CREATE DATABASE IF NOT EXISTS `medical_consultation_agent` DEFAULT CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci; USE `medical_consultation_agent`; SET NAMES utf8mb4; SET FOREIGN_KEY_CHECKS = 0; DROP TABLE IF EXISTS `audit_logs`; DROP TABLE IF EXISTS `user_learning_profiles`; DROP TABLE IF EXISTS `training_record`; DROP TABLE IF EXISTS `scoring_rule`; DROP TABLE IF EXISTS `teaching_case`; DROP TABLE IF EXISTS `traditional_case`; DROP TABLE IF EXISTS `case_base`; DROP TABLE IF EXISTS `rubric_templates`; DROP TABLE IF EXISTS `prompt_templates`; DROP TABLE IF EXISTS `knowledge_chunks`; DROP TABLE IF EXISTS `knowledge_documents`; DROP TABLE IF EXISTS `knowledge_sources`; DROP TABLE IF EXISTS `evaluation_report_exports`; DROP TABLE IF EXISTS `evaluation_records`; DROP TABLE IF EXISTS `session_submissions`; DROP TABLE IF EXISTS `session_orders`; DROP TABLE IF EXISTS `session_runtime_messages`; DROP TABLE IF EXISTS `training_sessions`; DROP TABLE IF EXISTS `case_exam_items`; DROP TABLE IF EXISTS `cases`; DROP TABLE IF EXISTS `users`; DROP TABLE IF EXISTS `departments`; CREATE TABLE `departments` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '科室ID', `name` varchar(100) NOT NULL COMMENT '科室名称', `code` varchar(50) NOT NULL COMMENT '科室编码', `parent_id` int(11) DEFAULT NULL COMMENT '父级科室ID', `sort_order` int(11) DEFAULT 0 COMMENT '排序', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否激活', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_department_code` (`code`), KEY `idx_department_parent` (`parent_id`), CONSTRAINT `fk_department_parent` FOREIGN KEY (`parent_id`) REFERENCES `departments` (`id`) ON DELETE SET NULL ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='科室表'; CREATE TABLE `users` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '内部占位用户ID', `external_user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `display_name` varchar(100) DEFAULT NULL COMMENT '展示名', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_external_user_id` (`external_user_id`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='宿主用户引用占位表'; CREATE TABLE `case_base` ( `id` bigint NOT NULL AUTO_INCREMENT COMMENT '源库病例主表ID', `title` varchar(255) NOT NULL COMMENT '病例标题', `case_type` varchar(30) NOT NULL COMMENT '病例分类/训练类别', `difficulty` varchar(20) NOT NULL DEFAULT 'medium' COMMENT '难度', `difficulty_score` int DEFAULT NULL COMMENT '难度分值', `chief_complaint` longtext NOT NULL COMMENT '主诉', `description` longtext NOT NULL COMMENT '病例描述', `patient_age` int DEFAULT NULL COMMENT '患者年龄', `patient_gender` varchar(10) NOT NULL COMMENT '患者性别', `tags` varchar(500) NOT NULL DEFAULT '' COMMENT '标签', `symptom_tags` json NOT NULL COMMENT '症状标签', `disease_tags` json NOT NULL COMMENT '疾病标签', `competency_tags` json NOT NULL COMMENT '能力标签', `guideline_tags` json NOT NULL COMMENT '指南标签', `knowledge_points` json NOT NULL COMMENT '知识点', `icd_codes` varchar(500) NOT NULL DEFAULT '' COMMENT 'ICD编码', `estimated_minutes` int DEFAULT NULL COMMENT '预计训练时长', `osce_enabled` tinyint(1) NOT NULL DEFAULT 0 COMMENT '是否OSCE', `rag_enabled` tinyint(1) NOT NULL DEFAULT 0 COMMENT '是否启用指南检索', `ai_prompt_template` longtext NOT NULL COMMENT 'AI病人提示词模板引用', `multimodal_assets` json NOT NULL COMMENT '多模态资源', `vector_status` smallint NOT NULL DEFAULT 0 COMMENT '向量状态', `publish_status` smallint NOT NULL DEFAULT 1 COMMENT '发布状态', `status` smallint NOT NULL DEFAULT 1 COMMENT '业务状态', `created_by_id` bigint DEFAULT NULL COMMENT '创建人ID', `department_id` bigint DEFAULT NULL COMMENT '科室ID', `created_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) COMMENT '创建时间', `updated_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) ON UPDATE CURRENT_TIMESTAMP(6) COMMENT '更新时间', PRIMARY KEY (`id`), KEY `idx_case_base_department` (`department_id`), KEY `idx_case_base_case_type` (`case_type`), KEY `idx_case_base_status` (`status`, `publish_status`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='源库病例主表'; CREATE TABLE `traditional_case` ( `id` bigint NOT NULL AUTO_INCREMENT COMMENT '传统病例ID', `standard_diagnosis` longtext NOT NULL COMMENT '标准诊断', `standard_treatment` longtext NOT NULL COMMENT '标准治疗', `guideline_reference` longtext NOT NULL COMMENT '指南参考', `case_id` bigint NOT NULL COMMENT '病例主表ID', `created_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) COMMENT '创建时间', `updated_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) ON UPDATE CURRENT_TIMESTAMP(6) COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_traditional_case_id` (`case_id`), CONSTRAINT `fk_traditional_case_base` FOREIGN KEY (`case_id`) REFERENCES `case_base` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='传统病例扩展表'; CREATE TABLE `teaching_case` ( `id` bigint NOT NULL AUTO_INCREMENT COMMENT '教学互动病例ID', `teaching_goal` longtext NOT NULL COMMENT '教学目标', `discussion_questions` longtext NOT NULL COMMENT '讨论问题', `teacher_guide` longtext NOT NULL COMMENT '教师引导', `scoring_focus` longtext NOT NULL COMMENT '评分重点', `case_id` bigint NOT NULL COMMENT '病例主表ID', `created_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) COMMENT '创建时间', `updated_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) ON UPDATE CURRENT_TIMESTAMP(6) COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_teaching_case_id` (`case_id`), CONSTRAINT `fk_teaching_case_base` FOREIGN KEY (`case_id`) REFERENCES `case_base` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='教学互动病例扩展表'; CREATE TABLE `scoring_rule` ( `id` bigint NOT NULL AUTO_INCREMENT COMMENT '评分规则ID', `dimension` varchar(50) NOT NULL COMMENT '评分维度', `competency_dimension` varchar(50) NOT NULL COMMENT '能力维度', `score_weight` decimal(5,2) NOT NULL COMMENT '分值/权重', `ai_auto_score` tinyint(1) NOT NULL DEFAULT 1 COMMENT '是否AI自动评分', `osce_dimension` tinyint(1) NOT NULL DEFAULT 0 COMMENT '是否OSCE维度', `scoring_standard` longtext NOT NULL COMMENT '评分标准', `rubric_json` json NOT NULL COMMENT '结构化评分细则', `case_id` bigint NOT NULL COMMENT '病例主表ID', `created_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) COMMENT '创建时间', `updated_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) ON UPDATE CURRENT_TIMESTAMP(6) COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_scoring_rule_case_dimension` (`case_id`, `dimension`, `competency_dimension`), KEY `idx_scoring_rule_case` (`case_id`), CONSTRAINT `fk_scoring_rule_case_base` FOREIGN KEY (`case_id`) REFERENCES `case_base` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='源库评分规则表'; CREATE TABLE `cases` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '病例ID', `source_case_id` bigint DEFAULT NULL COMMENT '源库病例ID,对应 case_base.id', `case_code` varchar(64) NOT NULL COMMENT '病例编码', `department_id` int(11) NOT NULL COMMENT '所属科室ID', `title` varchar(100) NOT NULL COMMENT '病例标题', `difficulty` enum('easy','medium','hard') DEFAULT 'medium' COMMENT '难度', `patient_name` varchar(50) DEFAULT NULL COMMENT '患者姓名', `patient_age` int(11) DEFAULT NULL COMMENT '患者年龄', `patient_gender` enum('male','female') DEFAULT NULL COMMENT '患者性别', `patient_occupation` varchar(50) DEFAULT NULL COMMENT '职业', `chief_complaint` text COMMENT '主诉', `present_illness` text COMMENT '现病史', `past_history` text COMMENT '既往史', `personal_history` text COMMENT '个人史', `family_history` text COMMENT '家族史', `physical_exam` json DEFAULT NULL COMMENT '体格检查数据', `auxiliary_exam` json DEFAULT NULL COMMENT '辅助检查数据', `diagnosis_primary` text COMMENT '主要诊断', `diagnosis_differential` json