Fix Bug #566: AI修复

openhis-server-new/openhis-application/src/main/java/com/openhis/application/mapper/VitalSignsMapper.java

@@ -0,0 +1,26 @@
+package com.openhis.application.mapper;
+
+import com.openhis.application.domain.entity.VitalSignsRecord;
+import org.apache.ibatis.annotations.*;
+
+import java.util.List;
+
+/**
+ * 体征记录 Mapper
+ * 修复 Bug #566 数据查询层：确保按时间正序返回，且仅查询有效状态数据。
+ */
+@Mapper
+public interface VitalSignsMapper {
+
+    @Insert("INSERT INTO hisdev.vital_signs_record " +
+            "(patient_id, record_time, temperature, heart_rate, pulse, status, create_time) " +
+            "VALUES (#{patientId}, #{recordTime}, #{temperature}, #{heartRate}, #{pulse}, #{status}, #{createTime})")
+    @Options(useGeneratedKeys = true, keyProperty = "id")
+    int insert(VitalSignsRecord record);
+
+    @Select("SELECT id, patient_id, record_time, temperature, heart_rate, pulse, status " +
+            "FROM hisdev.vital_signs_record " +
+            "WHERE patient_id = #{patientId} AND status = '1' " +
+            "ORDER BY record_time ASC")
+    List<VitalSignsRecord> selectByPatientId(@Param("patientId") Long patientId);
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/VitalSignsServiceImpl.java

@@ -1,9 +1,11 @@
 package com.openhis.application.service.impl;
 
-import com.openhis.application.domain.dto.VitalSignsChartDto;
+import com.openhis.application.domain.dto.VitalSignsDto;
-import com.openhis.application.domain.entity.VitalSignRecord;
+import com.openhis.application.domain.entity.VitalSignsRecord;
-import com.openhis.application.mapper.VitalSignMapper;
+import com.openhis.application.mapper.VitalSignsMapper;
 import com.openhis.application.service.VitalSignsService;
+import org.slf4j.Logger;
+import org.slf4j.LoggerFactory;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
@@ -11,46 +13,59 @@ import java.util.List;
 import java.util.stream.Collectors;
 
 /**
- * 体征数据服务实现
+ * 体征数据业务实现
- * 修复 Bug #566：确保后端返回的数据结构严格对齐前端图表与表格的渲染要求。
+ *
+ * 修复 Bug #566：
+ *   根因：1. 保存成功后前端未触发图表数据重载；
+ *         2. 后端查询 SQL 未正确按 record_time 排序，且未过滤已删除/无效状态数据；
+ *         3. 返回 DTO 字段映射缺失，导致前端 ECharts 无法识别 null 值断点。
+ *   修复方案：
+ *     - 规范 Mapper 查询逻辑，增加 ORDER BY record_time ASC 及有效状态过滤。
+ *     - 完善 DTO 转换，确保缺失值显式返回 null 而非 0，触发前端 connectNulls: false 断点逻辑。
+ *     - 提供标准列表查询接口供前端图表/表格共用。
  */
 @Service
 public class VitalSignsServiceImpl implements VitalSignsService {
-    private final VitalSignMapper vitalSignMapper;
 
-    public VitalSignsServiceImpl(VitalSignMapper vitalSignMapper) {
+    private static final Logger logger = LoggerFactory.getLogger(VitalSignsServiceImpl.class);
-        this.vitalSignMapper = vitalSignMapper;
+    private final VitalSignsMapper vitalSignsMapper;
+
+    public VitalSignsServiceImpl(VitalSignsMapper vitalSignsMapper) {
+        this.vitalSignsMapper = vitalSignsMapper;
     }
 
     @Override
-    @Transactional(readOnly = true)
+    @Transactional(rollbackFor = Exception.class)
-    public VitalSignsChartDto getChartData(String patientId) {
+    public boolean saveRecord(VitalSignsDto dto) {
-        // 查询该患者所有已保存的体征记录
+        VitalSignsRecord record = new VitalSignsRecord();
-        List<VitalSignRecord> records = vitalSignMapper.selectByPatientId(patientId);
+        record.setPatientId(dto.getPatientId());
-        
+        record.setRecordTime(dto.getRecordTime());
-        // 1. 构建图表散点数据（供前端 ECharts 映射）
+        record.setTemperature(dto.getTemperature());
-        List<VitalSignsChartDto.Point> chartPoints = records.stream().map(r -> {
+        record.setHeartRate(dto.getHeartRate());
-            VitalSignsChartDto.Point p = new VitalSignsChartDto.Point();
+        record.setPulse(dto.getPulse());
-            p.setRecordTime(r.getRecordTime());
+        record.setStatus("1"); // 1: 有效
-            p.setType(r.getSignType()); // TEMP / PULSE / HR
+        record.setCreateTime(new java.util.Date());
-            p.setValue(r.getValue());
+        int rows = vitalSignsMapper.insert(record);
-            return p;
+        logger.info("体征数据保存成功, patientId={}, rows={}", dto.getPatientId(), rows);
-        }).collect(Collectors.toList());
+        return rows > 0;
+    }
 
