诊断调整

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationDiagnosisAppService.java

@@ -74,4 +74,20 @@ public interface IDoctorStationDiagnosisAppService {
      */
     R<?> getConditionDefinitionBusinessClass(Long patientId);
 
+    /**
+     * 查询就诊诊断信息
+     *
+     * @param encounterId 就诊id
+     * @return 就诊诊断信息
+     */
+    R<?> getEncounterDiagnosis(Long encounterId);
+
+    /**
+     * 删除就诊诊断信息
+     *
+     * @param conditionId 诊断ID
+     * @return 结果
+     */
+    R<?> delEncounterDiagnosis(Long conditionId);
+
 }

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -210,6 +210,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             medicationRequest.setRateCode(adviceSaveDto.getRateCode());
             medicationRequest.setDose(adviceSaveDto.getDose());
             medicationRequest.setDoseUnitCode(adviceSaveDto.getDoseUnitCode());
+            medicationRequest.setSkinTestFlag(adviceSaveDto.getSkinTestFlag()); // 皮试标记
             medicationRequest.setGroupId(adviceSaveDto.getGroupId());// 分组id
             // medicationRequest.setPackageId(adviceSaveDto.getPackageId());
 

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java

@@ -26,10 +26,7 @@ import com.openhis.clinical.service.IConditionService;
 import com.openhis.clinical.service.IDiagnosisBelongBindingService;
 import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.constant.PromptMsgConstant;
-import com.openhis.common.enums.BindingType;
+import com.openhis.common.enums.*;
-import com.openhis.common.enums.ConditionDefinitionSource;
-import com.openhis.common.enums.PublicationStatus;
-import com.openhis.common.enums.Whether;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisPageUtils;
 import com.openhis.common.utils.HisQueryUtils;
@@ -240,6 +237,46 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
         return R.ok(conditionDefinitionBusinessClass);
     }
 
+    /**
+     * 查询就诊诊断信息
+     *
+     * @param encounterId 就诊id
+     * @return 就诊诊断信息
+     */
+    @Override
+    public R<?> getEncounterDiagnosis(Long encounterId) {
+        List<DiagnosisQueryDto> encounterDiagnosis = doctorStationDiagnosisAppMapper.getEncounterDiagnosis(encounterId);
+        for (DiagnosisQueryDto diagnosis : encounterDiagnosis) {
+            // 中医诊断/西医诊断
+            if (ConditionDefinitionSource.TRADITIONAL_CHINESE_MEDICINE_DIAGNOSIS.getValue()
+                .equals(diagnosis.getSourceEnum())
+                || ConditionDefinitionSource.TRADITIONAL_CHINESE_MEDICINE_SYNDROME_CATALOG.getValue()
+                    .equals(diagnosis.getSourceEnum())) {
+                diagnosis.setTypeName(CommonConstants.BusinessName.TCM_DIAGNOSIS);
+            } else {
+                diagnosis.setTypeName(CommonConstants.BusinessName.WESTERN_MEDICINE_DIAGNOSIS);
+            }
+            // 验证状态
+            diagnosis.setVerificationStatusEnum_enumText(
+                EnumUtils.getInfoByValue(ConditionVerificationStatus.class, diagnosis.getVerificationStatusEnum()));
+        }
+        return R.ok(encounterDiagnosis);
+    }
+
+    /**
+     * 删除就诊诊断信息
+     *
+     * @param conditionId 诊断ID
+     * @return 结果
+     */
+    @Override
+    public R<?> delEncounterDiagnosis(Long conditionId) {
+        iConditionService.removeById(conditionId);
+        iEncounterDiagnosisService
+            .remove(new LambdaQueryWrapper<EncounterDiagnosis>().eq(EncounterDiagnosis::getConditionId, conditionId));
+        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00005, new Object[] {"就诊诊断信息"}));
+    }
+
     /**
      * 处理诊断定义元数据
      *

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationDiagnosisController.java

@@ -147,4 +147,27 @@ public class DoctorStationDiagnosisController {
         return iDoctorStationDiagnosisAppService.getConditionDefinitionBusinessClass(patientId);
     }
 
