PHP_emoon.com/application/index/controller/Quality.php

<?php
namespace app\index\controller;
use think\Request;
use think\Db;

//sm4
use Evit\PhpGmCrypto\Encryption\EvitSM4Encryption;

class Quality extends \think\Controller
{
    //组装数据集请求数据
    public function dataset(){
        //获取当前最新需要处理的病历记录
        $mapMedicalRec['datastatus'] = array('eq',1);
        $medicalRec = db('medical_rec') -> where($mapMedicalRec) -> find();
        if(!$medicalRec){
            $mapMedicalRec['datastatus'] = array('eq',0);
            $medicalRec = db('medical_rec') -> where($mapMedicalRec) -> find();
        }
        //当前有数据需要处理
        if($medicalRec){
            //根据病历记录获取当前的规则
            $medicalRecType = $medicalRec['type_name'];
            $mapRuleFinal['rulepath'] = array('like',"%$medicalRecType%");
            $mapRuleFinal['ruledept'] = array('eq',"通用");
            // $mapRuleFinal['rulepath'] = array('eq',$medicalRecType);
            $ruleIDArray = db('rulefinal') -> where($mapRuleFinal) -> column('ruleid');
            dump($ruleIDArray);
            //如果存在规则
            if($ruleIDArray){
                //获取当前需要跑的ruleid
                $medicalRecId = $medicalRec['mr_id'];
                $mapDataset['mrid'] = array('eq',$medicalRecId);
                $ruleIdBefore = db('dataset') -> where($mapDataset) -> order('id DESC') -> value('ruleid');
                if($ruleIdBefore){
                    //获取当前需要跑的ruleid
                    $index = array_search($ruleIdBefore, $ruleIDArray, true);
                    if(($index+1) == count($ruleIDArray)){
                        $ruleIdNow = null;
                    }
                    else{
                        $ruleIdNow = $ruleIDArray[$index+1];
                    }
                }
                else{
                    $ruleIdNow = $ruleIDArray[0];
                }
                //如果存在规则
                if($ruleIdNow){
                    //构建入参
                    $data['mrid'] = $medicalRec['mr_id'];
                    $data['ruleid'] = $ruleIdNow;
                    $mapPatVisitInfo['pat_visit_info_id'] = array('eq',$medicalRec['pat_visit_info_id']);
                    $number = db('pat_visit_info') -> where($mapPatVisitInfo) -> value('in_num');
                    $data['number'] = $number;
                    $data['dept'] = $medicalRec['dept_name'];
                    //入参参考[{"role":"user","content":"我有一条电子病历质控规则，规则为：输血患者缺失输血记录，现在我有一份电子病历病程记录原文，请按照这个规则，给我生成错误与正确的两份病例。"}]
                    $mapRuleFinalMsg['ruleid'] = array('eq',$ruleIdNow);
                    $rulelMsg = db('rulefinal') -> where($mapRuleFinalMsg) -> find();
                    if($rulelMsg['ruledetail'] == '暂无'){
                        $rulelMsg['ruledetail'] = '';
                    }
                    $content = $medicalRec['content'];
                    $dataMsg[0]['role'] = 'user';
                    $dataMsg[0]['content'] = '我需要你扮演一位专业医疗病历质控员，现在要进行病历质控。下面是一份'.$rulelMsg['rulepath'].'病历,请按照这个规则：“'.$rulelMsg['ruletype'].$rulelMsg['ruledetail'].'”，为我判断当前病历原文是否正确，如果正确，请返回：
                    
                        [{"result":"right","reason":"请详细分析质控过程并说明原因"}]
                        
                        如果不正确，请返回：
                        
                        [{"result":"wrong","reason":"请详细分析质控过程并说明原因"}]
                        
                        请注意不要输出任何其他内容，严格按照我给的格式进行输出。
                        
                        当前病历原文为：“'.$content.'”。';
                    $returnText = $this->httpRequest($dataMsg);
                    $returnText = json_decode($returnText);
                    $returnText = stdClassObjToArray($returnText);
                    $returnText = $returnText['choices'][0]['message']['content'];
                    
