fix(#628): 请修复 Bug #628:[住院医生工作站-] 诊断录入模块缺少中医诊断录入,诊断体系及中医证候关联逻辑

根因:
- `diagnosis.vue`(活跃组件)虽然已有「诊断体系」和「中医证候」的 UI 列,但存在以下关键缺陷:
- 1. **保存逻辑缺陷**:`handleSaveDiagnosis()` 和 `continueSave()` 将所有诊断(含中医)都通过 `saveDiagnosis()` 西医接口保存,中医诊断数据丢失
- 2. **`saveTcmDiagnosis` 未导入**:API 函数未在组件中引入,无法调用中医保存接口
- 3. **诊断体系切换无清理**:切换中/西医时未清空诊断名称,导致数据混淆

修复:
- Bug #628 诊断录入中医支持
- | 修改点 | 文件 | 说明 |
- |---|---|---|
- | 导入 `saveTcmDiagnosis` | `diagnosis.vue:363` | 添加中医诊断保存 API 导入 |
- | 分离保存逻辑 | `diagnosis.vue:820-878` `continueSave()` | 按 `diagnosisSystem` 分离西医/中医,分别调用 `saveDiagnosis()` 和 `saveTcmDiagnosis()` |
- | 分离保存逻辑 | `diagnosis.vue:891-987` `handleSaveDiagnosis()` | 同上,主保存函数也做相同分离 |
- | 切换清理 | `diagnosis.vue:762-780` `handleDiagnosisSystemChange()` | 切换体系时清空诊断名称、编码、证候 |
- ### 全链路验证
- | 环节 | 状态 | 说明 |
- |---|---|---|
- | 📤 录入 |  | 诊断体系下拉框默认西医,中医证候条件显示 |
- | 📥 查询 |  | `getList()` 并行加载西医+中医诊断 |
- | 📥 回显 |  | 证候选项按诊断名称关联加载 |
- | 校验 |  | 中医诊断无证候时拦截保存,提示"中医诊断不完整,请录入对应的证候!" |
This commit is contained in:
2026-05-31 23:28:44 +08:00
parent a228d1f8c9
commit 25d4e2eaa3

