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

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java

@@ -29,6 +29,8 @@ import com.openhis.web.chargemanage.dto.PatientMetadata;
 import com.openhis.web.chargemanage.dto.PractitionerMetadata;
 import com.openhis.web.chargemanage.dto.ReprintRegistrationDto;
 import com.openhis.web.chargemanage.mapper.OutpatientRegistrationAppMapper;
+import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
+import com.openhis.triageandqueuemanage.service.TriageCandidateExclusionService;
 import com.openhis.web.paymentmanage.appservice.IPaymentRecService;
 import com.openhis.web.paymentmanage.dto.CancelPaymentDto;
 import com.openhis.web.paymentmanage.dto.CancelRegPaymentDto;
@@ -38,12 +40,15 @@ import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
+import java.time.LocalDate;
 import java.util.*;
 import java.util.stream.Collectors;
+import lombok.extern.slf4j.Slf4j;
 
 /**
  * 门诊挂号 应用实现类
  */
+@Slf4j
 @Service
 public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistrationAppService {
 
@@ -77,6 +82,9 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     @Resource
     IPatientIdentifierService patientIdentifierService;
     
+    @Resource
+    TriageCandidateExclusionService triageCandidateExclusionService;
+
     /**
      * 门诊挂号 - 查询患者信息
      *
@@ -308,6 +316,47 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             new Page<>(pageNo, pageSize), EncounterClass.AMB.getValue(), EncounterStatus.IN_PROGRESS.getValue(),
             ParticipantType.ADMITTER.getCode(), ParticipantType.REGISTRATION_DOCTOR.getCode(), queryWrapper,
             ChargeItemContext.REGISTER.getValue(), PaymentStatus.SUCCESS.getValue());
+        
+        // 过滤候选池排除列表（如果是从智能候选池查询，排除已加入队列的患者）
+        // 检查请求参数 excludeFromCandidatePool，如果为 true 或未设置，则过滤排除列表
+        String excludeParam = request.getParameter("excludeFromCandidatePool");
+        boolean shouldExclude = excludeParam == null || "true".equalsIgnoreCase(excludeParam);
+        if (shouldExclude && currentDayEncounter != null && !currentDayEncounter.getRecords().isEmpty()) {
+            try {
+                // 获取当前租户和日期
+                Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+                LocalDate today = LocalDate.now();
+                
+                // 查询排除列表
+                List<TriageCandidateExclusion> exclusions = triageCandidateExclusionService.list(
+                    new LambdaQueryWrapper<TriageCandidateExclusion>()
+                        .eq(TriageCandidateExclusion::getTenantId, tenantId)
+                        .eq(TriageCandidateExclusion::getExclusionDate, today)
+                        .eq(TriageCandidateExclusion::getDeleteFlag, "0")
+                );
+                
+                if (exclusions != null && !exclusions.isEmpty()) {
+                    // 构建排除的 encounterId 集合
+                    Set<Long> excludedEncounterIds = exclusions.stream()
+                        .map(TriageCandidateExclusion::getEncounterId)
+                        .filter(Objects::nonNull)
+                        .collect(Collectors.toSet());
+                    
+                    // 过滤结果
+                    List<CurrentDayEncounterDto> filteredRecords = currentDayEncounter.getRecords().stream()
+                        .filter(e -> e.getEncounterId() == null || !excludedEncounterIds.contains(e.getEncounterId()))
+                        .collect(Collectors.toList());
+                    
+                    // 更新分页结果
+                    currentDayEncounter.setRecords(filteredRecords);
+                    currentDayEncounter.setTotal(filteredRecords.size());
+                }
+            } catch (Exception e) {
+                // 如果过滤失败，记录日志但不影响正常查询
+                log.warn("过滤候选池排除列表失败", e);
+            }
+        }
+        
         currentDayEncounter.getRecords().forEach(e -> {
             // 性别
