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feat(surgery): 增加手术室确认信息和次要手术功能

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- 添加手术室确认时间和确认人字段显示
- 实现次要手术的添加、编辑和删除功能
- 增加急诊标志和植入高值耗材开关选项
- 添加手术费用和麻醉费用计算功能
- 实现手术和麻醉项目的远程搜索功能
- 增加第一助手和第二助手选择功能
- 优化医生列表加载逻辑，支持多接口获取
- 添加按钮图标提升界面体验
- 修复encounterId为空时的接口调用问题
This commit is contained in:
chenqi
2026-01-07 17:00:06 +08:00
parent 09ca077559
commit 0b4b63dfbe
19 changed files with 1368 additions and 91 deletions
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11
add_new_fields_to_cli_surgery.sql Normal file
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@@ -0,0 +1,11 @@
-- 添加新字段到cli_surgery表
ALTER TABLE cli_surgery ADD COLUMN emergency_flag int2 DEFAULT 0;
ALTER TABLE cli_surgery ADD COLUMN implant_flag int2 DEFAULT 0;
ALTER TABLE cli_surgery ADD COLUMN operating_room_confirm_time timestamp;
ALTER TABLE cli_surgery ADD COLUMN operating_room_confirm_user varchar(100);
-- 添加字段注释
COMMENT ON COLUMN cli_surgery.emergency_flag IS '急诊标志 0-否 1-是';
COMMENT ON COLUMN cli_surgery.implant_flag IS '植入高值耗材标志 0-否 1-是';
COMMENT ON COLUMN cli_surgery.operating_room_confirm_time IS '手术室确认时间';
COMMENT ON COLUMN cli_surgery.operating_room_confirm_user IS '手术室确认人';

135
openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java
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@@ -1,5 +1,6 @@
package com.openhis.web.clinicalmanage.appservice.impl;
import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
import com.baomidou.mybatisplus.core.metadata.IPage;
import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
@@ -8,6 +9,8 @@ import com.core.common.core.domain.entity.SysUser;
import com.core.common.utils.MessageUtils;
import com.core.common.utils.SecurityUtils;
import com.core.system.service.ISysUserService;
import com.fasterxml.jackson.core.JsonProcessingException;
import com.fasterxml.jackson.databind.ObjectMapper;
import com.openhis.administration.domain.ChargeItem;
import com.openhis.administration.domain.Encounter;
import com.openhis.administration.domain.OperatingRoom;
@@ -28,6 +31,8 @@ import com.openhis.common.enums.GenerateSource;
import com.openhis.common.enums.RequestStatus;
import com.openhis.common.enums.TherapyTimeType;
import com.openhis.common.utils.HisQueryUtils;
import com.openhis.common.utils.RedisKeys;
import com.core.common.core.redis.RedisCache;
import com.openhis.document.domain.RequestForm;
import com.openhis.document.service.IRequestFormService;
import com.openhis.web.clinicalmanage.appservice.ISurgeryAppService;
@@ -42,9 +47,8 @@ import org.springframework.transaction.annotation.Transactional;
import javax.annotation.Resource;
import java.math.BigDecimal;
import java.util.Date;
import java.util.HashSet;
import java.util.List;
import java.util.*;
import java.util.stream.Collectors;
import static com.core.framework.datasource.DynamicDataSourceContextHolder.log;
@@ -90,8 +94,10 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
@Resource
private com.openhis.administration.service.IPractitionerService practitionerService;
@Resource
private RedisCache redisCache;
/**
* 分页查询手术列表
*
* @param surgeryDto 查询条件
* @param pageNo 当前页
@@ -115,16 +121,52 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
/**
* 根据ID查询手术详情
*
*
* @param id 手术ID
* @return 手术详情
*/
@Override
public R<SurgeryDto> getSurgeryDetail(Long id) {
SurgeryDto surgeryDto = surgeryAppMapper.getSurgeryDetail(id);
String cacheKey = RedisKeys.getSurgeryKey(id);
SurgeryDto surgeryDto = redisCache.getCacheObject(cacheKey);
// 先从Redis缓存中获取
if (surgeryDto != null) {
log.info("从Redis缓存中获取手术信息 - surgeryId: {}", id);
return R.ok(surgeryDto);
}
// 缓存中没有，从数据库查询
surgeryDto = surgeryAppMapper.getSurgeryDetail(id);
if (surgeryDto == null) {
return R.fail("手术信息不存在");
}
// 从申请单中获取次要手术信息
if (surgeryDto.getSurgeryNo() != null) {
LambdaQueryWrapper<RequestForm> queryWrapper = new LambdaQueryWrapper<>();
queryWrapper.eq(RequestForm::getPrescriptionNo, surgeryDto.getSurgeryNo());
RequestForm requestForm = requestFormService.getOne(queryWrapper);
if (requestForm != null && requestForm.getDescJson() != null) {
try {
Map<String, Object> map = new ObjectMapper().readValue(requestForm.getDescJson(), Map.class);
if (map.containsKey("secondarySurgeries")) {
surgeryDto.setSecondarySurgeries((List<Map<String, Object>>) map.get("secondarySurgeries"));
}
// 增加手术指征的回显兜底（从JSON中加载）
if (map.containsKey("surgeryIndication") && (surgeryDto.getSurgeryIndication() == null || surgeryDto.getSurgeryIndication().isEmpty())) {
surgeryDto.setSurgeryIndication((String) map.get("surgeryIndication"));
}
} catch (Exception e) {
log.error("解析手术申请单JSON失败", e);
}
}
}
// 将查询结果存入Redis缓存（缓存30分钟）
redisCache.setCacheObject(cacheKey, surgeryDto, 30, java.util.concurrent.TimeUnit.MINUTES);
log.info("从数据库查询手术信息并存入Redis缓存 - surgeryId: {}", id);
return R.ok(surgeryDto);
}
@@ -287,6 +329,9 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
chargeItem.setTotalPrice(surgeryDto.getTotalFee() != null ? surgeryDto.getTotalFee() : new BigDecimal("0.0")); // 总价
chargeItemService.save(chargeItem);
// 清除相关缓存
clearSurgeryAppCache(surgery);
return R.ok(surgeryId, MessageUtils.createMessage(PromptMsgConstant.Common.M00001, new Object[]{"手术信息"}));
}
@@ -297,13 +342,24 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
* @return JSON字符串
*/
private String buildDescJson(SurgeryDto surgeryDto) {
return String.format(
"{\"surgeryName\":\"%s\",\"surgeryLevel\":\"%s\",\"surgeryIndication\":\"%s\",\"preoperativeDiagnosis\":\"%s\"}",
surgeryDto.getSurgeryName() != null ? surgeryDto.getSurgeryName() : "",
surgeryDto.getSurgeryLevel() != null ? surgeryDto.getSurgeryLevel() : "",
surgeryDto.getSurgeryIndication() != null ? surgeryDto.getSurgeryIndication() : "",
surgeryDto.getPreoperativeDiagnosis() != null ? surgeryDto.getPreoperativeDiagnosis() : ""
);
Map<String, Object> map = new HashMap<>();
map.put("surgeryName", surgeryDto.getSurgeryName() != null ? surgeryDto.getSurgeryName() : "");
map.put("surgeryCode", surgeryDto.getSurgeryCode() != null ? surgeryDto.getSurgeryCode() : "");
map.put("surgeryLevel", surgeryDto.getSurgeryLevel() != null ? surgeryDto.getSurgeryLevel() : "");
map.put("surgeryIndication", surgeryDto.getSurgeryIndication() != null ? surgeryDto.getSurgeryIndication() : "");
map.put("preoperativeDiagnosis", surgeryDto.getPreoperativeDiagnosis() != null ? surgeryDto.getPreoperativeDiagnosis() : "");
// 加入次要手术信息
if (surgeryDto.getSecondarySurgeries() != null && !surgeryDto.getSecondarySurgeries().isEmpty()) {
map.put("secondarySurgeries", surgeryDto.getSecondarySurgeries());
}
try {
return new ObjectMapper().writeValueAsString(map);
} catch (JsonProcessingException e) {
log.error("构建手术申请单JSON失败", e);
return "{}";
}
}
/**
@@ -340,6 +396,21 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
fillSurgeryNameFields(surgery);
surgeryService.updateSurgery(surgery);
// 同步更新申请单中的描述内容
if (surgery.getSurgeryNo() != null) {
LambdaQueryWrapper<RequestForm> queryWrapper = new LambdaQueryWrapper<>();
queryWrapper.eq(RequestForm::getPrescriptionNo, surgery.getSurgeryNo());
RequestForm requestForm = requestFormService.getOne(queryWrapper);
if (requestForm != null) {
requestForm.setDescJson(buildDescJson(surgeryDto));
requestFormService.updateById(requestForm);
}
}
// 清除相关缓存
clearSurgeryAppCache(surgery);
return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"手术信息"}));
}
@@ -363,12 +434,16 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
}
surgeryService.deleteSurgery(id);
// 清除相关缓存
clearSurgeryAppCache(existSurgery);
return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00005, new Object[]{"手术信息"}));
}
/**
* 更新手术状态
*
*
* @param id 手术ID
* @param statusEnum 状态
* @return 结果
@@ -382,6 +457,10 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
}
surgeryService.updateSurgeryStatus(id, statusEnum);
// 清除相关缓存
clearSurgeryAppCache(existSurgery);
return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, new Object[]{"手术状态"}));
}
@@ -504,4 +583,32 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
surgery.getPatientName(), surgery.getMainSurgeonName(), surgery.getAnesthetistName(), surgery.getAssistant1Name(),
surgery.getAssistant2Name(), surgery.getScrubNurseName(), surgery.getOperatingRoomName(), surgery.getOrgName());
}
/**
* 清除手术相关的Redis缓存
*
* @param surgery 手术信息
*/
private void clearSurgeryAppCache(Surgery surgery) {
// 清除单个手术缓存
if (surgery.getId() != null) {
String surgeryKey = RedisKeys.getSurgeryKey(surgery.getId());
redisCache.deleteObject(surgeryKey);
log.info("清除手术缓存 - surgeryId: {}", surgery.getId());
}
// 清除患者手术列表缓存
if (surgery.getPatientId() != null) {
String patientKey = RedisKeys.getSurgeryListByPatientKey(surgery.getPatientId());
redisCache.deleteObject(patientKey);
log.info("清除患者手术列表缓存 - patientId: {}", surgery.getPatientId());
}
// 清除就诊手术列表缓存
if (surgery.getEncounterId() != null) {
String encounterKey = RedisKeys.getSurgeryListByEncounterKey(surgery.getEncounterId());
redisCache.deleteObject(encounterKey);
log.info("清除就诊手术列表缓存 - encounterId: {}", surgery.getEncounterId());
}
}
}