                    $returnText = json_decode($returnText);
                    $returnText = stdClassObjToArray($returnText);
                    if($returnText[0]['result'] == 'right'){
                        $data['wrongtext'] = '空';
                        $data['righttext'] = "正确病历，原因是：\n\n".$returnText[0]['reason']."\n\n原文是：\n\n".$content;
                    }
                    if($returnText[0]['result'] == 'wrong'){
                        $data['wrongtext'] = "错误病历，原因是：\n\n".$returnText[0]['reason']."\n\n原文是：\n\n".$content;
                        $data['righttext'] = '空';
                    }
                    $data['run'] = 0;
                    db('dataset') -> insert($data);
                    $medicalRecFinal['id'] = array('eq',$medicalRec['id']);
                    db('medical_rec')->where($medicalRecFinal)->update(['datastatus' => '1']);
                    $this -> txt();
                }
                else{
                    $medicalRecFinal['id'] = array('eq',$medicalRec['id']);
                    db('medical_rec')->where($medicalRecFinal)->update(['datastatus' => '2']);
                }
            }
            else{
                $medicalRecFinal['id'] = array('eq',$medicalRec['id']);
                db('medical_rec')->where($medicalRecFinal)->update(['datastatus' => '2']);
            }
        }
        else{
            echo 'over';
        }
    }
    
    //数据集创作
    public function httpRequest($message){
        //获取输入的内容
        // $json = file_get_contents('php://input');
        // $data = json_decode($json, true);
        // //{"messages":[ {"role":"user","content":"请问你是什么模型？"}]}
        // $message = $data['messages'] ?? null;
        
        //组装请求的数据为base64格式
        $data['model'] = 'emoon-data-E2-7B';
        $data['network'] = '1';
        $data['input'] = $message;
        $data = json_encode($data,JSON_UNESCAPED_UNICODE);
        $data = base64_encode($data);
        
        //对请求的参数进行sm4加密
        $smIV = getSMIV();
        $config = [
            'mode' => 'cbc',
            'key'  => 'CO3VBasBmQT9HNaR', // 16 字节二进制密钥
            'iv'   => $smIV, // 16 字节二进制 IV
            'hash' => false
        ];
        $sm4 = new EvitSM4Encryption($config);
        $encryptedBinary = $sm4->encrypt($data);
        // 将二进制结果转换为 Base64
        $encryptedBase64 = base64_encode($encryptedBinary);
        
        //创建最终的含有sm4的iv的数据
        $modifiedData['encryptedBase64'] = $encryptedBase64;
        $modifiedData['smIV'] = $smIV;
        $modifiedData['publicKey'] = 'r4pecGIkA4VaNC4tncpK65vwRfDfT3me';
        $modifiedData = json_encode($modifiedData,JSON_UNESCAPED_UNICODE);
        $modifiedData = base64_encode($modifiedData);
        // 将 '+' 替换为 '-'，'/' 替换为 '_'
        $modifiedData = strtr($modifiedData, '+/', '-_');
        
        //将加密的参数发送给开放平台，获取短令牌
        $urlOpen = commonOpenURL().'/Apis/getToken';
        $encryption['information'] = $modifiedData;
        $token = curlPost($urlOpen,$encryption);
        $token = stdClassObjToArray(json_decode($token));
        
        //构建最终的请求内容
        $dataRequest['token'] = $token['token'];
        $url = commonOpenURLHTTP();
        $result = curlPost($url,$dataRequest);
        return $result;
    }
    