             e.setGenderEnum_enumText(EnumUtils.getInfoByValue(AdministrativeGender.class, e.getGenderEnum()));

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/TriageQueueAppService.java

@@ -0,0 +1,27 @@
+package com.openhis.web.triageandqueuemanage.appservice;
+
+import com.core.common.core.domain.R;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
+
+import java.time.LocalDate;
+
+public interface TriageQueueAppService {
+    R<?> list(Long organizationId, LocalDate date);
+    R<?> add(TriageQueueAddReq req);
+    R<?> remove(Long id);
+    R<?> adjust(TriageQueueAdjustReq req);
+    /** 选呼：将之前叫号中置为完成，选中的置为叫号中 */
+    R<?> call(TriageQueueActionReq req);
+    /** 完成：叫号中 -> 完成(移出列表)，并自动推进下一个等待为叫号中 */
+    R<?> complete(TriageQueueActionReq req);
+    /** 过号重排：叫号中 -> 跳过并移到末尾，并自动推进下一个等待为叫号中 */
+    R<?> requeue(TriageQueueActionReq req);
+    /** 跳过：兼容前端按钮（当前实现等同于过号重排） */
+    R<?> skip(TriageQueueActionReq req);
+    /** 下一患者：当前叫号中 -> 完成，下一位等待 -> 叫号中 */
+    R<?> next(TriageQueueActionReq req);
+}
+
+

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java

@@ -0,0 +1,556 @@
+package com.openhis.web.triageandqueuemanage.appservice.impl;
+
+import cn.hutool.core.collection.CollUtil;
+import cn.hutool.core.util.ObjectUtil;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.core.domain.R;
+import com.core.common.utils.SecurityUtils;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
+import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
+import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
+import com.openhis.triageandqueuemanage.service.TriageCandidateExclusionService;
+import com.openhis.web.triageandqueuemanage.appservice.TriageQueueAppService;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueEncounterItem;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import javax.annotation.Resource;
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+import java.util.Comparator;
+import java.util.List;
+import java.util.Objects;
+
+@Service
+public class TriageQueueAppServiceImpl implements TriageQueueAppService {
+
+    private static final String STATUS_WAITING = "WAITING";
+    private static final String STATUS_CALLING = "CALLING";
+    private static final String STATUS_SKIPPED = "SKIPPED";
+    private static final String STATUS_COMPLETED = "COMPLETED";
+
+    @Resource
+    private TriageQueueItemService triageQueueItemService;
+    
+    @Resource
+    private TriageCandidateExclusionService triageCandidateExclusionService;
+
+    @Override
+    public R<?> list(Long organizationId, LocalDate date) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        // 只查询今天的患者
+        LocalDate qd = date != null ? date : LocalDate.now();
+        
+        LambdaQueryWrapper<TriageQueueItem> wrapper = new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getQueueDate, qd)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .ne(TriageQueueItem::getStatus, STATUS_COMPLETED)
+            .orderByAsc(TriageQueueItem::getQueueOrder);
+        
+        // 如果指定了科室，按科室过滤；否则查询所有科室（全科模式）
+        if (organizationId != null) {
+            wrapper.eq(TriageQueueItem::getOrganizationId, organizationId);
+        }
+        
+        List<TriageQueueItem> list = triageQueueItemService.list(wrapper);
+        
+        // 双重保险：再次过滤掉 COMPLETED 状态的患者（防止数据库中有异常数据）
+        if (list != null && !list.isEmpty()) {
+            int beforeSize = list.size();
+            list = list.stream()
+                .filter(item -> !STATUS_COMPLETED.equals(item.getStatus()))
+                .collect(java.util.stream.Collectors.toList());
+            if (beforeSize != list.size()) {
+                System.out.println(">>> [TriageQueue] list() 警告：过滤掉了 " + (beforeSize - list.size()) + " 条 COMPLETED 状态的记录");
+            }
+        }
+        
+        // 调试日志：检查状态值
+        if (list != null && !list.isEmpty()) {
