Merge remote-tracking branch 'origin/develop' into guanyu

2026-06-17 13:52:35 +08:00
parent cee0a2152a 09e43e4b8c
commit 310a4f5a9d
25 changed files with 1648 additions and 29 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrCompletenessAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrCompletenessAppService.java
@@ -0,0 +1,13 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrCompletenessCheck;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IEmrCompletenessAppService {
+
+    Map<String, Object> checkCompleteness(Long emrId, Long encounterId);
+
+    List<EmrCompletenessCheck> getCheckResults(Long emrId);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrRevisionAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrRevisionAppService.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrRevision;
+
+import java.util.List;
+
+public interface IEmrRevisionAppService {
+
+    EmrRevision recordRevision(EmrRevision revision);
+
+    List<EmrRevision> getRevisions(Long emrId);
+
+    EmrRevision getRevisionDetail(Long id);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrTimelinessAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrTimelinessAppService.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrTimeliness;
+import com.healthlink.his.emr.dto.EmrTimelinessStatisticsDto;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IEmrTimelinessAppService {
+
+    EmrTimelinessStatisticsDto checkTimeliness(Long encounterId);
+
+    Map<String, Object> getTimelinessAlerts(String emrType, String status, String departmentName, int pageNum, int pageSize);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrVersionAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrVersionAppService.java
@@ -0,0 +1,15 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrVersion;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IEmrVersionAppService {
+
+    EmrVersion saveVersion(EmrVersion version);
+
+    List<EmrVersion> getVersions(Long emrId);
+
+    Map<String, Object> compareVersions(Long versionId1, Long versionId2);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrCompletenessAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrCompletenessAppServiceImpl.java
@@ -0,0 +1,112 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.healthlink.his.document.domain.Emr;
+import com.healthlink.his.document.service.IEmrService;
+import com.healthlink.his.emr.domain.EmrCompletenessCheck;
+import com.healthlink.his.emr.service.IEmrCompletenessCheckService;
+import com.healthlink.his.web.emr.appservice.IEmrCompletenessAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.*;
+
+@Service
+public class EmrCompletenessAppServiceImpl implements IEmrCompletenessAppService {
+
+    @Resource
+    private IEmrCompletenessCheckService emrCompletenessCheckService;
+
+    @Resource
+    private IEmrService emrService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Map<String, Object> checkCompleteness(Long emrId, Long encounterId) {
+        Emr emr = emrService.getById(emrId);
+        if (emr == null) {
+            throw new IllegalArgumentException("病历不存在: " + emrId);
+        }
+
+        List<EmrCompletenessCheck> checks = new ArrayList<>();
+        int total = 0;
+        int requiredPassed = 0;
+        int requiredTotal = 0;
+
+        String[][] checkDefs = {
+                {"chief_complaint", "basic", "true", "主诉"},
+                {"medical_history", "basic", "true", "现病史"},
+                {"past_history", "basic", "false", "既往史"},
+                {"physical_exam", "basic", "true", "体格检查"},
+                {"auxiliary_exam", "examination", "false", "辅助检查"},
+                {"diagnosis", "diagnosis", "true", "诊断"},
+                {"treatment_plan", "treatment", "true", "治疗计划"},
+                {"signature", "signature", "false", "签名"}
+        };
+
+        Map<String, Object> contentMap = parseContent(emr.getContextJson());
+
+        for (String[] def : checkDefs) {
+            total++;
+            boolean isRequired = Boolean.parseBoolean(def[2]);
+            if (isRequired) requiredTotal++;
+
+            boolean hasValue = contentMap.containsKey(def[0])
+                    && contentMap.get(def[0]) != null
+                    && !contentMap.get(def[0]).toString().trim().isEmpty();
+
+            String result = hasValue ? "PASS" : "FAIL";
+            String detail = def[3] + (hasValue ? " - 已填写" : " - 未填写");
+            if (!isRequired && !hasValue) {
+                detail = def[3] + " - 未填写(选填项)";
+            }
+
+            if (isRequired && hasValue) requiredPassed++;
+
+            EmrCompletenessCheck check = new EmrCompletenessCheck()
+                    .setEmrId(emrId)
+                    .setEncounterId(encounterId)
+                    .setCheckItem(def[0])
+                    .setCheckCategory(def[1])
+                    .setIsRequired(isRequired)
+                    .setCheckResult(result)
+                    .setCheckDetail(detail)
+                    .setCheckTime(new Date());
+
+            emrCompletenessCheckService.save(check);
+            checks.add(check);
+        }
+
+        Map<String, Object> result = new LinkedHashMap<>();
+        result.put("emrId", emrId);
+        result.put("encounterId", encounterId);
+        result.put("totalItems", total);
+        result.put("requiredTotal", requiredTotal);
+        result.put("requiredPassed", requiredPassed);
+        result.put("requiredFailed", requiredTotal - requiredPassed);
+        result.put("isComplete", requiredPassed == requiredTotal);
+        result.put("checks", checks);
+        return result;
+    }
+
+    @Override
+    public List<EmrCompletenessCheck> getCheckResults(Long emrId) {
+        return emrCompletenessCheckService.selectByEmrId(emrId);
+    }
+
+    private Map<String, Object> parseContent(String contextJson) {
+        Map<String, Object> map = new HashMap<>();
+        if (contextJson == null || contextJson.isEmpty()) {
+            return map;
+        }
+        try {
+            com.fasterxml.jackson.databind.ObjectMapper mapper = new com.fasterxml.jackson.databind.ObjectMapper();
+            @SuppressWarnings("unchecked")
+            Map<String, Object> parsed = mapper.readValue(contextJson, Map.class);
+            map.putAll(parsed);
+        } catch (Exception e) {
+            map.put("raw", contextJson);
+        }
+        return map;
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrRevisionAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrRevisionAppServiceImpl.java
@@ -0,0 +1,43 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.emr.domain.EmrRevision;
+import com.healthlink.his.emr.service.IEmrRevisionService;
+import com.healthlink.his.web.emr.appservice.IEmrRevisionAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.Date;
+import java.util.List;
+
+@Service
+public class EmrRevisionAppServiceImpl implements IEmrRevisionAppService {
+
+    @Resource
+    private IEmrRevisionService emrRevisionService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public EmrRevision recordRevision(EmrRevision revision) {
+        EmrRevision latest = emrRevisionService.selectLatest(revision.getEmrId());
+        int nextNumber = (latest != null) ? latest.getRevisionNumber() + 1 : 1;
