Files
AI-Health/health_app/lib/pages/report/report_pages.dart
MingNian 287eab80a9 fix: 全面修复 - 实时通讯、报告AI流程、健康概览、用药运动提醒
- SignalR Hub消息持久化+防重复+跨端广播
- 报告VLM+LLM真实AI流程(验证→提取→解读)
- 医生审核页重构(严重程度/建议模板/综合评语)
- 健康概览五合一趋势图(fl_chart+指标切换)
- 用药提醒时区修复+跨午夜+过期提醒
- 运动打卡DayOfWeek映射修复+计划覆盖查询
- 体重与其他四指标同级(Abnormal检查/确认卡牌)
- AI Agent支持多种类多时段批量录入
- 删除硬编码假数据(张三/假医生/假AI解读)
- 随访/报告审核数据链路全部打通
2026-06-07 23:04:23 +08:00

681 lines
24 KiB
Dart

import 'dart:convert';
import 'dart:io';
import 'package:dio/dio.dart';
import 'package:flutter/material.dart';
import 'package:flutter_riverpod/flutter_riverpod.dart';
import 'package:image_picker/image_picker.dart';
import 'package:file_picker/file_picker.dart';
import '../../core/navigation_provider.dart';
import '../../providers/auth_provider.dart';
final reportProvider = NotifierProvider<ReportNotifier, ReportState>(ReportNotifier.new);
class ReportState {
final List<ReportItem> reports;
final String? uploadingImage;
final bool isAnalyzing;
final ReportAnalysis? currentAnalysis;
ReportState({
this.reports = const [],
this.uploadingImage,
this.isAnalyzing = false,
this.currentAnalysis,
});
ReportState copyWith({
List<ReportItem>? reports,
String? uploadingImage,
bool? isAnalyzing,
ReportAnalysis? currentAnalysis,
}) {
return ReportState(
reports: reports ?? this.reports,
uploadingImage: uploadingImage ?? this.uploadingImage,
isAnalyzing: isAnalyzing ?? this.isAnalyzing,
currentAnalysis: currentAnalysis ?? this.currentAnalysis,
);
}
}
class ReportItem {
final String id;
final String title;
final String type;
final DateTime uploadedAt;
final String? imagePath;
final bool hasAnalysis;
final String status; // PendingDoctor | DoctorReviewed
final String? severity; // Normal | Abnormal | Severe | Critical
final String? doctorComment;
final String? doctorRecommendation;
final String? doctorName;
final DateTime? reviewedAt;
ReportItem({
required this.id,
required this.title,
required this.type,
required this.uploadedAt,
this.imagePath,
this.hasAnalysis = false,
this.status = 'PendingDoctor',
this.severity,
this.doctorComment,
this.doctorRecommendation,
this.doctorName,
this.reviewedAt,
});
}
class ReportAnalysis {
final String reportId;
final String reportType;
final List<Indicator> indicators;
final String summary;
ReportAnalysis({
required this.reportId,
required this.reportType,
required this.indicators,
required this.summary,
});
}
class Indicator {
final String name;
final String value;
final String unit;
final String status;
final String? referenceRange;
Indicator({
required this.name,
required this.value,
required this.unit,
required this.status,
this.referenceRange,
});
}
class ReportNotifier extends Notifier<ReportState> {
@override
ReportState build() {
Future.microtask(() => loadReports());
return ReportState();
}
Future<void> loadReports() async {
try {
final api = ref.read(apiClientProvider);
final res = await api.get('/api/reports');
final list = (res.data['data'] as List?) ?? [];
final reports = list.map((r) {
final m = r as Map<String, dynamic>;
return ReportItem(
id: m['id']?.toString() ?? '',
title: m['category']?.toString() ?? '检查报告',
type: m['fileType']?.toString() ?? 'Image',
uploadedAt: DateTime.tryParse(m['createdAt']?.toString() ?? '') ?? DateTime.now(),
hasAnalysis: m['aiSummary'] != null,
status: m['status']?.toString() ?? 'PendingDoctor',
