1、新增病例提示词

2、新增生成数字人问诊回复视频接口

virtual-patient-manage/src/main/java/com/supervision/manage/controller/human/HumanManageController.java

@@ -1,4 +1,4 @@
-package com.supervision.manage.human;
+package com.supervision.manage.controller.human;
 
 import com.supervision.manage.service.HumanManageService;
 import com.supervision.model.Human;
@@ -6,6 +6,7 @@ import com.supervision.vo.manage.HumanCreateReqVo;
 import com.supervision.vo.manage.HumanReqVo;
 import io.swagger.v3.oas.annotations.Operation;
 import io.swagger.v3.oas.annotations.tags.Tag;
+import jakarta.servlet.http.HttpServletResponse;
 import lombok.RequiredArgsConstructor;
 import org.springframework.web.bind.annotation.*;
 import org.springframework.web.multipart.MultipartFile;
@@ -23,9 +24,19 @@ public class HumanManageController {
 
 
     @Operation(summary = "新增数字人")
-    @PostMapping(value = "/createHuman",consumes = "multipart/form-data")
+    @PostMapping(value = "/createHuman", consumes = "multipart/form-data")
     public boolean createHuman(@RequestParam("file") MultipartFile imageFile, String medicalId) {
         return humanManageService.createHuman(imageFile, medicalId);
     }
 
+
+    @Operation(summary = "生成数字人问诊问题回复视频")
+    @PostMapping(value = "/createHumanVideo", consumes = "multipart/form-data")
+    public boolean createHuman(@RequestParam("file") MultipartFile imageFile,
+                               @RequestParam("file") MultipartFile videoFile,
+                               String answer,
+                               HttpServletResponse response) throws Exception {
+        return humanManageService.createHumanAnswerVideo(imageFile, videoFile, answer, response);
+    }
+
 }

virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalAiDicController.java

@@ -0,0 +1,56 @@
+package com.supervision.manage.controller.medicalrec;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.supervision.manage.service.MedicalManageAiDicService;
+import com.supervision.vo.manage.*;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.Parameter;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.RequiredArgsConstructor;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.web.bind.annotation.*;
+
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:28
+ * @Description: 病例提示词控制器
+ */
+
+@Tag(name = "病例提示词管理")
+@RestController
+@RequestMapping("/medicalRecAiManage")
+@RequiredArgsConstructor
+public class MedicalAiDicController {
+
+
+    @Autowired
+    private MedicalManageAiDicService medicalAiDicService;
+
+
+    @Operation(summary = "分页查询")
+    @GetMapping("/query")
+    public IPage<MedicalRecPageResVO> queryMedicalRecManagePage(@Parameter(name = "attribute_name", description = "属性名称") String attributeName,
+                                                                Integer pageNum, Integer pageSize) {
+        return medicalAiDicService.queryPage(attributeName, pageNum, pageSize);
+    }
+
+    @Operation(summary = "创建")
+    @PostMapping("/create")
+    public void createMedicalRec(@RequestBody MedicalRecAiManageCreateVO reqVO) {
+        medicalAiDicService.create(reqVO);
+    }
+
+    @Operation(summary = "修改")
+    @PutMapping("/modify")
+    public void modifyMedicalRec(@RequestBody MedicalRecAiManageUpdateVO reqVO) {
+        medicalAiDicService.modify(reqVO);
+    }
+
+
+    @Operation(summary = "删除")
+    @GetMapping("/delete")
+    public void deleteMedicalRec(String id) {
+        medicalAiDicService.delete(id);
+    }
+}

virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java

@@ -1,10 +1,13 @@
 package com.supervision.manage.controller.medicalrec;
 
+import com.alibaba.fastjson.JSONArray;
+import com.alibaba.fastjson.JSONObject;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.supervision.manage.pojo.vo.*;
 import com.supervision.manage.service.MedicalRecManageService;
 import com.supervision.model.Disease;
 import com.supervision.model.MedicalRec;
+import com.supervision.model.MedicalRecAi;
 import com.supervision.vo.manage.*;
 import io.swagger.v3.oas.annotations.Operation;
 import io.swagger.v3.oas.annotations.Parameter;
@@ -123,7 +126,6 @@ public class MedicalRecManageController {
     @Operation(summary = "查询病例默认问题")
     @GetMapping("/queryMedicalDefaultAnswer")
     public List<MedicalRecQaVO> queryMedicalDefaultAnswer(@Parameter(name = "medicalRecId", description = "病例id") String medicalRecId) {
-
         return medicalRecManageService.queryMedicalDefaultAnswer(medicalRecId);
     }
 
@@ -151,11 +153,19 @@ public class MedicalRecManageController {
     }
 
 
+
+
+    @Operation(summary = "查询病例提示词属性")
+    @GetMapping("/queryMedicalPromptStats")
+    public MedicalPromptStatsResVo queryMedicalPromptStats() {
+        return medicalRecManageService.queryMedicalPromptStats();
+    }
+
+
     @Operation(summary = "生成病历模型提示词")
     @PutMapping("/uploadMedicalAiById")
-    public void uploadMedicalAi(@Parameter(name = "medicalRecId", description = "病例id") String medicalRecId,
-                                @Parameter(name = "medicalRecAi", description = "提示词") String medicalRecAi) throws Exception {
-        medicalRecManageService.uploadMedicalAi(medicalRecId, medicalRecAi);
+    public void uploadMedicalAi(@RequestBody MedicalRecCreateAiManageVO medicalRecAi)  {
+        medicalRecManageService.uploadMedicalAi(medicalRecAi);
     }
 
