26-7-31-1
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shuai
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-- ============================================================
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-- 智慧医院 AI 影像诊断与电子病历辅助决策系统
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-- 数据库初始化脚本（MySQL 8+ / 兼容 5.7+）
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-- ============================================================
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-- 版本：2026-07-23（与当前 JPA 实体 + AI/YOLO 文件侧配置同步）
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--
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-- 【说明】
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-- 1. 本脚本：MySQL 建库建表（spring.profiles.active=mysql 时使用）。
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-- 2. 默认开发：H2 内存库 + spring.jpa.hibernate.ddl-auto=update，
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-- 可不执行本脚本，表结构由 JPA 自动维护。
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-- 3. 初始账号由 DataInitializer 启动写入（BCrypt）：
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-- admin / admin123 角色 ADMIN
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-- doctor1 / pass123 角色 DOCTOR
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-- radio1 / radio123 角色 RADIOLOGIST
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-- 4. 以下内容【不在 MySQL】，落在文件系统：
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-- · YOLO 权重：ai-service/data/weights/*.pt
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-- 推荐医学权重：chest-xray-yolov8-detect.pt（14 类胸部病灶）
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-- 另有 pneumonia-yolov8n.pt、rsna-pneumonia-yolov8s.pt、yolov8n.pt 等
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-- · YOLO 配置/逻辑删除列表：ai-service/data/yolo_config.json
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-- （deleted_weights 为逻辑删除，磁盘 .pt 仍保留）
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-- · YOLO 推理统计：ai-service/data/yolo_stats.json
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-- · 部分 AI 配置/对话：./data/ai/（AiFileStore，视实现而定）
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-- · 影像原图/标注图：./uploads/images/（含 ai-annotated/）
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-- 5. 执行：mysql -u root -p < smart-hospital.sql
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-- ============================================================
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CREATE DATABASE IF NOT EXISTS smart_hospital
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CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci;
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USE smart_hospital;
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-- ------------------------------------------------------------
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-- 1. 用户 users （User.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS users (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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username VARCHAR(50) NOT NULL,
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password VARCHAR(255) NOT NULL COMMENT 'BCrypt 哈希',
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real_name VARCHAR(50) NOT NULL,
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role ENUM('DOCTOR', 'RADIOLOGIST', 'ADMIN') NOT NULL,
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department VARCHAR(100) NULL,
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phone VARCHAR(20) NULL,
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email VARCHAR(100) NULL,
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avatar VARCHAR(500) NULL,
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enabled BOOLEAN NOT NULL DEFAULT TRUE,
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
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UNIQUE KEY uk_users_username (username)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 2. 患者 patients （Patient.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS patients (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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name VARCHAR(50) NOT NULL,
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gender ENUM('MALE', 'FEMALE', 'OTHER') NOT NULL,
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age INT NOT NULL,
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id_card VARCHAR(18) NULL,
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phone VARCHAR(20) NULL,
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address TEXT NULL,
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medical_history TEXT NULL,
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
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UNIQUE KEY uk_patients_id_card (id_card)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 3. 影像检查 imaging_records （ImagingRecord.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS imaging_records (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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patient_id BIGINT NOT NULL,
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doctor_id BIGINT NOT NULL,
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study_type ENUM('X_RAY', 'CT', 'MRI', 'ULTRASOUND') NOT NULL,
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body_part VARCHAR(100) NOT NULL,
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image_url VARCHAR(500) NOT NULL COMMENT '如 /uploads/images/...',
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status ENUM('PENDING', 'ANALYZING', 'COMPLETED', 'ERROR')
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NOT NULL DEFAULT 'PENDING',
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ai_diagnosis TEXT NULL COMMENT 'AI 诊断摘要（列表展示）',
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ai_confidence DECIMAL(5,4) NULL,
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
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KEY idx_imaging_patient (patient_id),
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KEY idx_imaging_doctor (doctor_id),
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KEY idx_imaging_status (status),
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KEY idx_imaging_study_type (study_type),
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CONSTRAINT fk_imaging_patient FOREIGN KEY (patient_id) REFERENCES patients(id),
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CONSTRAINT fk_imaging_doctor FOREIGN KEY (doctor_id) REFERENCES users(id)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 4. AI 诊断结果 ai_diagnosis_results （AIDiagnosisResult.java）
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-- 含 YOLO 检测框 / 标注图 / 完整报告等扩展字段
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS ai_diagnosis_results (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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imaging_record_id BIGINT NOT NULL,
