feat(menu): 优化菜单路径唯一性校验并更新前端界面

- 在SysLoginController中添加optionMap数据返回
- 添加JSQLParser依赖支持MyBatis Plus功能
- 实现selectMenuByPathExcludeId方法用于排除当前菜单的路径唯一性校验
- 在SysMenuServiceImpl中添加日志记录并优化路径唯一性判断逻辑
- 在SysMenuMapper.xml中添加LIMIT 1限制并实现排除ID查询
- 在前端路由中注释患者管理相关路由配置
- 在用户store中添加optionMap配置项并优先从optionMap获取医院名称
- 重构检查项目设置页面的操作按钮样式为统一的圆形按钮设计
- 更新检查项目设置页面的导航栏样式和交互体验
- 优化门诊记录页面的搜索条件和表格展示功能
- 添加性别和状态筛选条件并改进数据加载逻辑

openhis-server-new/core-admin/src/main/java/com/core/web/controller/system/SysLoginController.java

@@ -86,6 +86,7 @@ public class SysLoginController {
         }
         AjaxResult ajax = AjaxResult.success();
         ajax.put("optionJson", loginUser.getOptionJson());
+        ajax.put("optionMap", loginUser.getOptionMap());
         ajax.put("practitionerId", String.valueOf(loginUser.getPractitionerId()));
         ajax.put("user", user);
         ajax.put("roles", roles);

openhis-server-new/core-framework/pom.xml

@@ -60,6 +60,12 @@
             <artifactId>core-system</artifactId>
         </dependency>
 
+        <!-- JSQLParser - 用于MyBatis Plus -->
+        <dependency>
+            <groupId>com.github.jsqlparser</groupId>
+            <artifactId>jsqlparser</artifactId>
+        </dependency>
+
     </dependencies>
 
 </project>

openhis-server-new/core-system/src/main/java/com/core/system/mapper/SysMenuMapper.java

@@ -91,6 +91,15 @@ public interface SysMenuMapper {
      */
     public SysMenu selectMenuByPath(String path);
 
+    /**
+     * 根据路径Path查询信息（排除指定菜单ID）
+     *
+     * @param path 路径
+     * @param menuId 菜单ID
+     * @return 菜单信息
+     */
+    public SysMenu selectMenuByPathExcludeId(@Param("path") String path, @Param("menuId") Long menuId);
+
     /**
      * 是否存在菜单子节点
      *

openhis-server-new/core-system/src/main/java/com/core/system/service/impl/SysMenuServiceImpl.java

@@ -14,6 +14,8 @@ import com.core.system.mapper.SysMenuMapper;
 import com.core.system.mapper.SysRoleMapper;
 import com.core.system.mapper.SysRoleMenuMapper;
 import com.core.system.service.ISysMenuService;
+import org.slf4j.Logger;
+import org.slf4j.LoggerFactory;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
 
@@ -27,6 +29,7 @@ import java.util.stream.Collectors;
  */
 @Service
 public class SysMenuServiceImpl implements ISysMenuService {
+    private static final Logger log = LoggerFactory.getLogger(SysMenuServiceImpl.class);
     public static final String PREMISSION_STRING = "perms[\"{0}\"]";
 
     @Autowired
@@ -281,12 +284,13 @@ public class SysMenuServiceImpl implements ISysMenuService {
      */
     @Override
     public int updateMenu(SysMenu menu) {
-        //路径Path唯一性判断
+        //路径Path唯一性判断（排除当前菜单本身）
         String path = menu.getPath();
         if (StringUtils.isNotBlank(path)) {
-            SysMenu sysMenu = menuMapper.selectMenuByPath(menu.getPath());
-            // 先判断sysMenu是否不为null，再比较menuId
-            if (sysMenu != null && !menu.getMenuId().equals(sysMenu.getMenuId())) {
+            SysMenu sysMenu = menuMapper.selectMenuByPathExcludeId(menu.getPath(), menu.getMenuId());
+            if (sysMenu != null) {
+                log.warn("路由地址已存在 - menuId: {}, path: {}, 存在的menuId: {}", 
+                    menu.getMenuId(), menu.getPath(), sysMenu.getMenuId());
                 return -1; // 路由地址已存在
             }
         }

openhis-server-new/core-system/src/main/resources/mapper/system/SysMenuMapper.xml

@@ -177,6 +177,12 @@
     <select id="selectMenuByPath" parameterType="String" resultMap="SysMenuResult">
         <include refid="selectMenuVo"/>
         where path = #{path}
+        LIMIT 1
+    </select>
+
+    <select id="selectMenuByPathExcludeId" resultMap="SysMenuResult">
+        <include refid="selectMenuVo"/>
+        where path = #{path} and menu_id != #{menuId}
     </select>
 
     <select id="selectMenuById" parameterType="Long" resultMap="SysMenuResult">

openhis-server-new/openhis-application/src/main/java/com/openhis/web/administration/controller/PractitionerPatientController.java

@@ -0,0 +1,151 @@
+package com.openhis.web.administration.controller;
+
+import com.core.common.annotation.Log;
+import com.core.common.core.controller.BaseController;
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.core.page.TableDataInfo;
+import com.core.common.enums.BusinessType;
+import com.core.common.utils.poi.ExcelUtil;
+import com.openhis.administration.domain.PractitionerPatient;
+import com.openhis.administration.service.IPractitionerPatientService;
+import com.openhis.administration.dto.PractitionerPatientDto;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import javax.servlet.http.HttpServletResponse;
+import java.util.Date;
+import java.util.List;
+
+/**
+ * 医生患者关系管理Controller
+ *
+ * @author system
+ * @date 2026-01-02
+ */
+@RestController
+@RequestMapping("/administration/practitioner-patient")
+public class PractitionerPatientController extends BaseController {
+
+    @Autowired
+    private IPractitionerPatientService practitionerPatientService;
+
+    /**
+     * 查询医生患者关系列表
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:list')")
+    @GetMapping("/list")
+    public TableDataInfo list(PractitionerPatient practitionerPatient) {
+        startPage();
+        List<PractitionerPatient> list = practitionerPatientService.list();
+        return getDataTable(list);
+    }
+
+    /**
+     * 导出医生患者关系列表
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:export')")
+    @Log(title = "医生患者关系", businessType = BusinessType.EXPORT)
+    @PostMapping("/export")
+    public void export(HttpServletResponse response, PractitionerPatient practitionerPatient) {
+        List<PractitionerPatient> list = practitionerPatientService.list();
+        ExcelUtil<PractitionerPatient> util = new ExcelUtil<>(PractitionerPatient.class);
+        util.exportExcel(response, list, "医生患者关系数据");
+    }
+
+    /**
+     * 获取医生患者关系详细信息
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:query')")
+    @GetMapping(value = "/{id}")
+    public AjaxResult getInfo(@PathVariable("id") Long id) {
+        return AjaxResult.success(practitionerPatientService.getById(id));
+    }
+
+    /**
+     * 获取医生的所有有效患者
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:query')")
+    @GetMapping("/practitioner/{practitionerId}/patients")
+    public AjaxResult getPatientsByPractitioner(@PathVariable Long practitionerId) {
+        return AjaxResult.success(practitionerPatientService.getValidPatientsByPractitioner(practitionerId));
+    }
+
+    /**
+     * 获取患者的所有有效医生
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:query')")
+    @GetMapping("/patient/{patientId}/practitioners")
+    public AjaxResult getPractitionersByPatient(@PathVariable Long patientId) {
+        return AjaxResult.success(practitionerPatientService.getValidPractitionersByPatient(patientId));
+    }
+
+    /**
+     * 新增医生患者关系
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:add')")
+    @Log(title = "医生患者关系", businessType = BusinessType.INSERT)
+    @PostMapping
+    public AjaxResult add(@RequestBody PractitionerPatientDto dto) {
+        PractitionerPatient relationship = new PractitionerPatient();
+        relationship.setPractitionerId(dto.getPractitionerId());
+        relationship.setPatientId(dto.getPatientId());
+        relationship.setRelationshipType(dto.getRelationshipType());
+        relationship.setOrganizationId(dto.getOrganizationId());
+        relationship.setStartDate(dto.getStartDate());
+        relationship.setRemark(dto.getRemark());
+
+        return toAjax(practitionerPatientService.createRelationship(relationship));
+    }
+
+    /**
+     * 修改医生患者关系
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:edit')")
+    @Log(title = "医生患者关系", businessType = BusinessType.UPDATE)
+    @PutMapping
+    public AjaxResult edit(@RequestBody PractitionerPatient practitionerPatient) {
+        return toAjax(practitionerPatientService.updateById(practitionerPatient));
+    }
+
+    /**
+     * 终止医生患者关系
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:remove')")
+    @Log(title = "医生患者关系", businessType = BusinessType.DELETE)
+    @PostMapping("/terminate/{id}")
+    public AjaxResult terminate(@PathVariable Long id) {
+        return toAjax(practitionerPatientService.terminateRelationship(id));
+    }
+
+    /**
+     * 删除医生患者关系
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:remove')")
+    @Log(title = "医生患者关系", businessType = BusinessType.DELETE)
+    @DeleteMapping("/{ids}")
+    public AjaxResult remove(@PathVariable Long[] ids) {
+        return toAjax(practitionerPatientService.removeByIds(List.of(ids)));
+    }
+
+    /**
+     * 批量创建医生患者关系
+     */
+    @PreAuthorize("@ss.hasPermi('administration:practitionerPatient:add')")
+    @Log(title = "批量创建医生患者关系", businessType = BusinessType.INSERT)
+    @PostMapping("/batch")
+    public AjaxResult batchAdd(@RequestBody List<PractitionerPatientDto> dtos) {
+        List<PractitionerPatient> relationships = dtos.stream().map(dto -> {
+            PractitionerPatient relationship = new PractitionerPatient();
+            relationship.setPractitionerId(dto.getPractitionerId());
+            relationship.setPatientId(dto.getPatientId());
+            relationship.setRelationshipType(dto.getRelationshipType());
+            relationship.setOrganizationId(dto.getOrganizationId());
+            relationship.setStartDate(dto.getStartDate());
+            relationship.setRemark(dto.getRemark());
+            return relationship;
+        }).toList();
+
+        return toAjax(practitionerPatientService.batchCreateRelationships(relationships));
+    }
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/PractitionerAppServiceImpl.java

@@ -407,8 +407,12 @@ public class PractitionerAppServiceImpl implements IPractitionerAppService {
         // iBizUserService.remove(new LambdaQueryWrapper<BizUser>().eq(BizUser::getUserId, userId));
         practitionerAppAppMapper.delUser(userId);
         practitionerAppAppMapper.delUserRole(userId);
-        Practitioner one =
-            iPractitionerService.getOne(new LambdaQueryWrapper<Practitioner>().eq(Practitioner::getUserId, userId));
+        // 使用list()避免TooManyResultsException异常，然后取第一个记录
+        List<Practitioner> practitionerList = iPractitionerService.list(new LambdaQueryWrapper<Practitioner>().eq(Practitioner::getUserId, userId));
+        Practitioner one = practitionerList != null && !practitionerList.isEmpty() ? practitionerList.get(0) : null;
+        if (one == null) {
+            return R.fail(null, "未找到对应的医生信息");
+        }
         Long practitionerId = one.getId();// 参与者id
         iPractitionerService.removeById(practitionerId);
         iPractitionerRoleService

openhis-server-new/openhis-application/src/main/java/com/openhis/web/controller/HomeStatisticsController.java

@@ -0,0 +1,37 @@
+package com.openhis.web.controller;
+
+import com.core.common.core.controller.BaseController;
+import com.core.common.core.domain.AjaxResult;
+import com.openhis.administration.domain.Encounter;
+import com.openhis.web.dto.HomeStatisticsDto;
+import com.openhis.web.service.IHomeStatisticsService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.GetMapping;
+import org.springframework.web.bind.annotation.RequestMapping;
+import org.springframework.web.bind.annotation.RestController;
+
+/**
+ * 首页统计Controller
+ *
+ * @author system
+ * @date 2025-12-31
+ */
+@RestController
+@RequestMapping("/home")
+public class HomeStatisticsController extends BaseController {
+
+    @Autowired
+    private IHomeStatisticsService homeStatisticsService;
+
+    /**
+     * 获取首页统计数据
+     *
+     * @return 首页统计数据
+     */
+    @GetMapping("/statistics")
+    public AjaxResult getHomeStatistics() {
+        HomeStatisticsDto statistics = homeStatisticsService.getHomeStatistics();
+        return AjaxResult.success(statistics);
+    }
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/dto/HomeStatisticsDto.java

@@ -0,0 +1,62 @@
+package com.openhis.web.dto;
+
+import lombok.Data;
+
+/**
+ * 首页统计数据DTO
+ *
+ * @author system
+ * @date 2025-12-31
+ */
+@Data
+public class HomeStatisticsDto {
+    /**
+     * 在院患者数量
+     */
+    private Integer totalPatients;
+    
+    /**
+     * 昨日在院患者数量
+     */
+    private Integer yesterdayPatients;
+    
+    /**
+     * 相对前日变化百分比
+     */
+    private Double patientTrend;
+    
+    /**
+     * 今日收入
+     */
+    private String todayRevenue;
+    
+    /**
+     * 昨日收入
+     */
+    private String yesterdayRevenue;
+    
+    /**
+     * 相对前日变化百分比
+     */
+    private Double revenueTrend;
+    
+    /**
+     * 今日预约数量
+     */
+    private Integer todayAppointments;
+    
+    /**
+     * 昨日预约数量
+     */
+    private Integer yesterdayAppointments;
+    
+    /**
+     * 相对前日变化百分比
+     */
+    private Double appointmentTrend;
+    
+    /**
+     * 待审核数量
+     */
+    private Integer pendingApprovals;
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/OutpatientRecordServiceImpl.java

@@ -28,6 +28,7 @@ import java.util.HashSet;
  * @date 2025/3/15
  */
 @Service
+@Slf4j
 public class OutpatientRecordServiceImpl implements IOutpatientRecordService {
 
     @Resource
@@ -37,24 +38,78 @@ public class OutpatientRecordServiceImpl implements IOutpatientRecordService {
      * 分页查询门诊记录
      *
      * @param outpatientRecordSearchParam 门诊录查询参数
+     * @param searchKey 搜索关键词（支持身份证号/病人ID/门诊号/姓名）
      * @param pageNo 页码（默认为1）
      * @param pageSize 每页大小（默认为10）
-     * @return 分页查询
+     * @param request HTTP请求
+     * @return 分页查询结果
      */
     @Override
     public IPage<OutpatientRecordDto> getPatient(OutpatientRecordSearchParam outpatientRecordSearchParam,
             String searchKey, Integer pageNo, Integer pageSize, HttpServletRequest request) {
+        
+        log.info("进入门诊记录查询服务，searchKey: {}", searchKey);
+        if (outpatientRecordSearchParam != null) {
+            log.info("查询参数：searchKey={}, 性别={}, 状态={}, 电话={}, 医生={}, 开始时间={}, 结束时间={}",
+                    searchKey,
+                    outpatientRecordSearchParam.getGenderEnum(),
+                    outpatientRecordSearchParam.getSubjectStatusEnum(),
+                    outpatientRecordSearchParam.getPhone(),
+                    outpatientRecordSearchParam.getDoctorName(),
+                    outpatientRecordSearchParam.getStartTimeSTime(),
+                    outpatientRecordSearchParam.getStartTimeETime());
+        }
 
-        // 构建查询条件
-        QueryWrapper<OutpatientRecordDto> queryWrapper
-                = HisQueryUtils.buildQueryWrapper(outpatientRecordSearchParam, searchKey,
-                        new HashSet<>(Arrays.asList(CommonConstants.FieldName.IdCard, CommonConstants.FieldName.Name,
-                                CommonConstants.FieldName.PatientBusNo, CommonConstants.FieldName.EncounterBusNo)),
-                        request);
+        // 构建查询条件（不自动添加tenant_id，手动指定表别名）
+        QueryWrapper<OutpatientRecordDto> queryWrapper = new QueryWrapper<>();
+        
+        // 手动添加带表别名的tenant_id条件
+        queryWrapper.eq("enc.tenant_id", com.core.common.utils.SecurityUtils.getLoginUser().getTenantId());
+        
+        // 处理模糊查询关键字（searchKey）- 用于姓名/身份证号/病人ID/门诊号的模糊搜索
+        if (searchKey != null && !searchKey.isEmpty()) {
+            queryWrapper.and(wrapper -> {
+                wrapper.like("pt.name", searchKey)
+                       .or().like("pt.id_card", searchKey)
+                       .or().like("pt.bus_no", searchKey)
+                       .or().like("enc.bus_no", searchKey);
+            });
+        }
+        
+        // 处理其他筛选条件（这些条件可以与模糊查询或精确查询组合使用）
+        if (outpatientRecordSearchParam != null) {
+            // 处理性别筛选
+            if (outpatientRecordSearchParam.getGenderEnum() != null) {
+                queryWrapper.eq("pt.gender_enum", outpatientRecordSearchParam.getGenderEnum());
+            }
+            
+            // 处理就诊对象状态筛选
+            if (outpatientRecordSearchParam.getSubjectStatusEnum() != null) {
+                queryWrapper.eq("enc.status_enum", outpatientRecordSearchParam.getSubjectStatusEnum());
+            }
+            
+            // 处理医生姓名查询（支持模糊查询）
+            if (outpatientRecordSearchParam.getDoctorName() != null && !outpatientRecordSearchParam.getDoctorName().isEmpty()) {
+                queryWrapper.like("prac.name", outpatientRecordSearchParam.getDoctorName());
+            }
+            
+            // 处理电话号码查询（支持模糊查询）
+            if (outpatientRecordSearchParam.getPhone() != null && !outpatientRecordSearchParam.getPhone().isEmpty()) {
+                queryWrapper.like("pt.phone", outpatientRecordSearchParam.getPhone());
+            }
+            
+            // 处理时间范围查询
+            if (outpatientRecordSearchParam.getStartTimeSTime() != null && !outpatientRecordSearchParam.getStartTimeSTime().isEmpty() 
+                && outpatientRecordSearchParam.getStartTimeETime() != null && !outpatientRecordSearchParam.getStartTimeETime().isEmpty()) {
+                queryWrapper.between("enc.create_time", outpatientRecordSearchParam.getStartTimeSTime(), outpatientRecordSearchParam.getStartTimeETime());
+            }
+        }
 
+        // 使用接诊医生（ADMITTER，code="1"）作为参与者类型
         IPage<OutpatientRecordDto> outpatientRecordPage = patientManageMapper
                 .getOutpatientRecord(ParticipantType.ADMITTER.getCode(), new Page<>(pageNo, pageSize), queryWrapper);
 
+        // 处理枚举字段的显示文本
         outpatientRecordPage.getRecords().forEach(e -> {
             // 性别枚举类回显赋值
             e.setGenderEnum_enumText(EnumUtils.getInfoByValue(AdministrativeGender.class, e.getGenderEnum()));

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java

@@ -17,6 +17,7 @@ import com.openhis.administration.domain.Patient;
 import com.openhis.administration.domain.PatientIdentifier;
 import com.openhis.administration.service.IPatientIdentifierService;
 import com.openhis.administration.service.IPatientService;
+import com.openhis.administration.service.IPractitionerService;
 import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
@@ -54,6 +55,9 @@ public class PatientInformationServiceImpl implements IPatientInformationService
     @Autowired
     private IPatientService patientService;
 
+    @Autowired
+    private IPractitionerService practitionerService;
+
     @Autowired
     private IPatientIdentifierService patientIdentifierService;
 
@@ -129,11 +133,40 @@ public class PatientInformationServiceImpl implements IPatientInformationService
     @Override
     public IPage<PatientBaseInfoDto> getPatientInfo(PatientBaseInfoDto patientBaseInfoDto, String searchKey,
             Integer pageNo, Integer pageSize, HttpServletRequest request) {
-        // 构建查询条件
+        // 获取登录者信息
+        LoginUser loginUser = SecurityUtils.getLoginUser();
+        Long userId = loginUser.getUserId();
+        
+        // 先构建基础查询条件
         QueryWrapper<PatientBaseInfoDto> queryWrapper = HisQueryUtils.buildQueryWrapper(
                 patientBaseInfoDto, searchKey, new HashSet<>(Arrays.asList(CommonConstants.FieldName.Name,
                         CommonConstants.FieldName.BusNo, CommonConstants.FieldName.PyStr, CommonConstants.FieldName.WbStr)),
                 request);
+        
+        // 查询当前用户对应的医生信息
+        LambdaQueryWrapper<com.openhis.administration.domain.Practitioner> practitionerQuery = new LambdaQueryWrapper<>();
+        practitionerQuery.eq(com.openhis.administration.domain.Practitioner::getUserId, userId);
+        // 使用list()避免TooManyResultsException异常，然后取第一个记录
+        List<com.openhis.administration.domain.Practitioner> practitionerList = practitionerService.list(practitionerQuery);
+        com.openhis.administration.domain.Practitioner practitioner = practitionerList != null && !practitionerList.isEmpty() ? practitionerList.get(0) : null;
+        
+        // 如果当前用户是医生，添加医生患者过滤条件
+        if (practitioner != null) {
+            // 查询该医生作为接诊医生（ADMITTER, code="1"）和挂号医生（REGISTRATION_DOCTOR, code="12"）的所有就诊记录的患者ID
+            List<Long> doctorPatientIds = patientManageMapper.getPatientIdsByPractitionerId(
+                    practitioner.getId(), 
+                    Arrays.asList(ParticipantType.ADMITTER.getCode(), ParticipantType.REGISTRATION_DOCTOR.getCode()));
+            
+            if (doctorPatientIds != null && !doctorPatientIds.isEmpty()) {
+                // 添加患者ID过滤条件 - 注意：这里使用列名而不是表别名
+                queryWrapper.in("id", doctorPatientIds);
+            } else {
+                // 如果没有相关患者，返回空结果
+                queryWrapper.eq("id", -1); // 设置一个不存在的ID
+            }
+        }
+        // 如果不是医生，查询所有患者
+        
         IPage<PatientBaseInfoDto> patientInformationPage
                 = patientManageMapper.getPatientPage(new Page<>(pageNo, pageSize), queryWrapper);
         // 患者id集合
@@ -141,8 +174,7 @@ public class PatientInformationServiceImpl implements IPatientInformationService
                 = patientInformationPage.getRecords().stream().map(PatientBaseInfoDto::getId).collect(Collectors.toList());
         // 患者身份信息
         List<PatientIdInfoDto> patientIdInfo = patientManageMapper.getPatientIdInfo(patientIdList);
-        // 获取登录者信息
-        LoginUser loginUser = SecurityUtils.getLoginUser();
+        
         patientInformationPage.getRecords().forEach(e -> {
             // 性别枚举类回显赋值
             e.setGenderEnum_enumText(EnumUtils.getInfoByValue(AdministrativeGender.class, e.getGenderEnum()));

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/controller/OutpatientRecordController.java

@@ -0,0 +1,96 @@
+package com.openhis.web.patientmanage.controller;
+
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.core.common.annotation.Anonymous;
+import com.core.common.core.domain.R;
+import com.openhis.web.patientmanage.appservice.IOutpatientRecordService;
+import com.openhis.web.patientmanage.dto.OutpatientRecordDto;
+import com.openhis.web.patientmanage.dto.OutpatientRecordSearchParam;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.web.bind.annotation.*;
+
+import javax.servlet.http.HttpServletRequest;
+
+/**
+ * 门诊记录查询控制器
+ *
+ * @author system
+ * @date 2025/12/31
+ */
+@RestController
+@RequestMapping("/patient-manage/records")
+@Slf4j
+@RequiredArgsConstructor
+@Anonymous
+public class OutpatientRecordController {
+
+    private final IOutpatientRecordService outpatientRecordService;
+
+    /**
+     * 测试接口 - 验证Controller是否被加载
+     *
+     * @return 测试消息
+     */
+    @GetMapping("/test")
+    public R<?> test() {
+        log.info("OutpatientRecordController.test() 被调用");
+        return R.ok("OutpatientRecordController 工作正常");
+    }
+
+    /**
+     * 获取门诊记录初期数据
+     *
+     * @return 初期数据
+     */
+    @GetMapping("/init")
+    public R<?> getInitData() {
+        return outpatientRecordService.getDoctorNames();
+    }
+
+    /**
+     * 分页查询门诊记录
+     *
+     * @param outpatientRecordSearchParam 门诊记录查询参数
+     * @param searchKey 查询条件-模糊查询
+     * @param pageNo 页码（默认为1）
+     * @param pageSize 每页大小（默认为10）
+     * @param request 请求对象
+     * @return 分页查询结果
+     */
+    @GetMapping("/outpatient-record-page")
+    public R<IPage<OutpatientRecordDto>> getOutpatientRecordPage(
+            OutpatientRecordSearchParam outpatientRecordSearchParam,
+            @RequestParam(value = "searchKey", defaultValue = "") String searchKey,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize,
+            HttpServletRequest request) {
+        log.info("查询门诊记录，pageNo: {}, pageSize: {}", pageNo, pageSize);
+        log.info("searchKey: {}", searchKey);
+        log.info("outpatientRecordSearchParam: {}", outpatientRecordSearchParam);
+        if (outpatientRecordSearchParam != null) {
+            log.info("姓名参数: {}, 身份证参数: {}, 病人ID: {}, 门诊号: {}, 性别: {}, 状态: {}, 电话: {}, 医生: {}, 开始时间: {}, 结束时间: {}",
+                    outpatientRecordSearchParam.getName(),
+                    outpatientRecordSearchParam.getIdCard(),
+                    outpatientRecordSearchParam.getPatientBusNo(),
+                    outpatientRecordSearchParam.getEncounterBusNo(),
+                    outpatientRecordSearchParam.getGenderEnum(),
+                    outpatientRecordSearchParam.getSubjectStatusEnum(),
+                    outpatientRecordSearchParam.getPhone(),
+                    outpatientRecordSearchParam.getDoctorName(),
+                    outpatientRecordSearchParam.getStartTimeSTime(),
+                    outpatientRecordSearchParam.getStartTimeETime());
+        }
+        return R.ok(outpatientRecordService.getPatient(outpatientRecordSearchParam, searchKey, pageNo, pageSize, request));
+    }
+
+    /**
+     * 获取医生名字列表
+     *
+     * @return 医生名字列表
+     */
+    @GetMapping("/doctor-names")
+    public R<?> getDoctorNames() {
+        return outpatientRecordService.getDoctorNames();
+    }
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/dto/OutpatientRecordDto.java

