fix(doctorstation): 解决会诊医嘱删除和撤回功能问题

- 引入cancelConsultation接口用于处理会诊医嘱作废
- 分离会诊医嘱和普通医嘱的删除逻辑
- 实现会诊医嘱的作废功能，支持从contentJson解析consultationId
- 添加会诊医嘱撤回功能，区分草稿状态和已提交状态
- 修复医嘱分类逻辑，将会诊类型值5归类到诊疗活动
- 添加调试日志用于跟踪医嘱处理流程
- 优化耗材医嘱删除逻辑，完善费用项清理
- 修复列表更新机制，确保作废医嘱及时从界面移除

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -486,6 +486,19 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             // 医嘱分类信息
             List<AdviceSaveDto> adviceSaveList = adviceSaveParam.getAdviceSaveList();
             
+            // 🔍 Debug日志: 记录请求入口
+            log.info("========== BugFix#219 DEBUG START ==========");
+            log.info("saveAdvice called, adviceOpType={}, organizationId={}, adviceSaveList.size={}", 
+                    adviceOpType, organizationId, adviceSaveList != null ? adviceSaveList.size() : 0);
+            if (adviceSaveList != null && !adviceSaveList.isEmpty()) {
+                for (int i = 0; i < adviceSaveList.size(); i++) {
+                    AdviceSaveDto dto = adviceSaveList.get(i);
+                    log.info("Request[{}]: requestId={}, dbOpType={}, adviceType={}, encounterId={}, patientId={}", 
+                            i, dto.getRequestId(), dto.getDbOpType(), dto.getAdviceType(), 
+                            dto.getEncounterId(), dto.getPatientId());
+                }
+            }
+            
             // 🔧 Bug Fix: 校验并补全patientId和encounterId（如果为null，尝试从医嘱记录获取）
             for (AdviceSaveDto adviceSaveDto : adviceSaveList) {
                 // 对于删除操作，如果encounterId为null，尝试从医嘱记录获取
@@ -550,9 +563,21 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             // 耗材
             List<AdviceSaveDto> deviceList = adviceSaveList.stream()
                     .filter(e -> ItemType.DEVICE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
-            // 诊疗活动
+            // 诊疗活动（包括普通诊疗和会诊：前端会诊类型值为5）
             List<AdviceSaveDto> activityList = adviceSaveList.stream()
-                    .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
+                    .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType()) 
+                            || e.getAdviceType() == 5) // 🔧 BugFix: 会诊类型值为5，也归类到诊疗活动
+                    .collect(Collectors.toList());
+            
+            // 🔍 Debug日志: 记录分类结果
+            log.info("BugFix#219: 医嘱分类完成 - 药品:{}, 耗材:{}, 诊疗:{}", 
+                    medicineList.size(), deviceList.size(), activityList.size());
+            
+            // 统计各类删除操作
+            long medDeleteCount = medicineList.stream().filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).count();
+            long devDeleteCount = deviceList.stream().filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).count();
+            long actDeleteCount = activityList.stream().filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).count();
+            log.info("BugFix#219: 待删除数量 - 药品:{}, 耗材:{}, 诊疗:{}", medDeleteCount, devDeleteCount, actDeleteCount);
 
