diff --git a/api/exams.ts b/api/exams.ts new file mode 100644 index 0000000..56afa9a --- /dev/null +++ b/api/exams.ts @@ -0,0 +1,82 @@ +import { FASTAPI_BASE_URL, authHeaders, readError, type ApiEnvelope } from './session' + +export type ExamItem = { + item_code: string + item_name: string + item_type: string +} + +export type ExamResult = ExamItem & { + result_text: string + result_structured?: Record + is_key?: boolean + is_abnormal?: boolean + context_written?: boolean + already_ordered?: boolean +} + +type ExamListResponse = { + items: ExamItem[] +} + +type ExamKind = 'physical-exams' | 'auxiliary-exams' + +export function fetchPhysicalExamItems(sessionId: number) { + return fetchExamItems(sessionId, 'physical-exams') +} + +export function fetchAuxiliaryExamItems(sessionId: number) { + return fetchExamItems(sessionId, 'auxiliary-exams') +} + +export function orderPhysicalExamResult(sessionId: number, itemCode: string) { + return orderExamResult(sessionId, 'physical-exams', itemCode) +} + +export function orderAuxiliaryExamResult(sessionId: number, itemCode: string) { + return orderExamResult(sessionId, 'auxiliary-exams', itemCode) +} + +function assertSessionId(sessionId: number) { + if (!Number.isInteger(sessionId) || sessionId <= 0) { + throw new Error('未找到当前会话，请先生成模拟场景') + } +} + +async function fetchExamItems(sessionId: number, kind: ExamKind) { + assertSessionId(sessionId) + const response = await fetch(`${FASTAPI_BASE_URL}/sessions/${sessionId}/${kind}`, { + method: 'GET', + headers: authHeaders() + }) + + if (!response.ok) { + throw new Error(await readError(response)) + } + + const result = (await response.json()) as ApiEnvelope + if (result.code !== 'OK' || !Array.isArray(result.data?.items)) { + throw new Error(result.message || '检查列表加载失败') + } + + return result.data.items +} + +async function orderExamResult(sessionId: number, kind: ExamKind, itemCode: string) { + assertSessionId(sessionId) + const response = await fetch(`${FASTAPI_BASE_URL}/sessions/${sessionId}/${kind}/${encodeURIComponent(itemCode)}`, { + method: 'POST', + headers: authHeaders() + }) + + if (!response.ok) { + throw new Error(await readError(response)) + } + + const result = (await response.json()) as ApiEnvelope + if (result.code !== 'OK' || !result.data?.item_code) { + throw new Error(result.message || '检查结果获取失败') + } + + return result.data +} diff --git a/api/learning-assistant.ts b/api/learning-assistant.ts new file mode 100644 index 0000000..775a699 --- /dev/null +++ b/api/learning-assistant.ts @@ -0,0 +1,148 @@ +import { FASTAPI_BASE_URL, authHeaders, readError, type ApiEnvelope } from './session' + +export type LearningAssistantSession = { + assistant_session_id: number | string + title?: string +} + +type ChatStreamPayload = { + question: string + top_k?: number + score_threshold?: number +} + +type StreamCallbacks = { + onDelta: (delta: string) => void + onDone?: (meta: Record) => void +} + +export async function createLearningAssistantSession(title?: string) { + const body = title?.trim() + ? { + title: title.trim().slice(0, 100) + } + : {} + + const response = await fetch(`${FASTAPI_BASE_URL}/learning-assistant/sessions`, { + method: 'POST', + headers: authHeaders(), + body: JSON.stringify(body) + }) + + if (!response.ok) { + throw new Error(await readError(response)) + } + + const result = (await response.json()) as ApiEnvelope> + if (result.code !== 'OK' || !result.data) { + throw new Error(result.message || '新建会话失败') + } + + const assistantSessionId = readAssistantSessionId(result.data) + if (!assistantSessionId) { + throw new Error('新建会话返回缺少 assistant_session_id') + } + + return { + ...result.data, + assistant_session_id: assistantSessionId + } as LearningAssistantSession +} + +export async function streamLearningAssistantChat( + assistantSessionId: number | string, + payload: ChatStreamPayload, + callbacks: StreamCallbacks, + signal?: AbortSignal +) { + const response = await fetch(`${FASTAPI_BASE_URL}/learning-assistant/sessions/${assistantSessionId}/chat/stream`, { + method: 'POST', + headers: authHeaders('text/event-stream'), + body: JSON.stringify(payload), + signal + }) + + if (!response.ok || !response.body) { + throw new Error(await readError(response)) + } + + const reader = response.body.getReader() + const decoder = new TextDecoder() + let buffer = '' + + while (true) { + const { value, done } = await reader.read() + if (done) break + + buffer += decoder.decode(value, { stream: true }) + const blocks = buffer.split('\n\n') + buffer = blocks.pop() || '' + + for (const block of blocks) { + handleStreamBlock(block, callbacks) + } + } + + if (buffer.trim()) { + handleStreamBlock(buffer, callbacks) + } +} + +function readAssistantSessionId(data: Record) { + const value = data.assistant_session_id || data.session_id || data.id + if (typeof value === 'number' || typeof value === 'string') return value + return '' +} + +function handleStreamBlock(block: string, callbacks: StreamCallbacks) { + const event = block.match(/^event:\s*(.