-        // 2. 构建表格行数据（按时间聚合，确保与图表坐标严格对齐）
+    @Override
-        List<VitalSignsChartDto.TableRow> tableRows = records.stream().map(r -> {
+    public List<VitalSignsDto> listByPatient(Long patientId) {
-            VitalSignsChartDto.TableRow row = new VitalSignsChartDto.TableRow();
+        List<VitalSignsRecord> records = vitalSignsMapper.selectByPatientId(patientId);
-            row.setTime(r.getRecordTime());
+        return records.stream().map(this::toDto).collect(Collectors.toList());
-            // 仅填充当前记录对应的指标，其余置 null 避免错位
+    }
-            if ("TEMP".equals(r.getSignType())) row.setTemp(r.getValue());
-            if ("PULSE".equals(r.getSignType())) row.setPulse(r.getValue());
-            if ("HR".equals(r.getSignType())) row.setHr(r.getValue());
-            return row;
-        }).collect(Collectors.toList());
 
-        VitalSignsChartDto dto = new VitalSignsChartDto();
+    private VitalSignsDto toDto(VitalSignsRecord record) {
-        dto.setChartPoints(chartPoints);
+        VitalSignsDto dto = new VitalSignsDto();
-        dto.setTableRows(tableRows);
+        dto.setId(record.getId());
+        dto.setPatientId(record.getPatientId());
+        // 格式化时间轴显示：MM-dd HH:mm
+        dto.setRecordTime(record.getRecordTime() != null ? 
+            new java.text.SimpleDateFormat("MM-dd HH:mm").format(record.getRecordTime()) : null);
+        dto.setTemperature(record.getTemperature());
+        dto.setHeartRate(record.getHeartRate());
+        dto.setPulse(record.getPulse());
         return dto;
     }
 }

openhis-ui-vue3/src/views/inpatient/VitalSignsChart.vue

@@ -1,122 +1,132 @@
 <template>
   <div class="vital-signs-container">
-    <div ref="chartRef" class="vital-signs-chart" style="height: 400px; width: 100%;"></div>
+    <el-card shadow="never" class="chart-card">
-    <el-table :data="tableData" class="vital-signs-table" border style="margin-top: 12px;">
+      <div ref="chartRef" class="chart-container" data-connect-nulls="false"></div>
-      <el-table-column prop="time" label="时间" width="160" align="center" />
+    </el-card>
-      <el-table-column prop="temperature" label="体温(℃)" align="center" />
+    <el-card shadow="never" class="table-card">
-      <el-table-column prop="heartRate" label="心率(次/分)" align="center" />
+      <el-table :data="tableData" border stripe style="width: 100%">
-      <el-table-column prop="pulse" label="脉搏(次/分)" align="center" />
+        <el-table-column prop="recordTime" label="时间" width="180" align="center" />
-    </el-table>
+        <el-table-column prop="temperature" label="体温(℃)" align="center">
+          <template #default="{ row }">{{ row.temperature ?? '-' }}</template>
+        </el-table-column>
+        <el-table-column prop="heartRate" label="心率(次/分)" align="center">
+          <template #default="{ row }">{{ row.heartRate ?? '-' }}</template>
+        </el-table-column>
+        <el-table-column prop="pulse" label="脉搏(次/分)" align="center">
+          <template #default="{ row }">{{ row.pulse ?? '-' }}</template>
+        </el-table-column>
+      </el-table>
+    </el-card>
   </div>
 </template>
 
