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46 门诊医生站-》开立诊断：优化

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huhuihua
2026-01-22 15:51:37 +08:00
parent 902ee0587e
commit 1e459b8883
5 changed files with 170 additions and 38 deletions
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161
openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
View File

@@ -75,15 +75,27 @@
<el-form :model="form" :rules="rules" ref="formRef">
<el-table ref="diagnosisTableRef" :data="form.diagnosisList" height="650">
<el-table-column label="序号" type="index" width="50" />
<el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="120">
<el-table-column label="分类" align="center" prop="classification" width="120">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.diagSrtNo`" :rules="rules.diagSrtNo">
<el-input-number v-model="scope.row.diagSrtNo" controls-position="right" :controls="false"
style="width: 80px" />
<el-form-item :prop="`diagnosisList.${scope.$index}.classification`">
<!-- <el-select v-model="scope.row.classification" placeholder=" " style="width: 100px">
<el-option label="西医" value="西医" />
<el-option label="中医" value="中医" />
<el-option label="证型" value="证型" />
<el-option label="其他" value="其他" />
</el-select>-->
<el-select v-model="scope.row.classification" placeholder=" " style="width: 100px">
<el-option
v-for="item in diagnosis_classification"
:key="item.value"
:label="item.label"
:value="item.value"
/>
</el-select>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="诊断类别" align="center" prop="diagSrtNo" width="180">
<el-table-column label="诊断类型" align="center" prop="medTypeCode" width="180">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.medTypeCode`" :rules="rules.medTypeCode">
<el-select v-model="scope.row.medTypeCode" placeholder=" " style="width: 150px">
@@ -97,7 +109,7 @@
</el-form-item>
</template>
</el-table-column>
<el-table-column label="诊断名称" align="center" prop="name">
<el-table-column label="诊断" align="center" prop="name" >
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.name`" :rules="rules.name">
<el-popover
@@ -121,34 +133,86 @@
</el-form-item>
</template>
</el-table-column>
<el-table-column label="医保码" align="center" prop="ybNo" width="180" />
<el-table-column label="类别" align="center" prop="typeName" width="100" />
<el-table-column label="诊断类型" align="center" prop="maindiseFlag">
<el-table-column label="主诊断" align="center" prop="maindiseFlag" width="100">
<template #default="scope">
<div style="display:flex;flex-direction:column;align-items:center;gap:5px;">
<el-checkbox
label="主诊断"
:true-value="1"
:false-value="0"
v-model="scope.row.maindiseFlag"
border
size="small"
@change="(value) => handleMaindise(value, scope.$index)"
/>
<el-select
v-model="scope.row.verificationStatusEnum"
placeholder=" "
style="width: 100%; padding-bottom: 5px; padding-left: 10px"
size="small"
>
<el-option
v-for="item in diagnosisOptions"
:key="item.value"
:label="item.label"
:value="item.value"
<el-form-item style="display: flex;justify-content: center;margin-bottom: 0;">
<el-select
v-model="scope.row.maindiseFlag"
placeholder=" "
style="width: 80px"
@change="(value) => handleMaindise(value, scope.$index)"
>
<el-option label="是" :value="1" />
<el-option label="否" :value="0" />
</el-select>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="诊断备注" align="center" prop="diagnosisDesc" width="180">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.diagnosisDesc`">
<el-input v-model="scope.row.diagnosisDesc" placeholder="请输入备注" />
</el-form-item>
</template>
</el-table-column>
<el-table-column label="ICD代码" align="center" prop="ybNo" width="180" />
<el-table-column label="诊断状态" align="center" prop="verificationStatusEnum" width="120">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.verificationStatusEnum`" style="margin-bottom: 0;">
<el-select
v-model="scope.row.verificationStatusEnum"
placeholder=" "
style="width: 100%"
>
<el-option
v-for="item in diagnosisOptions"
:key="item.value"
:label="item.label"
:value="item.value"
/>
</el-select>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="发病日期" align="center" prop="onsetDate" width="160">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.onsetDate`">