+)$/m)?.[1] || '' + const rawLines = block + .split('\n') + .filter(line => line.startsWith('data:')) + .map(line => line.replace(/^data:\s?/, '')) + + if (rawLines.length === 0) return + + const rawData = rawLines.join('\n') + if (rawData === '[DONE]') { + callbacks.onDone?.({}) + return + } + + let data: unknown = rawData + try { + data = JSON.parse(rawData) + } catch {} + + if (event === 'error') { + const message = typeof data === 'object' && data + ? (data as Record).message + : data + throw new Error(typeof message === 'string' ? message : 'AI 学习助手回复失败') + } + + const delta = readDelta(data) + if (delta) callbacks.onDelta(delta) + + if (event === 'done' || event === 'message_done') { + callbacks.onDone?.(typeof data === 'object' && data ? data as Record : {}) + } +} + +function readDelta(data: unknown) { + if (typeof data === 'string') return data + if (!data || typeof data !== 'object') return '' + + const payload = data as Record + const delta = payload.delta || payload.content || payload.answer || payload.text + if (typeof delta === 'string') return delta + + const nestedData = payload.data + if (nestedData && typeof nestedData === 'object') { + const nested = nestedData as Record + const nestedDelta = nested.delta || nested.content || nested.answer || nested.text + if (typeof nestedDelta === 'string') return nestedDelta + } + + return '' +} diff --git a/dist/assets/cases.DfX6IxCO.js b/dist/assets/cases.4_d-snq4.js similarity index 95% rename from dist/assets/cases.DfX6IxCO.js rename to dist/assets/cases.4_d-snq4.js index c700c4f..a913f94 100644 --- a/dist/assets/cases.DfX6IxCO.js +++ b/dist/assets/cases.4_d-snq4.js @@ -1 +1 @@ -import{C as e}from"./index-CoO0Bu96.js";function t(){return Promise.resolve([{id:"case-31190016",title:"间断四肢多关节肿痛5年，加重1个月",patientName:"郭爱和",gender:"男",age:43,department:"风湿免疫科",scene:"门诊部",caseNo:"31190016",tone:"blue",mode:"training"},{id:"case-31180002",title:"右膝关节疼痛8年，腰背部疼痛2年",patientName:"索航",gender:"男",age:51,department:"风湿免疫科",scene:"住院部",caseNo:"31180002",tone:"teal",mode:"training"},{id:"case-2238015",title:"阴道不规则流血4月。",patientName:"韩爱利",gender:"女",age:52,department:"妇科",scene:"住院部",caseNo:"2238015",tone:"pink",mode:"training"},{id:"case-1006004",title:"持续胸痛3小时",patientName:"陈先生",gender:"男",age:60,department:"心血管内科",scene:"住院部",caseNo:"1006004",tone:"orange",mode:"teaching"},{id:"case-31190042",title:"咳嗽、咳痰10余年，加重1周",patientName:"厉明",gender:"男",age:52,department:"呼吸内科",scene:"普通门诊",caseNo:"31190042",tone:"purple",mode:"training"},{id:"case-2238019",title:"尿频、尿急、尿痛3天",patientName:"刘晓元",gender:"女",age:25,department:"泌尿外科",scene:"急诊留观",caseNo:"2238019",tone:"green",mode:"training"}])}function n(){const t=e("clinical-thinking-selected-case");return t&&"object"==typeof t?t:null}export{t as f,n as r}; +import{C as e}from"./index-pnQqyMoS.js";function t(){return Promise.resolve([{id:"case-31190016",title:"间断四肢多关节肿痛5年，加重1个月",patientName:"郭爱和",gender:"男",age:43,department:"风湿免疫科",scene:"门诊部",caseNo:"31190016",tone:"blue",mode:"training"},{id:"case-31180002",title:"右膝关节疼痛8年，腰背部疼痛2年",patientName:"索航",gender:"男",age:51,department:"风湿免疫科",scene:"住院部",caseNo:"31180002",tone:"teal",mode:"training"},{id:"case-2238015",title:"阴道不规则流血4月。",patientName:"韩爱利",gender:"女",age:52,department:"妇科",scene:"住院部",caseNo:"2238015",tone:"pink",mode:"training"},{id:"case-1006004",title:"持续胸痛3小时",patientName:"陈先生",gender:"男",age:60,department:"心血管内科",scene:"住院部",caseNo:"1006004",tone:"orange",mode:"teaching"},{id:"case-31190042",title:"咳嗽、咳痰10余年，加重1周",patientName:"厉明",gender:"男",age:52,department:"呼吸内科",scene:"普通门诊",caseNo:"31190042",tone:"purple",mode:"training"},{id:"case-2238019",title:"尿频、尿急、尿痛3天",patientName:"刘晓元",gender:"女",age:25,department:"泌尿外科",scene:"急诊留观",caseNo:"2238019",tone:"green",mode:"training"}])}function n(){const 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b/dist/assets/pages-cases-cases.DT82vyu5.js similarity index 94% rename from dist/assets/pages-cases-cases.EeSK4fd9.js rename to dist/assets/pages-cases-cases.DT82vyu5.js index 94f6177..f1802e5 100644 --- a/dist/assets/pages-cases-cases.EeSK4fd9.js +++ b/dist/assets/pages-cases-cases.DT82vyu5.js @@ -1 +1 @@ -import{J as a,K as e,L as s,O as l,d as t,r as c,c as o,o as n,b as i,e as u,f as d,w as r,i as m,E as f,l as _,m as p,F as g,j as h,g as v,t as b,n as k,y as C,z as j,I as x,x as y,S as N,s as w,G as $}from"./index-CoO0Bu96.js";import{f as L}from"./cases.DfX6IxCO.js";import{c as V,a as I,b as S}from"./navigation.C05E413Y.js";import{_ as z}from"./_plugin-vue_export-helper.BCo6x5W8.js";const E=((l,t=0)=>(t,c=s())=>{!a&&e(l,t,c)})(l,2),F=z(t({__name:"cases",emits:["open-settings","open-profile","go-home"],setup(a,{emit:e}){const s=e,l=V(s),t=I(s),z=S(s),F=c([]),G=c(""),J=c(""),K=c(!1),O=c(""),U=o((()=>{const 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S}from"./navigation.DVfJwOxJ.js";import{_ as z}from"./_plugin-vue_export-helper.BCo6x5W8.js";const E=((l,t=0)=>(t,c=s())=>{!a&&e(l,t,c)})(l,2),F=z(t({__name:"cases",emits:["open-settings","open-profile","go-home"],setup(a,{emit:e}){const s=e,l=V(s),t=I(s),z=S(s),F=c([]),G=c(""),J=c(""),K=c(!1),O=c(""),U=o((()=>{const a=G.value.trim().toLowerCase(),e=O.value?F.value.filter((a=>a.mode===O.value)):F.value;return a?e.filter((e=>[e.title,e.patientName,e.gender,String(e.age),e.department,e.scene,e.caseNo].some((e=>e.toLowerCase().includes(a))))):e}));return E((a=>{const e=null==a?void 0:a.mode;"teaching"!