增加门诊病历的标题：门诊初诊病历/门诊复诊病历，当患者是初时-》门诊初诊病历，当患者为复诊时-》门诊复诊病历。

标题下面增加：就诊卡号、姓名、性别、年龄以及就诊日期（默认创建病历的当前时间）和就诊科室（患者当前开单科室），系统自动获取患者的档案信息。

README.md

@@ -4,7 +4,7 @@
 
 ![天天开源](https://open.tntlinking.com/assets/logo-b-BzFUYaRU.png) 
 
-天天开源致⼒于打造中国应⽤管理软件开源⽣态，⾯向医疗、企业、教育三⼤⾏业信息化需求，提供优质的开源软件产品与解决⽅案。平台现已发布OpenHIS、OpenCOM、OpenEDU系列开源产品，并持续招募⽣态合作伙伴，期待共同构建开源创新的⾏业协作模式，加速⾏业的数字化进程。
+天天开源致⼒于打造中国应⽤管理 软件开源⽣态，⾯向医疗、企业、教育三⼤⾏业信息化需求，提供优质的开源软件产品与解决⽅案。平台现已发布OpenHIS、OpenCOM、OpenEDU系列开源产品，并持续招募⽣态合作伙伴，期待共同构建开源创新的⾏业协作模式，加速⾏业的数字化进程。
 
 天天开源的前⾝是新致开源，最早于2022年6⽉发布开源医疗软件平台OpenHIS.org.cn，于2023年6⽉发布开源企业软件平台OpenCOM.com.cn。2025年7⽉，新致开源品牌更新为天天开源，我们始终秉持开源、专业、协作的理念，致⼒于为医疗、教育、中⼩企业等⾏业提供优质的开源解决⽅案。
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java

@@ -119,6 +119,12 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             // 初复诊
             e.setFirstEnum_enumText(patientIdList.contains(e.getId()) ? EncounterType.FOLLOW_UP.getInfo()
                 : EncounterType.INITIAL.getInfo());
+            // 患者标识
+            PatientIdentifier patientIdentifier = patientIdentifierService
+                    .getOne(new LambdaQueryWrapper<PatientIdentifier>().eq(PatientIdentifier::getPatientId, e.getId()));
+            if (patientIdentifier != null) {
+                e.setIdentifierNo(patientIdentifier.getIdentifierNo());
+            }
 
         });
         return patientMetadataPage;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/PatientMetadata.java

@@ -56,4 +56,8 @@ public class PatientMetadata {
      */
     private String firstEnum_enumText;
 
+    /**
+     * 就诊卡号
+     */
+   private String identifierNo;
 }

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

@@ -40,6 +40,11 @@ public class PatientInfoDto {
     @JsonSerialize(using = ToStringSerializer.class)
     private Long orgId;
 
+    /**
+     * 科室名称
+     */
+    private String organizationName;
+
     /**
      * 患者姓名
      */

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/IPatientInformationService.java

@@ -53,4 +53,13 @@ public interface IPatientInformationService {
      */
     R<?> addPatient(PatientInformationDto patientInformationDto);
 
+    /**
+     * 检查患者是否存在
+     *
+     * @param name 患者姓名
+     * @param idCardNo 身份证号
+     * @return 是否存在
+     */
+    boolean checkPatientExists(String name, String idCardNo);
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java

@@ -257,4 +257,14 @@ public class PatientInformationServiceImpl implements IPatientInformationService
             : R.fail(MessageUtils.createMessage(PromptMsgConstant.Common.M00003, new Object[] {"病人信息"}));
     }
 
+    @Override
+    public boolean checkPatientExists(String name, String idCardNo) {
+        QueryWrapper<Patient> queryWrapper = new QueryWrapper<>();
+        queryWrapper.eq("name", name)
+                .eq("id_card", idCardNo)
+                .eq("delete_flag", "0");
+        return patientService.count(queryWrapper) > 0;
+    }
+
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/controller/PatientInformationController.java

@@ -78,4 +78,16 @@ public class PatientInformationController {
             .ok(patientInformationService.getPatientInfo(patientInfoSearchParam, searchKey, pageNo, pageSize, request));
     }
 
+    /**
+     * 检查患者是否存在
+     *
+     * @param name 患者姓名
+     * @param idCardNo 身份证号
+     * @return 是否存在
+     */
+    @GetMapping("/check-exists")
+    public R<?> checkPatientExists(@RequestParam String name, @RequestParam String idCardNo) {
+        return R.ok(patientInformationService.checkPatientExists(name, idCardNo));
+    }
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/dto/PatientInformationDto.java

