feat: 医生端Web后台 + SignalR实时问诊
- 新增 doctor_web/ React前端 (dashboard/患者/问诊/报告/随访) - 后端新增 doctor_endpoints (14个医生API) + ConsultationHub (SignalR) - Flutter端 SignalR 替换轮询实现实时聊天
This commit is contained in:
MingNian
502
backend/src/Health.WebApi/Endpoints/doctor_endpoints.cs
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502
backend/src/Health.WebApi/Endpoints/doctor_endpoints.cs
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using Health.Domain.Entities;
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using Health.Domain.Enums;
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using Microsoft.EntityFrameworkCore;
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namespace Health.WebApi.Endpoints;
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/// <summary>
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/// 医生端 API（开发阶段 hardcode 王建国为当前医生）
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/// </summary>
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public static class DoctorEndpoints
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{
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private static async Task<Doctor> GetDoctor(AppDbContext db)
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{
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return await db.Doctors.FirstAsync(d => d.Name == "王建国" && d.IsActive);
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}
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public static void MapDoctorEndpoints(this WebApplication app)
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{
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var group = app.MapGroup("/api/doctor");
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// ===== 工作台 =====
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group.MapGet("/dashboard", async (AppDbContext db) =>
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{
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var doctor = await GetDoctor(db);
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var totalPatients = await db.Users.CountAsync();
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var activeConsultations = await db.Consultations.CountAsync(c => c.DoctorId == doctor.Id && c.Status != ConsultationStatus.Closed);
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var pendingReports = await db.Reports.CountAsync(r => r.Status == ReportStatus.PendingDoctor);
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var todayStart = DateTime.UtcNow.Date;
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var todayEnd = todayStart.AddDays(1);
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var todayFollowUps = await db.FollowUps.CountAsync(f => f.ScheduledAt >= todayStart && f.ScheduledAt < todayEnd && f.Status == FollowUpStatus.Upcoming);
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return Results.Ok(new
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{
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code = 0,
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data = new
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{
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doctorName = doctor.Name,
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doctorTitle = doctor.Title,
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doctorDepartment = doctor.Department,
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totalPatients,
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activeConsultations,
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pendingReports,
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todayFollowUps
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},
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message = (string?)null
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});
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});
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// ===== 患者列表 =====
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group.MapGet("/patients", async (string? search, AppDbContext db) =>
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{
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var query = db.Users.AsQueryable();
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if (!string.IsNullOrWhiteSpace(search))
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{
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query = query.Where(u =>
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(u.Name != null && u.Name.Contains(search)) ||
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u.Phone.Contains(search));
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}
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var patients = await query.OrderByDescending(u => u.CreatedAt).Select(u => new
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{
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u.Id,
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u.Phone,
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u.Name,
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u.Gender,
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u.BirthDate,
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hasArchive = u.HealthArchive != null
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}).ToListAsync();
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return Results.Ok(new { code = 0, data = patients, message = (string?)null });
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});
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// ===== 患者详情 =====
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group.MapGet("/patients/{id:guid}", async (Guid id, AppDbContext db) =>
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{
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var user = await db.Users
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.Include(u => u.HealthArchive)
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.FirstOrDefaultAsync(u => u.Id == id);
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if (user == null)
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return Results.Ok(new { code = 404, data = (object?)null, message = "患者不存在" });
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// 最新健康指标
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var latestRecords = await db.HealthRecords
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.Where(r => r.UserId == id)
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.GroupBy(r => r.MetricType)
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.Select(g => g.OrderByDescending(r => r.RecordedAt).First())
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.ToListAsync();
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// 最近30天健康数据（用于趋势图）
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var thirtyDaysAgo = DateTime.UtcNow.AddDays(-30);
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var trendRecords = await db.HealthRecords
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.Where(r => r.UserId == id && r.RecordedAt >= thirtyDaysAgo)
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.OrderBy(r => r.RecordedAt)
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.Select(r => new
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{
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r.Id,
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MetricType = r.MetricType.ToString(),
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r.Systolic,
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r.Diastolic,
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r.Value,
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r.Unit,
