```

docs(health-profile): 添加防编造加固修订记录到导出健康档案设计文档

补充了关于导出摘要出现虚构病例问题的详细分析和修复方案，
包括检索策略优化、空数据兜底处理和prompt重写等三层防护措施。
```

康康/Features/Diary/DiaryQuickSheet.swift

@@ -26,6 +26,12 @@ struct DiaryQuickSheet: View {
     /// 累积已覆盖的问诊维度(question.dim),回传下一轮 prompt 用于按维度去重。
     @State private var coveredDims: Set<String> = []
     @State private var suggestTask: Task<Void, Never>?
+    /// 当前正在「就地填空」的 question id;nil = 没有展开的填空面板。
+    @State private var fillingId: UUID?
+    /// 当前填空面板各占位槽的输入值,长度 = 该模板占位数。
+    @State private var fillValues: [String] = []
+    /// 上一轮「再问一轮」没问出任何新维度(全被去重)时为 true,提示用户已覆盖主要维度。
+    @State private var exhaustedNote = false
     /// sheet detent。默认 large,确保建议面板有足够展示空间。
     /// 仍保留 medium,用户可手动下拉收回为半屏(纯写文本时更轻量)。
     @State private var detent: PresentationDetent = .large
@@ -76,6 +82,7 @@ struct DiaryQuickSheet: View {
                                       text: $content, axis: .vertical)
                                 .lineLimit(3...8)
                                 .focused($contentFocused)
+                                .onChange(of: content) { _, _ in exhaustedNote = false }
                                 .padding(.horizontal, 14)
                                 .padding(.vertical, 12)
                                 .background(
@@ -177,6 +184,19 @@ struct DiaryQuickSheet: View {
                 }
             }
 
+            if exhaustedNote {
+                HStack(spacing: 6) {
+                    Image(systemName: "checkmark.seal.fill")
+                        .font(.system(size: 11))
+                        .foregroundStyle(Tj.Palette.leaf)
+                    Text("已覆盖主要问诊维度;补充原文后可再追问")
+                        .font(.system(size: 11))
+                        .foregroundStyle(Tj.Palette.text3)
+                    Spacer(minLength: 0)
+                }
+                .padding(.vertical, 2)
+            }
+
             // 底部主操作按钮(状态机驱动)
             phaseFooter
         }
@@ -318,6 +338,7 @@ struct DiaryQuickSheet: View {
 
     private func questionRow(index: Int, question: DiaryAssistService.Question) -> some View {
         let adopted = question.adopted
+        let filling = fillingId == question.id
         return VStack(alignment: .leading, spacing: 6) {
             HStack(alignment: .top, spacing: 8) {
                 Text("\(index).")
@@ -341,7 +362,7 @@ struct DiaryQuickSheet: View {
                     .padding(.horizontal, 8)
                     .padding(.vertical, 5)
                     .background(Capsule().fill(Tj.Palette.leafSoft))
-                } else {
+                } else if !filling {
                     Button { adopt(question) } label: {
                         HStack(spacing: 4) {
                             Image(systemName: "plus.circle.fill")
@@ -357,7 +378,14 @@ struct DiaryQuickSheet: View {
                     .buttonStyle(.plain)
                 }
             }
-            if !question.fill.isEmpty && !adopted {
+            if filling {
+                QuestionFillPanel(
+                    template: question.fill,
+                    values: $fillValues,
+                    onCommit: { assembled in commitAdoption(question, text: assembled) },
+                    onCancel: { closeFill() }
+                )
+            } else if !question.fill.isEmpty && !adopted {
                 HStack(alignment: .top, spacing: 4) {
                     Text("将追加:")
                         .font(.system(size: 11))
@@ -405,6 +433,7 @@ struct DiaryQuickSheet: View {
                 detent = .large
             }
         }
+        exhaustedNote = false
         phase = .loading
         suggestTask = Task { @MainActor in
             do {
@@ -413,21 +442,34 @@ struct DiaryQuickSheet: View {
                     coveredDimensions: covered
                 )
                 if Task.isCancelled { return }
-                // 客户端字面兜底(防 LLM 不听话);跨轮去重主要靠 prompt 的维度排除。
-                let existing = Set(questions.map { Self.normalize($0.q) })
+                // 客户端硬去重(不依赖 1.7B 听话):
+                //   ① 维度已在往轮覆盖 → 丢;② 本轮内维度重复 → 丢;③ 文本与已有近似 → 丢。
+                let coveredSnapshot = coveredDims
+                var acceptedNorms = questions.map { Self.normalize($0.q) }
+                var batchDims = Set<String>()
                 let nextRound = currentRound + 1
-                let fresh = result.questions
-                    .filter { !existing.contains(Self.normalize($0.q)) }
-                    .map { q -> DiaryAssistService.Question in
-                        var stamped = q
-                        stamped.round = nextRound
-                        return stamped
-                    }
+                let fresh = result.questions.compactMap { q -> DiaryAssistService.Question? in
+                    let dim = q.dim.trimmingCharacters(in: .whitespacesAndNewlines)
+                    let norm = Self.normalize(q.q)
+                    if !dim.isEmpty, coveredSnapshot.contains(dim) { return nil }
+                    if !dim.isEmpty, batchDims.contains(dim) { return nil }
+                    if acceptedNorms.contains(where: { Self.isSimilar($0, norm) }) { return nil }
+                    if !dim.isEmpty { batchDims.insert(dim) }
+                    acceptedNorms.append(norm)
+                    var stamped = q
+                    stamped.round = nextRound
+                    return stamped
+                }
                 withAnimation(.snappy(duration: 0.2)) {
-                    questions.append(contentsOf: fresh)
-                    for q in fresh where !q.dim.isEmpty { coveredDims.insert(q.dim) }
+                    if fresh.isEmpty {
+                        exhaustedNote = true        // 这轮没问出任何新维度
+                    } else {
+                        questions.append(contentsOf: fresh)
+                        for q in fresh where !q.dim.isEmpty { coveredDims.insert(q.dim) }
+                        currentRound = nextRound
+                        exhaustedNote = false
+                    }
                     lastRate = result.decodeRate
-                    currentRound = nextRound
                     phase = .ready
                 }
             } catch is CancellationError {
@@ -449,20 +491,59 @@ struct DiaryQuickSheet: View {
          .replacingOccurrences(of: "?", with: "?")
     }
 