@@ -68,7 +68,7 @@ public class PatientInformationDto {
     /**
      * 死亡时间
      */
-    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
+    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy/MM/dd HH:mm:ss", timezone = "GMT+8")
     private Date deceasedDate;
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/IChargeBillServiceImpl.java

@@ -296,6 +296,7 @@ public class IChargeBillServiceImpl implements IChargeBillService {
 
             ChargeItemDefinition chargeItemDefinition = iChargeItemDefinitionService.getById(definitionId);
 
+
             YbMedChrgItmType medChrgItmType =
                 YbMedChrgItmType.getByCode(Integer.parseInt(chargeItemDefinition.getYbType()));
 

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

@@ -19,6 +19,7 @@
         T10.type_code,
         T10.contract_name,
         T10.org_id,
+        T10.organization_name,
         T10.register_time,
         T10.reception_time,
         T10.practitioner_user_id,

openhis-ui-vue3/src/main.js

@@ -44,6 +44,9 @@ import TreeSelect from '@/components/TreeSelect'
 // 字典标签组件
 import DictTag from '@/components/DictTag'
 
+// 导入请求工具
+import request from './utils/request'
+
 import { ElDialog, ElMessage } from 'element-plus';
 
 import {registerComponents} from './template';
@@ -64,6 +67,9 @@ app.config.globalProperties.handleTree = handleTree
 app.config.globalProperties.addDateRange = addDateRange
 app.config.globalProperties.selectDictLabel = selectDictLabel
 app.config.globalProperties.selectDictLabels = selectDictLabels
+
+// 全局挂载请求实例
+app.config.globalProperties.$http = request
 // 全局组件挂载
 app.component('DictTag', DictTag)
 app.component('Pagination', Pagination)

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue

@@ -48,6 +48,11 @@
               />
             </el-form-item>
           </el-col>
+          <el-col :span="8">
+            <el-form-item label="项目编码" prop="busNo">
+              <el-input v-model="form.busNo" placeholder="请输入项目编码" />
+            </el-form-item>
+          </el-col>
         </el-row>
         <el-row :gutter="24">
           <el-col :span="8">
@@ -356,7 +361,7 @@ const diagnosisTreatmentList = ref([]);
 const data = reactive({
   form: {},
   rules: {
-    // busNo: [{ required: true, message: "编码不能为空", trigger: "blur" }],
+    busNo: [{ required: true, message: "编码不能为空", trigger: "blur" }],
     name: [{ required: true, message: '名称不能为空', trigger: 'blur' }],
     // statusEnum: [{ required: true, message: "状态不能为空", trigger: "blur" }],
     categoryCode: [{ required: true, message: '诊疗目录不能为空', trigger: 'blur' }],
@@ -450,6 +455,7 @@ function setValue(row) {
   form.value = {
     name: formatValue(row.medicalServiceName), //医疗服务项目名称
     ybNo: formatValue(row.medicalCatalogCode), // 医保编码
+    busNo: formatValue(row.medicalCatalogCode), // 项目编码使用医保编码
     categoryCode: props.currentCategoryEnum,
     // chrgitmLv: formatValue(
     //   row.insuranceClass == '甲' ? '1' : row.insuranceClass == '乙' ? '2' : '3'

openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue

@@ -124,7 +124,9 @@
               :disabled="isViewMode"
               @input="handleAgeInput"
               placeholder="请输入年龄"
-            />
+            >
+              <template #suffix>岁</template>
+            </el-input>
           </el-form-item>
         </el-col>
       </el-row>
@@ -300,6 +302,36 @@ const title = ref('新增患者');
 const visible = ref(false);
 const emits = defineEmits(['submit']); // 声明自定义事件
 
+const validateUniquePatient = (rule, value, callback) => {
+  const { name, idCard } = form.value;
+  // 确保姓名和身份证都已填写且身份证为18位
+  if (!name || !idCard || idCard.length !== 18) {
+    return callback(); // 不满足条件，不校验
+  }
+
+  // 使用 axios 直接请求，避免依赖 proxy.$http
+  import('@/utils/request').then(({ default: request }) => {
+    request({
+      url: '/patient-manage/information/check-exists',
+      method: 'get',
+      params: {
+        name: name,
+        idCardNo: idCard
+      }
+    }).then(res => {
+      if (res.code === 200 && res.data === true) {
+        callback(new Error('该患者档案已存在！'));
+      } else {
+        callback();
+      }
+    }).catch(error => {
+      console.error('校验患者是否存在失败:', error);
+      callback(); // 出错时不阻塞表单
+    });
+  });
+};
+
+
 