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r.RecordedAt,
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r.IsAbnormal
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})
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.ToListAsync();
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// 用药
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var medications = await db.Medications
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.Where(m => m.UserId == id && m.IsActive)
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.OrderByDescending(m => m.StartDate)
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.Select(m => new { m.Id, m.Name, m.Dosage, Frequency = m.Frequency.ToString(), m.TimeOfDay, m.StartDate, m.EndDate })
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.ToListAsync();
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// 最近饮食
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var dietRecords = await db.DietRecords
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.Where(d => d.UserId == id)
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.OrderByDescending(d => d.RecordedAt)
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.Take(7)
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.Include(d => d.FoodItems)
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.ToListAsync();
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// 运动计划
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var exercisePlans = await db.ExercisePlans
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.Where(p => p.UserId == id)
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.OrderByDescending(p => p.WeekStartDate)
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.Take(1)
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.Include(p => p.Items)
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.FirstOrDefaultAsync();
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// 报告
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var reports = await db.Reports
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.Where(r => r.UserId == id)
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.OrderByDescending(r => r.CreatedAt)
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.Select(r => new
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{
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r.Id,
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r.FileUrl,
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FileType = r.FileType.ToString(),
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Category = r.Category.ToString(),
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Status = r.Status.ToString(),
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r.AiSummary,
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r.AiIndicators,
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r.DoctorComment,
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r.DoctorName,
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r.ReviewedAt,
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r.CreatedAt
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})
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.ToListAsync();
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// 随访
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var followUps = await db.FollowUps
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.Where(f => f.UserId == id)
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.OrderByDescending(f => f.ScheduledAt)
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.Select(f => new
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{
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f.Id,
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f.Title,
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f.DoctorName,
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f.Department,
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f.ScheduledAt,
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f.Notes,
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Status = f.Status.ToString(),
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f.CreatedAt
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})
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.ToListAsync();
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return Results.Ok(new
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{
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code = 0,
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data = new
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{
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profile = new
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{
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user.Id,
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user.Phone,
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user.Name,
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user.Gender,
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BirthDate = user.BirthDate?.ToString("yyyy-MM-dd"),
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user.AvatarUrl
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},
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archive = user.HealthArchive == null ? null : new
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{
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user.HealthArchive.Diagnosis,
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user.HealthArchive.SurgeryType,
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SurgeryDate = user.HealthArchive.SurgeryDate?.ToString("yyyy-MM-dd"),
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user.HealthArchive.Allergies,
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user.HealthArchive.DietRestrictions,
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user.HealthArchive.ChronicDiseases,
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user.HealthArchive.FamilyHistory
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},
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latestRecords,
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trendRecords,
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medications,
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dietRecords = dietRecords.Select(d => new
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{
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d.Id,
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MealType = d.MealType.ToString(),
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d.TotalCalories,
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d.HealthScore,
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d.RecordedAt,
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foods = d.FoodItems.Select(f => new { f.Name, f.Portion, f.Calories, f.Warning })
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}),
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exercisePlan = exercisePlans == null ? null : new
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{
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exercisePlans.WeekStartDate,
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items = exercisePlans.Items.Select(i => new
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{
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i.DayOfWeek,
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i.ExerciseType,
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i.DurationMinutes,
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i.IsCompleted,
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i.IsRestDay,