severity: m['severity']?.toString(),
doctorComment: m['doctorComment']?.toString(),
doctorRecommendation: m['doctorRecommendation']?.toString(),
doctorName: m['doctorName']?.toString(),
reviewedAt: DateTime.tryParse(m['reviewedAt']?.toString() ?? ''),
);
}).toList();
state = state.copyWith(reports: reports);
} catch (_) {}
}
void fetchReportDetail(String reportId) async {
try {
final api = ref.read(apiClientProvider);
final res = await api.get('/api/reports/$reportId');
final m = (res.data['data'] as Map<String, dynamic>?) ?? {};
if (m.isEmpty) {
state = state.copyWith(currentAnalysis: _emptyAnalysis(reportId));
return;
}
final indicators = _parseIndicators(m['aiIndicators']?.toString());
final analysis = ReportAnalysis(
reportId: m['id']?.toString() ?? reportId,
reportType: m['category']?.toString() ?? '检查报告',
indicators: indicators,
summary: m['aiSummary']?.toString() ?? '',
);
state = state.copyWith(currentAnalysis: analysis);
} catch (_) {
state = state.copyWith(currentAnalysis: _emptyAnalysis(reportId));
}
}
ReportAnalysis _emptyAnalysis(String reportId) => ReportAnalysis(
reportId: reportId,
reportType: '检查报告',
indicators: [],
summary: '暂无数据,请下拉刷新重试',
);
List<Indicator> _parseIndicators(String? jsonStr) {
if (jsonStr == null || jsonStr.isEmpty) return [];
try {
final list = jsonDecode(jsonStr) as List;
return list.map((item) {
final m = item as Map<String, dynamic>;
return Indicator(
name: m['name']?.toString() ?? '',
value: m['value']?.toString() ?? '',
unit: m['unit']?.toString() ?? '',
status: m['status']?.toString() ?? 'normal',
referenceRange: m['referenceRange']?.toString(),
);
}).toList();
} catch (_) {
return [];
}
}
void uploadImage(String path) async {
state = state.copyWith(uploadingImage: path, isAnalyzing: true);
try {
final api = ref.read(apiClientProvider);
final file = File(path);
final formData = FormData.fromMap({
'file': await MultipartFile.fromFile(file.path, filename: file.path.split('/').last),
});
// 直接上传到报告端点,后端自动触发 VLM+LLM 分析
final createRes = await api.dio.post('/api/reports', data: formData);
final data = createRes.data;
final reportId = data is Map ? (data['data']?['id']?.toString() ?? '') : '';
state = state.copyWith(isAnalyzing: false, uploadingImage: null);
loadReports();
} catch (_) {
state = state.copyWith(isAnalyzing: false, uploadingImage: null);
}
}
void uploadFile(String path) => uploadImage(path);
void viewAnalysis(String reportId) {
fetchReportDetail(reportId);
}
void clearAnalysis() {
state = state.copyWith(currentAnalysis: null);
}
}
/// 报告列表页
class ReportListPage extends ConsumerWidget {
const ReportListPage({super.key});
@override
Widget build(BuildContext context, WidgetRef ref) {
final state = ref.watch(reportProvider);
if (state.isAnalyzing) {
return Scaffold(
appBar: AppBar(title: const Text('看报告')),
body: const Center(
child: Column(mainAxisSize: MainAxisSize.min, children: [
CircularProgressIndicator(color: Color(0xFF8B9CF7)),
SizedBox(height: 16),
Text('AI 正在分析报告...'),
]),
),
);
}
return Scaffold(
appBar: AppBar(
title: const Text('看报告'),
centerTitle: true,
),
floatingActionButton: _buildUploadButton(context, ref),
body: RefreshIndicator(
onRefresh: () async => ref.read(reportProvider.notifier).loadReports(),
child: state.reports.isEmpty
? ListView(children: [_buildEmptyState(context)])
: ListView.builder(
