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还原门诊医生站

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chenqi
2025-12-12 15:57:03 +08:00
parent f33e3c6f15
commit 538dde55f7
1 changed files with 88 additions and 253 deletions
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341
openhis-ui-vue3/src/views/doctorstation/index.vue
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@@ -3,43 +3,24 @@
<div style="width: 15%; height: 100%; border: 1px solid #eee; border-right: 0">
<div style="padding: 10px; border: 1px solid #eee; height: 50px; border-right: 0">
<span>现诊患者</span>
<el-badge
:value="waitCount > 0 ? waitCount : ''"
:max="10"
style="float: right; color: #409eff; cursor: pointer; margin-right: 10px"
>
<el-badge :value="waitCount > 0 ? waitCount : ''" :max="10"
style="float: right; color: #409eff; cursor: pointer; margin-right: 10px">
<span @click="openDrawer"> 患者队列 </span>
</el-badge>
</div>
<div style="width: 100%; padding: 10px">
<el-input
v-model="queryParams.searchKey"
placeholder="请输入患者名"
clearable
style="width: 100%; margin-bottom: 10px"
@keyup.enter="getPatientList"
>
<el-input v-model="queryParams.searchKey" placeholder="请输入患者名" clearable
style="width: 100%; margin-bottom: 10px" @keyup.enter="getPatientList">
<template #append>
<el-button icon="Search" @click="getPatientList" />
</template>
</el-input>
<el-date-picker
v-model="registerTime"
@change="handleTimeChange"
type="date"
style="width: 100%; margin-bottom: 10px"
:clearable="false"
placeholder="挂号时间"
format="YYYY-MM-DD"
value-format="YYYY-MM-DD"
/>
<el-date-picker v-model="registerTime" @change="handleTimeChange" type="daterange"
style="width: 100%; margin-bottom: 10px" :clearable="false" placeholder="挂号时间" format="YYYY-MM-DD"
value-format="YYYY-MM-DD" />
<el-scrollbar height="700px">
<div
v-for="(item, index) in patientList"
:class="item.active ? 'patient-card actived' : 'patient-card'"
:key="item.id"
@click="handleCardClick(item, index)"
>
<div v-for="(item, index) in patientList" :class="item.active ? 'patient-card actived' : 'patient-card'"
:key="item.id" @click="handleCardClick(item, index)">
<div class="main-info-container">
<!-- <el-avatar
:size="30"
@@ -78,29 +59,32 @@
</div>
<div class="disabled-wrapper" style="width: 85%; border: 1px solid #eee; position: relative">
<div style="padding: 10px; border: 1px solid #eee; height: 50px; border-left: 0">
<el-descriptions :column="5" class="patient-info-descriptions">
<el-descriptions-item label="患者信息:" width="420">
<el-descriptions :column="4">
<el-descriptions-item label="患者信息:" width="150">
{{
Object.keys(patientInfo).length !== 0
? patientInfo.patientName +
' / ' +
patientInfo.age +
' / ' +
patientInfo.genderEnum_enumText +
' / ' +
patientInfo.contractName +
'/' +
patientInfo.phone
' / ' +
patientInfo.age +
' / ' +
patientInfo.genderEnum_enumText +
' / ' +
patientInfo.contractName
: '-'
}}
</el-descriptions-item>
<el-descriptions-item label="挂号时间：" width="300">
<el-descriptions-item label="挂号时间：" width="150">
{{ Object.keys(patientInfo).length !== 0 ? formatDate(patientInfo.registerTime) : '-' }}
</el-descriptions-item>
<el-descriptions-item label="医生：" width="250">
{{ userStore.nickName }}
</el-descriptions-item>
<el-descriptions-item label="" width="300">
<el-descriptions-item label="医生：" width="150">{{
userStore.name
}}</el-descriptions-item>
<el-descriptions-item label="" width="350">
<!-- 初诊 / 复诊 按钮 -->
<el-radio v-model="visitType" label="FIRST" :disabled="visitTypeDisabled">初诊</el-radio>
<el-radio v-model="visitType" label="FOLLOW_UP" :disabled="visitTypeDisabled">复诊</el-radio>
<!-- 原有按钮 -->
<el-button type="primary" plain @click.stop="handleFinish(patientInfo.encounterId)">
完诊
</el-button>
@@ -110,121 +94,44 @@
<el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
退费
</el-button>
<el-button