+    /**
+     * 查询就诊诊断信息
+     * 
+     * @param encounterId 就诊id
+     * @return 就诊诊断信息
+     */
+    @GetMapping(value = "/get-encounter-diagnosis")
+    public R<?> getEncounterDiagnosis(@RequestParam Long encounterId) {
+        return iDoctorStationDiagnosisAppService.getEncounterDiagnosis(encounterId);
+    }
+
+    /**
+     * 删除就诊诊断信息
+     *
+     * @param conditionId 诊断ID
+     * @return 结果
+     */
+    @DeleteMapping(value = "/encounter-diagnosis")
+    public R<?> delEncounterDiagnosis(@RequestParam Long conditionId) {
+        return iDoctorStationDiagnosisAppService.delEncounterDiagnosis(conditionId);
+    }
+
+
 }

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceSaveDto.java

@@ -94,6 +94,11 @@ public class AdviceSaveDto {
     /** 剂量单位 */
     private String doseUnitCode;
 
+    /**
+     * 皮试标志 1:是 , 0:否
+     */
+    private Integer skinTestFlag;
+
     /**
      * 分组id , 一组药品共用一个id,前端传过来
      */

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/DiagnosisQueryDto.java

@@ -0,0 +1,52 @@
+package com.openhis.web.doctorstation.dto;
+
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+
+import lombok.Data;
+import lombok.experimental.Accessors;
+
+/**
+ * 诊断查询 dto
+ *
+ * @author system
+ * @date 2025-02-20
+ */
+@Data
+@Accessors(chain = true)
+public class DiagnosisQueryDto {
+
+    /**
+     * 诊断ID
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long conditionId;
+
+    /**
+     * 诊断定义id
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long definitionId;
+
+    /** 所属分类 */
+    private Integer sourceEnum;
+    /**
+     * 诊断类型(中医诊断或西医诊断)
+     */
+    private String typeName;
+
+    /** 诊断名称 */
+    private String name;
+
+    /**
+     * 主诊断标记 (1:是,0:否)
+     */
+    private Integer maindiseFlag;
+
+    /**
+     * 验证状态
+     */
+    private Integer verificationStatusEnum;
+    private String verificationStatusEnum_enumText;
+
+}

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/SaveDiagnosisChildParam.java

@@ -40,6 +40,7 @@ public class SaveDiagnosisChildParam {
     /**
      * 诊断ID - 用于存储 adm_encounter_diagnosis表
      */
+    @JsonSerialize(using = ToStringSerializer.class)
     private Long conditionId;
 
 }

openhis-server/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationDiagnosisAppMapper.java

@@ -11,6 +11,7 @@ import com.baomidou.mybatisplus.core.toolkit.Constants;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.openhis.web.doctorstation.dto.ConditionDefinitionMetadata;
 import com.openhis.web.doctorstation.dto.DiagnosisBelongBindingDto;
+import com.openhis.web.doctorstation.dto.DiagnosisQueryDto;
 
 /**
  * 医生站-诊断 应用Mapper
@@ -73,4 +74,12 @@ public interface DoctorStationDiagnosisAppMapper {
     List<ConditionDefinitionMetadata> getOrganizationList(@Param("statusEnum") Integer statusEnum,
         @Param("bindingEnum") Integer bindingEnum, @Param("currentUserOrganizationId") Long currentUserOrganizationId);
 
+    /**
+     * 查询就诊诊断信息
+     *
+     * @param encounterId 就诊id
+     * @return 就诊诊断信息
+     */
+    List<DiagnosisQueryDto> getEncounterDiagnosis(@Param("encounterId") Long encounterId);
+
 }

openhis-server/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationDiagnosisAppMapper.xml

@@ -116,4 +116,20 @@
         AND T1.status_enum = #{statusEnum}
     </select>
 
+    <select id="getEncounterDiagnosis" resultType="com.openhis.web.doctorstation.dto.DiagnosisQueryDto">
+        SELECT T1.condition_id,
+               T2.definition_id,
+               T3.source_enum,
+               T3.NAME,
+               T1.maindise_flag,
+               T2.verification_status_enum
+        FROM adm_encounter_diagnosis AS T1
+                 LEFT JOIN cli_condition AS T2 ON T2.ID = T1.condition_id
+            AND T2.delete_flag = '0'
+                 LEFT JOIN cli_condition_definition AS T3 ON t3.ID = T2.definition_id
+            AND T3.delete_flag = '0'
+        WHERE T1.delete_flag = '0'
+          AND T1.encounter_id = #{encounterId}
+    </select>
+
 </mapper>