             /**
              * 保存时,校验库存
@@ -932,6 +957,18 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
      * 处理耗材
      */
     private void handDevice(List<AdviceSaveDto> deviceList, Date curDate, String adviceOpType) {
+        // 🔍 Debug日志: handDevice方法入口
+        log.info("BugFix#219: ========== handDevice START ==========");
+        log.info("BugFix#219: handDevice called, deviceList.size={}, adviceOpType={}", 
+                deviceList != null ? deviceList.size() : 0, adviceOpType);
+        if (deviceList != null && !deviceList.isEmpty()) {
+            for (int i = 0; i < deviceList.size(); i++) {
+                AdviceSaveDto dto = deviceList.get(i);
+                log.info("BugFix#219: Device[{}]: requestId={}, dbOpType={}", 
+                        i, dto.getRequestId(), dto.getDbOpType());
+            }
+        }
+        
         // 当前登录账号的科室id
         Long orgId = SecurityUtils.getLoginUser().getOrgId();
         // 获取当前登录用户的tenantId
@@ -953,6 +990,16 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         // 删除
         List<AdviceSaveDto> deleteList = deviceList.stream()
                 .filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).collect(Collectors.toList());
+        
+        // 🔍 Debug日志: 记录删除列表
+        log.info("BugFix#219: handDevice - insertOrUpdateList.size={}, deleteList.size={}", 
+                insertOrUpdateList.size(), deleteList.size());
+        if (!deleteList.isEmpty()) {
+            for (AdviceSaveDto dto : deleteList) {
+                log.info("BugFix#219: handDevice - 待删除: requestId={}", dto.getRequestId());
+            }
+        }
+        
         // 校验删除的医嘱是否已经收费
         List<Long> delRequestIdList = deleteList.stream().map(AdviceSaveDto::getRequestId).collect(Collectors.toList());
         if (!delRequestIdList.isEmpty()) {
@@ -971,17 +1018,42 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
         }
+        // 🔍 Debug日志: 开始删除循环
+        log.info("BugFix#219: handDevice - 开始删除循环, deleteList.size={}", deleteList.size());
         for (AdviceSaveDto adviceSaveDto : deleteList) {
-            iDeviceRequestService.removeById(adviceSaveDto.getRequestId());
-            // 删除已经产生的耗材发放信息
-            iDeviceDispenseService.deleteDeviceDispense(adviceSaveDto.getRequestId());
-            // 🔧 Bug Fix #219: 删除费用项
             Long requestId = adviceSaveDto.getRequestId();
+            log.info("BugFix#219: handDevice - 删除开始: requestId={}", requestId);
+            
+            // 1. 删除耗材请求
+            boolean deviceRemoved = iDeviceRequestService.removeById(requestId);
+            log.info("BugFix#219: handDevice - 删除DeviceRequest: requestId={}, result={}", requestId, deviceRemoved);
+            
+            // 2. 删除已经产生的耗材发放信息
+            iDeviceDispenseService.deleteDeviceDispense(requestId);
+            log.info("BugFix#219: handDevice - 删除DeviceDispense: requestId={}", requestId);
+            
+            // 3. 删除费用项
             String serviceTable = CommonConstants.TableName.WOR_DEVICE_REQUEST;
+            // 先查询费用项是否存在
+            try {
+                List<ChargeItem> existingChargeItems = iChargeItemService.getChargeItemInfoByReqId(Arrays.asList(requestId));
+                log.info("BugFix#219: handDevice - 查询到费用项数量: requestId={}, count={}", requestId, 
+                        existingChargeItems != null ? existingChargeItems.size() : 0);
+                if (existingChargeItems != null) {
+                    for (ChargeItem ci : existingChargeItems) {
+                        log.info("BugFix#219: handDevice - 费用项详情: id={}, serviceTable={}, serviceId={}, status={}", 
+                                ci.getId(), ci.getServiceTable(), ci.getServiceId(), ci.getStatusEnum());
+                    }
+                }
+            } catch (Exception e) {
+                log.error("BugFix#219: handDevice - 查询费用项异常: requestId={}", requestId, e);
+            }
             // 直接删除费用项（使用serviceTable和serviceId作为条件）
             iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
-            log.info("BugFix#219: 耗材医嘱删除完成, requestId={}, serviceTable={}", requestId, serviceTable);
+            log.info("BugFix#219: handDevice - 删除ChargeItem: requestId={}, serviceTable={}", requestId, serviceTable);
+            log.info("BugFix#219: handDevice - 删除完成: requestId={}", requestId);
         }
+        log.info("BugFix#219: ========== handDevice END ==========");
 
         for (AdviceSaveDto adviceSaveDto : insertOrUpdateList) {
             deviceRequest = new DeviceRequest();

openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue

@@ -825,6 +825,7 @@ import {
   getOrderGroup,
   deleteGroup,
   queryGroupDetail,
+  cancelConsultation,  // 🔧 BugFix: 引入会诊作废接口
 } from '../api';
 import { advicePrint, getAdjustPriceSwitchState } from '@/api/public';
 import adviceBaseList from '../adviceBaseList.vue';
@@ -1973,15 +1974,105 @@ function getOrgList() {
 
 function handleDelete() {
   let selectRows = prescriptionRef.value.getSelectionRows();
+  console.log('BugFix#219: handleDelete called, selectRows=', selectRows);
+  
   if (selectRows.length == 0) {
     proxy.$modal.msgWarning('请选择要删除的医嘱');
     return;
   }
+  
+  // 🔧 BugFix: 分离会诊医嘱和普通医嘱
+  let consultationRows = selectRows.filter(item => item.adviceType === 5);
+  let normalRows = selectRows.filter(item => item.adviceType !== 5);
+  
+  console.log('BugFix#219: consultationRows=', consultationRows.length, 'normalRows=', normalRows.length);
+  
+  // 处理会诊医嘱删除
+  if (consultationRows.length > 0) {
+    console.log('BugFix#219: 处理会诊医嘱删除');
+    console.log('BugFix#219: 会诊医嘱详情:', consultationRows.map(item => ({ 
+      adviceType: item.adviceType, 
+      statusEnum: item.statusEnum, 
+      requestId: item.requestId,
+      adviceName: item.adviceName
+    })));
+    
+    // 🔧 BugFix: 放宽条件，只要有requestId的会诊医嘱都可以尝试删除
+    let draftConsultations = consultationRows.filter(item => item.requestId);
+    console.log('BugFix#219: draftConsultations=', draftConsultations.length, '过滤条件: requestId存在 (不限制statusEnum)');
+    console.log('BugFix#219: 未过滤的会诊医嘱:', consultationRows.map(item => ({ 
+      statusEnum: item.statusEnum, 
+      hasRequestId: !!item.requestId 
+    })));
+    
+    if (draftConsultations.length > 0) {
+      console.log('BugFix#219: 开始作废草稿状态会诊医嘱');
+      // 草稿状态的会诊直接作废
+      let deletePromises = draftConsultations.map(item => {
+        // 🔧 BugFix: 从contentJson中解析consultationId
+        let consultationId = item.requestId;
+        try {
+          const contentJson = item.contentJson ? JSON.parse(item.contentJson) : {};
+          consultationId = contentJson.consultationId || contentJson.consultationRequestId || item.requestId;
+          console.log('BugFix#219: 解析consultationId=', consultationId, 'from contentJson');
+        } catch (e) {
+          console.warn('BugFix#219: 解析contentJson失败, 使用requestId:', item.requestId);
+        }
+        
+        console.log('BugFix#219: 作废会诊, consultationId=', consultationId);
+        return cancelConsultation({ consultationId: consultationId, cancelReason: '作废' })
+          .then((res) => {
+            console.log('BugFix#219: 作废成功, res=', res);
+            if (res.code == 200) {
+              proxy.$modal.msgSuccess('会诊申请已作废');
+              return true;
+            } else {