+            System.out.println(">>> [TriageQueue] list() 返回 " + list.size() + " 条记录（已排除 COMPLETED）");
+            for (int i = 0; i < Math.min(3, list.size()); i++) {
+                TriageQueueItem item = list.get(i);
+                System.out.println("    [" + i + "] patientName=" + item.getPatientName() 
+                    + ", status=" + item.getStatus() 
+                    + ", organizationId=" + item.getOrganizationId());
+            }
+        }
+        return R.ok(list);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> add(TriageQueueAddReq req) {
+        if (req == null || ObjectUtil.isNull(req.getOrganizationId())) {
+            return R.fail("organizationId 不能为空");
+        }
+        if (CollUtil.isEmpty(req.getItems())) {
+            return R.fail("items 不能为空");
+        }
+
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        LocalDate qd = LocalDate.now();
+        Long orgId = req.getOrganizationId();
+
+        List<TriageQueueItem> existing = triageQueueItemService.list(new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getOrganizationId, orgId)
+            .eq(TriageQueueItem::getQueueDate, qd)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .ne(TriageQueueItem::getStatus, STATUS_COMPLETED));
+
+        int maxOrder = existing.stream().map(TriageQueueItem::getQueueOrder).filter(Objects::nonNull).max(Integer::compareTo).orElse(0);
+
+        int added = 0;
+        for (TriageQueueEncounterItem it : req.getItems()) {
+            if (it == null || it.getEncounterId() == null) continue;
+            boolean exists = existing.stream().anyMatch(e -> Objects.equals(e.getEncounterId(), it.getEncounterId()));
+            if (exists) continue;
+
+            TriageQueueItem qi = new TriageQueueItem()
+                .setTenantId(tenantId)
+                .setQueueDate(qd)
+                .setOrganizationId(orgId)
+                .setOrganizationName(req.getOrganizationName())
+                .setEncounterId(it.getEncounterId())
+                .setPatientId(it.getPatientId())
+                .setPatientName(it.getPatientName())
+                .setHealthcareName(it.getHealthcareName())
+                .setPractitionerName(it.getPractitionerName())
+                .setStatus(STATUS_WAITING)
+                .setQueueOrder(++maxOrder)
+                .setDeleteFlag("0")
+                .setCreateTime(LocalDateTime.now())
+                .setUpdateTime(LocalDateTime.now());
+
+            triageQueueItemService.save(qi);
+            
+            // 记录到候选池排除列表（避免刷新后重新出现在候选池）
+            TriageCandidateExclusion exclusion = triageCandidateExclusionService.getOne(
+                new LambdaQueryWrapper<TriageCandidateExclusion>()
+                    .eq(TriageCandidateExclusion::getTenantId, tenantId)
+                    .eq(TriageCandidateExclusion::getExclusionDate, qd)
+                    .eq(TriageCandidateExclusion::getEncounterId, it.getEncounterId())
+                    .eq(TriageCandidateExclusion::getDeleteFlag, "0")
+            );
+            if (exclusion == null) {
+                exclusion = new TriageCandidateExclusion()
+                    .setTenantId(tenantId)
+                    .setExclusionDate(qd)
+                    .setEncounterId(it.getEncounterId())
+                    .setPatientId(it.getPatientId())
+                    .setPatientName(it.getPatientName())
+                    .setOrganizationId(orgId)
+                    .setOrganizationName(req.getOrganizationName())
+                    .setReason("ADDED_TO_QUEUE")
+                    .setDeleteFlag("0")
+                    .setCreateTime(LocalDateTime.now())
+                    .setUpdateTime(LocalDateTime.now());
+                triageCandidateExclusionService.save(exclusion);
+            }
+            
+            added++;
+        }
+
+        return R.ok(added);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> remove(Long id) {
