9576e80175
- 风险评分引擎 load_patient_data 实装（体征+化验异常）
- refresh_all_patients 高风险自动创建洞察+事件推送
- erp-message 订阅 copilot.insight.created 推送医护通知
- 每日 cron 增加洞察过期清理+建议过期清理
- POST /ai/suggestions/{id}/feedback 建议反馈端点
- SuggestionFeedbackService 反馈服务层
- 小程序健康页建议卡片增加采纳/忽略/咨询医生按钮
365 lines
15 KiB
TypeScript
365 lines
15 KiB
TypeScript
import { useState } from 'react';
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import { View, Text, Input } from '@tarojs/components';
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import Taro from '@tarojs/taro';
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import { safeNavigateTo } from '@/utils/navigate';
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import { useAuthStore } from '../../stores/auth';
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import { useElderClass } from '../../hooks/useElderClass';
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import { findThreshold, inputVitalSign, type HealthThreshold } from '../../services/health';
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import Loading from '../../components/Loading';
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import ErrorState from '../../components/ErrorState';
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import GuestGuard from '../../components/GuestGuard';
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import SegmentTabs from '../../components/SegmentTabs';
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import PageShell from '@/components/ui/PageShell';
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import ContentCard from '@/components/ui/ContentCard';
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import { useHealthData, VITAL_TABS, type VitalType } from './useHealthData';
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import { submitSuggestionFeedback } from '../../services/ai-analysis';
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import './index.scss';
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function buildRefRange(t: HealthThreshold[]): Record<VitalType, string> {
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const bpSys = findThreshold(t, 'systolic_bp', 'high')?.threshold_value ?? 140;
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const bpDia = findThreshold(t, 'diastolic_bp', 'high')?.threshold_value ?? 90;
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const hrHigh = findThreshold(t, 'heart_rate', 'high')?.threshold_value ?? 100;
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const hrLow = findThreshold(t, 'heart_rate', 'low')?.threshold_value ?? 60;
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const bsFasting = findThreshold(t, 'blood_sugar_fasting', 'high')?.threshold_value ?? 6.1;
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const bsPp = findThreshold(t, 'blood_sugar_postprandial', 'high')?.threshold_value ?? 7.8;
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return {
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blood_pressure: `收缩压 90-${bpSys} / 舒张压 60-${bpDia} mmHg`,
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heart_rate: `${hrLow}-${hrHigh} bpm`,
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blood_sugar: `空腹 3.9-${bsFasting} / 餐后 <${bsPp} mmol/L`,
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weight: '根据 BMI 18.5-24 计算',
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};
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}
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export default function Health() {
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const currentPatient = useAuthStore((s) => s.currentPatient);
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const modeClass = useElderClass();
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const {
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user, todaySummary, loading, error, activeTab, trendData, trendLoading,
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aiSuggestions, thresholds, handleTabChange, loadTrend, refreshToday, fetchData,
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} = useHealthData();
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const [systolic, setSystolic] = useState('');
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const [diastolic, setDiastolic] = useState('');
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const [heartRateVal, setHeartRateVal] = useState('');
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const [sugarVal, setSugarVal] = useState('');
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const [sugarPeriod, setSugarPeriod] = useState<'fasting' | 'postprandial'>('fasting');
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const [weightVal, setWeightVal] = useState('');
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const [saving, setSaving] = useState(false);
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if (!user) {
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return <GuestGuard title='请先登录' desc='登录后即可记录和查看健康数据' />;
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}
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if (error) {
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return (
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<PageShell padding="md" safeBottom={false} scroll={false} className={`health-page ${modeClass}`}>
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<View className='health-header'>
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<Text className='health-title'>健康数据</Text>
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</View>
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<ErrorState onRetry={fetchData} />
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</PageShell>
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);
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}
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const getWarnStatus = (type: VitalType): string | null => {
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if (type === 'blood_pressure') {
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const sys = parseFloat(systolic);
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const dia = parseFloat(diastolic);
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const sysMax = findThreshold(thresholds, 'systolic_bp', 'high')?.threshold_value ?? 140;
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const diaMax = findThreshold(thresholds, 'diastolic_bp', 'high')?.threshold_value ?? 90;
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if (sys > sysMax || dia > diaMax) return '血压偏高，确认提交？';
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} else if (type === 'heart_rate') {
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const val = parseFloat(heartRateVal);
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const hrHigh = findThreshold(thresholds, 'heart_rate', 'high')?.threshold_value ?? 100;
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const hrLow = findThreshold(thresholds, 'heart_rate', 'low')?.threshold_value ?? 60;
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if (val > hrHigh || val < hrLow) return '心率异常，确认提交？';
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} else if (type === 'blood_sugar') {
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const val = parseFloat(sugarVal);
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if (sugarPeriod === 'fasting') {