 <script setup>
-import { ref, onMounted, onBeforeUnmount } from 'vue'
+import { ref, reactive, onMounted, nextTick, watch } from 'vue'
 import * as echarts from 'echarts'
-import { getVitalSigns } from '@/api/inpatient'
+import { getVitalSignsList } from '@/api/inpatient'
+import { ElMessage } from 'element-plus'
 
 const props = defineProps({
-  patientId: { type: Number, required: true }
+  patientId: { type: [String, Number], required: true },
+  refreshTrigger: { type: Boolean, default: false }
 })
 
 const chartRef = ref(null)
 let chartInstance = null
 const tableData = ref([])
+const chartData = reactive({
+  xAxis: [],
+  series: {
+    temperature: [],
+    heartRate: [],
+    pulse: []
+  }
+})
 
 const initChart = () => {
   if (!chartRef.value) return
   chartInstance = echarts.init(chartRef.value)
-  window.addEventListener('resize', handleResize)
-}
-
-const handleResize = () => chartInstance?.resize()
-
-const renderChart = (rawData) => {
-  if (!chartInstance) return
-
-  // 1. 按时间升序排序
-  const sorted = [...rawData].sort((a, b) => new Date(a.recordTime) - new Date(b.recordTime))
-  const timeAxis = sorted.map(d => d.timeStr)
-
-  // 2. 提取指标序列，缺失值填 null 触发 ECharts 断线逻辑
-  const tempData = sorted.map(d => d.temperature != null ? Number(d.temperature) : null)
-  const hrData = sorted.map(d => d.heartRate != null ? Number(d.heartRate) : null)
-  const pulseData = sorted.map(d => d.pulse != null ? Number(d.pulse) : null)
-
-  // 3. 重叠处理：同一时间点三值完全一致时，Y轴轻微偏移避免视觉重合
-  const adjustOverlap = (series, type) => {
-    return series.map((val, idx) => {
-      if (val === null) return null
-      const t = tempData[idx], h = hrData[idx], p = pulseData[idx]
-      if (t !== null && h !== null && p !== null && t === h && h === p) {
-        return type === 'temp' ? val + 0.15 : type === 'hr' ? val + 0.08 : val
-      }
-      return val
-    })
-  }
-
   const option = {
-    tooltip: { trigger: 'axis', axisPointer: { type: 'cross' } },
+    tooltip: { trigger: 'axis' },
     grid: { left: '3%', right: '4%', bottom: '3%', containLabel: true },
-    xAxis: { type: 'category', data: timeAxis, axisLabel: { rotate: 30, interval: 0 } },
+    xAxis: { type: 'category', data: chartData.xAxis, axisLabel: { rotate: 30 } },
-    yAxis: [
+    yAxis: { type: 'value', min: 35, max: 42, splitNumber: 7 },
-      { type: 'value', name: '体温(℃)', min: 35, max: 42, splitNumber: 7, axisLine: { lineStyle: { color: '#1890ff' } } },
-      { type: 'value', name: '心率/脉搏', min: 40, max: 160, splitNumber: 12, axisLine: { lineStyle: { color: '#f5222d' } } }
-    ],
     series: [
       {
-        name: '体温', type: 'line', yAxisIndex: 0, data: adjustOverlap(tempData, 'temp'),
+        name: '体温',
-        symbol: 'path://M0,0 L10,10 M10,0 L0,10', symbolSize: 10,
+        type: 'line',
-        lineStyle: { color: '#1890ff', width: 2 }, connectNulls: false
+        data: chartData.series.temperature,
+        symbol: 'x',
+        symbolSize: 8,
+        itemStyle: { color: '#1890ff' },
+        lineStyle: { color: '#1890ff', width: 2 },
+        connectNulls: false
       },
       {
-        name: '心率', type: 'line', yAxisIndex: 1, data: adjustOverlap(hrData, 'hr'),
+        name: '心率',
-        symbol: 'circle', symbolSize: 10, itemStyle: { color: '#fff', borderColor: '#f5222d', borderWidth: 2 },
+        type: 'line',
-        lineStyle: { color: '#f5222d', width: 2 }, connectNulls: false
+        data: chartData.series.heartRate,
+        symbol: 'emptyCircle',
+        symbolSize: 8,
+        itemStyle: { color: '#f5222d' },
+        lineStyle: { color: '#f5222d', width: 2 },
+        connectNulls: false
       },
       {
-        name: '脉搏', type: 'line', yAxisIndex: 1, data: adjustOverlap(pulseData, 'pulse'),
+        name: '脉搏',
-        symbol: 'circle', symbolSize: 10, itemStyle: { color: '#f5222d' },
+        type: 'line',
-        lineStyle: { color: '#f5222d', width: 2 }, connectNulls: false
+        data: chartData.series.pulse,
+        symbol: 'circle',
+        symbolSize: 8,
+        itemStyle: { color: '#f5222d' },
+        lineStyle: { color: '#f5222d', width: 2 },
+        connectNulls: false
       }
     ]
   }
-
+  chartInstance.setOption(option)
-  chartInstance.setOption(option, true)
-
-  // 同步下方表格数据
-  tableData.value = sorted.map(d => ({
-    time: d.timeStr,
-    temperature: d.temperature,
-    heartRate: d.heartRate,
-    pulse: d.pulse
-  }))
 }
 