+        if (id == null) return R.fail("id 不能为空");
+        TriageQueueItem item = triageQueueItemService.getById(id);
+        if (item == null) return R.fail("队列项不存在");
+        
+        // 逻辑删除队列项
+        item.setDeleteFlag("1").setUpdateTime(LocalDateTime.now());
+        triageQueueItemService.updateById(item);
+        
+        // 从排除列表中删除记录，使患者重新出现在候选池中
+        Integer tenantId = item.getTenantId();
+        LocalDate exclusionDate = item.getQueueDate();
+        Long encounterId = item.getEncounterId();
+        
+        if (tenantId != null && exclusionDate != null && encounterId != null) {
+            TriageCandidateExclusion exclusion = triageCandidateExclusionService.getOne(
+                new LambdaQueryWrapper<TriageCandidateExclusion>()
+                    .eq(TriageCandidateExclusion::getTenantId, tenantId)
+                    .eq(TriageCandidateExclusion::getExclusionDate, exclusionDate)
+                    .eq(TriageCandidateExclusion::getEncounterId, encounterId)
+                    .eq(TriageCandidateExclusion::getDeleteFlag, "0")
+            );
+            
+            if (exclusion != null) {
+                // 逻辑删除排除记录
+                exclusion.setDeleteFlag("1").setUpdateTime(LocalDateTime.now());
+                triageCandidateExclusionService.updateById(exclusion);
+            }
+        }
+        
+        recalcOrders(item.getOrganizationId(), item.getQueueDate());
+        return R.ok(true);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> adjust(TriageQueueAdjustReq req) {
+        if (req == null || req.getId() == null) return R.fail("id 不能为空");
+        if (!"up".equalsIgnoreCase(req.getDirection()) && !"down".equalsIgnoreCase(req.getDirection())) {
+            return R.fail("direction 只能是 up/down");
+        }
+        TriageQueueItem cur = triageQueueItemService.getById(req.getId());
+        if (cur == null) return R.fail("队列项不存在");
+
+        List<TriageQueueItem> list = listInternal(cur.getOrganizationId(), cur.getQueueDate());
+        list.sort(Comparator.comparing(TriageQueueItem::getQueueOrder).thenComparing(TriageQueueItem::getId));
+        int idx = -1;
+        for (int i = 0; i < list.size(); i++) {
+            if (Objects.equals(list.get(i).getId(), cur.getId())) { idx = i; break; }
+        }
+        if (idx == -1) return R.fail("队列项不在当前队列");
+
+        int targetIdx = "up".equalsIgnoreCase(req.getDirection()) ? idx - 1 : idx + 1;
+        if (targetIdx < 0 || targetIdx >= list.size()) return R.ok(false);
+
+        TriageQueueItem other = list.get(targetIdx);
+        Integer tmp = cur.getQueueOrder();
+        cur.setQueueOrder(other.getQueueOrder()).setUpdateTime(LocalDateTime.now());
+        other.setQueueOrder(tmp).setUpdateTime(LocalDateTime.now());
+        triageQueueItemService.updateById(cur);
+        triageQueueItemService.updateById(other);
+
+        recalcOrders(cur.getOrganizationId(), cur.getQueueDate());
+        return R.ok(true);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> call(TriageQueueActionReq req) {
+        if (req == null || req.getId() == null) return R.fail("id 不能为空");
+        TriageQueueItem selected = triageQueueItemService.getById(req.getId());
+        if (selected == null) return R.fail("队列项不存在");
+
+        // 只将"等待"状态的患者转为"叫号中"，允许有多个"叫号中"的患者
+        if (STATUS_WAITING.equals(selected.getStatus())) {
+            selected.setStatus(STATUS_CALLING).setUpdateTime(LocalDateTime.now());
+            triageQueueItemService.updateById(selected);
+            return R.ok(true);
+        } else if (STATUS_CALLING.equals(selected.getStatus())) {
+            // 如果已经是"叫号中"状态，直接返回成功（不做任何操作）
+            return R.ok(true);
+        } else {
+            // 其他状态（如 SKIPPED、COMPLETED）不能选呼
+            return R.fail("只能选呼\"等待\"状态的患者，当前患者状态为：" + selected.getStatus());
+        }
