90，分诊排队管理-》医生叫号界面

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

@@ -90,4 +90,10 @@ public interface IDoctorStationMainAppService {
      */
     List<ReceptionStatisticsDto> getReceptionStatistics(String startTime,String endTime,Long practitionerId);
 
+    /**
+     * 过号重排
+     * @param encounterId 就诊ID
+     * @return 操作结果
+     */
+    R<?> rearrangeMissedEncounter(Long encounterId);
 }

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

@@ -26,9 +26,11 @@ import org.springframework.jdbc.core.JdbcTemplate;
 import org.springframework.stereotype.Service;
 
 import lombok.extern.slf4j.Slf4j;
+import org.springframework.transaction.annotation.Transactional;
 
 import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
+import java.time.LocalDateTime;
 import java.util.*;
 import java.util.stream.Collectors;
 
@@ -323,4 +325,45 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             practitionerId);
     }
 
+    /**
+     * 过号重排核心实现
+     */
+    @Override
+    @Transactional(rollbackFor = Exception.class) // 事务保证原子性
+    public R<?> rearrangeMissedEncounter(Long encounterId) {
+        // 1. 校验就诊记录是否存在
+        Encounter encounter = encounterMapper.selectById(encounterId);
+        if (encounter == null) {
+            return R.fail("就诊记录不存在");
+        }
+
+        // 2. 校验状态：仅「在诊（IN_PROGRESS=2）」可重排
+        if (!EncounterStatus.IN_PROGRESS.getValue().equals(encounter.getStatusEnum())) {
+            return R.fail("仅「在诊」状态的患者可执行过号重排");
+        }
+
+        // 3. 核心更新：改回待诊+更新missed_time
+        Date now = new Date();
+        Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
+        int updateCount = encounterMapper.update(null,
+                new LambdaUpdateWrapper<Encounter>()
+                        .eq(Encounter::getId, encounterId)
+                        .set(Encounter::getStatusEnum, EncounterStatus.PLANNED.getValue()) // 改回1-待诊
+                        .set(Encounter::getMissedTime, now) // 新增：设置过号时间为当前时间
+                        .set(Encounter::getUpdateBy, practitionerId.toString()) // 操作医生ID
+                        .eq(Encounter::getStatusEnum, EncounterStatus.IN_PROGRESS.getValue())); // 防并发
+
+        if (updateCount == 0) {
+            return R.fail("过号重排失败：状态更新异常");
+        }
+
+        // 4. 同步更新接诊参与记录
+        iEncounterParticipantService.update(new LambdaUpdateWrapper<EncounterParticipant>()
+                .eq(EncounterParticipant::getEncounterId, encounterId)
+                .eq(EncounterParticipant::getTypeCode, ParticipantType.ADMITTER.getCode())
+                .set(EncounterParticipant::getStatusEnum, EncounterActivityStatus.COMPLETED.getValue()));
+
+        return R.ok("过号重排成功");
+    }
+
 }

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

@@ -133,6 +133,29 @@ public class DoctorStationMainController {
         }
     }
 
+    /**
+     * 过号重排
+     *
+     * @param encounterId 就诊id
+     * @return 结果
+     */
+    @GetMapping(value = "/rearrange-missed-encounter")
+    public R<?> rearrangeMissedEncounter(@RequestParam(value = "encounterId", required = false) String encounterId) {
+        // 1. 空值校验（和现有接口保持一致）
+        if (encounterId == null || "undefined".equals(encounterId) || "null".equals(encounterId)) {
+            return R.fail("就诊ID不能为空");
+        }
+        try {
+            // 2. 字符串转Long（和现有接口保持一致）
+            Long id = Long.parseLong(encounterId);
+            // 3. 调用AppService的过号重排方法
+            return iDoctorStationMainAppService.rearrangeMissedEncounter(id);
+        } catch (NumberFormatException e) {
+            // 4. 格式错误处理（和现有接口保持一致）
+            return R.fail("就诊ID格式错误");
+        }
+    }
+
     /**
      * 查询处方号列表信息
      * 

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

@@ -1,5 +1,6 @@
 package com.openhis.web.doctorstation.dto;
 
+import com.baomidou.mybatisplus.annotation.TableField;
 import com.fasterxml.jackson.databind.annotation.JsonSerialize;
 import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
 import com.openhis.common.annotation.Dict;
@@ -127,4 +128,9 @@ public class PatientInfoDto {
      * 就诊卡号
      */
     private String identifierNo;
+
+    /**
+     * 过号时间
+     */
+    private Date missedTime;
 }

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationMainAppMapper.xml

@@ -24,7 +24,8 @@
         T10.practitioner_user_id,
         T10.jz_practitioner_user_id,
         T10.bus_no,
-        T10.identifier_no
+        T10.identifier_no,
+        T10.missed_time
         from
         (
         SELECT T1.tenant_id AS tenant_id,
@@ -50,7 +51,8 @@
         T1.reception_time AS reception_time,
         T1.organization_id AS org_id,
         T8.bus_no AS bus_no,
-        T9.identifier_no AS identifier_no
+        T9.identifier_no AS identifier_no,
+        T1.missed_time AS missed_time
         FROM adm_encounter AS T1
         LEFT JOIN adm_organization AS T2 ON T1.organization_id = T2.ID AND T2.delete_flag = '0'
         LEFT JOIN adm_healthcare_service AS T3 ON T1.service_type_id = T3.ID AND T3.delete_flag = '0'
@@ -70,18 +72,18 @@
         LEFT JOIN fin_contract AS T7 ON T6.contract_no = T7.bus_no AND T7.delete_flag = '0'
         LEFT JOIN adm_patient AS T8 ON T1.patient_id = T8.ID AND T8.delete_flag = '0'
         LEFT JOIN (
-           SELECT patient_id,
+        SELECT patient_id,
-                  identifier_no
+        identifier_no
-           FROM (
+        FROM (
-                SELECT patient_id,
+        SELECT patient_id,
-                       identifier_no,
+        identifier_no,
-                       ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+        ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
-                FROM adm_patient_identifier
+        FROM adm_patient_identifier
-                WHERE delete_flag = '0'
+        WHERE delete_flag = '0'
-                  AND identifier_no IS NOT NULL
+        AND identifier_no IS NOT NULL
-                  AND identifier_no != ''
+        AND identifier_no != ''
-           ) t
+        ) t
-           WHERE rn = 1
+        WHERE rn = 1
         ) AS T9 ON T8.id = T9.patient_id
         WHERE
         T1.delete_flag = '0'