==e&&"training"!==e||(O.value=e)})),n((function(){L().then((a=>{F.value=a}))})),i((()=>{})),(a,e)=>{const s=C,c=j,o=x,n=y,i=N;return u(),d(s,{class:"cases-page"},{default:r((()=>[m(s,{class:"case-shell"},{default:r((()=>[m(s,{class:"case-header"},{default:r((()=>[m(c,{class:"icon-button","aria-label":"设置",onClick:f(t)},{default:r((()=>[m(s,{class:"settings-icon"})])),_:1},8,["onClick"]),m(c,{class:"icon-button 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as default}; diff --git a/dist/assets/pages-chat-chat.D3fzKShX.js b/dist/assets/pages-chat-chat.D3fzKShX.js deleted file mode 100644 index e913867..0000000 --- a/dist/assets/pages-chat-chat.D3fzKShX.js +++ /dev/null @@ -1 +0,0 @@ -import{d as e,a as l,r as a,c as s,o as t,b as n,e as o,f as i,w as c,i as u,E as r,j as d,t as m,l as p,m as f,F as g,n as _,k as h,g as v,G as b,y as k,z as y,x,S as C,u as V,I as $,M as w}from"./index-CoO0Bu96.js";import{_ as F}from"./config-doctor.TgARj_nM.js";import{r as I}from"./cases.DfX6IxCO.js";import{c as D,a as j,b as A}from"./navigation.C05E413Y.js";import{b as P,d as T,u as U,s as E,e as N}from"./session.DpZWKT0-.js";import{_ as q}from"./_plugin-vue_export-helper.BCo6x5W8.js";const O={id:"case-1006004",title:"持续胸痛3小时",patientName:"陈先生",gender:"男",age:60,department:"心血管内科",scene:"住院部",caseNo:"1006004",tone:"orange",mode:"training"};const S=q(e({__name:"chat",props:{caseItem:{}},emits:["open-settings","open-profile","go-home"],setup(e,{emit:q}){const S=e,M=q,H=D(M),X=j(M),z=A(M),B=l({patient:{name:"陈先生",gender:"男",age:60,department:"心血管内科",chiefComplaint:"持续胸痛3小时"},stages:[{key:"history",label:"病史采集",active:!0},{key:"diagnosis",label:"初步诊断",active:!1},{key:"treatment",label:"治疗方案",active:!1}],messages:[]}),G=a(""),Q=a(!1),R=a(!1),J=a(!1),K=a(0),L=a(""),W=a(!1),Y=a(!1),Z=a(!1),ee=a(null),le=a(null);let ae=null,se=null,te=null;const ne=[{name:"心电图",result:"检查结果：床边12导联心电图提示窦性心律，II、III、aVF 导联 ST 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as default}; +import{d as e,a,r as l,c as s,o as i,b as t,e as n,f as o,w as u,i as c,E as d,j as r,t as f,l as p,m,F as v,n as _,g,s as b,p as h,y,z as k,x as D,u as w,I as V,R as j}from"./index-pnQqyMoS.js";import{_ as x}from"./config-doctor.TgARj_nM.js";import{r as C}from"./cases.4_d-snq4.js";import{F as E,a as I,r as T,f as U}from"./session.CQodznPl.js";import{c as F,a as O,b as $}from"./navigation.DVfJwOxJ.js";import{_ as A}from"./_plugin-vue_export-helper.BCo6x5W8.js";const N=A(e({__name:"diagnosis",props:{caseItem:{}},emits:["open-settings","open-profile","go-home"],setup(e,{emit:A}){const N=e,P=A,S=F(P),z=O(P),B=$(P),J=a({primaryDiagnosis:"",differentialDiagnosis:["",""],evidence:""}),K=l("王主任建议：请结合患者主诉和问诊信息，完成主要诊断、鉴别诊断和诊断依据。"),R=l(!1),q=l("idle"),G=l(""),H=l(!1),L=l(null);let M=null;const Q=s((()=>N.caseItem||L.value)),W=s((()=>{var e;return(null==(e=Q.value)?void 0:e.patientName)||"陈先生"})),X=s((()=>{var e;return(null==(e=Q.value)?void 0:e.gender)||"男"})),Y=s((()=>{var 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as default}; diff --git a/dist/assets/pages-home-home.B-_q-Yp_.js b/dist/assets/pages-home-home.DrPjlTPP.js similarity index 96% rename from dist/assets/pages-home-home.B-_q-Yp_.js rename to dist/assets/pages-home-home.DrPjlTPP.js index 8bc6fff..69c3966 100644 --- a/dist/assets/pages-home-home.B-_q-Yp_.js +++ b/dist/assets/pages-home-home.DrPjlTPP.js @@ -1 +1 @@ -import{d as s,a,r as e,o as l,b as t,e as i,f as n,w as o,i as c,E as u,j as d,g as r,t as f,l as m,m as g,F as _,n as b,s as p,G as h,y as v,z as k,x as y,u as j}from"./index-CoO0Bu96.js";import{_ as C}from"./config-doctor.TgARj_nM.js";import{c as I,a as w}from"./navigation.C05E413Y.js";import{_ as x}from"./_plugin-vue_export-helper.BCo6x5W8.js";const T=x(s({__name:"home",emits:["open-settings","open-profile"],setup(s,{emit:x}){const 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as default}; diff --git a/dist/assets/pages-profile-profile.uFdelNUS.js b/dist/assets/pages-profile-profile.B-XBbnFl.js similarity index 99% rename from dist/assets/pages-profile-profile.uFdelNUS.js rename to dist/assets/pages-profile-profile.B-XBbnFl.js index d13adc5..b30783d 100644 --- a/dist/assets/pages-profile-profile.uFdelNUS.js +++ b/dist/assets/pages-profile-profile.B-XBbnFl.js @@ -1 +1 @@ -import{d as l,r as a,c as e,b as s,e as t,f as c,w as o,i,j