 

virtual-patient-manage/src/main/java/com/supervision/manage/pojo/ai/AiMangeTalkAnswerDTO.java

@@ -0,0 +1,10 @@
+package com.supervision.manage.pojo.ai;
+
+
+import lombok.Data;
+
+@Data
+public class AiMangeTalkAnswerDTO {
+
+    private String answer;
+}

virtual-patient-manage/src/main/java/com/supervision/manage/pojo/vo/MedicalPromptStatsResVo.java

@@ -0,0 +1,22 @@
+package com.supervision.manage.pojo.vo;
+
+import com.supervision.model.MedicalRecAi;
+import lombok.Data;
+
+import java.util.List;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 11:18
+ * @Description:
+ */
+@Data
+public class MedicalPromptStatsResVo {
+
+    // 模板名称
+    private List<MedicalRecAi> medicalRecAisCommon;
+
+    // 其他属性
+    private List<MedicalRecAi> medicalRecAisPara;
+
+}

virtual-patient-manage/src/main/java/com/supervision/manage/service/AiMangeService.java

@@ -0,0 +1,6 @@
+package com.supervision.manage.service;
+
+public interface AiMangeService {
+
+    String talk(String question, String medicalRecord);
+}

virtual-patient-manage/src/main/java/com/supervision/manage/service/HumanManageService.java

@@ -2,6 +2,7 @@ package com.supervision.manage.service;
 
 import com.supervision.model.Human;
 import com.supervision.vo.manage.HumanReqVo;
+import jakarta.servlet.http.HttpServletResponse;
 import org.springframework.web.multipart.MultipartFile;
 
 import java.util.List;
@@ -24,10 +25,28 @@ public interface HumanManageService {
     boolean createHuman(HumanReqVo humanReqVo);
 
 
+    /**
+     * 病历模板中的生成数字人按钮接口
+     * @param imageFile
+     * @param medicalId
+     * @return
+     */
     boolean createHuman(MultipartFile imageFile, String medicalId);
 
 
     boolean updateHuman(HumanReqVo human);
 
     boolean deleteHuman(String id);
+
+
+    /**
+     * 根据病历问题的回复+克隆音色=创建视频数字人
+     * @param imageFile 数字人照片
+     * @param videoFile 被克隆着音色
+     * @param answer 数字人视频内容
+     * @param response 完整数字人视频
+     * @return
+     */
+    boolean createHumanAnswerVideo(MultipartFile imageFile, MultipartFile videoFile, String answer, HttpServletResponse response);
+
 }

virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalManageAiDicService.java

@@ -0,0 +1,34 @@
+package com.supervision.manage.service;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.supervision.model.MedicalRecAi;
+import com.supervision.vo.manage.MedicalRecAiManageCreateVO;
+import com.supervision.vo.manage.MedicalRecAiManageReqVO;
+import com.supervision.vo.manage.MedicalRecAiManageUpdateVO;
+import com.supervision.vo.manage.MedicalRecPageResVO;
+
+import java.util.List;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+public interface MedicalManageAiDicService {
+    void delete(String id);
+
+    void modify(MedicalRecAiManageUpdateVO reqVO);
+
+    void create(MedicalRecAiManageCreateVO reqVO);
+
+    IPage<MedicalRecPageResVO> queryPage(String attributeName, Integer pageNum, Integer pageSize);
+
+
+    List<MedicalRecAi> queryAi();
+
+
+    List<MedicalRecAi> queryByCodeList(String codeList);
+
+
+    MedicalRecAi queryByCode();
+}

virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java

@@ -1,9 +1,10 @@
 package com.supervision.manage.service;
 
+import com.alibaba.fastjson.JSONArray;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.supervision.manage.pojo.vo.*;
 import com.supervision.model.Disease;
-import com.supervision.model.MedicalRec;
+import com.supervision.model.MedicalRecAi;
 import com.supervision.vo.manage.*;
 import jakarta.servlet.http.HttpServletResponse;
 import org.springframework.web.multipart.MultipartFile;
@@ -66,11 +67,15 @@ public interface MedicalRecManageService {
 
 
     /**
-     * 修改病历提示词
-     *
-     * @param medicalRecId
-     * @param medicalRecAi
+     * 查询模板数据
+     * @return
      */
-    void uploadMedicalAi(String medicalRecId, String medicalRecAi);
+    MedicalPromptStatsResVo queryMedicalPromptStats();
+
 