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

@@ -1,8 +1,6 @@
 package com.openhis.administration.domain;
 
-import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.*;
-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;
@@ -145,4 +143,9 @@ public class Encounter extends HisBaseEntity {
      */
     private Long registrarId;
 
+    /**
+     * 过号时间
+     */
+    @TableField("missed_time")
+    private Date missedTime;
 }

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

@@ -54,6 +54,17 @@ export function leaveEncounter(encounterId) {
   });
 }
 
+/**
+ * 重新排序未到诊患者
+ */
+export const rearrangeMissedNumber = (encounterId) => {
+  return request({
+    url: '/doctor-station/main/rearrange-missed-encounter', // 对应Controller的路径
+    method: 'get', // 注意：现有接口都是GET，这里和后端保持一致
+    params: { encounterId } // GET请求用params传参
+  });
+};
+
 /**
  * 完诊
  */

openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue

@@ -0,0 +1,675 @@
+<template>
+  <el-dialog :model-value="dialogVisible" @update:model-value="val => emit('update:dialogVisible', val)" title=""
+    width="90%" :close-on-click-modal="false" custom-class="call-dialog-custom">
+    <!-- 顶部标题栏 -->
+    <div class="dialog-header">
+      <div class="header-title">医生叫号界面 - {{ department }}</div>
+      <div class="header-time">{{ formatDate(new Date(), 'YYYY-MM-DD HH:mm:ss') }}</div>
+    </div>
+
+    <!-- 当前就诊患者区域 -->
+    <div class="current-patient">
+      <div class="current-label">当前就诊患者</div>
+      <div class="current-info">
+        <div>
+          <span>患者姓名：</span>
+          <span class="info-value">{{ getPatientNo(currentCallPatient) }} {{ currentCallPatient.patientName || '暂无'
+          }}</span>
+        </div>
+        <div>
+          <span>诊室：</span>
+          <span class="info-value">{{ roomNo || '4号' }}</span>
+        </div>
+      </div>
+    </div>
+
+    <!-- 叫号按钮区 -->
+    <div class="call-buttons">
+      <el-button class="btn-next" @click="callNextPatient">下一患者</el-button>
+      <el-button class="btn-recall" @click="showRecallDialog">选呼</el-button>
+      <el-button class="btn-finish" @click="finishCallPatient">完成</el-button>
+      <el-button class="btn-skip" @click="skipPatient">跳过</el-button>
+      <el-button class="btn-requeue" @click="requeuePatient">过号重排</el-button>
+      <el-button class="btn-seen" @click="markSeenPatient">已就诊</el-button>
+    </div>
+
+    <!-- 选呼对话框 -->
+    <el-dialog v-model="recallDialogVisible" title="选择患者呼叫" width="600px" :close-on-click-modal="false">
+      <div style="padding: 20px 0;">
+        <el-select v-model="selectedPatientEncounterId" filterable remote reserve-keyword placeholder="搜索患者姓名、身份证号或就诊ID"
+          :remote-method="remoteSearchPatient" :loading="patientSearchLoading" clearable
+          style="width: 100%; margin-bottom: 20px;">
+          <el-option v-for="patient in patientSearchOptions" :key="patient.encounterId"
+            :label="`${patient.patientName} (${patient.idCard || '无身份证号'})`" :value="patient.encounterId">
+            <div style="display: flex; justify-content: space-between;">
+              <span>{{ patient.patientName }}</span>
+              <span style="color: #8492a6; font-size: 14px;">{{ patient.idCard || '无身份证号' }}</span>
+            </div>
+          </el-option>
+        </el-select>
+        <div style="text-align: right;">
+          <el-button @click="recallDialogVisible = false">取消</el-button>
+          <el-button type="primary" @click="confirmRecallPatient"
+            :disabled="!selectedPatientEncounterId">确定呼叫</el-button>
+        </div>
+      </div>
+    </el-dialog>
+
+    <!-- 候诊患者列表标题 -->
+    <div class="wait-list-title">候诊患者列表</div>
+
+    <!-- 候诊患者表格 -->
+    <el-table :data="sortedWaitPatientList" border style="width: 100%" header-cell-class-name="table-header"
+      :row-class-name="() => 'table-row'">
+      <el-table-column label="序号" type="index" width="60" align="center" />
+      <el-table-column prop="patientName" label="患者" width="180">
+        <template #default="scope">{{ scope.row.patientName }}</template>
+      </el-table-column>
+      <el-table-column prop="typeCode_dictText" label="号别" width="120" />
+      <el-table-column prop="organizationName" label="诊室" width="120" />
+      <el-table-column label="医生" width="120">
+        <template #default="scope">{{ scope.row.jz_practitioner_name || '心内科医生' }}</template>
+      </el-table-column>
+      <el-table-column label="状态" width="120">
+        <template #default>等待中</template>
+      </el-table-column>
+      <el-table-column label="操作" width="100" align="center">
+        <template #default="scope">
+          <el-button size="small" class="btn-receive" @click="callThisPatient(scope.row)">
+            接诊
+          </el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <!-- 底部信息栏 -->
+    <div class="footer-info">
+      <div>当前时间：{{ formatDate(new Date(), 'YYYY-MM-DD HH:mm:ss') }}</div>
+      <div>当前号：{{ getPatientNo(currentCallPatient) || '暂无' }}</div>
+      <div>等待人数：{{ currentWaitPatientList.length }}</div>
+    </div>
+  </el-dialog>
+</template>
+
+<script setup>
+// ✅ 核心修复：h 从 vue 导入，而非 element-plus
+import { ref, watch, onMounted, h, computed } from 'vue';