+    /// 近似判重:归一化后相等,或字符集 Jaccard ≥ 0.8(抓「会/下」这类换一两字的重复)。
+    private static func isSimilar(_ a: String, _ b: String) -> Bool {
+        if a == b { return true }
+        let sa = Set(a), sb = Set(b)
+        guard !sa.isEmpty, !sb.isEmpty else { return false }
+        let inter = sa.intersection(sb).count
+        let union = sa.union(sb).count
+        return union > 0 && Double(inter) / Double(union) >= 0.8
+    }
+
     private func cancelSuggestions() {
         suggestTask?.cancel()
         phase = hasQuestions ? .ready : .idle
     }
 
-    /// 把 question.fill 追加到 textfield 末尾,并把该 question 标记为 adopted。
+    /// 采纳:模板含 `[占位]` 时展开就地填空面板;无占位则直接把整句追加(并标记 adopted)。
     /// 已采纳的 q 不会从列表里消失;其维度已在生成时计入 coveredDims,下一轮 prompt 会避开。
     private func adopt(_ question: DiaryAssistService.Question) {
+        guard !question.fill.isEmpty, DiaryFillTemplate.slotCount(question.fill) > 0 else {
+            // 无占位:直接采纳整句(空 fill 时退回到追加问题本身)。
+            commitAdoption(question, text: question.fill.isEmpty ? question.q : question.fill)
+            return
+        }
+        withAnimation(.snappy(duration: 0.18)) {
+            fillingId = question.id
+            fillValues = Array(repeating: "", count: DiaryFillTemplate.slotCount(question.fill))
+        }
+    }
+
+    /// 关闭填空面板(取消)。
+    private func closeFill() {
+        withAnimation(.snappy(duration: 0.18)) {
+            fillingId = nil
+            fillValues = []
+        }
+    }
+
+    /// 提交采纳:把(填好的)整句追加到正文,标记 adopted,收起面板。
+    private func commitAdoption(_ question: DiaryAssistService.Question, text: String) {
         if let idx = questions.firstIndex(where: { $0.id == question.id }) {
             withAnimation(.snappy(duration: 0.18)) {
                 questions[idx].adopted = true
             }
         }
-        let toAppend = question.fill.isEmpty ? question.q : question.fill
+        appendToContent(text)
+        fillingId = nil
+        fillValues = []
+    }
+
+    /// 把一段补充文本追加到正文末尾(自动补换行,空文本忽略)。
+    private func appendToContent(_ text: String) {
+        let toAppend = text.trimmingCharacters(in: .whitespacesAndNewlines)
+        guard !toAppend.isEmpty else { return }
         let trimmed = content.trimmingCharacters(in: .whitespacesAndNewlines)
         if trimmed.isEmpty {
             content = toAppend