DEFAULT NULL COMMENT '鉴别诊断列表', `diagnosis_basis` text COMMENT '诊断依据', `treatment_plan` json DEFAULT NULL COMMENT '治疗方案', `consultation_config` json DEFAULT NULL COMMENT '会诊配置', `inquiry_options` json DEFAULT NULL COMMENT '问诊选项(互动模式)', `knowledge_videos` json DEFAULT NULL COMMENT '知识点视频(互动模式)', `quiz_questions` json DEFAULT NULL COMMENT '教学题库(互动模式)', `key_symptoms` json DEFAULT NULL COMMENT '关键症状', `key_exams` json DEFAULT NULL COMMENT '关键检查', `key_points` json DEFAULT NULL COMMENT '考核要点', `evidence_reasoning_chain` json DEFAULT NULL COMMENT '诊断循证思维链', `assessment_config` json DEFAULT NULL COMMENT '评分与考核配置', `ai_patient_profile` json DEFAULT NULL COMMENT 'AI病人人设', `patient_opening` text COMMENT 'AI病人开场白', `hidden_patient_info` json DEFAULT NULL COMMENT '问到才回答的隐藏信息', `has_teaching_video` tinyint(1) DEFAULT 0 COMMENT '是否有教学视频', `has_knowledge_points` tinyint(1) DEFAULT 0 COMMENT '是否有知识点', `has_quiz` tinyint(1) DEFAULT 0 COMMENT '是否有教学题库', `source_pdf_name` varchar(255) DEFAULT NULL COMMENT '来源PDF名称', `supported_training_type` enum('case_analysis','diagnosis_treatment','consultation') DEFAULT 'case_analysis' COMMENT '支持的训练类别(单选)', `supported_mode` enum('free_chat','interactive') DEFAULT 'free_chat' COMMENT '支持的交互模式(单选)', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否激活', `created_by` int(11) DEFAULT NULL COMMENT '创建人ID', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_case_code` (`case_code`), KEY `idx_department_id` (`department_id`), KEY `idx_difficulty` (`difficulty`), KEY `idx_is_active` (`is_active`), KEY `idx_created_by` (`created_by`), KEY `idx_training_type` (`supported_training_type`), KEY `idx_mode` (`supported_mode`), KEY `idx_cases_source_case` (`source_case_id`), CONSTRAINT `fk_case_department` FOREIGN KEY (`department_id`) REFERENCES `departments` (`id`) ON DELETE CASCADE ON UPDATE CASCADE, CONSTRAINT `fk_case_creator` FOREIGN KEY (`created_by`) REFERENCES `users` (`id`) ON DELETE SET NULL ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='病例表'; CREATE TABLE `case_exam_items` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '检查项目ID', `case_id` int(11) NOT NULL COMMENT '病例ID', `source_case_id` bigint DEFAULT NULL COMMENT '源库病例ID,用于后续从 case_base 直接读取检查项目', `item_code` varchar(64) NOT NULL COMMENT '项目编码', `item_name` varchar(128) NOT NULL COMMENT '项目名称', `item_type` enum('lab','imaging','physical_exam','vital_sign','other') NOT NULL COMMENT '项目类型', `category` varchar(64) DEFAULT NULL COMMENT '分类', `result_text` text NOT NULL COMMENT '结果文本', `result_structured` json DEFAULT NULL COMMENT '结构化结果', `is_key` tinyint(1) DEFAULT 0 COMMENT '是否关键检查', `is_abnormal` tinyint(1) DEFAULT 0 COMMENT '是否异常', `score_weight` decimal(5,2) DEFAULT 0.00 COMMENT '评分权重', `display_order` int(11) DEFAULT 0 COMMENT '展示顺序', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_case_item_code` (`case_id`,`item_code`), KEY `idx_exam_case_type` (`case_id`,`item_type`), KEY `idx_case_exam_source_case` (`source_case_id`), CONSTRAINT `fk_exam_case` FOREIGN KEY (`case_id`) REFERENCES `cases` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='病例检查检验项目表'; CREATE TABLE `training_sessions` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '会话ID', `session_code` varchar(64) NOT NULL COMMENT '会话编码', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `tenant_id` varchar(128) DEFAULT NULL COMMENT '租户或项目ID', `class_id` varchar(128) DEFAULT NULL COMMENT '班级或课程ID', `entry_scene` varchar(64) DEFAULT NULL COMMENT '入口场景', `case_id` int(11) NOT NULL COMMENT '病例ID', `source_case_id` bigint DEFAULT NULL COMMENT '源库病例ID,保留 case_id 兼容旧运行表', `training_type` enum('case_analysis','diagnosis_treatment','consultation') NOT NULL COMMENT '训练类别', `mode` enum('novice','practice','teaching') NOT NULL COMMENT '训练模式', `score_type` enum('percentage','five_point') NOT NULL DEFAULT 'percentage' COMMENT '分数输出类型', `status` enum('created','inquiry','diagnosis','treatment','evaluating','completed','aborted') NOT NULL DEFAULT 'created' COMMENT '会话状态', `started_at` datetime DEFAULT NULL COMMENT '开始时间', `inquiry_completed_at` datetime DEFAULT NULL COMMENT '问诊完成时间', `completed_at` datetime DEFAULT NULL COMMENT '完成时间', `memory_key` varchar(128) DEFAULT NULL COMMENT '短期memory key', `metadata` json DEFAULT NULL COMMENT '扩展数据', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_session_code` (`session_code`), KEY `idx_session_user_status` (`user_id`,`status`), KEY `idx_session_case` (`case_id`), KEY `idx_session_created` (`created_at`), KEY `idx_training_sessions_source_case` (`source_case_id`), CONSTRAINT `fk_session_case` FOREIGN KEY (`case_id`) REFERENCES `cases` (`id`) ON DELETE RESTRICT ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='训练会话表'; CREATE TABLE `session_runtime_messages` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '短期消息ID', `session_id` int(11) NOT NULL COMMENT '会话ID', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `role` enum('doctor','patient','system','tool') NOT NULL COMMENT '角色', `content` text NOT NULL COMMENT '消息内容', `content_structured` json DEFAULT NULL COMMENT '结构化内容', `sequence_no` int(11) NOT NULL COMMENT '会话内序号', `expires_at` datetime DEFAULT NULL COMMENT '过期时间', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', PRIMARY KEY (`id`), KEY `idx_runtime_session_seq` (`session_id`,`sequence_no`), KEY `idx_runtime_expires` (`expires_at`), CONSTRAINT `fk_runtime_session` FOREIGN KEY (`session_id`) REFERENCES `training_sessions` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='短期会话消息调试表'; CREATE TABLE `session_orders` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '申请ID', `session_id` int(11) NOT NULL COMMENT '会话ID', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `case_exam_item_id` int(11) NOT NULL COMMENT '病例检查项目ID', `item_code` varchar(64) NOT NULL COMMENT '项目编码', `item_name` varchar(128) NOT NULL COMMENT '项目名称', `item_type` varchar(32) NOT NULL COMMENT '项目类型', `result_text` text NOT NULL COMMENT '结果文本', `result_structured` json DEFAULT NULL COMMENT '结构化结果', `is_key` tinyint(1) DEFAULT 0 COMMENT '是否关键检查', `is_abnormal` tinyint(1) DEFAULT 0 COMMENT '是否异常', `ordered_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '申请时间', PRIMARY KEY (`id`), KEY `idx_order_session` (`session_id`), KEY `idx_order_user_session` (`user_id`,`session_id`), CONSTRAINT `fk_order_session` FOREIGN KEY (`session_id`) REFERENCES `training_sessions` (`id`) ON DELETE CASCADE ON UPDATE CASCADE, CONSTRAINT `fk_order_exam_item` FOREIGN KEY (`case_exam_item_id`) REFERENCES `case_exam_items` (`id`) ON DELETE RESTRICT ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='会话检查检验申请表'; CREATE TABLE `session_submissions` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '提交ID', `session_id` int(11) NOT NULL COMMENT '会话ID', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `primary_diagnosis` text COMMENT '主要诊断', `differential_diagnoses` json DEFAULT NULL COMMENT '鉴别诊断', `diagnosis_basis` text COMMENT '诊断依据', `treatment_principle` text COMMENT '治疗原则', `treatment_measures` text COMMENT '治疗措施', `risk_plan` text COMMENT '风险预案', `communication` text COMMENT '沟通告知与健康教育', `follow_up` text COMMENT '随访计划', `diagnosis_submitted_at` datetime DEFAULT NULL COMMENT '诊断提交时间', `treatment_submitted_at` datetime DEFAULT NULL COMMENT '治疗提交时间', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_submission_session` (`session_id`), KEY `idx_submission_user` (`user_id`), CONSTRAINT `fk_submission_session` FOREIGN KEY (`session_id`) REFERENCES `training_sessions` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='会话诊断治疗提交表'; CREATE TABLE `knowledge_sources` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '知识来源ID', `source_code` varchar(64) NOT NULL COMMENT '来源编码', `source_name` varchar(255) NOT NULL COMMENT '来源名称', `source_type` enum('national_standard','department_expert','exam_requirement','clinical_guideline','humanistic_care','other') NOT NULL COMMENT '来源类型', `authority_level` int(11) DEFAULT 1 COMMENT '权威等级', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否启用', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_source_code` (`source_code`), KEY `idx_source_type` (`source_type`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='知识来源表'; CREATE TABLE `knowledge_documents` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '知识文档ID', `source_id` int(11) NOT NULL COMMENT '来源ID', `department_id` int(11) DEFAULT NULL COMMENT '科室ID', `title` varchar(255) NOT NULL COMMENT '文档标题', `task_type` varchar(64) DEFAULT NULL COMMENT '任务类型', `summary` text COMMENT '摘要', `file_path` varchar(512) DEFAULT NULL COMMENT '文件路径', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否启用', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), KEY `idx_doc_source` (`source_id`), KEY `idx_doc_department_task` (`department_id`,`task_type`), CONSTRAINT `fk_doc_source` FOREIGN KEY (`source_id`) REFERENCES `knowledge_sources` (`id`) ON DELETE CASCADE ON UPDATE CASCADE, CONSTRAINT `fk_doc_department` FOREIGN KEY (`department_id`) REFERENCES `departments` (`id`) ON DELETE SET NULL ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='知识文档表'; CREATE TABLE `knowledge_chunks` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '知识片段ID', `document_id` int(11) NOT NULL COMMENT '文档ID', `department_id` int(11) DEFAULT NULL COMMENT '科室ID', `task_type` varchar(64) DEFAULT NULL COMMENT '任务类型', `chunk_text` text NOT NULL COMMENT '片段内容', `keywords` json DEFAULT NULL COMMENT '关键词', `weight` decimal(5,2) DEFAULT 1.00 COMMENT '权重', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否启用', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', PRIMARY KEY (`id`), KEY `idx_chunk_doc` (`document_id`), KEY `idx_chunk_department_task` (`department_id`,`task_type`), FULLTEXT KEY `ft_chunk_text` (`chunk_text`), CONSTRAINT `fk_chunk_doc` FOREIGN KEY (`document_id`) REFERENCES `knowledge_documents` (`id`) ON DELETE CASCADE ON UPDATE CASCADE, CONSTRAINT `fk_chunk_department` FOREIGN KEY (`department_id`) REFERENCES `departments` (`id`) ON DELETE SET NULL ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='知识片段表'; CREATE TABLE `evaluation_records` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '评价记录ID', `evaluation_code` varchar(64) NOT NULL COMMENT '评价记录编码', `session_id` int(11) NOT NULL COMMENT '会话ID', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `tenant_id` varchar(128) DEFAULT NULL COMMENT '租户或项目ID', `case_id` int(11) NOT NULL COMMENT '病例ID', `source_case_id` bigint DEFAULT NULL COMMENT '源库病例ID,保留 case_id 兼容旧报告表', `training_type` varchar(64) NOT NULL COMMENT '训练类别', `mode` varchar(64) NOT NULL COMMENT '训练模式', `score_type` enum('percentage','five_point') NOT NULL COMMENT '分数类型', `total_score` decimal(6,2) NOT NULL COMMENT '总分', `dimension_scores` json NOT NULL COMMENT '维度评分', `errors` json DEFAULT NULL COMMENT '错误分析', `improvement_plan` json DEFAULT NULL COMMENT '改进方案', `evidence_summary` json DEFAULT NULL COMMENT '评分依据摘要', `guideline_refs` json DEFAULT NULL COMMENT '参考指南来源', `overall_comment` text COMMENT '总体评价', `llm_model` varchar(100) DEFAULT NULL COMMENT 'LLM模型', `latency_metrics` json DEFAULT NULL