+import { ElMessage, ElMessageBox } from 'element-plus';
+import { receiveEncounter, completeEncounter, leaveEncounter, rearrangeMissedNumber } from '../api.js';
+
+// ===== 1. Props/Emits 定义 =====
+const props = defineProps({
+  dialogVisible: Boolean,
+  currentPatient: { type: Object, default: () => ({}) },
+  currentPatientList: { type: Array, default: () => [] }, // 候诊列表
+  roomNo: { type: String, default: '4号' },
+  department: { type: String, default: '心内科' } // 科室名称，默认为心内科
+});
+
+const emit = defineEmits(['update:dialogVisible', 'callNext', 'reCall', 'finish', 'skip', 'requeue', 'markSeen', 'callThis']);
+
+// ===== 2. 响应式变量 =====
+const currentWaitPatientList = ref([]); // 候诊患者列表
+const currentCallPatient = ref({}); // 当前就诊患者
+const selectedId = ref(''); // 选呼患者ID
+
+// 选呼功能相关变量
+const selectedPatientEncounterId = ref('');
+const patientSearchOptions = ref([]);
+const patientSearchLoading = ref(false);
+const patientSearchQuery = ref('');
+const recallDialogVisible = ref(false); // 选呼对话框显示/隐藏
+
+// ===== 3. 计算属性 =====
+// 按创建时间(create_time)和过号时间(missed_time)排序后的候诊列表
+const sortedWaitPatientList = computed(() => {
+  // 空列表直接返回
+  if (!currentWaitPatientList.value.length) return [];
+
+  // 调试：打印当前时间和排序前的患者列表
+  const now = new Date();
+  console.log('当前时间:', now);
+  console.log('排序前的患者列表:');
+  currentWaitPatientList.value.forEach(item => {
+    console.log(`患者 ${item.patientName}:`, {
+      encounterId: item.encounterId,
+      missed_time: item.missed_time,
+      missedTime: item.missedTime,
+      create_time: item.create_time,
+      createTime: item.createTime,
+      statusEnum: item.statusEnum,
+      registerTime: item.registerTime,
+      parsed_missed_time: item.missed_time ? new Date(item.missed_time) : null,
+      parsed_create_time: item.create_time ? new Date(item.create_time) : null,
+      parsed_registerTime: item.registerTime ? new Date(item.registerTime) : null
+    });
+  });
+
+  // 判断患者是否为过号患者
+  const isMissedPatient = (patient) => {
+    // 检查missed_time或missedTime是否存在且不为null
+    return patient.missed_time != null || patient.missedTime != null;
+  };
+
+  // 获取患者有效时间的辅助函数
+  const getPatientTime = (patient) => {
+    // 调试：打印患者的完整时间信息
+    console.log(`患者 ${patient.patientName} 的时间信息:`, {
+      missed_time: patient.missed_time,
+      missedTime: patient.missedTime,
+      registerTime: patient.registerTime,
+      create_time: patient.create_time,
+      createTime: patient.createTime
+    });
+
+    // 1. 优先使用missed_time（过号时间），同时处理null和undefined
+    if (patient.missed_time != null) {
+      console.log(`患者 ${patient.patientName} 使用missed_time: ${patient.missed_time}`);
+      return patient.missed_time;
+    }
+    if (patient.missedTime != null) {
+      console.log(`患者 ${patient.patientName} 使用missedTime: ${patient.missedTime}`);
+      return patient.missedTime;
+    }
+    // 2. 其次使用registerTime（挂号时间）
+    if (patient.registerTime != null) {
+      console.log(`患者 ${patient.patientName} 使用registerTime: ${patient.registerTime}`);
+      return patient.registerTime;
+    }
+    // 3. 最后使用create_time或createTime（创建时间）
+    if (patient.create_time != null) {
+      console.log(`患者 ${patient.patientName} 使用create_time: ${patient.create_time}`);
+      return patient.create_time;
+    }
+    if (patient.createTime != null) {
+      console.log(`患者 ${patient.patientName} 使用createTime: ${patient.createTime}`);
+      return patient.createTime;
+    }
+    // 4. 兜底：使用当前时间减去1000年，确保排到最前面
+    console.warn(`患者 ${patient.patientName} 没有有效时间字段，使用默认时间`);
+    return new Date(0); // 1970-01-01
+  };
+
+  // 核心改进：明确区分过号患者和未过号患者
+  // 1. 未过号患者排在过号患者前面
+  // 2. 未过号患者按照registerTime升序排列
+  // 3. 过号患者按照missed_time升序排列
+  const sortedList = [...currentWaitPatientList.value].sort((a, b) => {
+    const aIsMissed = isMissedPatient(a);
+    const bIsMissed = isMissedPatient(b);
+
+    // 调试：打印排序比较
+    console.log(`排序比较: ${a.patientName}(过号:${aIsMissed}) vs ${b.patientName}(过号:${bIsMissed})`);
+
+    // 1. 未过号患者排在过号患者前面
+    if (aIsMissed !== bIsMissed) {
+      const result = aIsMissed ? 1 : -1;
+      console.log(`比较结果: ${result} (${aIsMissed ? 'a是过号患者，排后面' : 'b是过号患者，排后面'})`);
+      return result;
+    }
+
+    // 2. 获取a和b的有效时间
+    const aTime = getPatientTime(a);
+    const bTime = getPatientTime(b);
+
+    // 解析时间，确保正确处理UTC时间
+    const timeA = new Date(aTime);
+    const timeB = new Date(bTime);
+
+    // 确保时间有效
+    if (isNaN(timeA.getTime())) {
+      console.log(`患者 ${a.patientName} 时间无效，排后面`);
+      return 1; // 无效时间排后面
+    }
+    if (isNaN(timeB.getTime())) {
+      console.log(`患者 ${b.patientName} 时间无效，排后面`);
+      return -1; // 有效时间排前面
+    }
+
+    // 3. 同类型患者按照时间升序排列
+    const result = timeA - timeB;
+    console.log(`比较结果: ${result} (时间比较: ${timeA} vs ${timeB})`);
+    return result;
+  });
+
+  // 调试：打印排序后的患者列表
+  console.log('排序后的患者列表:');
+  sortedList.forEach((item, index) => {
+    const effectiveTime = getPatientTime(item);
+    const isMissed = isMissedPatient(item);
+    console.log(`${index + 1}. ${item.patientName}:`, {
+      is_missed: isMissed,
+      missed_time: item.missed_time,
+      registerTime: item.registerTime,
+      create_time: item.create_time || item.createTime,
+      effective_time: new Date(effectiveTime)
+    });
+  });
+
