From 7ac3f7a8b44febee96c16c9fcb4342df1f972def Mon Sep 17 00:00:00 2001
From: thug0bin <thug0bin@users.noreply.git.0bin.in>
Date: Thu, 5 Mar 2026 11:04:03 +0900
Subject: [PATCH] =?UTF-8?q?feat:=20PAAI=20=EB=B6=84=EC=84=9D=EC=97=90=20?=
 =?UTF-8?q?=ED=99=98=EC=9E=90=20=ED=8A=B9=EC=9D=B4=EC=82=AC=ED=95=AD(CUSET?=
 =?UTF-8?q?C)=20=ED=8F=AC=ED=95=A8?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
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추가:
- AI 프롬프트에 '환자 특이사항' 섹션 추가
- 알러지, 기저질환, 주의사항 등 약사가 입력한 메모 활용
- 예: '투석실 환자' → AI가 신장약물 주의사항 안내

변경 파일:
- pmr_api.py: patient_note 파라미터 추가, build_paai_prompt 수정
- pmr.html: requestSnapshot에 patient_note 포함
- prescription_trigger.py: cusetc → patient_note 전달

효과:
- 환자별 맞춤 복약 안내 품질 향상
- 알러지/금기 정보 반영으로 안전성 강화
---
 backend/pmr_api.py         | 13 +++++++++++--
 backend/templates/pmr.html |  1 +
 2 files changed, 12 insertions(+), 2 deletions(-)

diff --git a/backend/pmr_api.py b/backend/pmr_api.py
index d806c78..2573292 100644
--- a/backend/pmr_api.py
+++ b/backend/pmr_api.py
@@ -975,6 +975,7 @@ def paai_analyze():
         pre_serial = data.get('pre_serial')
         cus_code = data.get('cus_code')
         patient_name = data.get('patient_name')
+        patient_note = data.get('patient_note', '')  # 환자 특이사항 (알러지, 기저질환 등)
         disease_info = data.get('disease_info', {})
         current_medications = data.get('current_medications', [])
         previous_serial = data.get('previous_serial')
@@ -1056,7 +1057,8 @@ def paai_analyze():
             current_medications=current_medications,
             prescription_changes=prescription_changes,
             kims_interactions=kims_interactions,
-            otc_history=otc_history
+            otc_history=otc_history,
+            patient_note=patient_note
         )
         
         # 5. Clawdbot AI 호출 (WebSocket)
@@ -1146,7 +1148,8 @@ def build_paai_prompt(
     current_medications: list,
     prescription_changes: dict,
     kims_interactions: list,
-    otc_history: dict
+    otc_history: dict,
+    patient_note: str = ''
 ) -> str:
     """AI 프롬프트 생성"""
     
@@ -1194,11 +1197,17 @@ def build_paai_prompt(
         for item in otc_history['frequent_items'][:5]:
             otc_lines.append(f"- {item.get('name', '?')} ({item.get('count', 0)}회 구매)")
     
+    # 환자 특이사항 (알러지, 기저질환 등)
+    note_text = patient_note.strip() if patient_note else ''
+    
     prompt = f"""당신은 약사를 보조하는 AI입니다. 환자 정보와 KIMS 상호작용 데이터를 바탕으로 분석해주세요.
 
 ## 환자 질병
 {chr(10).join(diseases) if diseases else '- 정보 없음'}
 
+## 환자 특이사항 (알러지/기저질환/주의사항)
+{note_text if note_text else '- 없음'}
+
 ## 현재 처방
 {chr(10).join(med_lines) if med_lines else '- 정보 없음'}
 
diff --git a/backend/templates/pmr.html b/backend/templates/pmr.html
index c469db3..bfe799b 100644
--- a/backend/templates/pmr.html
+++ b/backend/templates/pmr.html
@@ -1893,6 +1893,7 @@
                 pre_serial: preSerial,
                 cus_code: currentPrescriptionData.cus_code,
                 patient_name: patientName,
+                patient_note: currentPrescriptionData.cusetc || '',  // 환자 특이사항 (알러지, 기저질환 등)
                 disease_info: {
                     code_1: currentPrescriptionData.st1 || '',
                     name_1: currentPrescriptionData.st1_name || '',