+        revision.setRevisionNumber(nextNumber);
+        if (revision.getEncounterId() == null && latest != null) {
+            revision.setEncounterId(latest.getEncounterId());
+        }
+        revision.setCreateTime(new Date());
+        emrRevisionService.save(revision);
+        return revision;
+    }
+
+    @Override
+    public List<EmrRevision> getRevisions(Long emrId) {
+        return emrRevisionService.selectByEmrId(emrId);
+    }
+
+    @Override
+    public EmrRevision getRevisionDetail(Long id) {
+        return emrRevisionService.getById(id);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrTimelinessAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrTimelinessAppServiceImpl.java
@@ -0,0 +1,84 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.healthlink.his.emr.domain.EmrTimeliness;
+import com.healthlink.his.emr.dto.EmrTimelinessStatisticsDto;
+import com.healthlink.his.emr.service.IEmrTimelinessService;
+import com.healthlink.his.web.emr.appservice.IEmrTimelinessAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+
+import java.util.Date;
+import java.util.LinkedHashMap;
+import java.util.List;
+import java.util.Map;
+
+@Service
+public class EmrTimelinessAppServiceImpl implements IEmrTimelinessAppService {
+
+    @Resource
+    private IEmrTimelinessService emrTimelinessService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public EmrTimelinessStatisticsDto checkTimeliness(Long encounterId) {
+        LambdaQueryWrapper<EmrTimeliness> wrapper = new LambdaQueryWrapper<>();
+        if (encounterId != null) {
+            wrapper.eq(EmrTimeliness::getEncounterId, encounterId);
+        }
+        wrapper.eq(EmrTimeliness::getStatus, "PENDING");
+        List<EmrTimeliness> pendingList = emrTimelinessService.list(wrapper);
+
+        Date now = new Date();
+        int overdueCount = 0;
+        for (EmrTimeliness record : pendingList) {
+            if (record.getDeadlineTime() != null && now.after(record.getDeadlineTime())) {
+                record.setStatus("OVERDUE");
+                emrTimelinessService.updateById(record);
+                overdueCount++;
+            }
+        }
+
+        EmrTimelinessStatisticsDto stats = new EmrTimelinessStatisticsDto();
+        LambdaQueryWrapper<EmrTimeliness> countWrapper = new LambdaQueryWrapper<>();
+        if (encounterId != null) {
+            countWrapper.eq(EmrTimeliness::getEncounterId, encounterId);
+        }
+        long total = emrTimelinessService.count(countWrapper);
+
+        countWrapper.eq(EmrTimeliness::getStatus, "COMPLETED");
+        long completed = emrTimelinessService.count(countWrapper);
+
+        countWrapper.eq(EmrTimeliness::getStatus, "OVERDUE");
+        long overdue = emrTimelinessService.count(countWrapper);
+
+        long pending = total - completed - overdue;
+        double rate = total > 0 ? Math.round(completed * 10000.0 / total) / 100.0 : 0;
+
+        stats.setTotalCount(total);
+        stats.setCompletedCount(completed);
+        stats.setOverdueCount(overdue);
+        stats.setPendingCount(pending);
+        stats.setCompletionRate(rate);
+        return stats;
+    }
+
+    @Override
+    public Map<String, Object> getTimelinessAlerts(String emrType, String status, String departmentName, int pageNum, int pageSize) {
+        LambdaQueryWrapper<EmrTimeliness> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(StringUtils.hasText(status), EmrTimeliness::getStatus, status);
+        wrapper.eq(StringUtils.hasText(emrType), EmrTimeliness::getEmrType, emrType);
+        wrapper.eq(StringUtils.hasText(departmentName), EmrTimeliness::getDepartmentName, departmentName);
+        wrapper.orderByAsc(EmrTimeliness::getDeadlineTime);
+
+        Page<EmrTimeliness> page = emrTimelinessService.page(new Page<>(pageNum, pageSize), wrapper);
+
+        Map<String, Object> result = new LinkedHashMap<>();
+        result.put("total", page.getTotal());
+        result.put("rows", page.getRecords());
+        return result;
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrVersionAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrVersionAppServiceImpl.java
@@ -0,0 +1,92 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.healthlink.his.emr.domain.EmrVersion;
+import com.healthlink.his.emr.service.IEmrVersionService;
+import com.healthlink.his.web.emr.appservice.IEmrVersionAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.Date;
+import java.util.LinkedHashMap;
+import java.util.List;
+import java.util.Map;
+
+@Service
+public class EmrVersionAppServiceImpl implements IEmrVersionAppService {
+
+    @Resource
+    private IEmrVersionService emrVersionService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public EmrVersion saveVersion(EmrVersion version) {
+        EmrVersion latest = emrVersionService.selectLatest(version.getEmrId());
+        int nextNumber = (latest != null) ? latest.getVersionNumber() + 1 : 1;
+        version.setVersionNumber(nextNumber);
+
+        if (latest != null) {
+            version.setContentDiff(computeDiff(latest.getContentSnapshot(), version.getContentSnapshot()));
+            if (version.getEncounterId() == null) {
+                version.setEncounterId(latest.getEncounterId());
+            }
+        }
+        version.setCreateTime(new Date());
+        emrVersionService.save(version);
+        return version;
+    }
+
+    @Override
+    public List<EmrVersion> getVersions(Long emrId) {
+        return emrVersionService.selectByEmrId(emrId);
+    }
+
+    @Override
+    public Map<String, Object> compareVersions(Long versionId1, Long versionId2) {
+        EmrVersion v1 = emrVersionService.getById(versionId1);
+        EmrVersion v2 = emrVersionService.getById(versionId2);
+        if (v1 == null || v2 == null) {
+            throw new IllegalArgumentException("版本记录不存在");
+        }
+
+        String content1 = v1.getContentSnapshot() != null ? v1.getContentSnapshot() : "";
+        String content2 = v2.getContentSnapshot() != null ? v2.getContentSnapshot() : "";
+
+        String diff = computeDiff(content1, content2);
+
+        Map<String, Object> result = new LinkedHashMap<>();
+        result.put("version1", v1);
+        result.put("version2", v2);
+        result.put("diff", diff);
+        return result;
+    }
+
+    private String computeDiff(String oldContent, String newContent) {
+        if (oldContent == null) oldContent = "";
+        if (newContent == null) newContent = "";
+
+        if (oldContent.equals(newContent)) {
+            return "";
+        }
+
+        StringBuilder diff = new StringBuilder();
+        String[] oldLines = oldContent.split("\n");
+        String[] newLines = newContent.split("\n");
+        int maxLen = Math.max(oldLines.length, newLines.length);
+
+        for (int i = 0; i < maxLen; i++) {
+            String oldLine = i < oldLines.length ? oldLines[i] : "";
+            String newLine = i < newLines.length ? newLines[i] : "";
+
+            if (!oldLine.equals(newLine)) {
+                if (!oldLine.isEmpty()) {
+                    diff.append("- ").append(oldLine).append("\n");
+                }
+                if (!newLine.isEmpty()) {