@@ -19,10 +19,10 @@ import java.util.Date;
 public class OutpatientRecordDto {
 
     /**
-     * ID
+     * 就诊记录ID
      */
     @JsonSerialize(using = ToStringSerializer.class)
-    private Long id;
+    private Long encounterId;
 
     /**
      * 患者姓名
@@ -50,17 +50,36 @@ public class OutpatientRecordDto {
     private Integer genderEnum;
     private String genderEnum_enumText;
 
+    /**
+     * 联系电话
+     */
+    private String phone;
+
+    /**
+     * 就诊时间
+     */
+    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date encounterTime;
+
     /**
      * 就诊对象状态
      */
     private Integer subjectStatusEnum;
     private String subjectStatusEnum_enumText;
 
+    /**
+     * 医疗机构名称
+     */
+    private String organizationName;
+
+    /**
+     * 接诊医生姓名
+     */
+    private String doctorName;
+
     /**
      * 登记时间
      */
     @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
     private Date createTime;
-
-    // 其他可能需要的字段
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/dto/OutpatientRecordSearchParam.java

@@ -43,5 +43,30 @@ public class OutpatientRecordSearchParam {
      */
     private Integer subjectStatusEnum;
 
+    /**
+     * 医生姓名
+     */
+    private String doctorName;
+
+    /**
+     * 患者电话
+     */
+    private String phone;
+
+    /**
+     * 搜索关键词（支持身份证号/病人ID/门诊号/姓名）
+     */
+    private String searchKey;
+
+    /**
+     * 开始时间（起始）
+     */
+    private String startTimeSTime;
+
+    /**
+     * 开始时间（结束）
+     */
+    private String startTimeETime;
+
     // 其他可能需要的查询参数
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/mapper/PatientManageMapper.java

@@ -58,4 +58,14 @@ public interface PatientManageMapper extends BaseMapper<Patient> {
      * @return 医生名字列表
      */
     List<String> getDoctorNames();
+
+    /**
+     * 根据医生ID和参与者类型获取相关的患者ID列表
+     *
+     * @param practitionerId 医生ID
+     * @param typeCodes 参与者类型代码列表
+     * @return 患者ID列表
+     */
+    List<Long> getPatientIdsByPractitionerId(@Param("practitionerId") Long practitionerId, 
+                                            @Param("typeCodes") List<String> typeCodes);
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/service/IHomeStatisticsService.java

@@ -0,0 +1,18 @@
+package com.openhis.web.service;
+
+import com.openhis.web.dto.HomeStatisticsDto;
+
+/**
+ * 首页统计Service接口
+ *
+ * @author system
+ * @date 2025-12-31
+ */
+public interface IHomeStatisticsService {
+    /**
+     * 获取首页统计数据
+     *
+     * @return 首页统计数据
+     */
+    HomeStatisticsDto getHomeStatistics();
+}

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

@@ -0,0 +1,122 @@
+package com.openhis.web.service.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.utils.DateUtils;
+import com.core.common.utils.SecurityUtils;
+import com.openhis.administration.domain.Encounter;
+import com.openhis.administration.domain.EncounterParticipant;
+import com.openhis.administration.domain.Patient;
+import com.openhis.administration.domain.Practitioner;
+import com.openhis.administration.service.IEncounterParticipantService;
+import com.openhis.administration.service.IEncounterService;
+import com.openhis.administration.service.IPatientService;
+import com.openhis.administration.service.IPractitionerService;
+import com.openhis.common.enums.ParticipantType;
+import com.openhis.web.dto.HomeStatisticsDto;
+import com.openhis.web.service.IHomeStatisticsService;
+import com.openhis.web.patientmanage.mapper.PatientManageMapper;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import java.util.Date;
+import java.util.List;
+import java.util.Arrays;
+
+/**
+ * 首页统计Service业务层处理
+ *
+ * @author system
+ * @date 2025-12-31
+ */
+@Service
+public class HomeStatisticsServiceImpl implements IHomeStatisticsService {
+
+    @Autowired
+    private IEncounterService encounterService;
+
+    @Autowired
+    private IEncounterParticipantService encounterParticipantService;
+
+    @Autowired
+    private IPractitionerService practitionerService;
+    
+    @Autowired
+    private PatientManageMapper patientManageMapper;
+    
+    @Autowired
+    private IPatientService patientService;
+
+    /**
+     * 获取首页统计数据
+     *
+     * @return 首页统计数据
+     */
+    @Override
+    public HomeStatisticsDto getHomeStatistics() {
+        HomeStatisticsDto statistics = new HomeStatisticsDto();
+
+        // 获取当前登录用户ID
+        Long userId = SecurityUtils.getUserId();
+
+        // 查询当前用户对应的医生信息
+        LambdaQueryWrapper<Practitioner> practitionerQuery = new LambdaQueryWrapper<>();
+        practitionerQuery.eq(Practitioner::getUserId, userId);
+        // 使用list()避免TooManyResultsException异常，然后取第一个记录
+        List<Practitioner> practitionerList = practitionerService.list(practitionerQuery);
+        Practitioner practitioner = practitionerList != null && !practitionerList.isEmpty() ? practitionerList.get(0) : null;
+
+        int totalPatients = 0;
+
+        // 如果当前用户是医生，查询该医生接诊和被挂号的所有患者
+        if (practitioner != null) {
+            // 查询该医生作为接诊医生（ADMITTER, code="1"）和挂号医生（REGISTRATION_DOCTOR, code="12"）的所有就诊记录的患者ID
+            List<Long> doctorPatientIds = patientManageMapper.getPatientIdsByPractitionerId(
+                    practitioner.getId(), 
+                    Arrays.asList(ParticipantType.ADMITTER.getCode(), ParticipantType.REGISTRATION_DOCTOR.getCode()));
+            
+            totalPatients = doctorPatientIds != null ? doctorPatientIds.size() : 0;
+        } else {
+            // 如果不是医生，查询所有患者（与患者管理页面逻辑保持一致）
+            LambdaQueryWrapper<Patient> patientQuery = new LambdaQueryWrapper<>();
+            patientQuery.eq(Patient::getDeleteFlag, "0");
+            List<Patient> patientList = patientService.list(patientQuery);
+            totalPatients = patientList != null ? patientList.size() : 0;
+        }
+
+        statistics.setTotalPatients(totalPatients);
+
+        // 查询昨日在院患者数量（暂时简化处理）
+        // TODO: 应该从历史记录表中查询昨天的实际在院患者数
+        int yesterdayPatients = totalPatients; // 这里应该是从历史表中查询昨天的数据
+        statistics.setYesterdayPatients(yesterdayPatients);
+
+        // 计算相对前日的百分比
+        double patientTrend = calculateTrend(totalPatients, yesterdayPatients);
+        statistics.setPatientTrend(patientTrend);
+
+        // 今日收入和预约等其他统计（暂时设为0，后续从相应表查询）
+        statistics.setTodayRevenue("¥ 0");
+        statistics.setYesterdayRevenue("¥ 0");
+        statistics.setRevenueTrend(0.0);
+        statistics.setTodayAppointments(0);
+        statistics.setYesterdayAppointments(0);
+        statistics.setAppointmentTrend(0.0);
+        statistics.setPendingApprovals(0);
+
+        return statistics;
+    }
+    
+    /**
+     * 计算相对前日的百分比变化
+     *
+     * @param todayValue 今天的值
+     * @param yesterdayValue 昨天的值
+     * @return 百分比变化（正数表示增长，负数表示下降）
+     */
+    private double calculateTrend(double todayValue, double yesterdayValue) {
+        if (yesterdayValue == 0) {
+            return todayValue > 0 ? 100.0 : 0.0;
+        }
+        return ((todayValue - yesterdayValue) / yesterdayValue) * 100;
+    }
+}

openhis-server-new/openhis-application/src/main/resources/application-dev.yml

@@ -6,7 +6,7 @@ spring:
     druid:
       # 主库数据源
       master:
-        url: jdbc:postgresql://192.168.110.252:15432/postgresql?currentSchema=hisdev&characterEncoding=UTF-8&client_encoding=UTF-8
+        url: jdbc:postgresql://47.116.196.11:15432/postgresql?currentSchema=hisdev&characterEncoding=UTF-8&client_encoding=UTF-8
         username: postgresql
         password: Jchl1528
       # 从库数据源
@@ -64,9 +64,9 @@ spring:
   # redis 配置
   redis:
     # 地址
-    host: 192.168.110.252
+    host: 47.116.196.11
     # 端口，默认为6379
-    port: 6379
+    port: 26379
     # 数据库索引
     database: 1
     # 密码

openhis-server-new/openhis-application/src/main/resources/mapper/patientmanage/PatientManageMapper.xml

@@ -95,5 +95,60 @@
         </if>
     </select>
 
+    <!-- 查询门诊记录 -->
+    <select id="getOutpatientRecord" resultType="com.openhis.web.patientmanage.dto.OutpatientRecordDto">
+        SELECT
+            enc.id as encounterId,
+            pt.name,
+            pt.id_card,
+            pt.bus_no as patientBusNo,
+            enc.bus_no as encounterBusNo,
+            pt.gender_enum,
+            pt.phone,
+            enc.create_time as encounterTime,
+            enc.status_enum as subjectStatusEnum,
+            org.name as organizationName,
+            prac.name as doctorName
+        FROM adm_encounter AS enc
+        LEFT JOIN adm_organization AS org ON enc.organization_id = org.ID AND org.delete_flag = '0'
+        LEFT JOIN adm_encounter_participant AS ep
+            ON enc.ID = ep.encounter_id AND ep.type_code = #{participantType} AND ep.delete_flag = '0'
+        LEFT JOIN adm_practitioner AS prac ON ep.practitioner_id = prac.ID AND prac.delete_flag = '0'
+        LEFT JOIN adm_patient AS pt ON enc.patient_id = pt.ID AND pt.delete_flag = '0'
+        <where>
+            enc.delete_flag = '0'
+            <if test="ew.sqlSegment != null and ew.sqlSegment != ''">
+                AND ${ew.sqlSegment}
+            </if>
+        </where>
+        ORDER BY enc.create_time DESC
+    </select>
 
-</mapper>
+    <!-- 获取医生名字列表 -->
+    <select id="getDoctorNames" resultType="java.lang.String">
+        SELECT DISTINCT prac.name
+        FROM adm_practitioner AS prac
+        WHERE prac.delete_flag = '0'
+        ORDER BY prac.name
+    </select>
+
+    <!-- 根据医生ID和参与者类型获取相关的患者ID列表 -->
+    <select id="getPatientIdsByPractitionerId" resultType="java.lang.Long">
+        SELECT DISTINCT enc.patient_id
+        FROM adm_encounter_participant AS ep
+        LEFT JOIN adm_encounter AS enc ON ep.encounter_id = enc.ID AND enc.delete_flag = '0'
+        INNER JOIN adm_patient AS pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+        WHERE ep.delete_flag = '0'
+          AND ep.practitioner_id = #{practitionerId}
+          AND ep.tenant_id = 1
+          AND enc.tenant_id = 1
+          AND pt.tenant_id = 1
+        <if test="typeCodes != null and !typeCodes.isEmpty()">
+            AND ep.type_code IN
+            <foreach collection="typeCodes" item="typeCode" open="(" separator="," close=")">
+                #{typeCode}
+            </foreach>
+        </if>
+    </select>
+
+</mapper>

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/domain/PractitionerPatient.java

@@ -0,0 +1,58 @@
+package com.openhis.administration.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.util.Date;
+
+/**
+ * 医生患者关系管理Entity实体
+ *
+ * @author system
+ * @date 2026-01-02
+ */
+@Data
+@TableName("adm_practitioner_patient")
+@Accessors(chain = true)
+@EqualsAndHashCode(callSuper = false)
+public class PractitionerPatient extends HisBaseEntity {
+
+    /** ID */
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    /** 医生ID */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long practitionerId;
+
+    /** 患者ID */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long patientId;
+
+    /** 关系类型：1-主治医生，2-签约医生，3-管床医生，4-家庭医生，5-会诊医生，6-随访医生 */
+    private Integer relationshipType;
+
+    /** 机构ID */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long organizationId;
+
+    /** 关系开始时间 */
+    private Date startDate;
+
+    /** 关系结束时间 */
+    private Date endDate;
+
+    /** 状态：1-有效，0-无效 */
+    private Integer status;
+
+    /** 备注信息 */
+    private String remark;
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/dto/PractitionerPatientDto.java

@@ -0,0 +1,38 @@
+package com.openhis.administration.dto;
+
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+
+import java.io.Serializable;
+import java.util.Date;
+
+/**
+ * 医生患者关系DTO
+ *
+ * @author system
+ * @date 2026-01-02
+ */
+@Data
+public class PractitionerPatientDto implements Serializable {
+
+    private static final long serialVersionUID = 1L;
+
+    /** 医生ID */
+    private Long practitionerId;
+
+    /** 患者ID */
+    private Long patientId;
+
+    /** 关系类型：1-主治医生，2-签约医生，3-管床医生，4-家庭医生，5-会诊医生，6-随访医生 */
+    private Integer relationshipType;
+
+    /** 机构ID */
+    private Long organizationId;
+
+    /** 关系开始时间 */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date startDate;
+
+    /** 备注信息 */
+    private String remark;
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/mapper/PractitionerPatientMapper.java

@@ -0,0 +1,16 @@
+package com.openhis.administration.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.openhis.administration.domain.PractitionerPatient;
+import org.springframework.stereotype.Repository;
+
+/**
+ * 医生患者关系管理Mapper接口
+ *
+ * @author system
+ * @date 2026-01-02
+ */
+@Repository
+public interface PractitionerPatientMapper extends BaseMapper<PractitionerPatient> {
+
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/IPractitionerPatientService.java

@@ -0,0 +1,65 @@
+package com.openhis.administration.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.openhis.administration.domain.PractitionerPatient;
+
+import java.util.List;
+
+/**
+ * 医生患者关系管理Service接口
+ *
+ * @author system
+ * @date 2026-01-02
+ */
+public interface IPractitionerPatientService extends IService<PractitionerPatient> {
+
+    /**
+     * 获取医生的所有有效患者
+     *
+     * @param practitionerId 医生ID
+     * @return 患者关系列表
+     */
+    List<PractitionerPatient> getValidPatientsByPractitioner(Long practitionerId);
+
+    /**
+     * 获取患者的所有有效医生
+     *
+     * @param patientId 患者ID
+     * @return 医生关系列表
+     */
+    List<PractitionerPatient> getValidPractitionersByPatient(Long patientId);
+
+    /**
+     * 根据关系类型获取医生患者关系
+     *
+     * @param practitionerId 医生ID
+     * @param patientId 患者ID
+     * @param relationshipType 关系类型
+     * @return 医生患者关系
+     */
+    PractitionerPatient getRelationship(Long practitionerId, Long patientId, Integer relationshipType);
+
+    /**
+     * 创建医生患者关系
+     *
+     * @param practitionerPatient 医生患者关系
+     * @return 是否成功
+     */
+    boolean createRelationship(PractitionerPatient practitionerPatient);
+
+    /**
+     * 终止医生患者关系
+     *
+     * @param id 关系ID
+     * @return 是否成功
+     */
+    boolean terminateRelationship(Long id);
+
+    /**
+     * 批量创建医生患者关系
+     *
+     * @param relationships 关系列表
+     * @return 是否成功
+     */
+    boolean batchCreateRelationships(List<PractitionerPatient> relationships);
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/PractitionerPatientServiceImpl.java

@@ -0,0 +1,135 @@
+package com.openhis.administration.service.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.openhis.administration.domain.PractitionerPatient;
+import com.openhis.administration.mapper.PractitionerPatientMapper;
+import com.openhis.administration.service.IPractitionerPatientService;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.Date;
+import java.util.List;
+
+/**
+ * 医生患者关系管理Service实现
+ *
+ * @author system
+ * @date 2026-01-02
+ */
+@Slf4j
+@Service
+public class PractitionerPatientServiceImpl extends ServiceImpl<PractitionerPatientMapper, PractitionerPatient>
+        implements IPractitionerPatientService {
+
+    @Override
+    public List<PractitionerPatient> getValidPatientsByPractitioner(Long practitionerId) {
+        LambdaQueryWrapper<PractitionerPatient> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(PractitionerPatient::getPractitionerId, practitionerId)
+                .eq(PractitionerPatient::getStatus, 1)
+                .orderByDesc(PractitionerPatient::getCreateTime);
+        return list(wrapper);
+    }
+
+    @Override
+    public List<PractitionerPatient> getValidPractitionersByPatient(Long patientId) {
+        LambdaQueryWrapper<PractitionerPatient> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(PractitionerPatient::getPatientId, patientId)
+                .eq(PractitionerPatient::getStatus, 1)
+                .orderByDesc(PractitionerPatient::getCreateTime);
+        return list(wrapper);
+    }
+
+    @Override
+    public PractitionerPatient getRelationship(Long practitionerId, Long patientId, Integer relationshipType) {
+        LambdaQueryWrapper<PractitionerPatient> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(PractitionerPatient::getPractitionerId, practitionerId)
+                .eq(PractitionerPatient::getPatientId, patientId)
+                .eq(PractitionerPatient::getRelationshipType, relationshipType)
+                .eq(PractitionerPatient::getStatus, 1);
+        return getOne(wrapper);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public boolean createRelationship(PractitionerPatient practitionerPatient) {
+        // 设置默认值
+        if (practitionerPatient.getStatus() == null) {
+            practitionerPatient.setStatus(1);
+        }
+        if (practitionerPatient.getStartDate() == null) {
+            practitionerPatient.setStartDate(new Date());
+        }
+
+        // 检查是否已存在相同的关系
+        PractitionerPatient existing = getRelationship(
+                practitionerPatient.getPractitionerId(),
+                practitionerPatient.getPatientId(),
+                practitionerPatient.getRelationshipType()
+        );
+
+        if (existing != null) {
+            // 如果关系已存在，更新结束时间
+            existing.setEndDate(new Date());
+            existing.setStatus(0);
+            updateById(existing);
+            log.info("已终止旧的医患关系：doctorId={}, patientId={}, relationshipType={}",
+                    practitionerPatient.getPractitionerId(),
+                    practitionerPatient.getPatientId(),
+                    practitionerPatient.getRelationshipType());
+        }
+
+        // 创建新关系
+        boolean result = save(practitionerPatient);
+        if (result) {
+            log.info("创建医患关系成功：doctorId={}, patientId={}, relationshipType={}",
+                    practitionerPatient.getPractitionerId(),
+                    practitionerPatient.getPatientId(),
+                    practitionerPatient.getRelationshipType());
+        }
+        return result;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public boolean terminateRelationship(Long id) {
+        PractitionerPatient relationship = getById(id);
+        if (relationship == null) {
+            log.warn("医患关系不存在：id={}", id);
+            return false;
+        }
+
+        relationship.setEndDate(new Date());
+        relationship.setStatus(0);
+        boolean result = updateById(relationship);
+        if (result) {
+            log.info("终止医患关系成功：id={}, doctorId={}, patientId={}",
+                    id, relationship.getPractitionerId(), relationship.getPatientId());
+        }
+        return result;
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public boolean batchCreateRelationships(List<PractitionerPatient> relationships) {
+        if (relationships == null || relationships.isEmpty()) {
+            return false;
+        }
+
+        boolean allSuccess = true;
+        for (PractitionerPatient relationship : relationships) {
+            boolean success = createRelationship(relationship);
+            if (!success) {
+                allSuccess = false;
+                log.error("批量创建医患关系失败：doctorId={}, patientId={}",
+                        relationship.getPractitionerId(), relationship.getPatientId());
+            }
+        }
+
+        if (allSuccess) {
+            log.info("批量创建医患关系成功：count={}", relationships.size());
+        }
+        return allSuccess;
+    }
+}

openhis-server-new/openhis-domain/src/main/resources/mapper/administration/PractitionerPatientMapper.xml

@@ -0,0 +1,111 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+"http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.openhis.administration.mapper.PractitionerPatientMapper">
+
+    <resultMap type="com.openhis.administration.domain.PractitionerPatient" id="PractitionerPatientResult">
+        <result property="id" column="id" />
+        <result property="practitionerId" column="practitioner_id" />
+        <result property="patientId" column="patient_id" />
+        <result property="relationshipType" column="relationship_type" />
+        <result property="organizationId" column="organization_id" />
+        <result property="startDate" column="start_date" />
+        <result property="endDate" column="end_date" />
+        <result property="status" column="status" />
+        <result property="remark" column="remark" />
+        <result property="tenantId" column="tenant_id" />
+        <result property="deleteFlag" column="delete_flag" />
+        <result property="createBy" column="create_by" />
+        <result property="createTime" column="create_time" />
+        <result property="updateBy" column="update_by" />
+        <result property="updateTime" column="update_time" />
+    </resultMap>
+
+    <sql id="selectPractitionerPatientVo">
+        select id, practitioner_id, patient_id, relationship_type, organization_id,
+               start_date, end_date, status, remark, tenant_id,
+               delete_flag, create_by, create_time, update_by, update_time
+        from adm_practitioner_patient
+    </sql>
+
+    <select id="selectPractitionerPatientList" parameterType="com.openhis.administration.domain.PractitionerPatient" resultMap="PractitionerPatientResult">
+        <include refid="selectPractitionerPatientVo"/>
+        <where>
+            delete_flag = '0'
+            <if test="practitionerId != null">
+                and practitioner_id = #{practitionerId}
+            </if>
+            <if test="patientId != null">
+                and patient_id = #{patientId}
+            </if>
+            <if test="relationshipType != null">
+                and relationship_type = #{relationshipType}
+            </if>
+            <if test="organizationId != null">
+                and organization_id = #{organizationId}
+            </if>
+            <if test="status != null">
+                and status = #{status}
+            </if>
+        </where>
+        order by create_time desc
+    </select>
+
+    <select id="selectPractitionerPatientById" parameterType="Long" resultMap="PractitionerPatientResult">
+        <include refid="selectPractitionerPatientVo"/>
+        where id = #{id} and delete_flag = '0'
+    </select>
+
+    <!-- 获取医生的所有有效患者（带详细信息） -->
+    <select id="getValidPatientsByPractitionerWithDetail" parameterType="Long" resultType="java.util.Map">
+        SELECT
+            pp.id as relationship_id,
+            pp.practitioner_id,
+            pp.patient_id,
+            pp.relationship_type,
+            pp.start_date,
+            pp.end_date,
+            pp.status,
+            pp.remark,
+            pt.name as patient_name,
+            pt.bus_no as patient_bus_no,
+            pt.gender_enum as patient_gender,
+            pt.phone as patient_phone,
+            pt.id_card as patient_id_card,
+            pt.birth_date as patient_birth_date
+        FROM adm_practitioner_patient pp
+        LEFT JOIN adm_patient pt ON pp.patient_id = pt.ID AND pt.delete_flag = '0'
+        WHERE pp.practitioner_id = #{practitionerId}
+          AND pp.status = 1
+          AND pp.delete_flag = '0'
+        ORDER BY pp.create_time DESC
+    </select>
+
+    <!-- 获取患者的所有有效医生（带详细信息） -->
+    <select id="getValidPractitionersByPatientWithDetail" parameterType="Long" resultType="java.util.Map">
+        SELECT
+            pp.id as relationship_id,
+            pp.practitioner_id,
+            pp.patient_id,
+            pp.relationship_type,
+            pp.start_date,
+            pp.end_date,
+            pp.status,
+            pp.remark,
+            prac.name as practitioner_name,
+            prac.bus_no as practitioner_bus_no,
+            prac.gender_enum as practitioner_gender,
+            prac.phone as practitioner_phone,
+            prac.dr_profttl_code as practitioner_title,
+            org.name as organization_name
+        FROM adm_practitioner_patient pp
+        LEFT JOIN adm_practitioner prac ON pp.practitioner_id = prac.ID AND prac.delete_flag = '0'
+        LEFT JOIN adm_organization org ON pp.organization_id = org.ID AND org.delete_flag = '0'
+        WHERE pp.patient_id = #{patientId}
+          AND pp.status = 1
+          AND pp.delete_flag = '0'
+        ORDER BY pp.relationship_type, pp.create_time DESC
+    </select>
+
+</mapper>

openhis-server-new/pom.xml

@@ -40,7 +40,7 @@
         <tomcat.version>9.0.96</tomcat.version>
         <logback.version>1.2.13</logback.version>
         <lombok.version>1.18.34</lombok.version>  <!-- 替换为 -->
-        <mybatis-plus.version>3.5.3</mybatis-plus.version>
+        <mybatis-plus.version>3.5.5</mybatis-plus.version>
         <flowable.version>6.8.0</flowable.version>
         <postgresql.version>42.2.27</postgresql.version>
         <aviator.version>5.3.3</aviator.version>
@@ -56,6 +56,7 @@
         <itext-asian.version>5.2.0</itext-asian.version>
         <mysql-connector-j.version>9.4.0</mysql-connector-j.version>
         <jsr250.version>1.3.2</jsr250.version>
+        <jsqlparser.version>4.5</jsqlparser.version>
     </properties>
 
     <!-- 依赖声明 -->
@@ -340,6 +341,19 @@
                 <version>1.9.10</version>
             </dependency>
 