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const bsMax = findThreshold(thresholds, 'blood_sugar_fasting', 'high')?.threshold_value ?? 6.1;
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if (val > bsMax) return '血糖偏高，确认提交？';
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} else {
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const bsMax = findThreshold(thresholds, 'blood_sugar_postprandial', 'high')?.threshold_value ?? 7.8;
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if (val > bsMax) return '血糖偏高，确认提交？';
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}
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}
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return null;
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};
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const refRanges = buildRefRange(thresholds);
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const handleSave = async () => {
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const patientId = currentPatient?.id;
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if (!patientId) {
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Taro.showToast({ title: '请先登录', icon: 'none' });
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return;
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}
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const warnMsg = getWarnStatus(activeTab);
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if (warnMsg) {
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const { confirm } = await Taro.showModal({
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title: '异常提示',
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content: warnMsg,
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confirmText: '确认提交',
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cancelText: '再看看',
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});
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if (!confirm) return;
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}
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setSaving(true);
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try {
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switch (activeTab) {
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case 'blood_pressure': {
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const sys = parseFloat(systolic);
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const dia = parseFloat(diastolic);
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if (!sys || !dia) { Taro.showToast({ title: '请填写完整', icon: 'none' }); return; }
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await inputVitalSign(patientId, {
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indicator_type: 'blood_pressure',
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value: sys,
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extra: { systolic: sys, diastolic: dia },
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});
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setSystolic('');
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setDiastolic('');
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break;
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}
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case 'heart_rate': {
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const val = parseFloat(heartRateVal);
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if (!val) { Taro.showToast({ title: '请填写心率', icon: 'none' }); return; }
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await inputVitalSign(patientId, { indicator_type: 'heart_rate', value: val });
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setHeartRateVal('');
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break;
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}
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case 'blood_sugar': {
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const val = parseFloat(sugarVal);
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if (!val) { Taro.showToast({ title: '请填写血糖值', icon: 'none' }); return; }
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const bsType = sugarPeriod === 'fasting' ? 'blood_sugar_fasting' : 'blood_sugar_postprandial';
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await inputVitalSign(patientId, { indicator_type: bsType, value: val });
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setSugarVal('');
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break;
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}
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case 'weight': {
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const val = parseFloat(weightVal);
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if (!val) { Taro.showToast({ title: '请填写体重', icon: 'none' }); return; }
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await inputVitalSign(patientId, { indicator_type: 'weight', value: val });
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setWeightVal('');
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break;
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}
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}
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Taro.showToast({ title: '保存成功', icon: 'success' });
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refreshToday(true);
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loadTrend(activeTab);
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} catch {
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Taro.showToast({ title: '保存失败', icon: 'none' });
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} finally {
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setSaving(false);
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}
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};
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const maxTrendValue = trendData.reduce((max, d) => Math.max(max, d.value), 1);
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const getThresholdValue = (type: VitalType, th: HealthThreshold[]): number | null => {
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if (type === 'blood_pressure') return findThreshold(th, 'systolic_bp', 'high')?.threshold_value ?? 140;
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if (type === 'heart_rate') return findThreshold(th, 'heart_rate', 'high')?.threshold_value ?? 100;
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if (type === 'blood_sugar') return findThreshold(th, 'blood_sugar_fasting', 'high')?.threshold_value ?? 6.1;
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return null;
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};
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const dayLabels = ['日', '一', '二', '三', '四', '五', '六'];
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return (
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<PageShell padding="md" safeBottom={false} scroll={false} className={`health-page ${modeClass}`}>
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<View className='health-header'>
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<Text className='health-title'>健康数据</Text>
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</View>
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{aiSuggestions.length > 0 && (
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<View className='ai-suggestion-card'>
