From 0a865dd0d557b462f8799559080470ea0263b419 Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Thu, 18 Jun 2026 12:16:17 +0800
Subject: [PATCH] =?UTF-8?q?feat(nursing):=20T6.3=20=E7=96=BC=E7=97=9B?=
 =?UTF-8?q?=E8=AF=84=E4=BC=B0NRS/VAS=E5=8A=9F=E8=83=BD?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../appservice/IPainAssessmentAppService.java |  10 ++
 .../impl/PainAssessmentAppServiceImpl.java    |  43 ++++++
 .../controller/PainAssessmentController.java  |  36 +++++
 .../nursing/assessment/PainAssessment.vue     | 143 ++++++++++++++++++
 4 files changed, 232 insertions(+)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPainAssessmentAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PainAssessmentAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PainAssessmentController.java
 create mode 100644 healthlink-his-ui/src/views/nursing/assessment/PainAssessment.vue

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPainAssessmentAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPainAssessmentAppService.java
new file mode 100644
index 000000000..d2186b735
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPainAssessmentAppService.java
@@ -0,0 +1,10 @@
+package com.healthlink.his.web.nursing.appservice;
+
+import com.healthlink.his.nursing.domain.NursingAssessment;
+
+import java.util.List;
+
+public interface IPainAssessmentAppService {
+    NursingAssessment assessPain(NursingAssessment assessment);
+    List<NursingAssessment> getPainRecords(Long encounterId);
+}
\ No newline at end of file
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PainAssessmentAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PainAssessmentAppServiceImpl.java
new file mode 100644
index 000000000..ba58fcb25
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PainAssessmentAppServiceImpl.java
@@ -0,0 +1,43 @@
+package com.healthlink.his.web.nursing.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.nursing.domain.NursingAssessment;
+import com.healthlink.his.nursing.service.INursingAssessmentService;
+import com.healthlink.his.web.nursing.appservice.IPainAssessmentAppService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+
+@Service
+public class PainAssessmentAppServiceImpl implements IPainAssessmentAppService {
+
+    @Autowired
+    private INursingAssessmentService assessmentService;
+
+    @Override
+    public NursingAssessment assessPain(NursingAssessment assessment) {
+        assessment.setAssessmentTool("NRS_PAIN");
+        assessment.setAssessmentType("PAIN");
+        assessment.setRiskLevel(calculatePainRiskLevel(assessment));
+        assessment.setDeleteFlag("0");
+        assessmentService.save(assessment);
+        return assessment;
+    }
+
+    @Override
+    public List<NursingAssessment> getPainRecords(Long encounterId) {
+        return assessmentService.list(new LambdaQueryWrapper<NursingAssessment>()
+                .eq(NursingAssessment::getEncounterId, encounterId)
+                .eq(NursingAssessment::getAssessmentTool, "NRS_PAIN")
+                .orderByDesc(NursingAssessment::getAssessmentTime));
+    }
+
+    private String calculatePainRiskLevel(NursingAssessment assessment) {
+        Integer totalScore = assessment.getTotalScore();
+        if (totalScore == null) return "NORMAL";
+        if (totalScore >= 7) return "HIGH";
+        if (totalScore >= 4) return "MEDIUM";
+        return "LOW";
+    }
+}
\ No newline at end of file
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PainAssessmentController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PainAssessmentController.java
new file mode 100644
index 000000000..3016cbaf6
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PainAssessmentController.java
@@ -0,0 +1,36 @@
+package com.healthlink.his.web.nursing.controller;
+
+import com.core.common.core.domain.AjaxResult;
+import com.healthlink.his.nursing.domain.NursingAssessment;
+import com.healthlink.his.web.nursing.appservice.IPainAssessmentAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+
+@Tag(name = "疼痛评估NRS/VAS")
+@RestController
+@RequestMapping("/api/v1/nursing/pain")
+public class PainAssessmentController {
+
+    @Autowired
+    private IPainAssessmentAppService painAssessmentAppService;
+
+    @Operation(summary = "疼痛评估")
+    @PostMapping("/assess")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public AjaxResult assessPain(@RequestBody NursingAssessment assessment) {
+        return AjaxResult.success(painAssessmentAppService.assessPain(assessment));
+    }
+
+    @Operation(summary = "获取疼痛评估记录")