 // 身份证号码校验函数
 const validateIdCard = (rule, value, callback) => {
@@ -338,14 +370,17 @@ const data = reactive({
     age: undefined,
   },
   rules: {
-    name: [{ required: true, message: '姓名不能为空', trigger: 'change' }],
+    name: [{ required: true, message: '姓名不能为空', trigger: 'change' },
+      { validator: validateUniquePatient, trigger: 'blur' }
+    ],
     genderEnum: [{ required: true, message: '请选择性别', trigger: 'change' }],
     age: [{ required: true, message: '年龄不能为空', trigger: 'change' }],
     phone: [{ required: true, message: '联系方式不能为空', trigger: 'change' }],
     identifierNo: [{ required: true, message: '就诊卡号不能为空', trigger: 'change' }],
     idCard: [
         { required: true, message: '证件号码不能为空', trigger: 'change' },
-        { validator: validateIdCard, trigger: 'blur' }
+        { validator: validateIdCard, trigger: 'blur' },
+        { validator: validateUniquePatient, trigger: 'blur' }
       ],
        birthDate: [{ required: false, message: '请选择出生日期', trigger: 'change' }],
   },
@@ -379,7 +414,7 @@ function handleBirthDateChange() {
       age--;
     }
     
-    form.value.age = age + '岁';
+    form.value.age = age;
   }
 }
 
@@ -390,7 +425,7 @@ function handleAgeInput() {
   if (ageMatch) {
     const age = parseInt(ageMatch[0]);
     // 移除非数字字符，保留数字和可能的单位
-    form.value.age = age + '岁';
+    form.value.age = age ;
     
     // 计算出生日期
     const today = new Date();
@@ -429,7 +464,7 @@ watch(
         age--;
       }
       
-      form.value.age = age + '岁';
+      form.value.age = age ;
     }
   }
 );

openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientInfoDialog.vue

@@ -49,9 +49,12 @@
           label="年龄"
           align="center"
           key="age"
-          prop="age"
           :show-overflow-tooltip="true"
-        />
+        >
+          <template #default="scope">
+            {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+          </template>
+        </el-table-column>
       </el-table>
       <pagination
         v-show="total > 0"

openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientList.vue

@@ -7,10 +7,15 @@
       @cell-click="clickRow"
     >
       <el-table-column label="姓名" align="center" prop="name" />
+      <el-table-column label="就诊卡号" align="center" prop="identifierNo" />
       <el-table-column label="性别" align="center" prop="genderEnum_enumText" />
       <el-table-column label="证件号" align="center" prop="idCard" />
       <el-table-column label="联系电话" align="center" prop="phone" />
-      <el-table-column label="年龄" align="center" prop="age" />
+      <el-table-column label="年龄" align="center">
+  <template #default="scope">
+    {{ scope.row.age ? `${scope.row.age}` : '-' }}
+  </template>
+</el-table-column>
     </el-table>
   </div>
 </template>

openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue

@@ -7,7 +7,7 @@
           <el-form :model="form" :rules="rules" ref="outpatientRegistrationRef" label-width="110px">
             <el-row :gutter="24">
               <el-col :span="5">
-                <el-form-item label="病历号/姓名：" prop="searchKey">
+                <el-form-item label="患者身份信息:" prop="searchKey">
                   <el-popover
                     :popper-style="{ padding: '0' }"
                     placement="bottom-start"
@@ -22,7 +22,7 @@
                         @blur="handleBlur"
                         @input="handleSearchPatient"
                         v-model="form.searchKey"
-                        placeholder="请输入姓名/拼音/身份证"
+                        placeholder="请输入姓名/身份证/就诊卡号"
                       />
                     </template>
                   </el-popover>
@@ -88,8 +88,8 @@
             </el-row>
             <el-row :gutter="24">
               <el-col :span="5">
-                <el-form-item label="卡号：" prop="card">
-                  <el-input v-model="form.card" placeholder="" :disabled="true" />
+                <el-form-item label="就诊卡号：" prop="card">
+                  <el-input v-model="form.identifierNo" placeholder="" :disabled="true" />
                 </el-form-item>
               </el-col>
               <el-col :span="6">
@@ -439,7 +439,11 @@
               prop="patientName"
               width="120"
             />
-            <el-table-column label="年龄" align="center" key="age" prop="age" width="120" />
+            <el-table-column label="年龄" align="center" key="age" prop="age" width="120">
+              <template #default="scope">
+                {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+              </template>
+            </el-table-column>
             <el-table-column
               label="患者性别"
               align="center"
@@ -1235,6 +1239,7 @@ function selsectPatient(row) {
   form.value.phone = row.phone;
   form.value.firstEnum_enumText = row.firstEnum_enumText;
   form.value.age = row.age;
+  form.value.identifierNo = row.identifierNo;
 }
 