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<View className='ai-card-header'>
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<Text className='ai-card-title'>AI 健康建议</Text>
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<Text className='ai-card-count'>{aiSuggestions.length} 条待查看</Text>
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</View>
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{aiSuggestions.map((s) => {
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const riskCls = s.risk_level === 'high' ? 'ai-risk-high' : s.risk_level === 'medium' ? 'ai-risk-medium' : 'ai-risk-low';
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const typeLabel = s.suggestion_type === 'followup' ? '随访' : s.suggestion_type === 'appointment' ? '预约' : '预警';
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const params = s.params as Record<string, unknown> | null;
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const reason = (params?.reason as string) || (params?.message as string) || typeLabel;
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return (
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<View key={s.id} className='ai-suggestion-item'>
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<View className='ai-suggestion-main' onClick={() => {
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if (s.suggestion_type === 'appointment') {
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safeNavigateTo(`/pages/appointment/create/index`);
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} else if (s.suggestion_type === 'followup') {
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safeNavigateTo('/pages/pkg-profile/followups/index');
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}
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}}>
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<View className={`ai-risk-dot ${riskCls}`} />
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<Text className='ai-suggestion-text'>{reason.slice(0, 40)}</Text>
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</View>
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<View className='ai-feedback-row'>
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<View className='ai-feedback-btn ai-feedback-adopt' onClick={async () => {
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try {
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await submitSuggestionFeedback(s.id, 'adopt');
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Taro.showToast({ title: '已采纳', icon: 'success' });
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fetchData();
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} catch { Taro.showToast({ title: '操作失败', icon: 'none' }); }
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}}>
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<Text className='ai-feedback-btn-text'>采纳</Text>
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</View>
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<View className='ai-feedback-btn ai-feedback-ignore' onClick={async () => {
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try {
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await submitSuggestionFeedback(s.id, 'ignore');
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Taro.showToast({ title: '已忽略', icon: 'success' });
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fetchData();
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} catch { Taro.showToast({ title: '操作失败', icon: 'none' }); }
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}}>
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<Text className='ai-feedback-btn-text'>忽略</Text>
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</View>
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<View className='ai-feedback-btn ai-feedback-consult' onClick={async () => {
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try {
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await submitSuggestionFeedback(s.id, 'consult');
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safeNavigateTo('/pages/consultation/index');
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} catch { Taro.showToast({ title: '操作失败', icon: 'none' }); }
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}}>
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<Text className='ai-feedback-btn-text'>咨询医生</Text>
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</View>
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</View>
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</View>
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);
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})}
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</View>
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)}
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<SegmentTabs tabs={VITAL_TABS} activeKey={activeTab} onChange={handleTabChange} variant="pill" />
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<ContentCard variant="elevated">
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{activeTab === 'blood_pressure' && (
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<View className='input-group'>
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<Text className='input-label'>收缩压（高压）</Text>
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<Input
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className='input-field'
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type='number'
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placeholder='如 130'
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value={systolic}
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onInput={(e) => setSystolic(e.detail.value)}
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/>
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<Text className='input-label input-label--secondary'>舒张压（低压）</Text>
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<Input
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className='input-field'
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type='number'
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placeholder='如 85'
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value={diastolic}
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onInput={(e) => setDiastolic(e.detail.value)}
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/>
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<Text className='input-ref'>{refRanges.blood_pressure}</Text>
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</View>
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)}
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{activeTab === 'heart_rate' && (
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<View className='input-group'>
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<Text className='input-label'>心率</Text>
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<Input
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className='input-field'
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type='digit'
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placeholder='如 72'
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value={heartRateVal}
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onInput={(e) => setHeartRateVal(e.detail.value)}
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/>