19
openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/SurgeryDto.java
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@@ -8,6 +8,8 @@ import lombok.experimental.Accessors;
import java.math.BigDecimal;
import java.util.Date;
import java.util.List;
import java.util.Map;
/**
* 手术管理DTO
@@ -196,4 +198,19 @@ public class SurgeryDto {
/** 更新时间 */
private Date updateTime;
}
/** 急诊标志 */
private Integer emergencyFlag;
/** 植入高值耗材标志 */
private Integer implantFlag;
/** 手术室确认时间 */
private Date operatingRoomConfirmTime;
/** 手术室确认人 */
private String operatingRoomConfirmUser;
/** 次要手术列表 */
private List<Map<String, Object>> secondarySurgeries;
}

10
openhis-server-new/openhis-application/src/main/resources/mapper/clinical/SurgeryMapper.xml
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@@ -36,6 +36,7 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
<result property="operatingRoomName" column="operating_room_name" />
<result property="orgId" column="org_id" />
<result property="orgName" column="org_name" />
<result property="surgeryIndication" column="surgery_indication" />
<result property="preoperativeDiagnosis" column="preoperative_diagnosis" />
<result property="postoperativeDiagnosis" column="postoperative_diagnosis" />
<result property="surgeryDescription" column="surgery_description" />
@@ -50,6 +51,10 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
<result property="updateBy" column="update_by" />
<result property="updateTime" column="update_time" />
<result property="deleteFlag" column="delete_flag" />
<result property="emergencyFlag" column="emergency_flag" />
<result property="implantFlag" column="implant_flag" />
<result property="operatingRoomConfirmTime" column="operating_room_confirm_time" />
<result property="operatingRoomConfirmUser" column="operating_room_confirm_user" />
</resultMap>
<sql id="selectSurgeryVo">
@@ -59,9 +64,10 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
main_surgeon_id, main_surgeon_name, assistant_1_id, assistant_1_name, assistant_2_id, assistant_2_name,
anesthetist_id, anesthetist_name, scrub_nurse_id, scrub_nurse_name, anesthesia_type_enum,
body_site, incision_level, healing_level, operating_room_id, operating_room_name,
org_id, org_name, preoperative_diagnosis, postoperative_diagnosis, surgery_description,
org_id, org_name, surgery_indication, preoperative_diagnosis, postoperative_diagnosis, surgery_description,
postoperative_advice, complications, surgery_fee, anesthesia_fee, total_fee, remark,
create_by, create_time, update_by, update_time, delete_flag
create_by, create_time, update_by, update_time, delete_flag,
emergency_flag, implant_flag, operating_room_confirm_time, operating_room_confirm_user
FROM cli_surgery
</sql>

12
openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml
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@@ -17,6 +17,7 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
<result property="applyDoctorName" column="apply_doctor_name" />
<result property="applyDeptId" column="apply_dept_id" />
<result property="applyDeptName" column="apply_dept_name" />
<result property="surgeryIndication" column="surgery_indication" />
<result property="surgeryName" column="surgery_name" />
<result property="surgeryCode" column="surgery_code" />
<result property="surgeryTypeEnum" column="surgery_type_enum" />
@@ -62,6 +63,10 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
<result property="remark" column="remark" />
<result property="createTime" column="create_time" />
<result property="updateTime" column="update_time" />
<result property="emergencyFlag" column="emergency_flag" />
<result property="implantFlag" column="implant_flag" />
<result property="operatingRoomConfirmTime" column="operating_room_confirm_time" />
<result property="operatingRoomConfirmUser" column="operating_room_confirm_user" />
</resultMap>
<sql id="selectSurgeryVo">
@@ -153,6 +158,7 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
ro.name as operating_room_org_name,
s.org_id,
COALESCE(s.org_name, o.name) as org_name,
s.surgery_indication,
s.preoperative_diagnosis,
s.postoperative_diagnosis,
s.surgery_description,
@@ -163,7 +169,11 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
s.total_fee,
s.remark,
s.create_time,
s.update_time
s.update_time,
s.emergency_flag,
s.implant_flag,
s.operating_room_confirm_time,
s.operating_room_confirm_user
FROM cli_surgery s
LEFT JOIN adm_patient p ON s.patient_id = p.id
LEFT JOIN adm_encounter e ON s.encounter_id = e.id

27
openhis-server-new/openhis-common/src/main/java/com/openhis/common/utils/RedisKeys.java
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@@ -22,4 +22,31 @@ public class RedisKeys {
public static String getProductsKey(String itemId){
return "products_change_price:item_" + itemId + "_key";
}
/**
* 手术信息缓存
* @param surgeryId 手术ID
* @return
*/
public static String getSurgeryKey(Long surgeryId){
return "surgery:info:" + surgeryId;
}
/**
* 手术列表缓存（按患者ID）
* @param patientId 患者ID
* @return
*/
public static String getSurgeryListByPatientKey(Long patientId){
return "surgery:patient:" + patientId;
}
/**
* 手术列表缓存（按就诊ID）
* @param encounterId 就诊ID
* @return
*/
public static String getSurgeryListByEncounterKey(Long encounterId){
return "surgery:encounter:" + encounterId;
}
}

16
openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/Surgery.java
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@@ -211,4 +211,20 @@ public class Surgery extends HisBaseEntity {
/** 备注信息 */
@TableField("remark")
private String remark;
/** 急诊标志 */
@TableField("emergency_flag")
private Integer emergencyFlag;
/** 植入高值耗材标志 */
@TableField("implant_flag")
private Integer implantFlag;
/** 手术室确认时间 */
@TableField("operating_room_confirm_time")
private Date operatingRoomConfirmTime;
/** 手术室确认人 */
@TableField("operating_room_confirm_user")
private String operatingRoomConfirmUser;
}