+                    diff.append("+ ").append(newLine).append("\n");
+                }
+            }
+        }
+        return diff.toString();
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
@@ -0,0 +1,38 @@
+package com.healthlink.his.web.emr.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.emr.appservice.IEmrCompletenessAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+@RestController
+@RequestMapping("/emr/completeness")
+@Slf4j
+@AllArgsConstructor
+@Tag(name = "病历完整性检查")
+public class EmrCompletenessController {
+
+    private final IEmrCompletenessAppService emrCompletenessAppService;
+
+    @PostMapping("/check")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "执行病历完整性检查")
+    public R<Map<String, Object>> checkCompleteness(
+            @RequestParam("emrId") Long emrId,
+            @RequestParam("encounterId") Long encounterId) {
+        return R.ok(emrCompletenessAppService.checkCompleteness(emrId, encounterId));
+    }
+
+    @GetMapping("/results/{emrId}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取完整性检查结果")
+    public R<?> getCheckResults(@PathVariable Long emrId) {
+        return R.ok(emrCompletenessAppService.getCheckResults(emrId));
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java
@@ -5,26 +5,47 @@ import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
 import com.healthlink.his.emr.domain.EmrRevision;
 import com.healthlink.his.emr.service.IEmrRevisionService;
+import com.healthlink.his.web.emr.appservice.IEmrRevisionAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
 import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
-import org.springframework.transaction.annotation.Transactional;
+import org.springframework.security.access.prepost.PreAuthorize;
 import org.springframework.web.bind.annotation.*;

-import java.util.Date;
 import java.util.Map;

 /**
 * 病历修改留痕 Controller
 */
@RestController
-@RequestMapping("/emr-revision")
+@RequestMapping("/emr/revision")
@Slf4j
@AllArgsConstructor
+@Tag(name = "病历修改留痕")
 public class EmrRevisionController {

    private final IEmrRevisionService revisionService;

+    private final IEmrRevisionAppService emrRevisionAppService;
+
+    @PostMapping("/record")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "记录修改留痕")
+    public R<EmrRevision> recordRevision(@RequestBody EmrRevision revision) {
+        return R.ok(emrRevisionAppService.recordRevision(revision));
+    }
+
+    @GetMapping("/list/{emrId}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取修改历史列表")
+    public R<?> getRevisions(@PathVariable Long emrId) {
+        return R.ok(emrRevisionAppService.getRevisions(emrId));
+    }
+
    @GetMapping("/page")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "分页查询修改留痕")
    public R<?> getPage(
            @RequestParam(value = "emrId", required = false) Long emrId,
            @RequestParam(value = "encounterId", required = false) Long encounterId,
@@ -39,35 +60,16 @@ public class EmrRevisionController {
        return R.ok(revisionService.page(new Page<>(pageNo, pageSize), w));
    }

-    @GetMapping("/list")
-    public R<?> getList(@RequestParam("emrId") Long emrId) {
-        LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
-        w.eq(EmrRevision::getEmrId, emrId)
-         .orderByAsc(EmrRevision::getRevisionNumber);
-        return R.ok(revisionService.list(w));
-    }
-
    @GetMapping("/{id}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取修订详情")
    public R<?> getById(@PathVariable Long id) {
-        return R.ok(revisionService.getById(id));
-    }
-
-    @PostMapping("/record")
-    @Transactional(rollbackFor = Exception.class)
-    public R<?> recordRevision(@RequestBody EmrRevision revision) {
-        // 自动计算版本号
-        LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
-        w.eq(EmrRevision::getEmrId, revision.getEmrId())
-         .orderByDesc(EmrRevision::getRevisionNumber)
-         .last("LIMIT 1");
-        EmrRevision last = revisionService.getOne(w);
-        revision.setRevisionNumber(last == null ? 1 : last.getRevisionNumber() + 1);
-        revision.setCreateTime(new Date());
-        revisionService.save(revision);
-        return R.ok(revision);
+        return R.ok(emrRevisionAppService.getRevisionDetail(id));
    }

    @GetMapping("/compare")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "对比两个修订版本")
    public R<?> compareRevisions(
            @RequestParam("revisionId1") Long id1,
            @RequestParam("revisionId2") Long id2) {
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrTimelinessController.java
@@ -0,0 +1,44 @@
+package com.healthlink.his.web.emr.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.emr.domain.EmrTimeliness;
+import com.healthlink.his.emr.dto.EmrTimelinessStatisticsDto;
+import com.healthlink.his.web.emr.appservice.IEmrTimelinessAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+@RestController
+@RequestMapping("/emr/timeliness")
+@Slf4j
+@AllArgsConstructor
+@Tag(name = "病历时限监控")
+public class EmrTimelinessController {
+
+    private final IEmrTimelinessAppService emrTimelinessAppService;
+
+    @PostMapping("/check")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "执行病历时限检查")
+    public R<EmrTimelinessStatisticsDto> checkTimeliness(
+            @RequestParam(value = "encounterId", required = false) Long encounterId) {
+        return R.ok(emrTimelinessAppService.checkTimeliness(encounterId));
+    }
+
+    @GetMapping("/alerts")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取病历时限提醒列表")
+    public R<Map<String, Object>> getTimelinessAlerts(
+            @RequestParam(value = "emrType", required = false) String emrType,
+            @RequestParam(value = "status", required = false) String status,
+            @RequestParam(value = "departmentName", required = false) String departmentName,
+            @RequestParam(value = "pageNum", defaultValue = "1") int pageNum,
+            @RequestParam(value = "pageSize", defaultValue = "20") int pageSize) {
+        return R.ok(emrTimelinessAppService.getTimelinessAlerts(emrType, status, departmentName, pageNum, pageSize));
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrVersionController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrVersionController.java
@@ -0,0 +1,44 @@
+package com.healthlink.his.web.emr.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.emr.domain.EmrVersion;
+import com.healthlink.his.web.emr.appservice.IEmrVersionAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+@RestController
+@RequestMapping("/emr/version")
+@Slf4j
+@AllArgsConstructor
+@Tag(name = "病历版本管理")
+public class EmrVersionController {
+
+    private final IEmrVersionAppService emrVersionAppService;
+
+    @PostMapping("/save")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "保存病历版本")
+    public R<EmrVersion> saveVersion(@RequestBody EmrVersion version) {
+        return R.ok(emrVersionAppService.saveVersion(version));
+    }
+
+    @GetMapping("/list/{emrId}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取病历版本列表")
+    public R<?> getVersions(@PathVariable Long emrId) {
+        return R.ok(emrVersionAppService.getVersions(emrId));
+    }
+
+    @GetMapping("/compare")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "对比两个版本")
+    public R<?> compareVersions(
