chore(config): 更新开发环境配置并添加EMR集成文档
- 更新数据库连接URL从测试服务器切换到本地开发环境 - 修改Druid监控台登录用户名从healthlink-his到openhiss - 更新Redis配置从集群模式切换到单机模式并调整端口设置 - 移除Flyway数据库迁移配置以简化开发环境初始化 - 删除应用上下文路径配置以使用根路径访问 - 添加医院信息系统技术对比分析文档 - 添加EMR模块集成实施计划文档 - 添加EMR数据同步使用指南文档 - 添加HIS系统选型对比文章文档
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MD/design/EMR_MODULE_INTEGRATION_PLAN.md
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# EMR管理模块与门诊/住院病历打通 Implementation Plan
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> **For agentic workers:** REQUIRED SUB-SKILL: Use compose:subagent (recommended) or compose:execute to implement this plan task-by-task. Steps use checkbox (`- [ ]`) syntax for tracking.
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**Goal:** 打通电子病历管理（归档/修订/时效/检索/完整性检查）与门诊医生工作站、住院医生工作站的数据流，实现自动触发和关联查看。
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**Architecture:** 在医生工作站保存病历时自动触发EMR管理功能（修订记录+搜索索引+时效检查），在工作站界面添加集成入口按钮，EMR管理页面支持从URL参数接收ID自动加载数据。
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**Tech Stack:** Vue 3 + Element Plus + Spring Boot + MyBatis-Plus
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---
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## 问题清单
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| # | 问题 | 影响 | 修复方式 |
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|---|------|------|---------|
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| 1 | `revision-history/api.js` 路径 `/emr-revision/page` 与后端 `/emr/revision/page` 不匹配 | 修订历史页面无法加载数据 | 修正API路径 |
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| 2 | 医生保存病历时不自动触发修订记录 | 修订历史无数据 | 添加自动触发 |
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| 3 | 医生保存病历时不自动更新搜索索引 | 病历检索无数据 | 添加自动触发 |
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| 4 | 医生工作站无"查看修订历史"入口 | 无法关联查看 | 添加按钮+弹窗 |
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| 5 | 医生工作站无"完整性检查"入口 | 无法关联查看 | 添加按钮+弹窗 |
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| 6 | EMR管理页面需手动输入ID | 用户体验差 | 支持URL参数自动加载 |
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---
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## 文件清单
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### 需修改的文件
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| 文件 | 修改内容 |
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|------|---------|
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| `healthlink-his-ui/src/views/emr/revision-history/api.js` | 修正API路径 |
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| `healthlink-his-server/.../emr/controller/EmrRevisionController.java` | 确认路径一致 |
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| `healthlink-his-server/.../emr/controller/EmrSearchController.java` | 确认路径一致 |
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| `healthlink-his-server/.../doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java` | 保存时自动触发修订+索引 |
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| `healthlink-his-ui/src/views/doctorstation/components/emr/emr.vue` | 添加集成入口按钮 |
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| `healthlink-his-ui/src/views/emr/revision-history/index.vue` | 支持URL参数 |
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| `healthlink-his-ui/src/views/emr/archive/index.vue` | 支持URL参数 |
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| `healthlink-his-ui/src/views/emr/timeliness/index.vue` | 支持URL参数 |
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| `healthlink-his-ui/src/views/emr/completeness-check/index.vue` | 支持URL参数 |
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| `healthlink-his-ui/src/views/emrsearch/index.vue` | 支持URL参数 |
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---
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## Task 1: 修复修订历史API路径
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**Covers:** 问题#1
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**Files:**
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- Modify: `healthlink-his-ui/src/views/emr/revision-history/api.js`
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- [ ] **Step 1: 读取当前文件确认问题**
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```javascript
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// 当前错误路径
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export function getRevisionPage(p){return request({url:'/emr-revision/page',method:'get',params:p})}
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export function getRevisionList(p){return request({url:'/emr-revision/list',method:'get',params:p})}
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export function recordRevision(d){return request({url:'/emr-revision/record',method:'post',data:d})}
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export function compareRevisions(id1,id2){return request({url:'/emr-revision/compare',method:'get',params:{revisionId1:id1,revisionId2:id2}})}
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```
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- [ ] **Step 2: 修正API路径**
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```javascript
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import request from '@/utils/request'
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export function getRevisionPage(p){return request({url:'/emr/revision/page',method:'get',params:p})}
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export function getRevisionList(emrId){return request({url:'/emr/revision/list/'+emrId,method:'get'})}
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export function recordRevision(d){return request({url:'/emr/revision/record',method:'post',data:d})}
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export function compareRevisions(id1,id2){return request({url:'/emr/revision/compare',method:'get',params:{revisionId1:id1,revisionId2:id2}})}
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```
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- [ ] **Step 3: 验证后端路径一致**
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确认 `EmrRevisionController.java` 中：
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- `@RequestMapping("/emr/revision")` ✅
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- `@GetMapping("/page")` → `/emr/revision/page` ✅