as n,l as u,m as d,F as r,t as f,n as _,L as m,D as p,G as b,y as g,z as v,x as y,u as k,S as h,g as w,H as C}from"./index-CoO0Bu96.js";import{_ as x}from"./config-doctor.TgARj_nM.js";import{_ as j}from"./_plugin-vue_export-helper.BCo6x5W8.js";const T=j(l({__name:"profile",emits:["open-settings","go-home"],setup(l,{emit:j}){var T,B;const F=j,G=a("focused"),H=a(""),I=a(!1);let O=null;const S=m(),z=Boolean(null==(T=null==S?void 0:S.vnode.props)?void 0:T.onGoHome),A=Boolean(null==(B=null==S?void 0:S.vnode.props)?void 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as default}; diff --git a/dist/assets/pages-scenario-scenario.BMKqvj1V.js b/dist/assets/pages-scenario-scenario.qHtGjID7.js similarity index 97% rename from dist/assets/pages-scenario-scenario.BMKqvj1V.js rename to dist/assets/pages-scenario-scenario.qHtGjID7.js index f9e0ad2..dedbdc8 100644 --- a/dist/assets/pages-scenario-scenario.BMKqvj1V.js +++ b/dist/assets/pages-scenario-scenario.qHtGjID7.js @@ -1 +1 @@ -import{d as e,a,r as l,c as s,o as t,b as o,e as n,f as c,w as i,i as u,j as r,t as d,l as m,m as v,F as p,n as _,s as f,G as g,u as b,y,x as h,z as k,S as w}from"./index-CoO0Bu96.js";import{_ as C}from"./config-doctor.TgARj_nM.js";import{r as G}from"./cases.DfX6IxCO.js";import{F as j,a as x,r as I,c as T}from"./session.DpZWKT0-.js";import{_ as E}from"./_plugin-vue_export-helper.BCo6x5W8.js";const O=""+new 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${a+1}`,"placeholder-class":"input-placeholder"},null,8,["modelValue","onUpdate:modelValue","placeholder"])])),_:2},1024)))),128))])),_:1})])),_:1}),r(l,{class:"field-block"},{default:o((()=>[r(l,{class:"field-label"},{default:o((()=>[r(l,{class:"description-icon"}),r(t,null,{default:o((()=>[d("医嘱")])),_:1})])),_:1}),r(k,{class:"order-input",modelValue:K.orders,"onUpdate:modelValue":a[1]||(a[1]=e=>K.orders=e),placeholder:"请输入医嘱建议...","placeholder-class":"input-placeholder"},null,8,["modelValue"])])),_:1})])),_:1}),r(s,{class:v(["next-button",{submitted:A.value}]),disabled:q.value,onClick:ae},{default:o((()=>[q.value?(u(),c(l,{key:0,class:"spinner"})):h("",!0),r(t,null,{default:o((()=>[d(m(ee.value),1)])),_:1}),q.value||A.value?h("",!0):(u(),c(l,{key:1,class:"arrow-icon"})),A.value?(u(),c(l,{key:2,class:"check-small-icon"})):h("",!0)])),_:1},8,["class","disabled"])])),_:1})])),_:1}),r(l,{class:v(["toast",{visible:G.value}])},{default:o((()=>[d(m(D.value),1)])),_:1},8,["class"])])),_:1})}}}),[["__scopeId","data-v-e1486ff5"]]);export{N as default}; +import{d as e,a,r as l,c as s,o as t,b as n,e as u,f as c,w as o,i as r,E as i,j as d,t as m,l as p,m as f,F as _,n as v,g as h,s as b,p as k,y as g,z as w,x as y,u as j,I as V,R as x}from"./index-pnQqyMoS.js";import{_ as C}from"./config-doctor.TgARj_nM.js";import{r as U}from"./cases.4_d-snq4.js";import{c as P,a as E,b as I}from"./navigation.DVfJwOxJ.js";import{F as T,a as F,r as O,f as $}from"./session.CQodznPl.js";import{_ as M}from"./_plugin-vue_export-helper.BCo6x5W8.js";const N=M(e({__name:"treatment",props:{caseItem:{}},emits:["open-settings","open-profile","go-home"],setup(e,{emit:M}){const N=e,S=M,z=P(S),B=E(S),J=I(S),K=a({principle:"",measures:["",""],orders:""}),R=l(!1),q=l(!1),A=l(""),D=l(!1),G=l(null);let H=null;const L=s((()=>N.caseItem||G.value)),Q=s((()=>{var e;return(null==(e=L.value)?void 0:e.patientName)||"陈先生"})),W=s((()=>{var e;return(null==(e=L.value)?void 0:e.gender)||"男"})),X=s((()=>{var e;return(null==(e=L.value)?void 0:e.age)||60})),Y=s((()=>{var e;return(null==(e=L.value)?void 0:e.department)||"心血管内科"})),Z=s((()=>{var e;const a=(null==(e=L.value)?void 0:e.title)||"持续胸痛3小时";return a.includes("胸痛")?"胸痛":a.slice(0,6)})),ee=s((()=>R.value?"提交中...":q.value?"已提交":"下一步"));async function ae(){if(!R.value){R.value=!0;try{const e=$(),a=K.orders.trim(),l={treatmentPrinciple:K.principle,treatmentMeasures:K.measures.map((e=>e.trim())).filter(Boolean).join("；"),riskPlan:a,communication:a,followUp:a},s=await async function(e,a){const l={treatment_principle:a.treatmentPrinciple.trim(),treatment_measures:a.treatmentMeasures.trim(),risk_plan:a.riskPlan.trim(),communication:a.communication.trim(),follow_up:a.followUp.trim()},s=await fetch(`${T}/sessions/${e}/treatment`,{method:"POST",headers:F(),body:JSON.stringify(l)});if(!s.ok)throw new Error(await O(s));const t=await s.json();if("OK"!