type="primary"
plain
@click.stop="getEnPrescription(patientInfo.encounterId)"
>
<el-button type="primary" plain @click.stop="getEnPrescription(patientInfo.encounterId)">
处方单
</el-button>
<el-button
type="primary"
plain
@click.stop="
() => {
openDialog = true;
}
"
>
<el-button type="primary" plain @click.stop="openDialog = true">
办理住院
</el-button>
<el-button type="primary" plain @click.stop="handleCancelEncounter">
取消接诊
</el-button>
</el-descriptions-item>
<el-descriptions-item label="医生：" width="150">{{
userStore.name
}}</el-descriptions-item>
<el-descriptions-item label="" width="350">
<!-- 初诊 / 复诊 按钮 -->
<el-radio v-model="visitType" label="FIRST" :disabled="visitTypeDisabled">初诊</el-radio>
<el-radio v-model="visitType" label="FOLLOW_UP" :disabled="visitTypeDisabled">复诊</el-radio>
<!-- 原有按钮 -->
<el-button type="primary" plain @click.stop="handleFinish(patientInfo.encounterId)">
完诊
</el-button>
<el-button type="primary" plain @click.stop="handleLeave(patientInfo.encounterId)">
暂离
</el-button>
<el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
退费
</el-button>
<el-button
type="primary"
plain
@click.stop="getEnPrescription(patientInfo.encounterId)"
>
处方单
</el-button>
<el-button
type="primary"
plain
@click.stop="openDialog = true"
>
办理住院
</el-button>
<el-button
type="primary"
plain
@click.stop="handleCancelEncounter"
>
取消接诊
</el-button>
</el-descriptions-item>
</el-descriptions>
</div>
<div style="padding: 10px">
<el-tabs
type="card"
style="width: 100%; height: 100%"
v-loading="loading"
v-model="activeTab"
@tab-change="handleClick(activeTab)"
>
<el-tab-pane label="门诊病历" name="hospitalizationEmr">
<hospitalizationEmr
:patientInfo="patientInfo"
:activeTab="activeTab"
@emrSaved="handleEmrSaved"
/>
</el-tab-pane>
<el-tabs type="card" style="width: 100%; height: 100%" v-loading="loading" v-model="activeTab"
@tab-change="handleClick(activeTab)">
<el-tab-pane label="病历" name="emr">
<Emr
:patientInfo="patientInfo"
ref="emrRef"
@save="
(value) => {
saveStatus = value;
}
"
:visitType="visitType"
:firstVisitDate="firstVisitDate"
/>
<Emr :patientInfo="patientInfo" ref="emrRef" @save="
(value) => {
saveStatus = value;
}
" :visitType="visitType" :firstVisitDate="firstVisitDate" />
</el-tab-pane>
<el-tab-pane label="诊断" name="diagnosis">
<Diagnosis
:patientInfo="patientInfo"
ref="diagnosisRef"
@diagnosisSave="
(value) => {
saveStatus = value;
}
"
/>
<Diagnosis :patientInfo="patientInfo" ref="diagnosisRef" @diagnosisSave="
(value) => {
saveStatus = value;
}
" />
</el-tab-pane>
<el-tab-pane label="医嘱" name="prescription">
<prescriptionlist
:patientInfo="patientInfo"
ref="prescriptionRef"
:activeTab="activeTab"
:outpatientEmrSaved="outpatientEmrSaved"
/>
<prescriptionlist :patientInfo="patientInfo" ref="prescriptionRef" :activeTab="activeTab" />
</el-tab-pane>
<el-tab-pane label="中医" name="tcm">
<tcmAdvice :patientInfo="patientInfo" ref="tcmRef" />
</el-tab-pane>
<!-- <el-tab-pane label="电子处方" name="eprescription">
<el-tab-pane label="电子处方" name="eprescription">
<eprescriptionlist :patientInfo="patientInfo" ref="eprescriptionRef" />
</el-tab-pane>
-->
</el-tabs>
<div class="overlay" v-if="disabled"></div>
</div>
@@ -232,27 +139,15 @@
<el-drawer v-model="drawer" title="患者队列" direction="ltr" @open="handleOpen">
<PatientList ref="patientDrawerRef" @toCurrent="handleReceive" />
</el-drawer>
<RefundListDialog
:open="openRefundListDialog"
:encounterId="currentEncounterId"
@close="openRefundListDialog = false"
@refresh="() => prescriptionRef.getListInfo()"
/>
<HospitalizationDialog
:open="openDialog"
:patientInfo="patientInfo"
:encounterId="currentEncounterId"
@close="openDialog = false"
/>
<PrescriptionInfo
:open="openPrescriptionDialog"
:precriptionInfo="prescriptionInfo"
@close="openPrescriptionDialog = false"
/>
<RefundListDialog :open="openRefundListDialog" :encounterId="currentEncounterId"