+            @RequestParam("versionId1") Long versionId1,
+            @RequestParam("versionId2") Long versionId2) {
+        return R.ok(emrVersionAppService.compareVersions(versionId1, versionId2));
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V64__emr_version_management.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V64__emr_version_management.sql
@@ -0,0 +1,26 @@
+-- V64: 病历版本管理
+
+CREATE TABLE IF NOT EXISTS emr_version (
+    id BIGSERIAL PRIMARY KEY,
+    emr_id BIGINT NOT NULL,
+    encounter_id BIGINT NOT NULL,
+    version_number INT NOT NULL DEFAULT 1,
+    content_snapshot TEXT,
+    content_diff TEXT,
+    emr_type VARCHAR(50),
+    emr_title VARCHAR(200),
+    operator_id BIGINT,
+    operator_name VARCHAR(64),
+    save_reason VARCHAR(200),
+    tenant_id BIGINT DEFAULT 0,
+    delete_flag VARCHAR(1) DEFAULT '0',
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE emr_version IS '病历版本管理（不可删除，三甲评审要求）';
+COMMENT ON COLUMN emr_version.version_number IS '版本号，递增';
+COMMENT ON COLUMN emr_version.content_snapshot IS '完整内容快照';
+COMMENT ON COLUMN emr_version.content_diff IS '与上一版本的差异';
+COMMENT ON COLUMN emr_version.save_reason IS '保存原因';
+CREATE INDEX IF NOT EXISTS idx_ev_emr ON emr_version(emr_id);
+CREATE INDEX IF NOT EXISTS idx_ev_encounter ON emr_version(encounter_id);
+CREATE INDEX IF NOT EXISTS idx_ev_version ON emr_version(emr_id, version_number);
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/domain/EmrVersion.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/domain/EmrVersion.java
@@ -0,0 +1,37 @@
+package com.healthlink.his.emr.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("emr_version")
+@Accessors(chain = true)
+public class EmrVersion extends HisBaseEntity {
+
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+
+    private Long emrId;
+
+    private Long encounterId;
+
+    private Integer versionNumber;
+
+    private String contentSnapshot;
+
+    private String contentDiff;
+
+    private String emrType;
+
+    private String emrTitle;
+
+    private Long operatorId;
+
+    private String operatorName;
+
+    private String saveReason;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/mapper/EmrVersionMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/mapper/EmrVersionMapper.java
@@ -0,0 +1,16 @@
+package com.healthlink.his.emr.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.emr.domain.EmrVersion;
+import org.apache.ibatis.annotations.Mapper;
+import org.apache.ibatis.annotations.Param;
+
+import java.util.List;
+
+@Mapper
+public interface EmrVersionMapper extends BaseMapper<EmrVersion> {
+
+    List<EmrVersion> selectByEmrId(@Param("emrId") Long emrId);
+
+    EmrVersion selectLatest(@Param("emrId") Long emrId);
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/IEmrVersionService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/IEmrVersionService.java
@@ -0,0 +1,13 @@
+package com.healthlink.his.emr.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.emr.domain.EmrVersion;
+
+import java.util.List;
+
+public interface IEmrVersionService extends IService<EmrVersion> {
+
+    List<EmrVersion> selectByEmrId(Long emrId);
+
+    EmrVersion selectLatest(Long emrId);
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/impl/EmrVersionServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/impl/EmrVersionServiceImpl.java
@@ -0,0 +1,25 @@
+package com.healthlink.his.emr.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.emr.domain.EmrVersion;
+import com.healthlink.his.emr.mapper.EmrVersionMapper;
+import com.healthlink.his.emr.service.IEmrVersionService;
+import org.springframework.stereotype.Service;
+
+import java.util.List;
+
+@Service
+public class EmrVersionServiceImpl
+        extends ServiceImpl<EmrVersionMapper, EmrVersion>
+        implements IEmrVersionService {
+
+    @Override
+    public List<EmrVersion> selectByEmrId(Long emrId) {
+        return baseMapper.selectByEmrId(emrId);
+    }
+
+    @Override
+    public EmrVersion selectLatest(Long emrId) {
+        return baseMapper.selectLatest(emrId);
+    }
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/emr/EmrVersionMapper.xml
+++ b/healthlink-his-server/healthlink-his-domain/src/main/resources/mapper/emr/EmrVersionMapper.xml
@@ -0,0 +1,20 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.healthlink.his.emr.mapper.EmrVersionMapper">
+
+    <select id="selectByEmrId" resultType="com.healthlink.his.emr.domain.EmrVersion">
+        SELECT * FROM emr_version
+        WHERE emr_id = #{emrId} AND delete_flag = '0'
+        ORDER BY version_number DESC
+    </select>
+
+    <select id="selectLatest" resultType="com.healthlink.his.emr.domain.EmrVersion">
+        SELECT * FROM emr_version
+        WHERE emr_id = #{emrId} AND delete_flag = '0'
+        ORDER BY version_number DESC
+        LIMIT 1
+    </select>
+
+</mapper>
--- a/healthlink-his-ui/src/api/anesthesia.js
+++ b/healthlink-his-ui/src/api/anesthesia.js
@@ -93,3 +93,11 @@ export function saveAnesSummary(data) {
 export function getAnesSummary(recordId) {
  return request({ url: '/api/v1/anesthesia/summary/' + recordId, method: 'get' })
 }
+
+export function recordPostopFollowup(data) {
+  return request({ url: '/api/v1/anesthesia/postop-followup', method: 'post', data })
+}
+
+export function getPostopFollowups(encounterId) {
+  return request({ url: '/api/v1/anesthesia/postop-followup/' + encounterId, method: 'get' })
+}
--- a/healthlink-his-ui/src/api/emr.js
+++ b/healthlink-his-ui/src/api/emr.js
@@ -2,6 +2,20 @@ import request from "@/utils/request"
 export function getTimelinessByEncounter(encounterId) { return request({ url: "/emr-revision/timeliness/" + encounterId, method: "get" }) }
 export function getTimelinessStatistics(params) { return request({ url: "/emr-revision/statistics", method: "get", params }) }
 export function getPendingEmrCount(params) { return request({ url: "/emr-archive/pending-count", method: "get", params }) }
-
-// 查询超期病历列表
 export function getOverdueList(params) { return request({ url: "/emr-archive/overdue/list", method: "get", params }) }
+
+export function recordEmrRevision(data) { return request({ url: "/emr/revision/record", method: "post", data }) }
+export function getEmrRevisionList(emrId) { return request({ url: "/emr/revision/list/" + emrId, method: "get" }) }
+export function getEmrRevisionPage(params) { return request({ url: "/emr/revision/page", method: "get", params }) }
+export function getEmrRevisionDetail(id) { return request({ url: "/emr/revision/" + id, method: "get" }) }
+export function compareEmrRevisions(id1, id2) { return request({ url: "/emr/revision/compare", method: "get", params: { revisionId1: id1, revisionId2: id2 } }) }
+
+export function saveEmrVersion(data) { return request({ url: "/emr/version/save", method: "post", data }) }
+export function getEmrVersionList(emrId) { return request({ url: "/emr/version/list/" + emrId, method: "get" }) }
+export function compareEmrVersions(id1, id2) { return request({ url: "/emr/version/compare", method: "get", params: { versionId1: id1, versionId2: id2 } }) }
+
+export function checkCompleteness(emrId, encounterId) { return request({ url: "/emr/completeness/check", method: "post", params: { emrId, encounterId } }) }