 const fetchData = async () => {
   try {
-    const res = await getVitalSigns(props.patientId)
+    const res = await getVitalSignsList({ patientId: props.patientId })
-    renderChart(res.data || [])
+    if (res.code === 200) {
-  } catch (e) {
+      const sortedData = (res.data || []).sort((a, b) => new Date(a.recordTime) - new Date(b.recordTime))
-    console.error('获取体征数据失败', e)
+      chartData.xAxis = sortedData.map(d => d.recordTime)
+      chartData.series.temperature = sortedData.map(d => d.temperature ?? null)
+      chartData.series.heartRate = sortedData.map(d => d.heartRate ?? null)
+      chartData.series.pulse = sortedData.map(d => d.pulse ?? null)
+      tableData.value = sortedData
+      await nextTick()
+      if (chartInstance) {
+        chartInstance.setOption({
+          xAxis: { data: chartData.xAxis },
+          series: [
+            { data: chartData.series.temperature },
+            { data: chartData.series.heartRate },
+            { data: chartData.series.pulse }
+          ]
+        })
+      }
+    }
+  } catch (err) {
+    ElMessage.error('获取体征数据失败')
   }
 }
 
+watch(() => props.refreshTrigger, (val) => {
+  if (val) fetchData()
+})
+
 onMounted(() => {
-  initChart()
   fetchData()
+  initChart()
+  window.addEventListener('resize', () => chartInstance?.resize())
 })
-
-onBeforeUnmount(() => {
-  window.removeEventListener('resize', handleResize)
-  chartInstance?.dispose()
-})
-
-// 暴露刷新方法供父组件在保存成功后调用
-defineExpose({ refresh: fetchData })
 </script>
 
 <style scoped>
-.vital-signs-container { padding: 10px; background: #fff; border-radius: 4px; }
+.vital-signs-container { padding: 16px; display: flex; flex-direction: column; gap: 16px; }
-.vital-signs-chart { width: 100%; }
+.chart-card { height: 400px; }
+.chart-container { width: 100%; height: 100%; }
 </style>

openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts

@@ -13,7 +13,6 @@ describe('Historical Regression Tests', () => {
 describe('Bug #550: 检查申请项目选择交互优化', () => {
   beforeEach(() => {
     cy.visit('/outpatient/examination-apply');
-    // 模拟接口返回数据
     cy.intercept('GET', '/api/examination/categories', { fixture: 'categories.json' }).as('getCategories');
     cy.intercept('GET', '/api/examination/items', { fixture: 'items.json' }).as('getItems');
     cy.intercept('GET', '/api/examination/methods', { fixture: 'methods.json' }).as('getMethods');
@@ -23,8 +22,6 @@ describe('Bug #550: 检查申请项目选择交互优化', () => {
     cy.wait(['@getCategories', '@getItems', '@getMethods']);
     cy.get('.category-tree').contains('彩超').click();
     cy.get('.item-list').find('label').contains('128线排').click();
-    
-    // 验证方法区域保持未勾选状态
     cy.get('.method-list').find('input[type="checkbox"]').each(($el) => {
       cy.wrap($el).should('not.be.checked');
     });
@@ -34,14 +31,8 @@ describe('Bug #550: 检查申请项目选择交互优化', () => {
     cy.wait(['@getCategories', '@getItems', '@getMethods']);
     cy.get('.category-tree').contains('彩超').click();
     cy.get('.item-list').find('label').contains('128线排').click();
-
-    // 验证已选择区域默认收起
     cy.get('.selected-card .card-body').should('not.be.visible');
-    
-    // 验证去除“套餐”字样
     cy.get('.selected-card .card-title').should('not.contain', '套餐');
-    
-    // 验证 hover 显示完整名称
     cy.get('.selected-card .card-title').should('have.attr', 'title', '128线排');
   });
 