    //将数据集导出至文件夹
    public function txt(){
        //判断所有状态为未导出状态的数据集
        $mapDataset['run'] = array('eq',0);
        $dataset = db('dataset') -> where($mapDataset) -> select();
        if($dataset){
            for($i = 0; $i < count($dataset); $i++){
                $ruleId = $dataset[$i]['ruleid'];
                $mapRuleFinal['ruleid'] = array('eq',$ruleId);
                $ruleInfo = db('rulefinal') -> where($mapRuleFinal) -> find();
                //查询规则原文
                $ruleText = '规则编码：'.$ruleInfo['ruleid']."\n".'规则类型：'.$ruleInfo['ruletype']."\n".'规则描述：'.$ruleInfo['ruledetail']."\n".'规则路径：'.$ruleInfo['rulepath']."\n".'专科标识：'.$ruleInfo['ruledept'];
                //构建原文文本
                $textRight = '科室：'.$dataset[$i]['dept']."\n\n".$dataset[$i]['righttext'];
                $textWrong = '科室：'.$dataset[$i]['dept']."\n\n".$dataset[$i]['wrongtext'];
                $textName = $dataset[$i]['number'].'_'.$dataset[$i]['dept'];
                //创建路径
                $filePath1 = 'dataset';
                $filePath2 = $ruleId;
                $filePathRule = $filePath1 . DIRECTORY_SEPARATOR . $filePath2;
                if (!is_dir($filePathRule)){
                    mkdir($filePathRule, 0777, true);
                }
                $filePath3 = 'right';
                $filePathRight = $filePathRule . DIRECTORY_SEPARATOR . $filePath3;
                if (!is_dir($filePathRight)){
                    mkdir($filePathRight, 0777, true);
                }
                $filePath4 = 'wrong';
                $filePathWrong = $filePathRule . DIRECTORY_SEPARATOR . $filePath4;
                if (!is_dir($filePathWrong)){
                    mkdir($filePathWrong, 0777, true);
                }
                //规则说明文件
                $filePathFinal = $filePathRule."/rule.txt";
                // 以写入模式打开文件。如果文件不存在，将尝试创建它。
                // 'w' 模式表示写入（会覆盖文件内容，如果文件已存在）
                // 'a' 模式表示追加（会在文件末尾添加内容，如果文件已存在）
                $fileHandle = fopen($filePathFinal, 'w');
                // 检查文件是否成功打开
                if ($fileHandle) {
                    // 将文本内容写入文件
                    fwrite($fileHandle, $ruleText);
                    // 关闭文件句柄
                    fclose($fileHandle);
                    $num = $i+1;
                    echo "NO.".$num.": \n";
                } else {
                    echo "Error:could not open file \n";
                }
                if($dataset[$i]['righttext'] != '空'){
                    //确认正确文本最终路径
                    $filePathRightFinal = $filePathRight."/".$textName.".txt";
                    $fileHandleRight = fopen($filePathRightFinal, 'w');
                     // 检查文件是否成功打开
                    if ($fileHandleRight) {
                        // 将文本内容写入文件
                        fwrite($fileHandleRight, $textRight);
                        // 关闭文件句柄
                        fclose($fileHandleRight);
                        echo "Success:The correct text has been successfully created in txt \n";
                    } else {
                        echo "Error:could not open file \n";
                    }
                }
                if($dataset[$i]['wrongtext'] != '空'){
                    //确认错误文本最终路径
                    $filePathWrongFinal = $filePathWrong."/".$textName.".txt";
                    $fileHandleWrong = fopen($filePathWrongFinal, 'w');
                    // 检查文件是否成功打开
                    if ($fileHandleWrong) {
                        // 将文本内容写入文件
                        fwrite($fileHandleWrong, $textWrong);
                        // 关闭文件句柄
                        fclose($fileHandleWrong);
                        echo "Success:The wrong text has been successfully created in txt \n";
                    } else {
                        echo "Error:Could not open file \n";
                    }
                }
                //将本条数据状态修改为1
                $mapDataset['id'] = array('eq',$dataset[$i]['id']);
                db('dataset')->where($mapDataset)->update(['run' => '1']);
            }
        }
        else{
            dump('已全部导出');
        }
    }
    
    //回收质控的采纳结果
    public function attitude(){
        $attitude =  request() -> param('attitude');
        $reason =  request() -> param('reason');
        $parts = explode('-', $attitude);
        //获取实际的完整id
        $askInfoId = $parts[1];
        //获取单次对话对应的次数
        $idNum = end($parts); 
        $mapRuleAttitude['askid'] = array('eq',$askInfoId);
        $result = db('ruleattitude') -> where($mapRuleAttitude) -> find();
        
        
        $maprulecontent['token'] = array('eq',$askInfoId);
        $tokenrole = db('tokenrole')->where($maprulecontent)->select();
        
        //如果存在走更新
        if($result){
            if (stripos($attitude, 'accept') !== false) {
                $accept = json_decode($result['accept']);
                array_push($accept, $idNum); 
                $accept = json_encode($accept,JSON_UNESCAPED_UNICODE);
                db('ruleattitude')->where($mapRuleAttitude)->update(['accept' => $accept]);
            } else {
                $refuse = json_decode($result['refuse']);
                $refuse = stdClassObjToArray($refuse);
                $dataArray['id'] = $idNum;
                $dataArray['reason'] = $reason;
                array_push($refuse, $dataArray); 
                $refuse = json_encode($refuse,JSON_UNESCAPED_UNICODE);
                db('ruleattitude')->where($mapRuleAttitude)->update(['refuse' => $refuse]);
            }
        }
        //如果不存在走新增
        else{
            $data['askid'] = $askInfoId;
            if (stripos($attitude, 'accept') !== false) {
                $dataArray[0] = $idNum;
                $data['accept'] = json_encode($dataArray,JSON_UNESCAPED_UNICODE);
                $data['refuse'] = json_encode(array(),JSON_UNESCAPED_UNICODE);
                