+  return sortedList;
+});
+
+// ===== 4. 临时 formatDate 函数（避免外部依赖报错）=====
+const formatDate = (date, format = 'YYYY-MM-DD') => {
+  const d = new Date(date);
+  const year = d.getFullYear();
+  const month = String(d.getMonth() + 1).padStart(2, '0');
+  const day = String(d.getDate()).padStart(2, '0');
+  const hour = String(d.getHours()).padStart(2, '0');
+  const minute = String(d.getMinutes()).padStart(2, '0');
+  const second = String(d.getSeconds()).padStart(2, '0');
+  if (format === 'YYYY-MM-DD HH:mm:ss') {
+    return `${year}-${month}-${day} ${hour}:${minute}:${second}`;
+  }
+  return `${year}-${month}-${day}`;
+};
+
+// ===== 4. 监听 Props 同步数据 =====
+watch(() => props.currentPatientList, (newVal) => {
+  currentWaitPatientList.value = newVal || [];
+}, { immediate: true });
+
+watch(() => props.currentPatient, (newVal) => {
+  currentCallPatient.value = newVal || {};
+}, { immediate: true });
+
+// ===== 5. 排队号计算 =====
+const getPatientNo = (patient) => {
+  if (!patient || !patient.encounterId || sortedWaitPatientList.value.length === 0) return '';
+  const index = sortedWaitPatientList.value.findIndex(item => item.encounterId === patient.encounterId);
+  return index > -1 ? `${index + 1}号` : '';
+};
+
+// ===== 6. 按钮核心逻辑 =====
+// 6.1 下一患者
+const callNextPatient = async () => {
+  if (sortedWaitPatientList.value.length === 0) {
+    ElMessage.warning('暂无候诊患者');
+    return;
+  }
+  // 获取第一个患者
+  const nextPatient = sortedWaitPatientList.value[0];
+  try {
+    // 调用接诊API
+    await receiveEncounter(nextPatient.encounterId);
+    // 更新当前呼叫患者
+    currentCallPatient.value = nextPatient;
+    // 通知父组件
+    emit('callNext');
+    ElMessage.success(`已呼叫下一位患者：${nextPatient.patientName}`);
+  } catch (error) {
+    console.error('呼叫下一位患者失败:', error);
+    ElMessage.error(`呼叫下一位患者失败：${error.message || '系统错误'}`);
+  }
+};
+
+// 6.2 显示选呼对话框
+const showRecallDialog = () => {
+  // 清空之前的选择
+  selectedPatientEncounterId.value = '';
+  patientSearchOptions.value = [];
+  // 显示对话框
+  recallDialogVisible.value = true;
+};
+
+// 6.3 远程搜索患者
+const remoteSearchPatient = (query) => {
+  if (query === '') {
+    patientSearchOptions.value = [];
+    return;
+  }
+
+  patientSearchLoading.value = true;
+
+  // 模拟远程搜索，实际从候诊列表中查找
+  setTimeout(() => {
+    // 搜索匹配的患者 - 支持模糊搜索
+    patientSearchOptions.value = sortedWaitPatientList.value.filter(patient => {
+      // 患者姓名模糊匹配
+      const nameMatch = patient.patientName && patient.patientName.toLowerCase().includes(query.toLowerCase());
+      // 身份证号模糊匹配
+      const idCardMatch = patient.idCard && patient.idCard.includes(query);
+      // 就诊ID模糊匹配
+      const encounterIdMatch = patient.encounterId && patient.encounterId.toString().includes(query);
+      // 至少满足一个条件
+      return nameMatch || idCardMatch || encounterIdMatch;
+    });
+
+    patientSearchLoading.value = false;
+  }, 200);
+};
+
+// 6.4 确认呼叫患者
+const confirmRecallPatient = async () => {
+  if (!selectedPatientEncounterId.value) return;
+
+  try {
+    // 查找选中的患者
+    const selectedPatient = sortedWaitPatientList.value.find(patient => patient.encounterId === selectedPatientEncounterId.value);
+    if (!selectedPatient) {
+      ElMessage.warning('未找到选中的患者');
+      return;
+    }
+
+    // 调用接诊API
+    await receiveEncounter(selectedPatient.encounterId);
+    // 更新当前呼叫患者
+    currentCallPatient.value = selectedPatient;
+    // 通知父组件
+    emit('reCall');
+    // 关闭对话框
+    recallDialogVisible.value = false;
+    // 清空选择
+    selectedPatientEncounterId.value = '';
+    ElMessage.success(`已呼叫患者：${selectedPatient.patientName}`);
+  } catch (error) {
+    console.error('选呼患者失败:', error);
+    ElMessage.error(`选呼患者失败：${error.message || '系统错误'}`);
+  }
+};
+
+// 6.5 完成
+const finishCallPatient = async () => {
+  if (!currentCallPatient.value.encounterId) {
+    ElMessage.warning('当前没有就诊患者');
+    return;
+  }
+  try {
+    await completeEncounter(currentCallPatient.value.encounterId);
+    emit('finish');
+    emit('update:dialogVisible', false);
+    ElMessage.success('患者已完诊');
+  } catch (error) {
+    console.error('完诊失败:', error);
+    ElMessage.error(`完诊失败：${error.message || '系统错误'}`);
+  }
+};
+
+// 6.6 跳过
+const skipPatient = async () => {
+  if (sortedWaitPatientList.value.length === 0) {
+    ElMessage.warning('暂无候诊患者');
+    return;
+  }
+  // 获取第一个患者
+  const nextPatient = sortedWaitPatientList.value[0];
+  try {
+    // 调用接诊API
+    await receiveEncounter(nextPatient.encounterId);
+    // 更新当前呼叫患者
+    currentCallPatient.value = nextPatient;
+    // 通知父组件
+    emit('skip');
+    ElMessage.success(`已跳过当前患者，呼叫下一位患者：${nextPatient.patientName}`);
+  } catch (error) {
+    console.error('跳过患者失败:', error);
+    ElMessage.error(`跳过患者失败：${error.message || '系统错误'}`);
+  }
+};
+
+// 6.7 过号重排
+const requeuePatient = async () => {
+  // 1. 校验：当前必须有就诊患者才能重排
+  if (!currentCallPatient.value || !currentCallPatient.value.encounterId) {
+    ElMessage.warning('当前没有就诊患者，无法过号重排');
+    return;
+  }
+
+  try {
+    // 2. 显示确认对话框
+    await ElMessageBox.confirm(
+      `确定将患者 ${currentCallPatient.value.patientName} 进行过号重排吗？`,
+      '过号重排确认',
+      {
+        confirmButtonText: '确定',
+        cancelButtonText: '取消',
+        type: 'warning',
+        draggable: true
+      }
+    );
