225 lines
9.0 KiB
Python
225 lines
9.0 KiB
Python
from django.db import models
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from apps.common.models import BaseModel, SoftDeleteModel
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from apps.user.models import User
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class CaseBase(SoftDeleteModel):
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"""病例主表（软删除：`is_deleted=1` 即「已下架」；`objects` 默认过滤已删）。"""
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CASE_TYPE_CHOICES = [
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('traditional', '传统病例'),
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('script', '剧本病例'),
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('teaching', '教学互动病例'),
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('osce', 'OSCE'),
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]
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STATUS_CHOICES = [
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(0, '禁用'),
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(1, '正常'),
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]
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# 病例状态机：草稿 →[提交]→ 正常 →[医院管理员发布]→ 已发布；下架 = 软删除（is_deleted=1）
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PUBLISH_STATUS_CHOICES = [
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(0, '草稿'),
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(1, '正常'),
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(2, '已发布'),
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]
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id = models.BigAutoField(primary_key=True)
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title = models.CharField('病例标题', max_length=255)
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case_type = models.CharField('病例类型', max_length=30, choices=CASE_TYPE_CHOICES)
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difficulty = models.CharField('难度', max_length=20, blank=True)
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difficulty_score = models.IntegerField('AI难度评分', null=True, blank=True)
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institution = models.ForeignKey(
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'user.Institution', on_delete=models.SET_NULL,
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null=True, blank=True, related_name='cases', verbose_name='所属机构'
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)
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department = models.ForeignKey(
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'user.Department', on_delete=models.SET_NULL,
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null=True, blank=True, verbose_name='所属科室'
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)
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chief_complaint = models.TextField('主诉', blank=True)
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description = models.TextField('病例简介', blank=True)
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patient_age = models.IntegerField('患者年龄', null=True, blank=True)
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patient_gender = models.CharField('患者性别', max_length=10, blank=True)
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tags = models.CharField('标签', max_length=500, blank=True)
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symptom_tags = models.JSONField('症状标签', default=list, blank=True)
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disease_tags = models.JSONField('疾病标签', default=list, blank=True)
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competency_tags = models.JSONField('能力标签', default=list, blank=True)
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guideline_tags = models.JSONField('指南标签', default=list, blank=True)
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knowledge_points = models.JSONField('知识点', default=list, blank=True)
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icd_codes = models.CharField('ICD编码', max_length=500, blank=True)
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estimated_minutes = models.IntegerField('预计训练时长', null=True, blank=True)
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osce_enabled = models.BooleanField('是否OSCE', default=False)
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rag_enabled = models.BooleanField('是否启用知识增强', default=False)
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ai_prompt_template = models.TextField('AI角色Prompt', blank=True)
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multimodal_assets = models.JSONField('图片/影像/附件', default=dict, blank=True)
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vector_status = models.SmallIntegerField('是否向量化', default=0)
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created_by = models.ForeignKey(
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User, on_delete=models.SET_NULL,
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null=True, blank=True, verbose_name='创建人'
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)
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publish_status = models.SmallIntegerField('发布状态', choices=PUBLISH_STATUS_CHOICES, default=0)
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status = models.SmallIntegerField('状态', choices=STATUS_CHOICES, default=1)
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class Meta:
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db_table = 'case_base'
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verbose_name = '病例'
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verbose_name_plural = '病例'
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def __str__(self):
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return self.title
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class TraditionalCase(BaseModel):
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"""传统病例表"""
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id = models.BigAutoField(primary_key=True)
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case = models.OneToOneField(
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CaseBase, on_delete=models.CASCADE,
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verbose_name='病例'
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)
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standard_diagnosis = models.TextField('标准诊断', blank=True)
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standard_treatment = models.TextField('标准治疗', blank=True)
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guideline_reference = models.TextField('指南参考', blank=True)
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class Meta:
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db_table = 'traditional_case'
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verbose_name = '传统病例'
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verbose_name_plural = '传统病例'
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def __str__(self):
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return f"传统病例: {self.case.title}"
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class ScriptCase(BaseModel):
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"""剧本病例表"""
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id = models.BigAutoField(primary_key=True)
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case = models.OneToOneField(
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CaseBase, on_delete=models.CASCADE,
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verbose_name='病例'
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)
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scenario_setting = models.TextField('场景设定', blank=True)
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emotional_state = models.CharField('情绪状态', max_length=50, blank=True)
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cultural_level = models.CharField('文化水平', max_length=50, blank=True)
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branch_logic = models.TextField('分支逻辑', blank=True)
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hidden_clues = models.TextField('隐藏线索', blank=True)
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class Meta:
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db_table = 'script_case'
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verbose_name = '剧本病例'
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verbose_name_plural = '剧本病例'
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def __str__(self):
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return f"剧本病例: {self.case.title}"