 // 设置新增参数

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue

@@ -162,10 +162,17 @@ function removeDiagnosis(row, index) {
 }
 
 function save() {
+  // 为每个诊断项添加诊断医生和诊断时间
+  const diagnosisChildList = tcmDiagonsisSaveList.value.map(item => ({
+    ...item,
+    diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || '',
+    diagnosisTime: new Date().toLocaleString('zh-CN')
+  }));
+  
   saveTcmDiagnosis({
     patientId: props.patientInfo.patientId,
     encounterId: props.patientInfo.encounterId,
-    diagnosisChildList: tcmDiagonsisSaveList.value,
+    diagnosisChildList: diagnosisChildList,
   }).then((res) => {
     if (res.code == 200) {
       emit('close');

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue

@@ -76,7 +76,7 @@
         <el-form :model="form" :rules="rules" ref="formRef">
           <el-table ref="diagnosisTableRef" :data="form.diagnosisList" height="650">
             <el-table-column label="序号" type="index" width="50" />
-            <el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="180">
+            <el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="120">
               <template #default="scope">
                 <el-form-item
                   :prop="`diagnosisList.${scope.$index}.diagSrtNo`"
@@ -135,9 +135,13 @@
                 </el-form-item>
               </template>
             </el-table-column>
-            <el-table-column label="医保码" align="center" prop="ybNo" width="180" />
-            <el-table-column label="诊断类型" align="center" prop="maindiseFlag">
+            
+            <el-table-column label="诊断医生" align="center" prop="diagnosisDoctor" width="120" />
+            <el-table-column label="诊断时间" align="center" prop="diagnosisTime" width="150" />
+            <el-table-column label="诊断代码" align="center" prop="ybNo" width="180" />
+            <el-table-column label="诊断类型" align="center" prop="maindiseFlag" width="120">
               <template #default="scope">
+              <div style="display:flex;flex-direction:column;align-items:center;gap:5px;">
                 <el-checkbox
                   label="主诊断"
                   :trueLabel="1"
@@ -150,7 +154,7 @@
                 <el-select
                   v-model="scope.row.verificationStatusEnum"
                   placeholder=" "
-                  style="width: 40%; padding-bottom: 5px; padding-left: 10px"
+                  style="width: 100%; padding-bottom: 5px; padding-left: 10px"
                   size="small"
                 >
                   <el-option
@@ -160,6 +164,7 @@
                     :value="item.value"
                   />
                 </el-select>
+              </div>
               </template>
             </el-table-column>
             <el-table-column label="操作" align="center" width="130">
@@ -192,6 +197,7 @@
 
 <script setup>
 import { getCurrentInstance } from 'vue';
+import useUserStore from '@/store/modules/user';
 import {
   getConditionDefinitionInfo,
   saveDiagnosis,
@@ -228,6 +234,7 @@ const props = defineProps({
 });
 const emits = defineEmits(['diagnosisSave']);
 const { proxy } = getCurrentInstance();
+const userStore = useUserStore();
 const { med_type } = proxy.useDict('med_type');
 const rules = ref({
   name: [{ required: true, message: '请选择诊断', trigger: 'change' }],
@@ -244,27 +251,45 @@ watch(
 );
 
 function getDetail(encounterId) {
+  if (!encounterId) {
+    console.warn('未提供有效的就诊ID，无法获取病历详情');
+    return;
+  }
+  
   getEmrDetail(encounterId).then((res) => {
     allowAdd.value = res.data ? true : false;
   });
 }
 
