fix(inpatient): 解决手术申请单数据同步和命名问题

- 在应用表单底部按钮中添加延迟刷新机制，确保后端数据提交完成后再触发刷新事件
- 在手术组件中添加诊疗定义名称字段，完善手术项目信息传递
- 优化手术医嘱生成功能，添加详细的调试日志以便追踪问题
- 修复手术项目名称获取逻辑，优先使用activityList中的手术项目名称
- 完善手术收费项目生成流程，添加异常处理和日志记录
- 在控制器中添加手术申请单保存的日志输出，便于问题排查

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java

@@ -216,8 +216,19 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         }
 
         // 如果是手术申请单，需要额外生成手术医嘱
-        if (ActivityDefCategory.PROCEDURE.getCode().equals(typeCode)) {
+        log.info("【调试】判断手术医嘱生成条件: typeCode={}, PROCEDURE.code={}, typeCode类型={}, PROCEDURE.code类型={}", 
-            log.info("开始生成手术医嘱，encounterId={}, patientId={}, typeCode={}", encounterId, patientId, typeCode);
+                typeCode, ActivityDefCategory.PROCEDURE.getCode(), 
+                typeCode != null ? typeCode.getClass().getName() : "null",
+                ActivityDefCategory.PROCEDURE.getCode().getClass().getName());
+        boolean isProcedure = ActivityDefCategory.PROCEDURE.getCode().equals(typeCode);
+        log.info("【调试】判断结果: isProcedure={}, typeCode字符串={}, PROCEDURE.code字符串={}", 
+                isProcedure, 
+                typeCode != null ? "'" + typeCode + "'" : "null",
+                "'" + ActivityDefCategory.PROCEDURE.getCode() + "'");
+        if (isProcedure) {
+            log.info("开始生成手术医嘱，encounterId={}, patientId={}, typeCode={}, activityListSize={}", 
+                    encounterId, patientId, typeCode, activityList != null ? activityList.size() : 0);
+            try {
                 // 从 descJson 中解析手术信息
                 String descJson = requestFormSaveDto.getDescJson();
                 Map<String, Object> descMap = null;
@@ -225,9 +236,12 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                     try {
                         ObjectMapper objectMapper = new ObjectMapper();
                         descMap = objectMapper.readValue(descJson, Map.class);
+                        log.info("解析手术申请单 descJson 成功: {}", descMap);
                     } catch (Exception e) {
-                    log.error("解析手术申请单 descJson 失败", e);
+                        log.error("解析手术申请单 descJson 失败: {}", descJson, e);
                     }
+                } else {
+                    log.warn("手术申请单 descJson 为空");
                 }
                 
                 // 获取手术信息
@@ -239,6 +253,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 String surgeryIndication = descMap != null ? (String) descMap.get("surgeryIndication") : null;
                 String preoperativeDiagnosis = descMap != null ? (String) descMap.get("preoperativeDiagnosis") : null;
                 
+                // 🔧 BugFix#318: 从 activityList 获取手术项目名称
+                String adviceDefinitionName = null;
+                if (activityList != null && !activityList.isEmpty()) {
+                    adviceDefinitionName = activityList.get(0).getAdviceDefinitionName();
+                    log.info("从 activityList 获取手术项目名称: {}", adviceDefinitionName);
+                }
+                
+                log.info("手术信息: surgeryName={}, surgeryCode={}, surgeryFee={}, anesthesiaFee={}, adviceDefinitionName={}",
+                        surgeryName, surgeryCode, surgeryFee, anesthesiaFee, adviceDefinitionName);
+                
                 // 生成手术医嘱
                 ServiceRequest surgeryServiceRequest = new ServiceRequest();
                 surgeryServiceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());
@@ -249,18 +273,26 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 surgeryServiceRequest.setQuantity(BigDecimal.valueOf(1));
                 surgeryServiceRequest.setUnitCode("次");
                 surgeryServiceRequest.setCategoryEnum(4); // 4-手术
-            // 优先从 activityList 获取手术 ID，如果为空则从 descJson 获取
+                // 优先从 activityList 获取手术 ID
-            if (!activityList.isEmpty()) {
+                if (activityList != null && !activityList.isEmpty()) {
-                surgeryServiceRequest.setActivityId(activityList.get(0).getAdviceDefinitionId());
+                    Long activityId = activityList.get(0).getAdviceDefinitionId();
+                    surgeryServiceRequest.setActivityId(activityId);
+                    log.info("从 activityList 获取手术ID: {}", activityId);
+                } else {
+                    log.warn("activityList 为空，无法获取手术ID");
                 }
                 surgeryServiceRequest.setPatientId(patientId);
                 surgeryServiceRequest.setRequesterId(practitionerId);
                 surgeryServiceRequest.setEncounterId(encounterId);
                 surgeryServiceRequest.setAuthoredTime(curDate);
                 surgeryServiceRequest.setOrgId(orgId);
+                
                 // 设置手术相关信息到 contentJson 字段
                 Map<String, String> contentMap = new java.util.HashMap<>();
-            if (surgeryName != null && !surgeryName.isEmpty()) {
+                // 🔧 BugFix#318: 优先使用 activityList 中的手术项目名称
+                if (adviceDefinitionName != null && !adviceDefinitionName.isEmpty()) {
+                    contentMap.put("surgeryName", adviceDefinitionName);
+                } else if (surgeryName != null && !surgeryName.isEmpty()) {
                     contentMap.put("surgeryName", surgeryName);
                 }
                 if (surgeryCode != null && !surgeryCode.isEmpty()) {
@@ -283,10 +315,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                         log.error("序列化手术信息失败", e);
                     }
                 }
+                try {
                     iServiceRequestService.save(surgeryServiceRequest);
                     log.info("手术医嘱生成成功，serviceRequestId={}, prescriptionNo={}", surgeryServiceRequest.getId(), prescriptionNo);
+                } catch (Exception e) {
+                    log.error("保存手术医嘱失败", e);
+                    throw new ServiceException("保存手术医嘱失败: " + e.getMessage());
+                }
 