+              proxy.$modal.msgError('作废失败: ' + (res.msg || '未知错误'));
+              return false;
+            }
+          })
+          .catch((err) => {
+            console.error('BugFix#219: 作废失败, err=', err);
+            proxy.$modal.msgError('作废失败: ' + (err.message || '网络错误'));
+            return false;
+          });
+      });
+      
+      Promise.all(deletePromises).then((results) => {
+        // 🔧 BugFix: 作废成功后，立即从列表中移除已作废的会诊医嘱
+        const successCount = results.filter(r => r === true).length;
+        if (successCount > 0) {
+          console.log('BugFix#219: 作废成功', successCount, '条，从列表中移除');
+          // 从 prescriptionList 中移除已作废的会诊医嘱
+          draftConsultations.forEach(item => {
+            const index = prescriptionList.value.findIndex(p => p.uniqueKey === item.uniqueKey);
+            if (index !== -1) {
+              console.log('BugFix#219: 从列表中移除会诊医嘱, index=', index, 'adviceName=', item.adviceName);
+              prescriptionList.value.splice(index, 1);
+            }
+          });
+        }
+        getListInfo(false);
+      });
+    } else {
+      console.log('BugFix#219: 没有符合条件的会诊医嘱可删除');
+      proxy.$modal.msgWarning('所选会诊医嘱不可删除');
+    }
+  }
+  
+  // 处理普通医嘱删除
+  if (normalRows.length == 0) {
+    console.log('BugFix#219: 没有普通医嘱需要处理');
+    return;
+  }
+  
+  // ... 普通医嘱删除逻辑保持不变
+  
   let deleteList = [];
   let sum = 0; // 未保存总数量
   for (let i = prescriptionList.value.length - 1; i >= 0; i--) {
     let deleteItem = prescriptionList.value[i];
-    let index = selectRows.findIndex((item) => item.uniqueKey === deleteItem.uniqueKey);
+    let index = normalRows.findIndex((item) => item.uniqueKey === deleteItem.uniqueKey);
     // 通过requestId判断是否已保存，如果选中项未保存 直接从数组中移除，如果已保存，调接口删除
     if (index != -1 && deleteItem.statusEnum == 1 && !deleteItem.requestId) {
       prescriptionList.value.splice(i, 1);
@@ -2000,10 +2091,14 @@ function handleDelete() {
   updateExpandOrder([]);
   isAdding.value = false;
   adviceQueryParams.value.adviceTypes = undefined; // 🎯 修复：改为 adviceTypes（复数）
-  if (sum == selectRows.length) {
+  
+  // 计算未保存的会诊医嘱数量
+  let consultationUnsaved = consultationRows.filter(item => item.statusEnum == 1 && !item.requestId).length;
+  if (sum + consultationUnsaved == selectRows.length) {
     proxy.$modal.msgSuccess('删除成功');
     return;
   }
+  
   if (deleteList.length > 0) {
     savePrescription({ adviceSaveList: deleteList }).then((res) => {
       if (res.code == 200) {
@@ -2011,7 +2106,7 @@ function handleDelete() {
         getListInfo(false);
       }
     });
-  } else {
+  } else if (consultationRows.length == 0) {
     proxy.$modal.msgWarning('所选医嘱不可删除，请先撤回后再删除');
     return;
   }
@@ -3311,26 +3406,122 @@ function escKeyListener(e) {
   }
 }
 