 function getList() {
+  if (!props.patientInfo || !props.patientInfo.encounterId) {
+    console.warn('患者就诊信息不完整，无法获取诊断数据');
+    return;
+  }
+  
   getEncounterDiagnosis(props.patientInfo.encounterId).then((res) => {
     if (res.code == 200) {
-      form.value.diagnosisList = res.data;
+      // 为每个诊断项添加默认的诊断医生和时间（如果不存在）
+      form.value.diagnosisList = res.data.map(item => ({
+        ...item,
+        diagnosisDoctor: item.diagnosisDoctor || props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+        diagnosisTime: item.diagnosisTime || new Date().toLocaleString('zh-CN')
+      }));
       emits('diagnosisSave', false);
       console.log(form.value.diagnosisList);
     }
   });
+  
   getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
     if (res.code == 200) {
-      if (res.data.illness.length > 0) {
+      if (res.data.illness && res.data.illness.length > 0 && res.data.symptom) {
         res.data.illness.forEach((item, index) => {
           form.value.diagnosisList.push({
-            name: item.name + '-' + res.data.symptom[index].name,
+            name: item.name + '-' + (res.data.symptom[index]?.name || ''),
             ybNo: item.ybNo,
             medTypeCode: item.medTypeCode,
+            diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+            diagnosisTime: new Date().toLocaleString('zh-CN')
           });
         });
       }
@@ -272,6 +297,7 @@ function getList() {
       console.log(form.value.diagnosisList);
     }
   });
+  
   getTree();
 }
 
@@ -285,21 +311,28 @@ function init() {
 }
 
 function handleImport() {
+  if (!props.patientInfo || !props.patientInfo.encounterId) {
+    console.warn('患者就诊信息不完整，无法导入慢性病信息');
+    return;
+  }
+  
   if (props.patientInfo.contractName != '自费') {
     // 获取患者慢性病信息
     getChronicDisease({ encounterId: props.patientInfo.encounterId }).then((res) => {
-      if (res.data.length > 0) {
+      if (res.data && res.data.length > 0) {
         res.data.forEach((item, index) => {
           form.value.diagnosisList.push({
-            ...item,
-            ...{
-              medTypeCode: '140104',
-              verificationStatusEnum: 4,
-              definitionId: item.id,
-              diagSrtNo: form.value.diagnosisList.length + 1,
-              iptDiseTypeCode: 2,
-              diagnosisDesc: '',
-            },
+        ...item,
+        ...{
+          medTypeCode: '140104',
+          verificationStatusEnum: 4,
+          definitionId: item.id,
+          diagSrtNo: form.value.diagnosisList.length + 1,
+          iptDiseTypeCode: 2,
+          diagnosisDesc: '',
+              diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+              diagnosisTime: new Date().toLocaleString('zh-CN')
+        },
           });
         });
       }
@@ -342,7 +375,8 @@ const filterNode = (value, data) => {
  * 获取诊断树列表
  */
 function getTree() {
-  getConditionDefinitionInfo(props.patientInfo ? props.patientInfo.patientId : '').then((res) => {
+  const patientId = props.patientInfo?.patientId || '';
+  getConditionDefinitionInfo(patientId).then((res) => {
     if (res.code == 200) {
       let list = [];
       list = res.data.patientHistoryList;
@@ -391,6 +425,8 @@ function handleAddDiagnosis() {
         diagSrtNo: form.value.diagnosisList.length + 1,
         iptDiseTypeCode: 2,
         diagnosisDesc: '',
+        diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+        diagnosisTime: new Date().toLocaleString('zh-CN')
       });
       if (form.value.diagnosisList.length == 1) {
         form.value.diagnosisList[0].maindiseFlag = 1;
@@ -537,6 +573,8 @@ function handleNodeClick(data) {
     medTypeCode: '11',
     diagSrtNo: form.value.diagnosisList.length + 1,
     definitionId: data.definitionId,
+    diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+    diagnosisTime: new Date().toLocaleString('zh-CN')
   });
   if (form.value.diagnosisList.length == 1) {
     form.value.diagnosisList[0].maindiseFlag = 1;