+    /**
+     * 生成病例模板提示词
+     * @param medicalRecAi
+     */
+    void uploadMedicalAi(MedicalRecCreateAiManageVO medicalRecAi);
 }

virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/AiServiceImpl.java

@@ -0,0 +1,60 @@
+package com.supervision.manage.service.impl;
+
+import cn.hutool.core.util.StrUtil;
+import com.supervision.manage.pojo.ai.AiMangeTalkAnswerDTO;
+import com.supervision.manage.service.AiMangeService;
+import com.supervision.util.AiChatUtil;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.ai.chat.messages.AssistantMessage;
+import org.springframework.ai.chat.messages.Message;
+import org.springframework.ai.chat.messages.SystemMessage;
+import org.springframework.ai.chat.messages.UserMessage;
+import org.springframework.stereotype.Service;
+
+import java.util.*;
+
+@Slf4j
+@Service
+public class AiServiceImpl implements AiMangeService {
+
+    public static final String userPromptTemplate = """
+            预设病人的详细情况的如下：
+            ---
+            {medicalRecord}
+            ---
+            回复格式为json:{"answer":"你是一个总结提取专家,根据详细情况,进行归纳总结提取"}
+            """;
+
+    private static final String systemPrompt = """
+            我们现在来进行一个角色扮演连续对话场景。
+            需要进行信息提取。
+            我会给你设定病人的详细情况,你结合问题,从内容中找到答案。
+            如果详细情况中的信息不能回该问题，则对于该问题,应是一个正常人的情况,则由你生成一个正常的回答,但回答必须且简洁!
+            """;
+
+    /**
+     * 根据病历进行回复
+     *
+     * @param question 医生的问题
+     * @return 大模型回答的问题
+     */
+    public String talk(String question, String medicalRecord) {
+        Map<String, String> paramMap = new HashMap<>();
+        paramMap.put("medicalRecord", medicalRecord);
+        List<Message> messageHistoryList = new ArrayList<>();
+        messageHistoryList.add(new SystemMessage(systemPrompt));
+        messageHistoryList.add(new UserMessage(StrUtil.format(userPromptTemplate, paramMap)));
+        messageHistoryList.add(new AssistantMessage("好的,已了解我要扮演病人的详细情况。已准备好对话了。"));
+        messageHistoryList.add(new UserMessage(question));
+        Optional<AiMangeTalkAnswerDTO> chat = AiChatUtil.chat(messageHistoryList, AiMangeTalkAnswerDTO.class);
+        if (chat.isPresent()) {
+            AiMangeTalkAnswerDTO aiTalkAnswerDTO = chat.get();
+            if (StrUtil.isNotBlank(aiTalkAnswerDTO.getAnswer())) {
+                return aiTalkAnswerDTO.getAnswer();
+            }
+        }
+        return "医生,我没有听懂你说的是什么";
+    }
+
+
+}

virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/HumanManageServiceImpl.java

@@ -22,6 +22,7 @@ import com.supervision.service.MedicalRecService;
 import com.supervision.util.OkHttpUtils;
 import com.supervision.util.UserUtil;
 import com.supervision.vo.manage.HumanReqVo;
+import jakarta.servlet.http.HttpServletResponse;
 import lombok.RequiredArgsConstructor;
 import lombok.SneakyThrows;
 import lombok.extern.slf4j.Slf4j;
@@ -289,6 +290,10 @@ public class HumanManageServiceImpl implements HumanManageService {
                 .one();
         Assert.isTrue(null != medicalRec, "请先导入病例后再操作");
 
+        String name = imageFile.getName();
+        // 限制文件名称必须大于等于三个字符
+        Assert.isTrue(name.length() > 3, "请先导入病例后再操作");
+
         // 上传图片
         FileResource fileResource = fileManageService.uploadFile(imageFile, imageFile.getContentType());
 
@@ -321,4 +326,28 @@ public class HumanManageServiceImpl implements HumanManageService {
         });
         return true;
     }
+
+
+    /**
+     * 根据病历问题的回复+克隆音色=创建视频数字人
+     *
+     * @param imageFile 数字人照片
+     * @param videoFile 被克隆着音色
+     * @param answer    数字人视频内容
+     * @param response  完整数字人视频
+     * @return
+     */
+    @Override
+    public boolean createHumanAnswerVideo(MultipartFile imageFile,
+                                          MultipartFile videoFile,
+                                          String answer,
+                                          HttpServletResponse response) {
+
+        // 1. 生成特色语音内容
+
+        // 2. 根据语音生成视频
+
+        // 3. 返回视频下载
+        return false;
+    }
 }

virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalManageAiDicServiceImpl.java

@@ -0,0 +1,69 @@
+package com.supervision.manage.service.impl;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.supervision.manage.service.MedicalManageAiDicService;
+import com.supervision.model.MedicalRecAi;
+import com.supervision.service.MedicalAiDicService;
+import com.supervision.vo.manage.MedicalRecAiManageCreateVO;
+import com.supervision.vo.manage.MedicalRecAiManageReqVO;
+import com.supervision.vo.manage.MedicalRecAiManageUpdateVO;
+import com.supervision.vo.manage.MedicalRecPageResVO;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+@Slf4j
+@Service
+@RequiredArgsConstructor
+public class MedicalManageAiDicServiceImpl implements MedicalManageAiDicService {
+
+
+    @Autowired
+    private MedicalAiDicService medicalAiDicService;
+
+    @Override
+    public void delete(String id) {
+        medicalAiDicService.delete(id);
+    }
+
+    @Override
+    public void modify(MedicalRecAiManageUpdateVO reqVO) {
+        medicalAiDicService.modify(reqVO);
+    }
+
+    @Override
+    public void create(MedicalRecAiManageCreateVO reqVO) {
+        medicalAiDicService.create(reqVO);
+    }
+
+    @Override
+    public IPage<MedicalRecPageResVO> queryPage(String attributeName, Integer pageNum, Integer pageSize) {
+        return medicalAiDicService.queryPage(attributeName, pageNum, pageSize);
+    }
+
+
+    @Override
+    public List<MedicalRecAi> queryAi() {
+        return medicalAiDicService.queryAi();
+    }
+
+
+    @Override
+    public List<MedicalRecAi> queryByCodeList(String codeList) {
+        return medicalAiDicService.queryByCodeList(codeList);
+    }
+
+
+    @Override
+    public MedicalRecAi queryByCode() {
+        return medicalAiDicService.queryByCode();
+    }
+}

virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java

@@ -10,8 +10,11 @@ import cn.hutool.core.util.ObjectUtil;
 import cn.hutool.core.util.StrUtil;
 import cn.hutool.poi.excel.ExcelReader;
 import cn.hutool.poi.excel.ExcelUtil;
+import com.alibaba.fastjson.JSONArray;
+import com.alibaba.fastjson.JSONObject;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.supervision.dto.*;
+import com.supervision.enums.MedicalCommonTemplateEnum;
 import com.supervision.exception.BusinessException;
 import com.supervision.manage.pojo.vo.*;
 import com.supervision.manage.service.*;
@@ -21,6 +24,7 @@ import com.supervision.model.*;
 import com.supervision.model.Process;
 import com.supervision.service.*;
 import com.supervision.service.MedicalRecService;
+import com.supervision.util.AiChatUtil;
 import com.supervision.util.UserUtil;
 import com.supervision.vo.manage.*;
 import jakarta.servlet.ServletOutputStream;
@@ -29,6 +33,11 @@ import lombok.RequiredArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.apache.commons.lang3.StringUtils;
 import org.apache.poi.ss.usermodel.Sheet;
+import org.springframework.ai.chat.messages.AssistantMessage;
+import org.springframework.ai.chat.messages.Message;
+import org.springframework.ai.chat.messages.SystemMessage;
+import org.springframework.ai.chat.messages.UserMessage;
+import org.springframework.ai.vectorstore.RedisVectorStore;
 import org.springframework.core.io.Resource;
 import org.springframework.core.io.ResourceLoader;
 import org.springframework.stereotype.Service;
@@ -48,6 +57,14 @@ import java.util.stream.Collectors;
 public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
 
+    private static final String systemPrompt = """
+            我们现在来进行一个角色扮演连续对话场景。
+            需要你现在扮演一个病人，我来扮演医生,我们进行模拟问诊。
+            我会给你设定病人的详细情况,你结合问题,从内容中找到答案原文回复。
+            如果详细情况中的信息不能回该问题，则对于该问题,应是一个正常人的情况,则由你生成一个正常的回答,但回答必须且简洁!
+            如果医生说'你好'等礼貌用语,你就回复'你好,医生'!!!
+            """;
+
     private final String CASE_TEMPLATE_TEMPLATE_EXCEL_PATH = "classpath:template/虚拟病例信息模板v3.0.xlsx";
 
     private final String MEDICAL_ANSWER_TEMPLATE_EXCEL_PATH = "classpath:template/medical_answer_template.xlsx";
@@ -78,10 +95,12 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
     private final AnswerVideoResourceService answerVideoResourceService;
 
-    private final MaterialLibraryService materialLibraryService;
-
     private final ProcessService processService;
 
+    private final MedicalManageAiDicService medicalManageAiDicService;
+
+    private final AiMangeService aiService;
+
     public List<Disease> queryDiseaseListByDropList() {
         return diseaseService.lambdaQuery().list();
     }
@@ -112,6 +131,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
         // 然后保存病历
         MedicalRec medicalRec = BeanUtil.toBean(reqVO, MedicalRec.class);
         medicalRec.setDiseaseId(reqVO.getDiseaseId());
+        medicalRec.setAi();
         medicalRec.insert();
         // 这里生成一个新的编号(首先去数据库里面查询编号,然后用最大的编号+1)(可能存在并发修改导致编码重复问题,不是重点,等有问题再说)
         medicalRecService.updateMedicalRecNo("QL", "男".equals(reqVO.getPatientGender()) ? "M" : "F", medicalRec.getId());
@@ -570,7 +590,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
         medicalRec.setMedicalStatus(MedicalStatusEnum.CREATE.getCode());
         medicalRec.setMedicalImportType(MedicalTypeEnum.TEMPLATE_IMPORT.getCode());
         medicalRec.setMedicalRecordAi("姓名：" + name + "\n性别：" + sex + "\n年龄：" + ageStar
-                + "\n婚育史：" + maritalStatus + "\n职业：" + occupation + "\n家庭住址：" + address + "\n病史叙述者：本人");
+                + "\n婚育史：" + maritalStatus + "\n职业：" + occupation + "\n家庭住址：" + address + "\n病史叙述者：本人\n");
         medicalRecService.save(medicalRec);
         medicalRecService.updateMedicalRecNo("QL", "男".equals(sex) ? "M" : "F", medicalRec.getId());
         return medicalRec;
@@ -737,16 +757,56 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
 