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i.CompletedAt
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})
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},
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reports,
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followUps
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},
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message = (string?)null
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});
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});
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// ===== 问诊列表 =====
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group.MapGet("/consultations", async (AppDbContext db) =>
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{
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var doctor = await GetDoctor(db);
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var consultations = await db.Consultations
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.Where(c => c.DoctorId == doctor.Id)
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.OrderByDescending(c => c.CreatedAt)
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.Select(c => new
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{
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c.Id,
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c.UserId,
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PatientName = c.User.Name,
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PatientPhone = c.User.Phone,
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Status = c.Status.ToString(),
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c.CreatedAt,
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c.ClosedAt,
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LastMessage = c.Messages.OrderByDescending(m => m.CreatedAt).Select(m => new { m.Content, m.SenderType, m.CreatedAt }).FirstOrDefault()
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})
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.ToListAsync();
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return Results.Ok(new { code = 0, data = consultations, message = (string?)null });
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});
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// ===== 问诊消息 =====
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group.MapGet("/consultations/{id:guid}/messages", async (Guid id, AppDbContext db) =>
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{
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var messages = await db.ConsultationMessages
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.Where(m => m.ConsultationId == id)
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.OrderBy(m => m.CreatedAt)
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.Select(m => new
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{
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m.Id,
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SenderType = m.SenderType.ToString(),
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m.SenderName,
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m.Content,
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m.CreatedAt
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})
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.ToListAsync();
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var consultation = await db.Consultations.FirstOrDefaultAsync(c => c.Id == id);
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return Results.Ok(new
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{
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code = 0,
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data = new
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{
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status = consultation?.Status.ToString() ?? "Closed",
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messages
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},
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message = (string?)null
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});
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});
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// ===== 医生发送消息（同时通过 SignalR 广播）=====
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group.MapPost("/consultations/{id:guid}/messages", async (Guid id, HttpContext http, AppDbContext db, CancellationToken ct) =>
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{
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var doctor = await GetDoctor(db);
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var consultation = await db.Consultations.FirstOrDefaultAsync(c => c.Id == id, ct);
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if (consultation == null)
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return Results.Ok(new { code = 404, data = (object?)null, message = "问诊不存在" });
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// 读请求 body
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using var reader = new StreamReader(http.Request.Body);
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var body = await reader.ReadToEndAsync(ct);
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var json = System.Text.Json.JsonDocument.Parse(body);
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var content = json.RootElement.GetProperty("content").GetString() ?? "";
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// 保存消息
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var msg = new ConsultationMessage
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{
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Id = Guid.NewGuid(),
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ConsultationId = id,
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SenderType = ConsultationSenderType.Doctor,
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SenderName = $"医生 · {doctor.Name}",
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Content = content,
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CreatedAt = DateTime.UtcNow
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};
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db.ConsultationMessages.Add(msg);
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// 更新问诊状态
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if (consultation.Status == ConsultationStatus.AiTalking || consultation.Status == ConsultationStatus.WaitingDoctor)
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{
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consultation.Status = ConsultationStatus.DoctorReplied;
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}
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await db.SaveChangesAsync(ct);
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// 通过 SignalR 广播（如果 Hub 已注册）
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var hubContext = http.RequestServices.GetService<Microsoft.AspNetCore.SignalR.IHubContext<Hubs.ConsultationHub>>();
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if (hubContext != null)
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{
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await hubContext.Clients.Group(id.ToString()).SendAsync("ReceiveMessage", new
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{
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msg.Id,
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consultationId = id.ToString(),
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senderType = "Doctor",
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senderName = msg.SenderName,
