option-btn', { selected: !!multiSelectedFlag[index] }]"
@click="toggleMultiAnswer(index)"
>
{{ answer }}
</button>
</view>
<input
v-if="multiHasOtherSelected"
class="multi-other-input"
v-model="multiOtherText"
placeholder="请填写具体症状"
:maxlength="100"
/>
<!-- 不用原生 disabled避免微信小程序卡死无法点击未达标时 toast -->
<button
class="action-btn yes-btn confirm-btn"
hover-class="none"
:class="{ disabled: !multiConfirmEnabled }"
@click="confirmMultiAnswer"
>
确认
</button>
</view>
<view
v-else-if="showQuestionButtons && currentQuestion && !isSubmitting && !showWaiting"
class="action-footer safe-area-inset-bottom"
>
<button
v-for="(answer, index) in currentQuestionAnswers"
:key="index"
hover-class="none"
:class="['action-btn', answerButtonClass(answer, index)]"
@click="emitSingleAnswer(answer)"
>
{{ answer }}
</button>
</view>
<view class="submitting-overlay" v-if="isSubmitting">
<view class="submitting-content">
<view class="loading-spinner"></view>
<text class="submitting-text">{{ submittingText }}</text>
</view>
</view>
</view>
</template>
<script>
export default {
name: 'AssistantConsultationShell',
props: {
headerTitle: {
type: String,
default: '转诊咨询',
},
showNotice: {
type: Boolean,
default: true,
},
parsedNoticeParts: {
type: Array,
default: () => [],
},
showAgreement: {
type: Boolean,
default: false,
},
agreementContent: {
type: String,
default: '',
},
currentAgreementName: {
type: String,
default: '',
},
displayedMessages: {
type: Array,
default: () => [],
},
assistantAvatar: {
type: String,
default: 'https://xiaokang88.oss-cn-hangzhou.aliyuncs.com/xk-client-wx/static/images/assistant-avatar.png',
},
assistantName: {
type: String,
default: '医生助理',
},
userAvatar: {
type: String,
default: 'https://xiaokang88.oss-cn-hangzhou.aliyuncs.com/xk-client-wx/static/images/user-avatar.png',
},
prescriptionInfo: {
type: String,
default: '',
},
isTyping: {
type: Boolean,
default: false,
},
scrollIntoView: {
type: String,
default: '',
},
bottomAnchorId: {
type: String,
default: 'bottom-anchor',
},
/** 为 true 时展示底部「是/否」等选项(与转诊一致) */
showQuestionButtons: {
type: Boolean,
default: true,
},
currentQuestion: {
type: Object,
default: null,
},
currentQuestionAnswers: {
type: Array,
default: () => ['是', '否'],
},
isSubmitting: {
type: Boolean,
default: false,
},
showWaiting: {
type: Boolean,
default: false,
},
submittingText: {
type: String,
default: '正在提交...',
},
/** 为 true 时使用 #footer 插槽,避免父组件始终占位导致无法显示默认答题按钮 */
customFooterActive: {
type: Boolean,
default: false,
},
/**
* 答题模式single 点一下即提交multi 可多选后点确认
* 诊所复诊按药选适用症用 multi
*/
answerMode: {
type: String,
default: 'single',
},
},
data() {
return {
/** 多选已选下标列表(整表替换,微信小程序下比 object+$set 更稳) */
multiSelectedIndexes: [],
/** 选「其他」时的自定义症状文案 */
multiOtherText: '',
/** 防双击emit 后立刻锁,题目切换解锁 */
answeringLock: false,
};
},
watch: {
// 题目切换时清空多选,避免上一题选中态残留
currentQuestion() {
this.multiSelectedIndexes = [];
this.multiOtherText = '';
this.answeringLock = false;
},
answerMode() {
this.multiSelectedIndexes = [];
this.multiOtherText = '';
this.answeringLock = false;
},
},
computed: {
agreementPopupVisible: {
get() {
return this.showAgreement
},
set(val) {
this.$emit('update:showAgreement', val)
},
},
/** 供模板判断选中,避免 :class 里写 indexOf */
multiSelectedFlag() {
const map = {};
const list = this.multiSelectedIndexes || [];
for (let i = 0; i < list.length; i++) {
map[list[i]] = true;
}
return map;
},
multiSelectedCount() {
return (this.multiSelectedIndexes || []).length;
},
/** 是否选中了「其他」选项 */
multiHasOtherSelected() {
const answers = this.currentQuestionAnswers || [];
const list = this.multiSelectedIndexes || [];
for (let i = 0; i < list.length; i++) {
const idx = list[i];
if (answers[idx] === '其他') {
return true;
}
}