                $datatoekn['accept'] = json_encode($dataArray,JSON_UNESCAPED_UNICODE);
                $datatoekn['refuse'] = json_encode(array(),JSON_UNESCAPED_UNICODE);
              
            } else {
                $dataArray[0]['id'] = $idNum;
                $dataArray[0]['reason'] = $reason;
                $data['refuse'] = json_encode($dataArray,JSON_UNESCAPED_UNICODE);
                $data['accept'] = json_encode(array(),JSON_UNESCAPED_UNICODE);
                
                $datatoekn['refuse'] = json_encode($dataArray,JSON_UNESCAPED_UNICODE);
                $datatoekn['accept'] = json_encode(array(),JSON_UNESCAPED_UNICODE);
           
            }
            
            db('ruleattitude') -> insert($data);
            db('tokenrole')->where($maprulecontent)->update($datatoekn);
        }
        return "success";
    }
    
    //新增规则页面
    public function addRulePage(){
        //判断用户设备是否是移动端
        if(isMobile() == true){
            $device = 'phone';
        }
        else{
            $device = 'pc';
        }
        //获取当前年份
        $year = date('Y',time());
        //获取公共路径
        $commonURL = commonURL();
        //获取公共路径
        $commonOpenURL = commonOpenURL();
        //获取当前时间
        $now = date('Y-m-d H:i:s',time());
        //构造请求数据
        return view('addRulePage', [
			'device' => $device,
			'year' => $year,
			'commonURL' => $commonURL,
			'now' => $now,
			'commonOpenURL' => $commonOpenURL,
		]);
    }
    
    //新增规则方法
    public function addRuleMethod(){
        //获取前端用户的数据
        $data['ruletype'] = request() -> param('ruletype');
        $data['ruledetail'] = request() -> param('ruledetail');
        $data['rulepath'] = request() -> param('rulepath');
        $data['ruledept'] = request() -> param('ruledept');
        if($data['ruletype'] == null){
            return '规则类型不能为空';
        }
        if($data['ruledetail'] == null){
            return '规则明细不能为空';
        }
        if($data['rulepath'] == null){
            return '规则路径不能为空';
        }
        if($data['ruledept'] == null){
            return '专科标识不能为空';
        }
        $mapUser['ruletype'] = array('eq',$data['ruletype']);
        $mapUser['ruledetail'] = array('eq',$data['ruledetail']);
        $mapUser['rulepath'] = array('eq',$data['rulepath']);
        $mapUser['ruledept'] = array('eq',$data['ruledept']);
        $rule = db('ruleextend') -> where($mapUser) -> find();
        if($rule == null){
            db('ruleextend') -> insert($data);
            return '新规则上传成功'; 
        }
        else{
            return '该规则已上传请勿重复上传';
        }
    }
    