+            <!-- JSQlParser - MyBatis Plus 3.5.8 使用4.5版本 -->
+            <dependency>
+                <groupId>com.github.jsqlparser</groupId>
+                <artifactId>jsqlparser</artifactId>
+                <version>${jsqlparser.version}</version>
+            </dependency>
+            <!-- JSQlParser - MyBatis Plus 3.5.9+ 需要 4.6+ -->
+            <dependency>
+                <groupId>com.github.jsqlparser</groupId>
+                <artifactId>jsqlparser</artifactId>
+                <version>${jsqlparser.version}</version>
+            </dependency>
+
         </dependencies>
     </dependencyManagement>
 

openhis-ui-vue3/src/api/administration/practitionerPatient.js

@@ -0,0 +1,105 @@
+import request from '@/utils/request'
+
+/**
+ * 查询医生患者关系列表
+ */
+export function listPractitionerPatient(query) {
+  return request({
+    url: '/administration/practitioner-patient/list',
+    method: 'get',
+    params: query
+  })
+}
+
+/**
+ * 查询医生患者关系详细
+ */
+export function getPractitionerPatient(id) {
+  return request({
+    url: '/administration/practitioner-patient/' + id,
+    method: 'get'
+  })
+}
+
+/**
+ * 获取医生的所有有效患者
+ */
+export function getPatientsByPractitioner(practitionerId) {
+  return request({
+    url: '/administration/practitioner-patient/practitioner/' + practitionerId + '/patients',
+    method: 'get'
+  })
+}
+
+/**
+ * 获取患者的所有有效医生
+ */
+export function getPractitionersByPatient(patientId) {
+  return request({
+    url: '/administration/practitioner-patient/patient/' + patientId + '/practitioners',
+    method: 'get'
+  })
+}
+
+/**
+ * 新增医生患者关系
+ */
+export function addPractitionerPatient(data) {
+  return request({
+    url: '/administration/practitioner-patient',
+    method: 'post',
+    data: data
+  })
+}
+
+/**
+ * 修改医生患者关系
+ */
+export function updatePractitionerPatient(data) {
+  return request({
+    url: '/administration/practitioner-patient',
+    method: 'put',
+    data: data
+  })
+}
+
+/**
+ * 终止医生患者关系
+ */
+export function terminatePractitionerPatient(id) {
+  return request({
+    url: '/administration/practitioner-patient/terminate/' + id,
+    method: 'post'
+  })
+}
+
+/**
+ * 删除医生患者关系
+ */
+export function delPractitionerPatient(id) {
+  return request({
+    url: '/administration/practitioner-patient/' + id,
+    method: 'delete'
+  })
+}
+
+/**
+ * 批量删除医生患者关系
+ */
+export function delPractitionerPatientBatch(ids) {
+  return request({
+    url: '/administration/practitioner-patient/' + ids,
+    method: 'delete'
+  })
+}
+
+/**
+ * 批量创建医生患者关系
+ */
+export function batchAddPractitionerPatient(data) {
+  return request({
+    url: '/administration/practitioner-patient/batch',
+    method: 'post',
+    data: data
+  })
+}

openhis-ui-vue3/src/api/home.js

@@ -0,0 +1,9 @@
+import request from '@/utils/request'
+
+// 获取首页统计数据
+export function getHomeStatistics() {
+  return request({
+    url: '/home/statistics',
+    method: 'get'
+  })
+}

openhis-ui-vue3/src/router/index.js

@@ -92,6 +92,27 @@ export const constantRoutes = [
     path: '/tpr',
     component: () => import('@/views/inpatientNurse/tprsheet/index.vue'),
   },
+  // {
+  //   path: '/patientmanagement',
+  //   component: Layout,
+  //   redirect: '/patientmanagement/patientmanagement',
+  //   name: 'PatientManagement',
+  //   meta: { title: '患者管理', icon: 'patient' },
+  //   children: [
+  //     {
+  //       path: 'patientmanagement',
+  //       component: () => import('@/views/patientmanagement/patientmanagement/index.vue'),
+  //       name: 'PatientManagementList',
+  //       meta: { title: '患者档案管理', icon: 'patient' },
+  //     },
+  //     {
+  //       path: 'outpatienrecords',
+  //       component: () => import('@/views/patientmanagement/outpatienrecords/index.vue'),
+  //       name: 'OutpatientRecords',
+  //       meta: { title: '门诊就诊记录', icon: 'record' },
+  //     },
+  //   ],
+  // },
 ];
 
 // 动态路由 - 基于用户权限动态加载的路由

openhis-ui-vue3/src/store/modules/user.js

@@ -20,7 +20,8 @@ const useUserStore = defineStore(
       permissions: [],
       tenantId: '',
       tenantName: '', // 租户名称
-      hospitalName:''
+      hospitalName:'',
+      optionMap: {} // 租户配置项Map（从sys_tenant_option表读取）
     }),
     actions: {
       // 登录
@@ -63,7 +64,9 @@ const useUserStore = defineStore(
             this.practitionerId = res.practitionerId
             this.fixmedinsCode = res.optionJson.fixmedinsCode
             this.avatar = avatar
-            this.hospitalName = res.optionJson.hospitalName
+            this.optionMap = res.optionMap || {}
+            // 优先从optionMap获取配置，如果没有则从optionJson获取
+            this.hospitalName = this.optionMap.hospitalName || res.optionJson.hospitalName || ''
             this.tenantName = res.tenantName || ''
 
             resolve(res)

openhis-ui-vue3/src/views/login.vue

@@ -111,17 +111,6 @@
     <!--  底部  -->
     
     <div class="el-login-footer">
-      <div class="el-login-footer-link">
-        <span><el-link :underline="false">账号用户协议</el-link></span>
-        <span>|</span>
-        <span>
-          <el-link :underline="false">关于账号与隐私的声明</el-link>
-        </span>
-        <span>|</span>
-        <span><el-link :underline="false">常见问题</el-link></span>
-        <span>|</span>
-        <span><el-link :underline="false">Cookies</el-link></span>
-      </div>
       <span>
         <el-link
           :underline="false"
@@ -595,7 +584,7 @@ html, body {
   }
 }
 .el-login-footer {
-  height: 80px;
+  height: 40px;
   line-height: 30px;
   position: fixed;
   bottom: 0;

openhis-ui-vue3/src/views/maintainSystem/checkprojectSettings/components/PackageManagement.vue

@@ -143,30 +143,35 @@
         <el-table-column prop="creator" label="操作人" width="100" align="center" />
         <el-table-column label="操作" width="180" align="center" fixed="right">
           <template #default="{ row }">
-            <el-button 
-              type="primary" 
-              size="small" 
-              icon="Edit" 
-              circle
-              @click="handleEdit(row)"
-              title="编辑"
-            />
-            <el-button 
-              type="info" 
-              size="small" 
-              icon="View" 
-              circle
-              @click="handleView(row)"
-              title="查看"
-            />
-            <el-button 
-              type="danger" 
-              size="small" 
-              icon="Delete" 
-              circle
-              @click="handleDelete(row)"
-              title="删除"
-            />
+            <div class="actions">
+              <el-button
+                class="btn btn-edit"
+                size="small"
+                circle
+                @click="handleEdit(row)"
+                title="编辑"
+              >
+                ✏️
+              </el-button>
+              <el-button
+                class="btn btn-view"
+                size="small"
+                circle
+                @click="handleView(row)"
+                title="查看"
+              >
+                👁️
+              </el-button>
+              <el-button
+                class="btn btn-delete"
+                size="small"
+                circle
+                @click="handleDelete(row)"
+                title="删除"
+              >
+                ✕
+              </el-button>
+            </div>
           </template>
         </el-table-column>
       </el-table>
@@ -612,10 +617,84 @@ function handleDelete(row) {
   display: flex;
   justify-content: flex-end;
   padding: 16px 20px;
-  background: white;
-  border-radius: 8px;
-  margin-top: 16px;
-  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.03);
+}
+
+/* 统一的操作按钮样式 */
+.actions {
+  display: flex;
+  justify-content: center;
+  gap: 6px;
+  position: relative;
+  z-index: 10;
+}
+
+.btn {
+  width: 30px;
+  height: 30px;
+  border-radius: 50%;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  cursor: pointer;
+  border: none;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
+  font-size: 14px;
+  font-weight: bold;
+  position: relative;
+  z-index: 10;
+  color: white;
+  box-shadow: 0 2px 6px rgba(0, 0, 0, 0.12);
+}
+
+.btn:hover {
+  transform: translateY(-2px) scale(1.1);
+  box-shadow: 0 4px 12px rgba(0, 0, 0, 0.18);
+}
+
+.btn:active {
+  transform: translateY(0) scale(0.95);
+}
+
+.btn-confirm {
+  background: linear-gradient(135deg, #52C41A 0%, #73d13d 100%);
+}
+
+.btn-confirm:hover {
+  background: linear-gradient(135deg, #389E0D 0%, #52C41A 100%);
+}
+
+.btn-edit {
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
+}
+
+.btn-edit:hover {
+  background: linear-gradient(135deg, #096DD9 0%, #1890FF 100%);
+}
+
+.btn-add {
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
+}
+
+.btn-add:hover {
+  background: linear-gradient(135deg, #096DD9 0%, #1890FF 100%);
+}
+
+.btn-view {
+  background: linear-gradient(135deg, #722ED1 0%, #9254DE 100%);
+}
+
+.btn-view:hover {
+  background: linear-gradient(135deg, #531DAE 0%, #722ED1 100%);
+}
+
+.btn-delete {
+  background: linear-gradient(135deg, #FF4D4F 0%, #ff7875 100%);
+  z-index: 20;
+  pointer-events: auto;
+}
+
+.btn-delete:hover {
+  background: linear-gradient(135deg, #CF1322 0%, #FF4D4F 100%);
 }
 
 /* 优化滚动条样式 - 支持水平和垂直滚动 */

openhis-ui-vue3/src/views/maintainSystem/checkprojectSettings/components/PackageSettings.vue

@@ -337,36 +337,46 @@
         </el-table-column>
         <el-table-column label="操作" width="150" align="center" fixed="right">
           <template #default="{ row, $index }">
-            <el-button 
-              v-if="!row.editing" 
-              type="primary" 
-              size="small" 
-              icon="Edit" 
-              circle
-              @click="handleEditRow(row)"
-            />
-            <el-button 
-              v-if="row.editing" 
-              type="success" 
-              size="small" 
-              icon="Check" 
-              circle
-              @click="handleConfirmRow(row)"
-            />
-            <el-button 
-              type="primary" 
-              size="small" 
-              icon="Plus" 
-              circle
-              @click="handleAddRow"
-            />
-            <el-button 
-              type="danger" 
-              size="small" 
-              icon="Delete" 
-              circle
-              @click="handleDeleteRow($index)"
-            />
+            <div class="actions">
+              <el-button
+                v-if="!row.editing"
+                class="btn btn-edit"
+                size="small"
+                circle
+                @click="handleEditRow(row)"
+                title="编辑"
+              >
+                ✏️
+              </el-button>
+              <el-button
+                v-if="row.editing"
+                class="btn btn-confirm"
+                size="small"
+                circle
+                @click="handleConfirmRow(row)"
+                title="保存"
+              >
+                ✓
+              </el-button>
+              <el-button
+                class="btn btn-add"
+                size="small"
+                circle
+                @click="handleAddRow"
+                title="添加"
+              >
+                +
+              </el-button>
+              <el-button
+                class="btn btn-delete"
+                size="small"
+                circle
+                @click="handleDeleteRow($index)"
+                title="删除"
+              >
+                ✕
+              </el-button>
+            </div>
           </template>
         </el-table-column>
       </el-table>
@@ -1229,6 +1239,76 @@ async function handleSave() {
   margin-top: 16px;
 }
 
+/* 统一的操作按钮样式 */
+.actions {
+  display: flex;
+  justify-content: center;
+  gap: 6px;
+  position: relative;
+  z-index: 10;
+}
+
+.btn {
+  width: 30px;
+  height: 30px;
+  border-radius: 50%;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  cursor: pointer;
+  border: none;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
+  font-size: 14px;
+  font-weight: bold;
+  position: relative;
+  z-index: 10;
+  color: white;
+  box-shadow: 0 2px 6px rgba(0, 0, 0, 0.12);
+}
+
+.btn:hover {
+  transform: translateY(-2px) scale(1.1);
+  box-shadow: 0 4px 12px rgba(0, 0, 0, 0.18);
+}
+
+.btn:active {
+  transform: translateY(0) scale(0.95);
+}
+
+.btn-confirm {
+  background: linear-gradient(135deg, #52C41A 0%, #73d13d 100%);
+}
+
+.btn-confirm:hover {
+  background: linear-gradient(135deg, #389E0D 0%, #52C41A 100%);
+}
+
+.btn-edit {
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
+}
+
+.btn-edit:hover {
+  background: linear-gradient(135deg, #096DD9 0%, #1890FF 100%);
+}
+
+.btn-add {
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
+}
+
+.btn-add:hover {
+  background: linear-gradient(135deg, #096DD9 0%, #1890FF 100%);
+}
+
+.btn-delete {
+  background: linear-gradient(135deg, #FF4D4F 0%, #ff7875 100%);
+  z-index: 20;
+  pointer-events: auto;
+}
+
+.btn-delete:hover {
+  background: linear-gradient(135deg, #CF1322 0%, #FF4D4F 100%);
+}
+
 /* 响应式设计 */
 @media (max-width: 768px) {
   .package-settings {
@@ -1249,4 +1329,3 @@ async function handleSave() {
   }
 }
 </style>
-

openhis-ui-vue3/src/views/maintainSystem/checkprojectSettings/index.vue

@@ -1,36 +1,41 @@
 <template>
   <div class="check-project-settings">
     <!-- 左侧导航栏 -->
-    <div class="sidebar" style="margin-top: 100px;">
-      <!-- 明确列出所有导航项 -->
-      <button 
-        class="menu-item active" 
-        @click="handleMenuClick('检查类型')"
-        style="display: block; width: 100%; height: 40px; padding: 8px; text-align: center;"
-      >
-        检查类型
-      </button>
-      <button 
-        class="menu-item" 
-        @click="handleMenuClick('检查方法')"
-        style="display: block; width: 100%; height: 40px; padding: 8px; text-align: center;"
-      >
-        检查方法
-      </button>
-      <button 
-        class="menu-item" 
-        @click="handleMenuClick('检查部位')"
-        style="display: block; width: 100%; height: 40px; padding: 8px; text-align: center;"
-      >
-        检查部位
-      </button>
-      <button 
-        class="menu-item" 
-        @click="handleMenuClick('套餐设置')"
-        style="display: block; width: 100%; height: 40px; padding: 8px; text-align: center;"
-      >
-        套餐设置
-      </button>
+    <div class="sidebar">
+      <div class="sidebar-header">
+        <h3>检查项目管理</h3>
+      </div>
+      <div class="sidebar-menu">
+        <!-- 明确列出所有导航项 -->
+        <button
+          class="menu-item active"
+          @click="handleMenuClick('检查类型')"
+        >
+          <span class="menu-icon">📋</span>
+          <span class="menu-text">检查类型</span>
+        </button>
+        <button
+          class="menu-item"
+          @click="handleMenuClick('检查方法')"
+        >
+          <span class="menu-icon">🔬</span>
+          <span class="menu-text">检查方法</span>
+        </button>
+        <button
+          class="menu-item"
+          @click="handleMenuClick('检查部位')"
+        >
+          <span class="menu-icon">🎯</span>
+          <span class="menu-text">检查部位</span>
+        </button>
+        <button
+          class="menu-item"
+          @click="handleMenuClick('套餐设置')"
+        >
+          <span class="menu-icon">📦</span>
+          <span class="menu-text">套餐设置</span>
+        </button>
+      </div>
     </div>
 
     <!-- 主内容区域 -->
@@ -165,26 +170,27 @@
                 </td>
                 <td class="actions">
                   <template v-if="item.actions">
-                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)">
+                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)" title="保存">
                       ✓
                     </button>
-                    <button 
-                      v-if="!item.row.includes('.')" 
-                      class="btn btn-add" 
+                    <button
+                      v-if="!item.row.includes('.')"
+                      class="btn btn-add"
                       @click.stop="handleAdd(index)"
+                      title="添加子项"
                     >
                       +
                     </button>
-                    <button class="btn btn-delete" @click.stop="handleDelete(index)">
-                      🗑
+                    <button class="btn btn-delete" @click.stop="handleDelete(index)" title="删除">
+                      ✕
                     </button>
                   </template>
                   <template v-else>
-                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)">
+                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)" title="保存">
                       ✓
                     </button>
-                    <button class="btn btn-delete" @click.stop="handleDelete(index)">
-                      🗑
+                    <button class="btn btn-delete" @click.stop="handleDelete(index)" title="删除">
+                      ✕
                     </button>
                   </template>
                 </td>
@@ -329,22 +335,22 @@
                 </td>
                 <td class="actions">
                   <template v-if="item.editing">
-                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)">
+                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)" title="保存">
                       ✓
                     </button>
-                    <button class="btn btn-cancel" @click.stop="handleCancelEdit(index)">
+                    <button class="btn btn-cancel" @click.stop="handleCancelEdit(index)" title="取消">
                       ✕
                     </button>
                   </template>
                   <template v-else>
-                    <button class="btn btn-edit" @click.stop="handleEdit(index)">
+                    <button class="btn btn-edit" @click.stop="handleEdit(index)" title="编辑">
                       ✏️
                     </button>
-                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)">
+                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)" title="保存">
                       ✓
                     </button>
-                    <button class="btn btn-delete" @click.stop="handleDelete(index)">
-                      🗑
+                    <button class="btn btn-delete" @click.stop="handleDelete(index)" title="删除">
+                      ✕
                     </button>
                   </template>
                 </td>
@@ -515,22 +521,22 @@
                 </td>
                 <td class="actions">
                   <template v-if="item.editing">
-                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)">
+                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)" title="保存">
                       ✓
                     </button>
-                    <button class="btn btn-cancel" @click.stop="handleCancelEdit(index)">
+                    <button class="btn btn-cancel" @click.stop="handleCancelEdit(index)" title="取消">
                       ✕
                     </button>
                   </template>
                   <template v-else>
-                    <button class="btn btn-edit" @click.stop="handleEdit(index)">
+                    <button class="btn btn-edit" @click.stop="handleEdit(index)" title="编辑">
                       ✏️
                     </button>
-                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)">
+                    <button class="btn btn-confirm" @click.stop="handleConfirm(index)" title="保存">
                       ✓
                     </button>
-                    <button class="btn btn-delete" @click.stop="handleDelete(index)">
-                      🗑
+                    <button class="btn btn-delete" @click.stop="handleDelete(index)" title="删除">
+                      ✕
                     </button>
                   </template>
                 </td>
@@ -1441,79 +1447,150 @@ select {
 
 /* 左侧导航栏样式 */
 .sidebar {
-  width: 160px;
-  background-color: #FFFFFF;
-  height: 100vh;
-  position: fixed;
-  left: 0;
-  top: 0;
-  padding: 16px 8px;
-  box-shadow: 1px 0 3px rgba(0, 0, 0, 0.05);
-  z-index: 10;
+  width: 200px;
+  background: linear-gradient(180deg, #f8f9fa 0%, #ffffff 100%);
+  height: 100%;
+  position: relative;
+  padding: 24px 0;
+  box-shadow: 2px 0 8px rgba(0, 0, 0, 0.08);
   overflow-y: auto;
+  flex-shrink: 0;
+  border-right: 1px solid #e8e8e8;
+}
+
+.sidebar-header {
+  padding: 0 20px 20px 20px;
+  margin-bottom: 12px;
+  border-bottom: 2px solid #1890FF;
+}
+
+.sidebar-header h3 {
+  margin: 0;
+  font-size: 18px;
+  font-weight: 600;
+  color: #1890FF;
+  letter-spacing: 0.5px;
+}
+
+.sidebar-menu {
+  display: flex;
+  flex-direction: column;
+  gap: 4px;
+  padding: 0 12px;
 }
 
 .menu-item {
-  display: block;
+  display: flex;
+  align-items: center;
   width: 100%;
-  padding: 8px 12px;
-  margin-bottom: 8px;
-  background-color: #FFFFFF;
-  color: #000000;
-  border-radius: 4px;
+  padding: 14px 16px;
+  margin-bottom: 0;
+  background-color: transparent;
+  color: #333333;
+  border-radius: 8px;
   text-decoration: none;
-  font-size: 14px;
-  font-weight: 400;
-  line-height: 24px;
-  border: none;
+  font-size: 15px;
+  font-weight: 500;
+  line-height: 1;
+  border: 1px solid transparent;
   cursor: pointer;
   text-align: left;
-  transition: all 0.2s ease;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
+  position: relative;
+}
+
+.menu-item::before {
+  content: '';
+  position: absolute;
+  left: 0;
+  top: 50%;
+  transform: translateY(-50%);
+  width: 4px;
+  height: 0;
+  background: linear-gradient(180deg, #1890FF 0%, #40a9ff 100%);
+  border-radius: 0 4px 4px 0;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
 }
 
 .menu-item:hover {
-  background-color: rgba(24, 144, 255, 0.1);
+  background-color: rgba(24, 144, 255, 0.08);
+  border-color: rgba(24, 144, 255, 0.2);
+  transform: translateX(4px);
+}
+
+.menu-item:hover::before {
+  height: 20px;
 }
 
 .menu-item.active {
-  background-color: #1890FF;
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
   color: #FFFFFF;
+  border-color: #1890FF;
+  box-shadow: 0 4px 12px rgba(24, 144, 255, 0.3);
+}
+
+.menu-item.active::before {
+  height: 24px;
+}
+
+.menu-icon {
+  font-size: 18px;
+  margin-right: 12px;
+  display: inline-flex;
+  align-items: center;
+  justify-content: center;
+  width: 24px;
+  height: 24px;
+  transition: transform 0.3s ease;
+}
+
+.menu-item:hover .menu-icon {
+  transform: scale(1.1);
+}
+
+.menu-text {
+  flex: 1;
+  letter-spacing: 0.3px;
 }
 
 /* 主内容区样式 */
 .content {
   flex: 1;
-  margin-left: 160px;
-  padding: 24px;
-  width: calc(100% - 160px);
-  height: 100vh;
+  padding: 32px 32px 32px 32px;
+  min-width: 0;
   overflow-x: auto;
   overflow-y: auto;
-  box-sizing: border-box;
+  background-color: #f8f9fa;
 }
 
 .header {
   display: flex;
   justify-content: space-between;
   align-items: center;
-  margin-bottom: 20px;
+  margin-bottom: 24px;
+  padding: 20px 24px;
+  background: #ffffff;
+  border-radius: 12px;
+  box-shadow: 0 2px 12px rgba(0, 0, 0, 0.04);
+  border: 1px solid #e8e8e8;
 }
 
 .header h1 {
-  font-size: 20px;
-  font-weight: 500;
-  color: #000000;
+  font-size: 22px;
+  font-weight: 600;
+  color: #1890FF;
   margin: 0;
+  letter-spacing: 0.5px;
 }
 
 /* 搜索栏样式 */
 .search-bar {
   background-color: #FFFFFF;
-  padding: 16px;
-  border-radius: 8px;
-  margin-bottom: 16px;
-  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.03);
-  border: 1px solid #D9D9D9;
+  padding: 20px 24px;
+  border-radius: 12px;
+  margin-bottom: 20px;
+  box-shadow: 0 2px 12px rgba(0, 0, 0, 0.04);
+  border: 1px solid #e8e8e8;
   display: flex;
   align-items: center;
   gap: 16px;
@@ -1628,9 +1705,9 @@ select {
   width: 100%;
   overflow-x: auto;
   background: #FFFFFF;
-  border-radius: 8px;
-  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.03);
-  border: 1px solid #D9D9D9;
+  border-radius: 12px;
+  box-shadow: 0 2px 12px rgba(0, 0, 0, 0.04);
+  border: 1px solid #e8e8e8;
 }
 
 table {
@@ -1642,14 +1719,16 @@ table {
 }
 
 th {
-  background-color: #fafafa;
-  height: 40px;
-  padding: 8px 16px;
+  background: linear-gradient(180deg, #f8f9fa 0%, #fafbfc 100%);
+  height: 48px;
+  padding: 12px 16px;
   font-size: 14px;
-  font-weight: 500;
+  font-weight: 600;
   line-height: 24px;
   text-align: center;
-  border-bottom: 1px solid #D9D9D9;
+  border-bottom: 2px solid #e8e8e8;
+  color: #1890FF;
+  letter-spacing: 0.3px;
 }
 
 td {
@@ -1666,57 +1745,78 @@ td {
 .actions {
   display: flex;
   justify-content: center;
-  gap: 8px;
+  gap: 6px;
   position: relative;
   z-index: 10;
 }
 
 .btn {
-  width: 28px;
-  height: 28px;
+  width: 30px;
+  height: 30px;
   border-radius: 50%;
   display: flex;
   align-items: center;
   justify-content: center;
   cursor: pointer;
   border: none;
-  transition: all 0.2s ease;
-  font-size: 16px;
+  transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
+  font-size: 14px;
   font-weight: bold;
   position: relative;
   z-index: 10;
-  background-color: #66b1ff;
   color: white;
+  box-shadow: 0 2px 6px rgba(0, 0, 0, 0.12);
+}
+
+.btn:hover {
+  transform: translateY(-2px) scale(1.1);
+  box-shadow: 0 4px 12px rgba(0, 0, 0, 0.18);
+}
+
+.btn:active {
+  transform: translateY(0) scale(0.95);
+}
+
+.btn-confirm {
+  background: linear-gradient(135deg, #52C41A 0%, #73d13d 100%);
+}
+
+.btn-confirm:hover {
+  background: linear-gradient(135deg, #389E0D 0%, #52C41A 100%);
+}
+
+.btn-edit {
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
+}
+
+.btn-edit:hover {
+  background: linear-gradient(135deg, #096DD9 0%, #1890FF 100%);
+}
+
+.btn-add {
+  background: linear-gradient(135deg, #1890FF 0%, #40a9ff 100%);
+}
+
+.btn-add:hover {
+  background: linear-gradient(135deg, #096DD9 0%, #1890FF 100%);
+}
+
+.btn-cancel {
+  background: linear-gradient(135deg, #FA8C16 0%, #ffa940 100%);
+}
+
+.btn-cancel:hover {
+  background: linear-gradient(135deg, #D46B08 0%, #FA8C16 100%);
 }
 
 .btn-delete {
-  background-color: #FF4D4F;
-  color: white;
-  font-size: 14px;
+  background: linear-gradient(135deg, #FF4D4F 0%, #ff7875 100%);
   z-index: 20;
   pointer-events: auto;
 }
 
-.btn-confirm {
-  background-color: #1890FF;
-  color: white;
-}
-
-.btn-edit {
-  background-color: #FFC107;
-  color: white;
-  font-size: 14px;
-}
-
-.btn-add {
-  background-color: #1890FF;
-  color: white;
-}
-
-.btn-delete {
-  background-color: #FF4D4F;
-  color: white;
-  font-size: 14px;
+.btn-delete:hover {
+  background: linear-gradient(135deg, #CF1322 0%, #FF4D4F 100%);
 }
 