openhis-ui-vue3/src/views/doctorstation/components/emr/emr.vue

@@ -15,7 +15,42 @@
     </el-button> -->
   </div>
   <div style="max-height: 650px; overflow-y: auto; overflow-x: hidden">
+        <div style="text-align: center; font-size: 18px; font-weight: bold; margin-bottom: 10px;">
+      {{ visitType === 'FIRST' ? '门诊初诊病历' : '门诊复诊病历' }}
+    </div>
     <el-form ref="emrRef" :model="form" :rules="rules" label-width="80px">
+      <el-row :gutter="4">
+        <el-col :span="4">
+          <el-form-item label="就诊卡号" prop="patientId" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.patientId" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="姓名" prop="patientName" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.patientName" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="性别" prop="genderEnum_enumText" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.genderEnum_enumText" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="年龄" prop="age" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.age" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="就诊日期" prop="currentVisitDate" style="width: 100%">
+            <el-input placeholder="" v-model="currentVisitDate" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="就诊科室" prop="organizationName" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.organizationName" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+      </el-row>
       <el-row :gutter="24">
         <el-col :span="6">
           <el-form-item label="身高" prop="height" style="width: 100%">
@@ -168,6 +203,20 @@ import { saveEmr, getEmrDetail, saveEmrTemplate } from '../api';
 import emrTemplate from '../emr/emrtemplate.vue';
 import emrhistory from '../emr/emrhistory.vue';
 
+import { ref, computed } from 'vue';
+
+// 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',
+  });
+});
+
 const form = ref({});
 const emrTitle = ref('');
 const radio = ref(1);
@@ -184,6 +233,10 @@ const props = defineProps({
     type: Object,
     required: true,
   },
+  visitType: {  // ✅ 接收父组件传来的值
+    type: String,
+    default: '',
+  },
 });
 
 watch(

openhis-ui-vue3/src/views/doctorstation/components/hospitalizationDialog.vue

@@ -200,6 +200,11 @@ const props = defineProps({
   },
   patientInfo: {
     type: Object,
+    default: () => ({}),
+  },
+  encounterId: {
+    type: String,
+    default: '',
   },
 });
 const emit = defineEmits(['close']);
@@ -284,14 +289,22 @@ function submit() {
         ...submitForm,
         diagnosisYbNo: diagnosisYbNo,
         diagnosisDefinitionId: diagnosisDefinitionId,
-        ambEncounterId: props.patientInfo.encounterId,
+        // 优先使用props.encounterId，确保就诊ID正确传递
+        ambEncounterId: props.encounterId || props.patientInfo.encounterId,
         patientId: props.patientInfo.patientId,
       };
+      console.log('提交住院数据:', saveData);
       handleHospitalization(saveData).then((res) => {
         if (res.code == 200) {
           proxy.$modal.msgSuccess('办理成功');
           close();
+        } else {
+          console.error('办理失败:', res.msg);
+          proxy.$modal.msgError(res.msg || '办理失败，请检查数据后重试');
         }
+      }).catch(error => {
+        console.error('提交出错:', error);
+        proxy.$modal.msgError('提交请求失败');
       });
     }
   });

openhis-ui-vue3/src/views/doctorstation/index.vue

@@ -98,35 +98,36 @@
           <el-descriptions-item label="医生：" width="150">{{
             userStore.name
           }}</el-descriptions-item>
-          <el-descriptions-item label="" width="300">
-            <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-descriptions-item>
+          <el-descriptions-item label="" width="350">
+  <!-- 初诊 / 复诊 按钮 -->
+<el-radio v-model="visitType" label="FIRST">初诊</el-radio>
+<el-radio v-model="visitType" label="FOLLOW_UP">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-descriptions-item>
         </el-descriptions>
       </div>
       <div style="padding: 10px">
@@ -146,6 +147,7 @@
                   saveStatus = value;
                 }
               "
+              :visitType="visitType" 
             />
           </el-tab-pane>
           <el-tab-pane label="诊断" name="diagnosis">
@@ -204,6 +206,7 @@ import {
   leaveEncounter,
   completeEncounter,
   getEnPrescriptionInfo,
+  getEmrHistoryList
 } from './components/api.js';
 import prescriptionlist from './components/prescription/prescriptionlist.vue';
 import RefundListDialog from './components/prescription/refundListDialog.vue';
@@ -260,6 +263,7 @@ const diagnosisRef = ref();
 const waitCount = ref(0);
 const loading = ref(false);
 const { proxy } = getCurrentInstance();
+const visitType = ref('');
 const disabled = computed(() => {
   return Object.keys(patientInfo.value).length === 0;
 });
@@ -282,7 +286,41 @@ function getPatientList() {
     });
   });
 }
-
+function setVisitType(type) {
+  visitType.value = type;
+}
+function checkPatientHistory(patient) {
+  // 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) {
+      // 如果有历史记录，则为复诊
+      if (res.data && res.data.total > 0) {
+        visitType.value = 'FOLLOW_UP';
+      } else {
+        // 如果没有历史记录，则为初诊
+        visitType.value = 'FIRST';
+      }
+    } else {
+      // 请求失败，默认设置为初诊
+      visitType.value = 'FIRST';
+    }
+  }).catch(() => {
+    // 异常情况，默认设置为初诊
+    visitType.value = 'FIRST';
+  });
+}
 function getWaitPatient() {
   queryParams.value.registerTimeSTime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 00:00:00';
   queryParams.value.registerTimeETime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59';
@@ -341,7 +379,7 @@ function handleOpen() {
 }
 