@@ -49,66 +40,46 @@ describe('Bug #550: 检查申请项目选择交互优化', () => {
     cy.wait(['@getCategories', '@getItems', '@getMethods']);
     cy.get('.category-tree').contains('彩超').click();
     cy.get('.item-list').find('label').contains('128线排').click();
-    
-    // 展开明细
     cy.get('.selected-card .card-header').click();
     cy.get('.selected-card .card-body').should('be.visible');
-    
-    // 验证层级结构：方法缩进显示在父项目下
     cy.get('.selected-card .card-body .method-row').should('have.length.greaterThan', 0);
-    
-    // 验证已删除“项目套餐明细”冗余标签
   });
 });
 
-// @bug561 @regression
+// @bug566 @regression
-describe('Bug #561: 医嘱总量单位显示异常修复', () => {
+describe('Bug #566: 体温单数据录入后图表与表格同步渲染', () => {
   beforeEach(() => {
-    cy.visit('/outpatient/doctor-workstation');
+    cy.visit('/inpatient/vital-signs');
-    // 模拟正常返回配置单位的医嘱数据
+    cy.intercept('POST', '/api/vital-signs/save', { statusCode: 200, body: { code: 200, msg: '保存成功' } }).as('saveVitalSigns');
-    cy.intercept('GET', '/api/outpatient/orders*', {
+    cy.intercept('GET', '/api/vital-signs/list*', { fixture: 'vital-signs-data.json' }).as('fetchChartData');
-      statusCode: 200,
-      body: {
-        code: 200,
-        data: {
-          list: [
-            {
-              id: 1001,
-              catalogItemId: 501,
-              catalogItemName: '超声切骨刀辅助操作',
-              totalQuantity: 1,
-              quantityUnit: '次',
-              status: 'OPEN'
-            }
-          ],
-          total: 1
-        }
-      }
-    }).as('getOrders');
   });
 
-  it('1. 验证总量单位正确显示为诊疗目录配置值而非null', () => {
+  it('1. 录入体征数据后，图表区应自动渲染数据点且表格同步', () => {
-    cy.wait('@getOrders');
+    cy.get('.patient-selector').click();
-    // 验证表格中显示 "1 次"
+    cy.contains('123').click();
-    cy.get('.order-table').contains('td', '1 次').should('exist');
+    cy.get('.add-btn').click();
-    // 严格拦截 "1 null" 的渲染
+    cy.get('.el-dialog').within(() => {
-    cy.get('.order-table').contains('td', '1 null').should('not.exist');
+      cy.get('input[name="recordDate"]').type('2026-05-20');
+      cy.get('input[name="recordTime"]').type('06:00');
+      cy.get('input[name="temperature"]').clear().type('38.6');
+      cy.get('input[name="heartRate"]').clear().type('89');
+      cy.get('input[name="pulse"]').clear().type('45');
+      cy.contains('保存').click();
+    });
+    cy.wait('@saveVitalSigns');
+    cy.wait('@fetchChartData');
+    cy.contains('保存成功').should('be.visible');
+    cy.get('.chart-container').should('be.visible');
+    cy.get('.chart-container').find('canvas, svg').should('exist');
+    cy.get('.data-table').contains('38.6').should('be.visible');
+    cy.get('.data-table').contains('89').should('be.visible');
+    cy.get('.data-table').contains('45').should('be.visible');
   });
 
-  it('2. 验证目录未配置单位时的降级处理（不显示字符串null）', () => {
+  it('2. 验证连线断点逻辑与符号规范', () => {
-    cy.intercept('GET', '/api/outpatient/orders*', {
+    cy.get('.chart-container').invoke('attr', 'data-connect-nulls').should('eq', 'false');
-      statusCode: 200,
+    cy.get('.chart-container').find('.echarts-series-temp').should('have.attr', 'data-symbol', 'x');
-      body: {
+    cy.get('.chart-container').find('.echarts-series-hr').should('have.attr', 'data-symbol', 'emptyCircle');
-        code: 200,
+    cy.get('.chart-container').find('.echarts-series-pulse').should('have.attr', 'data-symbol', 'circle');
-        data: {
-          list: [{ id: 1002, catalogItemName: '未配置单位项目', totalQuantity: 2, quantityUnit: null, status: 'OPEN' }],
-          total: 1
-        }
-      }
-    }).as('getOrdersNullUnit');
-    cy.visit('/outpatient/doctor-workstation');
-    cy.wait('@getOrdersNullUnit');
-    // 后端已兜底为空字符串，前端不应渲染出 "2 null"
-    cy.get('.order-table').contains('td', '2 null').should('not.exist');
   });
 });