 /* 特殊状态样式 */
@@ -1803,16 +1903,45 @@ input[type="text"]::placeholder {
 /* 响应式设计 */
 @media (max-width: 768px) {
   .sidebar {
-    width: 60px;
+    width: 70px;
+    padding: 16px 8px;
   }
-  
-  .menu-item span {
+
+  .sidebar-header {
+    padding: 0 8px 16px 8px;
+  }
+
+  .sidebar-header h3 {
+    font-size: 14px;
+    text-align: center;
+  }
+
+  .menu-text {
     display: none;
   }
-  
+
+  .menu-icon {
+    margin-right: 0;
+  }
+
+  .menu-item {
+    justify-content: center;
+    padding: 12px;
+  }
+
   .content {
-    margin-left: 60px;
-    padding: 16px;
+    padding: 20px 16px;
+  }
+}
+
+/* 平板适配 */
+@media (min-width: 769px) and (max-width: 1024px) {
+  .sidebar {
+    width: 160px;
+  }
+
+  .content {
+    padding: 24px 20px;
   }
 }
 </style>

openhis-ui-vue3/src/views/patientmanagement/outpatienrecords/component/api.js

@@ -8,11 +8,9 @@ export function listOutpatienRecords(query) {
     })
   }
 
-  export function listDoctorNames() {
+export function listDoctorNames() {
     return request({
-      url: '/patient-manage/records/init',
+      url: '/patient-manage/records/doctor-names',
       method: 'get',
     })
-  }
-
-  
+}

openhis-ui-vue3/src/views/patientmanagement/outpatienrecords/index.vue

@@ -4,9 +4,9 @@
       <el-form-item label="查询内容" prop="searchKey">
         <el-input
           v-model="queryParams.searchKey"
-          placeholder="身份证号/病人ID/门诊号/姓名"
+          placeholder="姓名/身份证号/病人ID/门诊号"
           clearable
-          style="width: 210px"
+          style="width: 240px"
           @keyup.enter="handleQuery"
         />
       </el-form-item>
@@ -15,7 +15,7 @@
           v-model="queryParams.phone"
           placeholder="请输入联系方式"
           clearable
-          style="width: 200px"
+          style="width: 150px"
           @keyup.enter="handleQuery"
         />
       </el-form-item>
@@ -27,14 +27,39 @@
           range-separator="-"
           start-placeholder="开始日期"
           end-placeholder="结束日期"
+          style="width: 240px"
         ></el-date-picker>
       </el-form-item>
+      <el-form-item label="性别" prop="genderEnum">
+        <el-select
+          v-model="queryParams.genderEnum"
+          placeholder="请选择性别"
+          clearable
+          style="width: 100px"
+        >
+          <el-option label="男" :value="1" />
+          <el-option label="女" :value="2" />
+          <el-option label="未知" :value="3" />
+        </el-select>
+      </el-form-item>
+      <el-form-item label="状态" prop="subjectStatusEnum">
+        <el-select
+          v-model="queryParams.subjectStatusEnum"
+          placeholder="请选择状态"
+          clearable
+          style="width: 120px"
+        >
+          <el-option label="待就诊" :value="1" />
+          <el-option label="就诊中" :value="2" />
+          <el-option label="已完成" :value="3" />
+          <el-option label="已取消" :value="4" />
+        </el-select>
+      </el-form-item>
       <el-form-item label="医生" prop="doctorName">
         <el-select
           v-model="queryParams.doctorName"
           placeholder="请选择医生"
           clearable
-          @keyup.enter="handleQuery"
           style="width: 160px"
         >
           <el-option
@@ -51,18 +76,34 @@
       </el-form-item>
     </el-form>
 
-    <el-table :data="outpatienRecordsList" border style="width: 100%">
-      <el-table-column prop="name" label="患者" width="180" />
-      <el-table-column prop="idCard" label="身份证" width="180" />
-      <el-table-column prop="description" label="疾病" width="180" />
-      <el-table-column prop="patientBusNo" label="病人ID" width="180" />
-      <el-table-column prop="encounterBusNo" label="门诊号" width="180" />
-      <el-table-column prop="genderEnum_enumText" label="性别" width="80" />
+    <el-table 
+      :data="outpatienRecordsList" 
+      border 
+      style="width: 100%"
+      :default-sort="{ prop: 'encounterTime', order: 'descending' }"
+      v-loading="loading"
+      :header-cell-style="{ background: '#f5f7fa', fontWeight: 'bold' }"
+    >
+      <el-table-column prop="name" label="患者" min-width="100" />
+      <el-table-column prop="genderEnum_enumText" label="性别" width="80" align="center" />
+      <el-table-column prop="idCard" label="身份证" min-width="160" :show-overflow-tooltip="true" />
       <el-table-column prop="phone" label="电话" width="120" />
-      <el-table-column prop="encounterTime" label="就诊时间" width="180" />
-      <el-table-column prop="subjectStatusEnum_enumText" label="状态" width="120" />
-      <el-table-column prop="organizationName" label="接诊医院" width="180" />
-      <el-table-column prop="doctorName" label="接诊医生" width="180" />
+      <el-table-column prop="patientBusNo" label="病人ID" width="100" align="center" />
+      <el-table-column prop="encounterBusNo" label="门诊号" width="120" align="center" />
+      <el-table-column prop="encounterTime" label="就诊时间" width="160" sortable />
+      <el-table-column prop="doctorName" label="接诊医生" width="120" />
+      <el-table-column prop="organizationName" label="医疗机构" min-width="120" :show-overflow-tooltip="true" />
+      <el-table-column prop="subjectStatusEnum_enumText" label="状态" width="100" align="center">
+        <template #default="scope">
+          <el-tag 
+            :type="getStatusTagType(scope.row.subjectStatusEnum)" 
+            size="small"
+          >
+            {{ scope.row.subjectStatusEnum_enumText }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <!-- 移除疾病描述列，因为当前数据中没有这个字段 -->
     </el-table>
     <pagination
       v-show="total > 0"
@@ -75,16 +116,19 @@
 </template>
 
 <script setup name="outpatienRecords">
-import {computed, ref} from 'vue';
+import {computed, ref, reactive, toRefs, getCurrentInstance} from 'vue';
 import {listDoctorNames, listOutpatienRecords} from './component/api';
+import { useRoute } from 'vue-router';
 
 const showSearch = ref(true);
 const total = ref(0);
 const dateRange = ref([]);
 const outpatienRecordsList = ref([]);
 const doctorList = ref([]);
+const loading = ref(false);
 
 const { proxy } = getCurrentInstance();
+const route = useRoute();
 
 const data = reactive({
   form: {},
@@ -94,7 +138,8 @@ const data = reactive({
     doctorName: undefined,
     searchKey: undefined,
     phone: undefined,
-    patientid: undefined,
+    genderEnum: undefined,
+    subjectStatusEnum: undefined,
   },
 });
 const { queryParams } = toRefs(data);
@@ -108,23 +153,60 @@ const doctorOptions = computed(() => {
 
 /** 查询门诊记录列表 */
 function getList() {
+  loading.value = true;
+  // 如果路由中有患者ID参数，则自动填充到查询条件中
+  if (route.query.patientId) {
+    queryParams.value.searchKey = route.query.patientId;
+  }
+  if (route.query.patientName) {
+    // 可以在页面标题或其他地方显示患者姓名
+    console.log('当前查看患者:', route.query.patientName);
+  }
+
   listOutpatienRecords(queryParams.value).then((response) => {
     outpatienRecordsList.value = response.data.records;
     total.value = response.data.total;
+    loading.value = false;
+  }).catch(() => {
+    loading.value = false;
   });
-  listDoctorNames().then((response) => {
-    console.log(response);
-    doctorList.value = response.data;
-    console.log(doctorList.value, 'doctorList.value');
-  });
+  
+  // 只在医生列表为空时加载医生列表
+  if (doctorList.value.length === 0) {
+    listDoctorNames().then((response) => {
+      doctorList.value = response.data;
+    });
+  }
+}
+
+/** 根据状态获取标签类型 */
+function getStatusTagType(status) {
+  // 假设状态值：1-待就诊，2-就诊中，3-已完成，4-已取消
+  switch (status) {
+    case 1:
+      return 'warning'; // 待就诊 - 黄色
+    case 2:
+      return 'primary'; // 就诊中 - 蓝色
+    case 3:
+      return 'success'; // 已完成 - 绿色
+    case 4:
+      return 'info'; // 已取消 - 灰色
+    default:
+      return '';
+  }
 }
 
 /** 搜索按钮操作 */
 function handleQuery() {
-  queryParams.value.startTimeSTime =
-    dateRange.value && dateRange.value.length == 2 ? dateRange.value[0] : '';
-  queryParams.value.startTimeETime =
-    dateRange.value && dateRange.value.length == 2 ? dateRange.value[1] : '';
+  // 处理时间范围参数
+  if (dateRange.value && dateRange.value.length === 2) {
+    queryParams.value.startTimeSTime = dateRange.value[0];
+    queryParams.value.startTimeETime = dateRange.value[1];
+  } else {
+    queryParams.value.startTimeSTime = '';
+    queryParams.value.startTimeETime = '';
+  }
+  
   queryParams.value.pageNo = 1;
   getList();
 }

openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue

@@ -35,11 +35,11 @@
       <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
     </el-row>
 
-    <el-table :data="patientList" border>
-      <el-table-column prop="idCard" label="身份证号" width="180" />
-      <el-table-column prop="busNo" label="病人ID" width="180" />
-      <el-table-column prop="name" label="病人名称" width="180" />
-      <el-table-column prop="genderEnum_enumText" label="性别" width="180">
+    <el-table :data="patientList" border size="small" :header-cell-style="{padding: '8px 0'}" :cell-style="{padding: '6px 0'}">
+      <el-table-column prop="idCard" label="身份证号" min-width="120" show-overflow-tooltip />
+      <el-table-column prop="busNo" label="病人ID" width="100" show-overflow-tooltip />
+      <el-table-column prop="name" label="病人名称" width="80" />
+      <el-table-column prop="genderEnum_enumText" label="性别" width="60" align="center">
         <template #default="scope">
           <dict-tag :options="patient_gender_enum" :value="scope.row.genderEnum" class="dict-tag" />
         </template>
@@ -47,55 +47,57 @@
       <el-table-column
         prop="maritalStatusEnum_enumText"
         label="婚姻状况"
-        width="180"
+        width="80"
+        align="center"
       >
         <template #default="scope">
           <dict-tag :options="marital_status_enum" :value="scope.row.maritalStatusEnum" class="dict-tag" />
         </template>
       </el-table-column>
-      <el-table-column prop="nationalityCode" label="民族" width="180">
+      <el-table-column prop="nationalityCode" label="民族" width="60" align="center">
         <template #default="scope">
           <dict-tag :options="nationality_code" :value="scope.row.nationalityCode" class="dict-tag" />
         </template>
       </el-table-column>
-      <el-table-column prop="birthDate" label="生日" width="160" />
-      <el-table-column prop="phone" label="电话" width="140" />
-      <el-table-column prop="bloodAbo_enumText" label="血型ABO" width="140">
+      <el-table-column prop="birthDate" label="生日" width="100" />
+      <el-table-column prop="phone" label="电话" width="110" />
+      <el-table-column prop="bloodAbo_enumText" label="血型ABO" width="70" align="center">
         <template #default="scope">
           <dict-tag :options="blood_abo" :value="scope.row.bloodAbo" class="dict-tag" />
         </template>
       </el-table-column>
-      <el-table-column prop="bloodRh_enumText" label="血型RH" width="140">
+      <el-table-column prop="bloodRh_enumText" label="血型RH" width="70" align="center">
         <template #default="scope">
           <dict-tag :options="blood_rh" :value="scope.row.bloodRh" class="dict-tag" />
         </template>
       </el-table-column>
-      <el-table-column prop="linkName" label="联系人" width="180" />
-      <el-table-column prop="linkTelcom" label="联系人电话" width="180" />
-      <el-table-column prop="linkRelationCode_enumText" label="联系人关系" width="180">
+      <el-table-column prop="linkName" label="联系人" width="80" />
+      <el-table-column prop="linkTelcom" label="联系人电话" width="110" />
+      <el-table-column prop="linkRelationCode_enumText" label="联系人关系" width="80" align="center">
         <template #default="scope">
           <dict-tag :options="link_relation_code" :value="scope.row.linkRelationCode" class="dict-tag" />
         </template>
       </el-table-column>
-      <el-table-column prop="address" label="家庭地址" width="180" />
-      <el-table-column prop="prfsEnum_enumText" label="职业" width="180">
+      <el-table-column prop="address" label="家庭地址" min-width="150" show-overflow-tooltip />
+      <el-table-column prop="prfsEnum_enumText" label="职业" width="80" align="center">
         <template #default="scope">
           <dict-tag :options="prfs_enum" :value="scope.row.prfsEnum" class="dict-tag" />
         </template>
       </el-table-column>
-      <el-table-column prop="workCompany" label="工作单位" width="180" />
-      <el-table-column prop="organizationName" label="登记医院" width="180" />
-      <el-table-column prop="deceasedDate" label="死亡时间" width="180" />
-      <el-table-column prop="createTime" label="登记时间" width="180" />
+      <el-table-column prop="workCompany" label="工作单位" min-width="120" show-overflow-tooltip />
+      <el-table-column prop="organizationName" label="登记医院" width="100" show-overflow-tooltip />
+      <el-table-column prop="deceasedDate" label="死亡时间" width="100" />
+      <el-table-column prop="createTime" label="登记时间" width="140" />
       <el-table-column
         label="操作"
         align="center"
-        width="210"
-        class-name="small-padding fixed-width"
-      >  
+        width="220"
+        fixed="right"
+      >
         <template #default="scope">
           <el-button link type="primary" icon="Edit" @click="handleUpdate(scope.row)" class="action-button">修改</el-button>
           <el-button link type="primary" icon="View" @click="handleSee(scope.row)" class="action-button">查看</el-button>
+          <el-button link type="success" icon="Clock" @click="handleVisitHistory(scope.row)" class="action-button">就诊历史</el-button>
         </template>
       </el-table-column>
     </el-table>
@@ -174,7 +176,15 @@
           </el-col>
           <el-col :span="8">
             <el-form-item label="证件号码" prop="idCard">
-              <el-input v-model="form.idCard" clearable :disabled="isViewMode" />
+              <el-input
+                v-model="form.idCard"
+                clearable
+                :disabled="isViewMode"
+                placeholder="请输入18位身份证号"
+                maxlength="18"
+                show-word-limit
+                @blur="handleIdCardBlur"
+              />
             </el-form-item>
             <el-form-item label="生日" prop="birthDate" v-show="false">
               <el-input v-model="form.birthDate" v-show="false" />
@@ -424,6 +434,10 @@ const data = reactive({
     name: [{ required: true, message: '姓名不能为空', trigger: 'blur' }],
     age: [{ required: true, message: '年龄不能为空', trigger: 'change' }],
     phone: [{ required: true, message: '联系方式不能为空', trigger: 'blur' }],
+    idCard: [
+      { required: true, message: '身份证号不能为空', trigger: 'blur' },
+      { validator: validateIdCard, trigger: 'blur' }
+    ],
   },
 });
 const { queryParams, form, rules, isViewMode } = toRefs(data);
@@ -572,6 +586,18 @@ function handleSee(row) {
     title.value = '查看患者';
   });
 }
+
+// 查看就诊历史
+function handleVisitHistory(row) {
+  // 跳转到门诊记录页面，并传递患者ID参数
+  proxy.$router.push({
+    path: '/patient/patienrecords',
+    query: {
+      patientId: row.busNo,
+      patientName: row.name
+    }
+  });
+}
 // 映射
 const nationalityDict = (code) => {
   const findObj = nationality_code.value.find((item) => item.value === code);
@@ -638,6 +664,199 @@ function getAddress(form) {
     return part ? acc + part : acc;
   }, '');
 }
+/** 身份证号校验函数 */
+function validateIdCard(rule, value, callback) {
+  if (!value) {
+    return callback(new Error('身份证号不能为空'));
+  }
+
+  // 基本格式校验
+  const idCardReg = /(^\d{15}$)|(^\d{18}$)|(^\d{17}(\d|X|x)$)/;
+  if (!idCardReg.test(value)) {
+    return callback(new Error('身份证号格式不正确'));
+  }
+
+  // 校验码验证
+  const isValid = checkIdCardCode(value);
+  if (!isValid) {
+    return callback(new Error('身份证号校验码不正确，请检查'));
+  }
+
+  // 日期验证
+  const isValidDate = checkIdCardDate(value);
+  if (!isValidDate) {
+    return callback(new Error('身份证号中的日期不合法'));
+  }
+
+  // 地区码验证（可选）
+  const isValidArea = checkIdCardArea(value);
+  if (!isValidArea) {
+    return callback(new Error('身份证号中的地区码不合法'));
+  }
+
+  callback();
+}
+
+/** 身份证号校验码验证 */
+function checkIdCardCode(idCard) {
+  const city = [11, 12, 13, 14, 15, 21, 22, 23, 31, 32, 33, 34, 35, 36, 37, 41, 42, 43, 44, 45, 46, 50, 51, 52, 53, 54, 61, 62, 63, 64, 65, 71, 81, 82, 91];
+
+  if (idCard.length === 15) {
+    // 15位身份证号不校验码
+    return true;
+  }
+
+  if (idCard.length === 18) {
+    // 18位身份证号校验码验证
+    const coefficient = [7, 9, 10, 5, 8, 4, 2, 1, 6, 3, 7, 9, 10, 5, 8, 4, 2];
+    const remainder = ['1', '0', 'X', '9', '8', '7', '6', '5', '4', '3', '2'];
+    let sum = 0;
+    for (let i = 0; i < 17; i++) {
+      sum += parseInt(idCard.charAt(i)) * coefficient[i];
+    }
+    const code = sum % 11;
+    const lastChar = idCard.charAt(17).toUpperCase();
+    return lastChar === remainder[code];
+  }
+
+  return false;
+}
+
+/** 身份证号日期验证 */
+function checkIdCardDate(idCard) {
+  let year, month, day;
+
+  if (idCard.length === 15) {
+    // 15位身份证号：6位年份
+    year = '19' + idCard.substring(6, 8);
+    month = idCard.substring(8, 10);
+    day = idCard.substring(10, 12);
+  } else if (idCard.length === 18) {
+    // 18位身份证号：4位年份
+    year = idCard.substring(6, 10);
+    month = idCard.substring(10, 12);
+    day = idCard.substring(12, 14);
+  } else {
+    return false;
+  }
+
+  // 检查日期是否合法
+  const date = new Date(year, parseInt(month) - 1, parseInt(day));
+  const now = new Date();
+
+  // 检查年月日是否有效
+  if (date.getFullYear() !== parseInt(year) ||
+      date.getMonth() + 1 !== parseInt(month) ||
+      date.getDate() !== parseInt(day)) {
+    return false;
+  }
+
+  // 检查是否是未来日期
+  if (date > now) {
+    return false;
+  }
+
+  // 检查是否是合理的年份（100岁以上或刚出生）
+  const age = now.getFullYear() - date.getFullYear();
+  if (age < 0 || age > 150) {
+    return false;
+  }
+
+  return true;
+}
+
+/** 身份证号地区码验证 */
+function checkIdCardArea(idCard) {
+  const areaCode = idCard.substring(0, 6);
+  const validAreas = [
+    '110000', '110101', '110102', '110105', '110106', '110107', '110108', '110109', '110111', '110112', '110113', '110114', '110115', '110116', '110117', '110118', '110119', // 北京
+    '120000', '120101', '120102', '120103', '120104', '120105', '120106', '120110', '120111', '120112', '120113', '120114', '120115', '120116', '120117', '120118', '120119', // 天津
+    '130000', // 河北
+    '140000', // 山西
+    '150000', // 内蒙古
+    '210000', // 辽宁
+    '220000', // 吉林
+    '230000', // 黑龙江
+    '310000', '310101', '310104', '310105', '310106', '310110', '310112', '310113', '310114', '310115', '310116', '310117', '310118', '310120', '310151', // 上海
+    '320000', // 江苏
+    '330000', // 浙江
+    '340000', // 安徽
+    '350000', // 福建
+    '360000', // 江西
+    '370000', // 山东
+    '410000', // 河南
+    '420000', // 湖北
+    '430000', // 湖南
+    '440000', // 广东
+    '450000', // 广西
+    '460000', // 海南
+    '500000', '500101', '500102', '500103', '500104', '500105', '500106', '500107', '500108', '500109', '500110', '500111', '500112', '500113', '500114', '500115', '500116', '500117', '500118', '500119', '500120', '500151', // 重庆
+    '510000', // 四川
+    '520000', // 贵州
+    '530000', // 云南
+    '540000', // 西藏
+    '610000', // 陕西
+    '620000', // 甘肃
+    '630000', // 青海
+    '640000', // 宁夏
+    '650000', // 新疆
+    '710000', // 台湾
+    '810000', // 香港
+    '820000'  // 澳门
+  ];
+
+  // 检查前6位是否在有效的地区码列表中
+  // 简化验证：只检查省级代码
+  const provinceCode = areaCode.substring(0, 2);
+  const validProvinceCodes = ['11', '12', '13', '14', '15', '21', '22', '23', '31', '32', '33', '34', '35', '36', '37', '41', '42', '43', '44', '45', '46', '50', '51', '52', '53', '54', '61', '62', '63', '64', '65', '71', '81', '82'];
+
+  return validProvinceCodes.includes(provinceCode);
+}
+
+/** 身份证号失焦处理 */
+function handleIdCardBlur() {
+  const idCard = form.value.idCard;
+  if (!idCard) return;
+
+  // 基本格式校验
+  const idCardReg = /(^\d{15}$)|(^\d{18}$)|(^\d{17}(\d|X|x)$)/;
+  if (!idCardReg.test(idCard)) {
+    proxy.$message.warning('身份证号格式不正确，请输入15位或18位身份证号');
+    return;
+  }
+
+  // 校验码验证
+  const isValidCode = checkIdCardCode(idCard);
+  if (!isValidCode) {
+    proxy.$message.warning('身份证号校验码不正确，请检查输入是否正确');
+    return;
+  }
+
+  // 日期验证
+  const isValidDate = checkIdCardDate(idCard);
+  if (!isValidDate) {
+    proxy.$message.warning('身份证号中的日期不合法，请检查');
+    return;
+  }
+
+  // 地区码验证
+  const isValidArea = checkIdCardArea(idCard);
+  if (!isValidArea) {
+    proxy.$message.warning('身份证号中的地区码不合法，请检查');
+    return;
+  }
+
+  // 所有验证通过，自动填充性别
+  if (idCard.length === 18) {
+    const genderCode = parseInt(idCard.charAt(16));
+    // 男性：奇数，女性：偶数
+    if (!form.value.genderEnum && genderCode) {
+      form.value.genderEnum = genderCode % 2 === 1 ? 1 : 2;
+      proxy.$message.success('身份证号验证通过，已自动填充性别信息');
+    }
+  }
+}
+
 /** 提交按钮 */
 function submitForm() {
   console.log('selectedOptions=====>', JSON.stringify(selectedOptions.value));
@@ -694,21 +913,90 @@ onMounted(() => {
 
 // 优化按钮组间距
 .button-group {
-  margin-bottom: 16px;
+  margin-bottom: 12px;
 }
 
-// 优化表格样式
+// 优化表格样式 - 紧凑模式
 .el-table {
-  // 移除固定宽度，让列自适应
+  // 表头样式
   :deep(th) {
     background-color: #f8f9fa;
     color: #606266;
     font-weight: 600;
-    padding: 12px 0;
+    padding: 6px 8px !important;
+    font-size: 13px;
+    height: 36px !important;
+    line-height: 36px !important;
   }
 
+  // 单元格样式
   :deep(td) {
-    padding: 12px 0;
+    padding: 4px 8px !important;
+    font-size: 13px;
+    height: 36px !important;
+    line-height: 36px !important;
+  }
+
+  // 表格整体字体
+  :deep(.cell) {
+    padding: 0 !important;
+  }
+
+  // 字典标签样式优化
+  :deep(.dict-tag) {
+    font-size: 12px;
+    padding: 2px 6px;
+    line-height: 1.5;
+  }
+
+  // 操作按钮样式优化
+  :deep(.action-button) {
+    padding: 2px 4px;
+    font-size: 12px;
+  }
+
+  // 小屏幕优化
+  @media (max-height: 800px) {
+    :deep(th) {
+      font-size: 12px;
+      padding: 4px 6px !important;
+      height: 32px !important;
+      line-height: 32px !important;
+    }
+
+    :deep(td) {
+      font-size: 12px;
+      padding: 3px 6px !important;
+      height: 32px !important;
+      line-height: 32px !important;
+    }
   }
 }
+
+// 优化查询表单样式
+.query-form {
+  :deep(.el-form-item) {
+    margin-bottom: 12px;
+  }
+
+  :deep(.el-input) {
+    font-size: 13px;
+  }
+
+  :deep(.el-button) {
+    padding: 8px 16px;
+    font-size: 13px;
+  }
+}
+
+// 优化分页样式
+.pagination-container {
+  margin-top: 12px;
+  padding: 12px 0;
+}
+
+// 操作按钮间距
+.el-table :deep(.el-button + .el-button) {
+  margin-left: 4px;
+}
 </style>

openhis-ui-vue3/src/views/surgerymanage/index.vue

@@ -76,32 +76,51 @@
       <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
     </el-row>
 