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<Text className='input-ref'>{refRanges.heart_rate}</Text>
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</View>
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)}
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{activeTab === 'blood_sugar' && (
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<View className='input-group'>
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<Text className='input-label'>血糖值</Text>
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<Input
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className='input-field'
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type='digit'
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placeholder='如 5.6'
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value={sugarVal}
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onInput={(e) => setSugarVal(e.detail.value)}
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/>
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<View className='period-group'>
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<View
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className={`period-btn ${sugarPeriod === 'fasting' ? 'period-active' : ''}`}
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onClick={() => setSugarPeriod('fasting')}
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>
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<Text className='period-btn-text'>空腹</Text>
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</View>
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<View
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className={`period-btn ${sugarPeriod === 'postprandial' ? 'period-active' : ''}`}
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onClick={() => setSugarPeriod('postprandial')}
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>
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<Text className='period-btn-text'>餐后 2h</Text>
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</View>
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</View>
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<Text className='input-ref'>{refRanges.blood_sugar}</Text>
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</View>
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)}
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{activeTab === 'weight' && (
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<View className='input-group'>
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<Text className='input-label'>体重 (kg)</Text>
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<Input
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className='input-field'
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type='digit'
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placeholder='如 65.5'
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value={weightVal}
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onInput={(e) => setWeightVal(e.detail.value)}
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/>
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<Text className='input-ref'>{refRanges.weight}</Text>
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</View>
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)}
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<View className='save-btn' onClick={handleSave}>
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<Text className='save-btn-text'>{saving ? '保存中...' : '保存'}</Text>
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</View>
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</ContentCard>
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<View className='trend-section'>
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<Text className='section-title'>近 7 天趋势</Text>
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{trendLoading ? (
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<Loading />
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) : trendData.length === 0 ? (
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<ContentCard padding="md">
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<Text className='trend-empty-text'>暂无趋势数据</Text>
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</ContentCard>
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) : (
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<ContentCard padding="md">
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<View className='trend-bars'>
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{getThresholdValue(activeTab, thresholds) && (() => {
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const tv = getThresholdValue(activeTab, thresholds)!;
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const pct = Math.min(95, (tv / maxTrendValue) * 100);
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return (
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<View className='trend-threshold-line' style={`bottom:${((12 + pct * 1.08) / 120 * 100).toFixed(1)}%;`}>
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<Text className='trend-threshold-label'>{tv}</Text>
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</View>
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);
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})()}
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{trendData.map((point, i) => {
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const heightPct = Math.max(8, (point.value / maxTrendValue) * 100);
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const tv = getThresholdValue(activeTab, thresholds);
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const isAbnormal = tv ? point.value >= tv : false;
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const dayOfWeek = new Date(point.date).getDay();
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return (
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<View className='trend-bar-col' key={i}>
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<View
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className={`trend-bar ${isAbnormal ? 'trend-bar-warn' : 'trend-bar-normal'}`}
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style={`height:${heightPct}%;`}
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/>
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<Text className='trend-bar-label'>{dayLabels[dayOfWeek]}</Text>
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</View>
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);
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})}
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</View>
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</ContentCard>
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)}
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</View>
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<ContentCard
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onPress={() => safeNavigateTo('/pages/article/index')}
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>
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<Text className='article-entry-text'>最新健康资讯 ›</Text>
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</ContentCard>
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</PageShell>
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);
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}
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