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diagnosis_text TEXT NOT NULL,
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confidence_score DECIMAL(5,4) NOT NULL,
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findings TEXT NULL,
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recommendations TEXT NULL,
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model_version VARCHAR(50) NULL,
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processing_time_ms BIGINT NULL,
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-- YOLO / FastAPI 扩展（与 AIDiagnosisResult 实体一致）
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detections_json TEXT NULL COMMENT '检测框 JSON 数组',
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annotated_image_url VARCHAR(512) NULL COMMENT '标注图路径 /uploads/images/ai-annotated/...',
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full_report TEXT NULL COMMENT '完整影像诊断报告',
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engine VARCHAR(64) NULL COMMENT 'fastapi-yolo / fallback 等',
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fallback_flag BOOLEAN NULL COMMENT '是否本地规则降级',
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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KEY idx_ai_diag_imaging (imaging_record_id),
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CONSTRAINT fk_ai_diag_imaging FOREIGN KEY (imaging_record_id)
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REFERENCES imaging_records(id)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 5. 电子病历 electronic_medical_records （ElectronicMedicalRecord.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS electronic_medical_records (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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patient_id BIGINT NOT NULL,
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doctor_id BIGINT NOT NULL,
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visit_date DATE NOT NULL,
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chief_complaint TEXT NULL,
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present_illness TEXT NULL,
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physical_examination TEXT NULL,
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diagnosis TEXT NOT NULL,
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treatment_plan TEXT NULL,
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medications TEXT NULL,
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follow_up_notes TEXT NULL,
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ai_suggestions TEXT NULL COMMENT 'AI 辅助决策建议 JSON/文本',
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
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KEY idx_emr_patient (patient_id),
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KEY idx_emr_doctor (doctor_id),
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KEY idx_emr_visit_date (visit_date),
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CONSTRAINT fk_emr_patient FOREIGN KEY (patient_id) REFERENCES patients(id),
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CONSTRAINT fk_emr_doctor FOREIGN KEY (doctor_id) REFERENCES users(id)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 6. 辅助决策记录 decision_support_records （DecisionSupportRecord.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS decision_support_records (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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emr_id BIGINT NOT NULL,
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query_text TEXT NOT NULL,
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ai_response TEXT NOT NULL,
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confidence_score DECIMAL(5,4) NULL,
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references_used TEXT NULL,
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doctor_feedback ENUM('HELPFUL', 'NOT_HELPFUL', 'NEUTRAL') NULL,
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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KEY idx_ds_emr (emr_id),
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CONSTRAINT fk_ds_emr FOREIGN KEY (emr_id)
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REFERENCES electronic_medical_records(id)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 7. 预约挂号 appointments （Appointment.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS appointments (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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patient_id BIGINT NOT NULL,
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doctor_id BIGINT NOT NULL,
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department VARCHAR(64) NOT NULL,
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appointment_date DATE NOT NULL,
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appointment_time TIME NULL,
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reason VARCHAR(128) NULL,
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notes TEXT NULL,
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status ENUM('SCHEDULED', 'CONFIRMED', 'COMPLETED', 'CANCELLED', 'NO_SHOW')
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NOT NULL DEFAULT 'SCHEDULED',
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
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KEY idx_appt_patient (patient_id),
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KEY idx_appt_doctor (doctor_id),
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KEY idx_appt_date (appointment_date),
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KEY idx_appt_status (status),
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CONSTRAINT fk_appt_patient FOREIGN KEY (patient_id) REFERENCES patients(id),
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CONSTRAINT fk_appt_doctor FOREIGN KEY (doctor_id) REFERENCES users(id)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 8. AI 配置 ai_settings （AiSettings.java，单行 id=1）
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-- 亦可由 ./data/ai 文件持久化，视部署配置而定
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS ai_settings (
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id BIGINT PRIMARY KEY,
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api_base_url VARCHAR(500) NULL,
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api_key VARCHAR(500) NULL,
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model VARCHAR(120) NULL,
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enabled BOOLEAN NOT NULL DEFAULT FALSE,
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temperature DOUBLE NOT NULL DEFAULT 0.7,
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system_prompt TEXT NULL,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 9. AI 知识库 ai_knowledge_docs （AiKnowledgeDoc.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS ai_knowledge_docs (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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title VARCHAR(200) NOT NULL,