@close="openRefundListDialog = false" />
<HospitalizationDialog :open="openDialog" :patientInfo="patientInfo" :encounterId="currentEncounterId"
@close="openDialog = false" />
<PrescriptionInfo :open="openPrescriptionDialog" :precriptionInfo="prescriptionInfo"
@close="openPrescriptionDialog = false" />
</div>
</template>
<script setup>
import hospitalizationEmr from './components/hospitalizationEmr/index.vue';
import Emr from './components/emr/emr.vue';
import {
getList,
@@ -267,14 +162,13 @@ import RefundListDialog from './components/prescription/refundListDialog.vue';
import PatientList from './components/patientList.vue';
import Diagnosis from './components/diagnosis/diagnosis.vue';
import PrescriptionInfo from './components/prescription/prescriptionInfo.vue';
// import eprescriptionlist from './components/eprescriptionlist.vue';
import eprescriptionlist from './components/eprescriptionlist.vue';
import HospitalizationDialog from './components/hospitalizationDialog.vue';
import tcmAdvice from './components/tcm/tcmAdvice.vue';
import { formatDate, formatDateStr } from '@/utils/index';
import useUserStore from '@/store/modules/user';
import { nextTick } from 'vue';
import { onBeforeRouteLeave } from 'vue-router';
import { updatePatientInfo } from './components/store/patient.js';
// // 监听路由离开事件
// onBeforeRouteLeave((to, from, next) => {
@@ -303,18 +197,15 @@ const openRefundListDialog = ref(false);
const openDialog = ref(false);
const openPrescriptionDialog = ref(false);
const saveStatus = ref(false);
const outpatientEmrSaved = ref(false); // 门诊病历保存状态
const currentEncounterId = ref('');
const emits = defineEmits(['click']);
// const activeTab = ref('emr');
const activeTab = ref('hospitalizationEmr');
const activeTab = ref('emr');
const patientList = ref([]);
const patientInfo = ref({});
const visitTypeDisabled = ref(false);
const prescriptionInfo = ref([]);
const registerTime = ref(formatDate(new Date()));
const registerTime = ref([formatDate(new Date()), formatDate(new Date())]);
const patientDrawerRef = ref();
const prescriptionRef = ref();
const tcmRef = ref();
@@ -328,90 +219,52 @@ const firstVisitDate = ref('');
const disabled = computed(() => {
return Object.keys(patientInfo.value).length === 0;
});
const shortcuts = [
{
text: '今天',
value: new Date(),
},
{
text: '昨天',
value: () => {
const date = new Date();
date.setDate(date.getDate() - 1);
return date;
},
},
{
text: '三天内',
value: () => {
const date = new Date();
date.setDate(date.getDate() - 3);
return date;
},
},
{
text: '一周内',
value: () => {
const date = new Date();
date.setDate(date.getDate() - 7);
return date;
},
},
];
// const eprescriptionRef = ref();
const eprescriptionRef = ref();
onMounted(() => {
getWaitPatient();
getPatientList();
});
getPatientList();
// 获取现诊患者列表
function getPatientList() {
queryParams.value.statusEnum = 2;
console.log('调用getPatientList，参数：', queryParams.value);
getList(queryParams.value).then((res) => {
console.log('getPatientList返回结果：', res);
if (res.data && res.data.records) {
patientList.value = res.data.records.map((item) => {
return {
...item,
active: currentEncounterId.value ? item.encounterId == currentEncounterId.value : false,
};
});
console.log('患者列表数据：', patientList.value);
} else {
console.error('API返回的数据格式不正确：', res);
}
}).catch(error => {
console.error('获取患者列表失败：', error);
patientList.value = res.data.records.map((item) => {
return {
...item,
active: currentEncounterId.value ? item.encounterId == currentEncounterId.value : false,
};
});
});
}
function setVisitType(type) {
visitType.value = type;
}
function checkPatientHistory(patient) {
// 重置状态
// 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) {
// 默认设置为初诊
visitType.value = 'FIRST';
return;
}
// 查询患者历史就诊记录
const params = {
patientId: patient.patientId,
idCard: patient.idCard