+
+    // 3. 调用过号重排接口
+    console.log('开始调用过号重排接口，患者ID:', currentCallPatient.value.encounterId);
+    const res = await rearrangeMissedNumber(currentCallPatient.value.encounterId);
+
+    // 4. 处理后端返回结果
+    console.log('过号重排接口返回结果:', res);
+    if (res.code === 200) {
+      // 5. 直接通知父组件刷新候诊列表，依赖父组件重新获取数据
+      emit('requeue');
+
+      // 6. 提示用户+清空当前就诊患者
+      ElMessage.success(res.msg || '过号重排成功，患者已排至队尾');
+      currentCallPatient.value = {};
+    } else {
+      // 7. 处理后端返回的错误信息
+      console.error('过号重排失败，后端返回错误:', res);
+      ElMessage.error(res.msg || '过号重排失败');
+    }
+  } catch (error) {
+    // 处理取消操作
+    if (error !== 'cancel') {
+      console.error('过号重排失败，捕获异常:', error);
+      ElMessage.error(`过号重排失败：${error.message || '系统错误'}`);
+    }
+  }
+};
+
+// 6.8 标记已就诊
+const markSeenPatient = async () => {
+  if (!currentCallPatient.value.encounterId) {
+    ElMessage.warning('当前没有就诊患者');
+    return;
+  }
+  try {
+    await leaveEncounter(currentCallPatient.value.encounterId);
+    emit('markSeen');
+    emit('update:dialogVisible', false);
+    ElMessage.success('患者已暂离');
+  } catch (error) {
+    console.error('暂离失败:', error);
+    ElMessage.error(`暂离失败：${error.message || '系统错误'}`);
+  }
+};
+
+// 6.9 接诊指定患者
+const callThisPatient = async (row) => {
+  try {
+    // 调用接诊API
+    await receiveEncounter(row.encounterId);
+    // 更新当前呼叫患者
+    currentCallPatient.value = row;
+    // 通知父组件
+    emit('callThis', row);
+    ElMessage.success(`已接诊患者：${row.patientName}`);
+  } catch (error) {
+    console.error('接诊患者失败:', error);
+    ElMessage.error(`接诊患者失败：${error.message || '系统错误'}`);
+  }
+};
+
+
+
+
+</script>
+
+<style scoped>
+.call-dialog-custom {
+  --el-dialog-body-padding: 0;
+}
+
+.dialog-header {
+  background-color: #0b8074;
+  color: #fff;
+  padding: 12px 20px;
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  border-top-left-radius: 8px;
+  border-top-right-radius: 8px;
+}
+
+.header-title {
+  font-size: 24px;
+  font-weight: bold;
+  color: #fff;
+}
+
+.header-time {
+  font-size: 16px;
+  font-weight: normal;
+  background-color: rgba(255, 255, 255, 0.2);
+  padding: 8px 16px;
+  border-radius: 20px;
+  color: #fff;
+}
+
+.current-patient {
+  background-color: #f8fafc;
+  padding: 20px 20px;
+  margin-bottom: 20px;
+  border-radius: 8px;
+}
+
+.current-label {
+  font-size: 20px;
+  font-weight: 700;
+  color: #1f7a7a;
+  margin-bottom: 12px;
+}
+
+.current-info {
+  display: flex;
+  gap: 60px;
+  font-size: 18px;
+}
+
+.info-value {
+  font-weight: 800 !important;
+  color: #1f7a7a !important;
+  font-size: 26px !important;
+  background-color: #e6f7ff;
+  padding: 8px 16px;
+  border-radius: 8px;
+  margin-left: 8px;
+  display: inline-block;
+  min-width: 200px;
+  text-align: center;
+}
+
+.call-buttons {
+  padding: 0 20px 20px;
+  display: flex;
+  gap: 15px;
+  flex-wrap: wrap;
+}
+
+.btn-next {
+  background-color: #10b981 !important;
+  border-color: #10b981 !important;
+  color: #fff !important;
+  font-size: 16px !important;
+  padding: 14px 24px !important;
+  font-weight: 600;
+  border-radius: 6px;
+}
+
+.btn-recall {
+  background-color: #f59e0b !important;
+  border-color: #f59e0b !important;
+  color: #fff !important;
+  font-size: 16px !important;
+  padding: 14px 24px !important;
+  font-weight: 600;
+  border-radius: 6px;
+}
+
+.btn-finish {
+  background-color: #3b82f6 !important;
+  border-color: #3b82f6 !important;
+  color: #fff !important;
+  font-size: 16px !important;
+  padding: 14px 24px !important;
+  font-weight: 600;
+  border-radius: 6px;
+}
+
+.btn-skip {
+  background-color: #f5c518 !important;
+  border-color: #f5c518 !important;
+  color: #fff !important;
+  font-size: 16px !important;
+  padding: 14px 24px !important;
+  font-weight: 600;
+  border-radius: 6px;
+}
+
+.btn-requeue {
+  background-color: #165dff !important;
+  border-color: #165dff !important;
+  color: #fff !important;
+  font-size: 16px !important;
+  padding: 14px 24px !important;
+  font-weight: 600;
+  border-radius: 6px;
+}
+
+.btn-seen {
+  background-color: #86909c !important;
+  border-color: #86909c !important;
+  color: #fff !important;
+  font-size: 16px !important;
+  padding: 14px 24px !important;
+  font-weight: 600;
+  border-radius: 6px;
+}
+
+.btn-receive {
+  background-color: #10b981 !important;
+  border-color: #10b981 !important;
+  color: #fff !important;
+  font-size: 14px !important;
+  padding: 8px 12px !important;
+  border-radius: 4px;
+}
+
+.wait-list-title {
+  padding: 0 20px 12px;
+  font-size: 20px;
+  font-weight: 700;
+  color: #1f7a7a;
+}
+
+:deep(.table-header) {
+  background-color: #1f7a7a !important;
+  color: #fff !important;
+  font-weight: 700 !important;
+  font-size: 18px !important;
+}
+
+:deep(.table-row) {
+  font-size: 18px !important;
+  font-weight: 500;
+}
+
+:deep(.el-table__cell) {
+  padding: 16px 0 !important;
+}
+
+:deep(.el-table--enable-row-hover .el-table__body tr:hover>td) {
+  background-color: #f0f9ff !important;
+}
+
+.footer-info {
+  background-color: #1f7a7a;
+  color: #fff;
+  padding: 14px 20px;
+  margin-top: 20px;
+  font-size: 18px;
+  font-weight: 500;
+  display: flex;
+  justify-content: space-between;
+  flex-wrap: wrap;
+  gap: 10px;
+}
+</style>