     /**
-     * 修改病历提示词
+     * 查询病历提示词模板
      *
-     * @param medicalRecId
-     * @param medicalRecAi
+     * @return
      */
     @Override
-    public void uploadMedicalAi(String medicalRecId, String medicalRecAi) {
+    public MedicalPromptStatsResVo queryMedicalPromptStats() {
+        MedicalPromptStatsResVo medicalPromptStatsResVo = new MedicalPromptStatsResVo();
+        List<MedicalRecAi> medicalRecAisCommon = medicalManageAiDicService.queryByCodeList(MedicalCommonTemplateEnum.COMMON_TEMPLATE_ENUM.getCode());
+        List<MedicalRecAi> medicalRecAisPara = medicalManageAiDicService.queryByCodeList(MedicalCommonTemplateEnum.PARA_TEMPLATE_ENUM.getCode());
+        medicalPromptStatsResVo.setMedicalRecAisCommon(medicalRecAisCommon);
+        medicalPromptStatsResVo.setMedicalRecAisPara(medicalRecAisPara);
+        return medicalPromptStatsResVo;
+    }
+
+
+    @Override
+    public void uploadMedicalAi(MedicalRecCreateAiManageVO medicalRecCreateAiManageVO) {
+        String medicalRecId = medicalRecCreateAiManageVO.getMedicalRecId();
+        String ai = "";
+        String patientAnswerString = "";
+
+        // 通用模板属性
+        String commonModelParam = medicalRecCreateAiManageVO.getCommonModelParam();
+
+        List<AskPatientAnswer> askPatientAnswers = askPatientAnswerService.lambdaQuery()
+                .select(AskPatientAnswer::getQuestion, AskPatientAnswer::getAnswer)
+                .eq(AskPatientAnswer::getMedicalId, medicalRecId)
+                .list();
+        for (AskPatientAnswer askPatientAnswer : askPatientAnswers) {
+            if (null != askPatientAnswer){
+                patientAnswerString = patientAnswerString + askPatientAnswer.getQuestion() + "," + askPatientAnswer.getAnswer() + ",";
+            }
+        }
+
+        // 其他属性集合
+        List<MedicalRecCreateListAiManageVO> medicalRecCreateListAiManageVOS = medicalRecCreateAiManageVO.getMedicalRecCreateListAiManageVOS();
+        for (MedicalRecCreateListAiManageVO medicalRecCreateListAiManageVO : medicalRecCreateListAiManageVOS) {
+            String attributeName = medicalRecCreateListAiManageVO.getAttributeName();
+            String attributeParam = medicalRecCreateListAiManageVO.getAttributeParam();
+            String answer = aiService.talk(attributeParam, patientAnswerString);
+            ai = attributeName + "：" + answer + "\n";
+        }
+
+        MedicalRec byId = medicalRecService.getById(medicalRecId);
+        String medicalRecordAi = byId.getMedicalRecordAi();
+
+
         MedicalRec medicalRec = new MedicalRec();
         medicalRec.setId(medicalRecId);
-        medicalRec.setMedicalRecordAi(medicalRecAi);
-        this.medicalRecService.updateById(medicalRec);
+        medicalRec.setMedicalRecordAi(medicalRecordAi + ai);
+        medicalRecService.updateById(medicalRec);
     }
 }

virtual-patient-model/src/main/java/com/supervision/enums/MedicalCommonTemplateEnum.java

@@ -0,0 +1,26 @@
+package com.supervision.enums;
+
+import lombok.Getter;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/13 16:44
+ * @Description: 病例提示词模板
+ */
+@Getter
+public enum MedicalCommonTemplateEnum {
+
+    COMMON_TEMPLATE_ENUM("00", "病历提示词模板-通用模板"),
+    PARA_TEMPLATE_ENUM("01", "病历提示词模板-属性模板"),
+    ;
+
+    private String description;
+    private String code;
+
+    MedicalCommonTemplateEnum(String code, String description) {
+        this.description = description;
+        this.code = code;
+    }
+
+
+}

virtual-patient-model/src/main/java/com/supervision/mapper/MedicalAiMapper.java

@@ -0,0 +1,22 @@
+package com.supervision.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.supervision.model.MedicalRecAi;
+import com.supervision.vo.manage.MedicalRecAiManageReqVO;
+import com.supervision.vo.manage.MedicalRecPageResVO;
+import org.apache.ibatis.annotations.Param;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:51
+ * @Description: vp_medical_ai_dic
+ */
+public interface MedicalAiMapper extends BaseMapper<MedicalRecAi> {
+
+
+    IPage<MedicalRecPageResVO> queryPage(@Param("medicalRecAiManageVO") MedicalRecAiManageReqVO medicalRecAiManageVO,
+                                                         @Param("page") Page<MedicalRecPageResVO> page);
+
+}

virtual-patient-model/src/main/java/com/supervision/model/MedicalRec.java

@@ -7,6 +7,7 @@ import com.baomidou.mybatisplus.annotation.TableName;
 import com.baomidou.mybatisplus.extension.activerecord.Model;
 import io.swagger.v3.oas.annotations.media.Schema;
 import lombok.Data;
+import org.apache.commons.lang3.StringUtils;
 
