刘金宝
517 lines
31 KiB
SQL
517 lines
31 KiB
SQL
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;
|