+export function getCompletenessResults(emrId) { return request({ url: "/emr/completeness/results/" + emrId, method: "get" }) }
+
+export function checkTimeliness(encounterId) { return request({ url: "/emr/timeliness/check", method: "post", params: { encounterId } }) }
+export function getTimelinessAlerts(params) { return request({ url: "/emr/timeliness/alerts", method: "get", params }) }
--- a/healthlink-his-ui/src/api/emr/index.js
+++ b/healthlink-his-ui/src/api/emr/index.js
@@ -1,4 +1,5 @@
 import request from '@/utils/request'
+
 export function createRevision(data) { return request({ url: '/api/v1/emr/revision', method: 'post', data }) }
 export function getRevisionHistory(emrId) { return request({ url: '/api/v1/emr/revision/' + emrId, method: 'get' }) }
 export function executeCompletenessCheck(emrId) { return request({ url: '/api/v1/emr/completeness-check/' + emrId, method: 'post' }) }
@@ -7,3 +8,9 @@ export function getTimelinessByEncounter(encounterId) { return request({ url: '/
 export function getOverdueList() { return request({ url: '/api/v1/emr/timeliness/overdue', method: 'get' }) }
 export function getTimelinessStatistics(params) { return request({ url: '/api/v1/emr/timeliness/statistics', method: 'get', params }) }
 export function checkTimeliness(data) { return request({ url: '/api/v1/emr/timeliness/check', method: 'post', data }) }
+
+export function recordEmrRevision(data) { return request({ url: '/emr/revision/record', method: 'post', data }) }
+export function getEmrRevisionList(emrId) { return request({ url: '/emr/revision/list/' + emrId, method: 'get' }) }
+export function getEmrRevisionPage(params) { return request({ url: '/emr/revision/page', method: 'get', params }) }
+export function getEmrRevisionDetail(id) { return request({ url: '/emr/revision/' + id, method: 'get' }) }
+export function compareEmrRevisions(id1, id2) { return request({ url: '/emr/revision/compare', method: 'get', params: { revisionId1: id1, revisionId2: id2 } }) }
--- a/healthlink-his-ui/src/views/emr/completeness-check/index.vue
+++ b/healthlink-his-ui/src/views/emr/completeness-check/index.vue
@@ -0,0 +1,156 @@
+<template>
+  <div class="app-container">
+    <el-card shadow="hover" class="mb8">
+      <template #header>
+        <span>执行完整性检查</span>
+      </template>
+      <el-form :inline="true" :model="checkForm">
+        <el-form-item label="病历ID">
+          <el-input v-model="checkForm.emrId" placeholder="请输入病历ID" clearable />
+        </el-form-item>
+        <el-form-item label="就诊ID">
+          <el-input v-model="checkForm.encounterId" placeholder="请输入就诊ID" clearable />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" icon="Search" :loading="checkLoading" @click="handleCheck">
+            执行检查
+          </el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-row v-if="checkResult" :gutter="20" class="mb8">
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="检查项总数" :value="checkResult.totalItems" />
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="必填项总数" :value="checkResult.requiredTotal" />
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="必填项通过" :value="checkResult.requiredPassed" />
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="是否完整" :value="checkResult.isComplete ? '是' : '否'" />
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-card v-if="checkResult && checkResult.requiredFailed > 0" shadow="hover" class="mb8">
+      <template #header>
+        <span style="color: #e6a23c;">不合格项提醒</span>
+      </template>
+      <el-alert
+        v-for="item in failedItems"
+        :key="item.id"
+        :title="item.checkItem"
+        :description="item.checkDetail"
+        type="warning"
+        show-icon
+        class="mb4"
+      />
+    </el-card>
+
+    <el-card shadow="hover">
+      <template #header>
+        <span>检查结果明细</span>
+      </template>
+      <el-table v-loading="resultLoading" :data="resultList">
+        <el-table-column label="检查项" prop="checkItem" width="150" />
+        <el-table-column label="分类" prop="checkCategory" width="120">
+          <template #default="scope">
+            <el-tag>{{ categoryMap[scope.row.checkCategory] || scope.row.checkCategory }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="是否必填" prop="isRequired" width="100">
+          <template #default="scope">
+            <el-tag :type="scope.row.isRequired ? 'danger' : 'info'">
+              {{ scope.row.isRequired ? '必填' : '选填' }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="检查结果" prop="checkResult" width="120">
+          <template #default="scope">
+            <el-tag :type="scope.row.checkResult === 'PASS' ? 'success' : 'danger'">
+              {{ scope.row.checkResult === 'PASS' ? '通过' : '不合格' }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="详情" prop="checkDetail" min-width="200" show-overflow-tooltip />
+        <el-table-column label="检查时间" prop="checkTime" width="180" />
+      </el-table>
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, computed } from 'vue'
+import { checkCompleteness, getCompletenessResults } from '@/api/emr'
+import { ElMessage } from 'element-plus'
+
+const checkLoading = ref(false)
+const resultLoading = ref(false)
+const checkResult = ref(null)
+const resultList = ref([])
+
+const checkForm = reactive({ emrId: '', encounterId: '' })
+
+const categoryMap = {
+  basic: '基本信息',
+  examination: '检查',
+  diagnosis: '诊断',
+  treatment: '治疗',
+  signature: '签名'
+}
+
+const failedItems = computed(() => {
+  if (!checkResult.value || !checkResult.value.checks) return []
+  return checkResult.value.checks.filter(c => c.checkResult === 'FAIL')
+})
+
+const handleCheck = async () => {
+  if (!checkForm.emrId) {
+    ElMessage.warning('请输入病历ID')
+    return
+  }
+  if (!checkForm.encounterId) {
+    ElMessage.warning('请输入就诊ID')
+    return
+  }
+  checkLoading.value = true
+  try {
+    const res = await checkCompleteness(checkForm.emrId, checkForm.encounterId)
+    checkResult.value = res.data || res
+    resultList.value = checkResult.value.checks || []
+    ElMessage.success(checkResult.value.isComplete ? '病历完整性检查通过' : '病历完整性检查未通过，存在不合格项')
+  } catch (e) {
+    ElMessage.error('执行检查失败')
+  } finally {
+    checkLoading.value = false
+  }
+}
+
+const loadResults = async () => {
+  if (!checkForm.emrId) return
+  resultLoading.value = true
+  try {
+    const res = await getCompletenessResults(checkForm.emrId)
+    resultList.value = res.data || res || []
+  } catch (e) {
+    ElMessage.error('获取检查结果失败')
+  } finally {
+    resultLoading.value = false
+  }
+}
+</script>
+
+<style scoped>
+.mb8 { margin-bottom: 8px; }
+.mb4 { margin-bottom: 4px; }
+</style>
--- a/healthlink-his-ui/src/views/inpatientDoctor/EmrRevisionTrack.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/EmrRevisionTrack.vue
@@ -0,0 +1,277 @@
+<template>
+  <div class="emr-revision-track">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>修改留痕记录</span>
+          <div>
+            <el-button v-if="compareIds.length === 2" type="primary" size="small" @click="handleCompare">对比选中</el-button>
+            <el-button type="info" size="small" @click="handleRefresh">刷新</el-button>
+          </div>
+        </div>
+      </template>
+
+      <el-timeline v-if="revisions.length > 0">