 import java.io.Serializable;
 import java.time.LocalDateTime;
@@ -19,163 +20,149 @@ import java.time.LocalDateTime;
 @TableName(value = "vp_medical_rec", autoResultMap = true)
 @Data
 public class MedicalRec extends Model<MedicalRec> implements Serializable {
+    @TableField(exist = false)
+    private static final long serialVersionUID = 1L;
     /**
      * 主键
      */
     @TableId
     private String id;
-
     /**
      * 病例编号
      */
     private String no;
-
-
     @Schema(description = "数字人id")
     private String humanId;
-
     /**
      * 病人头像
      */
     private String patientHeadPic;
-
     /**
      * 数字人类型 0:离线数字人 1:在线数字人
      */
     private int digitalHumanType;
-
     /**
      * 姓名
      */
     private String patientName;
-
     /**
      * 性别  女 / 男
      */
     private String patientGender;
-
     /**
      * 年龄
      */
     private Integer patientAge;
-
     /**
      * 婚姻状况 0:未婚 1:已婚
      */
     private String patientMarriage;
-
     /**
      * 职业
      */
     private String patientProfession;
-
     /**
      * 电话
      */
     private String patientPhone;
-
     /**
      * 籍贯
      */
     private String nativePlace;
-
     /**
      * 民族
      */
     private String patientNation;
-
     /**
      * 邮编
      */
     private String patientPostcode;
-
     /**
      * 出生地
      */
     private String patientBirthplace;
-
     /**
      * 现居住地址
      */
     private String patientHabitation;
-
     /**
      * 病人ID
      */
     @Deprecated
     private String patientId;
-
     /**
      * 疾病id
      */
     private String diseaseId;
-
     /**
      * 患者主诉
      */
     private String patientSelfDesc;
-
     /**
      * 症状
      */
     private String symptoms;
-
     @Schema(description = "初步诊断依据")
     private String primarilyDiagnosisCriteria;
-
     @Schema(description = "证实诊断依据")
     private String confirmDiagnosisCriteria;
-
     @Schema(description = "鉴别诊断依据")
     private String differentialDiagnosisCriteria;
-
     // 2024.11.05:与周霞沟通后修改全面检查字段为 *预期诊断结果
     @Schema(description = "预期诊断结果")
     private String fullCheck;
-
     @Schema(description = "提交给大模型的病历")
     private String medicalRecordAi;
-
     @Schema(description = "上线状态 1：未上线 2：已经上线   状态为未上线且病历未出现在vp_process表中使用可以进行删除")
     private Integer status;
-
     /**
      * 创建人ID
      */
     @TableField(fill = FieldFill.INSERT)
     private String createUserId;
-
     /**
      * 创建时间
      */
     @TableField(fill = FieldFill.INSERT)
     private LocalDateTime createTime;
-
     /**
      * 更新人
      */
     @TableField(fill = FieldFill.INSERT_UPDATE)
     private String updateUserId;
-
     /**
      * 更新时间
      */
     @TableField(fill = FieldFill.INSERT_UPDATE)
     private LocalDateTime updateTime;
-
     /**
-     *病例生成状态
+     * 病例生成状态
      */
     @Schema(description = "病例生成状态")
     private String medicalStatus;
-
     /**
      * 病例创建类型
      */
     @Schema(description = "病例创建类型")
     private String medicalImportType;
 
-
-    @TableField(exist = false)
-    private static final long serialVersionUID = 1L;
+    // 设置ai值
+    public void setAi() {
+        if (StringUtils.isNotEmpty(this.getPatientName())) {
+            this.setMedicalRecordAi("姓名：" + this.getPatientName() + "\n");
+        }
+        if (StringUtils.isNotEmpty(this.getPatientGender())) {
+            this.setMedicalRecordAi("性别：" + this.getPatientName() + "\n");
+        }
+        if (StringUtils.isNotEmpty(String.valueOf(this.getPatientAge()))) {
+            this.setMedicalRecordAi("年龄：" + String.valueOf(this.getPatientAge()) + "\n");
+        }
+        if (StringUtils.isNotEmpty(this.getPatientMarriage())) {
+            this.setMedicalRecordAi("婚育史：" + this.getPatientMarriage() + "\n");
+        }
+        if (StringUtils.isNotEmpty(this.getPatientHabitation())) {
+            this.setMedicalRecordAi("家庭住址：" + this.getPatientHabitation() + "\n");
+        }
+        this.setMedicalRecordAi(this.getMedicalRecordAi() + "\n病史叙述者：本人：");
+    }
 }

virtual-patient-model/src/main/java/com/supervision/model/MedicalRecAi.java

@@ -0,0 +1,53 @@
+package com.supervision.model;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.baomidou.mybatisplus.extension.activerecord.Model;
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+import java.io.Serializable;
+import java.time.LocalDateTime;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:40
+ * @Description: vp_medical_ai_dic
+ */
+@TableName(value = "vp_medical_ai_dic", autoResultMap = true)
+@Data
+public class MedicalRecAi extends Model<MedicalRecAi> implements Serializable {
+
+
+    @TableField(exist = false)
+    private static final long serialVersionUID = 1L;
+    /**
+     * 主键
+     */
+    @TableId(type = IdType.AUTO)
+    private Long id;
+
+    private String attributeName;
+
+    private String attributeParam;
+
+    private String commonName;
+
+    private String commonType;
+
+    private String createUserId;
+
+    private String updateUserId;
+
+    /**
+     * 创建时间
+     */
+    @TableField(fill = FieldFill.INSERT_UPDATE)
+    private LocalDateTime createTime;
+
+    /**
+     * 更新时间
+     */
+    @TableField(fill = FieldFill.INSERT_UPDATE)
+    private LocalDateTime updateTime;
+
+}

virtual-patient-model/src/main/java/com/supervision/service/MedicalAiDicService.java

