Files
his/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
2025-10-16 17:38:49 +08:00

565 lines
16 KiB
Vue

<template>
<div>
<el-row :gutter="24">
<el-col :span="4" :xs="24">
<el-input
v-model="diagnosis"
placeholder="诊断名称"
clearable
style="width: 100%; margin-bottom: 10px"
@keyup.enter="queryDiagnosisUse"
>
<template #append>
<el-button icon="Search" @click="queryDiagnosisUse" />
</template>
</el-input>
<el-tree
ref="treeRef"
:data="tree"
node-key="id"
:props="{ label: 'name', children: 'children' }"
highlight-current
default-expand-all
:filter-node-method="filterNode"
@node-click="handleNodeClick"
>
<template #default="{ node, data }">
<div class="custom-tree-node">
<span>{{ node.label }}</span>
<span class="tree-node-actions">
<template v-if="node.level === 1 && data.name != '常用' && data.name != '历史'">
<el-button
style="color: #000000"
type="text"
size="small"
@click.stop="addChild(data)"
>
<el-icon><Plus /></el-icon>
</el-button>
</template>
<el-popconfirm
width="200"
:hide-after="10"
title="确认删除此常用诊断吗"
placement="top-start"
@confirm="deleteChild(data)"
>
<template #reference>
<el-button
style="color: #000000"
v-if="
node.level === 2 &&
node.parent.data.name != '常用' &&
node.parent.data.name != '历史'
"
type="text"
size="small"
@click.stop=""
>
<el-icon><Minus /></el-icon>
</el-button>
</template>
</el-popconfirm>
</span>
</div>
</template>
</el-tree>
</el-col>
<el-col :span="20" :xs="24">
<div style="margin-bottom: 10px">
<el-button type="primary" plain @click="handleAddDiagnosis()"> 新增诊断 </el-button>
<el-button type="primary" plain @click="handleSaveDiagnosis()"> 保存诊断 </el-button>
<el-button type="primary" plain @click="handleAddTcmDiagonsis()"> 中医诊断 </el-button>
<el-button type="primary" plain @click="handleImport()"> 导入慢性病诊断 </el-button>
</div>
<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">
<template #default="scope">
<el-form-item
:prop="`diagnosisList.${scope.$index}.diagSrtNo`"
:rules="rules.diagSrtNo"
>
<el-input-number
v-model="scope.row.diagSrtNo"
controls-position="right"
:controls="false"
style="width: 80px"
/>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="诊断类别" align="center" prop="diagSrtNo" width="180">
<template #default="scope">
<el-form-item
:prop="`diagnosisList.${scope.$index}.medTypeCode`"
:rules="rules.medTypeCode"
>
<el-select v-model="scope.row.medTypeCode" placeholder=" " style="width: 150px">
<el-option
v-for="item in med_type"
:key="item.value"
:label="item.label"
:value="item.value"
/>
</el-select>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="诊断名称" align="center" prop="name">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.name`" :rules="rules.name">
<el-popover
:popper-style="{ padding: '0' }"
placement="bottom-start"
:visible="scope.row.showPopover"
trigger="manual"
:width="800"
>
<diagnosislist
:diagnosisSearchkey="diagnosisSearchkey"
@selectDiagnosis="handleSelsectDiagnosis"
/>
<template #reference>
<el-input
v-model="scope.row.name"
placeholder="请选择诊断"
@input="handleChange"
@focus="handleFocus(scope.row, scope.$index)"
@blur="handleBlur(scope.row)"
/>
</template>
</el-popover>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="医保码" align="center" prop="ybNo" width="180" />
<el-table-column label="诊断类型" align="center" prop="maindiseFlag">
<template #default="scope">
<el-checkbox
label="主诊断"
:trueLabel="1"
:falseLabel="0"
v-model="scope.row.maindiseFlag"
border
size="small"
@change="(value) => handleMaindise(value, scope.$index)"
/>
<el-select
v-model="scope.row.verificationStatusEnum"
placeholder=" "
style="width: 40%; padding-bottom: 5px; padding-left: 10px"
size="small"
>
<el-option
v-for="item in diagnosisOptions"
:key="item.value"
:label="item.label"
:value="item.value"
/>
</el-select>
</template>
</el-table-column>