+        <el-timeline-item
+          v-for="item in revisions"
+          :key="item.id"
+          :timestamp="item.createTime"
+          placement="top"
+          :type="getTimelineType(item.operationType)"
+          size="large"
+        >
+          <el-card shadow="never" class="revision-card">
+            <div class="revision-header">
+              <div class="revision-meta">
+                <el-tag size="small" :type="getOpTagType(item.operationType)">{{ getOpLabel(item.operationType) }}</el-tag>
+                <span class="revision-number">版本 #{{ item.revisionNumber }}</span>
+                <span class="revision-operator">{{ item.operatorName }}</span>
+              </div>
+              <div class="revision-actions">
+                <el-checkbox
+                  :model-value="compareIds.includes(item.id)"
+                  :disabled="!compareIds.includes(item.id) && compareIds.length >= 2"
+                  @change="(val) => toggleCompare(item.id, val)"
+                />
+                <el-button link type="primary" size="small" @click="handleViewDetail(item)">查看详情</el-button>
+              </div>
+            </div>
+            <div v-if="item.diffContent" class="revision-diff">
+              <div class="diff-label">修改内容：</div>
+              <pre class="diff-content">{{ item.diffContent }}</pre>
+            </div>
+            <div v-if="item.snapshotContent" class="revision-snapshot">
+              <div class="diff-label">快照内容：</div>
+              <pre class="diff-content">{{ truncateContent(item.snapshotContent) }}</pre>
+            </div>
+          </el-card>
+        </el-timeline-item>
+      </el-timeline>
+
+      <el-empty v-else description="暂无修改记录" />
+    </el-card>
+
+    <el-dialog v-model="detailVisible" title="修订详情" width="700px" destroy-on-close top="5vh">
+      <div v-if="currentRevision" class="detail-content">
+        <el-descriptions :column="2" border size="small">
+          <el-descriptions-item label="版本号">{{ currentRevision.revisionNumber }}</el-descriptions-item>
+          <el-descriptions-item label="操作类型">
+            <el-tag size="small" :type="getOpTagType(currentRevision.operationType)">{{ getOpLabel(currentRevision.operationType) }}</el-tag>
+          </el-descriptions-item>
+          <el-descriptions-item label="操作人">{{ currentRevision.operatorName }}</el-descriptions-item>
+          <el-descriptions-item label="操作时间">{{ currentRevision.createTime }}</el-descriptions-item>
+          <el-descriptions-item label="病历ID">{{ currentRevision.emrId }}</el-descriptions-item>
+          <el-descriptions-item label="就诊ID">{{ currentRevision.encounterId }}</el-descriptions-item>
+        </el-descriptions>
+        <div v-if="currentRevision.diffContent" style="margin-top: 16px">
+          <div class="diff-label">修改内容：</div>
+          <pre class="detail-pre">{{ currentRevision.diffContent }}</pre>
+        </div>
+        <div v-if="currentRevision.snapshotContent" style="margin-top: 16px">
+          <div class="diff-label">快照内容：</div>
+          <pre class="detail-pre">{{ currentRevision.snapshotContent }}</pre>
+        </div>
+      </div>
+      <template #footer>
+        <el-button @click="detailVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="compareVisible" title="修订对比" width="900px" destroy-on-close top="5vh">
+      <div v-if="compareData" class="compare-content">
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-card shadow="never">
+              <template #header>
+                <span>版本 #{{ compareData.revision1?.revisionNumber }} — {{ compareData.revision1?.operatorName }}</span>
+              </template>
+              <pre class="compare-pre">{{ compareData.revision1?.snapshotContent || '无快照' }}</pre>
+            </el-card>
+          </el-col>
+          <el-col :span="12">
+            <el-card shadow="never">
+              <template #header>
+                <span>版本 #{{ compareData.revision2?.revisionNumber }} — {{ compareData.revision2?.operatorName }}</span>
+              </template>
+              <pre class="compare-pre">{{ compareData.revision2?.snapshotContent || '无快照' }}</pre>
+            </el-card>
+          </el-col>
+        </el-row>
+      </div>
+      <template #footer>
+        <el-button @click="compareVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getEmrRevisionList, getEmrRevisionDetail, compareEmrRevisions } from '@/api/emr'
+
+const props = defineProps({
+  emrId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const revisions = ref([])
+const compareIds = ref([])
+const detailVisible = ref(false)
+const compareVisible = ref(false)
+const currentRevision = ref(null)
+const compareData = ref(null)
+
+const OP_LABEL_MAP = { CREATE: '创建', EDIT: '编辑', APPROVE: '审批', SIGN: '签名' }
+const OP_TAG_MAP = { CREATE: 'success', EDIT: '', APPROVE: 'warning', SIGN: 'info' }
+const TIMELINE_MAP = { CREATE: 'primary', EDIT: 'success', APPROVE: 'warning', SIGN: 'info' }
+
+function getOpLabel(type) { return OP_LABEL_MAP[type] || type }
+function getOpTagType(type) { return OP_TAG_MAP[type] || '' }
+function getTimelineType(type) { return TIMELINE_MAP[type] || '' }
+
+function truncateContent(content) {
+  if (!content) return ''
+  return content.length > 200 ? content.substring(0, 200) + '...' : content
+}
+
+function loadRevisions() {
+  if (!props.emrId) return
+  loading.value = true
+  getEmrRevisionList(props.emrId).then(res => {
+    revisions.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询修改记录失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleRefresh() {
+  compareIds.value = []
+  loadRevisions()
+}
+
+function toggleCompare(id, checked) {
+  if (checked) {
+    compareIds.value.push(id)
+  } else {
+    compareIds.value = compareIds.value.filter(i => i !== id)
+  }
+}
+
+function handleViewDetail(item) {
+  loading.value = true
+  getEmrRevisionDetail(item.id).then(res => {
+    currentRevision.value = res.data
+    detailVisible.value = true
+  }).catch(() => {
+    ElMessage.error('查询详情失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleCompare() {
+  if (compareIds.value.length !== 2) {
+    ElMessage.warning('请选择两个版本进行对比')
+    return
+  }
+  loading.value = true
+  compareEmrRevisions(compareIds.value[0], compareIds.value[1]).then(res => {
+    compareData.value = res.data
+    compareVisible.value = true
+  }).catch(() => {
+    ElMessage.error('对比查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.emrId, () => { loadRevisions() })
+
+onMounted(() => { loadRevisions() })
+</script>
+
+<style scoped>
+.emr-revision-track {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.revision-card {
+  margin-bottom: 0;
+}
+.revision-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.revision-meta {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+.revision-number {
+  font-weight: 600;
+  color: #303133;
+}
+.revision-operator {
+  color: #606266;
+}
+.revision-actions {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+.diff-label {
+  font-size: 13px;
+  color: #909399;
+  margin-bottom: 4px;
+}
+.diff-content {
+  background: #f5f7fa;
+  padding: 8px 12px;
+  border-radius: 4px;
+  font-size: 12px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+  max-height: 120px;