return false;
},
/** 多选确认是否可提交:至少选一项;选了其他则自定义文案非空 */
multiConfirmEnabled() {
if (this.multiSelectedCount === 0) return false;
if (this.multiHasOtherSelected) {
return !!(this.multiOtherText && String(this.multiOtherText).trim());
}
return true;
},
},
methods: {
handleHeaderBack() {
if (this.showAgreement) {
this.closeAgreement();
return;
}
this.$emit('back');
},
closeAgreement() {
this.$emit('update:showAgreement', false);
},
answerButtonClass(answer, index) {
const answers = this.currentQuestionAnswers
const totalAnswers = answers.length
if (totalAnswers === 2) {
if (answer === '是') return 'yes-btn'
if (answer === '否') return 'no-btn'
}
if (index === 0) return 'yes-btn'
return 'no-btn'
},
/** 单选:点一下即提交,防双击重复 emit */
emitSingleAnswer(answer) {
if (this.answeringLock || this.isSubmitting) return;
this.answeringLock = true;
this.$emit('answer', answer);
},
/** 多选:切换某个适用症的选中状态 */
toggleMultiAnswer(index) {
if (this.answeringLock || this.isSubmitting) return;
const list = this.multiSelectedIndexes || [];
const pos = list.indexOf(index);
if (pos === -1) {
this.multiSelectedIndexes = list.concat([index]);
} else {
this.multiSelectedIndexes = list.filter((i) => i !== index);
if (this.currentQuestionAnswers[index] === '其他') {
this.multiOtherText = '';
}
}
},
/**
* 多选确认:选中标签用顿号拼接;「其他」替换为自定义填写内容
*/
confirmMultiAnswer() {
if (this.answeringLock || this.isSubmitting) return;
if (!this.multiConfirmEnabled) {
if (this.multiSelectedCount === 0) {
uni.showToast({ title: '请至少选择一项', icon: 'none' });
} else if (this.multiHasOtherSelected) {
uni.showToast({ title: '请填写具体症状', icon: 'none' });
}
return;
}
const indexes = (this.multiSelectedIndexes || []).slice().sort((a, b) => a - b);
if (!indexes.length) return;
const otherText = (this.multiOtherText || '').trim();
const labels = indexes
.map((i) => {
const label = this.currentQuestionAnswers[i];
if (label === '其他') return otherText;
return label;
})
.filter(Boolean);
if (!labels.length) return;
this.answeringLock = true;
this.$emit('answer', labels.join('、'));
this.multiSelectedIndexes = [];
this.multiOtherText = '';
},
},
}
</script>
<style lang="scss" scoped>
.consultation-container {
width: 100%;
height: 100vh;
background-color: #f8fafc;
display: flex;
flex-direction: column;
}
.consultation-header {
display: flex;
align-items: center;
justify-content: space-between;
padding: 20rpx 30rpx;
background: #fff;
border-bottom: 1rpx solid #f0f0f0;
position: relative;
flex-shrink: 0;
.header-back {
width: 60rpx;
height: 60rpx;
display: flex;
align-items: center;
justify-content: center;
.iconfont {
font-size: 32rpx;
color: #333;
}
}
.header-title {
position: absolute;
left: 50%;
transform: translateX(-50%);
font-size: 32rpx;
font-weight: 600;
color: #333;
}
.header-placeholder {
width: 60rpx;
}
}
.notice-box {
margin: 20rpx 30rpx;
padding: 24rpx;
background: #f5f5f5;
border-radius: 12rpx;
font-size: 24rpx;
line-height: 1.6;
color: #666;
flex-shrink: 0;
.notice-text {
display: block;
word-break: break-all;
}
.notice-link {
color: #0a84ff;
text-decoration: underline;
}
}
.messages-scroll {
flex: 1;
min-height: 0;
overflow: hidden;
}
.messages-container {
padding: 30rpx;
min-height: 100%;
}
.message-item {
display: flex;
align-items: flex-start;
margin-bottom: 30rpx;
.avatar {
width: 72rpx;
height: 72rpx;
border-radius: 10rpx;
flex-shrink: 0;
background: #f2f2f2;
}
.message-content {
display: flex;
flex-direction: column;
max-width: 70%;
margin-left: 16rpx;
.assistant-label {
font-size: 22rpx;
color: #999;
margin-bottom: 8rpx;
}
.message-bubble {
padding: 18rpx 24rpx;
font-size: 30rpx;
line-height: 1.5;
border-radius: 4rpx 12rpx 12rpx 12rpx;
background: #fff;
color: #333;
word-break: break-all;
box-shadow: 0 2rpx 4rpx rgba(0, 0, 0, 0.05);
}
}
&.mine {
flex-direction: row-reverse;
.message-content {
margin-left: 0;
margin-right: 16rpx;
align-items: flex-end;
.message-bubble {
background: #0a84ff;
color: #fff;
border-radius: 12rpx 4rpx 12rpx 12rpx;
}
}
}
&.typing-indicator {
.typing-bubble {
padding: 18rpx 24rpx;
min-width: 80rpx;
}
.typing-dots {
display: flex;
align-items: center;
gap: 8rpx;
.dot {
width: 12rpx;
height: 12rpx;
border-radius: 50%;
background: #999;
animation: typing 1.4s infinite ease-in-out;
}
.dot:nth-child(1) {
animation-delay: 0s;
}
.dot:nth-child(2) {
animation-delay: 0.2s;
}
.dot:nth-child(3) {
animation-delay: 0.4s;
}
}
}
}
@keyframes typing {
0%,
60%,
100% {
transform: translateY(0);
opacity: 0.7;
}
30% {
transform: translateY(-10rpx);
opacity: 1;
}
}
.action-footer {
padding: 20rpx 30rpx;
padding-bottom: calc(20rpx + env(safe-area-inset-bottom));
background: #fff;
border-top: 1rpx solid #f0f0f0;
display: flex;
gap: 20rpx;
justify-content: space-between;
flex-shrink: 0;
.action-btn {
flex: 1;
min-height: 88rpx;
height: auto;
line-height: 1.35;
padding: 20rpx 16rpx;
border-radius: 44rpx;
font-size: 30rpx;
font-weight: 500;
border: none;
white-space: normal;
/* 覆盖微信 button 默认白底/按下灰底,避免按钮组背景错乱 */
background-color: #0a84ff !important;
color: #fff !important;
&::after {
border: none;
}
&.yes-btn {
background-color: #0a84ff !important;
color: #fff !important;
}
&.no-btn {
background-color: #fff !important;
color: #333 !important;
border: 2rpx solid #ddd;
}
&.disabled,
&[disabled] {
opacity: 0.45;
}
}
&.multi-footer {
flex-direction: column;
gap: 16rpx;
.multi-options {
display: flex;
flex-wrap: wrap;
gap: 16rpx;
}
.multi-other-input {
width: 100%;
box-sizing: border-box;
padding: 16rpx 24rpx;
min-height: 72rpx;
border-radius: 12rpx;
background: #f8fafc;
font-size: 28rpx;
color: #333;
border: 1rpx solid #e2e8f0;
}
.multi-option-btn {
min-width: 140rpx;
padding: 0 28rpx;
height: 64rpx;
line-height: 64rpx;
border-radius: 32rpx;
font-size: 26rpx;
background-color: rgba(10, 132, 255, 0.08) !important;
color: #475569 !important;
border: 2rpx solid transparent;
&::after {
border: none;
}
&.selected {
background-color: #0a84ff !important;
color: #fff !important;
}
}
.confirm-btn {
width: 100%;
flex: none;
background-color: #0a84ff !important;
color: #fff !important;
}
}
}
.submitting-overlay {
position: fixed;
top: 0;
left: 0;
right: 0;
bottom: 0;
background: rgba(0, 0, 0, 0.5);
display: flex;
align-items: center;
justify-content: center;
z-index: 9999;
.submitting-content {
background: #fff;
padding: 60rpx 80rpx;
border-radius: 16rpx;
display: flex;
flex-direction: column;
align-items: center;
gap: 24rpx;
.loading-spinner {
width: 60rpx;
height: 60rpx;
border: 4rpx solid #f3f3f3;
border-top: 4rpx solid #0a84ff;
border-radius: 50%;
animation: spin 1s linear infinite;
}
.submitting-text {
font-size: 28rpx;
color: #666;
}
}
}
@keyframes spin {
0% {
transform: rotate(0deg);
}
100% {
transform: rotate(360deg);
}
}
.agreement-popup {
display: flex;
flex-direction: column;
height: 100%;
background: #fff;
}
.agreement-header {
display: flex;
align-items: center;
justify-content: space-between;
padding: 30rpx 50rpx 20rpx;
border-bottom: 1rpx solid #e5e7eb;
background: #fff;
flex-shrink: 0;
}
.agreement-close {
width: 48rpx;
height: 48rpx;
display: flex;
align-items: center;
justify-content: center;
font-size: 40rpx;
color: #64748b;
line-height: 1;
}
.agreement-title {
font-size: 32rpx;
font-weight: 600;
color: #1e293b;
line-height: 1.5;
flex: 1;
min-width: 0;
}
.agreement-content {
flex: 1;
height: 0;
min-height: 200rpx;
padding: 30rpx 50rpx 40rpx;
box-sizing: border-box;
}
</style>