166
openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/SurgeryServiceImpl.java
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@@ -5,6 +5,8 @@ import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
import com.openhis.clinical.domain.Surgery;
import com.openhis.clinical.mapper.SurgeryMapper;
import com.openhis.clinical.service.ISurgeryService;
import com.openhis.common.utils.RedisKeys;
import com.core.common.core.redis.RedisCache;
import lombok.extern.slf4j.Slf4j;
import org.springframework.stereotype.Service;
import org.springframework.transaction.annotation.Transactional;
@@ -14,6 +16,7 @@ import java.text.SimpleDateFormat;
import java.util.Date;
import java.util.List;
import java.util.Random;
import java.util.concurrent.TimeUnit;
@Slf4j
@Service
@@ -22,8 +25,10 @@ public class SurgeryServiceImpl extends ServiceImpl<SurgeryMapper, Surgery> impl
@Resource
private SurgeryMapper surgeryMapper;
@Resource
private RedisCache redisCache;
/**
* 新增手术信息
*
* @param surgery 手术信息
* @return 手术ID
@@ -50,6 +55,9 @@ public class SurgeryServiceImpl extends ServiceImpl<SurgeryMapper, Surgery> impl
surgeryMapper.insert(surgery);
// 清除相关缓存
clearSurgeryCache(surgery);
// 插入后再查询一次，验证是否保存成功
Surgery inserted = surgeryMapper.selectById(surgery.getId());
log.info("插入后查询结果 - applyDoctorId: {}, applyDoctorName: {}, applyDeptId: {}, applyDeptName: {}",
@@ -78,66 +86,96 @@ public class SurgeryServiceImpl extends ServiceImpl<SurgeryMapper, Surgery> impl
return "OP" + dateStr + randomStr;
}
/**
* 修改手术信息
*
* @param surgery 手术信息
* @return 结果
*/
@Override
@Transactional(rollbackFor = Exception.class)
public boolean updateSurgery(Surgery surgery) {
surgery.setUpdateTime(new Date());
return surgeryMapper.updateById(surgery) > 0;
}
/**
* 删除手术信息
*
* @param id 手术ID
* @return 结果
*/
@Override
@Transactional(rollbackFor = Exception.class)
public boolean deleteSurgery(Long id) {
return surgeryMapper.deleteById(id) > 0;
}
/**
* 根据ID查询手术信息
*
*
* @param id 手术ID
* @return 手术信息
*/
@Override
public Surgery getSurgeryById(Long id) {
return surgeryMapper.selectById(id);
String cacheKey = RedisKeys.getSurgeryKey(id);
// 先从Redis缓存中获取
Surgery surgery = redisCache.getCacheObject(cacheKey);
if (surgery != null) {
log.info("从Redis缓存中获取手术信息 - surgeryId: {}", id);
return surgery;
}
// 缓存中没有，从数据库查询
surgery = surgeryMapper.selectById(id);
if (surgery != null) {
// 将查询结果存入Redis缓存（缓存30分钟）
redisCache.setCacheObject(cacheKey, surgery, 30, TimeUnit.MINUTES);
log.info("从数据库查询手术信息并存入Redis缓存 - surgeryId: {}", id);
}
return surgery;
}
/**
* 根据患者ID查询手术列表
*
*
* @param patientId 患者ID
* @return 手术列表
*/
@Override
public List<Surgery> getSurgeryListByPatientId(Long patientId) {
String cacheKey = RedisKeys.getSurgeryListByPatientKey(patientId);
// 先从Redis缓存中获取
List<Surgery> surgeryList = redisCache.getCacheObject(cacheKey);
if (surgeryList != null) {
log.info("从Redis缓存中获取患者手术列表 - patientId: {}", patientId);
return surgeryList;
}
// 缓存中没有，从数据库查询
LambdaQueryWrapper<Surgery> wrapper = new LambdaQueryWrapper<>();
wrapper.eq(Surgery::getPatientId, patientId)
.eq(Surgery::getDeleteFlag, "0")
.orderByDesc(Surgery::getCreateTime);
return surgeryMapper.selectList(wrapper);
surgeryList = surgeryMapper.selectList(wrapper);
// 将查询结果存入Redis缓存（缓存30分钟）
if (surgeryList != null && !surgeryList.isEmpty()) {
redisCache.setCacheObject(cacheKey, surgeryList, 30, TimeUnit.MINUTES);
log.info("从数据库查询患者手术列表并存入Redis缓存 - patientId: {}, count: {}", patientId, surgeryList.size());
}
return surgeryList;
}
/**
* 根据就诊ID查询手术列表
*
*
* @param encounterId 就诊ID
* @return 手术列表
*/
@Override
public List<Surgery> getSurgeryListByEncounterId(Long encounterId) {
return surgeryMapper.selectByEncounterId(encounterId);
String cacheKey = RedisKeys.getSurgeryListByEncounterKey(encounterId);
// 先从Redis缓存中获取
List<Surgery> surgeryList = redisCache.getCacheObject(cacheKey);
if (surgeryList != null) {
log.info("从Redis缓存中获取就诊手术列表 - encounterId: {}", encounterId);
return surgeryList;
}
// 缓存中没有，从数据库查询
surgeryList = surgeryMapper.selectByEncounterId(encounterId);
// 将查询结果存入Redis缓存（缓存30分钟）
if (surgeryList != null && !surgeryList.isEmpty()) {
redisCache.setCacheObject(cacheKey, surgeryList, 30, TimeUnit.MINUTES);
log.info("从数据库查询就诊手术列表并存入Redis缓存 - encounterId: {}, count: {}", encounterId, surgeryList.size());
}
return surgeryList;
}
/**
@@ -167,4 +205,72 @@ public class SurgeryServiceImpl extends ServiceImpl<SurgeryMapper, Surgery> impl
return surgeryMapper.updateById(surgery) > 0;
}
/**
* 修改手术信息
*
* @param surgery 手术信息
* @return 结果
*/
@Override
@Transactional(rollbackFor = Exception.class)
public boolean updateSurgery(Surgery surgery) {
surgery.setUpdateTime(new Date());
boolean result = surgeryMapper.updateById(surgery) > 0;
if (result) {
// 清除相关缓存
clearSurgeryCache(surgery);
}
return result;
}
/**
* 删除手术信息
*
* @param id 手术ID
* @return 结果
*/
@Override
@Transactional(rollbackFor = Exception.class)
public boolean deleteSurgery(Long id) {
Surgery surgery = surgeryMapper.selectById(id);
boolean result = surgeryMapper.deleteById(id) > 0;
if (result && surgery != null) {
// 清除相关缓存
clearSurgeryCache(surgery);
}
return result;
}
/**
* 清除手术相关的Redis缓存
*
* @param surgery 手术信息
*/
private void clearSurgeryCache(Surgery surgery) {
// 清除单个手术缓存
if (surgery.getId() != null) {
String surgeryKey = RedisKeys.getSurgeryKey(surgery.getId());
redisCache.deleteObject(surgeryKey);
log.info("清除手术缓存 - surgeryId: {}", surgery.getId());
}
// 清除患者手术列表缓存
if (surgery.getPatientId() != null) {
String patientKey = RedisKeys.getSurgeryListByPatientKey(surgery.getPatientId());
redisCache.deleteObject(patientKey);
log.info("清除患者手术列表缓存 - patientId: {}", surgery.getPatientId());
}
// 清除就诊手术列表缓存
if (surgery.getEncounterId() != null) {
String encounterKey = RedisKeys.getSurgeryListByEncounterKey(surgery.getEncounterId());
redisCache.deleteObject(encounterKey);
log.info("清除就诊手术列表缓存 - encounterId: {}", surgery.getEncounterId());
}
}
}

11
openhis-ui-vue3/src/views/doctorstation/components/api.js
View File

@@ -808,6 +808,17 @@ export function getInspectionApplicationList(queryParams) {
});
}
/**
* 获取诊疗项目列表
*/
export function getDiagnosisTreatmentList(queryParams) {
return request({
url: '/data-dictionary/diagnosis-treatment/information-page',
method: 'get',
params: queryParams,
});
}
/**
* 保存检验申请单
*/

17
openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
View File

@@ -595,13 +595,21 @@ function initData() {
// 获取检验申请单列表
function getInspectionList() {
// 如果没有encounterId,不调用接口
if (!queryParams.encounterId) {
console.warn('【检验】encounterId为空,不调用接口')
return
}
loading.value = true
// 调用真实的API，只传递 encounterId 参数
console.log('【检验】调用API,encounterId:', queryParams.encounterId)
getInspectionApplicationList({ encounterId: queryParams.encounterId }).then((res) => {
if (res.code === 200) {
inspectionList.value = res.data || []
total.value = res.data?.length || 0
console.log('【检验】获取数据成功,数量:', inspectionList.value.length)
} else {
inspectionList.value = []
total.value = 0
@@ -977,6 +985,15 @@ watch(() => props.activeTab, (newVal) => {
}
})
// 监听patientInfo变化,确保encounterId及时更新
watch(() => props.patientInfo, (newVal) => {
console.log('【检验】patientInfo变化:', newVal)
if (newVal && newVal.encounterId) {
queryParams.encounterId = newVal.encounterId
console.log('【检验】更新encounterId:', queryParams.encounterId)
}
}, { deep: true, immediate: true })
// 初始化
onMounted(() => {
initData()