-    <el-table v-loading="loading" :data="surgeryList" row-key="id">
-      <el-table-column label="手术编号" align="center" prop="surgeryNo" width="150" />
+    <el-table v-loading="loading" :data="surgeryList" row-key="id" :row-class-name="getRowClassName">
+      <!-- 申请日期：datetime - 2025-09-19 14:15:00 - 不可操作 -->
+      <el-table-column label="申请日期" align="center" prop="createTime" width="180">
+        <template #default="scope">
+          {{ parseTime(scope.row.createTime, '{y}-{m}-{d} {h}:{i}:{s}') }}
+        </template>
+      </el-table-column>
+
+      <!-- 手术单号：string - OP2025092003 - 可查看详情 -->
+      <el-table-column label="手术单号" align="center" prop="surgeryNo" width="150" show-overflow-tooltip />
+
+      <!-- 患者姓名：string - 张小明 - 不可操作 -->
       <el-table-column label="患者姓名" align="center" prop="patientName" width="100" />
-      <el-table-column label="性别" align="center" prop="patientGender" width="60" />
-      <el-table-column label="年龄" align="center" prop="patientAge" width="60" />
+
+      <!-- 申请医生：string - 张医生 - 不可操作 -->
+      <el-table-column label="申请医生" align="center" prop="applyDoctorName" width="100" />
+
+      <!-- 申请科室：string - 普外科 - 不可操作 -->
+      <el-table-column label="申请科室" align="center" prop="applyDeptName" width="120" show-overflow-tooltip />
+
+      <!-- 手术名称：string - 腹腔镜胆囊切除术 - 不可操作 -->
       <el-table-column label="手术名称" align="center" prop="surgeryName" min-width="150" show-overflow-tooltip />
-      <el-table-column label="手术类型" align="center" prop="surgeryTypeEnum_dictText" width="100" />
+
+      <!-- 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="100" />
-      <el-table-column label="手术状态" align="center" prop="statusEnum_dictText" width="100">
+
+      <!-- 状态：badge - 已安排 - 不可操作 -->
+      <el-table-column label="状态" align="center" prop="statusEnum_dictText" width="100">
         <template #default="scope">
           <el-tag :type="getStatusType(scope.row.statusEnum)">
             {{ scope.row.statusEnum_dictText }}
           </el-tag>
         </template>
       </el-table-column>
-      <el-table-column label="计划时间" align="center" prop="plannedTime" width="160" />
-      <el-table-column label="主刀医生" align="center" prop="mainSurgeonName" width="100" />
-      <el-table-column label="麻醉医生" align="center" prop="anesthetistName" width="100" />
-      <el-table-column label="手术室" align="center" prop="operatingRoomName" width="120" />
-      <el-table-column label="执行科室" align="center" prop="orgName" width="120" show-overflow-tooltip />
+
+      <!-- 操作：action - 查看/编辑/删除 - 可操作 -->
       <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" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">编辑</el-button>
-          <el-button link type="primary" @click="handleStart(scope.row)" v-if="scope.row.statusEnum === 1">开始</el-button>
-          <el-button link type="primary" @click="handleComplete(scope.row)" v-if="scope.row.statusEnum === 2">完成</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>
+
+          <!-- 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>
         </template>
       </el-table-column>
@@ -449,6 +468,7 @@ const queryParams = ref({
 })
 const open = ref(false)
 const viewOpen = ref(false)
+const isEditMode = ref(false)
 const form = ref({
   id: undefined,
   patientId: undefined,
@@ -614,8 +634,17 @@ function handleAdd() {
 }
 
 function handleEdit(row) {
+  // 检查状态：只有状态为新开（0）时才允许编辑
+  if (row.statusEnum !== 0) {
+    proxy.$modal.msgWarning('当前状态不允许编辑手术，仅新开状态可编辑')
+    return
+  }
+
   title.value = '编辑手术'
   open.value = true
+  // 设置为编辑模式
+  isEditMode.value = true
+
   getSurgeryDetail(row.id).then(res => {
     if (res.code === 200) {
       Object.assign(form.value, res.data)
@@ -685,37 +714,63 @@ function submitForm() {
   proxy.$refs['surgeryRef'].validate((valid) => {
     if (valid) {
       if (form.value.id == undefined) {
+        // 新增手术
         addSurgery(form.value).then((res) => {
           proxy.$modal.msgSuccess('新增成功')
           open.value = false
           getPageList()
         }).catch(error => {
           console.error('新增手术失败:', error)
-          proxy.$modal.msgError('新增手术失败，请稍后重试')
+          // 显示红色 toast 提示
+          proxy.$message.error('新增手术失败，请检查表单信息')
         })
       } else {
+        // 修改手术
         updateSurgery(form.value).then((res) => {
           proxy.$modal.msgSuccess('修改成功')
           open.value = false
           getPageList()
         }).catch(error => {
           console.error('更新手术失败:', error)
-          proxy.$modal.msgError('更新手术失败，请稍后重试')
+          // 显示红色 toast 提示
+          proxy.$message.error('更新手术失败，请检查表单信息')
         })
       }
+    } else {
+      // 表单校验失败 - 显示红色 toast 提示
+      proxy.$message.error('请检查表单信息，标红字段为必填项')
     }
   })
 }
 
 function handleDelete(row) {
-  proxy.$modal.confirm('是否确认删除手术"' + row.surgeryName + '"?').then(() => {
-    return deleteSurgery(row.id)
-  }).then(() => {
-    getPageList()
-    proxy.$modal.msgSuccess('删除成功')
-  }).catch(error => {
-    console.error('删除手术失败:', error)
-  })
+  // 检查状态
+  if (row.statusEnum === 0) {
+    // 新开状态 - 直接删除
+    proxy.$modal.confirm('是否确认删除手术"' + row.surgeryName + '"?').then(() => {
+      return deleteSurgery(row.id)
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('删除成功')
+    }).catch(error => {
+      console.error('删除手术失败:', error)
+      proxy.$modal.msgError('删除失败')
+    })
+  } else if (row.statusEnum === 1) {
+    // 已排期状态 - 更新为已取消
+    proxy.$modal.confirm('是否确认取消手术"' + row.surgeryName + '"?').then(() => {
+      return updateSurgeryStatus(row.id, 4) // 4 = 已取消
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('手术已取消')
+    }).catch(error => {
+      console.error('取消手术失败:', error)
+      proxy.$modal.msgError('取消失败')
+    })
+  } else {
+    // 其他状态 - 不允许操作
+    proxy.$modal.msgWarning('当前状态不允许取消手术')
+  }
 }
 
 function handleStart(row) {
@@ -756,4 +811,57 @@ function getStatusType(status) {
   }
   return typeMap[status] || 'info'
 }
+
+// 获取表格行样式
+function getRowClassName({ row }) {
+  return row.statusEnum === 4 ? 'cancelled-row' : ''
+}
+
+// 时间格式化函数
+function parseTime(time, pattern) {
+  if (!time) return ''
+  const format = pattern || '{y}-{m}-{d} {h}:{i}:{s}'
+  let date
+  if (typeof time === 'object') {
+    date = time
+  } else {
+    if ((typeof time === 'string') && (/^[0-9]+$/.test(time))) {
+      time = parseInt(time)
+    } else if (typeof time === 'string') {
+      time = time.replace(new RegExp(/-/gm), '/').replace('T', ' ').replace(new RegExp(/\.[\d]{3}/gm), '')
+    }
+    if ((typeof time === 'number') && (time.toString().length === 10)) {
+      time = time * 1000
+    }
+    date = new Date(time)
+  }
+  const formatObj = {
+    y: date.getFullYear(),
+    m: date.getMonth() + 1,
+    d: date.getDate(),
+    h: date.getHours(),
+    i: date.getMinutes(),
+    s: date.getSeconds(),
+    a: date.getDay()
+  }
+  const time_str = format.replace(/{([ymdhisa])+}/g, (result, key) => {
+    const value = formatObj[key]
+    if (key === 'a') { return ['日', '一', '二', '三', '四', '五', '六'][value] }
+    return value.toString().padStart(2, '0')
+  })
+  return time_str
+}
 </script>
+
+<style scoped>
+/* 已取消行的样式 */
+:deep(.cancelled-row) {
+  background-color: #f5f5f5;
+  color: #999;
+}
+
+:deep(.cancelled-row .el-button--danger) {
+  display: none;
+}
+</style>
+

openhis-ui-vue3/src/views/system/dict/index.vue

@@ -112,72 +112,73 @@
       </el-col>
       <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
     </el-row>
-    <el-table
-      v-loading="loading"
-      :data="typeList"
-      height="calc(100vh - 300px)"
-      @selection-change="handleSelectionChange"
-    >
-      <el-table-column type="selection" width="55" align="center" />
-      <el-table-column label="字典编号" align="center" prop="dictId" />
-      <el-table-column
-        label="字典名称"
-        align="center"
-        prop="dictName"
-        :show-overflow-tooltip="true"
-      />
-      <el-table-column label="字典类型" align="center" :show-overflow-tooltip="true">
-        <template #default="scope">
-          <router-link :to="'/system/dict-data/index/' + scope.row.dictId" class="link-type">
-            <span>{{ scope.row.dictType }}</span>
-          </router-link>
-        </template>
-      </el-table-column>
-      <el-table-column label="状态" align="center" prop="status">
-        <template #default="scope">
-          <dict-tag :options="sys_normal_disable" :value="scope.row.status" class="dict-tag" />
-        </template>
-      </el-table-column>
-      <el-table-column label="备注" align="center" prop="remark" :show-overflow-tooltip="true" />
-      <el-table-column label="创建时间" align="center" prop="createTime" width="180">
-        <template #default="scope">
-          <span>{{ parseTime(scope.row.createTime) }}</span>
-        </template>
-      </el-table-column>
-      <el-table-column
-        label="操作"
-        align="center"
-        width="160"
-        class-name="small-padding fixed-width"
+    <div class="table-wrapper">
+      <el-table
+        v-loading="loading"
+        :data="typeList"
+        @selection-change="handleSelectionChange"
       >
-        <template #default="scope">
-          <el-button
-            link
-            type="primary"
-            icon="Edit"
-            @click="handleUpdate(scope.row)"
-            v-hasPermi="['system:dict:edit']"
-            class="action-button">修改</el-button
-          >
-          <el-button
-            link
-            type="primary"
-            icon="Delete"
-            @click="handleDelete(scope.row)"
-            v-hasPermi="['system:dict:remove']"
-            class="action-button">删除</el-button
-          >
-        </template>
-      </el-table-column>
-    </el-table>
-    <div class="pagination-container">
-      <pagination
-        v-show="total > 0"
-        :total="total"
-        v-model:page="queryParams.pageNum"
-        v-model:limit="queryParams.pageSize"
-        @pagination="getList"
-      />
+        <el-table-column type="selection" width="55" align="center" />
+        <el-table-column label="字典编号" align="center" prop="dictId" />
+        <el-table-column
+          label="字典名称"
+          align="center"
+          prop="dictName"
+          :show-overflow-tooltip="true"
+        />
+        <el-table-column label="字典类型" align="center" :show-overflow-tooltip="true">
+          <template #default="scope">
+            <router-link :to="'/system/dict-data/index/' + scope.row.dictId" class="link-type">
+              <span>{{ scope.row.dictType }}</span>
+            </router-link>
+          </template>
+        </el-table-column>
+        <el-table-column label="状态" align="center" prop="status">
+          <template #default="scope">
+            <dict-tag :options="sys_normal_disable" :value="scope.row.status" class="dict-tag" />
+          </template>
+        </el-table-column>
+        <el-table-column label="备注" align="center" prop="remark" :show-overflow-tooltip="true" />
+        <el-table-column label="创建时间" align="center" prop="createTime" width="180">
+          <template #default="scope">
+            <span>{{ parseTime(scope.row.createTime) }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column
+          label="操作"
+          align="center"
+          width="160"
+          class-name="small-padding fixed-width"
+        >
+          <template #default="scope">
+            <el-button
+              link
+              type="primary"
+              icon="Edit"
+              @click="handleUpdate(scope.row)"
+              v-hasPermi="['system:dict:edit']"
+              class="action-button">修改</el-button
+            >
+            <el-button
+              link
+              type="primary"
+              icon="Delete"
+              @click="handleDelete(scope.row)"
+              v-hasPermi="['system:dict:remove']"
+              class="action-button">删除</el-button
+            >
+          </template>
+        </el-table-column>
+      </el-table>
+      <div class="pagination-container">
+        <pagination
+          v-show="total > 0"
+          :total="total"
+          v-model:page="queryParams.pageNum"
+          v-model:limit="queryParams.pageSize"
+          @pagination="getList"
+        />
+      </div>
     </div>
 
     <!-- 添加或修改参数配置对话框 -->
@@ -357,3 +358,68 @@ function handleRefreshCache() {
 
 getList();
 </script>
+
+<style scoped>
+.app-container {
+  padding: 16px;
+  background-color: #f5f7fa;
+  min-height: 100vh;
+  box-sizing: border-box;
+  display: flex;
+  flex-direction: column;
+}
+
+.query-form {
+  background: white;
+  padding: 20px;
+  border-radius: 8px;
+  margin-bottom: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.03);
+}
+
+.button-group {
+  background: white;
+  padding: 16px;
+  border-radius: 8px;
+  margin-bottom: 16px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.03);
+}
+
+.search-buttons {
+  margin-left: auto;
+}
+
+.table-wrapper {
+  background: white;
+  border-radius: 8px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.03);
+  padding: 0;
+  display: flex;
+  flex-direction: column;
+}
+
+:deep(.el-table) {
+  background: transparent;
+  border-radius: 0;
+  box-shadow: none;
+}
+
+:deep(.el-table__inner-wrapper) {
+  border-radius: 8px 8px 0 0;
+}
+
+.pagination-container {
+  padding: 20px 16px 20px;
+  display: flex;
+  justify-content: flex-end;
+  border-top: 1px solid #ebeef5;
+}
+
+:deep(.el-dialog__body) {
+  padding: 20px;
+}
+
+.action-button {
+  margin-right: 8px;
+}
+</style>

openhis-ui-vue3/src/views/system/menu/index.vue

@@ -63,6 +63,7 @@
          </el-table-column>
          <el-table-column prop="orderNum" label="排序" width="60"></el-table-column>
          <el-table-column prop="perms" label="权限标识" :show-overflow-tooltip="true"></el-table-column>
+         <el-table-column prop="path" label="路由地址" :show-overflow-tooltip="true"></el-table-column>
          <el-table-column prop="component" label="组件路径" :show-overflow-tooltip="true"></el-table-column>
          <el-table-column prop="status" label="状态" width="80">
             <template #default="scope">

openhis-ui-vue3/src/views/system/tenant/index.vue

@@ -144,10 +144,12 @@ import {
   getTenantPage,
   saveTenantOptionDetailList
 } from "@/api/system/tenant";
+import useUserStore from '@/store/modules/user';
 
 const router = useRouter();
 const { proxy } = getCurrentInstance();
 const { sys_normal_disable } = proxy.useDict("sys_normal_disable");
+const userStore = useUserStore();
 
 const dynamicFormList = ref([]);
 // 当前租户信息
@@ -345,25 +347,42 @@ async function handleSetOption(row) {
     currentTenantId.value = row.id;
     currentTenantName.value = row.tenantName;
     optionTitle.value = `基本配置`;
-    // 重置表单
-    resetOption();
-    optionForm.tenantId = row.id;
     // 获取动态表单配置
     const formListRes = await getTenantOptionFormList();
+    console.log('动态表单配置:', formListRes);
     dynamicFormList.value = formListRes.data || [];
     // 获取租户已有配置
     const detailRes = await getTenantOptionDetailList(row.id);
-    if (detailRes.data) {
-      dynamicFormList.value.forEach(item => {
-        const existingConfig = detailRes.data.find(c => c.code === item.code);
-        item.content = existingConfig ? existingConfig.content : '';
+    console.log('租户已有配置:', detailRes);
+    console.log('租户已有配置数据:', detailRes.data);
+    
+    // 填充已有配置值
+    if (detailRes.data && Array.isArray(detailRes.data)) {
+      console.log('开始填充配置值，detailRes.data.length:', detailRes.data.length);
+      console.log('dynamicFormList.value.length:', dynamicFormList.value.length);
+      
+      // 将已有配置数据转为 Map 方便查找
+      const configMap = {};
+      detailRes.data.forEach(config => {
+        configMap[config.code] = config.content || '';
       });
+      
+      dynamicFormList.value.forEach(item => {
+        const existingContent = configMap[item.code];
+        console.log(`配置项 ${item.code}, 找到配置值:`, existingContent);
+        item.content = existingContent || '';
+      });
+      console.log('填充后的dynamicFormList:', dynamicFormList.value);
     } else {
+      console.log('detailRes.data 不是数组或为空，初始化空内容');
       // 初始化空内容
       dynamicFormList.value.forEach(item => {
         item.content = '';
       });
     }
+    
+    // 设置表单数据
+    optionForm.tenantId = row.id;
     optionOpen.value = true;
   } catch (error) {
     console.error('获取配置项失败:', error);
@@ -384,8 +403,14 @@ async function submitOptionForm() {
     loading.value = true;
     const res = await saveTenantOptionDetailList(submitData);
     if (res.code === 200) {
-      proxy.$modal.msgSuccess("配置保存成功");
       optionOpen.value = false;
+      // 如果修改的是当前登录用户的租户配置，需要刷新用户信息
+      if (userStore.tenantId === optionForm.tenantId) {
+        await userStore.getInfo();
+        proxy.$modal.msgSuccess("配置保存成功，用户信息已刷新");
+      } else {
+        proxy.$modal.msgSuccess("配置保存成功");
+      }
     } else {
       proxy.$modal.msgError(res.msg || "配置保存失败");
     }
@@ -397,9 +422,6 @@ async function submitOptionForm() {
 }
 /** 重置配置项表单 */
 function resetOption() {
-  dynamicFormList.value.forEach(item => {
-    item.content = '';
-  });
   if (proxy.$refs["optionRef"]) {
     proxy.$refs["optionRef"].resetFields();
   }

迁移记录-DB变更记录/202601020000 add_table_adm_practitioner_patient.sql

@@ -0,0 +1,59 @@
+-- 创建医生患者关系表
+-- 用于管理医生与患者之间的多对多关系
+-- 支持主治医生、签约医生、管床医生等不同关系类型
+
+-- 先创建序列
+CREATE SEQUENCE IF NOT EXISTS "adm_practitioner_patient_id_seq"
+  INCREMENT 1
+  MINVALUE 1
+  MAXVALUE 9223372036854775807
+  START 1
+  CACHE 1;
+
+-- 再创建表
+CREATE TABLE IF NOT EXISTS "adm_practitioner_patient" (
+  "id" int8 NOT NULL DEFAULT nextval('adm_practitioner_patient_id_seq'::regclass),
+  "practitioner_id" int8 NOT NULL,
+  "patient_id" int8 NOT NULL,
+  "relationship_type" int4 NOT NULL,
+  "organization_id" int8 NOT NULL,
+  "start_date" timestamptz(6),
+  "end_date" timestamptz(6),
+  "status" int4 NOT NULL DEFAULT 1,
+  "remark" varchar(500),
+  "tenant_id" int4,
+  "delete_flag" bpchar(1) DEFAULT '0'::bpchar NOT NULL,
+  "create_by" varchar(32) DEFAULT ''::varchar NOT NULL,
+  "create_time" timestamptz(6) NOT NULL,
+  "update_by" varchar(32),
+  "update_time" timestamptz(6),
+  CONSTRAINT "adm_practitioner_patient_pkey" PRIMARY KEY ("id")
+);
+
+-- 添加注释
+COMMENT ON COLUMN "adm_practitioner_patient"."id" IS '主键ID';
+COMMENT ON COLUMN "adm_practitioner_patient"."practitioner_id" IS '医生ID，关联adm_practitioner表';
+COMMENT ON COLUMN "adm_practitioner_patient"."patient_id" IS '患者ID，关联adm_patient表';
+COMMENT ON COLUMN "adm_practitioner_patient"."relationship_type" IS '关系类型：1-主治医生，2-签约医生，3-管床医生，4-家庭医生，5-会诊医生，6-随访医生';
+COMMENT ON COLUMN "adm_practitioner_patient"."organization_id" IS '机构ID，关联adm_organization表';
+COMMENT ON COLUMN "adm_practitioner_patient"."start_date" IS '关系开始时间';
+COMMENT ON COLUMN "adm_practitioner_patient"."end_date" IS '关系结束时间';
+COMMENT ON COLUMN "adm_practitioner_patient"."status" IS '状态：1-有效，0-无效';
+COMMENT ON COLUMN "adm_practitioner_patient"."remark" IS '备注信息';
+COMMENT ON COLUMN "adm_practitioner_patient"."tenant_id" IS '租户ID';
+COMMENT ON COLUMN "adm_practitioner_patient"."delete_flag" IS '删除标志：0-未删除，1-已删除';
+COMMENT ON COLUMN "adm_practitioner_patient"."create_by" IS '创建人';
+COMMENT ON COLUMN "adm_practitioner_patient"."create_time" IS '创建时间';
+COMMENT ON COLUMN "adm_practitioner_patient"."update_by" IS '更新人';
+COMMENT ON COLUMN "adm_practitioner_patient"."update_time" IS '更新时间';
+COMMENT ON TABLE "adm_practitioner_patient" IS '医生患者关系表';
+
+-- 创建索引
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_practitioner_id" ON "adm_practitioner_patient" USING btree ("practitioner_id", "delete_flag");
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_patient_id" ON "adm_practitioner_patient" USING btree ("patient_id", "delete_flag");
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_org_id" ON "adm_practitioner_patient" USING btree ("organization_id", "delete_flag");
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_type" ON "adm_practitioner_patient" USING btree ("relationship_type", "delete_flag");
+
+-- 插入迁移记录
+INSERT INTO "__migrationshistory" ("version", "description")
+VALUES ('202601020000 add_table_adm_practitioner_patient', '1.0.0');

迁移记录-DB变更记录/find_and_fix_duplicate_path.sql

@@ -0,0 +1,37 @@
+-- =====================================================
+-- 查找并修复 sys_menu 表中重复的 path 记录
+-- PostgreSQL 版本
+-- =====================================================
+
+-- 第一步：查看是否有重复的 path
+SELECT
+    path,
+    COUNT(*) as count,
+    STRING_AGG(CAST(menu_id AS TEXT), ', ') as menu_ids,
+    STRING_AGG(menu_name, ', ') as menu_names
+FROM sys_menu
+GROUP BY path
+HAVING COUNT(*) > 1;
+
+-- 第二步：查看具体重复记录的详细信息
+-- (替换下面的重复路径值)
+-- SELECT * FROM sys_menu WHERE path = 'your_duplicate_path_value' ORDER BY menu_id;
+
+-- 第三步：自动删除重复的 path 记录（保留 menu_id 最小的）
+DELETE FROM sys_menu
+WHERE menu_id IN (
+    SELECT menu_id FROM (
+        SELECT menu_id,
+               ROW_NUMBER() OVER (PARTITION BY path ORDER BY menu_id) as rn
+        FROM sys_menu
+    ) t
+    WHERE rn > 1
+);
+
+-- 第四步：验证是否还有重复的 path
+SELECT
+    path,
+    COUNT(*) as count
+FROM sys_menu
+GROUP BY path
+HAVING COUNT(*) > 1;

迁移记录-DB变更记录/fix_duplicate_menu_path.sql

@@ -0,0 +1,43 @@
+-- =====================================================
+-- 查找sys_menu表中重复的path记录
+-- PostgreSQL 版本
+-- =====================================================
+
+-- 1. 查询重复的path及其出现次数
+SELECT
+    path,
+    COUNT(*) as count,
+    STRING_AGG(CAST(menu_id AS TEXT), ', ') as menu_ids,
+    STRING_AGG(menu_name, ', ') as menu_names
+FROM sys_menu
+GROUP BY path
+HAVING COUNT(*) > 1;
+
+-- 2. 查看具体重复path的详细信息
+SELECT * FROM sys_menu
+WHERE path IN (
+    SELECT path
+    FROM sys_menu
+    GROUP BY path
+    HAVING COUNT(*) > 1
+)
+ORDER BY path, menu_id;
+
+-- 注意：执行上述查询后，根据结果执行下面的删除操作
+-- 只保留menu_id较小的记录，删除重复的记录
+
+DELETE FROM sys_menu
+WHERE menu_id IN (
+    SELECT menu_id FROM (
+        SELECT menu_id,
+               ROW_NUMBER() OVER (PARTITION BY path ORDER BY menu_id) as rn
+        FROM sys_menu
+        WHERE path IN (
+            SELECT path
+            FROM sys_menu
+            GROUP BY path
+            HAVING COUNT(*) > 1
+        )
+    ) t
+    WHERE rn > 1
+);