padding: const EdgeInsets.all(16),
itemCount: state.reports.length,
itemBuilder: (context, index) => _buildReportCard(context, ref, state.reports[index]),
),
),
);
}
Widget _buildUploadButton(BuildContext context, WidgetRef ref) {
return FloatingActionButton(
onPressed: () => _showUploadOptions(context, ref),
backgroundColor: const Color(0xFF8B9CF7),
child: const Icon(Icons.add),
);
}
void _showUploadOptions(BuildContext context, WidgetRef ref) {
showModalBottomSheet(
context: context,
builder: (ctx) => SafeArea(
child: Wrap(children: [
ListTile(
leading: const Icon(Icons.camera_alt),
title: const Text('拍照上传'),
onTap: () async {
Navigator.pop(ctx);
final picker = ImagePicker();
final picked = await picker.pickImage(source: ImageSource.camera, imageQuality: 85);
if (picked != null) {
ref.read(reportProvider.notifier).uploadImage(picked.path);
}
},
),
ListTile(
leading: const Icon(Icons.photo_library),
title: const Text('从相册选择'),
onTap: () async {
Navigator.pop(ctx);
final picker = ImagePicker();
final picked = await picker.pickImage(source: ImageSource.gallery, imageQuality: 85);
if (picked != null) {
ref.read(reportProvider.notifier).uploadImage(picked.path);
}
},
),
ListTile(
leading: const Icon(Icons.file_open),
title: const Text('上传PDF文件'),
onTap: () async {
Navigator.pop(ctx);
final result = await FilePicker.platform.pickFiles(type: FileType.custom, allowedExtensions: ['pdf']);
if (result != null && result.files.isNotEmpty) {
ref.read(reportProvider.notifier).uploadFile(result.files.first.path!);
}
},
),
]),
),
);
}
Widget _buildEmptyState(BuildContext context) {
return Center(
child: Column(mainAxisSize: MainAxisSize.min, children: [
Container(
width: 120,
height: 120,
decoration: BoxDecoration(
color: const Color(0xFFF0F2FF),
borderRadius: BorderRadius.circular(60),
),
child: const Icon(Icons.file_open, size: 48, color: Color(0xFF8B9CF7)),
),
const SizedBox(height: 20),
const Text('暂无检查报告', style: TextStyle(fontSize: 18, fontWeight: FontWeight.w500)),
const SizedBox(height: 8),
const Text('点击下方按钮上传报告', style: TextStyle(fontSize: 14, color: Color(0xFF999999))),
]),
);
}
Widget _buildReportCard(BuildContext context, WidgetRef ref, ReportItem report) {
return Container(
margin: const EdgeInsets.only(bottom: 12),
decoration: BoxDecoration(
color: Colors.white,
borderRadius: BorderRadius.circular(16),
boxShadow: [BoxShadow(color: const Color(0xFF8B9CF7).withAlpha(10), blurRadius: 4, offset: const Offset(0, 2))],
),
child: ListTile(
leading: Container(
width: 48,
height: 48,
decoration: BoxDecoration(
color: const Color(0xFFF0F2FF),
borderRadius: BorderRadius.circular(12),
),
child: _getReportIcon(report.type),
),
title: Text(report.title, style: const TextStyle(fontSize: 16, fontWeight: FontWeight.w600)),
subtitle: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Text(report.type, style: TextStyle(fontSize: 14, color: Colors.grey[500])),
Text(_formatDate(report.uploadedAt), style: TextStyle(fontSize: 12, color: Colors.grey[400])),
]),
trailing: Row(
mainAxisSize: MainAxisSize.min,
children: [
if (report.status == 'DoctorReviewed')
Container(
padding: const EdgeInsets.symmetric(horizontal: 6, vertical: 2),
decoration: BoxDecoration(
color: const Color(0xFFDCFCE7),
borderRadius: BorderRadius.circular(4),
),
child: const Text('已审核', style: TextStyle(fontSize: 10, color: Color(0xFF43A047))),