COMMENT '耗时指标', `pdf_file_path` varchar(512) DEFAULT NULL COMMENT 'PDF报告路径', `status` enum('generated','exported','failed') DEFAULT 'generated' COMMENT '状态', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_evaluation_code` (`evaluation_code`), UNIQUE KEY `uk_evaluation_session` (`session_id`), KEY `idx_eval_user_created` (`user_id`,`created_at`), KEY `idx_eval_case` (`case_id`), KEY `idx_eval_source_case` (`source_case_id`), CONSTRAINT `fk_eval_session` FOREIGN KEY (`session_id`) REFERENCES `training_sessions` (`id`) ON DELETE CASCADE ON UPDATE CASCADE, CONSTRAINT `fk_eval_case` FOREIGN KEY (`case_id`) REFERENCES `cases` (`id`) ON DELETE RESTRICT ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='AI评价记录表'; CREATE TABLE `evaluation_report_exports` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '导出记录ID', `evaluation_id` int(11) NOT NULL COMMENT '评价记录ID', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `file_path` varchar(512) NOT NULL COMMENT 'PDF文件路径', `file_name` varchar(255) NOT NULL COMMENT 'PDF文件名', `score_type` enum('percentage','five_point') NOT NULL COMMENT '分数类型', `export_status` enum('success','failed') DEFAULT 'success' COMMENT '导出状态', `exported_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '导出时间', PRIMARY KEY (`id`), KEY `idx_export_eval` (`evaluation_id`), KEY `idx_export_user` (`user_id`,`exported_at`), CONSTRAINT `fk_export_eval` FOREIGN KEY (`evaluation_id`) REFERENCES `evaluation_records` (`id`) ON DELETE CASCADE ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='评价报告PDF导出记录表'; CREATE TABLE `prompt_templates` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '提示词模板ID', `template_code` varchar(64) NOT NULL COMMENT '模板编码', `agent_type` enum('patient','scoring','report','polish','hint','knowledge') NOT NULL COMMENT 'Agent类型', `scene` varchar(64) NOT NULL COMMENT '场景', `version_no` varchar(32) NOT NULL COMMENT '版本', `model_type` enum('fast','reason') NOT NULL COMMENT '模型类型', `output_format` enum('text','json') NOT NULL COMMENT '输出格式', `file_path` varchar(512) NOT NULL COMMENT 'Markdown文件路径', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否启用', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_prompt_code_version` (`template_code`,`version_no`), KEY `idx_prompt_agent_scene` (`agent_type`,`scene`,`is_active`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='提示词模板元数据表'; CREATE TABLE `rubric_templates` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '评分规则ID', `rubric_code` varchar(64) NOT NULL COMMENT '规则编码', `rubric_name` varchar(128) NOT NULL COMMENT '规则名称', `version_no` varchar(32) NOT NULL COMMENT '版本', `department_id` int(11) DEFAULT NULL COMMENT '科室ID', `training_type` varchar(64) NOT NULL COMMENT '训练类别', `score_type` enum('percentage','five_point') NOT NULL COMMENT '分数类型', `dimensions` json NOT NULL COMMENT '评分维度', `is_active` tinyint(1) DEFAULT 1 COMMENT '是否启用', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_rubric_code_version` (`rubric_code`,`version_no`), KEY `idx_rubric_department_type` (`department_id`,`training_type`,`score_type`), CONSTRAINT `fk_rubric_department` FOREIGN KEY (`department_id`) REFERENCES `departments` (`id`) ON DELETE SET NULL ON UPDATE CASCADE ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='评分规则表'; CREATE TABLE `training_record` ( `id` bigint NOT NULL AUTO_INCREMENT COMMENT '训练记录ID', `training_mode` varchar(50) NOT NULL COMMENT '训练模式:practice/teaching', `case_type` varchar(30) NOT NULL COMMENT '病例分类', `start_time` datetime(6) NOT NULL COMMENT '开始时间', `end_time` datetime(6) DEFAULT NULL COMMENT '结束时间', `duration_seconds` int DEFAULT NULL COMMENT '训练耗时秒', `total_score` decimal(5,2) DEFAULT NULL COMMENT '总分', `ai_score` decimal(5,2) DEFAULT