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

@@ -1,11 +1,16 @@
 <template>
   <div style="display: flex; justify-content: space-between; height: 90vh">
     <div style="width: 15%; height: 100%; border: 1px solid #eee; border-right: 0">
-      <div style="padding: 10px; border: 1px solid #eee; height: 50px; border-right: 0">
+      <div
-        <span>现诊患者</span>
+        style="padding: 10px; border: 1px solid #eee; height: 50px; border-right: 0; display: flex; align-items: center; justify-content: space-between">
-        <el-badge :value="waitCount > 0 ? waitCount : ''" :max="10"
+        <div style="display: flex; align-items: center;">
-          style="float: right; color: #409eff; cursor: pointer; margin-right: 10px">
+          <span style="margin-right: 20px; font-weight: 600;">现诊患者</span>
-          <span @click="openDrawer"> 患者队列 </span>
+          <el-button type="primary" size="small" @click.stop="handleOpenCallDialog" title="点击打开叫号界面">
+            <i class="el-icon-bell"></i> 呼叫
+          </el-button>
+        </div>
+        <el-badge :value="waitCount > 0 ? waitCount : ''" :max="10" style="color: #409eff; cursor: pointer;">
+          <span @click="openDrawer" style="font-weight: 600;"> 患者队列 </span>
         </el-badge>
       </div>
       <div style="width: 100%; padding: 10px">
@@ -15,16 +20,9 @@
             <el-button icon="Search" @click="getPatientList" />
           </template>
         </el-input>
-        <el-date-picker
+        <el-date-picker v-model="registerTime" @change="handleTimeChange" type="date"
-          v-model="registerTime"
+          style="width: 100%; margin-bottom: 10px" :clearable="false" placeholder="挂号时间" format="YYYY-MM-DD"
-          @change="handleTimeChange"
+          value-format="YYYY-MM-DD" />
-          type="date"
-          style="width: 100%; margin-bottom: 10px"
-          :clearable="false"
-          placeholder="挂号时间"
-          format="YYYY-MM-DD"
-          value-format="YYYY-MM-DD"
-        />
         <el-scrollbar height="700px">
           <div v-for="(item, index) in patientList" :class="item.active ? 'patient-card actived' : 'patient-card'"
             :key="item.id" @click="handleCardClick(item, index)">
@@ -86,11 +84,11 @@
                 ' / ' +
                 patientInfo.genderEnum_enumText +
                 ' / ' +
-                  (patientInfo?.contractName ? patientInfo.contractName : '') +
+                (patientInfo?.contractName ? patientInfo.contractName : '') +
-                  '/' +
+                '/' +
-                  patientInfo.phone +
+                patientInfo.phone +
-                  '/' +
+                '/' +
-                  patientInfo.busNo
+                patientInfo.busNo
                 : '-'
             }}
           </el-descriptions-item>
@@ -110,27 +108,22 @@
             <el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
               退费
             </el-button>
-            <el-button type="primary" plain class="top-layer-btn" @click.stop="getEnPrescription(patientInfo.encounterId)">
+            <el-button type="primary" plain class="top-layer-btn"
+              @click.stop="getEnPrescription(patientInfo.encounterId)">
               处方单
             </el-button>
-            <el-button type="primary" plain class="top-layer-btn" :disabled="isHospitalizationButtonDisabled" @click.stop="handleHospitalizationClick()" @mouseenter="console.log('办理住院按钮状态：', { patientInfo: patientInfo?.value, hasEncounterId: patientInfo?.value?.encounterId, isDisabled: isHospitalizationButtonDisabled })"> 办理住院 </el-button>
+            <el-button type="primary" plain class="top-layer-btn" :disabled="isHospitalizationButtonDisabled"
+              @click.stop="handleHospitalizationClick()"
+              @mouseenter="console.log('办理住院按钮状态：', { patientInfo: patientInfo?.value, hasEncounterId: patientInfo?.value?.encounterId, isDisabled: isHospitalizationButtonDisabled })">
+              办理住院 </el-button>
           </el-descriptions-item>
         </el-descriptions>
       </div>