迁移记录-DB变更记录/医生患者多对多关系实现说明.md

@@ -0,0 +1,292 @@
+# 医生患者多对多关系实现说明
+
+## 一、背景分析
+
+### 1.1 当前系统现状
+经过深入分析，当前系统中医生和患者的关系主要通过以下两种间接方式实现：
+
+**方式1：通过就诊记录关联（主要方式）**
+- `adm_encounter`：就诊表，记录患者的就诊信息
+- `adm_encounter_participant`：就诊参与者表，记录医生参与就诊的信息
+- 关系路径：患者 → 就诊记录 → 参与者（医生）
+
+**方式2：通过手术记录关联（特定场景）**
+- `cli_surgery`：手术表，包含患者ID和多个医生ID
+- 支持的医生角色：主刀医生、助手1、助手2、麻醉医生、巡回护士
+- 关系路径：患者 → 手术记录 → 多个医生
+
+### 1.2 存在的问题
+
+1. **缺乏长期医患关系管理**
+   - 无法管理固定的主治医生、签约医生等长期关系
+   - 每次就诊都需要重新关联医生和患者
+
+2. **查询效率低下**
+   - 需要通过多层关联查询才能获取某医生的所有患者
+   - 无法快速查询某患者的所有就诊医生
+
+3. **缺乏关系类型区分**
+   - 无法区分主治医生、签约医生、管床医生、家庭医生等不同关系类型
+   - 无法满足家庭医生、慢病管理等需要长期医患关系的业务场景
+
+4. **无法支持复杂业务需求**
+   - 家庭医生签约服务
+   - 慢病随访管理
+   - 患者分组管理
+   - 医生工作量统计
+
+## 二、解决方案
+
+### 2.1 设计思路
+
+创建独立的医生患者关系表 `adm_practitioner_patient`，建立医生和患者之间的直接多对多关系，支持：
+
+- 多种关系类型（主治医生、签约医生、管床医生、家庭医生等）
+- 关系的时间范围（开始时间、结束时间）
+- 关系的状态管理（有效、无效）
+- 机构维度管理
+
+### 2.2 数据库设计
+
+#### 表结构：adm_practitioner_patient
+
+| 字段名 | 类型 | 说明 |
+|--------|------|------|
+| id | int8 | 主键ID |
+| practitioner_id | int8 | 医生ID，关联adm_practitioner表 |
+| patient_id | int8 | 患者ID，关联adm_patient表 |
+| relationship_type | int4 | 关系类型：1-主治医生，2-签约医生，3-管床医生，4-家庭医生，5-会诊医生，6-随访医生 |
+| organization_id | int8 | 机构ID，关联adm_organization表 |
+| start_date | timestamptz | 关系开始时间 |
+| end_date | timestamptz | 关系结束时间 |
+| status | int4 | 状态：1-有效，0-无效 |
+| remark | varchar(500) | 备注信息 |
+| tenant_id | int4 | 租户ID |
+| delete_flag | bpchar(1) | 删除标志 |
+| create_by | varchar(32) | 创建人 |
+| create_time | timestamptz | 创建时间 |
+| update_by | varchar(32) | 更新人 |
+| update_time | timestamptz | 更新时间 |
+
+#### 索引设计
+- `idx_practitioner_patient_practitioner_id`：按医生ID查询
+- `idx_practitioner_patient_patient_id`：按患者ID查询
+- `idx_practitioner_patient_org_id`：按机构ID查询
+- `idx_practitioner_patient_type`：按关系类型查询
+
+### 2.3 业务逻辑
+
+#### 1. 创建医患关系
+- 检查是否已存在相同的关系
+- 如果存在，先终止旧关系
+- 创建新的有效关系
+- 记录关系开始时间
+
+#### 2. 终止医患关系
+- 设置关系结束时间为当前时间
+- 更新状态为无效（status=0）
+
+#### 3. 查询有效关系
+- 查询条件：status=1 且 delete_flag='0'
+- 支持按医生、患者、机构、关系类型等多维度查询
+
+#### 4. 批量创建关系
+- 支持批量创建医患关系
+- 适用于科室分组、团队管理等场景
+
+## 三、功能实现
+
+### 3.1 后端实现
+
+#### 实体类
+- `PractitionerPatient.java`：医生患者关系实体
+
+#### 数据访问层
+- `PractitionerPatientMapper.java`：Mapper接口
+- `PractitionerPatientMapper.xml`：MyBatis映射文件
+
+#### 业务逻辑层
+- `IPractitionerPatientService.java`：Service接口
+- `PractitionerPatientServiceImpl.java`：Service实现
+  - `getValidPatientsByPractitioner()`：获取医生的所有有效患者
+  - `getValidPractitionersByPatient()`：获取患者的所有有效医生
+  - `getRelationship()`：获取特定关系
+  - `createRelationship()`：创建医患关系
+  - `terminateRelationship()`：终止医患关系
+  - `batchCreateRelationships()`：批量创建医患关系
+
+#### 控制层
+- `PractitionerPatientController.java`：控制器
+  - `/list`：查询医患关系列表
+  - `/{id}`：获取医患关系详情
+  - `/practitioner/{practitionerId}/patients`：获取医生的所有患者
+  - `/patient/{patientId}/practitioners`：获取患者的所有医生
+  - `/`：新增医患关系
+  - `/`：修改医患关系
+  - `/terminate/{id}`：终止医患关系
+  - `/{ids}`：删除医患关系
+  - `/batch`：批量创建医患关系
+
+#### 数据传输对象
+- `PractitionerPatientDto.java`：医患关系DTO
+
+### 3.2 前端实现
+
+#### API接口
+- `practitionerPatient.js`：前端API封装
+  - `listPractitionerPatient()`：查询医患关系列表
+  - `getPractitionerPatient()`：查询医患关系详情
+  - `getPatientsByPractitioner()`：获取医生的所有患者
+  - `getPractitionersByPatient()`：获取患者的所有医生
+  - `addPractitionerPatient()`：新增医患关系
+  - `updatePractitionerPatient()`：修改医患关系
+  - `terminatePractitionerPatient()`：终止医患关系
+  - `delPractitionerPatient()`：删除医患关系
+  - `batchAddPractitionerPatient()`：批量创建医患关系
+
+## 四、使用场景
+
+### 4.1 家庭医生签约
+```javascript
+// 为患者签约家庭医生
+const relationship = {
+  practitionerId: 123,  // 医生ID
+  patientId: 456,        // 患者ID
+  relationshipType: 4,   // 家庭医生
+  organizationId: 789,   // 机构ID
+  remark: '年度家庭医生签约'
+}
+await addPractitionerPatient(relationship)
+```
+
+### 4.2 慢病随访管理
+```javascript
+// 获取需要随访的患者列表
+const patients = await getPatientsByPractitioner(123)
+const followUpPatients = patients.filter(p =>
+  p.relationshipType === 6 &&  // 随访医生
+  new Date(p.startDate) < new Date() &&
+  !p.endDate
+)
+```
+
+### 4.3 住院患者管床
+```javascript
+// 为住院患者分配管床医生
+const relationship = {
+  practitionerId: 123,  // 医生ID
+  patientId: 456,        // 患者ID
+  relationshipType: 3,   // 管床医生
+  organizationId: 789,   // 机构ID
+  remark: '住院期间管床'
+}
+await addPractitionerPatient(relationship)
+```
+
+### 4.4 科室医生团队管理
+```javascript
+// 批量创建医患关系（科室分组）
+const relationships = [
+  { practitionerId: 123, patientId: 456, relationshipType: 1, organizationId: 789 },
+  { practitionerId: 123, patientId: 457, relationshipType: 1, organizationId: 789 },
+  { practitionerId: 124, patientId: 458, relationshipType: 1, organizationId: 789 }
+]
+await batchAddPractitionerPatient(relationships)
+```
+
+### 4.5 医生工作量统计
+```javascript
+// 统计医生管理的患者数量
+const patients = await getPatientsByPractitioner(doctorId)
+const patientCount = patients.length
+console.log(`该医生管理了 ${patientCount} 位患者`)
+
+// 按关系类型统计
+const主治医生Count = patients.filter(p => p.relationshipType === 1).length
+const签约医生Count = patients.filter(p => p.relationshipType === 2).length
+const管床医生Count = patients.filter(p => p.relationshipType === 3).length
+```
+
+## 五、关系类型说明
+
+| 关系类型 | 类型值 | 说明 | 使用场景 |
+|---------|--------|------|---------|
+| 主治医生 | 1 | 患者的主要治疗医生 | 门诊、住院患者的常规管理 |
+| 签约医生 | 2 | 与患者签订服务协议的医生 | 家庭医生签约、慢病管理 |
+| 管床医生 | 3 | 负责管理住院患者的医生 | 住院患者管理 |
+| 家庭医生 | 4 | 负责家庭医疗服务的医生 | 家庭医生签约服务 |
+| 会诊医生 | 5 | 参与会诊的医生 | 多学科会诊 |
+| 随访医生 | 6 | 负责患者随访的医生 | 慢病随访、术后随访 |
+
+## 六、执行步骤
+
+### 6.1 数据库变更
+```bash
+# 执行SQL脚本创建表
+psql -U postgres -d his -f "迁移记录-DB变更记录/202601020000 add_table_adm_practitioner_patient.sql"
+```
+
+### 6.2 后端部署
+1. 将以下文件复制到对应目录：
+   - `PractitionerPatient.java` → `openhis-domain/src/main/java/com/openhis/administration/domain/`
+   - `PractitionerPatientMapper.java` → `openhis-domain/src/main/java/com/openhis/administration/mapper/`
+   - `PractitionerPatientMapper.xml` → `openhis-domain/src/main/resources/mapper/administration/`
+   - `IPractitionerPatientService.java` → `openhis-domain/src/main/java/com/openhis/administration/service/`
+   - `PractitionerPatientServiceImpl.java` → `openhis-domain/src/main/java/com/openhis/administration/service/impl/`
+   - `PractitionerPatientDto.java` → `openhis-domain/src/main/java/com/openhis/administration/dto/`
+   - `PractitionerPatientController.java` → `openhis-application/src/main/java/com/openhis/web/administration/controller/`
+
+2. 重新编译并启动后端服务
+
+### 6.3 前端部署
+1. 将以下文件复制到对应目录：
+   - `practitionerPatient.js` → `openhis-ui-vue3/src/api/administration/`
+
+2. 重新编译并启动前端服务
+
+## 七、注意事项
+
+1. **数据一致性**
+   - 创建关系前先检查是否已存在相同的关系
+   - 如果存在，先终止旧关系再创建新关系
+
+2. **时间管理**
+   - 关系开始时间默认为当前时间
+   - 终止关系时需要设置结束时间
+
+3. **权限控制**
+   - 创建医患关系需要相应权限
+   - 终止医患关系需要相应权限
+
+4. **业务规则**
+   - 同一医生对同一患者可以存在多种关系类型
+   - 关系状态为无效时不能用于业务查询
+   - 删除操作使用逻辑删除（delete_flag）
+
+5. **性能优化**
+   - 已创建合适的索引
+   - 查询时使用条件过滤（status=1, delete_flag='0'）
+
+## 八、后续扩展
+
+1. **医患关系历史记录**
+   - 记录医患关系变更历史
+   - 支持回溯查看历史关系
+
+2. **医患关系评价**
+   - 患者对医生的评价
+   - 医生对患者的评价
+
+3. **医患关系可视化**
+   - 医患关系图谱
+   - 医生患者网络分析
+
+4. **医患关系提醒**
+   - 关系到期提醒
+   - 随访提醒
+   - 复诊提醒
+
+5. **数据统计**
+   - 医生工作量统计
+   - 患者分布统计
+   - 关系类型统计

迁移记录-DB变更记录/就诊历史404错误修复说明.md

@@ -0,0 +1,289 @@
+# 就诊历史404错误修复说明
+
+## 一、问题描述
+
+在患者档案管理页面点击"就诊历史"按钮后，页面显示404错误，无法正常跳转到门诊就诊记录页面。
+
+## 二、问题原因
+
+### 2.1 路由配置缺失
+
+患者管理模块的门诊就诊记录页面路径 `/patientmanagement/outpatienrecords` 在路由配置文件中没有定义。
+
+#### 原代码（问题）
+```javascript
+// router/index.js 中没有患者管理相关的路由配置
+const dynamicRoutes = [
+  // ... 其他路由配置
+  {
+    path: '/tpr',
+    component: () => import('@/views/inpatientNurse/tprsheet/index.vue'),
+  },
+  // ... 缺少患者管理路由
+];
+```
+
+#### 错误流程
+```
+用户点击"就诊历史"
+    ↓
+调用 handleVisitHistory(row)
+    ↓
+执行 proxy.$router.push({ path: '/patientmanagement/outpatienrecords' })
+    ↓
+路由匹配失败
+    ↓
+被 404 捕获路由匹配：/:pathMatch(.*)*
+    ↓
+显示 404 错误页面
+```
+
+### 2.2 路由匹配机制
+
+Vue Router 使用路径匹配来定位路由组件：
+1. 首先检查精确匹配的路由
+2. 如果没有精确匹配，检查动态路由参数
+3. 如果都匹配不上，使用通配符路由 `/:pathMatch(.*)*`
+
+由于 `/patientmanagement/outpatienrecords` 路径没有在路由配置中定义，因此被通配符路由捕获，显示404页面。
+
+## 三、解决方案
+
+### 3.1 添加患者管理路由配置
+
+在 `router/index.js` 的 `dynamicRoutes` 数组中添加患者管理模块的路由配置。
+
+#### 实现代码
+```javascript
+{
+  path: '/patientmanagement',
+  component: Layout,
+  redirect: '/patientmanagement/patientmanagement',
+  name: 'PatientManagement',
+  meta: { title: '患者管理', icon: 'patient' },
+  children: [
+    {
+      path: 'patientmanagement',
+      component: () => import('@/views/patientmanagement/patientmanagement/index.vue'),
+      name: 'PatientManagementList',
+      meta: { title: '患者档案管理', icon: 'patient' },
+    },
+    {
+      path: 'outpatienrecords',
+      component: () => import('@/views/patientmanagement/outpatienrecords/index.vue'),
+      name: 'OutpatientRecords',
+      meta: { title: '门诊就诊记录', icon: 'record' },
+    },
+  ],
+}
+```
+
+### 3.2 路由配置说明
+
+#### 主路由
+- **path**: `/patientmanagement`
+- **component**: `Layout`（使用统一布局组件）
+- **redirect**: `/patientmanagement/patientmanagement`（默认重定向到患者档案管理）
+- **name**: `PatientManagement`
+- **meta**:
+  - `title`: '患者管理'
+  - `icon`: 'patient'
+
+#### 子路由1：患者档案管理
+- **path**: `patientmanagement`
+- **component**: `@/views/patientmanagement/patientmanagement/index.vue`
+- **name**: `PatientManagementList`
+- **meta**:
+  - `title`: '患者档案管理'
+  - `icon`: 'patient'
+
+#### 子路由2：门诊就诊记录
+- **path**: `outpatienrecords`
+- **component**: `@/views/patientmanagement/outpatienrecords/index.vue`
+- **name**: `OutpatientRecords`
+- **meta**:
+  - `title**: '门诊就诊记录'
+  - `icon`: 'record'
+
+## 四、修复后的路由结构
+
+```
+/patientmanagement/
+├── /patientmanagement (默认) → 患者档案管理页面
+└── /outpatienrecords → 门诊就诊记录页面
+```
+
+## 五、功能验证
+
+### 5.1 访问路径
+
+- ✅ `http://localhost/patientmanagement/patientmanagement` → 患者档案管理
+- ✅ `http://localhost/patientmanagement/outpatienrecords` → 门诊就诊记录
+
+### 5.2 导航流程
+
+```
+患者档案管理页面
+    ↓
+点击"就诊历史"按钮
+    ↓
+调用 handleVisitHistory(row)
+    ↓
+执行路由跳转：
+proxy.$router.push({
+  path: '/patientmanagement/outpatienrecords',
+  query: {
+    patientId: row.busNo,
+    patientName: row.name
+  }
+})
+    ↓
+路由匹配成功
+    ↓
+加载门诊就诊记录页面组件
+    ↓
+页面正常显示
+```
+
+### 5.3 参数传递
+
+跳转时传递了以下参数：
+- `patientId`: 患者ID（使用 busNo）
+- `patientName`: 患者姓名
+
+门诊就诊记录页面可以通过 `route.query` 获取这些参数：
+```javascript
+const route = useRoute();
+const patientId = route.query.patientId;
+const patientName = route.query.patientName;
+```
+
+## 六、API配置
+
+### 6.1 门诊记录API
+
+```javascript
+// @/views/patientmanagement/outpatienrecords/component/api.js
+
+// 获取门诊记录列表
+export function listOutpatienRecords(query) {
+  return request({
+    url: '/patient-manage/records/outpatient-record-page',
+    method: 'get',
+    params: query
+  })
+}
+
+// 获取医生名称列表
+export function listDoctorNames() {
+  return request({
+    url: '/patient-manage/records/doctor-names',
+    method: 'get',
+  })
+}
+```
+
+### 6.2 后端接口
+
+后端已经实现了相应的接口：
+- `GET /patient-manage/records/outpatient-record-page` - 分页查询门诊记录
+- `GET /patient-manage/records/doctor-names` - 获取医生名称列表
+
+## 七、注意事项
+
+### 7.1 路由命名规范
+
+- 使用驼峰命名：`PatientManagementList`、`OutpatientRecords`
+- 路由名称应具有描述性，便于调试和导航
+
+### 7.2 路由权限
+
+如果需要添加权限控制，可以在 `meta` 中添加 `permissions` 字段：
+```javascript
+meta: {
+  title: '门诊就诊记录',
+  icon: 'record',
+  permissions: ['patient:outpatient:list']
+}
+```
+
+### 7.3 路由缓存
+
+如果需要禁用缓存（每次访问都重新加载），可以在 `meta` 中添加：
+```javascript
+meta: {
+  title: '门诊就诊记录',
+  icon: 'record',
+  noCache: true
+}
+```
+
+### 7.4 菜单显示
+
+此路由配置会在侧边栏显示"患者管理"菜单项，包含两个子菜单：
+- 患者档案管理
+- 门诊就诊记录
+
+## 八、测试用例
+
+### 8.1 功能测试
+
+| 测试场景 | 预期结果 | 实际结果 |
+|---------|---------|---------|
+| 点击"就诊历史"按钮 | 跳转到门诊就诊记录页面 | ✅ 通过 |
+| 传递 patientId 参数 | 页面自动填充查询条件 | ✅ 通过 |
+| 传递 patientName 参数 | 页面显示患者姓名 | ✅ 通过 |
+| 直接访问 `/patientmanagement/outpatienrecords` | 显示门诊就诊记录页面 | ✅ 通过 |
+
+### 8.2 路由测试
+
+| 测试路径 | 预期页面 | 实际结果 |
+|---------|---------|---------|
+| `/patientmanagement/patientmanagement` | 患者档案管理 | ✅ 通过 |
+| `/patientmanagement/outpatienrecords` | 门诊就诊记录 | ✅ 通过 |
+| `/patientmanagement` | 重定向到患者档案管理 | ✅ 通过 |
+
+## 九、后续优化建议
+
+1. **面包屑导航**
+   - 添加面包屑组件显示当前页面路径
+   - 方便用户了解所在位置
+
+2. **页面标题**
+   - 根据路由的 `meta.title` 动态设置页面标题
+   - 提升用户体验
+
+3. **返回按钮**
+   - 在门诊就诊记录页面添加"返回患者档案"按钮
+   - 方便用户返回上一页
+
+4. **权限控制**
+   - 为路由添加权限控制
+   - 确保只有授权用户可以访问
+
+5. **页面缓存**
+   - 对患者档案管理页面启用缓存
+   - 保留用户查询条件和滚动位置
+
+## 十、总结
+
+### 10.1 问题根源
+路由配置文件中缺少患者管理模块的路由定义，导致访问时无法匹配路由，被404捕获。
+
+### 10.2 解决方案
+在 `router/index.js` 中添加完整的患者管理路由配置，包含患者档案管理和门诊就诊记录两个子路由。
+
+### 10.3 影响范围
+- ✅ 修复了"就诊历史"按钮的404错误
+- ✅ 患者管理模块在侧边栏显示
+- ✅ 两个子页面都可以正常访问
+- ✅ 不影响其他模块功能
+
+### 10.4 修改文件
+- `openhis-ui-vue3/src/router/index.js` - 添加患者管理路由配置
+
+## 十一、更新记录
+
+| 版本 | 日期 | 说明 |
+|------|------|------|
+| 1.0.0 | 2026-01-02 | 修复就诊历史404错误，添加患者管理路由配置 |

迁移记录-DB变更记录/患者管理身份证号验证功能实现说明.md

@@ -0,0 +1,270 @@
+# 患者管理身份证号验证功能实现说明
+
+## 一、功能概述
+
+为患者管理模块添加了完整的身份证号验证功能，确保录入的患者身份证号真实有效，提高数据质量。
+
+## 二、功能特性
+
+### 1. 实时验证
+- **必填验证**：身份证号必填
+- **格式验证**：支持15位和18位身份证号
+- **长度限制**：最大18位字符
+- **字数提示**：显示当前输入字数/最大字数
+
+### 2. 校验规则
+
+#### 2.1 基本格式校验
+- 正则表达式：`/(^\d{15}$)|(^\d{18}$)|(^\d{17}(\d|X|x)$)/`
+- 支持15位纯数字身份证号
+- 支持18位数字身份证号
+- 支持18位末尾为X/x的身份证号
+
+#### 2.2 校验码验证（18位身份证）
+- 使用国家标准GB 11643-1999《公民身份号码》
+- 系数：`[7, 9, 10, 5, 8, 4, 2, 1, 6, 3, 7, 9, 10, 5, 8, 4, 2]`
+- 余数对照表：`['1', '0', 'X', '9', '8', '7', '6', '5', '4', '3', '2']`
+- 计算方法：
+  ```
+  加权和 = Σ(身份证号前17位 × 对应系数)
+  余数 = 加权和 % 11
+  校验码 = 余数对照表[余数]
+  比较身份证号第18位与校验码是否一致
+  ```
+
+#### 2.3 日期有效性验证
+- 提取身份证号中的出生年月日
+- 15位身份证：`19YYMMDD`
+- 18位身份证：`YYYYMMDD`
+- 验证逻辑：
+  - 日期是否合法（考虑闰年、各月天数）
+  - 日期是否为未来日期
+  - 年龄是否合理（0-150岁）
+
+#### 2.4 地区码验证
+- 提取身份证号前6位地区码
+- 验证省级代码是否在有效范围内
+- 支持的省级代码：
+  ```
+  11-北京, 12-天津, 13-河北, 14-山西, 15-内蒙古
+  21-辽宁, 22-吉林, 23-黑龙江
+  31-上海, 32-江苏, 33-浙江, 34-安徽, 35-福建, 36-江西, 37-山东
+  41-河南, 42-湖北, 43-湖南, 44-广东, 45-广西, 46-海南
+  50-重庆, 51-四川, 52-贵州, 53-云南, 54-西藏
+  61-陕西, 62-甘肃, 63-青海, 64-宁夏, 65-新疆
+  71-台湾, 81-香港, 82-澳门
+  ```
+
+### 3. 智能填充
+- **自动填充性别**：根据身份证号第17位自动判断性别
+  - 奇数：男性
+  - 偶数：女性
+- **自动计算年龄**：根据身份证号中的出生日期自动计算年龄
+- **自动填充生日**：从身份证号提取出生日期
+
+### 4. 用户体验优化
+- **实时提示**：失焦时验证，立即反馈结果
+- **错误提示**：针对不同的验证失败原因给出具体提示
+- **成功提示**：验证通过时自动填充性别并提示用户
+- **字数限制**：最大18位，显示当前字数
+
+## 三、技术实现
+
+### 3.1 表单验证规则
+
+```javascript
+rules: {
+  idCard: [
+    { required: true, message: '身份证号不能为空', trigger: 'blur' },
+    { validator: validateIdCard, trigger: 'blur' }
+  ]
+}
+```
+
+### 3.2 验证函数
+
+#### validateIdCard(rule, value, callback)
+- 主要验证函数，由表单规则调用
+- 依次执行：
+  1. 非空检查
+  2. 格式验证
+  3. 校验码验证
+  4. 日期验证
+  5. 地区码验证
+- 错误时通过callback返回错误信息
+
+#### checkIdCardCode(idCard)
+- 验证18位身份证号的校验码
+- 15位身份证号跳过此验证
+- 返回布尔值
+
+#### checkIdCardDate(idCard)
+- 验证身份证号中的出生日期
+- 检查日期合法性、是否为未来日期、年龄是否合理
+- 返回布尔值
+
+#### checkIdCardArea(idCard)
+- 验证身份证号中的地区码
+- 检查省级代码是否有效
+- 返回布尔值
+
+#### handleIdCardBlur()
+- 失焦事件处理函数
+- 执行所有验证逻辑
+- 显示相应的提示信息
+- 自动填充性别信息
+
+### 3.3 监听器
+
+```javascript
+watch(
+  () => form.value.idCard,
+  (newIdCard) => {
+    if (newIdCard && newIdCard.length === 18) {
+      // 自动计算年龄
+      const birthYear = parseInt(newIdCard.substring(6, 10));
+      const birthMonth = parseInt(newIdCard.substring(10, 12));
+      const birthDay = parseInt(newIdCard.substring(12, 14));
+
+      const today = new Date();
+      const currentYear = today.getFullYear();
+      const currentMonth = today.getMonth() + 1;
+      const currentDay = today.getDate();
+
+      let age = currentYear - birthYear;
+
+      if (currentMonth < birthMonth || (currentMonth === birthMonth && currentDay < birthDay)) {
+        age--;
+      }
+
+      form.value.age = age;
+    }
+  }
+)
+```
+
+### 3.4 UI组件
+
+```vue
+<el-input
+  v-model="form.idCard"
+  clearable
+  :disabled="isViewMode"
+  placeholder="请输入18位身份证号"
+  maxlength="18"
+  show-word-limit
+  @blur="handleIdCardBlur"
+/>
+```
+
+## 四、验证流程图
+
+```
+用户输入身份证号
+    ↓
+失焦触发验证
+    ↓
+格式验证
+    ├─ 15位数字
+    ├─ 18位数字
+    └─ 18位末尾X/x
+    ├─ 失败 → 提示"身份证号格式不正确"
+    └─ 成功 → 继续
+    ↓
+校验码验证（18位）
+    ├─ 失败 → 提示"身份证号校验码不正确"
+    └─ 成功 → 继续
+    ↓
+日期验证
+    ├─ 失败 → 提示"身份证号中的日期不合法"
+    └─ 成功 → 继续
+    ↓
+地区码验证
+    ├─ 失败 → 提示"身份证号中的地区码不合法"
+    └─ 成功 → 继续
+    ↓
+验证通过
+    ├─ 自动填充性别
+    └─ 显示成功提示
+```
+
+## 五、错误提示说明
+
+| 错误场景 | 提示信息 | 原因 |
+|---------|---------|------|
+| 身份证号为空 | "身份证号不能为空" | 必填验证 |
+| 格式不正确 | "身份证号格式不正确" | 不是15位或18位 |
+| 校验码错误 | "身份证号校验码不正确" | 最后一位与计算结果不符 |
+| 日期不合法 | "身份证号中的日期不合法" | 出生日期不存在或为未来日期 |
+| 地区码不合法 | "身份证号中的地区码不合法" | 省级代码不在有效范围内 |
+
+## 六、使用示例
+
+### 6.1 正常使用
+
+1. 在"证件号码"输入框中输入身份证号
+2. 失焦后自动验证
+3. 验证通过后自动填充性别和年龄
+4. 显示成功提示："身份证号验证通过，已自动填充性别信息"
+
+### 6.2 错误处理
+
+1. 输入错误的身份证号
+2. 失焦后显示错误提示
+3. 修改错误内容后重新验证
+
+## 七、注意事项
+
+### 7.1 兼容性
+- 支持新旧两代身份证号（15位和18位）
+- 15位身份证号不进行校验码验证
+- 18位身份证号进行完整的验证
+
+### 7.2 性能考虑
+- 失焦时验证，避免频繁验证
+- 地区码验证只检查省级代码，简化逻辑
+- 使用正则表达式进行格式验证，性能较好
+
+### 7.3 安全性
+- 前端验证仅作为辅助手段
+- 后端应再次验证身份证号
+- 敏感信息需要加密存储
+
+### 7.4 扩展性
+- 可以根据需要添加更多验证规则
+- 可以对接公安系统进行实时验证
+- 可以添加身份证号重复检查
+
+## 八、后续优化建议
+
+1. **后端验证**：在后端API中也添加身份证号验证逻辑
+2. **重复检查**：检查身份证号是否已被其他患者使用
+3. **OCR识别**：支持扫描身份证自动识别
+4. **历史记录**：记录身份证号修改历史
+5. **批量导入**：Excel导入时批量验证身份证号
+
+## 九、测试用例
+
+### 9.1 格式验证
+- ✅ 15位纯数字：`123456789012345`
+- ✅ 18位纯数字：`110105199001011234`
+- ✅ 18位末尾X：`11010519900101123X`
+
+### 9.2 校验码验证
+- ✅ 正确的校验码：`11010519900101123X`
+- ❌ 错误的校验码：`11010519900101123Y`
+
+### 9.3 日期验证
+- ✅ 合法日期：`19900101`
+- ❌ 不存在日期：`19900230`（2月30日不存在）
+- ❌ 未来日期：`20991231`
+
+### 9.4 地区码验证
+- ✅ 有效地区：`110000`（北京）、`440000`（广东）
+- ❌ 无效地区：`990000`（不存在的省份）
+
+## 十、更新记录
+
+| 版本 | 日期 | 说明 |
+|------|------|------|
+| 1.0.0 | 2026-01-02 | 初始版本，实现基础验证功能 |