<el-table-column label="操作" align="center" width="130">
<template #default="scope">
<el-button
link
type="primary"
@click="handleDeleteDiagnosis(scope.row, scope.$index)"
>
删除
</el-button>
</template>
</el-table-column>
</el-table>
</el-form>
</el-col>
</el-row>
<diagnosisdialog
:openDiagnosis="openDiagnosis"
@close="closeDiagnosisDialog"
:radio="orgOrUser"
/>
<AddDiagnosisDialog
:openAddDiagnosisDialog="openAddDiagnosisDialog"
:patientInfo="props.patientInfo"
@close="closeDiagnosisDialog"
/>
</div>
</template>
<script setup>
import { getCurrentInstance } from 'vue';
import {
getConditionDefinitionInfo,
saveDiagnosis,
diagnosisInit,
deleteDiagnosisBind,
getEncounterDiagnosis,
getEmrDetail,
getChronicDisease,
getTcmDiagnosis,
delEncounterDiagnosis,
isFoodDiseasesNew,
} from '../api';
import diagnosisdialog from '../diagnosis/diagnosisdialog.vue';
import AddDiagnosisDialog from './addDiagnosisDialog.vue';
import diagnosislist from '../diagnosis/diagnosislist.vue';
// const diagnosisList = ref([]);
const allowAdd = ref(false);
const tree = ref([]);
const openDiagnosis = ref(false);
const openAddDiagnosisDialog = ref(false);
const diagnosisSearchkey = ref('');
const diagnosisOptions = ref([]);
const rowIndex = ref();
const diagnosis = ref();
const orgOrUser = ref();
const form = ref({
diagnosisList: [],
});
const props = defineProps({
patientInfo: {
type: Object,
required: true,
},
});
const emits = defineEmits(['diagnosisSave']);
const { proxy } = getCurrentInstance();
const { med_type } = proxy.useDict('med_type');
const rules = ref({
name: [{ required: true, message: '请选择诊断', trigger: 'change' }],
medTypeCode: [{ required: true, message: '请选择诊断类型', trigger: 'change' }],
diagSrtNo: [{ required: true, message: '请输入诊断序号', trigger: 'change' }],
});
watch(
() => form.value.diagnosisList,
() => {
emits('diagnosisSave', false);
},
{ deep: true }
);
function getDetail(encounterId) {
getEmrDetail(encounterId).then((res) => {
allowAdd.value = res.data ? true : false;
});
}
function getList() {
getEncounterDiagnosis(props.patientInfo.encounterId).then((res) => {
if (res.code == 200) {
form.value.diagnosisList = res.data;
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) {
res.data.illness.forEach((item, index) => {
form.value.diagnosisList.push({
name: item.name + '-' + res.data.symptom[index].name,
ybNo: item.ybNo,
medTypeCode: item.medTypeCode,
});
});
}
emits('diagnosisSave', false);
console.log(form.value.diagnosisList);
}
});
getTree();
}
init();
function init() {
diagnosisInit().then((res) => {
if (res.code == 200) {
diagnosisOptions.value = res.data.verificationStatusOptions;
}
});
}
function handleImport() {
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) {
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: '',
},
});
});
}
});
}
}
/**
* 添加子节点
*/
function addChild(data) {
orgOrUser.value = data.name;
openDiagnosis.value = true;
}
/**
* 删除子节点
*/
function deleteChild(data) {
deleteDiagnosisBind(data.id).then((res) => {
if (res.code == 200) {
proxy.$modal.msgSuccess('删除成功');
getTree();
}
});
}
watch(diagnosis, (val) => {
proxy.$refs['treeRef'].filter(val);
});
/** 通过条件过滤节点 */
const filterNode = (value, data) => {
console.log('filterNode', value, data);
if (!value) return true;
return data.name.indexOf(value) !== -1;
};
/**
* 获取诊断树列表
*/
function getTree() {
getConditionDefinitionInfo(props.patientInfo ? props.patientInfo.patientId : '').then((res) => {
if (res.code == 200) {
let list = [];
list = res.data.patientHistoryList;
list.children = [];
// 手动构造树列表;
tree.value[0] = {
id: '1',
name: '历史',
children: list,
};
tree.value[1] = {
id: '2',
name: '常用',
children: res.data.doctorCommonUseList,
};
tree.value[2] = {
id: '3',
name: '个人',
children: res.data.userPersonalList,
};
tree.value[3] = {