)
else if (!report.hasAnalysis)
Container(
padding: const EdgeInsets.symmetric(horizontal: 6, vertical: 2),
decoration: BoxDecoration(
color: const Color(0xFFE3F2FD),
borderRadius: BorderRadius.circular(4),
),
child: const Text('分析中', style: TextStyle(fontSize: 10, color: Color(0xFF2196F3))),
)
else if (report.status == 'PendingDoctor')
Container(
padding: const EdgeInsets.symmetric(horizontal: 6, vertical: 2),
decoration: BoxDecoration(
color: const Color(0xFFFFF3E0),
borderRadius: BorderRadius.circular(4),
),
child: const Text('待审核', style: TextStyle(fontSize: 10, color: Color(0xFFF59E0B))),
),
const SizedBox(width: 8),
report.hasAnalysis
? const Icon(Icons.check_circle, size: 20, color: Color(0xFF43A047))
: const Icon(Icons.arrow_forward_ios, size: 18, color: Color(0xFFCCCCCC)),
],
),
onTap: () {
pushRoute(ref, 'reportDetail', params: {'id': report.id});
},
),
);
}
Widget _getReportIcon(String type) {
final icons = {
'血液检查': const Icon(Icons.bloodtype, size: 24, color: Color(0xFF8B9CF7)),
'心电图': const Icon(Icons.monitor_heart, size: 24, color: Color(0xFF8B9CF7)),
'超声检查': const Icon(Icons.image, size: 24, color: Color(0xFF8B9CF7)),
'影像报告': const Icon(Icons.image, size: 24, color: Color(0xFF8B9CF7)),
'PDF文档': const Icon(Icons.picture_as_pdf, size: 24, color: Color(0xFF8B9CF7)),
};
return icons[type] ?? const Icon(Icons.description, size: 24, color: Color(0xFF8B9CF7));
}
String _formatDate(DateTime date) {
final now = DateTime.now();
final diff = now.difference(date);
if (diff.inDays == 0) return '今天';
if (diff.inDays == 1) return '昨天';
if (diff.inDays < 7) return '${diff.inDays}天前';
return '${date.month}${date.day}';
}
}
/// 报告详情页
class ReportDetailPage extends ConsumerStatefulWidget {
final String id;
const ReportDetailPage({super.key, required this.id});
@override
ConsumerState<ReportDetailPage> createState() => _ReportDetailPageState();
}
class _ReportDetailPageState extends ConsumerState<ReportDetailPage> {
@override
void initState() {
super.initState();
// 进入页面时刷新报告列表(获取最新审核状态)+ 获取详情
WidgetsBinding.instance.addPostFrameCallback((_) {
ref.read(reportProvider.notifier).loadReports();
ref.read(reportProvider.notifier).fetchReportDetail(widget.id);
});
}
@override
Widget build(BuildContext context) {
final analysis = ref.watch(reportProvider.select((s) => s.currentAnalysis));
final reports = ref.watch(reportProvider.select((s) => s.reports));
final reportItem = reports.where((r) => r.id == widget.id).firstOrNull;
if (analysis == null) {
return Scaffold(
appBar: AppBar(title: const Text('报告详情')),
body: const Center(child: CircularProgressIndicator(color: Color(0xFF8B9CF7))),
);
}
return Scaffold(
appBar: AppBar(
title: const Text('报告解读'),
leading: IconButton(
icon: const Icon(Icons.arrow_back),
onPressed: () {
ref.read(reportProvider.notifier).clearAnalysis();
popRoute(ref);
},
),
),
body: SingleChildScrollView(
padding: const EdgeInsets.all(16),
child: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
_buildReportHeader(analysis),
const SizedBox(height: 20),
if (reportItem != null && reportItem.status == 'DoctorReviewed') ...[
_buildDoctorReview(reportItem),
const SizedBox(height: 20),
],
_buildAnalysisSection(analysis),
const SizedBox(height: 20),
_buildSummarySection(analysis),
const SizedBox(height: 20),
SizedBox(
width: double.infinity, height: 48,
child: ElevatedButton(
onPressed: () => pushRoute(ref, 'aiAnalysis', params: {'id': widget.id}),
style: ElevatedButton.styleFrom(backgroundColor: const Color(0xFF8B9CF7), foregroundColor: Colors.white,
shape: RoundedRectangleBorder(borderRadius: BorderRadius.circular(24))),
child: const Text('查看 AI 智能解读'),
),
),
const SizedBox(height: 30),
]),
),
);
}
Widget _buildDoctorReview(ReportItem report) {
return Container(
padding: const EdgeInsets.all(16),
decoration: BoxDecoration(
color: const Color(0xFFDCFCE7),
borderRadius: BorderRadius.circular(16),
border: Border.all(color: const Color(0xFF43A047).withAlpha(50)),
),
child: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Row(children: [
const Text('', style: TextStyle(fontSize: 20)),
const SizedBox(width: 8),
const Text('医生审核意见', style: TextStyle(fontSize: 16, fontWeight: FontWeight.w600, color: Color(0xFF2E7D32))),
]),
if (report.doctorName != null) ...[
const SizedBox(height: 4),
Text('审核医生:${report.doctorName}', style: const TextStyle(fontSize: 13, color: Color(0xFF4CAF50))),
],
if (report.reviewedAt != null) ...[
const SizedBox(height: 2),
Text('审核时间:${report.reviewedAt!.toLocal().toString().substring(0, 19)}', style: const TextStyle(fontSize: 12, color: Color(0xFF81C784))),
],
if (report.severity != null) ...[
const SizedBox(height: 6),
_severityBadge(report.severity!),
],
if (report.doctorComment != null && report.doctorComment!.isNotEmpty) ...[
const SizedBox(height: 8),
Container(
width: double.infinity,
padding: const EdgeInsets.all(12),
decoration: BoxDecoration(
color: Colors.white,
borderRadius: BorderRadius.circular(12),
),
child: Text('💬 ${report.doctorComment!}', style: const TextStyle(fontSize: 15, color: Color(0xFF1A1A1A), height: 1.5)),
),
],
if (report.doctorRecommendation != null && report.doctorRecommendation!.isNotEmpty) ...[
const SizedBox(height: 8),
Container(
width: double.infinity,
padding: const EdgeInsets.all(12),
decoration: BoxDecoration(
color: Colors.white,
borderRadius: BorderRadius.circular(12),
),
child: Text('📝 ${report.doctorRecommendation!}', style: const TextStyle(fontSize: 14, color: Color(0xFF333333), height: 1.5)),
),
],
]),
);
}
Widget _severityBadge(String severity) {
final (label, color, bg) = switch (severity) {
'Normal' => ('🟢 正常', const Color(0xFF43A047), const Color(0xFFDCFCE7)),
'Abnormal' => ('🟡 轻度异常', const Color(0xFFF59E0B), const Color(0xFFFFF3E0)),
'Severe' => ('🟠 中度异常', const Color(0xFFEF4444), const Color(0xFFFEE2E2)),
'Critical' => ('🔴 重度异常', const Color(0xFFDC2626), const Color(0xFFFEE2E2)),
_ => (severity, Colors.grey, Colors.grey.withAlpha(30)),
};
return Container(
padding: const EdgeInsets.symmetric(horizontal: 8, vertical: 3),
decoration: BoxDecoration(color: bg, borderRadius: BorderRadius.circular(6)),
child: Text(label, style: TextStyle(fontSize: 12, fontWeight: FontWeight.w500, color: color)),
);
}
Widget _buildReportHeader(ReportAnalysis analysis) {
return Container(
padding: const EdgeInsets.all(16),
decoration: BoxDecoration(
color: const Color(0xFFF0F2FF),
borderRadius: BorderRadius.circular(16),
),
child: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Row(children: [
const Text('📋', style: TextStyle(fontSize: 24)),
const SizedBox(width: 12),
Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Text(analysis.reportType, style: const TextStyle(fontSize: 18, fontWeight: FontWeight.w600)),
