From 2a7f1326b98ff5ed43d9260566caa0b53d9f2038 Mon Sep 17 00:00:00 2001
From: Auora <14587305+auoraasd@user.noreply.gitee.com>
Date: Fri, 31 Oct 2025 16:23:12 +0800
Subject: [PATCH] =?UTF-8?q?[bug]=E4=BF=AE=E6=94=B9=E5=B0=B1=E8=AF=8A?=
 =?UTF-8?q?=E6=97=B6=EF=BC=8C=E5=B0=B1=E8=AF=8A=E6=97=B6=E9=97=B4=E9=80=BB?=
 =?UTF-8?q?=E8=BE=91?=
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---
 .../doctorstation/components/emr/emr.vue      | 44 ++++++++++---------
 .../src/views/doctorstation/index.vue         | 14 ++++++
 2 files changed, 38 insertions(+), 20 deletions(-)

diff --git a/openhis-ui-vue3/src/views/doctorstation/components/emr/emr.vue b/openhis-ui-vue3/src/views/doctorstation/components/emr/emr.vue
index c4cab1ea..06ac4c58 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/emr/emr.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/emr/emr.vue
@@ -203,18 +203,32 @@ import { saveEmr, getEmrDetail, saveEmrTemplate } from '../api';
 import emrTemplate from '../emr/emrtemplate.vue';
 import emrhistory from '../emr/emrhistory.vue';
 
-import { ref, computed } from 'vue';
+import { ref, computed, watch, getCurrentInstance } from 'vue';
+import { formatDate } from '@/utils/index';
+
+// 2. 当前就诊日期（默认为当前时间；复诊为初诊日期）
+const props = defineProps({
+  patientInfo: {
+    type: Object,
+    required: true,
+  },
+  visitType: {  // 接收父组件传来的值
+    type: String,
+    default: '',
+  },
+  firstVisitDate: { // 父组件计算的初诊日期（若有历史病历）
+    type: String,
+    default: '',
+  },
+});
 
-// 2. 当前就诊日期（默认为当前时间）
 const currentVisitDate = computed(() => {
-  return new Date().toLocaleString('zh-CN', {
-    year: 'numeric',
-    month: '2-digit',
-    day: '2-digit',
-    hour: '2-digit',
-    minute: '2-digit',
-    second: '2-digit',
-  });
+  // 复诊优先展示初诊日期
+  if (props.visitType === 'FOLLOW_UP' && props.firstVisitDate) {
+    return props.firstVisitDate;
+  }
+  // 初诊或未获取初诊日期时，展示挂号时间或当前时间
+  return formatDate(props.patientInfo?.registerTime || new Date());
 });
 
 const form = ref({});
@@ -228,16 +242,6 @@ const { proxy } = getCurrentInstance();
 const showDialog = ref('');
 const openEmrTemplate = ref(false);
 const templateName = ref('');
-const props = defineProps({
-  patientInfo: {
-    type: Object,
-    required: true,
-  },
-  visitType: {  // ✅ 接收父组件传来的值
-    type: String,
-    default: '',
-  },
-});
 
 watch(
   () => form.value,
diff --git a/openhis-ui-vue3/src/views/doctorstation/index.vue b/openhis-ui-vue3/src/views/doctorstation/index.vue
index 0bc76c13..5d691caa 100644
--- a/openhis-ui-vue3/src/views/doctorstation/index.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/index.vue
@@ -148,6 +148,7 @@
                 }
               "
               :visitType="visitType" 
+              :firstVisitDate="firstVisitDate"
             />
           </el-tab-pane>
           <el-tab-pane label="诊断" name="diagnosis">
@@ -266,6 +267,7 @@ const waitCount = ref(0);
 const loading = ref(false);
 const { proxy } = getCurrentInstance();
 const visitType = ref('');
+const firstVisitDate = ref('');
 const disabled = computed(() => {
   return Object.keys(patientInfo.value).length === 0;
 });
@@ -294,6 +296,7 @@ function setVisitType(type) {
 function checkPatientHistory(patient) {
 // 重置状态
   visitTypeDisabled.value = false;
+  firstVisitDate.value = '';
   
   // 如果患者没有身份证号，无法判断是否为初诊
   if (!patient.idCard) {
@@ -320,20 +323,31 @@ function checkPatientHistory(patient) {
   
   getEmrHistoryList(params).then(res => {
     if (res.code === 200) {
+      const records = res.data?.records || [];
       // 如果有历史记录，则为复诊
       if (res.data && res.data.total > 0) {
         visitType.value = 'FOLLOW_UP';
+        // 计算最早一次病历创建时间作为初诊日期
+        const earliest = records.reduce((min, cur) => {
+          const ct = new Date(cur.createTime).getTime();
+          return ct < min ? ct : min;
+        }, new Date(records[0].createTime).getTime());
+        // 使用统一格式化
+        firstVisitDate.value = formatDate(earliest);
       } else {
         // 如果没有历史记录，则为初诊
         visitType.value = 'FIRST';
+        firstVisitDate.value = '';
       }
     } else {
       // 请求失败，默认设置为初诊
       visitType.value = 'FIRST';
+      firstVisitDate.value = '';
     }
   }).catch(() => {
     // 异常情况，默认设置为初诊
     visitType.value = 'FIRST';
+    firstVisitDate.value = '';
   });
 }
 function getWaitPatient() {