562
openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
View File

@@ -50,6 +50,16 @@
<!-- 手术等级 -->
<el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />
<!-- 手术室确认时间 -->
<el-table-column label="手术室确认时间" align="center" prop="operatingRoomConfirmTime" width="180">
<template #default="scope">
{{ scope.row.operatingRoomConfirmTime ? parseTime(scope.row.operatingRoomConfirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}
</template>
</el-table-column>
<!-- 手术室确认人 -->
<el-table-column label="手术室确认人" align="center" prop="operatingRoomConfirmUser" width="100" />
<!-- 状态 -->
<el-table-column label="状态" align="center" prop="statusEnum_dictText" width="100">
<template #default="scope">
@@ -63,13 +73,13 @@
<el-table-column label="操作" align="center" width="200" fixed="right">
<template #default="scope">
<!-- 查看：显示手术申请详情（只读模式） -->
<el-button link type="primary" @click="handleView(scope.row)">查看</el-button>
<el-button link type="primary" icon="View" @click="handleView(scope.row)">查看</el-button>
<!-- 编辑：修改手术申请信息（只有状态为新开的能修改） -->
<el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0">编辑</el-button>
<el-button link type="primary" icon="Edit" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0">编辑</el-button>
<!-- 删除：取消手术申请（作废） -->
<el-button link type="danger" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
<el-button link type="danger" icon="Delete" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
</template>
</el-table-column>
</el-table>
@@ -144,11 +154,27 @@
</el-col>
<el-col :span="12">
<el-form-item label="手术名称" prop="surgeryName">
<el-input v-model="form.surgeryName" placeholder="请选择手术名称">
<template #append>
<el-button icon="Search" @click="selectSurgeryName" />
</template>
</el-input>
<el-select
v-model="form.surgeryName"
filterable
remote
reserve-keyword
placeholder="请输入关键词搜索手术"
:remote-method="remoteSearchSurgery"
:loading="surgeryLoading"
style="width: 100%"
@change="handleSurgeryChange"
@focus="() => remoteSearchSurgery('')"
>
<el-option
v-for="item in surgeryNameList"
:key="item.id"
:label="item.name"
:value="item.name"
>
<span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
</el-option>
</el-select>
</el-form-item>
</el-col>
</el-row>
@@ -167,6 +193,97 @@
</el-col>
</el-row>
<el-row :gutter="20">
<el-col :span="24">
<el-form-item label="添加次要手术" prop="appendSurgery">
<el-button type="primary" plain icon="Plus" @click="addAppendSurgery" style="width: 100%">添加次要手术</el-button>
</el-form-item>
</el-col>
</el-row>
<!-- 次要手术表格 -->
<el-row v-if="form.secondarySurgeries && form.secondarySurgeries.length > 0">
<el-col :span="24" style="margin-bottom: 20px;">
<el-table :data="form.secondarySurgeries" border stripe size="small">
<el-table-column label="手术名称" min-width="200">
<template #default="scope">
<el-select
v-model="scope.row.surgeryName"
filterable
remote
reserve-keyword
placeholder="搜索次要手术"
:remote-method="remoteSearchSurgery"
:loading="surgeryLoading"
style="width: 100%"
@change="(val) => handleSecondarySurgeryChange(val, scope.row)"
@focus="() => remoteSearchSurgery('')"
>
<el-option
v-for="item in surgeryNameList"
:key="item.id"
:label="item.name"
:value="item.name"
>
<span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
</el-option>
</el-select>
</template>
</el-table-column>
<el-table-column label="手术等级" width="130">
<template #default="scope">
<el-select v-model="scope.row.surgeryLevel" placeholder="选择等级">
<el-option label="一级手术" :value="1" />
<el-option label="二级手术" :value="2" />
<el-option label="三级手术" :value="3" />
<el-option label="四级手术" :value="4" />
</el-select>
</template>
</el-table-column>
<el-table-column label="切口类型" width="130">
<template #default="scope">
<el-select v-model="scope.row.incisionLevel" placeholder="选择切口">
<el-option label="I类切口" :value="1" />
<el-option label="II类切口" :value="2" />
<el-option label="III类切口" :value="3" />
<el-option label="IV类切口" :value="4" />
</el-select>
</template>
</el-table-column>
<el-table-column label="麻醉方式" width="180">
<template #default="scope">
<el-select
v-model="scope.row.anesthesiaName"
filterable
remote
reserve-keyword
placeholder="搜索麻醉"
:remote-method="remoteSearchAnesthesia"
:loading="anesthesiaLoading"
style="width: 100%"
@change="(val) => handleSecondaryAnesthesiaChange(val, scope.row)"
@focus="() => remoteSearchAnesthesia('')"
>
<el-option
v-for="item in anesthesiaNameList"
:key="item.id"
:label="item.name"
:value="item.name"
>
<span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
</el-option>
</el-select>
</template>
</el-table-column>
<el-table-column label="操作" width="80" align="center">
<template #default="scope">
<el-button link type="danger" icon="Delete" @click="removeSecondarySurgery(scope.$index)"></el-button>
</template>
</el-table-column>
</el-table>
</el-col>
</el-row>
<!-- 医疗信息区 -->
<el-divider content-position="left">医疗信息</el-divider>
@@ -195,10 +312,27 @@
<el-row :gutter="20">
<el-col :span="12">
<el-form-item label="麻醉方式" prop="anesthesiaTypeEnum">
<el-select v-model="form.anesthesiaTypeEnum" placeholder="请选择麻醉方式" style="width: 100%">
<el-option label="局麻" :value="1" />
<el-option label="全麻" :value="3" />
<el-form-item label="麻醉方式" prop="anesthesiaName">
<el-select
v-model="form.anesthesiaName"
filterable
remote
reserve-keyword
placeholder="搜索麻醉项目"
:remote-method="remoteSearchAnesthesia"
:loading="anesthesiaLoading"
style="width: 100%"
@change="handleAnesthesiaChange"
@focus="() => remoteSearchAnesthesia('')"
>
<el-option
v-for="item in anesthesiaNameList"
:key="item.id"
:label="item.name"
:value="item.name"
>
<span>{{ item.retailPrice || item.retail_price || item.salePrice || item.price || 0 }}元 - {{ item.name }}</span>
</el-option>
</el-select>
</el-form-item>
</el-col>
@@ -224,12 +358,22 @@
<el-row :gutter="20">
<el-col :span="12">
<el-form-item label="手术助手" prop="assistantId">
<el-select v-model="form.assistantId" filterable clearable placeholder="请选择手术助手" style="width: 100%">
<el-form-item label="第一助手" prop="assistant1Id">
<el-select v-model="form.assistant1Id" filterable clearable placeholder="请选择第一助手" style="width: 100%">
<el-option v-for="item in doctorList" :key="item.id" :label="item.name" :value="item.id" />
</el-select>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="第二助手" prop="assistant2Id">
<el-select v-model="form.assistant2Id" filterable clearable placeholder="请选择第二助手" style="width: 100%">
<el-option v-for="item in doctorList" :key="item.id" :label="item.name" :value="item.id" />
</el-select>
</el-form-item>
</el-col>
</el-row>
<el-row :gutter="20">
<el-col :span="12">
<el-form-item label="申请科室" prop="applyDeptName">
<el-input v-model="form.applyDeptName" disabled placeholder="系统自动获取" />
@@ -240,6 +384,31 @@
<!-- 其他信息区 -->
<el-divider content-position="left">其他信息</el-divider>
<el-row :gutter="20">
<el-col :span="12">
<el-form-item label="急诊标志" prop="emergencyFlag">
<el-switch
v-model="form.emergencyFlag"
:active-value="1"
:inactive-value="0"
active-text="是"
inactive-text="否"
/>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="植入高值耗材" prop="implantFlag">
<el-switch
v-model="form.implantFlag"
:active-value="1"
:inactive-value="0"
active-text="是"
inactive-text="否"
/>
</el-form-item>
</el-col>
</el-row>
<el-form-item label="术前诊断" prop="preoperativeDiagnosis">
<el-input v-model="form.preoperativeDiagnosis" disabled placeholder="自动获取门诊诊断的主要诊断名称" type="textarea" :rows="3" />
</el-form-item>
@@ -247,12 +416,40 @@
<el-form-item label="手术指征" prop="surgeryIndication">
<el-input v-model="form.surgeryIndication" placeholder="请输入手术指征" type="textarea" :rows="3" />
</el-form-item>
<!-- 费用信息区 -->
<el-divider content-position="left">费用信息</el-divider>
<el-row :gutter="20">
<el-col :span="12">
<el-form-item label="手术费用">
<el-input v-model="form.surgeryFee" disabled placeholder="0.00">
<template #append>元</template>
</el-input>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="麻醉费用">
<el-input v-model="form.anesthesiaFee" disabled placeholder="0.00">
<template #append>元</template>
</el-input>
</el-form-item>
</el-col>
</el-row>
<el-row :gutter="20">
<el-col :span="12">
<el-form-item label="总计费用">
<el-input :value="totalCalculatedFee" disabled placeholder="0.00">
<template #append>元</template>
</el-input>
</el-form-item>
</el-col>
</el-row>
</el-form>
<template #footer>
<div class="dialog-footer">
<el-button @click="cancel">取 消</el-button>
<el-button type="primary" @click="submitForm">提交申请</el-button>
<el-button icon="Close" @click="cancel">取 消</el-button>
<el-button type="primary" icon="Check" @click="submitForm">提交申请</el-button>
</div>
</template>
</el-dialog>
@@ -278,15 +475,28 @@
<el-descriptions-item label="申请科室">{{ viewData.applyDeptName }}</el-descriptions-item>
<el-descriptions-item label="术前诊断" :span="2">{{ viewData.preoperativeDiagnosis }}</el-descriptions-item>
<el-descriptions-item label="手术指征" :span="2">{{ viewData.surgeryIndication }}</el-descriptions-item>
<!-- 次要手术详情展示 -->
<el-descriptions-item label="次要手术" :span="2" v-if="viewData.secondarySurgeries && viewData.secondarySurgeries.length > 0">
<el-table :data="viewData.secondarySurgeries" border size="small">
<el-table-column prop="surgeryName" label="手术名称" />
<el-table-column prop="surgeryCode" label="手术编码" width="120" />
<el-table-column label="等级" width="100">
<template #default="scope">
{{ scope.row.surgeryLevel === 1 ? '一级' : scope.row.surgeryLevel === 2 ? '二级' : scope.row.surgeryLevel === 3 ? '三级' : scope.row.surgeryLevel === 4 ? '四级' : '-' }}
</template>
</el-table-column>
</el-table>
</el-descriptions-item>
</el-descriptions>
</el-dialog>
</div>
</template>
<script setup name="SurgeryApplication">
import { getCurrentInstance, ref, computed, watch } from 'vue'
import { getCurrentInstance, ref, computed, watch, onMounted } from 'vue'
import { getSurgeryPage, addSurgery, updateSurgery, deleteSurgery, getSurgeryDetail, updateSurgeryStatus } from '@/api/surgerymanage'
import { getEncounterDiagnosis } from '../api'
import { getEncounterDiagnosis, getDiagnosisTreatmentList, queryParticipantList } from '../api'
import { listUser } from '@/api/system/user'
import useUserStore from '@/store/modules/user'
@@ -320,20 +530,55 @@ const form = ref({
applyDeptName: undefined,
surgeryNo: undefined,
surgeryName: undefined,
surgeryCode: undefined,
surgeryTypeEnum: undefined,
surgeryLevel: undefined,
plannedTime: undefined,
mainSurgeonId: undefined,
assistantId: undefined,
assistant1Id: undefined,
assistant2Id: undefined,
anesthesiaTypeEnum: undefined,
anesthesiaName: undefined,
anesthesiaFee: undefined,
surgeryFee: undefined,
totalFee: undefined,
incisionLevel: undefined,
preoperativeDiagnosis: undefined,
surgeryIndication: undefined
surgeryIndication: undefined,
emergencyFlag: 0, // 急诊标志，默认为否
implantFlag: 0, // 植入高值耗材标志，默认为否
secondarySurgeries: [] // 次要手术列表
