feat(esb): T8.2 CDA临床文档 - AppService/Controller/Frontend

2026-06-18 12:56:18 +08:00
parent b6a521db29
commit 2d67395228
5 changed files with 274 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/ICdaDocumentAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/ICdaDocumentAppService.java
@@ -0,0 +1,10 @@
+package com.healthlink.his.web.esbmanage.appservice;
+
+import com.healthlink.his.esb.domain.CdaDocument;
+
+import java.util.List;
+
+public interface ICdaDocumentAppService {
+    CdaDocument generateCda(Long encounterId, Long patientId, String documentType, String documentTitle, String clinicalData);
+    List<CdaDocument> getCdaDocuments(Long encounterId);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/impl/CdaDocumentAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/appservice/impl/CdaDocumentAppServiceImpl.java
@@ -0,0 +1,90 @@
+package com.healthlink.his.web.esbmanage.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.esb.domain.CdaDocument;
+import com.healthlink.his.esb.service.ICdaDocumentService;
+import com.healthlink.his.web.esbmanage.appservice.ICdaDocumentAppService;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+
+import java.text.SimpleDateFormat;
+import java.util.Date;
+import java.util.List;
+import java.util.UUID;
+
+@Service
+@Slf4j
+@RequiredArgsConstructor
+public class CdaDocumentAppServiceImpl implements ICdaDocumentAppService {
+
+    private final ICdaDocumentService cdaDocumentService;
+
+    @Override
+    public CdaDocument generateCda(Long encounterId, Long patientId, String documentType, String documentTitle, String clinicalData) {
+        String docId = UUID.randomUUID().toString();
+        SimpleDateFormat sdf = new SimpleDateFormat("yyyy-MM-dd'T'HH:mm:ss");
+
+        String cdaXml = "<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n" +
+                "<ClinicalDocument xmlns=\"urn:hl7-org:v3\">\n" +
+                "  <typeId root=\"2.16.840.1.113883.1.3\" extension=\"POCD_HD000040\"/>\n" +
+                "  <id root=\"" + docId + "\"/>\n" +
+                "  <code code=\"" + getDocumentTypeCode(documentType) + "\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n" +
+                "  <title>" + escapeXml(documentTitle) + "</title>\n" +
+                "  <effectiveTime value=\"" + sdf.format(new Date()).replace("-", "").replace(":", "") + "\"/>\n" +
+                "  <recordTarget>\n" +
+                "    <patientRole>\n" +
+                "      <id extension=\"" + patientId + "\" root=\"2.16.156.10011\"/>\n" +
+                "    </patientRole>\n" +
+                "  </recordTarget>\n" +
+                "  <component>\n" +
+                "    <structuredBody>\n" +
+                "      <component>\n" +
+                "        <section>\n" +
+                "          <code code=\"48767-8\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n" +
+                "          <text>" + escapeXml(clinicalData) + "</text>\n" +
+                "        </section>\n" +
+                "      </component>\n" +
+                "    </structuredBody>\n" +
+                "  </component>\n" +
+                "</ClinicalDocument>";
+
+        CdaDocument doc = new CdaDocument();
+        doc.setDocumentType(documentType);
+        doc.setDocumentTitle(documentTitle);
+        doc.setEncounterId(encounterId);
+        doc.setPatientId(patientId);
+        doc.setCdaXml(cdaXml);
+        doc.setStatus("DRAFT");
+        doc.setVersionId(1);
+        doc.setCreateTime(new Date());
+        cdaDocumentService.save(doc);
+
+        log.info("CDA文档已生成: type={}, title={}, id={}", documentType, documentTitle, doc.getId());
+        return doc;
+    }
+
+    @Override
+    public List<CdaDocument> getCdaDocuments(Long encounterId) {
+        LambdaQueryWrapper<CdaDocument> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(CdaDocument::getEncounterId, encounterId)
+               .orderByDesc(CdaDocument::getCreateTime);