+  overflow-y: auto;
+}
+.detail-content {
+  max-height: 60vh;
+  overflow-y: auto;
+}
+.detail-pre {
+  background: #f5f7fa;
+  padding: 12px;
+  border-radius: 4px;
+  font-size: 13px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+}
+.compare-content {
+  max-height: 65vh;
+  overflow-y: auto;
+}
+.compare-pre {
+  background: #f5f7fa;
+  padding: 12px;
+  border-radius: 4px;
+  font-size: 12px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+  max-height: 50vh;
+  overflow-y: auto;
+}
+</style>
--- a/healthlink-his-ui/src/views/inpatientDoctor/EmrTimelinessMonitor.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/EmrTimelinessMonitor.vue
@@ -0,0 +1,254 @@
+<template>
+  <div class="emr-timeliness-monitor">
+    <el-row :gutter="16" class="stats-row">
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value total">{{ stats.totalCount || 0 }}</div>
+          <div class="stat-label">病历总数</div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value completed">{{ stats.completedCount || 0 }}</div>
+          <div class="stat-label">已完成</div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value pending">{{ stats.pendingCount || 0 }}</div>
+          <div class="stat-label">待完成</div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" class="stat-card">
+          <div class="stat-value overdue">{{ stats.overdueCount || 0 }}</div>
+          <div class="stat-label">已超时</div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-card shadow="never" class="filter-card">
+      <el-form :inline="true" :model="queryParams" class="filter-form">
+        <el-form-item label="病历类型">
+          <el-select v-model="queryParams.emrType" clearable placeholder="全部" style="width: 160px">
+            <el-option label="入院记录" value="ADMISSION" />
+            <el-option label="首次病程" value="FIRST_COURSE" />
+            <el-option label="日常病程" value="DAILY_COURSE" />
+            <el-option label="出院记录" value="DISCHARGE" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="状态">
+          <el-select v-model="queryParams.status" clearable placeholder="全部" style="width: 140px">
+            <el-option label="待完成" value="PENDING" />
+            <el-option label="已完成" value="COMPLETED" />
+            <el-option label="已超时" value="OVERDUE" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="科室">
+          <el-input v-model="queryParams.departmentName" clearable placeholder="输入科室名" style="width: 160px" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="handleSearch">
+            搜索
+          </el-button>
+          <el-button @click="handleReset">
+            重置
+          </el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-card shadow="never" class="table-card">
+      <template #header>
+        <div class="card-header">
+          <span>时限提醒列表</span>
+          <el-button type="primary" size="small" @click="handleCheckAll">
+            执行检查
+          </el-button>
+        </div>
+      </template>
+
+      <el-table v-loading="loading" :data="alertList" stripe border size="default">
+        <el-table-column prop="emrType" label="病历类型" width="120" align="center">
+          <template #default="{ row }">
+            <el-tag size="small" :type="getEmrTypeTag(row.emrType)">
+              {{ getEmrTypeLabel(row.emrType) }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="patientId" label="患者ID" width="100" align="center" />
+        <el-table-column prop="doctorName" label="主治医生" width="110" align="center" />
+        <el-table-column prop="departmentName" label="科室" width="130" align="center" />
+        <el-table-column prop="requiredHours" label="时限(小时)" width="100" align="center" />
+        <el-table-column prop="deadlineTime" label="截止时间" width="170" align="center" />
+        <el-table-column prop="actualCompleteTime" label="完成时间" width="170" align="center">
+          <template #default="{ row }">
+            {{ row.actualCompleteTime || '-' }}
+          </template>
+        </el-table-column>
+        <el-table-column prop="status" label="状态" width="100" align="center">
+          <template #default="{ row }">
+            <el-tag size="small" :type="getStatusTag(row.status)">
+              {{ getStatusLabel(row.status) }}
+            </el-tag>
+          </template>
+        </el-table-column>
+      </el-table>
+
+      <el-pagination
+        v-if="total > 0"
+        v-model:current-page="queryParams.pageNum"
+        v-model:page-size="queryParams.pageSize"
+        :page-sizes="[10, 20, 50]"
+        :total="total"
+        layout="total, sizes, prev, pager, next, jumper"
+        background
+        @size-change="loadAlerts"
+        @current-change="loadAlerts"
+      />
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { checkTimeliness, getTimelinessAlerts } from '@/api/emr'
+
+const loading = ref(false)
+const stats = ref({})
+const alertList = ref([])
+const total = ref(0)
+
+const queryParams = reactive({
+  emrType: '',
+  status: '',
+  departmentName: '',
+  pageNum: 1,
+  pageSize: 20
+})
+
+const EMR_TYPE_MAP = {
+  ADMISSION: '入院记录',
+  FIRST_COURSE: '首次病程',
+  DAILY_COURSE: '日常病程',
+  DISCHARGE: '出院记录'
+}
+const EMR_TYPE_TAG = {
+  ADMISSION: 'primary',
+  FIRST_COURSE: 'success',
+  DAILY_COURSE: 'warning',
+  DISCHARGE: 'info'
+}
+const STATUS_MAP = {
+  PENDING: '待完成',
+  COMPLETED: '已完成',
+  OVERDUE: '已超时'
+}
+const STATUS_TAG = {
+  PENDING: 'warning',
+  COMPLETED: 'success',
+  OVERDUE: 'danger'
+}
+
+function getEmrTypeLabel(type) { return EMR_TYPE_MAP[type] || type }
+function getEmrTypeTag(type) { return EMR_TYPE_TAG[type] || '' }
+function getStatusLabel(s) { return STATUS_MAP[s] || s }
+function getStatusTag(s) { return STATUS_TAG[s] || '' }
+
+function loadStats() {
+  checkTimeliness(null).then(res => {
+    stats.value = res.data || {}
+  })
+}
+
+function loadAlerts() {
+  loading.value = true
+  const params = { ...queryParams }
+  if (!params.emrType) delete params.emrType
+  if (!params.status) delete params.status
+  if (!params.departmentName) delete params.departmentName
+  getTimelinessAlerts(params).then(res => {
+    alertList.value = res.data?.rows || []
+    total.value = res.data?.total || 0
+  }).catch(() => {
+    ElMessage.error('查询时限提醒失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleSearch() {
+  queryParams.pageNum = 1
+  loadAlerts()
+}
+
+function handleReset() {
+  queryParams.emrType = ''
+  queryParams.status = ''
+  queryParams.departmentName = ''
+  queryParams.pageNum = 1
+  loadAlerts()
+}
+
+function handleCheckAll() {
+  loading.value = true
+  checkTimeliness(null).then(res => {
+    stats.value = res.data || {}
+    ElMessage.success('时限检查完成')
+    loadAlerts()
+  }).catch(() => {
+    ElMessage.error('执行检查失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+onMounted(() => {
+  loadStats()
+  loadAlerts()
+})
+</script>
+
+<style scoped>
+.emr-timeliness-monitor {
+  padding: 16px;
+}
+.stats-row {
+  margin-bottom: 16px;
+}
+.stat-card {
+  text-align: center;
+}
+.stat-value {
+  font-size: 28px;
+  font-weight: 700;
+  line-height: 1.4;
+}
+.stat-value.total { color: #409eff; }
+.stat-value.completed { color: #67c23a; }
+.stat-value.pending { color: #e6a23c; }
+.stat-value.overdue { color: #f56c6c; }
