from collections.abc import AsyncIterator from app.agents.llm_adapter import DeepSeekClient, LLMResponse, LLMStreamChunk from app.core.config import settings from app.models.source_case import CaseBase class PatientAgent: """AI 病人:根据病例资料、隐藏信息和短期 memory 回复医生问诊。""" def __init__(self, llm: DeepSeekClient | None = None) -> None: self.llm = llm or DeepSeekClient() async def reply(self, case: CaseBase, memory_messages: list[dict], user_message: str, mode: str) -> LLMResponse: """问诊回复:拼接病例上下文、短期记忆和用户输入后调用 Patient Agent。""" messages = self._build_messages(case, memory_messages, user_message, mode) return await self.llm.chat( messages, settings.llm_fast_model, thinking_enabled=settings.llm_fast_thinking_enabled, max_tokens=settings.llm_fast_max_tokens, ) async def stream_reply( self, case: CaseBase, memory_messages: list[dict], user_message: str, mode: str, ) -> AsyncIterator[LLMStreamChunk]: """流式问诊:以 SSE 方式返回 AI 病人增量回复。""" messages = self._build_messages(case, memory_messages, user_message, mode) async for chunk in self.llm.stream_chat( messages, settings.llm_fast_model, thinking_enabled=settings.llm_fast_thinking_enabled, max_tokens=settings.llm_fast_max_tokens, ): yield chunk def _build_messages(self, case: CaseBase, memory_messages: list[dict], user_message: str, mode: str) -> list[dict]: """提示词拼接:构造 AI 病人的系统提示词和对话历史。""" profile = case.ai_patient_profile or {} hidden_info = case.hidden_patient_info or {} mode_rule = { "novice": "新手模式:回答清楚,必要时可提示医生继续追问症状、既往史或检查。", "practice": "练习模式:只回答被问到的信息,不主动给诊断建议。", "teaching": "教学模式:保持患者身份,允许在回答后补充简短学习提示。", }.get(mode, "只回答被问到的信息。") system = f""" 你是一名标准化 AI 病人或患儿家属,只能基于病例资料回答。 病例主诉:{case.chief_complaint} 患者人设:{profile} 隐藏信息:{hidden_info} 回答规则: 1. 不主动透露未被问到的隐藏信息。 2. 不替医生做诊断,不提供治疗方案。 3. 不编造病例外检查检验结果。 4. 每次回答控制在1到3句话,使用患儿家属口吻,不输出分析过程。 5. 只输出给医生看的家属回答纯文本,不输出 JSON、Markdown、标题、解释或思考过程。 6. 如果医生一次问多个问题,按问题顺序简短回答,不扩展病例外信息。 7. {mode_rule} """ messages = [{"role": "system", "content": system.strip()}] messages.extend(self._to_llm_history(memory_messages[-12:])) messages.append({"role": "user", "content": user_message}) return messages def _to_llm_history(self, memory_messages: list[dict]) -> list[dict]: """历史转换:把业务角色 doctor/patient 转换为 LLM role。""" role_map = {"doctor": "user", "patient": "assistant", "system": "system", "tool": "assistant"} return [ {"role": role_map.get(item.get("role"), "user"), "content": item.get("content", "")} for item in memory_messages if item.get("content") ]