康康/Features/Diary/QuestionFillPanel.swift

@@ -0,0 +1,235 @@
+import SwiftUI
+
+/// AI 补充句模板(如「症状从 [时间] 开始,」)的一个片段:字面文本或待填占位槽。
+enum FillSegment: Equatable {
+    case literal(String)
+    /// `label` 为方括号内原文(如 "时间" / "活动/休息");
+    /// `options` 为可一键填充的短词候选(`/` 分隔且都短时才有,否则空)。
+    case slot(label: String, options: [String])
+}
+
+/// 把 `fill` 模板解析成有序片段、组装回填好的句子。纯值逻辑,便于复用与单测。
+enum DiaryFillTemplate {
+
+    /// 解析模板为有序片段。无方括号时返回单个 `.literal`。
+    static func parse(_ template: String) -> [FillSegment] {
+        let chars = Array(template)
+        var segs: [FillSegment] = []
+        var i = 0
+        var literalStart = 0
+        func flushLiteral(upTo end: Int) {
+            if end > literalStart { segs.append(.literal(String(chars[literalStart..<end]))) }
+        }
+        while i < chars.count {
+            if chars[i] == "[",
+               let close = (i + 1 ..< chars.count).first(where: { chars[$0] == "]" }) {
+                flushLiteral(upTo: i)
+                let inner = String(chars[(i + 1)..<close])
+                segs.append(.slot(label: inner, options: options(from: inner)))
+                i = close + 1
+                literalStart = i
+            } else {
+                i += 1
+            }
+        }
+        flushLiteral(upTo: chars.count)
+        return segs
+    }
+
+    /// 占位内 `/` 分隔、每段都短(≤5 字)、且 ≥2 段时,视为可点选的快填候选。
+    private static func options(from inner: String) -> [String] {
+        let tokens = inner.split(separator: "/")
+            .map { $0.trimmingCharacters(in: .whitespaces) }
+            .filter { !$0.isEmpty }
+        guard tokens.count >= 2, tokens.allSatisfy({ $0.count <= 5 }) else { return [] }
+        return tokens
+    }
+
+    /// 模板里的占位槽数量。
+    static func slotCount(_ template: String) -> Int {
+        parse(template).reduce(0) { acc, seg in
+            if case .slot = seg { return acc + 1 }
+            return acc
+        }
+    }
+
+    /// 用 `values` 填充各槽组装成句:已填用输入值,留空回退为方括号内原文(去方括号,读起来仍自然)。
+    static func assemble(_ template: String, values: [String]) -> String {
+        var out = ""
+        var idx = 0
+        for seg in parse(template) {
+            switch seg {
+            case .literal(let t):
+                out += t
+            case .slot(let label, _):
+                let v = idx < values.count
+                    ? values[idx].trimmingCharacters(in: .whitespacesAndNewlines) : ""
+                out += v.isEmpty ? label : v
+                idx += 1
+            }
+        }
+        return out
+    }
+}
+
+/// 「采纳即就地填空」面板:每个 `[占位]` 一个输入框 + 快填 chip,顶部实时预览整句,
+/// 底部「加入记录 / 取消」。确认时回传**填好的、无方括号**的整句。
+struct QuestionFillPanel: View {
+    let template: String
+    @Binding var values: [String]
+    let onCommit: (String) -> Void
+    let onCancel: () -> Void
+
+    private var segments: [FillSegment] { DiaryFillTemplate.parse(template) }
+
+    /// 抽出占位槽 + 其在 values 里的下标。
+    private var slots: [(index: Int, label: String, options: [String])] {
+        var result: [(Int, String, [String])] = []
+        var i = 0
+        for seg in segments {
+            if case let .slot(label, options) = seg {
+                result.append((i, label, options))
+                i += 1
+            }
+        }
+        return result
+    }
+
+    var body: some View {
+        VStack(alignment: .leading, spacing: 10) {
+            // 实时预览:已填值高亮,未填槽浅色下划线提示。
+            previewText
+                .font(.system(size: 13))
+                .fixedSize(horizontal: false, vertical: true)
+                .frame(maxWidth: .infinity, alignment: .leading)
+                .padding(10)
+                .background(
+                    RoundedRectangle(cornerRadius: Tj.Radius.sm, style: .continuous)
+                        .fill(Tj.Palette.sand2)
+                )
+
+            ForEach(slots, id: \.index) { slot in
+                slotEditor(index: slot.index, label: slot.label, options: slot.options)
+            }
+
+            HStack(spacing: 8) {
+                Button(action: onCancel) {
+                    Text("取消")
+                        .font(.system(size: 13, weight: .semibold))
+                        .foregroundStyle(Tj.Palette.text2)
+                        .frame(maxWidth: .infinity)
+                        .padding(.vertical, 9)
+                        .background(
+                            RoundedRectangle(cornerRadius: Tj.Radius.sm, style: .continuous)
+                                .strokeBorder(Tj.Palette.line, lineWidth: 1)