};
getEmrHistoryList(params).then(res => {
if (res.code === 200) {
const records = res.data?.records || [];
// 过滤掉当前正在进行的就诊记录（排除相同encounterId的记录）
const historyRecords = records.filter(record => record.encounterId !== patient.encounterId);
// 如果有历史记录（排除当前就诊），则为复诊
if (historyRecords.length > 0) {
visitType.value = 'FOLLOW_UP';
@@ -460,9 +313,9 @@ function handleClick(tab) {
case 'tcm':
tcmRef.value.getDiagnosisInfo();
break;
// case 'eprescription':
// eprescriptionRef.value.getList();
// break;
case 'eprescription':
eprescriptionRef.value.getList();
break;
}
// if (tab != 'emr') {
// if (!saveStatus.value) {
@@ -480,17 +333,12 @@ function handleClick(tab) {
// 查看本次就诊处方单（从医嘱Tab页获取已开立的处方单信息）
function getEnPrescription(encounterId) {
getEnPrescriptionInfo({ encounterId: encounterId }).then((res) => {
console.log('处方单 res', res);
prescriptionInfo.value = res.data.records;
openPrescriptionDialog.value = true;
});
// 检查是否有选中的患者
if (!patientInfo.value || !patientInfo.value.encounterId) {
proxy.$modal.msgWarning('请先选择患者');
return;
}
// 检查是否在医嘱Tab页，如果不在则切换到医嘱Tab页
if (activeTab.value !== 'prescription') {
activeTab.value = 'prescription';
@@ -556,16 +404,13 @@ function handleOpen() {
}
function handleCardClick(item, index) {
currentEncounterId.value = '';
currentEncounterId.value = '';
loading.value = true;
patientList.value.forEach((patient) => {
patient.active = patient.encounterId === item.encounterId;
});
patientInfo.value = item;
// 将患者信息保存到store中，供hospitalizationEmr组件使用
updatePatientInfo(item);
activeTab.value = 'hospitalizationEmr';
// 优先使用数据库中保存的初复诊值
if (item.visitType) {
visitType.value = item.visitType;
@@ -584,7 +429,7 @@ function handleCardClick(item, index) {
prescriptionRef.value.getListInfo();
tcmRef.value.getListInfo();
diagnosisRef.value.getList();
// eprescriptionRef.value.getList();
eprescriptionRef.value.getList();
emrRef.value.getDetail(item.encounterId);
setTimeout(() => {
loading.value = false;
@@ -615,8 +460,8 @@ function handleFinish(encounterId) {
}
function handleTimeChange(value) {
queryParams.value.registerTimeSTime = value + ' 00:00:00';
queryParams.value.registerTimeETime = value + ' 23:59:59';
queryParams.value.registerTimeSTime = value[0] + ' 00:00:00';
queryParams.value.registerTimeETime = value[1] + ' 23:59:59';
getPatientList();
}
@@ -629,17 +474,12 @@ function handleReceive(row) {
getWaitPatient();
}
// 处理门诊病历保存成功事件
function handleEmrSaved(isSaved) {
outpatientEmrSaved.value = isSaved;
}
function openDrawer() {
drawer.value = true;
}
function handleCancelEncounter(){
proxy.$modal.confirm('您确定要取消病人本次的就诊记录吗？','提示信息',{
function handleCancelEncounter() {
proxy.$modal.confirm('您确定要取消病人本次的就诊记录吗？', '提示信息', {
confirmButtonText: '是(Y)',
cancelButtonText: '否(N)',
type: 'warning'
@@ -652,28 +492,18 @@ function handleCancelEncounter(){
getPatientList();
}
}).catch((error) => {
proxy.$modal.confirm('该病人本次就诊已经有业务产生，不能取消接诊!','提示信息',{
proxy.$modal.confirm('该病人本次就诊已经有业务产生，不能取消接诊!', '提示信息', {
confirmButtonText: '是(Y)',
type: 'warning'
});
});
}).catch(() => {
// 用户取消操作
});
});
}
</script>
<style lang="scss" scoped>
// 患者信息
.patient-info-descriptions {
:deep(.el-descriptions__label) {
font-size: 16px !important;
}
:deep(.el-descriptions__content) {
font-size: 16px !important;
}
}
.patient-card {
width: 100%;
overflow: hidden;
@@ -826,6 +656,7 @@ function handleCancelEncounter(){
}
}
}
:deep(.el-tabs__header) {
padding: 0;
position: relative;
@@ -835,19 +666,23 @@ function handleCancelEncounter(){
:deep(.el-drawer__header) {
margin-bottom: 15px !important;
}
:deep(.el-drawer__body) {
padding: 10px !important;
}
.el-badge {
--el-badge-padding: 6px;
}
.disabled-wrapper .overlay {
position: absolute;
top: 0;
left: 0;
width: 100%;
height: 100%;
z-index: 999; /* 确保覆盖在内容上方 */
z-index: 999;
/* 确保覆盖在内容上方 */
cursor: not-allowed;
}
</style>