                 // 生成手术收费项目
+                try {
                     ChargeItem surgeryChargeItem = new ChargeItem();
                     surgeryChargeItem.setStatusEnum(ChargeItemStatus.DRAFT.getValue());
                     surgeryChargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(surgeryServiceRequest.getBusNo()));
@@ -299,11 +337,11 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                     surgeryChargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);
                     surgeryChargeItem.setServiceId(surgeryServiceRequest.getId());
                     surgeryChargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
-            // 优先从 activityList 获取 productId，如果为空则不设置
+                    // 优先从 activityList 获取 productId
-            if (!activityList.isEmpty()) {
+                    if (activityList != null && !activityList.isEmpty()) {
                         surgeryChargeItem.setProductId(activityList.get(0).getAdviceDefinitionId());
+                        surgeryChargeItem.setAccountId(activityList.get(0).getAccountId());
                     }
-            surgeryChargeItem.setAccountId(activityList.isEmpty() ? null : activityList.get(0).getAccountId());
                     surgeryChargeItem.setRequestingOrgId(orgId);
                     surgeryChargeItem.setQuantityValue(BigDecimal.valueOf(1));
                     surgeryChargeItem.setQuantityUnit("次");
@@ -317,6 +355,11 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                         }
                     }
                     iChargeItemService.save(surgeryChargeItem);
+                    log.info("手术收费项目生成成功，chargeItemId={}", surgeryChargeItem.getId());
+                } catch (Exception e) {
+                    log.error("生成手术收费项目失败", e);
+                    throw new ServiceException("生成手术收费项目失败: " + e.getMessage());
+                }
                 
                 // 如果存在麻醉费用，生成麻醉收费项目
                 if (anesthesiaFee != null && !anesthesiaFee.isEmpty()) {
@@ -341,11 +384,18 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                             anesthesiaChargeItem.setUnitPrice(anesthesiaFeeAmount);
                             anesthesiaChargeItem.setTotalPrice(anesthesiaFeeAmount);
                             iChargeItemService.save(anesthesiaChargeItem);
+                            log.info("麻醉收费项目生成成功");
                         }
                     } catch (NumberFormatException e) {
                         log.warn("麻醉费用格式不正确：{}", anesthesiaFee);
                     }
                 }
+            } catch (Exception e) {
+                log.error("生成手术医嘱过程中发生异常", e);
+                throw e;
+            }
+        } else {
+            log.info("不是手术申请单，跳过手术医嘱生成，typeCode={}", typeCode);
         }
 
         return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[] {"申请单"}));

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java

@@ -72,6 +72,7 @@ public class RequestFormManageController {
      */
     @PostMapping(value = "/save-surgery")
     public R<?> saveSurgeryRequestForm(@RequestBody RequestFormSaveDto requestFormSaveDto) {
+        log.info("【Controller】保存手术申请单，typeCode={}", ActivityDefCategory.PROCEDURE.getCode());
         return iRequestFormManageAppService.saveRequestForm(requestFormSaveDto,
             ActivityDefCategory.PROCEDURE.getCode());
     }

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue

@@ -141,7 +141,10 @@ const submitApplicationForm = () => {
 const submitOk = () => {
   applicationFormDialogVisible.value = false;
   applicationFormName.value = null;
+  // 🔧 BugFix#318: 延迟刷新，确保后端数据已提交
+  setTimeout(() => {
     emits('refResh');
+  }, 500);
 };
 defineExpose({ state });
 </script>

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue

@@ -215,6 +215,7 @@ const submit = () => {
   applicationListAllFilter = applicationListAllFilter.map((item) => {
     return {
       adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
+      adviceDefinitionName: item.adviceDefinitionName /** 诊疗定义名称（手术项目名称） */,
       quantity: 1, // /** 请求数量 */
       unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
       unitPrice: item.priceList[0].price /** 单价 */,