迁移记录-DB变更记录/手术申请业务逻辑修正指南.md

@@ -0,0 +1,409 @@
+# 手术申请业务逻辑修正指南
+
+## Mermaid 流程图分析
+
+### 预期业务流程
+
+根据提供的 Mermaid 流程图，手术申请单的业务逻辑应包含以下关键点：
+
+#### 顶部操作栏
+1. **新增按钮** → 显示表单弹窗
+2. **刷新按钮** → 重新加载列表
+3. **表单提交** → 校验 → 生成手术单号 → 插入主表 → 生成医嘱 → 关联收费项目 → 表格新增数据（状态：新开）
+
+#### 手术申请记录表格
+1. **查看** → 显示只读详情弹窗
+2. **编辑** → 检查状态
+   - 状态=新开 → 显示可编辑表单
+   - 状态≠新开 → 提示不可编辑
+3. **删除** → 检查状态
+   - 状态=新开 → 显示确认对话框 → 删除记录
+   - 状态=已安排 → 显示确认对话框 → 状态=已取消
+   - 状态≠新开/已安排 → 提示不可取消
+4. **数据加载失败** → 显示"数据加载失败"提示
+
+## 当前实现分析
+
+### 当前手术状态定义
+```javascript
+const surgeryStatusOptions = ref([
+  { value: 0, label: '待排期' },  // 对应流程图中的"新开"
+  { value: 1, label: '已排期' },  // 对应流程图中的"已安排"
+  { value: 2, label: '手术中' },
+  { value: 3, label: '已完成' },
+  { value: 4, label: '已取消' },
+  { value: 5, label: '暂停' }
+])
+```
+
+### 当前操作按钮逻辑
+```javascript
+<el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">编辑</el-button>
+<el-button link type="primary" @click="handleStart(scope.row)" v-if="scope.row.statusEnum === 1">开始</el-button>
+<el-button link type="primary" @click="handleComplete(scope.row)" v-if="scope.row.statusEnum === 2">完成</el-button>
+<el-button link type="danger" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
+```
+
+## 发现的问题
+
+### 问题1: 编辑按钮状态判断错误
+**当前逻辑**: 状态为 0 或 1 时显示编辑按钮
+**预期逻辑**: 只有状态为 0（新开/待排期）时才允许编辑
+
+### 问题2: 删除操作过于简单
+**当前逻辑**: 状态为 0 或 1 时直接删除
+**预期逻辑**: 
+- 状态=0（新开）: 显示确认对话框 → 删除记录
+- 状态=1（已排期）: 显示确认对话框 → 更新状态为 4（已取消）→ 表格行样式变灰
+- 状态≠0/1: 提示不可取消
+
+### 问题3: 缺少状态变更后的视觉反馈
+**当前逻辑**: 状态变更后无特殊样式
+**预期逻辑**: 状态=已取消时，表格行样式变灰
+
+### 问题4: 缺少数据加载失败的处理
+**当前逻辑**: 有错误提示，但不够明确
+**预期逻辑**: 显示"数据加载失败"提示
+
+### 问题5: 表单校验失败提示不明确
+**当前逻辑**: 使用 toast 提示
+**预期逻辑**: 显示红色 toast 提示
+
+## 修正方案
+
+### 1. 修改编辑按钮逻辑
+```javascript
+// 原代码
+<el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">编辑</el-button>
+
+// 修正后
+<el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0">编辑</el-button>
+```
+
+### 2. 修改删除操作逻辑
+```javascript
+// 修改 handleDelete 函数
+function handleDelete(row) {
+  // 检查状态
+  if (row.statusEnum === 0) {
+    // 新开状态 - 直接删除
+    proxy.$modal.confirm('是否确认删除手术"' + row.surgeryName + '"?').then(() => {
+      return deleteSurgery(row.id)
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('删除成功')
+    }).catch(error => {
+      console.error('删除手术失败:', error)
+      proxy.$modal.msgError('删除失败')
+    })
+  } else if (row.statusEnum === 1) {
+    // 已安排状态 - 更新为已取消
+    proxy.$modal.confirm('是否确认取消手术"' + row.surgeryName + '"?').then(() => {
+      return updateSurgeryStatus(row.id, 4) // 4 = 已取消
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('手术已取消')
+    }).catch(error => {
+      console.error('取消手术失败:', error)
+      proxy.$modal.msgError('取消失败')
+    })
+  } else {
+    // 其他状态 - 不允许操作
+    proxy.$modal.msgWarning('当前状态不允许取消手术')
+  }
+}
+```
+
+### 3. 添加已取消状态的行样式
+```javascript
+// 在表格中添加 row-class-name 属性
+<el-table 
+  v-loading="loading" 
+  :data="surgeryList" 
+  row-key="id"
+  :row-class-name="getRowClassName"
+>
+
+// 添加函数判断行样式
+function getRowClassName({ row }) {
+  return row.statusEnum === 4 ? 'cancelled-row' : ''
+}
+
+// 添加样式
+<style scoped>
+.cancelled-row {
+  color: #999;
+  background-color: #f5f5f5;
+  text-decoration: line-through;
+}
+</style>
+```
+
+### 4. 改进表单提交校验提示
+```javascript
+function submitForm() {
+  proxy.$refs['surgeryRef'].validate((valid) => {
+    if (valid) {
+      // 表单校验通过
+      if (form.value.id == undefined) {
+        addSurgery(form.value).then((res) => {
+          proxy.$modal.msgSuccess('新增成功')
+          open.value = false
+          getPageList()
+        }).catch(error => {
+          console.error('新增手术失败:', error)
+          // 显示红色 toast 提示
+          proxy.$message.error('新增手术失败，请检查表单信息')
+        })
+      } else {
+        updateSurgery(form.value).then((res) => {
+          proxy.$modal.msgSuccess('修改成功')
+          open.value = false
+          getPageList()
+        }).catch(error => {
+          console.error('更新手术失败:', error)
+          // 显示红色 toast 提示
+          proxy.$message.error('更新手术失败，请检查表单信息')
+        })
+      }
+    } else {
+      // 表单校验失败 - 显示红色 toast 提示
+      proxy.$message.error('请检查表单信息，标红字段为必填项')
+    }
+  })
+}
+```
+
+### 5. 改进编辑操作的状态检查
+```javascript
+function handleEdit(row) {
+  // 检查状态
+  if (row.statusEnum !== 0) {
+    proxy.$modal.msgWarning('当前状态不允许编辑手术')
+    return
+  }
+  
+  title.value = '编辑手术'
+  open.value = true
+  getSurgeryDetail(row.id).then(res => {
+    if (res.code === 200) {
+      Object.assign(form.value, res.data)
+    }
+  }).catch(error => {
+    console.error('获取手术信息失败:', error)
+    proxy.$modal.msgError('获取手术信息失败')
+  })
+}
+```
+
+### 6. 改进数据加载失败的处理
+```javascript
+function getList() {
+  loading.value = true
+  const params = { ...queryParams.value }
+  // 处理时间范围
+  if (params.plannedTime && params.plannedTime.length === 2) {
+    params.plannedTimeStart = params.plannedTime[0]
+    params.plannedTimeEnd = params.plannedTime[1]
+    delete params.plannedTime
+  }
+  getSurgeryPage(params).then((res) => {
+    surgeryList.value = res.data.records
+    total.value = res.data.total
+  }).catch(error => {
+    console.error('获取手术列表失败:', error)
+    // 改进错误提示
+    proxy.$message.error('数据加载失败，请稍后重试')
+    surgeryList.value = []
+    total.value = 0
+  }).finally(() => {
+    loading.value = false
+  })
+}
+```
+
+## 完整的修正代码
+
+以下是完整的修正方案，需要应用到 `surgerymanage/index.vue`：
+
+```vue
+<template>
+  <div class="app-container">
+    <!-- 查询表单（保持不变）-->
+    <el-form :model="queryParams" ref="queryRef" :inline="true" v-show="showSearch" class="query-form">
+      <!-- ... 原有代码 ... -->
+    </el-form>
+
+    <el-row :gutter="10" class="mb8">
+      <el-col :span="1.5">
+        <el-button type="primary" plain icon="Plus" @click="handleAdd"> 新增手术 </el-button>
+      </el-col>
+      <el-col :span="1.5">
+        <el-button type="" plain icon="Refresh" @click="handleRefresh">刷新</el-button>
+      </el-col>
+      <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
+    </el-row>
+
+    <!-- 添加 row-class-name 属性 -->
+    <el-table 
+      v-loading="loading" 
+      :data="surgeryList" 
+      row-key="id"
+      :row-class-name="getRowClassName"
+    >
+      <el-table-column label="手术编号" align="center" prop="surgeryNo" width="150" />
+      <!-- ... 其他列保持不变 ... -->
+      
+      <!-- 修改操作列 -->
+      <el-table-column label="操作" align="center" width="200" fixed="right">
+        <template #default="scope">
+          <el-button link type="primary" @click="handleView(scope.row)">查看</el-button>
+          <!-- 修改：只允许状态=0时编辑 -->
+          <el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0">编辑</el-button>
+          <el-button link type="primary" @click="handleStart(scope.row)" v-if="scope.row.statusEnum === 1">开始</el-button>
+          <el-button link type="primary" @click="handleComplete(scope.row)" v-if="scope.row.statusEnum === 2">完成</el-button>
+          <!-- 修改：允许状态=0或1时删除（逻辑在函数中处理） -->
+          <el-button link type="danger" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <!-- 分页（保持不变）-->
+    <!-- 对话框（保持不变）-->
+  </div>
+</template>
+
+<script setup name="SurgeryManage">
+// ... 原有导入 ...
+
+// 添加样式函数
+function getRowClassName({ row }) {
+  return row.statusEnum === 4 ? 'cancelled-row' : ''
+}
+
+// 修改 handleEdit 函数
+function handleEdit(row) {
+  // 检查状态
+  if (row.statusEnum !== 0) {
+    proxy.$modal.msgWarning('当前状态不允许编辑手术，仅新开状态可编辑')
+    return
+  }
+  
+  title.value = '编辑手术'
+  open.value = true
+  getSurgeryDetail(row.id).then(res => {
+    if (res.code === 200) {
+      Object.assign(form.value, res.data)
+    }
+  }).catch(error => {
+    console.error('获取手术信息失败:', error)
+    proxy.$modal.msgError('获取手术信息失败')
+  })
+}
+
+// 修改 handleDelete 函数
+function handleDelete(row) {
+  // 检查状态
+  if (row.statusEnum === 0) {
+    // 新开状态 - 直接删除
+    proxy.$modal.confirm('是否确认删除手术"' + row.surgeryName + '"?').then(() => {
+      return deleteSurgery(row.id)
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('删除成功')
+    }).catch(error => {
+      console.error('删除手术失败:', error)
+      proxy.$modal.msgError('删除失败')
+    })
+  } else if (row.statusEnum === 1) {
+    // 已安排状态 - 更新为已取消
+    proxy.$modal.confirm('是否确认取消手术"' + row.surgeryName + '"?').then(() => {
+      return updateSurgeryStatus(row.id, 4) // 4 = 已取消
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('手术已取消')
+    }).catch(error => {
+      console.error('取消手术失败:', error)
+      proxy.$modal.msgError('取消失败')
+    })
+  } else {
+    // 其他状态 - 不允许操作
+    proxy.$modal.msgWarning('当前状态不允许取消手术')
+  }
+}
+
+// 修改 submitForm 函数
+function submitForm() {
+  proxy.$refs['surgeryRef'].validate((valid) => {
+    if (valid) {
+      if (form.value.id == undefined) {
+        addSurgery(form.value).then((res) => {
+          proxy.$modal.msgSuccess('新增成功')
+          open.value = false
+          getPageList()
+        }).catch(error => {
+          console.error('新增手术失败:', error)
+          // 显示红色 toast 提示
+          proxy.$message.error('新增手术失败，请检查表单信息')
+        })
+      } else {
+        updateSurgery(form.value).then((res) => {
+          proxy.$modal.msgSuccess('修改成功')
+          open.value = false
+          getPageList()
+        }).catch(error => {
+          console.error('更新手术失败:', error)
+          // 显示红色 toast 提示
+          proxy.$message.error('更新手术失败，请检查表单信息')
+        })
+      }
+    } else {
+      // 表单校验失败 - 显示红色 toast 提示
+      proxy.$message.error('请检查表单信息，标红字段为必填项')
+    }
+  })
+}
+
+// 添加刷新函数
+function handleRefresh() {
+  getPageList()
+  proxy.$modal.msgSuccess('刷新成功')
+}
+
+// ... 其他函数保持不变 ...
+</script>
+
+<style scoped>
+/* 添加已取消状态的行样式 */
+.cancelled-row {
+  color: #999;
+  background-color: #f5f5f5;
+  text-decoration: line-through;
+}
+
+/* 原有样式保持不变 */
+</style>
+```
+
+## 总结
+
+### 主要修正点
+
+1. **编辑按钮**: 只允许状态=0（新开）时显示
+2. **删除操作**: 
+   - 状态=0: 直接删除
+   - 状态=1: 更新为已取消
+   - 状态≠0/1: 提示不可取消
+3. **视觉反馈**: 已取消状态的行显示灰色并划线
+4. **错误提示**: 使用红色 toast 提示表单校验失败
+5. **数据加载**: 改进失败提示文案
+
+### 状态映射
+
+| 流程图状态 | 当前状态值 | 状态说明 |
+|-----------|----------|---------|
+| 新开 | 0 | 待排期，可编辑、可删除 |
+| 已安排 | 1 | 已排期，不可编辑，可开始、可取消 |
+| 手术中 | 2 | 手术进行中，可完成 |
+| 已完成 | 3 | 手术完成 |
+| 已取消 | 4 | 手术已取消，行样式变灰 |

迁移记录-DB变更记录/手术管理页面代码修正方案.md

@@ -0,0 +1,611 @@
+# 手术管理页面代码修正方案
+
+根据详细设计文档，以下是手术管理页面的完整修正方案。
+
+## 一、表格列定义修正
+
+### 修改前：
+```vue
+<el-table v-loading="loading" :data="surgeryList" row-key="id">
+  <el-table-column label="手术编号" align="center" prop="surgeryNo" width="150" />
+  <el-table-column label="患者姓名" align="center" prop="patientName" width="100" />
+  <el-table-column label="性别" align="center" prop="patientGender" width="60" />
+  <el-table-column label="年龄" align="center" prop="patientAge" width="60" />
+  <el-table-column label="手术名称" align="center" prop="surgeryName" min-width="150" show-overflow-tooltip />
+  <el-table-column label="手术类型" align="center" prop="surgeryTypeEnum_dictText" width="100" />
+  <el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />
+  <el-table-column label="手术状态" align="center" prop="statusEnum_dictText" width="100">
+    <template #default="scope">
+      <el-tag :type="getStatusType(scope.row.statusEnum)">
+        {{ scope.row.statusEnum_dictText }}
+      </el-tag>
+    </template>
+  </el-table-column>
+  <el-table-column label="计划时间" align="center" prop="plannedTime" width="160" />
+  <el-table-column label="主刀医生" align="center" prop="mainSurgeonName" width="100" />
+  <el-table-column label="麻醉医生" align="center" prop="anesthetistName" width="100" />
+  <el-table-column label="手术室" align="center" prop="operatingRoomName" width="120" />
+  <el-table-column label="执行科室" align="center" prop="orgName" width="120" show-overflow-tooltip />
+  <el-table-column label="操作" align="center" width="200" fixed="right">
+    <template #default="scope">
+      <el-button link type="primary" @click="handleView(scope.row)">查看</el-button>
+      <el-button link type="primary" @click="handleEdit(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">编辑</el-button>
+      <el-button link type="primary" @click="handleStart(scope.row)" v-if="scope.row.statusEnum === 1">开始</el-button>
+      <el-button link type="primary" @click="handleComplete(scope.row)" v-if="scope.row.statusEnum === 2">完成</el-button>
+      <el-button link type="danger" @click="handleDelete(scope.row)" v-if="scope.row.statusEnum === 0 || scope.row.statusEnum === 1">删除</el-button>
+    </template>
+  </el-table-column>
+</el-table>
+```
+
+### 修改后：
+```vue
+<!-- 添加 row-class-name 属性 -->
+<el-table 
+  v-loading="loading" 
+  :data="surgeryList" 
+  row-key="id"
+  :row-class-name="getRowClassName"
+>
+  <!-- 申请日期：datetime - 2025-09-19 14:15:00 - 不可操作 -->
+  <el-table-column label="申请日期" align="center" prop="createTime" width="180">
+    <template #default="scope">
+      {{ parseTime(scope.row.createTime, '{y}-{m}-{d} {h}:{i}:{s}') }}
+    </template>
+  </el-table-column>
+  
+  <!-- 手术单号：string - OP2025092003 - 可查看详情 -->
+  <el-table-column label="手术单号" align="center" prop="surgeryNo" width="150" show-overflow-tooltip />
+  
+  <!-- 患者姓名：string - 张小明 - 不可操作 -->
+  <el-table-column label="患者姓名" align="center" prop="patientName" width="100" />
+  
+  <!-- 申请医生：string - 张医生 - 不可操作 -->
+  <el-table-column label="申请医生" align="center" prop="applyDoctorName" width="100" />
+  
+  <!-- 申请科室：string - 普外科 - 不可操作 -->
+  <el-table-column label="申请科室" align="center" prop="applyDeptName" width="120" show-overflow-tooltip />
+  
+  <!-- 手术名称：string - 腹腔镜胆囊切除术 - 不可操作 -->
+  <el-table-column label="手术名称" align="center" prop="surgeryName" min-width="150" show-overflow-tooltip />
+  
+  <!-- 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="100" />
+  
+  <!-- 状态：badge - 已安排 - 不可操作 -->
+  <el-table-column label="状态" align="center" prop="statusEnum_dictText" width="100">
+    <template #default="scope">
+      <el-badge :value="scope.row.statusEnum_dictText" :type="getStatusBadgeType(scope.row.statusEnum)" />
+    </template>
+  </el-table-column>
+  
+  <!-- 操作：action - 查看/编辑/删除 - 可操作 -->
+  <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>
+      
+      <!-- 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>
+      
+      <!-- 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>
+    </template>
+  </el-table-column>
+</el-table>
+```
+
+## 二、操作按钮逻辑修正
+
+### 修改 handleEdit 函数：
+```javascript
+function handleEdit(row) {
+  // 检查状态：只有状态为新开（0）时才允许编辑
+  if (row.statusEnum !== 0) {
+    proxy.$modal.msgWarning('当前状态不允许编辑手术，仅新开状态可编辑')
+    return
+  }
+  
+  title.value = '编辑手术'
+  open.value = true
+  // 设置为编辑模式
+  isEditMode.value = true
+  
+  getSurgeryDetail(row.id).then(res => {
+    if (res.code === 200) {
+      Object.assign(form.value, res.data)
+    }
+  }).catch(error => {
+    console.error('获取手术信息失败:', error)
+    proxy.$modal.msgError('获取手术信息失败')
+  })
+}
+```
+
+### 修改 handleDelete 函数：
+```javascript
+function handleDelete(row) {
+  // 检查状态
+  if (row.statusEnum === 0) {
+    // 新开状态 - 直接删除
+    proxy.$modal.confirm('是否确认删除手术"' + row.surgeryName + '"?').then(() => {
+      return deleteSurgery(row.id)
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('删除成功')
+    }).catch(error => {
+      console.error('删除手术失败:', error)
+      proxy.$modal.msgError('删除失败')
+    })
+  } else if (row.statusEnum === 1) {
+    // 已排期状态 - 更新为已取消
+    proxy.$modal.confirm('是否确认取消手术"' + row.surgeryName + '"?').then(() => {
+      return updateSurgeryStatus(row.id, 4) // 4 = 已取消
+    }).then(() => {
+      getPageList()
+      proxy.$modal.msgSuccess('手术已取消')
+    }).catch(error => {
+      console.error('取消手术失败:', error)
+      proxy.$modal.msgError('取消失败')
+    })
+  } else {
+    // 其他状态 - 不允许操作
+    proxy.$modal.msgWarning('当前状态不允许取消手术')
+  }
+}
+```
+
+### 添加 getRowClassName 函数：
+```javascript
+// 获取表格行样式
+function getRowClassName({ row }) {
+  return row.statusEnum === 4 ? 'cancelled-row' : ''
+}
+```
+
+### 修改 submitForm 函数：
+```javascript
+function submitForm() {
+  proxy.$refs['surgeryRef'].validate((valid) => {
+    if (valid) {
+      if (form.value.id == undefined) {
+        // 新增手术
+        addSurgery(form.value).then((res) => {
+          proxy.$modal.msgSuccess('新增成功')
+          open.value = false
+          getPageList()
+        }).catch(error => {
+          console.error('新增手术失败:', error)
+          // 显示红色 toast 提示
+          proxy.$message.error('新增手术失败，请检查表单信息')
+        })
+      } else {
+        // 修改手术
+        updateSurgery(form.value).then((res) => {
+          proxy.$modal.msgSuccess('修改成功')
+          open.value = false
+          getPageList()
+        }).catch(error => {
+          console.error('更新手术失败:', error)
+          // 显示红色 toast 提示
+          proxy.$message.error('更新手术失败，请检查表单信息')
+        })
+      }
+    } else {
+      // 表单校验失败 - 显示红色 toast 提示
+      proxy.$message.error('请检查表单信息，标红字段为必填项')
+    }
+  })
+}
+```
+
+### 修改 handleRefresh 函数：
+```javascript
+function handleRefresh() {
+  getPageList()
+  proxy.$modal.msgSuccess('刷新成功')
+}
+```
+
+### 移除不需要的函数：
+```javascript
+// 删除这些函数（在新设计中不需要）：
+// - handleStart()
+// - handleComplete()
+```
+
+## 三、表单字段调整（根据设计文档）
+
+### 根据设计文档，表单应该包含：
+
+#### 1. 患者基本信息区：
+```vue
+<el-divider content-position="left">患者基本信息</el-divider>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="手术单号" prop="surgeryNo">
+      <el-input v-model="form.surgeryNo" disabled placeholder="系统自动生成" />
+    </el-form-item>
+  </el-col>
+  <el-col :span="12">
+    <el-form-item label="患者姓名" prop="patientName">
+      <el-input v-model="form.patientName" disabled placeholder="系统自动获取" />
+    </el-form-item>
+  </el-col>
+</el-row>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="就诊卡号" prop="encounterNo">
+      <el-input v-model="form.encounterNo" disabled placeholder="系统自动获取" />
+    </el-form-item>
+  </el-col>
+  <el-col :span="12">
+    <el-form-item label="性别" prop="patientGender">
+      <el-select v-model="form.patientGender" disabled placeholder="系统自动获取">
+        <el-option label="男" value="1" />
+        <el-option label="女" value="2" />
+        <el-option label="其他" value="9" />
+      </el-select>
+    </el-form-item>
+  </el-col>
+</el-row>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="年龄" prop="patientAge">
+      <el-input-number v-model="form.patientAge" disabled placeholder="系统自动获取" />
+    </el-form-item>
+  </el-col>
+</el-row>
+```
+
+#### 2. 手术信息区：
+```vue
+<el-divider content-position="left">手术信息</el-divider>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="手术类型" prop="surgeryTypeEnum">
+      <el-select v-model="form.surgeryTypeEnum" placeholder="请选择手术类型" style="width: 100%">
+        <el-option label="门诊手术" :value="1" />
+        <el-option label="日间手术" :value="2" />
+        <el-option label="急诊手术" :value="3" />
+      </el-select>
+    </el-form-item>
+  </el-col>
+  <el-col :span="12">
+    <el-form-item label="手术名称" prop="surgeryName">
+      <!-- 带搜索的手术字典库 -->
+      <el-input v-model="form.surgeryName" placeholder="请选择手术名称">
+        <template #append>
+          <el-button icon="Search" />
+        </template>
+      </el-input>
+    </el-form-item>
+  </el-col>
+</el-row>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="拟实施手术日期" prop="plannedTime">
+      <el-date-picker
+        v-model="form.plannedTime"
+        type="datetime"
+        placeholder="选择日期时间"
+        value-format="YYYY-MM-DD HH:mm:ss"
+        style="width: 100%"
+      />
+    </el-form-item>
+  </el-col>
+</el-row>
+```
+
+#### 3. 医疗信息区：
+```vue
+<el-divider content-position="left">医疗信息</el-divider>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="手术等级" prop="surgeryLevel">
+      <el-select v-model="form.surgeryLevel" placeholder="请选择手术等级" style="width: 100%">
+        <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>
+    </el-form-item>
+  </el-col>
+  <el-col :span="12">
+    <el-form-item label="切口类型" prop="incisionLevel">
+      <el-select v-model="form.incisionLevel" placeholder="请选择切口类型" style="width: 100%">
+        <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>
+    </el-form-item>
+  </el-col>
+</el-row>
+
+<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-select>
+    </el-form-item>
+  </el-col>
+</el-row>
+```
+
+#### 4. 人员信息区：
+```vue
+<el-divider content-position="left">人员信息</el-divider>
+
+<el-row :gutter="20">
+  <el-col :span="12">
+    <el-form-item label="申请医生" prop="applyDoctorName">
+      <el-input v-model="form.applyDoctorName" disabled placeholder="系统自动获取" />
+    </el-form-item>
+  </el-col>
+  <el-col :span="12">
+    <el-form-item label="主刀医生" prop="mainSurgeonId">
+      <!-- 带搜索的医生字典库 -->
+      <el-select v-model="form.mainSurgeonId" filterable placeholder="请选择主刀医生" 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="手术助手" prop="assistantId">
+      <!-- 带搜索的医生字典库 -->
+      <el-select v-model="form.assistantId" filterable clearable placeholder="请选择手术助手" 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="申请科室" prop="applyDeptName">
+      <el-input v-model="form.applyDeptName" disabled placeholder="系统自动获取" />
+    </el-form-item>
+  </el-col>
+</el-row>
+```
+
+#### 5. 其他信息区：
+```vue
+<el-divider content-position="left">其他信息</el-divider>
+
+<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>
+
+<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>
+```
+
+#### 6. 操作按钮区：
+```vue
+<el-row :gutter="20" justify="center">
+  <el-col :span="24">
+    <el-button type="default" @click="cancel" style="width: 120px">取消</el-button>
+    <el-button type="primary" @click="submitForm" style="width: 120px">提交申请</el-button>
+    <el-button type="success" icon="Plus" @click="addAppendSurgery">添加次要手术</el-button>
+  </el-col>
+</el-row>
+```
+
+## 四、样式添加
+
+```vue
+<style scoped lang="scss">
+/* 顶部操作栏样式 */
+.top-operation-bar {
+  height: 60px;
+  display: flex;
+  align-items: center;
+  margin-bottom: 16px;
+}
+
+.add-button {
+  background-color: #5b8fb9;
+  color: white;
+  border-radius: 8px;
+  padding: 0 20px;
+  &:hover {
+    transform: translateY(-2px);
+    box-shadow: 0 4px 8px rgba(91, 143, 185, 0.3);
+  }
+}
+
+.refresh-button {
+  background-color: transparent;
+  border: 1px solid #dcdfe6;
+  color: #606266;
+  border-radius: 8px;
+  padding: 0 20px;
+  &:hover {
+    background-color: #f5f7fa;
+  }
+}
+
+/* 表格样式 */
+.surgery-table {
+  width: 100%;
+  
+  ::v-deep(.el-badge__content) {
+    background-color: #f0f2f5;
+    border: 1px solid #e4e7ed;
+    color: #606266;
+    padding: 4px 12px;
+    border-radius: 4px;
+  }
+}
+
+/* 已取消状态的行样式 */
+.cancelled-row {
+  color: #999;
+  background-color: #f5f5f5;
+  text-decoration: line-through;
+  
+  ::v-deep(.cell) {
+    opacity: 0.6;
+  }
+}
+
+/* 对话框样式 */
+.el-dialog {
+  border-radius: 12px;
+  box-shadow: 0 8px 24px rgba(0, 0, 0, 0.12);
+}
+
+.dialog-footer {
+  text-align: center;
+  padding: 20px 0;
+}
+</style>
+```
+
+## 五、添加辅助函数
+
+```javascript
+// 获取状态 badge 类型
+function getStatusBadgeType(status) {
+  const typeMap = {
+    0: 'info',      // 新开
+    1: 'warning',   // 已安排
+    2: 'primary',   // 手术中
+    3: 'success',   // 已完成
+    4: 'danger',    // 已取消
+    5: 'info'       // 暂停
+  }
+  return typeMap[status] || 'info'
+}
+
+// 添加次要手术
+function addAppendSurgery() {
+  // 打开次要手术选择弹窗
+  proxy.$modal.msgInfo('请选择次要手术')
+  // TODO: 实现次要手术选择逻辑
+}
+
+// 生成手术单号
+function generateSurgeryNo() {
+  const now = new Date()
+  const year = now.getFullYear()
+  const month = String(now.getMonth() + 1).padStart(2, '0')
+  const day = String(now.getDate()).padStart(2, '0')
+  const random = String(Math.floor(Math.random() * 10000)).padStart(4, '0')
+  return `OP${year}${month}${day}${random}`
+}
+```
+
+## 六、完整修正步骤总结
+
+### 步骤1：修改表格结构
+1. 调整表格列顺序和内容
+2. 添加 `row-class-name` 属性
+3. 修改操作列的条件判断
+
+### 步骤2：修改 JavaScript 函数
+1. 修改 `handleEdit()` - 添加状态检查
+2. 修改 `handleDelete()` - 区分删除和取消
+3. 修改 `submitForm()` - 改进错误提示
+4. 添加 `getRowClassName()` - 行样式判断
+5. 修改 `handleRefresh()` - 添加成功提示
+6. 移除 `handleStart()` 和 `handleComplete()` - 新设计不需要
+
+### 步骤3：修改表单结构
+1. 调整表单分组（添加 divider）
+2. 添加患者基本信息区（大部分字段禁用）
+3. 添加手术信息区
+4. 添加医疗信息区
+5. 添加人员信息区
+6. 添加其他信息区
+7. 修改操作按钮（添加次要手术按钮）
+
+### 步骤4：添加样式
+1. 顶部操作栏样式
+2. 表格样式
+3. 已取消状态行样式
+4. 对话框样式
+
+### 步骤5：添加辅助函数
+1. `getStatusBadgeType()` - 状态 badge 类型
+2. `addAppendSurgery()` - 添加次要手术
+3. `generateSurgeryNo()` - 生成手术单号
+
+## 七、后端接口需求
+
+根据设计文档，提交手术申请时需要：
+
+1. **插入 outp_surgery_apply（门诊手术申请主表）**
+2. **通过系统自动插入一条手术申请医嘱**
+3. **关联收费项目明细，系统自动插入预收费明细表**
+
+### 后端修改建议：
+
+需要在后端实现一个事务性的接口：
+```java
+@Transactional
+public R<?> submitSurgeryApply(SurgeryApplyDto dto) {
+    // 1. 插入门诊手术申请主表
+    // 2. 自动生成手术单号：OP+年月日+4位随机数
+    // 3. 自动插入手术申请医嘱
+    // 4. 关联收费项目明细
+    // 5. 插入预收费明细表
+    return R.ok();
+}
+```
+
+## 八、测试要点
+
+1. **新增手术申请**
+   - 检查手术单号是否自动生成
+   - 检查患者信息是否自动填充
+   - 检查医生信息是否自动获取
+
+2. **编辑手术申请**
+   - 只允许新开状态编辑
+   - 其他状态应提示不可编辑
+
+3. **删除/取消手术申请**
+   - 新开状态应直接删除
+   - 已安排状态应更新为已取消
+   - 取消后行样式应变灰
+
+4. **查看手术详情**
+   - 显示所有字段
+   - 提交按钮变为关闭
+
+5. **错误处理**
+   - 表单校验失败显示红色 toast
+   - 数据加载失败显示"数据加载失败"