+        return cdaDocumentService.list(wrapper);
+    }
+
+    private String getDocumentTypeCode(String documentType) {
+        switch (documentType) {
+            case "admission": return "34133-9";
+            case "discharge": return "18842-5";
+            case "lab_report": return "11502-2";
+            case "referral": return "57133-2";
+            default: return "34133-9";
+        }
+    }
+
+    private String escapeXml(String text) {
+        if (text == null) return "";
+        return text.replace("&", "&amp;").replace("<", "&lt;").replace(">", "&gt;")
+                   .replace("\"", "&quot;").replace("'", "&apos;");
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/controller/CdaDocumentController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/esbmanage/controller/CdaDocumentController.java
@@ -0,0 +1,47 @@
+package com.healthlink.his.web.esbmanage.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.esb.domain.CdaDocument;
+import com.healthlink.his.web.esbmanage.appservice.ICdaDocumentAppService;
+import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+import java.util.Map;
+
+/**
+ * CDA临床文档 Controller — 生成/查询CDA文档
+ */
+@RestController
+@RequestMapping("/esb/cda")
+@Slf4j
+@RequiredArgsConstructor
+public class CdaDocumentController {
+
+    private final ICdaDocumentAppService cdaDocumentAppService;
+
+    @PostMapping("/generate")
+    @PreAuthorize("hasAuthority('infection:esb:edit')")
+    public R<?> generateCda(@RequestBody Map<String, Object> params) {
+        Long encounterId = params.get("encounterId") != null ? Long.valueOf(String.valueOf(params.get("encounterId"))) : null;
+        Long patientId = params.get("patientId") != null ? Long.valueOf(String.valueOf(params.get("patientId"))) : null;
+        String documentType = (String) params.get("documentType");
+        String documentTitle = (String) params.get("documentTitle");
+        String clinicalData = (String) params.get("clinicalData");
+
+        if (encounterId == null || documentType == null) {
+            return R.fail("encounterId和documentType不能为空");
+        }
+        CdaDocument doc = cdaDocumentAppService.generateCda(encounterId, patientId, documentType, documentTitle, clinicalData);
+        return R.ok(doc);
+    }
+
+    @GetMapping("/list/{encounterId}")
+    @PreAuthorize("hasAuthority('infection:esb:list')")
+    public R<?> getCdaDocuments(@PathVariable Long encounterId) {
+        List<CdaDocument> docs = cdaDocumentAppService.getCdaDocuments(encounterId);
+        return R.ok(docs);
+    }
+}
--- a/healthlink-his-ui/src/views/esbmanage/cdadocument/api.js
+++ b/healthlink-his-ui/src/views/esbmanage/cdadocument/api.js
@@ -0,0 +1,6 @@
+import request from '@/utils/request'
+export function generateCda(data) { return request({ url: '/esb/cda/generate', method: 'post', data }) }
+export function getCdaDocuments(encounterId) { return request({ url: '/esb/cda/list/' + encounterId, method: 'get' }) }
+export function getCdaPage(params) { return request({ url: '/fhir-cda/cda/page', method: 'get', params }) }
+export function createCdaDocument(data) { return request({ url: '/fhir-cda/cda/create', method: 'post', data }) }
+export function publishCdaDocument(id) { return request({ url: '/fhir-cda/cda/publish', method: 'post', params: { id } }) }
--- a/healthlink-his-ui/src/views/esbmanage/cdadocument/index.vue
+++ b/healthlink-his-ui/src/views/esbmanage/cdadocument/index.vue
@@ -0,0 +1,121 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">CDA临床文档管理</span>
+      <div>
+        <el-button type="primary" @click="showGenerate = true">生成CDA文档</el-button>
+        <el-button @click="loadPage">刷新</el-button>
+      </div>
+    </div>
+    <el-table :data="docList" border stripe>
+      <el-table-column prop="documentType" label="文档类型" width="120">
+        <template #default="{row}">
+          <el-tag size="small">{{ typeMap[row.documentType] || row.documentType }}</el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="documentTitle" label="文档标题" min-width="180" show-overflow-tooltip />