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- `@GetMapping("/list/{emrId}")` → `/emr/revision/list/{emrId}` ✅
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- `@PostMapping("/record")` → `/emr/revision/record` ✅
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- `@GetMapping("/compare")` → `/emr/revision/compare` ✅
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- [ ] **Step 4: Commit**
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```bash
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git add healthlink-his-ui/src/views/emr/revision-history/api.js
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git commit -m "fix(emr): 修正修订历史API路径与后端对齐"
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```
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---
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## Task 2: EMR管理页面支持URL参数自动加载
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**Covers:** 问题#6
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**Files:**
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- Modify: `healthlink-his-ui/src/views/emr/revision-history/index.vue`
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- Modify: `healthlink-his-ui/src/views/emr/archive/index.vue`
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- Modify: `healthlink-his-ui/src/views/emr/timeliness/index.vue`
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- Modify: `healthlink-his-ui/src/views/emr/completeness-check/index.vue`
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- Modify: `healthlink-his-ui/src/views/emrsearch/index.vue`
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- [ ] **Step 1: 修改 revision-history/index.vue 支持URL参数**
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在 `<script setup>` 中添加：
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```javascript
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import { ref, onMounted } from 'vue'
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import { useRoute } from 'vue-router'
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import { getRevisionPage } from './api'
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const route = useRoute()
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const tableData = ref([])
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const total = ref(0)
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const q = ref({pageNo:1, pageSize:20, emrId:'', operatorName:''})
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const loadData = async () => {
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const r = await getRevisionPage(q.value)
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tableData.value = r.data?.records || []
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total.value = r.data?.total || 0
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}
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onMounted(() => {
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// 支持URL参数自动加载
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if (route.query.emrId) {
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q.value.emrId = route.query.emrId
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}
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loadData()
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})
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```
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- [ ] **Step 2: 修改 archive/index.vue 支持URL参数**
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```javascript
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import { useRoute } from 'vue-router'
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const route = useRoute()
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onMounted(() => {
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if (route.query.encounterId) {
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q.value.encounterId = route.query.encounterId
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}
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if (route.query.patientName) {
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q.value.patientName = route.query.patientName
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}
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loadData()
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loadStats()
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})
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```
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- [ ] **Step 3: 修改 timeliness/index.vue 支持URL参数**
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```javascript
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import { useRoute } from 'vue-router'
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const route = useRoute()
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onMounted(() => {
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if (route.query.encounterId) {
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queryParams.encounterId = route.query.encounterId
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}
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if (route.query.departmentName) {
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queryParams.departmentName = route.query.departmentName
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}
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getList()
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})
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```
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- [ ] **Step 4: 修改 completeness-check/index.vue 支持URL参数**
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```javascript
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import { useRoute } from 'vue-router'
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const route = useRoute()
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onMounted(() => {
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if (route.query.emrId) {
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checkForm.emrId = route.query.emrId
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}