-// 签退
+// 签退/撤回
 function handleSingOut() {
   let selectRows = prescriptionRef.value.getSelectionRows();
-  let requestIdList = selectRows
+  console.log('BugFix#219: handleSingOut called, selectRows=', selectRows);
-    .filter((item) => {
+  
-      return item.statusEnum == 2;
+  if (selectRows.length == 0) {
-    })
+    proxy.$modal.msgWarning('请选择要撤回的医嘱');
-    .map((item) => {
-      return item.requestId;
-    });
-  if (requestIdList.length == 0) {
-    proxy.$modal.msgWarning('请选择已签发医嘱撤回');
     return;
   }
+  
+  // 🔧 BugFix: 检查是否选中了会诊医嘱
+  let consultationRows = selectRows.filter(item => item.adviceType === 5);
+  let normalRows = selectRows.filter(item => item.adviceType !== 5);
+  
+  console.log('BugFix#219: consultationRows=', consultationRows.length, 'normalRows=', normalRows.length);
+  
+  // 处理会诊医嘱撤回
+  if (consultationRows.length > 0) {
+    console.log('BugFix#219: 处理会诊医嘱撤回');
+    console.log('BugFix#219: 会诊医嘱详情:', consultationRows.map(item => ({ 
+      adviceType: item.adviceType, 
+      statusEnum: item.statusEnum, 
+      requestId: item.requestId,
+      adviceName: item.adviceName
+    })));
+    
+    // 🔧 BugFix: 放宽条件，只要有requestId的会诊医嘱都可以处理
+    let submittedConsultations = consultationRows.filter(item => item.requestId);
+    console.log('BugFix#219: 可处理的会诊医嘱=', submittedConsultations.length);
+    
+    // 处理草稿状态的会诊（直接作废）
+    if (submittedConsultations.length > 0) {
+      console.log('BugFix#219: 开始处理会诊医嘱, 数量=', submittedConsultations.length);
+      let processPromises = submittedConsultations.map(item => {
+        // 🔧 BugFix: 从contentJson中解析consultationId
+        let consultationId = item.requestId;
+        try {
+          const contentJson = item.contentJson ? JSON.parse(item.contentJson) : {};
+          consultationId = contentJson.consultationId || contentJson.consultationRequestId || item.requestId;
+          console.log('BugFix#219: 处理-解析consultationId=', consultationId, 'from contentJson');
+        } catch (e) {
+          console.warn('BugFix#219: 处理-解析contentJson失败, 使用requestId:', item.requestId);
+        }
+        
+        // 根据状态决定操作类型
+        const isSubmitted = item.statusEnum == 2;
+        const cancelReason = isSubmitted ? '取消提交' : '作废';
+        const successMsg = isSubmitted ? '会诊申请已撤回' : '会诊申请已作废';
+        
+        console.log('BugFix#219: 处理会诊, consultationId=', consultationId, 'statusEnum=', item.statusEnum, 'cancelReason=', cancelReason);
+        
+        return cancelConsultation({ consultationId: consultationId, cancelReason: cancelReason })
+          .then((res) => {
+            console.log('BugFix#219: 处理会诊成功, res=', res);
+            if (res.code == 200) {
+              proxy.$modal.msgSuccess(successMsg);
+              return true;
+            } else {
+              proxy.$modal.msgError('操作失败: ' + (res.msg || '未知错误'));
+              return false;
+            }
+          })
+          .catch((err) => {
+            console.error('BugFix#219: 处理会诊失败, err=', err);
+            proxy.$modal.msgError('操作失败: ' + (err.message || '网络错误'));
+            return false;
+          });
+      });
+      
+      Promise.all(processPromises).then((results) => {
+        // 🔧 BugFix: 操作成功后，立即从列表中移除已处理（作废/撤回）的会诊医嘱
+        const successCount = results.filter(r => r === true).length;
+        if (successCount > 0) {
+          console.log('BugFix#219: 会诊医嘱处理成功', successCount, '条，从列表中移除');
+          // 从 prescriptionList 中移除已处理的会诊医嘱
+          submittedConsultations.forEach(item => {
+            const index = prescriptionList.value.findIndex(p => p.uniqueKey === item.uniqueKey);
+            if (index !== -1) {
+              console.log('BugFix#219: 从列表中移除会诊医嘱, index=', index, 'adviceName=', item.adviceName);
+              prescriptionList.value.splice(index, 1);
+            }
+          });
+        }
+        getListInfo(false);
+      });
+    } else {
+      console.log('BugFix#219: 没有可处理的会诊医嘱');
+      proxy.$modal.msgWarning('所选会诊医嘱不可撤回');
+    }
+    
+    // 如果没有普通医嘱，直接返回
+    if (normalRows.length == 0) {
+      console.log('BugFix#219: 没有普通医嘱需要处理，返回');
+      return;
+    }
+  }
+  
+  // 处理普通医嘱撤回
+  if (normalRows.length > 0) {
+    let requestIdList = normalRows
+      .filter((item) => item.statusEnum == 2)
+      .map((item) => item.requestId);
+      
+    if (requestIdList.length == 0) {
+      proxy.$modal.msgWarning('所选普通医嘱无可撤回项');
+      return;
+    }
+    
     singOut(requestIdList).then((res) => {
       if (res.code == 200) {
         proxy.$modal.msgSuccess('操作成功');
         getListInfo(false);
       }
     });
+  }
+  
   prescriptionRef.value.clearSelection();
 }