id: '4',
name: '科室',
children: res.data.organizationList,
};
console.log(tree.value);
}
});
}
/**
* 添加西医诊断
*/
function handleAddDiagnosis() {
proxy.$refs.formRef.validate((valid) => {
if (valid) {
if (!allowAdd.value) {
proxy.$modal.msgWarning('请先填写病历');
return;
}
form.value.diagnosisList.push({
showPopover: false,
name: undefined,
verificationStatusEnum: 4,
medTypeCode: '11',
diagSrtNo: form.value.diagnosisList.length + 1,
iptDiseTypeCode: 2,
diagnosisDesc: '',
});
if (form.value.diagnosisList.length == 1) {
form.value.diagnosisList[0].maindiseFlag = 1;
}
}
});
}
// 添加中医诊断
function handleAddTcmDiagonsis() {
openAddDiagnosisDialog.value = true;
}
/**
* 删除诊断
*/
function handleDeleteDiagnosis(row, index) {
if (row.conditionId) {
delEncounterDiagnosis(row.conditionId).then(() => {
getList();
getTree();
});
} else {
form.value.diagnosisList.splice(index, 1);
}
}
function handleMaindise(value, index) {
if (value == 1) {
let flag = 0;
form.value.diagnosisList.forEach((item) => {
console.log(item);
if (item.maindiseFlag == 1) {
flag++;
}
});
if (flag > 1) {
form.value.diagnosisList[index].maindiseFlag = 0;
proxy.$modal.msgWarning('只能有一条主诊断');
}
}
}
/**
* 保存诊断
*/
function handleSaveDiagnosis() {
proxy.$refs.formRef.validate((valid) => {
if (valid) {
if (form.value.diagnosisList.length == 0) {
proxy.$modal.msgWarning('诊断不能为空');
return false;
} else if (!form.value.diagnosisList.some((diagnosis) => diagnosis.maindiseFlag === 1)) {
proxy.$modal.msgWarning('至少添加一条主诊断');
} else {
saveDiagnosis({
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.encounterId,
diagnosisChildList: form.value.diagnosisList,
}).then((res) => {
if (res.code == 200) {
getTree();
getList();
emits('diagnosisSave', false);
proxy.$modal.msgSuccess('诊断已保存');
//食源性疾病病例数据智能采集 ---START---
isFoodDiseasesNew({
encounterId: props.patientInfo.encounterId,
}).then((res) => {
if (res.code == 200) {
let jumpUrl = res.data;
if (jumpUrl) {
window.open(jumpUrl, '_blank');
}
}
});
//食源性疾病病例数据智能采集 ---END---
}
});
}
}
});
}
/**
* 关闭诊断弹窗
*/
function closeDiagnosisDialog(str) {
if (str === 'success') {
proxy.$modal.msgSuccess('操作成功');
}
openAddDiagnosisDialog.value = false;
openDiagnosis.value = false;
getTree();
}
function queryDiagnosisUse(value) {}
function handleChange(value) {
diagnosisSearchkey.value = value;
}
/**
* 选择诊断并赋值到列表
*/
function handleSelsectDiagnosis(row) {
console.log(row);
form.value.diagnosisList[rowIndex.value].ybNo = row.ybNo;
form.value.diagnosisList[rowIndex.value].name = row.name;
form.value.diagnosisList[rowIndex.value].definitionId = row.id;
}
/**获取焦点时 打开列表 */
function handleFocus(row, index) {
rowIndex.value = index;
row.showPopover = true;
}
/**失去焦点时 关闭列表 */
function handleBlur(row) {
row.showPopover = false;
}
function handleNodeClick(data) {
console.log(data.children);
// 检查节点是否为根节点
if (data.children != undefined) {
// 如果是根节点,不执行任何操作
return;
}
if (!allowAdd.value) {
proxy.$modal.msgWarning('请先填写病历');
return;
}
const isDuplicate = form.value.diagnosisList.some(
(diagnosis) => diagnosis.ybNo === data.ybNo || diagnosis.name === data.name
);
if (isDuplicate) {
proxy.$modal.msgWarning('该诊断项已存在');
return;
}
form.value.diagnosisList.push({
ybNo: data.ybNo,
name: data.name,
verificationStatusEnum: 4,
medTypeCode: '11',
diagSrtNo: form.value.diagnosisList.length + 1,
definitionId: data.definitionId,
});
if (form.value.diagnosisList.length == 1) {
form.value.diagnosisList[0].maindiseFlag = 1;
}
}
defineExpose({ getList, getDetail, handleSaveDiagnosis });
</script>
<style lang="scss" scoped>
.el-checkbox.is-bordered.el-checkbox--small {
background-color: #ffffff;
}
.custom-tree-node {
display: flex;
align-items: center;
justify-content: space-between;
width: 100%;
}
.tree-node-actions {
display: flex;
align-items: center;
}
</style>