NULL COMMENT 'AI评分', `teacher_score` decimal(5,2) DEFAULT NULL COMMENT '教师评分', `evaluation_level` varchar(20) NOT NULL DEFAULT '' COMMENT '评价等级', `status` varchar(30) NOT NULL COMMENT '记录状态', `feedback` longtext NOT NULL COMMENT '总体反馈', `thinking_chain` longtext NOT NULL COMMENT '评价证据链摘要', `diagnosis_path` longtext NOT NULL COMMENT '诊断路径摘要', `wrong_points` json NOT NULL COMMENT '错误点', `missed_questions` json NOT NULL COMMENT '遗漏问题', `recommendation_result` json NOT NULL COMMENT '改进建议', `ai_feedback_structured` json NOT NULL COMMENT 'AI结构化反馈', `osce_station_score` json NOT NULL COMMENT 'OSCE评分', `interruption_count` int NOT NULL DEFAULT 0 COMMENT '中断次数', `emotion_analysis` json NOT NULL COMMENT '情绪分析', `prompt_version` varchar(50) NOT NULL DEFAULT 'v1' COMMENT '提示词版本', `rag_context_version` varchar(50) NOT NULL DEFAULT 'none' COMMENT '指南检索版本', `case_id` bigint NOT NULL COMMENT '病例ID,对应 case_base.id', `teacher_id` bigint DEFAULT NULL COMMENT '教师ID', `user_id` bigint DEFAULT NULL COMMENT '源系统数字用户ID;宿主传字符串时为空', `external_user_id` varchar(128) NOT NULL COMMENT '宿主系统传入的 user_id', `session_id` bigint DEFAULT NULL COMMENT '本系统训练会话ID', `evaluation_record_id` bigint DEFAULT NULL COMMENT '兼容评价记录ID', `score_type` varchar(20) NOT NULL DEFAULT 'percentage' COMMENT '分数类型', `pdf_file_path` varchar(512) DEFAULT NULL COMMENT 'PDF报告路径', `created_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) COMMENT '创建时间', `updated_at` datetime(6) NOT NULL DEFAULT CURRENT_TIMESTAMP(6) ON UPDATE CURRENT_TIMESTAMP(6) COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_training_record_session` (`session_id`), KEY `idx_training_record_external_user` (`external_user_id`, `created_at`), KEY `idx_training_record_case` (`case_id`), KEY `idx_training_record_status` (`status`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='源库训练记录表'; CREATE TABLE `user_learning_profiles` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '学习档案ID', `user_id` varchar(128) NOT NULL COMMENT '宿主系统用户ID', `tenant_id` varchar(128) DEFAULT NULL COMMENT '租户或项目ID', `total_evaluations` int(11) DEFAULT 0 COMMENT '评价次数', `avg_score_percentage` decimal(6,2) DEFAULT NULL COMMENT '百分制平均分', `avg_score_five_point` decimal(4,2) DEFAULT NULL COMMENT '五分制平均分', `weak_dimensions` json DEFAULT NULL COMMENT '薄弱维度', `last_evaluation_id` int(11) DEFAULT NULL COMMENT '最近评价记录ID', `last_trained_at` datetime DEFAULT NULL COMMENT '最近训练时间', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', `updated_at` datetime DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', PRIMARY KEY (`id`), UNIQUE KEY `uk_profile_user_tenant` (`user_id`,`tenant_id`), KEY `idx_profile_last_trained` (`last_trained_at`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='用户学习档案表'; CREATE TABLE `audit_logs` ( `id` int(11) NOT NULL AUTO_INCREMENT COMMENT '审计日志ID', `user_id` varchar(128) DEFAULT NULL COMMENT '宿主系统用户ID', `tenant_id` varchar(128) DEFAULT NULL COMMENT '租户或项目ID', `session_id` int(11) DEFAULT NULL COMMENT '会话ID', `action` varchar(64) NOT NULL COMMENT '动作', `resource_type` varchar(64) NOT NULL COMMENT '资源类型', `resource_id` varchar(128) DEFAULT NULL COMMENT '资源ID', `request_id` varchar(128) DEFAULT NULL COMMENT '请求ID', `ip_address` varchar(64) DEFAULT NULL COMMENT 'IP地址', `user_agent` varchar(512) DEFAULT NULL COMMENT 'User-Agent', `metadata` json DEFAULT NULL COMMENT '元数据', `created_at` datetime DEFAULT CURRENT_TIMESTAMP COMMENT '创建时间', PRIMARY KEY (`id`), KEY `idx_audit_user_created` (`user_id`,`created_at`), KEY `idx_audit_session` (`session_id`), KEY `idx_audit_action_created` (`action`,`created_at`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='审计日志表'; SET FOREIGN_KEY_CHECKS = 1;