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category VARCHAR(64) NULL,
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content TEXT NOT NULL,
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enabled BOOLEAN NOT NULL DEFAULT TRUE,
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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updated_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP ON UPDATE CURRENT_TIMESTAMP,
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KEY idx_knowledge_category (category),
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KEY idx_knowledge_enabled (enabled)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ------------------------------------------------------------
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-- 10. AI 对话历史 ai_chat_messages （AiChatMessage.java）
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-- ------------------------------------------------------------
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CREATE TABLE IF NOT EXISTS ai_chat_messages (
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id BIGINT PRIMARY KEY AUTO_INCREMENT,
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user_id BIGINT NOT NULL,
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mode VARCHAR(16) NOT NULL COMMENT '如 chat / rag 等',
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question TEXT NOT NULL,
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answer TEXT NOT NULL,
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sources_json TEXT NULL COMMENT '引用知识片段 JSON',
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created_at TIMESTAMP NULL DEFAULT CURRENT_TIMESTAMP,
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KEY idx_chat_user (user_id),
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KEY idx_chat_created (created_at),
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CONSTRAINT fk_chat_user FOREIGN KEY (user_id) REFERENCES users(id)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;
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-- ============================================================
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-- 已有库升级片段（旧 MySQL → 当前结构）
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-- 新库请直接用上方 CREATE；旧库按需取消注释执行
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-- （重复执行可能报 Duplicate column / key，可忽略）
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-- ============================================================
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-- ALTER TABLE ai_diagnosis_results ADD COLUMN detections_json TEXT NULL COMMENT '检测框 JSON';
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-- ALTER TABLE ai_diagnosis_results ADD COLUMN annotated_image_url VARCHAR(512) NULL COMMENT '标注图路径';
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-- ALTER TABLE ai_diagnosis_results ADD COLUMN full_report TEXT NULL COMMENT '完整报告';
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-- ALTER TABLE ai_diagnosis_results ADD COLUMN engine VARCHAR(64) NULL COMMENT '引擎标识';
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-- ALTER TABLE ai_diagnosis_results ADD COLUMN fallback_flag BOOLEAN NULL COMMENT '是否降级';
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--
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-- CREATE INDEX idx_imaging_status ON imaging_records (status);
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-- CREATE INDEX idx_imaging_study_type ON imaging_records (study_type);
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-- CREATE INDEX idx_ai_diag_imaging ON ai_diagnosis_results (imaging_record_id);
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-- CREATE INDEX idx_appt_date ON appointments (appointment_date);
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-- ============================================================
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-- 可选示例数据（默认由 DataInitializer 写入，无需手动执行）
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-- 密码必须为 BCrypt，勿写明文。演示账号明文仅作对照：
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-- admin/admin123 doctor1/pass123 radio1/radio123
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-- ============================================================
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-- INSERT INTO users (username, password, real_name, role, department, phone, email, enabled) VALUES
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-- ('admin', '<BCrypt(admin123)>', '系统管理员', 'ADMIN', '信息科', '13800000000', 'admin@hospital.com', TRUE),
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-- ('doctor1', '<BCrypt(pass123)>', '张医生', 'DOCTOR', '内科', '13800138000', 'zhang@hospital.com', TRUE),
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-- ('radio1', '<BCrypt(radio123)>', '王影像师', 'RADIOLOGIST', '影像科', '13800138111', 'wang@hospital.com', TRUE);
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--
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-- INSERT INTO patients (name, gender, age, id_card, phone, address, medical_history) VALUES
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-- ('李明', 'MALE', 45, '110101199001011234', '13900139000', '北京市朝阳区', '高血压病史5年');
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--
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-- INSERT INTO imaging_records (patient_id, doctor_id, study_type, body_part, image_url, status) VALUES
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-- (1, 2, 'CT', '胸部', '/uploads/images/demo_chest.png', 'PENDING');
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--
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-- INSERT INTO appointments (patient_id, doctor_id, department, appointment_date, appointment_time, reason, notes, status) VALUES
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-- (1, 2, '内科', DATE_ADD(CURDATE(), INTERVAL 1 DAY), '09:30:00', '复诊随访', '示例预约', 'SCHEDULED');
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-- ============================================================
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-- 非数据库：YOLO 权重侧配置示意（勿当 SQL 执行）
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-- 文件：ai-service/data/yolo_config.json
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-- {
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-- "active_weight": "chest-xray-yolov8-detect.pt",
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-- "demo_mode": "auto",
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-- "deleted_weights": [],
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-- "updated_at": "..."
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-- }
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-- deleted_weights = 逻辑删除列表（列表隐藏，.pt 文件仍在 weights 目录）
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-- ============================================================
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