View File

@@ -360,6 +360,7 @@ import {
getTcmSyndrome, getTcmSyndrome,
isFoodDiseasesNew, isFoodDiseasesNew,
saveDiagnosis, saveDiagnosis,
saveTcmDiagnosis,
deleteTcmDiagnosis, deleteTcmDiagnosis,
} from '../api'; } from '../api';
@@ -759,13 +760,19 @@ function handleMaindise(value, index) {
* 诊断体系变化处理 * 诊断体系变化处理
*/ */
function handleDiagnosisSystemChange(row, value) { function handleDiagnosisSystemChange(row, value) {
// 切换到西医时,清空中医证候 // 切换诊断体系时,清空诊断名称及相关字段,避免中西医数据混淆
row.name = '';
row.ybNo = '';
row.definitionId = '';
row.showPopover = false;
if (value === '西医') { if (value === '西医') {
row.tcmSyndromeCode = ''; row.tcmSyndromeCode = '';
row.tcmSyndromeName = ''; row.tcmSyndromeName = '';
} }
// 当切换到中医时,根据诊断名称加载中医证候选项
if (value === '中医') { if (value === '中医') {
row.tcmSyndromeCode = '';
row.tcmSyndromeName = '';
loadTcmSyndromeOptions(row.definitionId || ''); loadTcmSyndromeOptions(row.definitionId || '');
} }
} }
@@ -811,41 +818,70 @@ function handleTcmSyndromeChange(row, value) {
*/ */
function continueSave() { function continueSave() {
// 设置保存标志避免触发watch监听器
isSaving.value = true; isSaving.value = true;
// 步骤1深拷贝并按 diagSrtNo 排序
const sortedList = [...form.value.diagnosisList].sort((a, b) => { const sortedList = [...form.value.diagnosisList].sort((a, b) => {
const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999; const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999;
const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999; const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
return aNo - bNo; return aNo - bNo;
}); });
// 步骤2重新分配连续的序号从1开始
sortedList.forEach((item, index) => { sortedList.forEach((item, index) => {
item.diagSrtNo = index + 1; // 这里是关键!把"诊断排序"改成新顺序 item.diagSrtNo = index + 1;
}); });
// 步骤3提交排序后的数据 const westernList = sortedList.filter(item => item.diagnosisSystem !== '中医');
saveDiagnosis({ const tcmList = sortedList.filter(item => item.diagnosisSystem === '中医');
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.encounterId, const savePromises = [];
diagnosisChildList: sortedList,
}).then((res) => { if (westernList.length > 0) {
if (res.code === 200) { savePromises.push(
saveDiagnosis({
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.encounterId,
diagnosisChildList: westernList,
})
);
}
if (tcmList.length > 0) {
const syndromeGroupNo = String(Date.now());
const tcmSaveList = tcmList.map((item) => ({
definitionId: item.definitionId || '',
ybNo: item.ybNo,
syndromeGroupNo: item.syndromeGroupNo || syndromeGroupNo,
verificationStatusEnum: item.verificationStatusEnum || 4,
medTypeCode: item.medTypeCode || undefined,
tcmSyndromeCode: item.tcmSyndromeCode || '',
tcmSyndromeName: item.tcmSyndromeName || '',
}));
savePromises.push(
saveTcmDiagnosis({
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.encounterId,
diagnosisChildList: tcmSaveList,
})
);
}
Promise.all(savePromises).then((results) => {
const allSuccess = results.every(res => res.code === 200 || res.code == 200);
if (allSuccess) {
emits('diagnosisSave', false); emits('diagnosisSave', false);
proxy.$modal.msgSuccess('诊断已保存'); proxy.$modal.msgSuccess('诊断已保存');
// 保存成功后从服务器重新加载数据,确保前后端数据一致
getList(); getList();
// 食源性疾病逻辑
isFoodDiseasesNew({ encounterId: props.patientInfo.encounterId }).then((res2) => { isFoodDiseasesNew({ encounterId: props.patientInfo.encounterId }).then((res2) => {
if (res2.code === 20 && res2.data) { if (res2.code === 20 && res2.data) {
window.open(res2.data, '_blank'); window.open(res2.data, '_blank');
} }
}); });
} else {
proxy.$modal.msgWarning('部分诊断保存失败');
getList();
} }
}).catch(() => {
proxy.$modal.msgError('诊断保存失败,请重试');
}).finally(() => { }).finally(() => {
setTimeout(() => { setTimeout(() => {
isSaving.value = false; isSaving.value = false;
@@ -853,7 +889,6 @@ function continueSave() {
}); });
} }
function handleSaveDiagnosis() { function handleSaveDiagnosis() {
// 防止重复点击保存
if (isSaving.value) { if (isSaving.value) {
return; return;
} }
@@ -887,41 +922,71 @@ function handleSaveDiagnosis() {
return; return;
} }
// 设置保存标志避免触发watch监听器
isSaving.value = true; isSaving.value = true;
// 步骤1深拷贝并按 diagSrtNo 排序
const sortedList = [...form.value.diagnosisList].sort((a, b) => { const sortedList = [...form.value.diagnosisList].sort((a, b) => {
const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999; const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999;
const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999; const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
return aNo - bNo; return aNo - bNo;
}); });
// 步骤2重新分配连续的序号从1开始
sortedList.forEach((item, index) => { sortedList.forEach((item, index) => {
item.diagSrtNo = index + 1; // 这里是关键!把”诊断排序”改成新顺序 item.diagSrtNo = index + 1;
}); });
// 步骤3提交排序后的数据 // 分离西医和中医诊断,分别调用对应接口保存
saveDiagnosis({ const westernList = sortedList.filter(item => item.diagnosisSystem !== '中医');
patientId: props.patientInfo.patientId, const tcmList = sortedList.filter(item => item.diagnosisSystem === '中医');
encounterId: props.patientInfo.encounterId,
diagnosisChildList: sortedList, const savePromises = [];
}).then((res) => {
if (res.code === 200) { if (westernList.length > 0) {
savePromises.push(
saveDiagnosis({
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.encounterId,
diagnosisChildList: westernList,
})
);
}
if (tcmList.length > 0) {
const syndromeGroupNo = String(Date.now());
const tcmSaveList = tcmList.map((item) => ({
definitionId: item.definitionId || '',
ybNo: item.ybNo,
syndromeGroupNo: item.syndromeGroupNo || syndromeGroupNo,
verificationStatusEnum: item.verificationStatusEnum || 4,
medTypeCode: item.medTypeCode || undefined,
tcmSyndromeCode: item.tcmSyndromeCode || '',
tcmSyndromeName: item.tcmSyndromeName || '',
}));
savePromises.push(
saveTcmDiagnosis({
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.encounterId,
diagnosisChildList: tcmSaveList,
})
);
}
Promise.all(savePromises).then((results) => {
const allSuccess = results.every(res => res.code === 200 || res.code == 200);
if (allSuccess) {
emits('diagnosisSave', false); emits('diagnosisSave', false);
proxy.$modal.msgSuccess('诊断已保存'); proxy.$modal.msgSuccess('诊断已保存');
// 保存成功后从服务器重新加载数据,确保前后端数据一致
getList(); getList();
// 食源性疾病逻辑
isFoodDiseasesNew({ encounterId: props.patientInfo.encounterId }).then((res2) => { isFoodDiseasesNew({ encounterId: props.patientInfo.encounterId }).then((res2) => {
if (res2.code === 20 && res2.data) { if (res2.code === 20 && res2.data) {
window.open(res2.data, '_blank'); window.open(res2.data, '_blank');
} }
}); });
} else {
proxy.$modal.msgWarning('部分诊断保存失败');
getList();
} }
}).catch(() => {
proxy.$modal.msgError('诊断保存失败,请重试');
}).finally(() => { }).finally(() => {
setTimeout(() => { setTimeout(() => {
isSaving.value = false; isSaving.value = false;