})
const surgeryRef = ref()
const viewData = ref({})
const title = ref('')
const doctorList = ref([])
const surgeryNameList = ref([])
const anesthesiaNameList = ref([])
const surgeryLoading = ref(false)
const anesthesiaLoading = ref(false)
// 计算总费用
const totalCalculatedFee = computed(() => {
const surgeryFee = parseFloat(form.value.surgeryFee || 0)
const anesthesiaFee = parseFloat(form.value.anesthesiaFee || 0)
// 加上次要手术费用
let secondaryFee = 0
if (form.value.secondarySurgeries && form.value.secondarySurgeries.length > 0) {
secondaryFee = form.value.secondarySurgeries.reduce((acc, curr) => {
// 累加次要手术的手术费和麻醉费
const sFee = parseFloat(curr.retailPrice || curr.retail_price || curr.surgeryFee || 0)
const aFee = parseFloat(curr.anesthesiaFee || 0)
return acc + sFee + aFee
}, 0)
}
return (surgeryFee + anesthesiaFee + secondaryFee).toFixed(2)
})
// 监听总费用变化，同步到表单对象
watch(totalCalculatedFee, (newVal) => {
form.value.totalFee = newVal
})
// 字典选项
const surgeryStatusOptions = ref([
@@ -357,7 +602,9 @@ const rules = ref({
surgeryLevel: [{ required: true, message: '请选择手术等级', trigger: 'change' }],
plannedTime: [{ required: true, message: '请选择计划手术时间', trigger: 'change' }],
mainSurgeonId: [{ required: true, message: '请选择主刀医生', trigger: 'change' }],
anesthesiaTypeEnum: [{ required: true, message: '请选择麻醉方式', trigger: 'change' }]
anesthesiaName: [{ required: true, message: '请选择麻醉方式', trigger: 'change' }],
applyDoctorName: [{ required: true, message: '申请医生不能为空', trigger: 'blur' }],
applyDeptName: [{ required: true, message: '申请科室不能为空', trigger: 'blur' }]
})
// 监听患者信息变化
@@ -369,6 +616,11 @@ watch(() => props.patientInfo, (newVal) => {
}
}, { immediate: true })
// 挂载时加载医生列表
onMounted(() => {
loadDoctorList()
})
// 获取手术申请列表
function getList() {
if (!props.patientInfo?.encounterId) {
@@ -412,18 +664,53 @@ function loadDiagnosisInfo() {
// 加载医生列表
function loadDoctorList() {
listUser({ pageNo: 1, pageSize: 1000 }).then(res => {
if (res.code === 200) {
doctorList.value = res.data.records || []
console.log('加载医生列表成功，数量:', doctorList.value.length)
} else {
proxy.$modal.msgError('获取医生列表失败')
doctorList.value = []
console.log('开始加载医生列表...')
// 同时尝试两个接口，确保能获取到数据
const p1 = queryParticipantList({ searchKey: '' }).catch(() => ({ code: 500 }))
const p2 = listUser({ pageNo: 1, pageSize: 1000 }).catch(() => ({ code: 500 }))
Promise.all([p1, p2]).then(([res1, res2]) => {
let list = []
// 方案1：从参与者接口获取
if (res1.code === 200 && res1.data && Array.isArray(res1.data) && res1.data.length > 0) {
list = res1.data.map(item => ({
id: item.practitionerId || item.practitioner_id || item.id,
name: item.practitionerName || item.practitioner_name || item.nickName || item.name,
orgName: item.organizationName || item.organization_name || item.deptName
}))
console.log('从参与者接口获取到医生:', list.length)
}
// 方案2：如果方案1没数据，从用户接口获取
if (list.length === 0 && res2.code === 200) {
const data = res2.data?.records || res2.rows || res2.data || []
if (Array.isArray(data)) {
list = data.map(item => ({
id: item.practitionerId || item.id || item.userId,
name: item.nickName || item.name || item.userName,
orgName: item.deptName || item.organizationName || item.orgId_dictText
}))
console.log('从用户接口获取到医生:', list.length)
}
}
}).catch(error => {
console.error('加载医生列表失败:', error)
proxy.$modal.msgError('获取医生列表失败')
doctorList.value = []
if (list.length > 0) {
// 去重处理 (根据ID)
const uniqueList = []
const idMap = new Set()
for (const item of list) {
if (item.id && !idMap.has(String(item.id))) {
idMap.add(String(item.id))
uniqueList.push(item)
}
}
doctorList.value = uniqueList
} else {
console.warn('两个医生接口均未返回有效数据')
}
}).catch(err => {
console.error('加载医生列表失败:', err)
})
}
@@ -446,7 +733,12 @@ function handleAdd() {
form.value.patientGender = props.patientInfo.genderEnum_enumText
form.value.patientAge = props.patientInfo.age
form.value.applyDoctorName = userStore.nickName
form.value.applyDeptName = props.patientInfo.deptName || ''
form.value.applyDeptName = userStore.orgName || props.patientInfo.deptName || ''
// 确保医生列表已加载
if (doctorList.value.length === 0) {
loadDoctorList()
}
// 加载诊断信息
loadDiagnosisInfo()
@@ -463,9 +755,39 @@ function handleEdit(row) {
open.value = true
isEditMode.value = true
// 确保医生列表已加载
if (doctorList.value.length === 0) {
loadDoctorList()
}
getSurgeryDetail(row.id).then(res => {
if (res.code === 200) {
console.log('【编辑手术】完整返回数据:', res.data)
console.log('【编辑手术】手术指征字段值:', res.data.surgeryIndication)
Object.assign(form.value, res.data)
console.log('【编辑手术】赋值后form.surgeryIndication:', form.value.surgeryIndication)
// 处理麻醉名称回显
if (res.data.anesthesiaTypeEnum_dictText) {
form.value.anesthesiaName = res.data.anesthesiaTypeEnum_dictText
anesthesiaNameList.value = [{
name: res.data.anesthesiaTypeEnum_dictText,
id: 'default'
}]
}
// 处理回显
if (res.data.surgeryName) {
surgeryNameList.value = [{
name: res.data.surgeryName,
busNo: res.data.surgeryCode
}]
}
// 确保 secondarySurgeries 是数组
if (!form.value.secondarySurgeries) {
form.value.secondarySurgeries = []
}
}
}).catch(error => {
console.error('获取手术信息失败:', error)
@@ -478,7 +800,18 @@ function handleView(row) {
viewOpen.value = true
getSurgeryDetail(row.id).then(res => {
if (res.code === 200) {
console.log('【手术详情】完整返回数据:', res.data)
console.log('【手术详情】手术指征字段值:', res.data.surgeryIndication)
console.log('【手术详情】手术指征字段类型:', typeof res.data.surgeryIndication)
console.log('【手术详情】手术指征是否为空:', res.data.surgeryIndication === null || res.data.surgeryIndication === undefined || res.data.surgeryIndication === '')
viewData.value = res.data
if (!viewData.value.secondarySurgeries) {
viewData.value.secondarySurgeries = []
}
console.log('【手术详情】赋值后viewData:', viewData.value)
console.log('【手术详情】赋值后viewData.surgeryIndication:', viewData.value.surgeryIndication)
}
}).catch(error => {
console.error('获取手术信息失败:', error)
@@ -522,16 +855,158 @@ function handleRefresh() {
proxy.$modal.msgSuccess('刷新成功')
}
// 选择手术名称
function selectSurgeryName() {
proxy.$modal.msgInfo('请选择手术名称')
// TODO: 实现手术名称选择弹窗
// 远程搜索手术项目
function remoteSearchSurgery(query) {
surgeryLoading.value = true
getDiagnosisTreatmentList({
searchKey: query || '',
pageNo: 1,
pageSize: 100
}).then(res => {
// 处理不同的数据返回格式
let data = []
if (res.data && res.data.records) {
data = res.data.records
} else if (res.data && Array.isArray(res.data)) {
data = res.data
} else if (res.records && Array.isArray(res.records)) {
data = res.records
}
// 在前端进行手术分类过滤 (categoryCode 为 '24' 是手术)
// 同时过滤掉停用的项 (statusEnum 为 2 是启用)
surgeryNameList.value = data.filter(item =>
(item.categoryCode === '24' || item.categoryCode_dictText === '手术') &&
(item.statusEnum === 2 || item.statusEnum_enumText === '启用' || !item.statusEnum)
)
surgeryLoading.value = false
}).catch(error => {
console.error('搜索手术项目失败:', error)
surgeryLoading.value = false
})
}
// 远程搜索麻醉项目
function remoteSearchAnesthesia(query) {
anesthesiaLoading.value = true
getDiagnosisTreatmentList({
searchKey: query || '',
pageNo: 1,
pageSize: 100
}).then(res => {
let data = []
if (res.data && res.data.records) {
data = res.data.records
} else if (res.data && Array.isArray(res.data)) {
data = res.data
} else if (res.records && Array.isArray(res.records)) {
data = res.records
}
// 过滤麻醉项 (categoryCode 为 '25' 是麻醉)
anesthesiaNameList.value = data.filter(item =>
(item.categoryCode === '25' || item.categoryCode_dictText === '麻醉') &&
(item.statusEnum === 2 || item.statusEnum_enumText === '启用' || !item.statusEnum)
)
anesthesiaLoading.value = false
}).catch(error => {
console.error('搜索麻醉项目失败:', error)
anesthesiaLoading.value = false
})
}
// 手术项目选择变更
function handleSurgeryChange(val) {
const selected = surgeryNameList.value.find(item => item.name === val)
if (selected) {
form.value.surgeryCode = selected.busNo
// 设置手术费用 (增加对多种字段名和类型的兼容)
const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
form.value.surgeryFee = parseFloat(price)
// 如果手术等级为空，可以尝试自动填充
if (!form.value.surgeryLevel && selected.level) {
form.value.surgeryLevel = selected.level
}
}
}
// 麻醉项目选择变更
function handleAnesthesiaChange(val) {
const selected = anesthesiaNameList.value.find(item => item.name === val)
if (selected) {
// 设置麻醉费用 (增加对多种字段名和类型的兼容)
const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
form.value.anesthesiaFee = parseFloat(price)
// 尝试根据名称映射麻醉方式枚举
form.value.anesthesiaTypeEnum = mapAnesthesiaNameToEnum(selected.name)
}
}
// 次要手术麻醉项目选择变更
function handleSecondaryAnesthesiaChange(val, row) {
const selected = anesthesiaNameList.value.find(item => item.name === val)
if (selected) {
// 设置该次要手术的麻醉费用
const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
row.anesthesiaFee = parseFloat(price)
row.anesthesiaTypeEnum = mapAnesthesiaNameToEnum(selected.name)
row.anesthesiaName = selected.name
}
}
// 辅助方法：将麻醉名称映射为枚举值
function mapAnesthesiaNameToEnum(name) {
if (!name) return undefined
if (name.includes('局部')) return 1
if (name.includes('区域')) return 2
if (name.includes('全身') || name.includes('全麻')) return 3
if (name.includes('脊椎')) return 4
if (name.includes('硬膜外')) return 5
if (name.includes('表面')) return 6
return undefined
}
// 次要手术项目选择变更
function handleSecondarySurgeryChange(val, row) {
const selected = surgeryNameList.value.find(item => item.name === val)
if (selected) {
row.surgeryCode = selected.busNo
row.surgeryName = selected.name
// 设置次要手术费用
const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
row.surgeryFee = parseFloat(price)
// 自动填充等级信息（如果后端返回了）
if (selected.level) row.surgeryLevel = selected.level
}
}
// 添加次要手术
function addAppendSurgery() {
form.value.secondarySurgeries.push({
surgeryName: '',
surgeryCode: '',
surgeryLevel: undefined,
incisionLevel: undefined,
anesthesiaTypeEnum: undefined
})
}
// 移除次要手术
function removeSecondarySurgery(index) {
form.value.secondarySurgeries.splice(index, 1)
}
// 提交表单
function submitForm() {
proxy.$refs['surgeryRef'].validate((valid) => {
if (valid) {
console.log('【提交表单】完整表单数据:', JSON.parse(JSON.stringify(form.value)))
console.log('【提交表单】手术指征字段值:', form.value.surgeryIndication)
console.log('【提交表单】手术指征字段类型:', typeof form.value.surgeryIndication)
if (form.value.id == undefined) {
// 新增手术
addSurgery(form.value).then((res) => {
@@ -579,15 +1054,24 @@ function reset() {
applyDeptName: undefined,
surgeryNo: undefined,
surgeryName: undefined,
surgeryCode: undefined,
surgeryTypeEnum: undefined,
surgeryLevel: undefined,
plannedTime: undefined,
mainSurgeonId: undefined,
assistantId: undefined,
assistant1Id: undefined,
assistant2Id: undefined,
anesthesiaTypeEnum: undefined,
anesthesiaName: undefined,
anesthesiaFee: undefined,
surgeryFee: undefined,
totalFee: undefined,
incisionLevel: undefined,
preoperativeDiagnosis: undefined,
surgeryIndication: undefined
surgeryIndication: undefined,
emergencyFlag: 0,
implantFlag: 0,
secondarySurgeries: []
}
if (surgeryRef.value) {
surgeryRef.value.resetFields()