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if (route.query.encounterId) {
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checkForm.encounterId = route.query.encounterId
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}
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// 如果有参数自动执行检查
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if (checkForm.emrId && checkForm.encounterId) {
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handleCheck()
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}
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})
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```
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- [ ] **Step 5: 修改 emrsearch/index.vue 支持URL参数**
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```javascript
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import { useRoute } from 'vue-router'
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const route = useRoute()
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onMounted(() => {
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if (route.query.patientName) {
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queryParams.patientName = route.query.patientName
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}
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if (route.query.emrType) {
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queryParams.emrType = route.query.emrType
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}
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handleSearch()
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})
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```
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- [ ] **Step 6: Commit**
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```bash
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git add healthlink-his-ui/src/views/emr/revision-history/index.vue \
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healthlink-his-ui/src/views/emr/archive/index.vue \
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healthlink-his-ui/src/views/emr/timeliness/index.vue \
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healthlink-his-ui/src/views/emr/completeness-check/index.vue \
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healthlink-his-ui/src/views/emrsearch/index.vue
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git commit -m "feat(emr): EMR管理页面支持URL参数自动加载"
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```
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---
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## Task 3: 医生工作站添加EMR集成入口
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**Covers:** 问题#4, #5
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**Files:**
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- Modify: `healthlink-his-ui/src/views/doctorstation/components/emr/emr.vue`
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- [ ] **Step 1: 读取 emr.vue 确认现有结构**
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找到病历详情展示区域，在操作按钮区域添加集成入口。
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- [ ] **Step 2: 添加集成按钮**
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在病历详情弹窗或操作区域添加：
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```vue
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<template>
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<!-- 在现有病历操作按钮区域添加 -->
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<el-button type="info" link @click="viewRevisionHistory">
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<el-icon><Document /></el-icon> 修订历史
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</el-button>
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<el-button type="info" link @click="viewArchiveStatus">
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<el-icon><Folder /></el-icon> 归档状态
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</el-button>
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<el-button type="info" link @click="checkCompleteness">
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<el-icon><Checked /></el-icon> 完整性检查
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</el-button>
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</template>
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<script setup>
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import { useRouter } from 'vue-router'
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import { checkCompleteness as checkEmrCompleteness } from '@/api/emr'
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import { ElMessage } from 'element-plus'
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const router = useRouter()
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// 当前病历数据（从父组件传入或从store获取）
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const currentEmr = defineModel('emr', { type: Object, default: () => ({}) })
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const viewRevisionHistory = () => {
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if (!currentEmr.value?.id) {
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ElMessage.warning('请先选择病历')
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return
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}
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router.push({
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path: '/emr/revision-history',
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query: { emrId: currentEmr.value.id }
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})
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}
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const viewArchiveStatus = () => {
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if (!currentEmr.value?.encounterId) {
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ElMessage.warning('请先选择病历')
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return
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}
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router.push({
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path: '/emr/archive',
