feat(emr): 病历时效监控

2026-06-17 13:47:02 +08:00
parent 9673c0ed80
commit 09e43e4b8c
5 changed files with 399 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrTimelinessAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrTimelinessAppService.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrTimeliness;
+import com.healthlink.his.emr.dto.EmrTimelinessStatisticsDto;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IEmrTimelinessAppService {
+
+    EmrTimelinessStatisticsDto checkTimeliness(Long encounterId);
+
+    Map<String, Object> getTimelinessAlerts(String emrType, String status, String departmentName, int pageNum, int pageSize);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrTimelinessAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrTimelinessAppServiceImpl.java
@@ -0,0 +1,84 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.healthlink.his.emr.domain.EmrTimeliness;
+import com.healthlink.his.emr.dto.EmrTimelinessStatisticsDto;
+import com.healthlink.his.emr.service.IEmrTimelinessService;
+import com.healthlink.his.web.emr.appservice.IEmrTimelinessAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+
+import java.util.Date;
+import java.util.LinkedHashMap;
+import java.util.List;
+import java.util.Map;
+
+@Service
+public class EmrTimelinessAppServiceImpl implements IEmrTimelinessAppService {
+
+    @Resource
+    private IEmrTimelinessService emrTimelinessService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public EmrTimelinessStatisticsDto checkTimeliness(Long encounterId) {
+        LambdaQueryWrapper<EmrTimeliness> wrapper = new LambdaQueryWrapper<>();
+        if (encounterId != null) {
+            wrapper.eq(EmrTimeliness::getEncounterId, encounterId);
+        }
+        wrapper.eq(EmrTimeliness::getStatus, "PENDING");
+        List<EmrTimeliness> pendingList = emrTimelinessService.list(wrapper);
+
+        Date now = new Date();
+        int overdueCount = 0;
+        for (EmrTimeliness record : pendingList) {
+            if (record.getDeadlineTime() != null && now.after(record.getDeadlineTime())) {
+                record.setStatus("OVERDUE");
+                emrTimelinessService.updateById(record);
+                overdueCount++;
+            }
+        }
+
+        EmrTimelinessStatisticsDto stats = new EmrTimelinessStatisticsDto();
+        LambdaQueryWrapper<EmrTimeliness> countWrapper = new LambdaQueryWrapper<>();
+        if (encounterId != null) {
+            countWrapper.eq(EmrTimeliness::getEncounterId, encounterId);
+        }
+        long total = emrTimelinessService.count(countWrapper);
+
+        countWrapper.eq(EmrTimeliness::getStatus, "COMPLETED");
+        long completed = emrTimelinessService.count(countWrapper);
+
+        countWrapper.eq(EmrTimeliness::getStatus, "OVERDUE");
+        long overdue = emrTimelinessService.count(countWrapper);
+
+        long pending = total - completed - overdue;
+        double rate = total > 0 ? Math.round(completed * 10000.0 / total) / 100.0 : 0;
+
+        stats.setTotalCount(total);
+        stats.setCompletedCount(completed);
+        stats.setOverdueCount(overdue);
+        stats.setPendingCount(pending);
+        stats.setCompletionRate(rate);
+        return stats;
+    }
+
+    @Override
+    public Map<String, Object> getTimelinessAlerts(String emrType, String status, String departmentName, int pageNum, int pageSize) {
+        LambdaQueryWrapper<EmrTimeliness> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(StringUtils.hasText(status), EmrTimeliness::getStatus, status);
+        wrapper.eq(StringUtils.hasText(emrType), EmrTimeliness::getEmrType, emrType);
+        wrapper.eq(StringUtils.hasText(departmentName), EmrTimeliness::getDepartmentName, departmentName);
+        wrapper.orderByAsc(EmrTimeliness::getDeadlineTime);
+
+        Page<EmrTimeliness> page = emrTimelinessService.page(new Page<>(pageNum, pageSize), wrapper);
+
+        Map<String, Object> result = new LinkedHashMap<>();
+        result.put("total", page.getTotal());
+        result.put("rows", page.getRecords());
+        return result;
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
@@ -0,0 +1,44 @@
+package com.healthlink.his.web.emr.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.emr.domain.EmrTimeliness;
+import com.healthlink.his.emr.dto.EmrTimelinessStatisticsDto;
+import com.healthlink.his.web.emr.appservice.IEmrTimelinessAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+@RestController
