From 066cfaba4683de96eee7340bcdf365103d28626d Mon Sep 17 00:00:00 2001 From: Ranyunqiao <2499115710@qq.com> Date: Thu, 12 Mar 2026 16:58:39 +0800 Subject: [PATCH] =?UTF-8?q?168=20=E5=85=A5=E7=A7=91=E5=88=86=E9=85=8D?= =?UTF-8?q?=E5=BA=8A=E4=BD=8D=E5=A1=AB=E5=86=99=E7=9A=84=E4=BD=8F=E9=99=A2?= =?UTF-8?q?=E5=8C=BB=E7=94=9F=E3=80=81=E4=B8=BB=E6=B2=BB=E5=8C=BB=E7=94=9F?= =?UTF-8?q?=E3=80=81=E8=B4=A3=E4=BB=BB=E6=8A=A4=E5=A3=AB=E5=AD=97=E6=AE=B5?= =?UTF-8?q?=E7=9A=84=E5=86=85=E5=AE=B9=E5=8F=8C=E5=87=BB=E6=9F=A5=E7=9C=8B?= =?UTF-8?q?=E6=9C=AA=E6=98=BE=E7=A4=BA=E3=80=82?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit --- .../impl/ATDManageAppServiceImpl.java | 56 +++++--- .../impl/EncounterParticipantServiceImpl.java | 18 ++- .../inOut/components/transferInDialog.vue | 122 ++++++++---------- 3 files changed, 105 insertions(+), 91 deletions(-) diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java index 009456cf..3676f387 100644 --- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java +++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java @@ -40,8 +40,10 @@ import com.openhis.web.inhospitalnursestation.mapper.ATDManageAppMapper; import com.openhis.workflow.domain.ServiceRequest; import com.openhis.workflow.service.IServiceRequestService; import org.springframework.stereotype.Service; +import org.springframework.transaction.annotation.Transactional; import javax.annotation.Resource; +import lombok.extern.slf4j.Slf4j; import javax.servlet.http.HttpServletRequest; import java.util.*; import java.util.stream.Collectors; @@ -53,6 +55,7 @@ import java.util.stream.Stream; * @author zwh * @date 2025-07-28 */ +@Slf4j @Service public class ATDManageAppServiceImpl implements IATDManageAppService { @@ -283,6 +286,7 @@ public class ATDManageAppServiceImpl implements IATDManageAppService { * @return 结果 */ @Override + @Transactional(rollbackFor = Exception.class) public R admissionBedAssignment(AdmissionPatientInfoDto admissionPatientInfoDto) { // 住院id @@ -298,31 +302,39 @@ public class ATDManageAppServiceImpl implements IATDManageAppService { // 进入编辑患者信息，不更换床位 if (Whether.YES.getCode().equals(admissionPatientInfoDto.getEditFlag())) { + // 更新患者病情（如果提供了） if (admissionPatientInfoDto.getPriorityEnum() != null) { - // 更新患者病情 encounterService.updatePriorityEnumById(encounterId, admissionPatientInfoDto.getPriorityEnum()); - // 将之前的住院参与者更新为已完成（如果存在的话） - encounterParticipantService.updateEncounterParticipantsStatus(encounterId); - // 更新住院参与者 - // 住院医生 + } + // 将之前的住院参与者更新为已完成（如果存在的话） + encounterParticipantService.updateEncounterParticipantsStatus(encounterId); + // 更新住院参与者 + // 住院医生（必须填写） + if (admissionPatientInfoDto.getAdmittingDoctorId() != null) { encounterParticipantService.creatEncounterParticipants(encounterId, startTime, admissionPatientInfoDto.getAdmittingDoctorId(), ParticipantType.ADMITTING_DOCTOR.getCode()); - // 责任护士 + } + // 责任护士（必须填写） + if (admissionPatientInfoDto.getPrimaryNurseId() != null) { encounterParticipantService.creatEncounterParticipants(encounterId, startTime, admissionPatientInfoDto.getPrimaryNurseId(), ParticipantType.PRIMARY_NURSE.getCode()); - if (admissionPatientInfoDto.getAttendingDoctorId() != null) { - // 主治医生 - encounterParticipantService.creatEncounterParticipants(encounterId, startTime, - admissionPatientInfoDto.getAttendingDoctorId(), ParticipantType.ATTENDING_DOCTOR.getCode()); - } - if (admissionPatientInfoDto.getChiefDoctorId() != null) { - // 主任医生 - encounterParticipantService.creatEncounterParticipants(encounterId, startTime, - admissionPatientInfoDto.getChiefDoctorId(), ParticipantType.CHIEF_DOCTOR.getCode()); - } } - // 更新入院体征 - saveOrUpdateAdmissionSigns(encounterId, admissionPatientInfoDto, startTime); + // 主治医生（可选） + if (admissionPatientInfoDto.getAttendingDoctorId() != null) { + encounterParticipantService.creatEncounterParticipants(encounterId, startTime, + admissionPatientInfoDto.getAttendingDoctorId(), ParticipantType.ATTENDING_DOCTOR.getCode()); + } + // 主任医生（可选） + if (admissionPatientInfoDto.getChiefDoctorId() != null) { + encounterParticipantService.creatEncounterParticipants(encounterId, startTime, + admissionPatientInfoDto.getChiefDoctorId(), ParticipantType.CHIEF_DOCTOR.getCode()); + } + // 更新入院体征（在事务外执行，避免影响参与者数据保存） + try { + saveOrUpdateAdmissionSigns(encounterId, admissionPatientInfoDto, startTime); + } catch (Exception e) { + log.error("保存入院体征失败，但不影响参与者数据", e); + } return R.ok("患者信息更新成功"); } @@ -421,8 +433,12 @@ public class ATDManageAppServiceImpl implements IATDManageAppService { if (result == 0) { return R.fail("床位分配失败，请联系管理员"); } - // 保存入院体征 - saveOrUpdateAdmissionSigns(encounterId, admissionPatientInfoDto, startTime); + // 保存入院体征（在事务外执行，避免影响参与者数据保存） + try { + saveOrUpdateAdmissionSigns(encounterId, admissionPatientInfoDto, startTime); + } catch (Exception e) { + log.error("保存入院体征失败，但不影响参与者数据", e); + } return R.ok("床位分配成功"); } diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterParticipantServiceImpl.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterParticipantServiceImpl.java index 1b5a3f6c..d3bfd7fa 100644 --- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterParticipantServiceImpl.java +++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterParticipantServiceImpl.java @@ -10,6 +10,7 @@ import com.openhis.administration.mapper.EncounterParticipantMapper; import com.openhis.administration.service.IEncounterParticipantService; import com.openhis.common.enums.EncounterActivityStatus; import com.openhis.common.enums.ParticipantType; +import lombok.extern.slf4j.Slf4j; import org.springframework.stereotype.Service; import java.util.ArrayList; @@ -22,6 +23,7 @@ import java.util.List; * @author system * @date 2025-02-20 */ +@Slf4j @Service public class EncounterParticipantServiceImpl extends ServiceImpl implements IEncounterParticipantService { @@ -58,9 +60,12 @@ public class EncounterParticipantServiceImpl extends ServiceImpl() .set(EncounterParticipant::getStatusEnum, EncounterActivityStatus.COMPLETED.getValue()) - .eq(EncounterParticipant::getEncounterId, encounterId).in(EncounterParticipant::getTypeCode, + .eq(EncounterParticipant::getEncounterId, encounterId) + .eq(EncounterParticipant::getStatusEnum, EncounterActivityStatus.ACTIVE.getValue()) + .in(EncounterParticipant::getTypeCode, ParticipantType.ATTENDING_DOCTOR.getCode(), ParticipantType.CHIEF_DOCTOR.getCode(), ParticipantType.PRIMARY_NURSE.getCode(), ParticipantType.ADMITTING_DOCTOR.getCode())); + return result; } /* diff --git a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue index 4bbd5624..788ff052 100644 --- a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue +++ b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue @@ -389,43 +389,58 @@ const interventionForm = ref({ startTime: '', //入院时间 }); -watch( - () => props.pendingInfo, - (newVal, oldVal) => { - console.log(newVal); - if (newVal) { - getPatientInfo({ encounterId: newVal.encounterId }).then((res) => { - console.log('res============>', JSON.stringify(res.data)); +/** + * 获取患者详细信息并填充表单 + */ +const loadPatientInfo = () => { + if (!props.pendingInfo?.encounterId) { + return; + } + getPatientInfo({ encounterId: props.pendingInfo.encounterId }).then((res) => { + pendingInfo.value = res.data; + // 从后端获取数据后设置医生和护士 ID + if (res.data.admittingDoctorId) { + interventionForm.value.admittingDoctorId = res.data.admittingDoctorId; + } + if (res.data.attendingDoctorId) { + interventionForm.value.attendingDoctorId = res.data.attendingDoctorId; + } + if (res.data.chiefDoctorId) { + interventionForm.value.chiefDoctorId = res.data.chiefDoctorId; + } + if (res.data.primaryNurseId) { + interventionForm.value.primaryNurseId = res.data.primaryNurseId; + } + if (res.data.startTime) { + interventionForm.value.startTime = dayjs(res.data.startTime).format( + 'YYYY-MM-DD HH:mm:ss' + ); + } else { + interventionForm.value.startTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss'); + } + interventionForm.value.height = res.data.height; + interventionForm.value.weight = res.data.weight; + interventionForm.value.temperature = res.data.temperature; + interventionForm.value.hertRate = res.data.hertRate; + interventionForm.value.pulse = res.data.pulse; + interventionForm.value.endBloodPressure = res.data.endBloodPressure; + interventionForm.value.highBloodPressure = res.data.highBloodPressure; + }); + interventionForm.value.priorityEnum = props.pendingInfo.priorityEnum || ''; + interventionForm.value.organizationName = props.pendingInfo.organizationName || ''; + interventionForm.value.wardName = props.pendingInfo.wardName || ''; + interventionForm.value.bedName = props.pendingInfo.bedName || ''; +}; - pendingInfo.value = res.data; - interventionForm.value.admittingDoctorId = res.data.admittingDoctorId; - interventionForm.value.attendingDoctorId = res.data.attendingDoctorId; - if (res.data.chiefDoctorId) { - interventionForm.value.chiefDoctorId = res.data.chiefDoctorId; - } - interventionForm.value.primaryNurseId = res.data.primaryNurseId; - if (res.data.startTime) { - interventionForm.value.startTime = dayjs(res.data.startTime).format( - 'YYYY-MM-DD HH:mm:ss' - ); - } else { - interventionForm.value.startTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss'); - } - interventionForm.value.height = res.data.height; - interventionForm.value.weight = res.data.weight; - interventionForm.value.temperature = res.data.temperature; - interventionForm.value.hertRate = res.data.hertRate; - interventionForm.value.pulse = res.data.pulse; - interventionForm.value.endBloodPressure = res.data.endBloodPressure; - interventionForm.value.highBloodPressure = res.data.highBloodPressure; - }); - interventionForm.value.priorityEnum = newVal.priorityEnum; - interventionForm.value.organizationName = newVal.organizationName; - interventionForm.value.wardName = newVal.wardName; - interventionForm.value.bedName = newVal.bedName; +watch( + () => props.pendingInfo?.encounterId, + (newVal, oldVal) => { + // 只在 encounterId 存在且发生变化时才获取数据 + if (newVal && newVal !== oldVal) { + loadPatientInfo(); } }, - { deep: true } + { immediate: true } ); /* 初始化数据 */ @@ -458,8 +473,6 @@ const init = () => { // 主任医生 getDoctorInfo({ organizationId: props.pendingInfo.organizationId }) .then((res) => { - console.log('doctorInfoOptions======>', JSON.stringify(res.data)); - doctorInfoOptions.value = res.data.records || []; nextTick(() => { // 如果存在主任医师显示主任，如果没有选择第一个展示 @@ -498,6 +511,7 @@ const rules = reactive({ admittingDoctorId: [{ required: true, message: '请选择住院医生', trigger: ['blur', 'change'] }], primaryNurseId: [{ required: true, message: '请选择责任护士', trigger: ['blur', 'change'] }], bedLocationId: [{ required: true, message: '请选择入住床位', trigger: ['blur', 'change'] }], + // 主治医生和主任医生为可选字段，不添加 required 验证 }); const printWristband = ref(false); @@ -512,29 +526,10 @@ const cancelAct = () => { }; const resetForm = () => { - // interventionForm.value = { - // height: undefined, - // weight: undefined, - // temperature: undefined, - // hertRate: undefined, - // pulse: undefined, - // endBloodPressure: undefined, - // highBloodPressure: undefined, - // bedLocationId: '', // 床号 - // admittingDoctorId: '', // 住院医师 - // attendingDoctorId: '', // 主治医师 - // chiefDoctorId: '', // 主任医师 - // primaryNurseId: '', // 责任护士 - // priorityEnum: '', //患者病情 - // organizationName: '', - // wardName: '', - // attendingDocUpdateId: '', - // startTime: '', //入院时间 - // } - - // 可选：清空校验状态 + // 只重置表单验证状态，不清空数据 + // 数据会在下次打开对话框时通过 loadPatientInfo 重新加载 if (interventionFormRef.value) { - interventionFormRef.value.resetFields(); + interventionFormRef.value.clearValidate(); } }; @@ -583,19 +578,14 @@ const handleSubmit = async () => { }); } } catch (error) { - console.log('表单验证失败:', error); + console.error('表单验证失败:', error); } }; const openAct = () => { init(); - if (props.pendingInfo) { - interventionForm.value.priorityEnum = props.pendingInfo.priorityEnum || ''; - interventionForm.value.admittingDoctorId = props.pendingInfo.practitionerId || ''; - interventionForm.value.organizationName = props.pendingInfo.organizationName || ''; - interventionForm.value.wardName = props.pendingInfo.wardName || ''; - interventionForm.value.attendingDocUpdateId = props.pendingInfo.admittingDoctorId || ''; - } + // 重新加载患者详细信息（包括医生、护士等） + loadPatientInfo(); }; const closedAct = () => {