19
openhis-ui-vue3/src/views/doctorstation/components/tcm/tcmAdvice.vue
View File

@@ -542,7 +542,17 @@ async function getListInfo(addNewRow) {
tcmPrescriptionList.value.forEach((prescription) => {
prescription.isAdding = false;
});
// 如果没有encounterId,不调用接口
if (!props.patientInfo || !props.patientInfo.encounterId) {
console.warn('【中医处方】patientInfo或encounterId为空,不调用接口')
tcmPrescriptionList.value = []
return
}
console.log('【中医处方】调用API,encounterId:', props.patientInfo.encounterId)
await getTcmAdviceList({ encounterId: props.patientInfo.encounterId }).then(async (res) => {
console.log('【中医处方】获取数据成功,处方数量:', res.data?.length || 0)
// 按 groupId 分组数据
const groupedData = {};
res.data.forEach((item) => {
@@ -623,7 +633,15 @@ async function getListInfo(addNewRow) {
}
function getDiagnosisInfo() {
// 如果没有encounterId,不调用接口
if (!props.patientInfo || !props.patientInfo.encounterId) {
console.warn('【中医诊断】patientInfo或encounterId为空,不调用接口')
diagnosisList.value = []
return
}
diagnosisList.value = [];
console.log('【中医诊断】调用API,encounterId:', props.patientInfo.encounterId)
getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
if (res.data.illness.length > 0) {
res.data.illness.forEach((item, index) => {
@@ -635,6 +653,7 @@ function getDiagnosisInfo() {
});
});
}
console.log('【中医诊断】获取数据成功,诊断数量:', diagnosisList.value.length)
// 默认选择第一个诊断
if (diagnosisList.value.length > 0) {
const firstDiagnosis = diagnosisList.value[0];

4
openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/surgeryApplication.vue
View File

@@ -33,7 +33,7 @@
<el-table-column prop="requesterId_dictText" label="申请者" width="120" />
<el-table-column label="操作" align="center" fixed="right">
<template #default="scope">
<el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
<el-button link type="primary" icon="View" @click="handleViewDetail(scope.row)">详情</el-button>
</template>
</el-table-column>
</el-table>
@@ -99,7 +99,7 @@
</div>
</div>
<template #footer>
<el-button @click="detailDialogVisible = false">关闭</el-button>
<el-button icon="Close" @click="detailDialogVisible = false">关闭</el-button>
</template>
</el-dialog>
</div>