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content,
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msg.CreatedAt
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});
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}
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return Results.Ok(new { code = 0, data = new { msg.Id }, message = (string?)null });
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});
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// ===== 报告列表 =====
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group.MapGet("/reports", async (string? status, AppDbContext db) =>
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{
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var query = db.Reports.AsQueryable();
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if (!string.IsNullOrWhiteSpace(status) && Enum.TryParse<ReportStatus>(status, out var s))
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query = query.Where(r => r.Status == s);
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var reports = await query
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.OrderByDescending(r => r.CreatedAt)
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.Select(r => new
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{
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r.Id,
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r.UserId,
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PatientName = r.User.Name,
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r.FileUrl,
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FileType = r.FileType.ToString(),
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Category = r.Category.ToString(),
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Status = r.Status.ToString(),
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r.AiSummary,
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r.DoctorComment,
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r.ReviewedAt,
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r.CreatedAt
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})
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.ToListAsync();
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return Results.Ok(new { code = 0, data = reports, message = (string?)null });
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});
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// ===== 报告详情 =====
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group.MapGet("/reports/{id:guid}", async (Guid id, AppDbContext db) =>
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{
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var report = await db.Reports
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.Where(r => r.Id == id)
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.Select(r => new
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{
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r.Id,
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r.UserId,
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PatientName = r.User.Name,
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r.FileUrl,
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FileType = r.FileType.ToString(),
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Category = r.Category.ToString(),
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Status = r.Status.ToString(),
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r.AiSummary,
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r.AiIndicators,
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r.DoctorComment,
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r.DoctorName,
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r.ReviewedAt,
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r.CreatedAt
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})
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.FirstOrDefaultAsync();
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if (report == null)
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return Results.Ok(new { code = 404, data = (object?)null, message = "报告不存在" });
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return Results.Ok(new { code = 0, data = report, message = (string?)null });
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});
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// ===== 审阅报告 =====
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group.MapPost("/reports/{id:guid}/review", async (Guid id, HttpContext http, AppDbContext db, CancellationToken ct) =>
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{
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var doctor = await GetDoctor(db);
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var report = await db.Reports.FirstOrDefaultAsync(r => r.Id == id, ct);
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if (report == null)
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return Results.Ok(new { code = 404, data = (object?)null, message = "报告不存在" });
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using var reader = new StreamReader(http.Request.Body);
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var body = await reader.ReadToEndAsync(ct);
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var json = System.Text.Json.JsonDocument.Parse(body);
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var comment = json.RootElement.GetProperty("comment").GetString() ?? "";
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report.DoctorComment = comment;
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report.DoctorName = doctor.Name;
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report.ReviewedAt = DateTime.UtcNow;
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report.Status = ReportStatus.DoctorReviewed;
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await db.SaveChangesAsync(ct);
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return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
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});
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// ===== 随访列表 =====
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group.MapGet("/follow-ups", async (string? status, string? patientId, AppDbContext db) =>
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{
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var query = db.FollowUps.AsQueryable();
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if (!string.IsNullOrWhiteSpace(status) && Enum.TryParse<FollowUpStatus>(status, out var s))
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query = query.Where(f => f.Status == s);
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if (Guid.TryParse(patientId, out var pid))
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query = query.Where(f => f.UserId == pid);
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var followUps = await query
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.OrderByDescending(f => f.ScheduledAt)
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.Select(f => new
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{
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f.Id,
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f.UserId,
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PatientName = f.User.Name,
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f.Title,
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f.DoctorName,
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f.Department,
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f.ScheduledAt,