+@RequestMapping("/emr/timeliness")
+@Slf4j
+@AllArgsConstructor
+@Tag(name = "病历时限监控")
+public class EmrTimelinessController {
+
+    private final IEmrTimelinessAppService emrTimelinessAppService;
+
+    @PostMapping("/check")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "执行病历时限检查")
+    public R<EmrTimelinessStatisticsDto> checkTimeliness(
+            @RequestParam(value = "encounterId", required = false) Long encounterId) {
+        return R.ok(emrTimelinessAppService.checkTimeliness(encounterId));
+    }
+
+    @GetMapping("/alerts")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取病历时限提醒列表")
+    public R<Map<String, Object>> getTimelinessAlerts(
+            @RequestParam(value = "emrType", required = false) String emrType,
+            @RequestParam(value = "status", required = false) String status,
+            @RequestParam(value = "departmentName", required = false) String departmentName,
+            @RequestParam(value = "pageNum", defaultValue = "1") int pageNum,
+            @RequestParam(value = "pageSize", defaultValue = "20") int pageSize) {
+        return R.ok(emrTimelinessAppService.getTimelinessAlerts(emrType, status, departmentName, pageNum, pageSize));
+    }
+}
--- a/healthlink-his-ui/src/api/emr.js
+++ b/healthlink-his-ui/src/api/emr.js
@@ -16,3 +16,6 @@ export function compareEmrVersions(id1, id2) { return request({ url: "/emr/versi

 export function checkCompleteness(emrId, encounterId) { return request({ url: "/emr/completeness/check", method: "post", params: { emrId, encounterId } }) }
 export function getCompletenessResults(emrId) { return request({ url: "/emr/completeness/results/" + emrId, method: "get" }) }
+
+export function checkTimeliness(encounterId) { return request({ url: "/emr/timeliness/check", method: "post", params: { encounterId } }) }
+export function getTimelinessAlerts(params) { return request({ url: "/emr/timeliness/alerts", method: "get", params }) }
--- a/healthlink-his-ui/src/views/inpatientDoctor/EmrTimelinessMonitor.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/EmrTimelinessMonitor.vue
@@ -0,0 +1,254 @@
+<template>
+  <div class="emr-timeliness-monitor">
+    <el-row :gutter="16" class="stats-row">
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value total">{{ stats.totalCount || 0 }}</div>
+          <div class="stat-label">病历总数</div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value completed">{{ stats.completedCount || 0 }}</div>
+          <div class="stat-label">已完成</div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value pending">{{ stats.pendingCount || 0 }}</div>
+          <div class="stat-label">待完成</div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value overdue">{{ stats.overdueCount || 0 }}</div>
+          <div class="stat-label">已超时</div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-card shadow="never" class="filter-card">
+      <el-form :inline="true" :model="queryParams" class="filter-form">
+        <el-form-item label="病历类型">
+          <el-select v-model="queryParams.emrType" clearable placeholder="全部" style="width: 160px">
+            <el-option label="入院记录" value="ADMISSION" />
+            <el-option label="首次病程" value="FIRST_COURSE" />
+            <el-option label="日常病程" value="DAILY_COURSE" />
+            <el-option label="出院记录" value="DISCHARGE" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="状态">
+          <el-select v-model="queryParams.status" clearable placeholder="全部" style="width: 140px">
+            <el-option label="待完成" value="PENDING" />
+            <el-option label="已完成" value="COMPLETED" />
+            <el-option label="已超时" value="OVERDUE" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="科室">
+          <el-input v-model="queryParams.departmentName" clearable placeholder="输入科室名" style="width: 160px" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="handleSearch">
+            搜索
+          </el-button>
+          <el-button @click="handleReset">
+            重置
+          </el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-card shadow="never" class="table-card">
+      <template #header>
+        <div class="card-header">
+          <span>时限提醒列表</span>
+          <el-button type="primary" size="small" @click="handleCheckAll">
+            执行检查
+          </el-button>
+        </div>
+      </template>
+
+      <el-table v-loading="loading" :data="alertList" stripe border size="default">
+        <el-table-column prop="emrType" label="病历类型" width="120" align="center">