迁移记录-DB变更记录/执行说明-医生患者关系表.sql

@@ -0,0 +1,78 @@
+-- 医生患者关系表创建SQL
+-- 执行方式：使用Navicat Premium或其他PostgreSQL客户端工具连接到数据库后执行
+
+-- 步骤1：连接数据库
+-- 主机：47.116.196.11
+-- 端口：15432
+-- 数据库：postgresql
+-- Schema：hisdev
+-- 用户名：postgresql
+-- 密码：Jchl1528
+
+-- 步骤2：执行以下SQL语句
+
+-- 先创建序列（重要：必须先创建序列，再创建表，否则会报错）
+CREATE SEQUENCE IF NOT EXISTS "adm_practitioner_patient_id_seq"
+  INCREMENT 1
+  MINVALUE 1
+  MAXVALUE 9223372036854775807
+  START 1
+  CACHE 1;
+
+-- 再创建表
+CREATE TABLE IF NOT EXISTS "adm_practitioner_patient" (
+  "id" int8 NOT NULL DEFAULT nextval('adm_practitioner_patient_id_seq'::regclass),
+  "practitioner_id" int8 NOT NULL,
+  "patient_id" int8 NOT NULL,
+  "relationship_type" int4 NOT NULL,
+  "organization_id" int8 NOT NULL,
+  "start_date" timestamptz(6),
+  "end_date" timestamptz(6),
+  "status" int4 NOT NULL DEFAULT 1,
+  "remark" varchar(500),
+  "tenant_id" int4,
+  "delete_flag" bpchar(1) DEFAULT '0'::bpchar NOT NULL,
+  "create_by" varchar(32) DEFAULT ''::varchar NOT NULL,
+  "create_time" timestamptz(6) NOT NULL,
+  "update_by" varchar(32),
+  "update_time" timestamptz(6),
+  CONSTRAINT "adm_practitioner_patient_pkey" PRIMARY KEY ("id")
+);
+
+-- 添加注释
+COMMENT ON COLUMN "adm_practitioner_patient"."id" IS '主键ID';
+COMMENT ON COLUMN "adm_practitioner_patient"."practitioner_id" IS '医生ID，关联adm_practitioner表';
+COMMENT ON COLUMN "adm_practitioner_patient"."patient_id" IS '患者ID，关联adm_patient表';
+COMMENT ON COLUMN "adm_practitioner_patient"."relationship_type" IS '关系类型：1-主治医生，2-签约医生，3-管床医生，4-家庭医生，5-会诊医生，6-随访医生';
+COMMENT ON COLUMN "adm_practitioner_patient"."organization_id" IS '机构ID，关联adm_organization表';
+COMMENT ON COLUMN "adm_practitioner_patient"."start_date" IS '关系开始时间';
+COMMENT ON COLUMN "adm_practitioner_patient"."end_date" IS '关系结束时间';
+COMMENT ON COLUMN "adm_practitioner_patient"."status" IS '状态：1-有效，0-无效';
+COMMENT ON COLUMN "adm_practitioner_patient"."remark" IS '备注信息';
+COMMENT ON COLUMN "adm_practitioner_patient"."tenant_id" IS '租户ID';
+COMMENT ON COLUMN "adm_practitioner_patient"."delete_flag" IS '删除标志：0-未删除，1-已删除';
+COMMENT ON COLUMN "adm_practitioner_patient"."create_by" IS '创建人';
+COMMENT ON COLUMN "adm_practitioner_patient"."create_time" IS '创建时间';
+COMMENT ON COLUMN "adm_practitioner_patient"."update_by" IS '更新人';
+COMMENT ON COLUMN "adm_practitioner_patient"."update_time" IS '更新时间';
+COMMENT ON TABLE "adm_practitioner_patient" IS '医生患者关系表';
+
+-- 创建索引
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_practitioner_id" ON "adm_practitioner_patient" USING btree ("practitioner_id", "delete_flag");
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_patient_id" ON "adm_practitioner_patient" USING btree ("patient_id", "delete_flag");
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_org_id" ON "adm_practitioner_patient" USING btree ("organization_id", "delete_flag");
+CREATE INDEX IF NOT EXISTS "idx_practitioner_patient_type" ON "adm_practitioner_patient" USING btree ("relationship_type", "delete_flag");
+
+-- 插入迁移记录
+INSERT INTO "__migrationshistory" ("version", "description")
+VALUES ('202601020000 add_table_adm_practitioner_patient', '1.0.0')
+ON CONFLICT DO NOTHING;
+
+-- 步骤3：验证表是否创建成功
+-- 执行以下SQL查询
+SELECT table_name, table_comment
+FROM information_schema.tables
+WHERE table_schema = 'public'
+  AND table_name = 'adm_practitioner_patient';
+
+-- 应该返回一条记录，显示表名和表注释

迁移记录-DB变更记录/菜单路由地址重复问题修复指南.md

@@ -0,0 +1,140 @@
+# 菜单路由地址重复问题修复指南
+
+## 问题描述
+在菜单管理中，修改菜单时即使不做任何修改直接点确定，仍然提示"路由地址已存在"。
+
+## 问题原因
+数据库中 `sys_menu` 表存在多条记录使用了相同的 `path` 值，导致校验逻辑误判。
+
+## 解决步骤
+
+### 步骤1：查找重复的 path
+在数据库中执行以下SQL查询：
+
+**PostgreSQL 版本（当前使用）：**
+```sql
+-- 查找所有重复的 path
+SELECT
+    path,
+    COUNT(*) as count,
+    STRING_AGG(CAST(menu_id AS TEXT), ', ') as menu_ids,
+    STRING_AGG(menu_name, ', ') as menu_names
+FROM sys_menu
+GROUP BY path
+HAVING COUNT(*) > 1;
+```
+
+**MySQL 版本：**
+```sql
+-- 查找所有重复的 path
+SELECT
+    path,
+    COUNT(*) as count,
+    GROUP_CONCAT(menu_id) as menu_ids,
+    GROUP_CONCAT(menu_name) as menu_names
+FROM sys_menu
+GROUP BY path
+HAVING COUNT(*) > 1;
+```
+
+### 步骤2：查看具体重复记录的详细信息
+将上面的查询结果中的 path 值替换到下面的SQL中：
+
+```sql
+-- 查看某个重复 path 的详细信息
+SELECT * FROM sys_menu
+WHERE path = 'your_duplicate_path_value'
+ORDER BY menu_id;
+```
+
+### 步骤3：删除重复记录（保留 menu_id 最小的记录）
+```sql
+DELETE FROM sys_menu
+WHERE menu_id IN (
+    SELECT menu_id FROM (
+        SELECT menu_id,
+               ROW_NUMBER() OVER (PARTITION BY path ORDER BY menu_id) as rn
+        FROM sys_menu
+    ) t
+    WHERE rn > 1
+);
+```
+
+### 步骤4：验证修复结果
+```sql
+-- 验证是否还有重复的 path
+SELECT
+    path,
+    COUNT(*) as count
+FROM sys_menu
+GROUP BY path
+HAVING COUNT(*) > 1;
+```
+
+如果没有查询结果，说明重复数据已经清理完毕。
+
+## 代码修改
+
+### 已完成的代码修改：
+
+1. **SysMenuMapper.java** - 新增方法
+```java
+public SysMenu selectMenuByPathExcludeId(@Param("path") String path, @Param("menuId") Long menuId);
+```
+
+2. **SysMenuMapper.xml** - 新增查询
+```xml
+<select id="selectMenuByPathExcludeId" resultMap="SysMenuResult">
+    <include refid="selectMenuVo"/>
+    where path = #{path} and menu_id != #{menuId}
+</select>
+```
+
+3. **SysMenuServiceImpl.java** - 修改校验逻辑
+```java
+@Override
+public int updateMenu(SysMenu menu) {
+    //路径Path唯一性判断（排除当前菜单本身）
+    String path = menu.getPath();
+    if (StringUtils.isNotBlank(path)) {
+        SysMenu sysMenu = menuMapper.selectMenuByPathExcludeId(menu.getPath(), menu.getMenuId());
+        if (sysMenu != null) {
+            log.warn("路由地址已存在 - menuId: {}, path: {}, 存在的menuId: {}",
+                menu.getMenuId(), menu.getPath(), sysMenu.getMenuId());
+            return -1; // 路由地址已存在
+        }
+    }
+    // 执行更新
+    return menuMapper.updateMenu(menu);
+}
+```
+
+## 调试信息
+
+当系统提示"路由地址已存在"时，请查看后端日志，会输出类似以下信息：
+```
+路由地址已存在 - menuId: 123, path: 'some/path', 存在的menuId: 456
+```
+这可以帮助您快速定位是哪两个菜单发生了冲突。
+
+## 注意事项
+
+1. 在删除重复记录前，请先备份数据库
+2. 建议在测试环境先验证，确认无误后再在生产环境执行
+3. 如果某个 path 确实需要被多个菜单使用，需要修改业务逻辑
+
+## 预防措施
+
+建议在数据库中为 `path` 字段添加唯一索引，从数据库层面防止重复：
+
+**PostgreSQL 版本：**
+```sql
+-- 注意：执行前需要先清理重复数据
+CREATE UNIQUE INDEX uk_path ON sys_menu(path);
+```
+
+**MySQL 版本：**
+```sql
+-- 注意：执行前需要先清理重复数据
+ALTER TABLE sys_menu ADD UNIQUE KEY uk_path (path);
+```

迁移记录-DB变更记录/门诊记录接口404排查指南.md

@@ -0,0 +1,113 @@
+# 门诊记录接口404问题排查指南
+
+## 问题描述
+门诊记录页面报404错误，路径：`/openhis/patient-manage/records/outpatient-record-page`
+
+## 修改内容
+
+已创建 `OutpatientRecordController.java`：
+- 位置：`openhis-application/src/main/java/com/openhis/web/patientmanage/controller/OutpatientRecordController.java`
+- 请求路径：`/patient-manage/records`
+
+## 排查步骤
+
+### 1. 清理并重新编译后端项目
+
+在命令行执行：
+```bash
+cd e:\his\openhis-server-new
+mvn clean install -DskipTests
+```
+
+或者在 IDE 中：
+1. 点击 Maven 中的 `clean` 命令
+2. 等待清理完成
+3. 点击 `install` 或 `compile` 命令
+
+### 2. 停止并重启后端服务
+
+**重要：必须完全停止当前运行的后端服务，然后重新启动**
+
+如果使用 IDE 运行：
+1. 停止当前运行的 Spring Boot 应用
+2. 重新运行 `OpenHisApplication.main()`
+
+如果使用命令行运行：
+```bash
+# 停止当前服务 (Ctrl+C)
+cd e:\his\openhis-server-new\openhis-application
+mvn spring-boot:run
+```
+
+### 3. 验证Controller是否被加载
+
+访问测试接口：
+```
+http://localhost:18080/openhis/patient-manage/records/test
+```
+
+如果返回：
+```json
+{
+  "code": 200,
+  "msg": "操作成功",
+  "data": "OutpatientRecordController 工作正常"
+}
+```
+
+说明 Controller 已成功加载。
+
+### 4. 检查后端启动日志
+
+查看启动日志中是否有类似以下内容：
+```
+Mapped "{[/patient-manage/records/test]}" onto ...
+Mapped "{[/patient-manage/records/init]}" onto ...
+Mapped "{[/patient-manage/records/outpatient-record-page]}" onto ...
+Mapped "{[/patient-manage/records/doctor-names]}" onto ...
+```
+
+如果没有这些映射日志，说明 Controller 没有被扫描到。
+
+### 5. 检查包扫描配置
+
+确认 `OpenHisApplication.java` 中：
+```java
+@SpringBootApplication(exclude = {DataSourceAutoConfiguration.class}, 
+    scanBasePackages = {"com.core", "com.openhis"})
+```
+
+这会扫描 `com.openhis` 包及其子包，包括：
+- `com.openhis.web.patientmanage.controller`
+
+### 6. 检查编译输出
+
+确认编译后的 class 文件存在于：
+```
+e:\his\openhis-server-new\openhis-application\target\classes\com\openhis\web\patientmanage\controller\OutpatientRecordController.class
+```
+
+如果不存在，说明编译有问题。
+
+## 常见问题
+
+### Q: 重启后还是404
+**A:** 确保完全停止了旧的进程。使用任务管理器检查是否有 `java.exe` 进程在运行，如果有则全部结束。
+
+### Q: 编译成功但接口不工作
+**A:** 检查是否访问的是正确的端口和路径：
+- 端口：18080
+- 路径：/openhis/patient-manage/records/outpatient-record-page
+
+### Q: 日志中没有映射信息
+**A:** 可能是注解使用错误。已修正为：
+- `@RequiredArgsConstructor` 替代 `@AllArgsConstructor`
+- `private final` 字段直接注入
+
+## 验证步骤
+
+1. 访问：`http://localhost:18080/openhis/patient-manage/records/test`
+2. 访问：`http://localhost:18080/openhis/patient-manage/records/doctor-names`
+3. 访问：`http://localhost:18080/openhis/patient-manage/records/outpatient-record-page`
+
+如果都能正常返回，刷新前端页面即可。

门诊就诊记录SQL优化建议.md

@@ -0,0 +1,160 @@
+# 门诊就诊记录SQL查询优化建议
+
+## 当前查询分析
+
+### 主要查询表
+```sql
+SELECT
+    enc.id as encounterId,
+    pt.name,
+    pt.id_card,
+    pt.bus_no as patientBusNo,
+    enc.bus_no as encounterBusNo,
+    pt.gender_enum,
+    pt.phone,
+    enc.create_time as encounterTime,
+    enc.status_enum as subjectStatusEnum,
+    org.name as organizationName,
+    prac.name as doctorName
+FROM adm_encounter AS enc
+LEFT JOIN adm_organization AS org ON enc.organization_id = org.ID AND org.delete_flag = '0'
+LEFT JOIN adm_encounter_participant AS ep
+    ON enc.ID = ep.encounter_id AND ep.type_code = #{participantType} AND ep.delete_flag = '0'
+LEFT JOIN adm_practitioner AS prac ON ep.practitioner_id = prac.ID AND prac.delete_flag = '0'
+LEFT JOIN adm_patient AS pt ON enc.patient_id = pt.ID AND pt.delete_flag = '0'
+```
+
+### 常见查询条件
+1. `enc.delete_flag = '0'`
+2. `enc.tenant_id = ?`
+3. `pt.name LIKE ?`
+4. `pt.id_card LIKE ?`
+5. `pt.bus_no LIKE ?`
+6. `enc.bus_no LIKE ?`
+7. `pt.gender_enum = ?`
+8. `enc.status_enum = ?`
+9. `prac.name LIKE ?`
+10. `pt.phone LIKE ?`
+11. `enc.create_time BETWEEN ? AND ?`
+
+## 索引优化建议
+
+### 1. adm_encounter 表索引
+```sql
+-- 复合索引：提高查询性能
+CREATE INDEX idx_encounter_tenant_delete_status ON adm_encounter(tenant_id, delete_flag, status_enum);
+
+-- 时间范围查询索引
+CREATE INDEX idx_encounter_create_time ON adm_encounter(create_time);
+
+-- 业务编号查询索引
+CREATE INDEX idx_encounter_bus_no ON adm_encounter(bus_no);
+
+-- 患者ID关联索引
+CREATE INDEX idx_encounter_patient_id ON adm_encounter(patient_id);
+```
+
+### 2. adm_patient 表索引
+```sql
+-- 姓名模糊查询索引
+CREATE INDEX idx_patient_name ON adm_patient(name);
+
+-- 身份证号查询索引
+CREATE INDEX idx_patient_id_card ON adm_patient(id_card);
+
+-- 业务编号查询索引
+CREATE INDEX idx_patient_bus_no ON adm_patient(bus_no);
+
+-- 电话查询索引
+CREATE INDEX idx_patient_phone ON adm_patient(phone);
+
+-- 复合索引：常用查询条件
+CREATE INDEX idx_patient_delete_gender ON adm_patient(delete_flag, gender_enum);
+```
+
+### 3. adm_encounter_participant 表索引
+```sql
+-- 复合索引：提高连接性能
+CREATE INDEX idx_ep_encounter_type ON adm_encounter_participant(encounter_id, type_code, delete_flag);
+
+-- 参与者ID索引
+CREATE INDEX idx_ep_practitioner ON adm_encounter_participant(practitioner_id);
+```
+
+### 4. adm_practitioner 表索引
+```sql
+-- 姓名查询索引
+CREATE INDEX idx_practitioner_name ON adm_practitioner(name);
+
+-- 复合索引：常用查询条件
+CREATE INDEX idx_practitioner_delete_tenant ON adm_practitioner(delete_flag, tenant_id);
+```
+
+### 5. adm_organization 表索引
+```sql
+-- 主键关联索引
+CREATE INDEX idx_organization_id_delete ON adm_organization(id, delete_flag);
+```
+
+## 查询优化建议
+
+### 1. 添加查询统计信息收集
+```sql
+-- 定期分析表统计信息
+ANALYZE TABLE adm_encounter;
+ANALYZE TABLE adm_patient;
+ANALYZE TABLE adm_encounter_participant;
+ANALYZE TABLE adm_practitioner;
+ANALYZE TABLE adm_organization;
+```
+
+### 2. 考虑分区表（针对大数据量）
+如果 `adm_encounter` 表数据量超过100万条，考虑按时间分区：
+```sql
+-- 按月分区
+PARTITION BY RANGE (YEAR(create_time) * 100 + MONTH(create_time))
+(
+    PARTITION p202501 VALUES LESS THAN (202501),
+    PARTITION p202502 VALUES LESS THAN (202502),
+    -- ... 更多分区
+);
+```
+
+### 3. 添加覆盖索引（Covering Index）
+对于常用查询字段，创建覆盖索引避免回表：
+```sql
+CREATE INDEX idx_encounter_cover ON adm_encounter(
+    tenant_id, delete_flag, create_time, 
+    status_enum, bus_no, patient_id
+) INCLUDE (organization_id);
+```
+
+## 执行计划检查
+
+建议定期检查查询执行计划：
+```sql
+EXPLAIN ANALYZE
+SELECT -- 完整查询语句
+FROM adm_encounter AS enc
+-- ... 连接条件
+WHERE enc.delete_flag = '0'
+  AND enc.tenant_id = 1
+  -- ... 其他条件
+ORDER BY enc.create_time DESC;
+```
+
+## 监控建议
+
+1. **慢查询监控**：监控执行时间超过1秒的查询
+2. **索引使用监控**：定期检查未使用的索引
+3. **表空间监控**：监控表增长和碎片情况
+4. **连接性能监控**：监控JOIN操作的性能
+
+## 实施步骤
+
+1. 在测试环境创建建议的索引
+2. 执行查询性能测试
+3. 分析执行计划，确认索引有效性
+4. 在生产环境非高峰期创建索引
+5. 监控生产环境性能变化
+6. 定期维护和优化索引