+      <el-table-column prop="encounterId" label="就诊ID" width="100" />
+      <el-table-column prop="patientId" label="患者ID" width="100" />
+      <el-table-column prop="status" label="状态" width="90">
+        <template #default="{row}">
+          <el-tag :type="row.status==='PUBLISHED'?'success':row.status==='DRAFT'?'warning':'info'" size="small">
+            {{ row.status === 'DRAFT' ? '草稿' : row.status === 'PUBLISHED' ? '已发布' : row.status }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="versionId" label="版本" width="60" align="center" />
+      <el-table-column prop="createTime" label="创建时间" width="170" />
+      <el-table-column label="操作" width="160">
+        <template #default="{row}">
+          <el-button type="primary" link size="small" @click="viewCda(row)">查看XML</el-button>
+          <el-button v-if="row.status==='DRAFT'" type="success" link size="small" @click="doPublish(row.id)">发布</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+    <el-pagination
+      v-model:current-page="page.pageNo"
+      v-model:page-size="page.pageSize"
+      style="margin-top:12px;justify-content:flex-end"
+      :total="pageTotal"
+      layout="total,prev,pager,next"
+      @current-change="loadPage"
+    />
+
+    <el-dialog v-model="showGenerate" title="生成CDA文档" width="600px">
+      <el-form :model="genForm" label-width="100px">
+        <el-form-item label="就诊ID">
+          <el-input v-model="genForm.encounterId" />
+        </el-form-item>
+        <el-form-item label="患者ID">
+          <el-input v-model="genForm.patientId" />
+        </el-form-item>
+        <el-form-item label="文档类型">
+          <el-select v-model="genForm.documentType" style="width:100%">
+            <el-option label="入院记录" value="admission" />
+            <el-option label="出院记录" value="discharge" />
+            <el-option label="检验报告" value="lab_report" />
+            <el-option label="转诊记录" value="referral" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="文档标题">
+          <el-input v-model="genForm.documentTitle" />
+        </el-form-item>
+        <el-form-item label="临床数据">
+          <el-input v-model="genForm.clinicalData" type="textarea" :rows="6" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="showGenerate = false">取消</el-button>
+        <el-button type="primary" @click="doGenerate">生成</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="showXml" title="CDA文档XML" width="800px">
+      <el-input v-model="xmlContent" type="textarea" :rows="20" readonly />
+    </el-dialog>
+  </div>
+</template>
+<script setup>
+import { ref, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { generateCda, getCdaPage, publishCdaDocument } from './api'
+
+const typeMap = { admission: '入院记录', discharge: '出院记录', lab_report: '检验报告', referral: '转诊记录' }
+const docList = ref([])
+const pageTotal = ref(0)
+const page = ref({ pageNo: 1, pageSize: 20 })
+const showGenerate = ref(false)
+const genForm = ref({ encounterId: '', patientId: '', documentType: 'admission', documentTitle: '', clinicalData: '' })
+const showXml = ref(false)
+const xmlContent = ref('')
+
+const loadPage = async () => {
+  const r = await getCdaPage(page.value)
+  docList.value = r.data?.records || []
+  pageTotal.value = r.data?.total || 0
+}
+
+const doGenerate = async () => {
+  if (!genForm.value.encounterId || !genForm.value.documentType) {
+    ElMessage.warning('就诊ID和文档类型必填'); return
+  }
+  const r = await generateCda(genForm.value)
+  if (r.code === 200) {
+    ElMessage.success('CDA文档已生成')
+    showGenerate.value = false
+    loadPage()
+  } else {
+    ElMessage.error(r.msg || '生成失败')
+  }
+}
+
+const doPublish = async (id) => {
+  const r = await publishCdaDocument(id)
+  if (r.code === 200) { ElMessage.success('已发布'); loadPage() }
+  else ElMessage.error(r.msg || '发布失败')
+}
+
+const viewCda = (row) => { xmlContent.value = row.cdaXml || ''; showXml.value = true }
+
+onMounted(() => { loadPage() })
+</script>