==t.code)throw new Error(t.message||"治疗方案提交失败");return t.data||l}(e,l);b("clinical-thinking-treatment",s),q.value=!0,k({url:"/pages/assessment/assessment",fail(){q.value=!1,le("进入评价页失败，请重试")}})}catch(e){le(e instanceof Error?e.message:"治疗方案提交失败")}finally{R.value=!1}}}function le(e){H&&clearTimeout(H),A.value=e,D.value=!0,H=setTimeout((()=>{D.value=!1}),2200)}return t((()=>{G.value=U()})),n((()=>{H&&clearTimeout(H)})),(e,a)=>{const l=g,s=w,t=y,n=j,b=V,k=x;return u(),c(l,{class:"treatment-page"},{default:o((()=>[r(l,{class:"treatment-shell"},{default:o((()=>[r(l,{class:"top-nav"},{default:o((()=>[r(s,{class:"icon-button","aria-label":"设置",onClick:i(B)},{default:o((()=>[r(l,{class:"settings-icon"})])),_:1},8,["onClick"]),r(s,{class:"icon-button home-button","aria-label":"首页",onClick:i(J)},{default:o((()=>[r(l,{class:"home-icon"})])),_:1},8,["onClick"]),r(l,{class:"nav-spacer"}),r(s,{class:"icon-button","aria-label":"个人中心",onClick:i(z)},{default:o((()=>[r(l,{class:"account-icon"})])),_:1},8,["onClick"])])),_:1}),r(l,{class:"case-header"},{default:o((()=>[r(t,{class:"case-heading"},{default:o((()=>[d("患者："+m(Q.value)+" ("+m(Z.value)+")",1)])),_:1}),r(l,{class:"patient-meta"},{default:o((()=>[r(t,null,{default:o((()=>[d("姓名："+m(Q.value),1)])),_:1}),r(t,null,{default:o((()=>[d("性别："+m(W.value),1)])),_:1}),r(t,null,{default:o((()=>[d("年龄："+m(X.value)+"岁",1)])),_:1}),r(t,null,{default:o((()=>[d("科室："+m(Y.value),1)])),_:1})])),_:1})])),_:1}),r(l,{class:"treatment-content"},{default:o((()=>[r(l,{class:"stepper"},{default:o((()=>[r(l,{class:"step-line"},{default:o((()=>[r(l,{class:"step-line-active"})])),_:1}),r(l,{class:"step done"},{default:o((()=>[r(l,{class:"step-dot"},{default:o((()=>[r(l,{class:"check-icon"})])),_:1}),r(t,null,{default:o((()=>[d("问诊")])),_:1})])),_:1}),r(l,{class:"step done"},{default:o((()=>[r(l,{class:"step-dot"},{default:o((()=>[r(l,{class:"check-icon"})])),_:1}),r(t,null,{default:o((()=>[d("临床诊断")])),_:1})])),_:1}),r(l,{class:"step active"},{default:o((()=>[r(l,{class:"step-dot"},{default:o((()=>[r(l,{class:"pill-icon"})])),_:1}),r(t,null,{default:o((()=>[d("治疗计划")])),_:1})])),_:1})])),_:1}),r(l,{class:"mentor-card"},{default:o((()=>[r(l,{class:"mentor-avatar"},{default:o((()=>[r(n,{src:C,mode:"aspectFill"})])),_:1}),r(l,{class:"mentor-bubble"},{default:o((()=>[r(t,null,{default:o((()=>[d("王主任建议：请结合患者既往高血压史及突发性胸痛的性质，进行准确诊断。注意鉴别心梗与主动脉夹层。")])),_:1})])),_:1})])),_:1}),r(l,{class:"form-area"},{default:o((()=>[r(l,{class:"field-block"},{default:o((()=>[r(l,{class:"field-label primary"},{default:o((()=>[r(l,{class:"priority-icon"}),r(t,null,{default:o((()=>[d("治疗原则")])),_:1})])),_:1}),r(l,{class:"input-wrap"},{default:o((()=>[r(b,{class:"treatment-input",modelValue:K.principle,"onUpdate:modelValue":a[0]||(a[0]=e=>K.principle=e),type:"text",placeholder:"请输入治疗原则...","placeholder-class":"input-placeholder"},null,8,["modelValue"])])),_:1})])),_:1}),r(l,{class:"field-block"},{default:o((()=>[r(l,{class:"field-label"},{default:o((()=>[r(l,{class:"checklist-icon"}),r(t,null,{default:o((()=>[d("具体治疗措施")])),_:1})])),_:1}),r(l,{class:"measure-list"},{default:o((()=>[(u(!0),p(_,null,f(K.measures,((e,a)=>(u(),c(l,{key:a,class:"measure-row"},{default:o((()=>[r(t,{class:"measure-index"},{default:o((()=>[d(m(a+1),1)])),_:2},1024),r(b,{class:"measure-input",modelValue:K.measures[a],"onUpdate:modelValue":e=>K.measures[a]=e,type:"text",placeholder:`措施 ${a+1}`,"placeholder-class":"input-placeholder"},null,8,["modelValue","onUpdate:modelValue","placeholder"])])),_:2},1024)))),128))])),_:1})])),_:1}),r(l,{class:"field-block"},{default:o((()=>[r(l,{class:"field-label"},{default:o((()=>[r(l,{class:"description-icon"}),r(t,null,{default:o((()=>[d("医嘱")])),_:1})])),_:1}),r(k,{class:"order-input",modelValue:K.orders,"onUpdate:modelValue":a[1]||(a[1]=e=>K.orders=e),placeholder:"请输入医嘱建议...","placeholder-class":"input-placeholder"},null,8,["modelValue"])])),_:1})])),_:1}),r(s,{class:v(["next-button",{submitted:q.value}]),disabled:R.value,onClick:ae},{default:o((()=>[R.value?(u(),c(l,{key:0,class:"spinner"})):h("",!0),r(t,null,{default:o((()=>[d(m(ee.value),1)])),_:1}),R.value||q.value?h("",!0):(u(),c(l,{key:1,class:"arrow-icon"})),q.value?(u(),c(l,{key:2,class:"check-small-icon"})):h("",!0)])),_:1},8,["class","disabled"])])),_:1})])),_:1}),r(l,{class:v(["toast",{visible:D.value}])},{default:o((()=>[d(m(A.value),1)])),_:1},8,["class"])])),_:1})}}}),[["__scopeId","data-v-e1486ff5"]]);export{N as default}; diff --git a/dist/assets/session.DpZWKT0-.js b/dist/assets/session.CQodznPl.js similarity index 98% rename from dist/assets/session.DpZWKT0-.js rename to dist/assets/session.CQodznPl.js index b5e3985..50b5b66 100644 --- a/dist/assets/session.DpZWKT0-.js +++ b/dist/assets/session.CQodznPl.js @@ -1 +1 @@ -import{C as e,s as t}from"./index-CoO0Bu96.js";const n="/fastapi/api/v1";function s(){const t=e("clinical-thinking-access-token");if("string"!=typeof t||!t.trim())throw new Error("登录已过期，请重新登录");return t}function o(e="application/json"){return{"Content-Type":"application/json",Accept:e,Authorization:`Bearer ${s()}`,"X-Entry-Scene":"vue_frontend"}}async function a(e){const t=await e.text().catch((()=>""));if(!t)return`请求失败（${e.status}）`;try{const e=JSON.parse(t),n=e.message||e.detail||e.error;if("string"==typeof n&&n.trim())return n}catch{}return t}function r(){const t=e("clinical-thinking-scenario");return t&&"object"==typeof t?t:null}function i(){var e,t;const n=null==(t=null==(e=r())?void 0:e.session)?void 0:t.session_id;if("number"==typeof n&&Number.isInteger(n)&&n>0)return n;throw new Error("未找到当前会话，请先生成模拟场景")}function c(e){const n=r();(null==n?void 0:n.session)&&t("clinical-thinking-scenario",{...n,session:{...n.session,status:e}})}async function f(e){var t;const n=await fetch("/fastapi/api/v1/sessions",{method:"POST",headers:o(),body:JSON.stringify(e)});if(!n.ok)throw new Error(await a(n));const s=await n.json();if("OK"!