@@ -0,0 +1,32 @@
+package com.supervision.service;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.supervision.model.MedicalRecAi;
+import com.supervision.vo.manage.MedicalRecAiManageCreateVO;
+import com.supervision.vo.manage.MedicalRecAiManageReqVO;
+import com.supervision.vo.manage.MedicalRecAiManageUpdateVO;
+import com.supervision.vo.manage.MedicalRecPageResVO;
+
+import java.util.List;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+public interface MedicalAiDicService {
+    void delete(String id);
+
+    void modify(MedicalRecAiManageUpdateVO reqVO);
+
+    void create(MedicalRecAiManageCreateVO reqVO);
+
+    IPage<MedicalRecPageResVO> queryPage(String attributeName, Integer pageNum, Integer pageSize);
+
+    List<MedicalRecAi> queryAi();
+
+    List<MedicalRecAi> queryByCodeList(String codeList);
+
+    MedicalRecAi queryByCode();
+
+}

virtual-patient-model/src/main/java/com/supervision/service/impl/MedicalAiDicServiceImpl.java

@@ -0,0 +1,93 @@
+package com.supervision.service.impl;
+
+import cn.hutool.core.lang.Assert;
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.supervision.enums.MedicalCommonTemplateEnum;
+import com.supervision.mapper.MedicalAiMapper;
+import com.supervision.model.CommonDic;
+import com.supervision.model.MedicalRecAi;
+import com.supervision.service.CommonDicService;
+import com.supervision.service.MedicalAiDicService;
+import com.supervision.util.UserUtil;
+import com.supervision.vo.manage.MedicalRecAiManageCreateVO;
+import com.supervision.vo.manage.MedicalRecAiManageReqVO;
+import com.supervision.vo.manage.MedicalRecAiManageUpdateVO;
+import com.supervision.vo.manage.MedicalRecPageResVO;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+@Slf4j
+@Service
+@RequiredArgsConstructor
+public class MedicalAiDicServiceImpl extends ServiceImpl<MedicalAiMapper, MedicalRecAi> implements MedicalAiDicService {
+
+
+    @Autowired
+    private CommonDicService commonDicService;
+
+    @Override
+    public void delete(String id) {
+        this.removeById(id);
+    }
+
+    @Override
+    public void modify(MedicalRecAiManageUpdateVO reqVO) {
+
+        MedicalRecAi medicalRecAi = new MedicalRecAi();
+        medicalRecAi.setId(reqVO.getId());
+        medicalRecAi.setAttributeName(reqVO.getAttributeName());
+        medicalRecAi.setAttributeParam(reqVO.getAttributeParam());
+        medicalRecAi.setCommonType(reqVO.getCommonType());
+        medicalRecAi.setCommonName(reqVO.getCommonName());
+        medicalRecAi.setUpdateUserId(UserUtil.getUser().getUpdateUserId());
+        this.updateById(medicalRecAi);
+    }
+
+    @Override
+    public void create(MedicalRecAiManageCreateVO reqVO) {
+        MedicalRecAi medicalRecAi = new MedicalRecAi();
+        medicalRecAi.setAttributeName(reqVO.getAttributeName());
+        medicalRecAi.setAttributeParam(reqVO.getAttributeParam());
+        medicalRecAi.setCommonName(reqVO.getCommonName());
+        medicalRecAi.setCommonType(reqVO.getCommonType());
+        medicalRecAi.setCreateUserId(UserUtil.getUser().getCreateUserId());
+        medicalRecAi.setUpdateUserId(UserUtil.getUser().getUpdateUserId());
+        this.save(medicalRecAi);
+    }
+
+    @Override
+    public IPage<MedicalRecPageResVO> queryPage(String attributeName, Integer pageNum, Integer pageSize) {
+        MedicalRecAiManageReqVO medicalRecPageReqVO = new MedicalRecAiManageReqVO();
+        medicalRecPageReqVO.setAttributeName(attributeName);
+        return this.baseMapper.queryPage(medicalRecPageReqVO, new Page<>(pageNum, pageSize));
+    }
+
+
+    @Override
+    public List<MedicalRecAi> queryAi() {
+        return this.lambdaQuery().list();
+    }
+
+
+    @Override
+    public List<MedicalRecAi> queryByCodeList(String code) {
+        return this.lambdaQuery().eq(MedicalRecAi::getCommonType, code).list();
+    }
+
+
+    @Override
+    public MedicalRecAi queryByCode() {
+        return this.lambdaQuery().eq(MedicalRecAi::getCommonType, MedicalCommonTemplateEnum.COMMON_TEMPLATE_ENUM.getCode()).one();
+    }
+}

virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecAiManageCreateVO.java

@@ -0,0 +1,26 @@
+package com.supervision.vo.manage;
+
+import com.supervision.model.MedicalRecAi;
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+@Data
+public class MedicalRecAiManageCreateVO {
+
+    @Schema(description = "模板类型")
+    private String commonType;
+
+    @Schema(description = "模板名称")
+    private String commonName;
+
+    @Schema(description = "属性名称")
+    private String attributeName;
+
+    @Schema(description = "提示词")
+    private String attributeParam;
+}

virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecAiManageReqVO.java

@@ -0,0 +1,18 @@
+package com.supervision.vo.manage;
+
+import com.supervision.model.MedicalRecAi;
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+@Data
+@Schema(description = "病历管理创建及新建", implementation = MedicalRecAi.class)
+public class MedicalRecAiManageReqVO {
+
+    @Schema(description = "属性名称")
+    private String attributeName;
+}

virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecAiManageUpdateVO.java

@@ -0,0 +1,29 @@
+package com.supervision.vo.manage;
+
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description:
+ */
+@Data
+public class MedicalRecAiManageUpdateVO {
+
+    @Schema(description = "id")
+    private Long id;
+
+    @Schema(description = "属性名称")
+    private String attributeName;
+
+    @Schema(description = "提示词")
+    private String attributeParam;
+
+    @Schema(description = "模板名称")
+    private String commonName;
+
+    @Schema(description = "模板类型")
+    private String commonType;
+
+}

virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecAiPageResVO.java

@@ -0,0 +1,37 @@
+package com.supervision.vo.manage;
+
+import com.baomidou.mybatisplus.annotation.FieldFill;
+import com.baomidou.mybatisplus.annotation.TableField;
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+import java.time.LocalDateTime;
+
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:51
+ * @Description:
+ */
+@Data
+public class MedicalRecAiPageResVO {
+
+    private String id;
+
+    private String commonType;
+
+    private String commonName;
+
+    private String attributeName;
+
+    private String attributeParam;
+
+    private String createUserId;
+
+    private String updateUserId;
+
+    private LocalDateTime createTime;
+
+    private LocalDateTime updateTime;
+
+}

virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecCreateAiManageVO.java

@@ -0,0 +1,25 @@
+package com.supervision.vo.manage;
+
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description: 生成病历模型提示词
+ */
+@Data
+public class MedicalRecCreateAiManageVO {
+
+    @Schema(description = "病例id")
+    private String medicalRecId;
+
+    @Schema(description = "通用模板属性")
+    private String commonModelParam;
+
+    @Schema(description = "属性")
+    private List<MedicalRecCreateListAiManageVO> medicalRecCreateListAiManageVOS;
+}

virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecCreateListAiManageVO.java

@@ -0,0 +1,23 @@
+package com.supervision.vo.manage;
+
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @Author：longbao
+ * @Date：2024/11/14 9:32
+ * @Description: 生成病历模型提示词-类的子类
+ */
+@Data
+public class MedicalRecCreateListAiManageVO {
+
+    @Schema(description = "属性提示词")
+    private String attributeParam;
+
+    @Schema(description = "属性名称")
+    private String attributeName;
+
+}

virtual-patient-model/src/main/resources/mapper/MedicalAiMapper.xml

@@ -0,0 +1,59 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.supervision.mapper.MedicalAiMapper">
+
+    <resultMap id="BaseResultMap" type="com.supervision.model.MedicalRecAi">
+        <id property="id" column="id" jdbcType="VARCHAR"/>
+        <result property="commonName" column="attribute_value" jdbcType="VARCHAR"/>
+        <result property="commonType" column="attribute_code" jdbcType="VARCHAR"/>
+        <result property="attributeName" column="attribute_name" jdbcType="VARCHAR"/>
+        <result property="attributeParam" column="attribute_param" jdbcType="INTEGER"/>
+        <result property="createUserId" column="create_user_id" jdbcType="VARCHAR"/>
+        <result property="createTime" column="create_time" jdbcType="TIMESTAMP"/>
+        <result property="updateUserId" column="update_user_id" jdbcType="VARCHAR"/>
+        <result property="updateTime" column="update_time" jdbcType="TIMESTAMP"/>
+    </resultMap>
+
+
+    <resultMap id="BaseResultResMap" type="com.supervision.vo.manage.MedicalRecAiPageResVO">
+        <id property="id" column="id" jdbcType="VARCHAR"/>
+        <result property="commonType" column="common_type" jdbcType="VARCHAR"/>
+        <result property="commonName" column="common_name" jdbcType="VARCHAR"/>
+        <result property="attributeName" column="attribute_name" jdbcType="VARCHAR"/>
+        <result property="attributeParam" column="attribute_param" jdbcType="INTEGER"/>
+        <result property="createUserId" column="create_user_id" jdbcType="VARCHAR"/>
+        <result property="createTime" column="create_time" jdbcType="TIMESTAMP"/>
+        <result property="updateUserId" column="update_user_id" jdbcType="VARCHAR"/>
+        <result property="updateTime" column="update_time" jdbcType="TIMESTAMP"/>
+    </resultMap>
+
+    <sql id="Base_Column_List">
+        id
+        ,medical_id,library_question_id,code,question,
+        answer,answer_resources_id,answer_type,create_user_id,
+        create_time,update_user_id,update_time
+    </sql>
+
+
+    <select id="queryPage" resultMap="BaseResultResMap">
+        select ai.id,
+        ai.attribute_name ,
+        ai.attribute_param  ,
+        ai.create_user_id  ,
+        ai.create_time  ,
+        ai.update_user_id  ,
+        ai.update_time  ,
+        ai.common_type ,
+        ai.common_name
+        from vp_medical_ai_dic ai
+        <where>
+            <if test="medicalRecAiManageVO.attributeName != null and medicalRecAiManageVO.attributeName != ''">
+                and ai.attribute_name like concat('%',#{medicalRecAiManageVO.attributeName}, ''%'')
+            </if>
+        </where>
+        order by ai.create_time desc
+    </select>
+
+</mapper>