<el-date-picker
v-model="scope.row.onsetDate"
type="date"
placeholder=" "
style="width: 100%"
value-format="YYYY-MM-DD"
/>
</el-select>
</div>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="诊断日期" align="center" prop="diagnosisTime" width="160">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.diagnosisTime`">
<el-date-picker
v-model="scope.row.diagnosisTime"
type="date"
placeholder=" "
style="width: 100%"
value-format="YYYY-MM-DD"
/>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="医生" align="center" prop="diagnosisDoctor" width="120" />
<el-table-column label="长效诊断标识" align="center" prop="longTermFlag" width="140">
<template #default="scope">
<el-form-item :prop="`diagnosisList.${scope.$index}.longTermFlag`">
<el-select v-model="scope.row.longTermFlag" placeholder=" " style="width: 100%">
<el-option
v-for="item in long_term_flag"
:key="item.value"
:label="item.label"
:value="item.value"
/>
</el-select>
</el-form-item>
</template>
</el-table-column>
<el-table-column label="操作" align="center" width="130">
@@ -220,6 +284,9 @@ const emits = defineEmits(['diagnosisSave']);
const { proxy } = getCurrentInstance();
const userStore = useUserStore();
const { diag_type } = proxy.useDict('diag_type');
const { diagnosis_classification } = proxy.useDict('diagnosis_classification');
const { long_term_flag } = proxy.useDict('long_term_flag');
const rules = ref({
name: [{ required: true, message: '请选择诊断', trigger: 'change' }],
medTypeCode: [{ required: true, message: '请选择诊断类型', trigger: 'change' }],
@@ -255,6 +322,12 @@ function getList() {
if (res.code == 200) {
// 过滤掉中医诊断，只保留西医诊断
form.value.diagnosisList = res.data.filter(item => item.typeName !== '中医诊断');
// 为旧数据添加默认分类
form.value.diagnosisList.forEach(item => {
if (!item.classification) {
item.classification = '西医';
}
});
emits('diagnosisSave', false);
}
maxNo = form.value.diagnosisList.length;
@@ -274,6 +347,8 @@ function getList() {
medTypeCode: item.medTypeCode,
syndromeGroupNo: item.syndromeGroupNo,
typeName: '中医诊断',
classification: '中医', // 中医诊断默认分类
onsetDate: item.onsetDate,
updateId:item.encounterDiagnosisId+'-'+res.data.symptom[index].encounterDiagnosisId,
illnessDefinitionId : item.definitionId,
symptomDefinitionId : res.data.symptom[index].definitionId,
@@ -323,8 +398,10 @@ function handleImport() {
diagSrtNo: maxSortNo + index + 1,
iptDiseTypeCode: 2,
diagnosisDesc: '',
classification: '西医', // 导入的慢性病默认为西医
onsetDate: getCurrentDate(),
diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
diagnosisTime: new Date().toLocaleString('zh-CN')
diagnosisTime: getCurrentDate()
},
});
});
@@ -425,8 +502,10 @@ function handleAddDiagnosis() {
diagSrtNo: maxSortNo + 1,
iptDiseTypeCode: 2,
diagnosisDesc: '',
classification: '西医', // 默认为西医
onsetDate: getCurrentDate(),
diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
diagnosisTime: new Date().toLocaleString('zh-CN')
diagnosisTime: getCurrentDate()
});
// 添加后按排序号排序
@@ -613,8 +692,10 @@ function handleNodeClick(data) {
medTypeCode: '11',
diagSrtNo: maxSortNo + 1,
definitionId: data.definitionId,
classification: '西医', // 默认为西医
onsetDate: getCurrentDate(),
diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
diagnosisTime: new Date().toLocaleString('zh-CN')
diagnosisTime: getCurrentDate()
});
// 添加后按排序号排序
@@ -625,6 +706,16 @@ function handleNodeClick(data) {
}
}
function getCurrentDate() {
const date = new Date();
const year = date.getFullYear();
let month = date.getMonth() + 1;
let day = date.getDate();
month = month < 10 ? "0" + month : month;
day = day < 10 ? "0" + day : day;
return `${year}-${month}-${day}`;
}
defineExpose({ getList, getDetail, handleSaveDiagnosis });
</script>

2
openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosislist.vue
View File

@@ -8,7 +8,7 @@
max-height="400"
>
<el-table-column label="诊断名称" align="center" prop="name" />
<el-table-column label="医保编码" align="center" prop="ybNo" />
<el-table-column label="ICD代码" align="center" prop="ybNo" />
<el-table-column label="诊断类型" align="center" prop="typeName" width="180"/>
</el-table>
</div>