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> complete(TriageQueueActionReq req) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        TriageQueueItem calling = null;
+        
+        // 关键改进：如果提供了 id，直接通过ID获取（像 call 方法一样），不依赖查询条件
+        if (req != null && req.getId() != null) {
+            calling = triageQueueItemService.getById(req.getId());
+            if (calling == null) {
+                return R.fail("队列项不存在");
+            }
+            // 验证状态
+            if (!STATUS_CALLING.equals(calling.getStatus())) {
+                return R.fail("只能完成\"叫号中\"状态的患者，当前患者状态为：" + calling.getStatus());
+            }
+        } else {
+            // 如果没有提供 id，通过查询条件查找（兼容旧逻辑）
+            Long orgId = req != null && req.getOrganizationId() != null ? req.getOrganizationId() : null;
+            System.out.println(">>> [TriageQueue] complete() 开始执行（不限制日期，通过查询条件）, tenantId=" + tenantId + ", orgId=" + orgId);
+
+            LambdaQueryWrapper<TriageQueueItem> callingWrapper = new LambdaQueryWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getTenantId, tenantId)
+                .eq(TriageQueueItem::getDeleteFlag, "0")
+                .eq(TriageQueueItem::getStatus, STATUS_CALLING)
+                .orderByAsc(TriageQueueItem::getQueueOrder)
+                .last("LIMIT 1");
+            
+            if (orgId != null) {
+                callingWrapper.eq(TriageQueueItem::getOrganizationId, orgId);
+            }
+            
+            calling = triageQueueItemService.getOne(callingWrapper, false);
+            
+            System.out.println(">>> [TriageQueue] complete() 查询叫号中患者（不限制日期）: orgId=" + orgId + ", 结果=" + (calling != null ? calling.getPatientName() + "(status=" + calling.getStatus() + ", queueDate=" + calling.getQueueDate() + ")" : "null"));
+
+            if (calling == null) {
+                return R.fail("当前没有叫号中的患者");
+            }
+        }
+        
+        // 使用实际找到的科室ID
+        Long actualOrgId = calling.getOrganizationId();
+
+        // 1) 叫号中 -> 完成（移出列表）
+        calling.setStatus(STATUS_COMPLETED).setUpdateTime(LocalDateTime.now());
+        triageQueueItemService.updateById(calling);
+
+        // 2) 自动推进下一个等待为叫号中（同一科室，包含跳过状态，不限制日期）
+        LambdaQueryWrapper<TriageQueueItem> nextWrapper = new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .and(w -> w.eq(TriageQueueItem::getStatus, STATUS_WAITING)
+                       .or()
+                       .eq(TriageQueueItem::getStatus, STATUS_SKIPPED))
+            .orderByAsc(TriageQueueItem::getQueueOrder)
+            .last("LIMIT 1");
+        
+        // 如果指定了科室ID，则按科室过滤；否则查询所有科室（全科模式）
+        if (actualOrgId != null) {
+            nextWrapper.eq(TriageQueueItem::getOrganizationId, actualOrgId);
+        }
+        
+        TriageQueueItem next = triageQueueItemService.getOne(nextWrapper, false);
+        
+        System.out.println(">>> [TriageQueue] complete() 查询等待患者（不限制日期）: actualOrgId=" + actualOrgId + ", 结果=" + (next != null ? next.getPatientName() + "(status=" + next.getStatus() + ")" : "null"));
+
+        if (next != null) {
+            next.setStatus(STATUS_CALLING).setUpdateTime(LocalDateTime.now());
+            triageQueueItemService.updateById(next);
+        }
+
+        recalcOrders(actualOrgId, null);
+        return R.ok(true);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> requeue(TriageQueueActionReq req) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        TriageQueueItem calling = null;
+        
+
+        if (req != null && req.getId() != null) {
+            calling = triageQueueItemService.getById(req.getId());
+            if (calling == null) {
+                return R.fail("队列项不存在");
+            }
+            // 验证状态
+            if (!STATUS_CALLING.equals(calling.getStatus())) {
+                return R.fail("只能对\"叫号中\"状态的患者进行过号重排，当前患者状态为：" + calling.getStatus());
+            }
+        } else {
+            // 如果没有提供 id，通过查询条件查找（兼容旧逻辑）