       <div style="padding: 10px; position: relative">
-        <el-tabs
+        <el-tabs type="card" style="width: 100%; height: 100%" v-loading="loading" v-model="activeTab"
-          type="card"
+          @tab-change="handleClick(activeTab)">
-          style="width: 100%; height: 100%"
-          v-loading="loading"
-          v-model="activeTab"
-          @tab-change="handleClick(activeTab)"
-        >
           <el-tab-pane label="门诊病历" name="hospitalizationEmr">
-            <hospitalizationEmr
+            <hospitalizationEmr :patientInfo="patientInfo" :activeTab="activeTab" @emrSaved="handleEmrSaved" />
-              :patientInfo="patientInfo"
-              :activeTab="activeTab"
-              @emrSaved="handleEmrSaved"
-            />
           </el-tab-pane>
           <!-- <el-tab-pane label="病历" name="emr">
             <Emr
@@ -151,12 +144,8 @@
             " />
           </el-tab-pane>
           <el-tab-pane label="医嘱" name="prescription">
-            <prescriptionlist
+            <prescriptionlist :patientInfo="patientInfo" ref="prescriptionRef" :activeTab="activeTab"
-              :patientInfo="patientInfo"
+              :outpatientEmrSaved="outpatientEmrSaved" />
-              ref="prescriptionRef"
-              :activeTab="activeTab"
-              :outpatientEmrSaved="outpatientEmrSaved"
-            />
           </el-tab-pane>
           <el-tab-pane label="中医" name="tcm">
             <tcmAdvice :patientInfo="patientInfo" ref="tcmRef" />
@@ -180,24 +169,17 @@
     <el-drawer v-model="drawer" title="患者队列" direction="ltr" @open="handleOpen">
       <PatientList ref="patientDrawerRef" @toCurrent="handleReceive" />
     </el-drawer>
-    <RefundListDialog
+    <RefundListDialog :open="openRefundListDialog" :encounterId="currentEncounterId"
-      :open="openRefundListDialog"
+      @close="openRefundListDialog = false" @refresh="() => prescriptionRef.getListInfo()" />
-      :encounterId="currentEncounterId"
+    <HospitalizationDialog :open="openDialog" :patientInfo="patientInfo" :encounterId="currentEncounterId"
-      @close="openRefundListDialog = false"
+      :mainDiagnosis="mainDiagnosis" @close="openDialog = false" />
-      @refresh="() => prescriptionRef.getListInfo()"
+    <PrescriptionInfo :open="openPrescriptionDialog" :precriptionInfo="prescriptionInfo"
-    />
+      @close="openPrescriptionDialog = false" />
-    <HospitalizationDialog
+    <!-- 新增叫号弹窗组件 -->
-      :open="openDialog"
+    <DoctorCallDialog v-model:dialogVisible="dialogVisible" :current-patient="currentCallPatient"
-      :patientInfo="patientInfo"
+      :current-patient-list="currentWaitPatientList" :room-no="roomNo"
-      :encounterId="currentEncounterId"
+      :department="userStore.orgName || patientInfo.organizationName || '心内科'" @callNext="callNext" @reCall="reCall"
-      :mainDiagnosis="mainDiagnosis"
+      @finish="finishCall" @skip="skip" @requeue="requeue" @markSeen="markSeen" @callThis="callThis" />
-      @close="openDialog = false"
-    />
-    <PrescriptionInfo
-      :open="openPrescriptionDialog"
-      :precriptionInfo="prescriptionInfo"
-      @close="openPrescriptionDialog = false"
-    />
   </div>
 </template>
 <script setup>
@@ -221,11 +203,12 @@ import HospitalizationDialog from './components/hospitalizationDialog.vue';
 import tcmAdvice from './components/tcm/tcmAdvice.vue';
 import inspectionApplication from './components/inspection/inspectionApplication.vue';
 import surgeryApplication from './components/surgery/surgeryApplication.vue';
-import {formatDate, formatDateStr} from '@/utils/index';
+import DoctorCallDialog from './components/callQueue/DoctorCallDialog.vue';
+import { formatDate, formatDateStr } from '@/utils/index';
 import useUserStore from '@/store/modules/user';
-import {nextTick} from 'vue';
+import { nextTick } from 'vue';
-import {updatePatientInfo} from './components/store/patient.js';
+import { updatePatientInfo } from './components/store/patient.js';
-import {ElMessage, ElMessageBox} from 'element-plus';
+import { ElMessage, ElMessageBox } from 'element-plus';
 