==s.code||!(null==(t=s.data)?void 0:t.session_id))throw new Error(s.message||"新建会话失败");return s.data}async function d(e){var t;const n=await fetch(`/fastapi/api/v1/sessions/${e}/complete-inquiry`,{method:"POST",headers:o()});if(!n.ok)throw new Error(await a(n));const s=await n.json();if("OK"!==s.code||!(null==(t=s.data)?void 0:t.session_id))throw new Error(s.message||"完成采集失败");return s.data}async function l(e,t,n,s){var r,i,c;const f=await fetch(`/fastapi/api/v1/sessions/${e}/chat/stream`,{method:"POST",headers:o("text/event-stream"),body:JSON.stringify({message:t}),signal:s});if(!f.ok||!f.body)throw new Error(await a(f));const d=f.body.getReader(),l=new TextDecoder;let u="",w=!1;for(;;){const{value:e,done:t}=await d.read();if(t)break;u+=l.decode(e,{stream:!0});const s=u.split("\n\n");u=s.pop()||"";for(const o of s){const e=null==(r=o.match(/^event:\s*(.+)$/m))?void 0:r[1],t=null==(i=o.match(/^data:\s*(.+)$/m))?void 0:i[1];if(!e||!t)continue;const s=JSON.parse(t);if("message_delta"===e){const e=s.delta;"string"==typeof e&&n.onDelta(e)}else if("message_done"===e)w=!0,null==(c=n.onDone)||c.call(n,s);else if("error"===e)throw new Error("string"==typeof s.message?s.message:"AI 流式回复异常")}}if(!w)throw new Error("AI 流式回复未正常结束，请重试")}async function u(e,t,n,s){var r,i,c;const f={last_user_message:t,scope:"current_conversation"},d=await fetch(`/fastapi/api/v1/sessions/${e}/hints/stream`,{method:"POST",headers:o("text/event-stream"),body:JSON.stringify(f),signal:s});if(!d.ok||!d.body)throw new Error(await a(d));const l=d.body.getReader(),u=new TextDecoder;let w="",h=!1;for(;;){const{value:e,done:t}=await l.read();if(t)break;w+=u.decode(e,{stream:!0});const s=w.split("\n\n");w=s.pop()||"";for(const o of s){const e=null==(r=o.match(/^event:\s*(.+)$/m))?void 0:r[1],t=null==(i=o.match(/^data:\s*(.+)$/m))?void 0:i[1];if(!e||!t)continue;const s=JSON.parse(t);if("hint_delta"===e){const e=s.delta;"string"==typeof e&&n.onDelta(e)}else if("hint_done"===e)h=!0,null==(c=n.onDone)||c.call(n,s);else if("error"===e)throw new Error("string"==typeof s.message?s.message:"练习提示生成失败，请稍后重试")}}if(!h)throw new Error("练习提示未正常结束，请重试")}export{n as F,o as a,r as b,f as c,d,u as e,i as f,a as r,l as s,c as u}; +import{C as e,s as t}from"./index-pnQqyMoS.js";const n="/fastapi/api/v1";function s(){const t=e("clinical-thinking-access-token");if("string"!=typeof t||!t.trim())throw new Error("登录已过期，请重新登录");return t}function o(e="application/json"){return{"Content-Type":"application/json",Accept:e,Authorization:`Bearer ${s()}`,"X-Entry-Scene":"vue_frontend"}}async function a(e){const t=await e.text().catch((()=>""));if(!t)return`请求失败（${e.status}）`;try{const e=JSON.parse(t),n=e.message||e.detail||e.error;if("string"==typeof n&&n.trim())return n}catch{}return t}function r(){const t=e("clinical-thinking-scenario");return t&&"object"==typeof t?t:null}function i(){var e,t;const n=null==(t=null==(e=r())?void 0:e.session)?void 0:t.session_id;if("number"==typeof n&&Number.isInteger(n)&&n>0)return n;throw new Error("未找到当前会话，请先生成模拟场景")}function c(e){const n=r();(null==n?void 0:n.session)&&t("clinical-thinking-scenario",{...n,session:{...n.session,status:e}})}async function f(e){var t;const n=await fetch("/fastapi/api/v1/sessions",{method:"POST",headers:o(),body:JSON.stringify(e)});if(!n.ok)throw new Error(await a(n));const s=await n.json();if("OK"!==s.code||!(null==(t=s.data)?void 0:t.session_id))throw new Error(s.message||"新建会话失败");return s.data}async function d(e){var t;const n=await fetch(`/fastapi/api/v1/sessions/${e}/complete-inquiry`,{method:"POST",headers:o()});if(!n.ok)throw new Error(await a(n));const s=await n.json();if("OK"!==s.code||!(null==(t=s.data)?void 0:t.session_id))throw new Error(s.message||"完成采集失败");return s.data}async function l(e,t,n,s){var r,i,c;const f=await fetch(`/fastapi/api/v1/sessions/${e}/chat/stream`,{method:"POST",headers:o("text/event-stream"),body:JSON.stringify({message:t}),signal:s});if(!f.ok||!f.body)throw new Error(await a(f));const d=f.body.getReader(),l=new TextDecoder;let u="",w=!1;for(;;){const{value:e,done:t}=await d.read();if(t)break;u+=l.decode(e,{stream:!0});const s=u.split("\n\n");u=s.pop()||"";for(const o of s){const e=null==(r=o.match(/^event:\s*(.+)$/m))?void 0:r[1],t=null==(i=o.match(/^data:\s*(.