 function handleCardClick(item, index) {
-  currentEncounterId.value = '';
+ currentEncounterId.value = '';
   // if (item.active) {
   //   patientList.value[index].active = false;
   //   return;
@@ -351,6 +389,10 @@ function handleCardClick(item, index) {
     patient.active = patient.encounterId === item.encounterId;
   });
   patientInfo.value = item;
+  
+  // 检查患者历史记录以确定初诊/复诊
+  checkPatientHistory(item);
+  
   activeTab.value = 'emr';
   nextTick(() => {
     prescriptionRef.value.getListInfo();

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/accomplishList.vue

@@ -27,7 +27,11 @@
         <el-table-column type="index" width="54" align="center" label="序号" />
         <el-table-column prop="patientName" align="center" label="申请患者" />
         <el-table-column prop="genderEnum_enumText" label="性别" align="center" />
-        <el-table-column prop="age" label="年龄" align="center" />
+        <el-table-column label="年龄" align="center">
+  <template #default="scope">
+    {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+  </template>
+</el-table-column>
         <el-table-column prop="sourceName" align="center" label="申请来源">
           <template #default="scope">
             {{ scope.row.sourceName || '-' }}

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/awaitList.vue

@@ -28,7 +28,11 @@
         <el-table-column type="index" width="54" align="center" label="序号" />
         <el-table-column prop="patientName" align="center" label="患者姓名" />
         <el-table-column prop="genderEnum_enumText" label="性别" align="center" />
-        <el-table-column prop="age" label="年龄" align="center" />
+        <el-table-column label="年龄" align="center">
+  <template #default="scope">
+    {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+  </template>
+</el-table-column>
         <el-table-column prop="requestTime" align="center" label="申请时间" />
         <el-table-column prop="sourceName" align="center" label="申请来源" />
         <el-table-column prop="wardName" align="center" label="入院病区" />

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/patientInfoForm.vue

@@ -35,12 +35,14 @@
       </el-col>
       <el-col :span="6">
         <el-form-item label="年龄" prop="age">
-          <el-input
-            v-model="form.age"
-            :disabled="isViewMode"
-            @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
-          />
-        </el-form-item>
+            <el-input
+              v-model="form.age"
+              :disabled="isViewMode"
+              @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
+            >
+              <template #suffix>岁</template>
+            </el-input>
+          </el-form-item>
       </el-col>
       <el-col :span="6">
         <el-form-item label="卡类别" prop="typeCode">
@@ -79,7 +81,9 @@
     </el-row>
     <!-- <el-col :span="6">
 						<el-form-item label="年龄" prop="age">
-						   <el-input v-model="form.age" clearable :disabled="isViewMode"/>
+						   <el-input v-model="form.age" clearable :disabled="isViewMode">
+						     <template #suffix>岁</template>
+						   </el-input>
 						</el-form-item>
 				</el-col> -->
     <el-row>

openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue

@@ -183,7 +183,9 @@
               v-model="form.age"
               :disabled="isViewMode"
               @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
-            />
+            >
+              <template #suffix>岁</template>
+            </el-input>
           </el-form-item>
         </el-col>
           <el-col :span="6">

说明.txt

@@ -3,7 +3,7 @@
 	
 jdk17 (必须)
 node.js-v16.15 (推荐)
-PostgreSQL-v16.2 (必须)
+PostgreSQL-v16.2 (必须)1
 redis (常用稳定版本即可)
 
 需要修改数据库和redis的连接信息,详见: