fix: Bug#705 患者编辑字段不持久化修复

根因分析:
1. Patient实体/PatientBaseInfoDto缺少postalCode,hukouAddress,guardian*,patientDerived,companyAddress字段
2. PatientManageMapper.xml外层SELECT缺少这些字段导致查询不返回
3. handlePatientInfo使用updateById默认NOT_NULL策略导致null字段不更新
4. patientAddDialog.vue的reset()未初始化这些字段

修复内容:
- Patient.java: 补全缺失字段定义
- PatientBaseInfoDto.java: 补全缺失DTO字段
- PatientManageMapper.xml: SQL补全SELECT字段
- PatientInformationServiceImpl.java: updateById改为LambdaUpdateWrapper显式set所有字段
- patientAddDialog.vue: reset()/show()补全字段初始化
- V2026_0608_1: Flyway迁移脚本确保数据库字段存在

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java

@@ -313,10 +313,59 @@ public class PatientInformationServiceImpl implements IPatientInformationService
         patient.setDeceasedDate(patientInfoDto.getDeceasedDate()); // 死亡时间
         patient.setNationalityCode(patientInfoDto.getNationalityCode());// 民族
         patient.setActiveFlag(patientInfoDto.getActiveFlag());// 活动标识
+        patient.setCountryCode(patientInfoDto.getCountryCode());// 国家编码
+        patient.setPostalCode(patientInfoDto.getPostalCode());// 邮政编码
+        patient.setHukouAddress(patientInfoDto.getHukouAddress());// 户籍地址
+        patient.setGuardianName(patientInfoDto.getGuardianName());// 监护人姓名
+        patient.setGuardianRelation(patientInfoDto.getGuardianRelation());// 监护人关系
+        patient.setGuardianPhone(patientInfoDto.getGuardianPhone());// 监护人电话
+        patient.setGuardianIdType(patientInfoDto.getGuardianIdType());// 监护人证件类型
+        patient.setGuardianIdNo(patientInfoDto.getGuardianIdNo());// 监护人证件号码
+        patient.setGuardianAddress(patientInfoDto.getGuardianAddress());// 监护人地址
+        patient.setPatientDerived(patientInfoDto.getPatientDerived());// 患者来源
+        patient.setEducationLevel(patientInfoDto.getEducationLevel());// 文化程度
+        patient.setCompanyAddress(patientInfoDto.getCompanyAddress());// 单位地址
 
         if (patientInfoDto.getId() != null) {
-            // 更新操作
-            patientService.updateById(patient);
+            // 更新操作 - 使用 LambdaUpdateWrapper 显式设置所有字段，确保 null 值也能正确更新
+            LambdaUpdateWrapper<Patient> updateWrapper = new LambdaUpdateWrapper<>();
+            updateWrapper.eq(Patient::getId, patient.getId())
+                .set(Patient::getName, patient.getName())
+                .set(Patient::getPyStr, patient.getPyStr())
+                .set(Patient::getWbStr, patient.getWbStr())
+                .set(Patient::getIdCard, patient.getIdCard())
+                .set(Patient::getBirthDate, patient.getBirthDate())
+                .set(Patient::getGenderEnum, patient.getGenderEnum())
+                .set(Patient::getPhone, patient.getPhone())
+                .set(Patient::getPrfsEnum, patient.getPrfsEnum())
+                .set(Patient::getWorkCompany, patient.getWorkCompany())
+                .set(Patient::getLinkName, patient.getLinkName())
+                .set(Patient::getLinkRelationCode, patient.getLinkRelationCode())
+                .set(Patient::getLinkTelcom, patient.getLinkTelcom())
+                .set(Patient::getAddress, patient.getAddress())
+                .set(Patient::getAddressProvince, patient.getAddressProvince())
+                .set(Patient::getAddressCity, patient.getAddressCity())
+                .set(Patient::getAddressDistrict, patient.getAddressDistrict())
+                .set(Patient::getAddressStreet, patient.getAddressStreet())
+                .set(Patient::getBloodAbo, patient.getBloodAbo())
+                .set(Patient::getBloodRh, patient.getBloodRh())
+                .set(Patient::getMaritalStatusEnum, patient.getMaritalStatusEnum())
+                .set(Patient::getDeceasedDate, patient.getDeceasedDate())
+                .set(Patient::getNationalityCode, patient.getNationalityCode())
+                .set(Patient::getActiveFlag, patient.getActiveFlag())
+                .set(Patient::getCountryCode, patient.getCountryCode())
+                .set(Patient::getPostalCode, patient.getPostalCode())
+                .set(Patient::getHukouAddress, patient.getHukouAddress())
+                .set(Patient::getGuardianName, patient.getGuardianName())
+                .set(Patient::getGuardianRelation, patient.getGuardianRelation())
+                .set(Patient::getGuardianPhone, patient.getGuardianPhone())
+                .set(Patient::getGuardianIdType, patient.getGuardianIdType())
+                .set(Patient::getGuardianIdNo, patient.getGuardianIdNo())
+                .set(Patient::getGuardianAddress, patient.getGuardianAddress())
+                .set(Patient::getPatientDerived, patient.getPatientDerived())
+                .set(Patient::getEducationLevel, patient.getEducationLevel())
+                .set(Patient::getCompanyAddress, patient.getCompanyAddress());
+            patientService.update(updateWrapper);
         } else {
             // 新增操作
             patientService.save(patient);

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/patientmanage/dto/PatientBaseInfoDto.java

@@ -168,4 +168,65 @@ public class PatientBaseInfoDto {
      */
     @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
     private Date createTime;
+
+    /**
+     * 邮政编码
+     */
+    private String postalCode;
+
+    /**
+     * 户籍地址
+     */
+    private String hukouAddress;
+
+    /**
+     * 监护人姓名
+     */
+    private String guardianName;
+
+    /**
+     * 监护人关系
+     */
+    private Integer guardianRelation;
+    private String guardianRelation_enumText;
+
+    /**
+     * 监护人电话
+     */
+    private String guardianPhone;
+
+    /**
+     * 监护人证件类型
+     */
+    private String guardianIdType;
+
+    /**
+     * 监护人证件号码
+     */
+    private String guardianIdNo;
+
+    /**
+     * 监护人地址
+     */
+    private String guardianAddress;
+
+    /**
+     * 患者来源
+     */
+    private String patientDerived;
+
+    /**
+     * 文化程度
+     */
+    private String educationLevel;
+
+    /**
+     * 单位地址
+     */
+    private String companyAddress;
+
+    /**
+     * 国家编码
+     */
+    private String countryCode;
 }

healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V2026_0608_1__patient_missing_fields.sql

@@ -0,0 +1,25 @@
+-- Bug #705: 患者管理修改后字段回显丢失修复
+-- 添加邮政编码、户籍地址、监护人信息、患者来源等缺失字段到adm_patient表
+
+-- 邮政编码
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS postal_code VARCHAR(10);
+
+-- 户籍地址
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS hukou_address VARCHAR(500);
+
+-- 监护人信息
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS guardian_name VARCHAR(50);
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS guardian_relation INTEGER;
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS guardian_phone VARCHAR(20);
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS guardian_id_type VARCHAR(10);
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS guardian_id_no VARCHAR(30);
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS guardian_address VARCHAR(500);
+
+-- 患者来源
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS patient_derived VARCHAR(50);
+
+-- 文化程度
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS education_level VARCHAR(20);
+
+-- 单位地址
+ALTER TABLE adm_patient ADD COLUMN IF NOT EXISTS company_address VARCHAR(500);

healthlink-his-server/healthlink-his-application/src/main/resources/mapper/patientmanage/PatientManageMapper.xml

@@ -38,7 +38,19 @@
                pt.link_telcom,
                pt.link_jsons,
                pt.organization_id,
-               pt.create_time
+               pt.create_time,
+               pt.postal_code,
+               pt.hukou_address,
+               pt.guardian_name,
+               pt.guardian_relation,
+               pt.guardian_phone,
+               pt.guardian_id_type,
+               pt.guardian_id_no,
+               pt.guardian_address,
+               pt.patient_derived,
+               pt.education_level,
+               pt.company_address,
+               pt.country_code
         FROM (
                  SELECT
                         (
@@ -81,7 +93,19 @@
                         p.link_telcom,
                         p.link_jsons,
                         p.organization_id,
-                        p.create_time
+                        p.create_time,
+                        p.postal_code,
+                        p.hukou_address,
+                        p.guardian_name,
+                        p.guardian_relation,
+                        p.guardian_phone,
+                        p.guardian_id_type,
+                        p.guardian_id_no,
+                        p.guardian_address,
+                        p.patient_derived,
+                        p.education_level,
+                        p.company_address,
+                        p.country_code
                  FROM adm_patient p
                  where p.delete_flag = '0'
              ) AS pt

healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/administration/domain/Patient.java

@@ -130,4 +130,37 @@ public class Patient extends HisBaseEntity {
     /** 机构Id */
     private Long organizationId;
 
+    /** 邮政编码 */
+    private String postalCode;
+
+    /** 户籍地址 */
+    private String hukouAddress;
+
+    /** 监护人姓名 */
+    private String guardianName;
+
+    /** 监护人关系 */
+    private Integer guardianRelation;
+
+    /** 监护人电话 */
+    private String guardianPhone;
+
+    /** 监护人证件类型 */
+    private String guardianIdType;
+
+    /** 监护人证件号码 */
+    private String guardianIdNo;
+
+    /** 监护人地址 */
+    private String guardianAddress;
+
+    /** 患者来源 */
+    private String patientDerived;
+
+    /** 文化程度 */
+    private String educationLevel;
+
+    /** 单位地址 */
+    private String companyAddress;
+
 }

healthlink-his-ui/src/views/charge/outpatientregistration/components/patientAddDialog.vue

@@ -447,9 +447,9 @@
               v-model="form.deceasedDate"
               type="datetime"
               placeholder="请选择时间"
-              format="YYYY/MM/DD HH:mm:ss"
+              format="YYYY-MM-DD HH:mm:ss"
               :disabled="isViewMode"
-              value-format="YYYY/MM/DD HH:mm:ss"
+              value-format="YYYY-MM-DD HH:mm:ss"
             />
           </el-form-item>
         </el-col>
@@ -702,7 +702,7 @@ const getGenderOptions = async () => {
 const getEducationLevelOptions = async () => {
   try {
     // 从字典管理获取文化程度数据
-    const response = await getDicts('文化程度');
+    const response = await getDicts('education_level');
     console.log('获取到的文化程度原始数据:', response);
 
     // 确保数据是数组
@@ -1403,10 +1403,8 @@ const getCountryCodeOptions = async () => {
 
 // 显示弹框
 function show() {
-  // 重置为新增模式
-  isEditMode.value = false;
-  title.value = '新增患者';
-  originalFormData.value = {};
+  // 重置表单为初始状态
+  reset();
   
   // queryParams.roleId = props.roleId;
   getList();
@@ -1452,6 +1450,22 @@ function reset() {
     busNo: undefined,
     organizationId: undefined,
     birthDate: undefined,
+    postalCode: undefined,
+    hukouAddress: undefined,
+    hukouAddressSelect: undefined,
+    hukouAddressProvince: undefined,
+    hukouAddressCity: undefined,
+    hukouAddressDistrict: undefined,
+    hukouAddressStreet: undefined,
+    companyAddress: undefined,
+    patientDerived: undefined,
+    educationLevel: undefined,
+    guardianName: undefined,
+    guardianRelation: undefined,
+    guardianPhone: undefined,
+    guardianIdType: undefined,
+    guardianIdNo: undefined,
+    guardianAddress: undefined,
   };
   // 重置编辑模式状态
   isEditMode.value = false;