 // // 监听路由离开事件
 // onBeforeRouteLeave((to, from, next) => {
@@ -253,6 +236,10 @@ const drawer = ref(false);
 const openRefundListDialog = ref(false);
 const openDialog = ref(false);
 const openPrescriptionDialog = ref(false);
+const dialogVisible = ref(false); // 叫号弹窗显示/隐藏
+const currentCallPatient = ref({}); // 传给弹窗的【当前就诊患者】
+const currentWaitPatientList = ref([]); // 传给弹窗的【候诊患者列表】
+const roomNo = ref('4号'); // 诊室号
 const saveStatus = ref(false);
 const outpatientEmrSaved = ref(false); // 门诊病历保存状态
 const currentEncounterId = ref('');
@@ -267,11 +254,11 @@ const visitTypeDisabled = ref(false);
 // 计算属性：确定办理住院按钮是否应被禁用
 const isHospitalizationButtonDisabled = computed(() => {
   return !patientInfo.value ||
-         typeof patientInfo.value !== 'object' ||
+    typeof patientInfo.value !== 'object' ||
-         !patientInfo.value.encounterId ||
+    !patientInfo.value.encounterId ||
-         patientInfo.value.encounterId === '' ||
+    patientInfo.value.encounterId === '' ||
-         patientInfo.value.encounterId === null ||
+    patientInfo.value.encounterId === null ||
-         patientInfo.value.encounterId === undefined;
+    patientInfo.value.encounterId === undefined;
 });
 
 const prescriptionInfo = ref([]);
@@ -327,8 +314,9 @@ const shortcuts = [
 const eprescriptionRef = ref();
 onMounted(() => {
   getWaitPatient();
+  getWaitPatientList();
+  getPatientList();
 });
-getPatientList();
 // 获取现诊患者列表
 function getPatientList() {
   queryParams.value.statusEnum = 2;
@@ -405,6 +393,33 @@ function getWaitPatient() {
     waitCount.value = res.data.total;
   });
 }
+// 新增：获取候诊患者完整列表
+function getWaitPatientList() {
+  queryParams.value.registerTimeSTime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 00:00:00';
+  queryParams.value.registerTimeETime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59';
+  queryParams.value.statusEnum = 1; // 筛选【待诊】患者
+  getList(queryParams.value).then((res) => {
+    currentWaitPatientList.value = res.data.records;
+    waitCount.value = res.data.total;
+  });
+}
+
+// 新增：打开叫号弹窗方法
+function handleOpenCallDialog() {
+  // 刷新患者列表和候诊列表，确保数据是最新的
+  getPatientList();
+  getWaitPatientList();
+
+  // 检查当前选中的患者是否已经完诊，如果已经完诊，就不设置为当前呼叫患者
+  if (patientInfo.value && patientInfo.value.statusEnum !== 3) { // 3代表已完诊
+    currentCallPatient.value = patientInfo.value;
+  } else {
+    // 如果当前患者已经完诊，就清空当前呼叫患者
+    currentCallPatient.value = {};
+  }
+
+  dialogVisible.value = true;
+}
 
 function handleClick(tab) {
   switch (tab) {
@@ -456,10 +471,10 @@ function getEnPrescription(encounterId) {
         type: 'error',
         message: '暂无处方单',
       });
-    return;
+      return;
-  }
+    }
     prescriptionInfo.value = res.data.records;
-              openPrescriptionDialog.value = true;
+    openPrescriptionDialog.value = true;
   });
 }
 
@@ -716,6 +731,58 @@ const onHospitalization = async () => {
     });
   }
 };
+
+// ========== 叫号弹窗所有回调事件 ==========
+const callNext = () => {
+  // 直接刷新患者列表和候诊列表，API调用已经在子组件中完成
+  getPatientList();
+  getWaitPatientList();
+  // 子组件已处理提示，这里无需重复提示
+};
+const reCall = () => {
+  // 选呼功能已实现，无需提示
+};
+const finishCall = () => {
+  dialogVisible.value = false;
+  // 刷新患者列表和候诊列表
+  getPatientList();
+  getWaitPatientList();
+  // 清空当前呼叫患者
+  currentCallPatient.value = {};
+  // 子组件已处理提示，这里无需重复提示
+};
+const skip = () => {
+  // 直接刷新患者列表和候诊列表，API调用已经在子组件中完成
+  getPatientList();
+  getWaitPatientList();
+  // 子组件已处理提示，这里无需重复提示
+};
+const requeue = () => {
+  // 1. 重新获取候诊患者列表
+  getWaitPatientList();
+  // 2. 刷新现诊患者列表
+  getPatientList();
+  // 3. 刷新候诊人数统计
+  getWaitPatient();
+  // 4. 清空当前呼叫患者
+  currentCallPatient.value = {};
+  // 子组件已处理提示，这里无需重复提示
+};
+const markSeen = async () => {
+  // 直接刷新患者列表和候诊列表，API调用已经在子组件中完成
+  getPatientList();
+  getWaitPatientList();
+  // 清空当前呼叫患者
+  currentCallPatient.value = {};
+};
+const callThis = (row) => {
+  handleCardClick(row);
+  currentCallPatient.value = row;
+  dialogVisible.value = false;
+  // 刷新患者列表和候诊列表
+  getPatientList();
+  getWaitPatientList();
+};
 </script>
 
 <style lang="scss" scoped>
@@ -724,6 +791,7 @@ const onHospitalization = async () => {
   :deep(.el-descriptions__label) {
     font-size: 16px !important;
   }
+
   :deep(.el-descriptions__content) {
     font-size: 16px !important;
   }
@@ -906,15 +974,18 @@ const onHospitalization = async () => {
   left: 0;
   width: 100%;
   height: calc(100% - 50px);
-  z-index: 998;  /* 降低z-index，避免覆盖按钮 */
+  z-index: 998;
+  /* 降低z-index，避免覆盖按钮 */
   /* 确保覆盖在内容上方，但不覆盖顶部按钮区域 */
   cursor: not-allowed;
   background-color: rgba(255, 255, 255, 0.01);
-  pointer-events: none;  /* 默认不捕获鼠标事件，只在真正需要禁用时才启用 */
+  pointer-events: none;
+  /* 默认不捕获鼠标事件，只在真正需要禁用时才启用 */
 }
 
 .disabled-wrapper .overlay.overlay-disabled {
-  pointer-events: auto;  /* 当需要真正禁用时启用指针事件 */
+  pointer-events: auto;
+  /* 当需要真正禁用时启用指针事件 */
 }
 
 /* 顶层按钮样式，确保按钮始终在最上层 */