+          <template #default="{ row }">
+            <el-tag size="small" :type="getEmrTypeTag(row.emrType)">
+              {{ getEmrTypeLabel(row.emrType) }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="patientId" label="患者ID" width="100" align="center" />
+        <el-table-column prop="doctorName" label="主治医生" width="110" align="center" />
+        <el-table-column prop="departmentName" label="科室" width="130" align="center" />
+        <el-table-column prop="requiredHours" label="时限(小时)" width="100" align="center" />
+        <el-table-column prop="deadlineTime" label="截止时间" width="170" align="center" />
+        <el-table-column prop="actualCompleteTime" label="完成时间" width="170" align="center">
+          <template #default="{ row }">
+            {{ row.actualCompleteTime || '-' }}
+          </template>
+        </el-table-column>
+        <el-table-column prop="status" label="状态" width="100" align="center">
+          <template #default="{ row }">
+            <el-tag size="small" :type="getStatusTag(row.status)">
+              {{ getStatusLabel(row.status) }}
+            </el-tag>
+          </template>
+        </el-table-column>
+      </el-table>
+
+      <el-pagination
+        v-if="total > 0"
+        v-model:current-page="queryParams.pageNum"
+        v-model:page-size="queryParams.pageSize"
+        :page-sizes="[10, 20, 50]"
+        :total="total"
+        layout="total, sizes, prev, pager, next, jumper"
+        background
+        @size-change="loadAlerts"
+        @current-change="loadAlerts"
+      />
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { checkTimeliness, getTimelinessAlerts } from '@/api/emr'
+
+const loading = ref(false)
+const stats = ref({})
+const alertList = ref([])
+const total = ref(0)
+
+const queryParams = reactive({
+  emrType: '',
+  status: '',
+  departmentName: '',
+  pageNum: 1,
+  pageSize: 20
+})
+
+const EMR_TYPE_MAP = {
+  ADMISSION: '入院记录',
+  FIRST_COURSE: '首次病程',
+  DAILY_COURSE: '日常病程',
+  DISCHARGE: '出院记录'
+}
+const EMR_TYPE_TAG = {
+  ADMISSION: 'primary',
+  FIRST_COURSE: 'success',
+  DAILY_COURSE: 'warning',
+  DISCHARGE: 'info'
+}
+const STATUS_MAP = {
+  PENDING: '待完成',
+  COMPLETED: '已完成',
+  OVERDUE: '已超时'
+}
+const STATUS_TAG = {
+  PENDING: 'warning',
+  COMPLETED: 'success',
+  OVERDUE: 'danger'
+}
+
+function getEmrTypeLabel(type) { return EMR_TYPE_MAP[type] || type }
+function getEmrTypeTag(type) { return EMR_TYPE_TAG[type] || '' }
+function getStatusLabel(s) { return STATUS_MAP[s] || s }
+function getStatusTag(s) { return STATUS_TAG[s] || '' }
+
+function loadStats() {
+  checkTimeliness(null).then(res => {
+    stats.value = res.data || {}
+  })
+}
+
+function loadAlerts() {
+  loading.value = true
+  const params = { ...queryParams }
+  if (!params.emrType) delete params.emrType
+  if (!params.status) delete params.status
+  if (!params.departmentName) delete params.departmentName
+  getTimelinessAlerts(params).then(res => {
+    alertList.value = res.data?.rows || []
+    total.value = res.data?.total || 0
+  }).catch(() => {
+    ElMessage.error('查询时限提醒失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleSearch() {
+  queryParams.pageNum = 1
+  loadAlerts()
+}
+
+function handleReset() {
+  queryParams.emrType = ''
+  queryParams.status = ''
+  queryParams.departmentName = ''
+  queryParams.pageNum = 1
+  loadAlerts()
+}
+
+function handleCheckAll() {
+  loading.value = true
+  checkTimeliness(null).then(res => {
+    stats.value = res.data || {}
+    ElMessage.success('时限检查完成')
+    loadAlerts()
+  }).catch(() => {
+    ElMessage.error('执行检查失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+onMounted(() => {
+  loadStats()
+  loadAlerts()
+})
+</script>
+
+<style scoped>
+.emr-timeliness-monitor {
+  padding: 16px;
+}
+.stats-row {
+  margin-bottom: 16px;
+}
+.stat-card {
+  text-align: center;
+}
+.stat-value {
+  font-size: 28px;
+  font-weight: 700;
+  line-height: 1.4;
+}
+.stat-value.total { color: #409eff; }
+.stat-value.completed { color: #67c23a; }
+.stat-value.pending { color: #e6a23c; }
+.stat-value.overdue { color: #f56c6c; }
+.stat-label {
+  font-size: 13px;
+  color: #909399;
+  margin-top: 4px;
+}
+.filter-card {
+  margin-bottom: 16px;
+}
+.filter-form {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 0;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.table-card .el-pagination {
+  margin-top: 16px;
+  justify-content: flex-end;
+}
+</style>