+)$/m))?void 0:i[1];if(!e||!t)continue;const s=JSON.parse(t);if("message_delta"===e){const e=s.delta;"string"==typeof e&&n.onDelta(e)}else if("message_done"===e)w=!0,null==(c=n.onDone)||c.call(n,s);else if("error"===e)throw new Error("string"==typeof s.message?s.message:"AI 流式回复异常")}}if(!w)throw new Error("AI 流式回复未正常结束，请重试")}async function u(e,t,n,s){var r,i,c;const f={last_user_message:t,scope:"current_conversation"},d=await fetch(`/fastapi/api/v1/sessions/${e}/hints/stream`,{method:"POST",headers:o("text/event-stream"),body:JSON.stringify(f),signal:s});if(!d.ok||!d.body)throw new Error(await a(d));const l=d.body.getReader(),u=new TextDecoder;let w="",h=!1;for(;;){const{value:e,done:t}=await l.read();if(t)break;w+=u.decode(e,{stream:!0});const s=w.split("\n\n");w=s.pop()||"";for(const o of s){const e=null==(r=o.match(/^event:\s*(.+)$/m))?void 0:r[1],t=null==(i=o.match(/^data:\s*(.+)$/m))?void 0:i[1];if(!e||!t)continue;const s=JSON.parse(t);if("hint_delta"===e){const e=s.delta;"string"==typeof e&&n.onDelta(e)}else if("hint_done"===e)h=!0,null==(c=n.onDone)||c.call(n,s);else if("error"===e)throw new Error("string"==typeof s.message?s.message:"练习提示生成失败，请稍后重试")}}if(!h)throw new Error("练习提示未正常结束，请重试")}export{n as F,o as a,r as b,f as c,d,u as e,i as f,a as r,l as s,c as u}; diff --git a/dist/index.html b/dist/index.html index 248a737..32468a7 100644 --- a/dist/index.html +++ b/dist/index.html @@ -14,7 +14,7 @@ AI思维临床训练 - + diff --git a/pages/chat/chat.vue b/pages/chat/chat.vue index d2e1df3..dd42620 100644 --- a/pages/chat/chat.vue +++ b/pages/chat/chat.vue @@ -104,56 +104,30 @@ - 录入体格检查 + 选择体格检查 - - - - 体温 - - ℃ - - - 心率 - - 次/分 - - - 呼吸 - - 次/分 - - - 血氧 - - % - + + + 体格检查加载中... - - - 血压 - - mmHg + + 暂无可选体格检查 - - 意识/面色 - - - - 心肺/腹部查体 - - - - 其他发现 - - - - - - + + + @@ -167,15 +141,24 @@ - + + 辅助检查加载中... + + + 暂无可选辅助检查 + + + + @@ -188,6 +171,14 @@ import { computed, onMounted, onUnmounted, reactive, ref } from 'vue' import { readStoredClinicalCase, type ClinicalCase } from '../../api/cases' import { createMockChatSession, sendMockChatMessage, type ChatMessage, type ChatSession } from '../../api/chat' +import { + fetchAuxiliaryExamItems, + fetchPhysicalExamItems, + orderAuxiliaryExamResult, + orderPhysicalExamResult, + type ExamItem, + type ExamResult +} from '../../api/exams' import { createHomeNavigator, createProfileOpener, createSettingsOpener } from '../../api/navigation' import { completeInquiry, @@ -238,46 +229,16 @@ const examPanelVisible = ref(false) const physicalPanelVisible = ref(false) const activeSessionId = ref(null) const storedCase = ref(null) +const physicalExams = ref([]) +const auxiliaryExams = ref([]) +const physicalExamsLoading = ref(false) +const auxiliaryExamsLoading = ref(false) +const examOrdering = ref(false) let toastTimer: ReturnType | null = null let activeStreamController: AbortController | null = null let activeHintController: AbortController | null = null -type AuxiliaryExam = { - name: string - result: string -} - -const auxiliaryExams: AuxiliaryExam[] = [ - { - name: '心电图', - result: '检查结果：床边12导联心电图提示窦性心律，II、III、aVF 导联 ST 段抬高，提示下壁急性心肌梗死可能。' - }, - { - name: '胸部X线', - result: '检查结果：胸部X线未见明显气胸或纵隔明显增宽，心影大小基本正常，不能排除急性冠脉综合征。' - }, - { - name: '心脏超声', - result: '检查结果：心脏超声提示左室下壁节段性运动减低，未见大量心包积液，需结合心电图及心肌标志物判断。' - }, - { - name: '冠脉CTA', - result: '检查结果：冠脉CTA提示右冠状动脉近段重度狭窄/闭塞可能，建议结合急诊介入评估。' - } -] - -const physicalForm = reactive({ - temperature: '', - pulse: '', - respiration: '', - bloodPressure: '', - spo2: '', - complexion: '', - examFinding: '', - otherFinding: '' -}) - const activeCase = computed(() => props.caseItem || storedCase.value) const complaintShort = computed(() => { @@ -342,30 +303,93 @@ async function handleCompleteInquiry() { } } -function openExamPanel() { +async function openExamPanel() { + const sessionId = activeSessionId.value + if (!sessionId) { + showToast('未找到当前会话，请先生成模拟场景') + return + } + physicalPanelVisible.value = false examPanelVisible.value = true + if (auxiliaryExams.value.length > 0 || auxiliaryExamsLoading.value) return + + auxiliaryExamsLoading.value = true + try { + auxiliaryExams.value = await fetchAuxiliaryExamItems(sessionId) + } catch (error) { + showToast(error instanceof Error ? error.message : '辅助检查列表加载失败') + } finally { + auxiliaryExamsLoading.value = false + } } -function openPhysicalPanel() { +async function openPhysicalPanel() { + const sessionId = activeSessionId.value + if (!sessionId) { + showToast('未找到当前会话，请先生成模拟场景') + return + } + examPanelVisible.value = false physicalPanelVisible.value = true + if (physicalExams.value.length > 0 || physicalExamsLoading.value) return + + physicalExamsLoading.value = true + try { + physicalExams.value = await fetchPhysicalExamItems(sessionId) + } catch (error) { + showToast(error instanceof Error ? error.message : '体格检查列表加载失败') + } finally { + physicalExamsLoading.value = false + } } -function selectAuxiliaryExam(exam: AuxiliaryExam) { - examPanelVisible.value = false +async function selectPhysicalExam(exam: ExamItem) { + const sessionId = activeSessionId.value + if (!sessionId || examOrdering.value) return + + examOrdering.value = true + try { + const result = await orderPhysicalExamResult(sessionId, exam.item_code) + physicalPanelVisible.value = false + appendExamResultMessages('体格检查', result) + } catch (error) { + showToast(error instanceof Error ? error.message : '体格检查结果获取失败') + } finally { + examOrdering.value = false + } +} + +async function selectAuxiliaryExam(exam: ExamItem) { + const sessionId = activeSessionId.value + if (!sessionId || examOrdering.value) return + + examOrdering.value = true + try { + const result = await orderAuxiliaryExamResult(sessionId, exam.item_code) + examPanelVisible.value = false + appendExamResultMessages('辅助检查', result) + } catch (error) { + showToast(error instanceof Error ? error.message : '辅助检查结果获取失败') + } finally { + examOrdering.value = false + } +} + +function appendExamResultMessages(kindLabel: string, result: ExamResult) { const timestamp = Date.now() const messages: ChatMessage[] = [ { id: `doctor-exam-${timestamp}`, role: 'doctor', - content: `选择辅助检查：${exam.name}`, + content: `选择${kindLabel}：${result.item_name}`, label: '我' }, { id: `mentor-exam-${timestamp + 1}`, role: 'mentor', - content: exam.result, + content: formatExamResult(result), label: 'AI助手' } ] @@ -374,73 +398,14 @@ function selectAuxiliaryExam(exam: AuxiliaryExam) { scrollToBottom() } -function submitPhysicalExam() { - const items = [ - physicalForm.temperature.trim() ? `体温 ${physicalForm.temperature.trim()}℃` : '', - physicalForm.pulse.trim() ? `心率 ${physicalForm.pulse.trim()}次/分` : '', - physicalForm.respiration.trim() ? `呼吸 ${physicalForm.respiration.trim()}次/分` : '', - physicalForm.bloodPressure.trim() ? `血压 ${physicalForm.bloodPressure.trim()}mmHg` : '', - physicalForm.spo2.trim() ? `血氧 ${physicalForm.spo2.trim()}%` : '', - physicalForm.complexion.trim() ? `意识/面色：${physicalForm.complexion.trim()}` : '', - physicalForm.examFinding.trim() ? `心肺/腹部查体：${physicalForm.examFinding.trim()}` : '', - physicalForm.otherFinding.trim() ? `其他发现：${physicalForm.otherFinding.trim()}` : '' +function formatExamResult(result: ExamResult) { + const flags = [ + result.is_abnormal ? '异常' : '', + result.is_key ? '关键检查' : '', + result.already_ordered ? '已检查过' : '' ].filter(Boolean) - - if (items.length === 0) { - showToast('请至少录入一项体格检查') - return - } - - const timestamp = Date.now() - const summary = items.join('；') - const messages: ChatMessage[] = [ - { - id: `doctor-physical-${timestamp}`, - role: 'doctor', - content: `录入体格检查：${summary}`, - label: '我' - }, - { - id: `mentor-physical-${timestamp + 1}`, - role: 'mentor', - content: buildPhysicalFeedback(), - label: 'AI助手' - } - ] - - session.messages.push(...messages) - physicalPanelVisible.value = false - resetPhysicalForm() - scrollToBottom() -} - -function resetPhysicalForm() { - physicalForm.temperature = '' - physicalForm.pulse = '' - physicalForm.respiration = '' - physicalForm.bloodPressure = '' - physicalForm.spo2 = '' - physicalForm.complexion = '' - physicalForm.examFinding = '' - physicalForm.otherFinding = '' -} - -function buildPhysicalFeedback() { - const pulse = Number(physicalForm.pulse) - const respiration = Number(physicalForm.respiration) - const spo2 = Number(physicalForm.spo2) - const temperature = Number(physicalForm.temperature) - const tips: string[] = [] - - if (pulse >= 100) tips.push('心率偏快') - if (respiration >= 22) tips.push('呼吸频率偏快') - if (spo2 > 0 && spo2 < 95) tips.push('血氧偏低') - if (temperature >= 37.3) tips.push('体温偏高') - if (physicalForm.complexion.includes('苍白') || physicalForm.complexion.includes('出汗')) tips.push('面色/出汗提示急性病容') - if (physicalForm.otherFinding.includes('血压差') || physicalForm.otherFinding.includes('双侧')) tips.push('双侧血压或脉搏差异需警惕主动脉夹层') - - const prefix = tips.length ? `已记录体格检查。当前提示：${tips.join('、')}。` : '已记录体格检查，暂未见明确异常体征。' - return `${prefix}建议结合胸痛性质、心电图及心肌标志物进一步判断，并持续监测生命体征变化。` + const suffix = flags.length ? `（${flags.join('，')}）` : '' + return `${result.item_name}${suffix}：${result.result_text || '暂无结果。'}` } function handleSend() { @@ -1283,6 +1248,21 @@ page { background: #f2f3fb; } +.exam-empty { + min-height: 120px; + padding: 24px; + border: 1px dashed rgba(194, 198, 212, 0.7); + border-radius: 12px; + background: rgba(249, 249, 255, 0.75); + color: rgba(66, 71, 82, 0.78); + font-size: 14px; + line-height: 22px; + display: flex; + align-items: center; + justify-content: center; + text-align: center; +} + .exam-name { color: #191c21; font-size: 18px; diff --git a/pages/learning-assistant/learning-assistant.vue b/pages/learning-assistant/learning-assistant.vue index ca8de0e..ae32396 100644 --- a/pages/learning-assistant/learning-assistant.vue +++ b/pages/learning-assistant/learning-assistant.vue @@ -104,7 +104,7 @@ class="message-input" v-model="draft" auto-height - maxlength="500" + maxlength="1000" placeholder="请输入您的问题..." placeholder-class="input-placeholder" @confirm="handleSend" @@ -113,7 +113,13 @@ - @@ -167,6 +173,11 @@ @@ -754,6 +794,10 @@ page { background: #00478d; } +.send-button.disabled { + opacity: 0.5; +} + .send-button:active { transform: scale(0.95); }