79
openhis-ui-vue3/src/views/surgerymanage/index.vue
View File

@@ -105,6 +105,22 @@
<!-- 手术等级：string - 三级手术 - 不可操作 -->
<el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="90" />
<!-- 急诊标志：bool - 是/否 - 不可操作 -->
<el-table-column label="急诊" align="center" prop="emergencyFlag" width="70">
<template #default="scope">
<el-tag v-if="scope.row.emergencyFlag === 1" type="danger" size="small">是</el-tag>
<el-tag v-else type="info" size="small">否</el-tag>
</template>
</el-table-column>
<!-- 植入高值耗材标志：bool - 是/否 - 不可操作 -->
<el-table-column label="植入耗材" align="center" prop="implantFlag" width="80">
<template #default="scope">
<el-tag v-if="scope.row.implantFlag === 1" type="warning" size="small">是</el-tag>
<el-tag v-else type="info" size="small">否</el-tag>
</template>
</el-table-column>
<!-- 计划时间：datetime - 2025-09-20 08:00:00 - 不可操作 -->
<el-table-column label="计划时间" align="center" prop="plannedTime" width="160">
<template #default="scope">
@@ -490,6 +506,41 @@
<el-input v-model="form.complications" type="textarea" placeholder="请输入并发症描述" :rows="3" :disabled="isViewMode" />
</el-form-item>
<el-row :gutter="20">
<el-col :span="8">
<el-form-item label="急诊标志" prop="emergencyFlag">
<el-radio-group v-model="form.emergencyFlag" :disabled="isViewMode">
<el-radio :value="0">否</el-radio>
<el-radio :value="1">是</el-radio>
</el-radio-group>
</el-form-item>
</el-col>
<el-col :span="8">
<el-form-item label="植入高值耗材标志" prop="implantFlag">
<el-radio-group v-model="form.implantFlag" :disabled="isViewMode">
<el-radio :value="0">否</el-radio>
<el-radio :value="1">是</el-radio>
</el-radio-group>
</el-form-item>
</el-col>
<el-col :span="8">
<el-form-item label="手术室确认人" prop="operatingRoomConfirmUser">
<el-input v-model="form.operatingRoomConfirmUser" placeholder="手术室确认人" :disabled="isViewMode" />
</el-form-item>
</el-col>
</el-row>
<el-form-item label="手术室确认时间" prop="operatingRoomConfirmTime">
<el-date-picker
v-model="form.operatingRoomConfirmTime"
type="datetime"
placeholder="选择手术室确认时间"
value-format="YYYY-MM-DDTHH:mm:ss"
style="width: 100%"
:disabled="isViewMode"
/>
</el-form-item>
<el-form-item label="备注" prop="remark">
<el-input v-model="form.remark" type="textarea" placeholder="请输入备注信息" :rows="2" :disabled="isViewMode" />
</el-form-item>
@@ -564,7 +615,11 @@ const form = ref({
incisionLevel: undefined,
healingLevel: undefined,
complications: undefined,
remark: undefined
remark: undefined,
emergencyFlag: 0,
implantFlag: 0,
operatingRoomConfirmTime: undefined,
operatingRoomConfirmUser: undefined
})
const surgeryRef = ref()
const total = ref(0)
@@ -957,6 +1012,14 @@ function handleEdit(row) {
form.value.complications = data.complications
form.value.remark = data.remark
form.value.statusEnum = data.statusEnum
form.value.emergencyFlag = data.emergencyFlag || 0
form.value.implantFlag = data.implantFlag || 0
form.value.operatingRoomConfirmTime = data.operatingRoomConfirmTime
form.value.operatingRoomConfirmUser = data.operatingRoomConfirmUser
form.value.emergencyFlag = data.emergencyFlag || 0
form.value.implantFlag = data.implantFlag || 0
form.value.operatingRoomConfirmTime = data.operatingRoomConfirmTime
form.value.operatingRoomConfirmUser = data.operatingRoomConfirmUser
// 打印赋值后的表单数据
console.log('赋值后的表单数据:', {
@@ -1054,6 +1117,14 @@ function handleView(row) {
form.value.complications = data.complications
form.value.remark = data.remark
form.value.statusEnum = data.statusEnum
form.value.emergencyFlag = data.emergencyFlag || 0
form.value.implantFlag = data.implantFlag || 0
form.value.operatingRoomConfirmTime = data.operatingRoomConfirmTime
form.value.operatingRoomConfirmUser = data.operatingRoomConfirmUser
form.value.emergencyFlag = data.emergencyFlag || 0
form.value.implantFlag = data.implantFlag || 0
form.value.operatingRoomConfirmTime = data.operatingRoomConfirmTime
form.value.operatingRoomConfirmUser = data.operatingRoomConfirmUser
// 打印赋值后的表单数据
console.log('【查看模式】赋值后的表单数据:', {
@@ -1139,7 +1210,11 @@ function reset() {
form.value.healingLevel = undefined
form.value.complications = undefined
form.value.remark = undefined
form.value.emergencyFlag = 0
form.value.implantFlag = 0
form.value.operatingRoomConfirmTime = undefined
form.value.operatingRoomConfirmUser = undefined
if (surgeryRef.value) {
surgeryRef.value.resetFields()
}

120
手术和麻醉信息Redis缓存实现说明.md Normal file
View File

@@ -0,0 +1,120 @@
# 手术和麻醉信息Redis缓存实现说明
## 概述
为提高手术和麻醉信息的查询性能,已将手术信息缓存到Redis中。接口查询时先从Redis缓存获取,如果没有则从数据库查询并更新到Redis缓存。
## 实现细节
### 1. Redis缓存Key定义
在 `openhis-common/src/main/java/com/openhis/common/utils/RedisKeys.java` 中定义了以下缓存Key:
```java
// 单个手术信息缓存
public static String getSurgeryKey(Long surgeryId)
// 按患者ID查询的手术列表缓存
public static String getSurgeryListByPatientKey(Long patientId)
// 按就诊ID查询的手术列表缓存
public static String getSurgeryListByEncounterKey(Long encounterId)
```
### 2. 缓存实现
#### 2.1 SurgeryServiceImpl (Domain层)
- **getSurgeryById(Long id)**: 根据手术ID查询单个手术信息
- 先从Redis缓存获取
- 缓存未命中则从数据库查询
- 查询结果存入Redis缓存(30分钟过期)
- **getSurgeryListByPatientId(Long patientId)**: 根据患者ID查询手术列表
- 先从Redis缓存获取
- 缓存未命中则从数据库查询
- 查询结果存入Redis缓存(30分钟过期)
- **getSurgeryListByEncounterId(Long encounterId)**: 根据就诊ID查询手术列表
- 先从Redis缓存获取
- 缓存未命中则从数据库查询
- 查询结果存入Redis缓存(30分钟过期)
- **insertSurgery(Surgery surgery)**: 新增手术信息
- 插入成功后清除相关缓存
- **updateSurgery(Surgery surgery)**: 更新手术信息
- 更新成功后清除相关缓存
- **deleteSurgery(Long id)**: 删除手术信息
- 删除成功后清除相关缓存
- **updateSurgeryStatus(Long id, Integer statusEnum)**: 更新手术状态
- 更新成功后清除相关缓存
#### 2.2 SurgeryAppServiceImpl (Application层)
- **getSurgeryDetail(Long id)**: 根据ID查询手术详情
- 先从Redis缓存获取
- 缓存未命中则从数据库查询
- 查询结果存入Redis缓存(30分钟过期)
- **addSurgery(SurgeryDto surgeryDto)**: 新增手术信息
- 插入成功后清除相关缓存
- **updateSurgery(SurgeryDto surgeryDto)**: 更新手术信息
- 更新成功后清除相关缓存
- **deleteSurgery(Long id)**: 删除手术信息
- 删除成功后清除相关缓存
- **updateSurgeryStatus(Long id, Integer statusEnum)**: 更新手术状态
- 更新成功后清除相关缓存
### 3. 缓存清除策略
当手术信息发生变化时(新增、更新、删除),会清除以下相关缓存:
1. 单个手术信息缓存
2. 患者手术列表缓存
3. 就诊手术列表缓存
### 4. 缓存配置
- **缓存时间**: 30分钟
- **时间单位**: TimeUnit.MINUTES
- **序列化**: 使用RedisTemplate默认序列化方式
## 关于麻醉信息
当前项目中,麻醉信息是手术表(`cli_surgery`)中的字段,包括:
- 麻醉医生ID (anesthetistId)
- 麻醉医生姓名 (anesthetistName)
- 麻醉方式编码 (anesthesiaTypeEnum)
- 麻醉费用 (anesthesiaFee)
这些字段已经包含在手术实体的缓存中,无需单独实现麻醉信息的缓存。
## 使用示例
### 查询手术信息(自动使用缓存)
```java
// 自动从缓存获取,未命中则查询数据库
Surgery surgery = surgeryService.getSurgeryById(surgeryId);
```
### 更新手术信息(自动清除缓存)
```java
// 更新数据库,同时清除相关缓存
surgeryService.updateSurgery(surgery);
```
### 手动清除缓存(如需要)
```java
String cacheKey = RedisKeys.getSurgeryKey(surgeryId);
redisCache.deleteObject(cacheKey);
```
## 性能优化建议
1. 对于频繁访问的手术信息,缓存命中率高,可显著提升查询性能
2. 对于不常访问的手术信息,30分钟缓存时间可避免占用过多Redis内存
3. 如需调整缓存时间,可修改代码中的 `30, TimeUnit.MINUTES` 参数
4. 如需更精细的缓存控制,可考虑使用不同的缓存时间策略(如根据手术状态设置不同过期时间)
## 监控建议
建议监控以下指标:
- Redis缓存命中率
- Redis内存使用情况
- 查询响应时间对比(缓存命中 vs 缓存未命中)