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query: {
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encounterId: currentEmr.value.encounterId,
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patientName: currentEmr.value.patientName
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}
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})
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}
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const checkCompleteness = async () => {
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if (!currentEmr.value?.id || !currentEmr.value?.encounterId) {
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ElMessage.warning('请先选择病历')
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return
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}
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try {
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const res = await checkEmrCompleteness(currentEmr.value.id, currentEmr.value.encounterId)
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const data = res.data || res
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if (data.isComplete) {
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ElMessage.success('病历完整性检查通过')
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} else {
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ElMessage.warning(`病历完整性检查未通过，${data.requiredFailed}项必填项未填写`)
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}
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} catch (e) {
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ElMessage.error('检查失败')
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}
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}
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</script>
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```
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- [ ] **Step 3: 验证编译**
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```bash
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cd healthlink-his-ui && npm run build:dev
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```
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- [ ] **Step 4: Commit**
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```bash
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git add healthlink-his-ui/src/views/doctorstation/components/emr/emr.vue
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git commit -m "feat(emr): 医生工作站添加修订历史/归档/完整性检查入口"
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```
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---
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## Task 4: 住院医生工作站添加EMR集成入口
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**Covers:** 问题#4, #5
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|
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**Files:**
|
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- Modify: `healthlink-his-ui/src/views/inpatientDoctor/home/emr/index.vue`
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- [ ] **Step 1: 读取住院EMR页面确认结构**
|
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- [ ] **Step 2: 添加集成按钮**
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```vue
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<template>
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<!-- 在现有病历操作按钮区域添加 -->
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<el-button type="info" link @click="viewRevisionHistory">
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修订历史
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</el-button>
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<el-button type="info" link @click="viewTimeliness">
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时效监控
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</el-button>
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<el-button type="info" link @click="checkCompleteness">
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完整性检查
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</el-button>
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</template>
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<script setup>
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import { useRouter } from 'vue-router'
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import { checkCompleteness as checkEmrCompleteness } from '@/api/emr'
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import { ElMessage } from 'element-plus'
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const router = useRouter()
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const currentEmr = defineModel('emr', { type: Object, default: () => ({}) })
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const viewRevisionHistory = () => {
|
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if (!currentEmr.value?.id) {
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ElMessage.warning('请先选择病历')
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return
|
||||
}
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router.push({
|
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path: '/emr/revision-history',
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query: { emrId: currentEmr.value.id }
|
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})
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}
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|
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const viewTimeliness = () => {
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if (!currentEmr.value?.encounterId) {
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ElMessage.warning('请先选择病历')
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return
|
||||
}
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router.push({
|
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path: '/emr/timeliness',
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||||
query: { encounterId: currentEmr.value.encounterId }
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})
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}
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|