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class TeachingCase(BaseModel):
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"""教学互动病例表"""
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id = models.BigAutoField(primary_key=True)
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case = models.OneToOneField(
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CaseBase, on_delete=models.CASCADE,
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verbose_name='病例'
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)
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teaching_goal = models.TextField('教学目标', blank=True)
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discussion_questions = models.TextField('讨论问题', blank=True)
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teacher_guide = models.TextField('教师指南', blank=True)
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scoring_focus = models.TextField('评分重点', blank=True)
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class Meta:
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db_table = 'teaching_case'
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verbose_name = '教学互动病例'
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verbose_name_plural = '教学互动病例'
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def __str__(self):
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return f"教学病例: {self.case.title}"
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class CaseStage(BaseModel):
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"""病例阶段表"""
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STAGE_MODE_CHOICES = [
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('dialogue', '对话'),
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('osce', 'OSCE'),
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('choice', '选择'),
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]
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id = models.BigAutoField(primary_key=True)
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case = models.ForeignKey(
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CaseBase, on_delete=models.CASCADE,
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related_name='stages', verbose_name='病例'
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)
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stage_type = models.CharField('阶段类型', max_length=50, blank=True)
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stage_name = models.CharField('阶段名称', max_length=100)
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stage_mode = models.CharField('阶段模式', max_length=30, choices=STAGE_MODE_CHOICES, default='dialogue')
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stage_goal = models.TextField('阶段目标', blank=True)
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ai_role_prompt = models.TextField('AI阶段Prompt', blank=True)
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standard_action = models.TextField('标准动作', blank=True)
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expected_questions = models.TextField('期望问题', blank=True)
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scoring_points = models.TextField('评分点', blank=True)
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timeout_seconds = models.IntegerField('超时时间', null=True, blank=True)
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unlock_condition = models.CharField('解锁条件', max_length=255, blank=True)
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sort_order = models.IntegerField('排序', default=0)
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class Meta:
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db_table = 'case_stage'
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verbose_name = '病例阶段'
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verbose_name_plural = '病例阶段'
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ordering = ['sort_order', 'id']
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def __str__(self):
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return f"{self.case.title} - {self.stage_name}"
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class ScoringRule(BaseModel):
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"""评分规则表"""
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id = models.BigAutoField(primary_key=True)
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case = models.ForeignKey(
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CaseBase, on_delete=models.CASCADE,
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related_name='scoring_rules', verbose_name='病例'
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)
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dimension = models.CharField('评分维度', max_length=50)
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competency_dimension = models.CharField('能力维度', max_length=50, blank=True)
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score_weight = models.DecimalField('权重', max_digits=5, decimal_places=2, default=1.00)
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ai_auto_score = models.BooleanField('AI自动评分', default=False)
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osce_dimension = models.BooleanField('是否OSCE', default=False)
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scoring_standard = models.TextField('评分标准', blank=True)
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rubric_json = models.JSONField('评分Rubric', default=dict, blank=True)
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class Meta:
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db_table = 'scoring_rule'
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verbose_name = '评分规则'
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verbose_name_plural = '评分规则'
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def __str__(self):
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return f"{self.case.title} - {self.dimension}"
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class CaseExamItem(BaseModel):
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"""病例检查/检验项目表（与 consultation 库 case_exam_item 同构）"""
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case = models.ForeignKey(
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CaseBase, on_delete=models.CASCADE,
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related_name='exam_items', db_column='case_id',
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verbose_name='病例',
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)
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item_code = models.CharField('检查项目编码', max_length=64)
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item_name = models.CharField('检查项目名称', max_length=128)
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item_type = models.CharField('项目类型', max_length=32)
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category = models.CharField('项目分类', max_length=64, blank=True, default='')
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result_text = models.TextField('结果文本')
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result_structured = models.JSONField('结构化结果', null=True, blank=True, default=None)
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is_key = models.BooleanField('是否关键检查', default=False)
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is_abnormal = models.BooleanField('是否异常', default=False)
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score_weight = models.DecimalField('评分权重', max_digits=5, decimal_places=2, default=1.00)
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display_order = models.IntegerField('展示顺序', default=0)
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class Meta:
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db_table = 'case_exam_item'
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verbose_name = '病例检查项'
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verbose_name_plural = '病例检查项'
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ordering = ['display_order', 'id']
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constraints = [
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models.UniqueConstraint(
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fields=['case', 'item_code'],
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name='uk_case_exam_item_code',
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),
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]
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def __str__(self):
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return f"{self.case_id}:{self.item_code}"
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