+                        )
+                        // 背景仅描边、内部透明:.plain 按钮的命中区会只剩文字本身,
+                        // 中间透明区点不到。补 contentShape 让整框可点。
+                        .contentShape(Rectangle())
+                }
+                .buttonStyle(.plain)
+
+                Button {
+                    onCommit(DiaryFillTemplate.assemble(template, values: values))
+                } label: {
+                    HStack(spacing: 5) {
+                        Image(systemName: "text.append")
+                            .font(.system(size: 12, weight: .semibold))
+                        Text("加入记录")
+                            .font(.system(size: 13, weight: .semibold))
+                    }
+                    .foregroundStyle(Tj.Palette.paper)
+                    .frame(maxWidth: .infinity)
+                    .padding(.vertical, 9)
+                    .background(
+                        RoundedRectangle(cornerRadius: Tj.Radius.sm, style: .continuous)
+                            .fill(Tj.Palette.ink)
+                    )
+                }
+                .buttonStyle(.plain)
+            }
+        }
+        .padding(.leading, 22)
+        .padding(.top, 2)
+    }
+
+    // MARK: - 子部件
+
+    /// 预览整句:literal 用正文色,已填值用 brick 加粗,未填槽用浅色下划线。
+    private var previewText: Text {
+        var result = Text("")
+        var idx = 0
+        for seg in segments {
+            switch seg {
+            case .literal(let t):
+                result = result + Text(t).foregroundStyle(Tj.Palette.text)
+            case .slot(let label, _):
+                let v = idx < values.count
+                    ? values[idx].trimmingCharacters(in: .whitespacesAndNewlines) : ""
+                if v.isEmpty {
+                    result = result + Text(label).foregroundStyle(Tj.Palette.text3).underline()
+                } else {
+                    result = result + Text(v).foregroundStyle(Tj.Palette.brick).fontWeight(.semibold)
+                }
+                idx += 1
+            }
+        }
+        return result
+    }
+
+    private func slotEditor(index: Int, label: String, options: [String]) -> some View {
+        VStack(alignment: .leading, spacing: 6) {
+            Text(label)
+                .font(.system(size: 11, weight: .semibold))
+                .foregroundStyle(Tj.Palette.text3)
+
+            if !options.isEmpty {
+                HStack(spacing: 6) {
+                    ForEach(options, id: \.self) { opt in
+                        let picked = bindingValue(index) == opt
+                        Button { values[index] = opt } label: {
+                            Text(opt)
+                                .font(.system(size: 12, weight: picked ? .semibold : .regular))
+                                .foregroundStyle(picked ? Tj.Palette.paper : Tj.Palette.text)
+                                .padding(.horizontal, 10)
+                                .padding(.vertical, 5)
+                                .background(
+                                    Capsule().fill(picked ? Tj.Palette.ink : Tj.Palette.paper)
+                                )
+                                .overlay(
+                                    Capsule().strokeBorder(Tj.Palette.line,
+                                                           lineWidth: picked ? 0 : 1)
+                                )
+                        }
+                        .buttonStyle(.plain)
+                    }
+                    Spacer(minLength: 0)
+                }
+            }
+
+            TextField(String(appLoc: "填写\(label)"), text: binding(index))
+                .font(.system(size: 13))
+                .padding(.horizontal, 12)
+                .padding(.vertical, 9)
+                .background(
+                    RoundedRectangle(cornerRadius: Tj.Radius.sm, style: .continuous)
+                        .fill(Tj.Palette.paper)
+                )
+                .overlay(
+                    RoundedRectangle(cornerRadius: Tj.Radius.sm, style: .continuous)
+                        .strokeBorder(Tj.Palette.line, lineWidth: 1)
+                )
+        }
+    }
+
+    private func bindingValue(_ i: Int) -> String {
+        i < values.count ? values[i] : ""
+    }
+
+    private func binding(_ i: Int) -> Binding<String> {
+        Binding(
+            get: { i < values.count ? values[i] : "" },
+            set: { if i < values.count { values[i] = $0 } }
+        )
+    }
+}