+    @GetMapping("/list/{encounterId}")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public AjaxResult getPainRecords(@PathVariable Long encounterId) {
+        List<NursingAssessment> records = painAssessmentAppService.getPainRecords(encounterId);
+        return AjaxResult.success(records);
+    }
+}
\ No newline at end of file
diff --git a/healthlink-his-ui/src/views/nursing/assessment/PainAssessment.vue b/healthlink-his-ui/src/views/nursing/assessment/PainAssessment.vue
new file mode 100644
index 000000000..c769b76fa
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursing/assessment/PainAssessment.vue
@@ -0,0 +1,143 @@
+<template>
+  <div class="app-container">
+    <el-card class="box-card">
+      <template #header>
+        <div class="card-header">
+          <span>疼痛评估NRS/VAS</span>
+        </div>
+      </template>
+
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="120px">
+        <el-form-item label="就诊号" prop="encounterId">
+          <el-input v-model="form.encounterId" placeholder="请输入就诊号" />
+        </el-form-item>
+        <el-form-item label="患者ID" prop="patientId">
+          <el-input v-model="form.patientId" placeholder="请输入患者ID" />
+        </el-form-item>
+        <el-form-item label="患者姓名" prop="patientName">
+          <el-input v-model="form.patientName" placeholder="请输入患者姓名" />
+        </el-form-item>
+        <el-form-item label="疼痛评分" prop="totalScore">
+          <el-input-number v-model="form.totalScore" :min="0" :max="10" />
+        </el-form-item>
+        <el-form-item label="评估详情" prop="detail">
+          <el-input v-model="form.detail" type="textarea" :rows="4" placeholder="请输入疼痛部位、性质、持续时间等" />
+        </el-form-item>
+        <el-form-item label="评估人" prop="assessorName">
+          <el-input v-model="form.assessorName" placeholder="请输入评估人姓名" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="submitAssess">提交评估</el-button>
+          <el-button @click="resetForm">重置</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-card class="box-card" style="margin-top: 20px;">
+      <template #header>
+        <div class="card-header">
+          <span>评估记录</span>
+        </div>
+      </template>
+
+      <el-table v-loading="loading" :data="records" style="width: 100%">
+        <el-table-column label="疼痛评分" prop="totalScore" width="80" />
+        <el-table-column label="风险等级" prop="riskLevel" width="100">
+          <template #default="scope">
+            <el-tag :type="getRiskType(scope.row.riskLevel)">
+              {{ scope.row.riskLevel }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="评估详情" prop="detail" />
+        <el-table-column label="评估人" prop="assessorName" width="100" />
+        <el-table-column label="评估时间" prop="assessmentTime" width="170" />
+      </el-table>
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import request from '@/utils/request'
+
+const formRef = ref(null)
+const loading = ref(false)
+const records = ref([])
+
+const form = reactive({
+  encounterId: '',
+  patientId: '',
+  patientName: '',
+  totalScore: 0,
+  detail: '',
+  assessorName: ''
+})
+
+const rules = {
+  encounterId: [{ required: true, message: '请输入就诊号', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }],
+  patientName: [{ required: true, message: '请输入患者姓名', trigger: 'blur' }],
+  totalScore: [{ required: true, message: '请输入疼痛评分', trigger: 'blur' }],
+  assessorName: [{ required: true, message: '请输入评估人', trigger: 'blur' }]
+}
+
+const getRiskType = (level) => {
+  const map = { HIGH: 'danger', MEDIUM: 'warning', LOW: 'success', NORMAL: 'info' }
+  return map[level] || 'info'
+}
+
+const submitAssess = async () => {
+  try {
+    await formRef.value.validate()
+    loading.value = true
+    await request({
+      url: '/api/v1/nursing/pain/assess',
+      method: 'post',
+      data: form
+    })
+    ElMessage.success('评估提交成功')
+    getRecords()
+    resetForm()
+  } catch (error) {
+    ElMessage.error('提交失败')
+  } finally {
+    loading.value = false
+  }
+}
+
+const getRecords = async () => {
+  if (!form.encounterId) return
+  loading.value = true
+  try {
+    const res = await request({
+      url: `/api/v1/nursing/pain/list/${form.encounterId}`,
+      method: 'get'
+    })
+    records.value = res.data || []
+  } catch (error) {
+    ElMessage.error('获取记录失败')
+  } finally {
+    loading.value = false
+  }
+}
+
+const resetForm = () => {
+  formRef.value?.resetFields()
+}
+
+onMounted(() => {
+  if (form.encounterId) {
+    getRecords()
+  }
+})
+</script>
+
+<style scoped>
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>
\ No newline at end of file