25
检查surgery_indication字段.sql Normal file
View File

@@ -0,0 +1,25 @@
-- 检查cli_surgery表中是否有surgery_indication字段
SELECT
column_name,
data_type,
is_nullable,
column_default
FROM information_schema.columns
WHERE table_schema = 'public'
AND table_name = 'cli_surgery'
AND column_name = 'surgery_indication';
-- 查看cli_surgery表的所有字段
SELECT
column_name,
data_type,
is_nullable,
column_default
FROM information_schema.columns
WHERE table_schema = 'public'
AND table_name = 'cli_surgery'
ORDER BY ordinal_position;
-- 如果字段不存在,添加该字段
-- ALTER TABLE cli_surgery ADD COLUMN surgery_indication TEXT;
-- COMMENT ON COLUMN cli_surgery.surgery_indication IS '手术指征';

114
迁移记录-DB变更记录/20260105_fill_surgery_name_fields.sql Normal file
View File

@@ -0,0 +1,114 @@
-- 填充手术表中的name字段
-- 执行时间：2025-01-05
-- 说明：根据现有的ID字段反查并填充对应的name字段
-- 1. 查看当前name字段的填充情况
SELECT
COUNT(*) as total_count,
COUNT(main_surgeon_name) as has_main_surgeon_name_count,
COUNT(anesthetist_name) as has_anesthetist_name_count,
COUNT(assistant_1_name) as has_assistant_1_name_count,
COUNT(assistant_2_name) as has_assistant_2_name_count,
COUNT(scrub_nurse_name) as has_scrub_nurse_name_count,
COUNT(operating_room_name) as has_operating_room_name_count,
COUNT(org_name) as has_org_name_count,
COUNT(apply_doctor_name) as has_apply_doctor_name_count,
COUNT(apply_dept_name) as has_apply_dept_name_count
FROM public.cli_surgery
WHERE delete_flag = '0';
-- 2. 填充主刀医生姓名
UPDATE public.cli_surgery s
SET main_surgeon_name = u.nick_name
FROM public.sys_user u
WHERE s.main_surgeon_id = u.user_id
AND s.main_surgeon_name IS NULL
AND s.delete_flag = '0';
-- 3. 填充麻醉医生姓名
UPDATE public.cli_surgery s
SET anesthetist_name = u.nick_name
FROM public.sys_user u
WHERE s.anesthetist_id = u.user_id
AND s.anesthetist_name IS NULL
AND s.delete_flag = '0';
-- 4. 填充助手1姓名
UPDATE public.cli_surgery s
SET assistant_1_name = u.nick_name
FROM public.sys_user u
WHERE s.assistant_1_id = u.user_id
AND s.assistant_1_name IS NULL
AND s.delete_flag = '0';
-- 5. 填充助手2姓名
UPDATE public.cli_surgery s
SET assistant_2_name = u.nick_name
FROM public.sys_user u
WHERE s.assistant_2_id = u.user_id
AND s.assistant_2_name IS NULL
AND s.delete_flag = '0';
-- 6. 填充巡回护士姓名
UPDATE public.cli_surgery s
SET scrub_nurse_name = u.nick_name
FROM public.sys_user u
WHERE s.scrub_nurse_id = u.user_id
AND s.scrub_nurse_name IS NULL
AND s.delete_flag = '0';
-- 7. 填充手术室名称
UPDATE public.cli_surgery s
SET operating_room_name = r.name
FROM public.cli_operating_room r
WHERE s.operating_room_id = r.id
AND s.operating_room_name IS NULL
AND s.delete_flag = '0';
-- 8. 填充执行科室名称
UPDATE public.cli_surgery s
SET org_name = o.name
FROM public.adm_organization o
WHERE s.org_id = o.id
AND s.org_name IS NULL
AND s.delete_flag = '0';
-- 9. 填充申请医生姓名（如果还没有）
UPDATE public.cli_surgery s
SET apply_doctor_name = u.nick_name
FROM public.sys_user u
WHERE s.apply_doctor_id = u.user_id
AND s.apply_doctor_name IS NULL
AND s.delete_flag = '0';
-- 10. 填充申请科室名称（如果还没有）
UPDATE public.cli_surgery s
SET apply_dept_name = o.name
FROM public.adm_organization o
WHERE s.apply_dept_id = o.id
AND s.apply_dept_name IS NULL
AND s.delete_flag = '0';
-- 11. 再次查询，验证更新结果
SELECT
id,
surgery_no,
patient_name,
apply_doctor_name,
apply_dept_name,
main_surgeon_name,
anesthetist_name,
assistant_1_name,
assistant_2_name,
scrub_nurse_name,
operating_room_name,
org_name,
emergency_flag,
implant_flag,
operating_room_confirm_time,
operating_room_confirm_user,
create_time
FROM public.cli_surgery
WHERE delete_flag = '0'
ORDER BY create_time DESC
LIMIT 10;

53
迁移记录-DB变更记录/20260106_check_and_add_surgery_indication.sql Normal file
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-- 检查并添加手术指征字段
-- 执行时间：2025-01-06
-- 说明：修复手术指征字段无法保存或展示的问题
-- 1. 检查surgery_indication字段是否存在
DO $$
BEGIN
IF NOT EXISTS (
SELECT 1
FROM information_schema.columns
WHERE table_schema = 'public'
AND table_name = 'cli_surgery'
AND column_name = 'surgery_indication'
) THEN
-- 字段不存在,添加该字段
ALTER TABLE cli_surgery ADD COLUMN surgery_indication TEXT;
-- 添加字段注释
COMMENT ON COLUMN cli_surgery.surgery_indication IS '手术指征';
RAISE NOTICE '已添加 surgery_indication 字段到 cli_surgery 表';
ELSE
RAISE NOTICE 'surgery_indication 字段已存在于 cli_surgery 表';
END IF;
END $$;
-- 2. 验证字段是否添加成功
SELECT
column_name,
data_type,
is_nullable,
column_default,
character_maximum_length
FROM information_schema.columns
WHERE table_schema = 'public'
AND table_name = 'cli_surgery'
AND column_name = 'surgery_indication';
-- 3. 查看最近的手术记录,检查surgery_indication字段是否有数据
SELECT
id,
surgery_no,
surgery_name,
surgery_indication,
create_time
FROM cli_surgery
WHERE delete_flag = '0'
ORDER BY create_time DESC
LIMIT 5;
-- 4. 更新说明
-- 手术指征字段已添加,可以正常保存和展示数据
-- 该字段为TEXT类型,可以存储较长的文本内容

59
验证手术指征字段返回数据.sql Normal file
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-- 验证手术指征字段的数据
-- 执行时间：2025-01-06
-- 说明：查询手术数据,验证surgery_indication字段是否有值
-- 1. 查询最近的手术记录,检查surgery_indication字段
SELECT
id,
surgery_no,
surgery_name,
surgery_indication,
patient_name,
apply_doctor_name,
status_enum,
create_time
FROM cli_surgery
WHERE delete_flag = '0'
ORDER BY create_time DESC
LIMIT 5;
-- 2. 检查surgery_indication字段是否为NULL
SELECT
COUNT(*) as total_count,
COUNT(surgery_indication) as has_surgery_indication_count,
COUNT(*) - COUNT(surgery_indication) as null_count,
ROUND(COUNT(surgery_indication) * 100.0 / COUNT(*), 2) as fill_rate
FROM cli_surgery
WHERE delete_flag = '0';
-- 3. 查询有surgery_indication数据的记录
SELECT
id,
surgery_no,
surgery_name,
surgery_indication,
LENGTH(surgery_indication) as text_length,
SUBSTRING(surgery_indication, 1, 100) as preview_text
FROM cli_surgery
WHERE delete_flag = '0'
AND surgery_indication IS NOT NULL
AND surgery_indication != ''
ORDER BY create_time DESC
LIMIT 3;
-- 4. 验证Mapper XML中的SQL查询
-- 模拟getSurgeryDetail接口的查询
SELECT
s.id,
s.surgery_no,
s.surgery_name,
s.surgery_indication,
s.patient_id,
p.name as patient_name,
s.apply_doctor_id,
s.apply_doctor_name,
s.status_enum
FROM cli_surgery s
LEFT JOIN adm_patient p ON s.patient_id = p.id
WHERE s.id = (SELECT id FROM cli_surgery WHERE delete_flag = '0' ORDER BY create_time DESC LIMIT 1)
AND s.delete_flag = '0';