    //加工规则
    public function ruleRemix(){
        $result = 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ail":"出院带药未描述用法、用量","rulepath":"出院记录","ruledept":"通用"},{"ruleid":"CYJL0009","ruletype":"出院带药未记录或未说明用法用量","ruledetail":"出院带药描述与医嘱不相同","rulepath":"出院记录","ruledept":"通用"},{"ruleid":"CYJL0010","ruletype":"产科无新生儿出院记录，无新生儿脚印或性别前后不符","ruledetail":"","rulepath":"出院记录","ruledept":"产科"},{"ruleid":"CYJL0011","ruletype":"出院记录内容不全","ruledetail":"","rulepath":"出院记录","ruledept":"通用"},{"ruleid":"CYJL0012","ruletype":"出院记录大面积复制粘贴，无总结概括","ruledetail":"","rulepath":"出院记录","ruledept":"通用"},{"ruleid":"CYJL0013","ruletype":"出院记录缺医师签名","ruledetail":"","rulepath":"出院记录","ruledept":"通用"},{"ruleid":"JJBJL0001","ruletype":"缺交（接）班记录","ruledetail":"","rulepath":"交接班记录","ruledept":"通用"},{"ruleid":"JJBJL0002","ruletype":"交（接）班记录大面积复制粘贴，无总结概括","ruledetail":"","rulepath":"交接班记录","ruledept":"通用"},{"ruleid":"JJBJL0003","ruletype":"医师在交接班后24小时内未完成交接班记录","ruledetail":"","rulepath":"交接班记录","ruledept":"通用"},{"ruleid":"CRZJL0001","ruletype":"缺转出（入）记录","ruledetail":"","rulepath":"出入转记录","ruledept":"通用"},{"ruleid":"CRZJL0002","ruletype":"转出（入）记录大面积复制粘贴，无总结概括","ruledetail":"","rulepath":"出入转记录","ruledept":"通用"},{"ruleid":"CRZJL0003","ruletype":"24小时内未完成转出（入）记录","ruledetail":"","rulepath":"出入转记录","ruledept":"通用"},{"ruleid":"SWJL0000","ruletype":"无出院（死亡）记录","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0001","ruletype":"未在一周内完成死亡病例讨论记录","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0002","ruletype":"死亡病例讨论记录内容缺陷","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0003","ruletype":"死亡记录内容不全","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0004","ruletype":"死亡记录大面积复制粘贴，无总结概括","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0005","ruletype":"死亡记录中死亡时间不具体或与医嘱、体温单时间不符","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0006","ruletype":"死亡记录中未写明死亡原因","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"SWJL0007","ruletype":"死亡记录缺医师签名","ruledetail":"","rulepath":"死亡记录","ruledept":"通用"},{"ruleid":"ZQTY0001","ruletype":"缺有创操作知情同意书或缺患方签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0002","ruletype":"缺手术、麻醉知情同意书或缺患方签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0003","ruletype":"有创操作、手术同知情同意书填写缺项","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0004","ruletype":"有民事行为能力且意识清醒的患者，非本人签署知情同意书，无授权委托授权书","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0005","ruletype":"使用自费项目（包括自费药品、材料、检查、治疗等），未签署知情同意书。","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0006","ruletype":"输血治疗的患者缺患者（近亲属）签字的知情同意书","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0007","ruletype":"自动出院患者，缺患者（近亲属）意见及签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0008","ruletype":"放弃抢救缺患者（近亲属）意见及签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0009","ruletype":"缺尸体解剖意见书或无患方签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0010","ruletype":"多合并症患者，知情同意书中特殊风险告知不足","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0011","ruletype":"手术知情同意书中手术名称及术式与实际手术情况明显不符。","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0012","ruletype":"手术知情同意书缺少术者或经治医师签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"ZQTY0013","ruletype":"有创操作知情同意书缺少医师签名","ruledetail":"","rulepath":"知情同意书","ruledept":"通用"},{"ruleid":"PFB0001","ruletype":"评估表项目填写不全","ruledetail":"","rulepath":"评分表","ruledept":"通用"},{"ruleid":"HL0001","ruletype":"病情变化未记录","ruledetail":"出血量大于500，同日病程未记录","rulepath":"护理--出血量","ruledept":"通用"},{"ruleid":"HL0002","ruletype":"病情变化未记录","ruledetail":"体温连续两天高于38.5，病程未记录","rulepath":"护理--体温","ruledept":"通用"},{"ruleid":"REPORT0001","ruletype":"缺对诊断、治疗起决定性作用的辅助检查报告单","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0002","ruletype":"医嘱（护理级别）有病情不符","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0003","ruletype":"住院超过48小时缺常规检查结果","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0004","ruletype":"有医嘱但缺辅助检查报告单","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0005","ruletype":"检查报告单与医嘱或病情描述不符","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0006","ruletype":"病程中已记录辅助检查结果，缺相应报告单","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0007","ruletype":"已输血病历中缺输血前相关检查结果","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"REPORT0008","ruletype":"报告单、检验单粘贴不规范、不整齐或缺标记","ruledetail":"","rulepath":"检查检验","ruledept":"通用"},{"ruleid":"Add","ruletype":"绝经年龄","ruledetail":"绝经年龄需要大于初潮年龄最少20年","rulepath":"Add","ruledept":"通用"}]';
        $result = json_decode($result);
        $result = stdClassObjToArray($result);
        for($i = 0; $i < count($result); $i++){
            if($result[$i]['ruledetail'] == ''){
                $result[$i]['ruledetail'] = '暂无';
            }
        }
        $result = json_encode($result,JSON_UNESCAPED_UNICODE);
        dump($result);
    }

}