+.stat-label {
+  font-size: 13px;
+  color: #909399;
+  margin-top: 4px;
+}
+.filter-card {
+  margin-bottom: 16px;
+}
+.filter-form {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 0;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.table-card .el-pagination {
+  margin-top: 16px;
+  justify-content: flex-end;
+}
+</style>
--- a/healthlink-his-ui/src/views/inpatientDoctor/EmrVersionCompare.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/EmrVersionCompare.vue
@@ -0,0 +1,251 @@
+<template>
+  <div class="emr-version-compare">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>历史版本管理</span>
+          <div>
+            <el-button
+              v-if="compareIds.length === 2"
+              type="primary"
+              size="small"
+              @click="handleCompare"
+            >
+              对比选中版本
+            </el-button>
+            <el-button
+              type="info"
+              size="small"
+              @click="handleRefresh"
+            >
+              刷新
+            </el-button>
+          </div>
+        </div>
+      </template>
+
+      <el-table
+        v-if="versions.length > 0"
+        :data="versions"
+        border
+        size="small"
+        @selection-change="handleSelectionChange"
+      >
+        <el-table-column type="selection" width="40" />
+        <el-table-column label="版本号" width="90" align="center">
+          <template #default="{ row }">
+            <el-tag size="small">v{{ row.versionNumber }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="emrTitle" label="病历标题" show-overflow-tooltip />
+        <el-table-column prop="operatorName" label="操作人" width="100" />
+        <el-table-column prop="saveReason" label="保存原因" show-overflow-tooltip />
+        <el-table-column prop="createTime" label="保存时间" width="170" />
+        <el-table-column label="操作" width="100" align="center">
+          <template #default="{ row }">
+            <el-button link type="primary" size="small" @click="handleViewDetail(row)">
+              查看
+            </el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+
+      <el-empty v-else description="暂无历史版本" />
+    </el-card>
+
+    <el-dialog
+      v-model="detailVisible"
+      title="版本详情"
+      width="700px"
+      destroy-on-close
+      top="5vh"
+    >
+      <div v-if="currentVersion" class="detail-content">
+        <el-descriptions :column="2" border size="small">
+          <el-descriptions-item label="版本号">
+            v{{ currentVersion.versionNumber }}
+          </el-descriptions-item>
+          <el-descriptions-item label="操作人">
+            {{ currentVersion.operatorName }}
+          </el-descriptions-item>
+          <el-descriptions-item label="保存时间">
+            {{ currentVersion.createTime }}
+          </el-descriptions-item>
+          <el-descriptions-item label="保存原因">
+            {{ currentVersion.saveReason || '-' }}
+          </el-descriptions-item>
+          <el-descriptions-item label="病历ID">
+            {{ currentVersion.emrId }}
+          </el-descriptions-item>
+          <el-descriptions-item label="就诊ID">
+            {{ currentVersion.encounterId }}
+          </el-descriptions-item>
+        </el-descriptions>
+        <div v-if="currentVersion.contentSnapshot" style="margin-top: 16px">
+          <div class="diff-label">内容快照：</div>
+          <pre class="detail-pre">{{ currentVersion.contentSnapshot }}</pre>
+        </div>
+        <div v-if="currentVersion.contentDiff" style="margin-top: 16px">
+          <div class="diff-label">与上一版本差异：</div>
+          <pre class="detail-pre diff-text">{{ currentVersion.contentDiff }}</pre>
+        </div>
+      </div>
+      <template #footer>
+        <el-button @click="detailVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog
+      v-model="compareVisible"
+      title="版本对比"
+      width="900px"
+      destroy-on-close
+      top="5vh"
+    >
+      <div v-if="compareData" class="compare-content">
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-card shadow="never">
+              <template #header>
+                <span>版本 #{{ compareData.version1?.versionNumber }} — {{ compareData.version1?.operatorName }}</span>
+              </template>
+              <pre class="compare-pre">{{ compareData.version1?.contentSnapshot || '无快照' }}</pre>
+            </el-card>
+          </el-col>
+          <el-col :span="12">
+            <el-card shadow="never">
+              <template #header>
+                <span>版本 #{{ compareData.version2?.versionNumber }} — {{ compareData.version2?.operatorName }}</span>
+              </template>
+              <pre class="compare-pre">{{ compareData.version2?.contentSnapshot || '无快照' }}</pre>
+            </el-card>
+          </el-col>
+        </el-row>
+        <div v-if="compareData.diff" style="margin-top: 16px">
+          <el-card shadow="never">
+            <template #header>
+              <span>差异详情</span>
+            </template>
+            <pre class="compare-pre diff-text">{{ compareData.diff }}</pre>
+          </el-card>
+        </div>
+      </div>
+      <template #footer>
+        <el-button @click="compareVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getEmrVersionList, compareEmrVersions } from '@/api/emr'
+
+const props = defineProps({
+  emrId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const versions = ref([])
+const compareIds = ref([])
+const detailVisible = ref(false)
+const compareVisible = ref(false)
+const currentVersion = ref(null)
+const compareData = ref(null)
+
+function loadVersions() {
+  if (!props.emrId) return
+  loading.value = true
+  getEmrVersionList(props.emrId).then(res => {
+    versions.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询版本记录失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleRefresh() {
+  compareIds.value = []
+  loadVersions()
+}
+
+function handleSelectionChange(selection) {
+  compareIds.value = selection.map(item => item.id)
+}
+
+function handleViewDetail(item) {
+  currentVersion.value = item
+  detailVisible.value = true
+}
+
+function handleCompare() {
+  if (compareIds.value.length !== 2) {
+    ElMessage.warning('请选择两个版本进行对比')
+    return
+  }
+  loading.value = true
+  compareEmrVersions(compareIds.value[0], compareIds.value[1]).then(res => {
+    compareData.value = res.data
+    compareVisible.value = true
+  }).catch(() => {
+    ElMessage.error('对比查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.emrId, () => { loadVersions() })
+
+onMounted(() => { loadVersions() })
+</script>
+
+<style scoped>
+.emr-version-compare {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.diff-label {
+  font-size: 13px;
+  color: #909399;
+  margin-bottom: 4px;
+}
+.detail-content {
+  max-height: 60vh;
+  overflow-y: auto;
+}
+.detail-pre {
+  background: #f5f7fa;
+  padding: 12px;
+  border-radius: 4px;
+  font-size: 13px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+}
+.diff-text {
+  color: #e6a23c;
+}
+.compare-content {
+  max-height: 65vh;
+  overflow-y: auto;
+}
+.compare-pre {
+  background: #f5f7fa;
+  padding: 12px;
+  border-radius: 4px;
+  font-size: 12px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+  max-height: 50vh;
+  overflow-y: auto;
+}
+</style>