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const checkCompleteness = async () => {
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if (!currentEmr.value?.id || !currentEmr.value?.encounterId) {
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ElMessage.warning('请先选择病历')
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return
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||||
}
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try {
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const res = await checkEmrCompleteness(currentEmr.value.id, currentEmr.value.encounterId)
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const data = res.data || res
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if (data.isComplete) {
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ElMessage.success('病历完整性检查通过')
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} else {
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ElMessage.warning(`病历完整性检查未通过，${data.requiredFailed}项必填项未填写`)
|
||||
}
|
||||
} catch (e) {
|
||||
ElMessage.error('检查失败')
|
||||
}
|
||||
}
|
||||
</script>
|
||||
```
|
||||
|
||||
- [ ] **Step 3: 验证编译**
|
||||
|
||||
```bash
|
||||
cd healthlink-his-ui && npm run build:dev
|
||||
```
|
||||
|
||||
- [ ] **Step 4: Commit**
|
||||
|
||||
```bash
|
||||
git add healthlink-his-ui/src/views/inpatientDoctor/home/emr/index.vue
|
||||
git commit -m "feat(emr): 住院医生工作站添加修订历史/时效/完整性检查入口"
|
||||
```
|
||||
|
||||
---
|
||||
|
||||
## Task 5: 保存病历时自动触发修订记录
|
||||
|
||||
**Covers:** 问题#2
|
||||
|
||||
**Files:**
|
||||
- Modify: `healthlink-his-server/.../doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java`
|
||||
|
||||
- [ ] **Step 1: 读取现有保存逻辑**
|
||||
|
||||
找到 `saveEmr` 或类似方法，确认保存流程。
|
||||
|
||||
- [ ] **Step 2: 添加自动触发修订记录**
|
||||
|
||||
在保存EMR成功后添加：
|
||||
|
||||
```java
|
||||
@Resource
|
||||
private IEmrRevisionService emrRevisionService;
|
||||
|
||||
// 在saveEmr方法中，保存成功后添加：
|
||||
// 自动记录修订历史
|
||||
EmrRevision revision = new EmrRevision();
|
||||
revision.setEmrId(savedEmr.getId());
|
||||
revision.setEncounterId(savedEmr.getEncounterId());
|
||||
revision.setOperatorName(operatorName); // 从SecurityUtils获取
|
||||
revision.setOperationType("SAVE");
|
||||
revision.setSnapshotContent(savedEmr.getContextJson());
|
||||
revision.setCreateTime(new Date());
|
||||
emrRevisionService.save(revision);
|
||||
```
|
||||
|
||||
- [ ] **Step 3: 验证编译**
|
||||
|
||||
```bash
|
||||
mvn clean compile -DskipTests -pl healthlink-his-application
|
||||
```
|
||||
|
||||
- [ ] **Step 4: Commit**
|
||||
|
||||
```bash
|
||||
git add healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java
|
||||
git commit -m "feat(emr): 保存病历时自动创建修订记录"
|
||||
```
|
||||
|
||||
---
|
||||
|
||||
## Task 6: 保存病历时自动更新搜索索引
|
||||
|
||||
**Covers:** 问题#3
|
||||
|
||||
**Files:**
|
||||
- Modify: `healthlink-his-server/.../doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java`
|
||||
|
||||
- [ ] **Step 1: 添加搜索索引服务注入**
|
||||
|
||||
```java
|
||||
@Resource
|
||||
private IEmrSearchIndexService emrSearchIndexService;
|
||||
```
|
||||
|
||||
- [ ] **Step 2: 保存成功后自动更新索引**
|
||||
|
||||
```java
|
||||
// 在saveEmr方法中，保存成功后添加：
|
||||
// 自动更新搜索索引
|
||||
EmrSearchIndex searchIndex = new EmrSearchIndex();
|
||||
searchIndex.setEmrId(savedEmr.getId());
|
||||
searchIndex.setEncounterId(savedEmr.getEncounterId());
|
||||
searchIndex.setPatientName(patientName);
|
||||
searchIndex.setEmrType(emrType);
|
||||
searchIndex.setEmrTitle(title);
|
||||
searchIndex.setDiagnosisText(diagnosis);
|
||||
searchIndex.setDoctorName(doctorName);
|
||||
searchIndex.setDepartmentName(departmentName);
|
||||
searchIndex.setCreateTime(new Date());
|
||||
|
||||
// 检查是否已存在索引
|
||||
LambdaQueryWrapper<EmrSearchIndex> wrapper = new LambdaQueryWrapper<>();
|
||||
wrapper.eq(EmrSearchIndex::getEmrId, savedEmr.getId());
|
||||
EmrSearchIndex existing = emrSearchIndexService.getOne(wrapper);
|
||||
if (existing != null) {
|
||||
existing.setPatientName(patientName);
|
||||
existing.setEmrType(emrType);
|
||||
existing.setEmrTitle(title);
|
||||
existing.setDiagnosisText(diagnosis);
|
||||
existing.setDoctorName(doctorName);
|
||||
existing.setDepartmentName(departmentName);
|
||||
existing.setUpdateTime(new Date());
|
||||
emrSearchIndexService.updateById(existing);
|
||||
} else {
|
||||
emrSearchIndexService.save(searchIndex);
|
||||
}
|
||||
```
|
||||
|
||||
- [ ] **Step 3: 验证编译**
|
||||
|
||||
```bash
|
||||
mvn clean compile -DskipTests -pl healthlink-his-application
|
||||
```
|
||||
|
||||
- [ ] **Step 4: Commit**
|
||||
|
||||
```bash
|
||||
git add healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java
|
||||
git commit -m "feat(emr): 保存病历时自动更新搜索索引"
|
||||
```
|
||||
|
||||
---
|
||||
|
||||
## Task 7: 全量验证
|
||||
|
||||
**Covers:** 全部问题
|
||||
|
||||
- [ ] **Step 1: 后端编译验证**
|
||||
|
||||
```bash
|
||||
mvn clean compile -DskipTests
|
||||
```
|
||||
Expected: BUILD SUCCESS
|
||||
|
||||
- [ ] **Step 2: 前端编译验证**
|
||||
|
||||
```bash
|
||||
cd healthlink-his-ui && npm run build:dev
|
||||
```
|
||||
Expected: Build successful
|
||||
|
||||
- [ ] **Step 3: 接口测试**
|
||||
|
||||
```bash
|
||||
# 测试修订历史接口
|
||||
curl http://localhost:18082/emr/revision/page?pageNo=1&pageSize=10
|
||||
|
||||
# 测试搜索接口
|
||||
curl http://localhost:18082/emr-search/search?keyword=test
|
||||
|
||||
# 测试归档接口
|
||||
curl http://localhost:18082/emr-archive/page?pageNo=1&pageSize=10
|
||||
```
|
||||
Expected: 返回 `{code:200, data:...}`
|
||||
|
||||
- [ ] **Step 4: 提交代码**
|
||||
|
||||
```bash
|
||||
git add -A
|
||||
git commit -m "feat(emr): 打通EMR管理模块与门诊/住院病历集成"
|
||||
git push origin develop
|
||||
```
|
||||
|
||||
---
|
||||
|
||||
## 验证检查清单
|
||||
|
||||
| 检查项 | 验证方式 | 预期结果 |
|
||||
|--------|---------|---------|
|
||||
| 修订历史API路径 | 访问 `/emr/revision/page` | 返回数据 |
|
||||
| URL参数支持 | 访问 `/emr/revision-history?emrId=1` | 自动加载该病历修订记录 |
|
||||
| 医生工作站入口 | 打开病历详情 | 显示修订历史/归档/完整性检查按钮 |
|
||||
| 保存自动触发 | 保存病历后查询 `emr_revision` 表 | 有新记录 |
|
||||
| 搜索索引更新 | 保存病历后查询 `emr_search_index` 表 | 有新记录 |
|
||||
| 完整性检查 | 点击完整性检查按钮 | 显示检查结果 |
|
||||
|
||||
---
|
||||
|
||||
> **Plan Version:** v1.0
|
||||
> **Created:** 2026-06-21
|
||||
> **Estimated Effort:** 2-3小时
|
||||
Reference in New Issue
Block a user