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f.Notes,
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Status = f.Status.ToString(),
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f.CreatedAt
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})
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.ToListAsync();
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return Results.Ok(new { code = 0, data = followUps, message = (string?)null });
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});
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// ===== 创建随访 =====
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group.MapPost("/follow-ups", async (HttpContext http, AppDbContext db, CancellationToken ct) =>
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{
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var doctor = await GetDoctor(db);
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using var reader = new StreamReader(http.Request.Body);
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var body = await reader.ReadToEndAsync(ct);
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var json = System.Text.Json.JsonDocument.Parse(body);
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var followUp = new FollowUp
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{
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Id = Guid.NewGuid(),
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UserId = Guid.Parse(json.RootElement.GetProperty("userId").GetString()!),
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Title = json.RootElement.GetProperty("title").GetString() ?? "",
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DoctorName = doctor.Name,
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Department = doctor.Department,
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ScheduledAt = DateTime.Parse(json.RootElement.GetProperty("scheduledAt").GetString()!),
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Notes = json.RootElement.TryGetProperty("notes", out var n) ? n.GetString() : null,
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Status = FollowUpStatus.Upcoming,
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CreatedAt = DateTime.UtcNow
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};
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db.FollowUps.Add(followUp);
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await db.SaveChangesAsync(ct);
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return Results.Ok(new { code = 0, data = new { followUp.Id }, message = (string?)null });
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});
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|
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// ===== 更新随访 =====
|
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group.MapPut("/follow-ups/{id:guid}", async (Guid id, HttpContext http, AppDbContext db, CancellationToken ct) =>
|
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{
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var followUp = await db.FollowUps.FirstOrDefaultAsync(f => f.Id == id, ct);
|
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if (followUp == null)
|
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return Results.Ok(new { code = 404, data = (object?)null, message = "随访不存在" });
|
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|
||||
using var reader = new StreamReader(http.Request.Body);
|
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var body = await reader.ReadToEndAsync(ct);
|
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var json = System.Text.Json.JsonDocument.Parse(body);
|
||||
|
||||
if (json.RootElement.TryGetProperty("title", out var title)) followUp.Title = title.GetString() ?? followUp.Title;
|
||||
if (json.RootElement.TryGetProperty("scheduledAt", out var sat)) followUp.ScheduledAt = DateTime.Parse(sat.GetString()!);
|
||||
if (json.RootElement.TryGetProperty("notes", out var notes)) followUp.Notes = notes.GetString();
|
||||
if (json.RootElement.TryGetProperty("status", out var st) && Enum.TryParse<FollowUpStatus>(st.GetString(), out var fs))
|
||||
followUp.Status = fs;
|
||||
|
||||
await db.SaveChangesAsync(ct);
|
||||
return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
|
||||
});
|
||||
|
||||
// ===== 删除随访 =====
|
||||
group.MapDelete("/follow-ups/{id:guid}", async (Guid id, AppDbContext db, CancellationToken ct) =>
|
||||
{
|
||||
var followUp = await db.FollowUps.FirstOrDefaultAsync(f => f.Id == id, ct);
|
||||
if (followUp == null)
|
||||
return Results.Ok(new { code = 404, data = (object?)null, message = "随访不存在" });
|
||||
|
||||
db.FollowUps.Remove(followUp);
|
||||
await db.SaveChangesAsync(ct);
|
||||
return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
|
||||
});
|
||||
|
||||
// ===== 患者列表（简版，给随访选患者用）=====
|
||||
group.MapGet("/patients-simple", async (AppDbContext db) =>
|
||||
{
|
||||
var patients = await db.Users.OrderBy(u => u.Name).Select(u => new { u.Id, u.Name, u.Phone }).ToListAsync();
|
||||
return Results.Ok(new { code = 0, data = patients, message = (string?)null });
|
||||
});
|
||||
}
|
||||
}
|
||||
@@ -1,5 +1,6 @@
|
||||
global using Health.Domain.Entities;
|
||||
global using Health.Domain.Enums;
|
||||
global using Health.Infrastructure.Data;
|
||||
global using Microsoft.AspNetCore.SignalR;
|
||||
global using Microsoft.EntityFrameworkCore;
|
||||
global using System.Text.Json;
|
||||
|
||||
36
backend/src/Health.WebApi/Hubs/ConsultationHub.cs
Normal file
36
backend/src/Health.WebApi/Hubs/ConsultationHub.cs
Normal file
@@ -0,0 +1,36 @@
|
||||
using Microsoft.AspNetCore.SignalR;
|
||||
|
||||
namespace Health.WebApi.Hubs;
|
||||
|
||||
/// <summary>
|
||||
/// 问诊实时通信 Hub（开发阶段跳过认证）
|
||||
/// </summary>
|
||||
public sealed class ConsultationHub : Hub
|
||||
{
|
||||
public async Task JoinConsultation(string consultationId)
|
||||
{
|
||||
await Groups.AddToGroupAsync(Context.ConnectionId, consultationId);
|
||||
}
|
||||
|
||||
public async Task LeaveConsultation(string consultationId)
|
||||
{
|
||||
await Groups.RemoveFromGroupAsync(Context.ConnectionId, consultationId);
|
||||
}
|
||||
|
||||
/// <summary>
|
||||
/// 发送消息到问诊房间
|
||||
/// </summary>
|
||||
public async Task SendMessage(string consultationId, string senderType, string? senderName, string content)
|
||||
{
|
||||
// 广播给组内所有人（包括自己）
|
||||
await Clients.Group(consultationId).SendAsync("ReceiveMessage", new
|
||||
{
|
||||
id = Guid.NewGuid(),
|
||||
consultationId,
|
||||
senderType,
|
||||
senderName,
|
||||
content,
|
||||
createdAt = DateTime.UtcNow
|
||||
});
|
||||
}
|
||||
}
|
||||
@@ -87,14 +87,16 @@ builder.Services.AddHostedService<CleanupService>();
|
||||
// ---- OpenAPI ----
|
||||
builder.Services.AddOpenApi();
|
||||
|
||||
// ---- CORS ----
|
||||
// ---- SignalR ----
|
||||
builder.Services.AddSignalR();
|
||||
|
||||
// ---- CORS（SignalR 需要明确 origins + AllowCredentials）----
|
||||
builder.Services.AddCors(options =>
|
||||
{
|
||||
options.AddDefaultPolicy(policy =>
|
||||
{
|
||||
policy.AllowAnyOrigin().AllowAnyMethod().AllowAnyHeader();
|
||||
policy.SetIsOriginAllowed(_ => true).AllowAnyMethod().AllowAnyHeader().AllowCredentials();
|
||||
});
|
||||
// 生产环境：policy.WithOrigins("https://yourdomain.com").AllowAnyMethod().AllowAnyHeader();
|
||||
});
|
||||
|
||||
var app = builder.Build();
|
||||
@@ -129,5 +131,9 @@ app.MapUserEndpoints();
|
||||
app.MapAiChatEndpoints();
|
||||
app.MapFileEndpoints();
|
||||
app.MapCalendarEndpoints();
|
||||
app.MapDoctorEndpoints();
|
||||
|
||||
// SignalR Hub
|
||||
app.MapHub<Health.WebApi.Hubs.ConsultationHub>("/hubs/consultation");
|
||||
|
||||
app.Run();
|
||||
|
||||
Reference in New Issue
Block a user