const SizedBox(height: 4),
const Text('AI 预解读结果', style: TextStyle(fontSize: 14, color: Color(0xFF666666))),
]),
]),
]),
);
}
Widget _buildAnalysisSection(ReportAnalysis analysis) {
return Container(
decoration: BoxDecoration(
color: Colors.white,
borderRadius: BorderRadius.circular(16),
border: Border.all(color: const Color(0xFFD8DCFD), width: 1.5),
),
child: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Padding(
padding: const EdgeInsets.all(16),
child: Row(children: [
const Text('🧪', style: TextStyle(fontSize: 20)),
const SizedBox(width: 8),
const Text('指标分析', style: TextStyle(fontSize: 16, fontWeight: FontWeight.w600)),
]),
),
Container(
margin: const EdgeInsets.symmetric(horizontal: 16),
padding: const EdgeInsets.symmetric(horizontal: 12, vertical: 8),
decoration: BoxDecoration(
color: const Color(0xFFFFF3E0),
borderRadius: BorderRadius.circular(8),
border: Border.all(color: const Color(0xFFFFE0B2)),
),
child: Row(
mainAxisSize: MainAxisSize.min,
children: [
const Icon(Icons.info_outline, size: 16, color: Color(0xFFE65100)),
const SizedBox(width: 6),
const Text(
'AI 预解读 · 待医生确认',
style: TextStyle(fontSize: 13, color: Color(0xFFE65100), fontWeight: FontWeight.w500),
),
],
),
),
const SizedBox(height: 12),
...analysis.indicators.map((ind) => _buildIndicatorRow(ind)),
]),
);
}
Widget _buildIndicatorRow(Indicator ind) {
Color statusColor;
IconData statusIcon;
switch (ind.status) {
case 'high':
statusColor = const Color(0xFFE53935);
statusIcon = Icons.arrow_upward;
break;
case 'low':
statusColor = const Color(0xFFF9A825);
statusIcon = Icons.arrow_downward;
break;
default:
statusColor = const Color(0xFF43A047);
statusIcon = Icons.check_circle;
}
return Container(
margin: const EdgeInsets.symmetric(horizontal: 16),
padding: const EdgeInsets.symmetric(vertical: 12),
decoration: const BoxDecoration(border: Border(bottom: BorderSide(color: Color(0xFFF0F0F0)))),
child: Row(children: [
Expanded(
child: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Text(ind.name, style: const TextStyle(fontSize: 14)),
if (ind.referenceRange != null)
Text('参考值: ${ind.referenceRange}', style: TextStyle(fontSize: 12, color: Colors.grey[400])),
]),
),
const SizedBox(width: 16),
Column(children: [
Text('${ind.value} ${ind.unit}', style: TextStyle(fontSize: 16, fontWeight: FontWeight.w600, color: statusColor)),
Icon(statusIcon, size: 16, color: statusColor),
]),
]),
);
}
Widget _buildSummarySection(ReportAnalysis analysis) {
return Container(
padding: const EdgeInsets.all(16),
decoration: BoxDecoration(
color: const Color(0xFFFEF3C7),
borderRadius: BorderRadius.circular(16),
),
child: Column(crossAxisAlignment: CrossAxisAlignment.start, children: [
Row(children: [
const Text('💡', style: TextStyle(fontSize: 20)),
const SizedBox(width: 8),
const Text('综合解读', style: TextStyle(fontSize: 16, fontWeight: FontWeight.w600, color: Color(0xFFD97706))),
]),
const SizedBox(height: 12),
Text(analysis.summary, style: const TextStyle(fontSize: 14, color: Color(0xFF92400E), height: 1.6)),
const SizedBox(height: 12),
Container(
padding: const EdgeInsets.all(12),
decoration: BoxDecoration(
color: Colors.white,
borderRadius: BorderRadius.circular(12),
),
child: const Text('⚠️ AI 解读仅供参考,请以医生诊断为准', style: TextStyle(fontSize: 13, color: Color(0xFFD97706))),
),
]),
);
}
}