+            Long orgId = req != null && req.getOrganizationId() != null ? req.getOrganizationId() : null;
+
+            LambdaQueryWrapper<TriageQueueItem> callingWrapper = new LambdaQueryWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getTenantId, tenantId)
+                .eq(TriageQueueItem::getDeleteFlag, "0")
+                .eq(TriageQueueItem::getStatus, STATUS_CALLING)
+                .orderByAsc(TriageQueueItem::getQueueOrder)
+                .last("LIMIT 1");
+            
+            if (orgId != null) {
+                callingWrapper.eq(TriageQueueItem::getOrganizationId, orgId);
+            }
+            
+            calling = triageQueueItemService.getOne(callingWrapper, false);
+
+            if (calling == null) return R.fail("当前没有叫号中的患者");
+        }
+        
+        // 使用实际找到的科室ID
+        Long actualOrgId = calling.getOrganizationId();
+
+        // 关键改进：在执行"跳过"操作之前，先检查是否有等待中的患者（判断队列状态）
+        // 如果没有等待中的患者，就不应该执行"过号重排"操作
+        LambdaQueryWrapper<TriageQueueItem> nextWrapper = new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .and(w -> w.eq(TriageQueueItem::getStatus, STATUS_WAITING)
+                       .or()
+                       .eq(TriageQueueItem::getStatus, STATUS_SKIPPED))
+            .orderByAsc(TriageQueueItem::getQueueOrder)
+            .last("LIMIT 1");
+        
+        // 如果指定了科室ID，则按科室过滤；否则查询所有科室（全科模式）
+        if (actualOrgId != null) {
+            nextWrapper.eq(TriageQueueItem::getOrganizationId, actualOrgId);
+        }
+        
+        TriageQueueItem next = triageQueueItemService.getOne(nextWrapper, false);
+        
+        // 调试日志：检查查询结果
+        System.out.println(">>> [TriageQueue] requeue() 查询等待中的患者:");
+        System.out.println(">>>   - 科室ID: " + actualOrgId);
+        System.out.println(">>>   - 找到的等待患者: " + (next != null ? next.getPatientName() + " (状态: " + next.getStatus() + ")" : "null"));
+        
+        // 如果找不到等待中的患者，直接返回失败（不执行跳过操作）
+        if (next == null) {
+            System.out.println(">>> [TriageQueue] requeue() 失败：没有等待中的患者");
+            return R.fail("当前没有等待中的患者");
+        }
+
+        // 找末尾序号（同一科室，不限制日期）
+        Integer maxOrder = triageQueueItemService.list(new LambdaQueryWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getTenantId, tenantId)
+                .eq(TriageQueueItem::getOrganizationId, actualOrgId)
+                .eq(TriageQueueItem::getDeleteFlag, "0")
+                .ne(TriageQueueItem::getStatus, STATUS_COMPLETED))
+            .stream()
+            .map(TriageQueueItem::getQueueOrder)
+            .filter(Objects::nonNull)
+            .max(Integer::compareTo)
+            .orElse(0);
+
+        // 1) 叫号中 -> 跳过，并移到末尾
+        calling.setStatus(STATUS_SKIPPED).setQueueOrder(maxOrder + 1).setUpdateTime(LocalDateTime.now());
+        triageQueueItemService.updateById(calling);
+
+        // 2) 自动推进下一个等待为叫号中
+        next.setStatus(STATUS_CALLING).setUpdateTime(LocalDateTime.now());
+        triageQueueItemService.updateById(next);
+
+        recalcOrders(actualOrgId, null);
+        return R.ok(true);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> skip(TriageQueueActionReq req) {
+        // 当前业务“跳过”按“过号重排”处理：叫号中 -> 跳过并移到末尾，自动推进下一等待
+        return requeue(req);
+    }
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> next(TriageQueueActionReq req) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        TriageQueueItem calling = null;
+        
+        System.out.println(">>> [TriageQueue] next() 开始执行（不限制日期）, tenantId=" + tenantId);
+
+        // 关键改进：如果提供了 id，优先使用 id 直接查找（像 call 方法一样）
+        if (req != null && req.getId() != null) {
+            calling = triageQueueItemService.getById(req.getId());
+            if (calling == null) {
+                return R.fail("队列项不存在");
+            }
+            // 验证状态：必须是"叫号中"状态
+            if (!STATUS_CALLING.equals(calling.getStatus())) {
+                return R.fail("只能对\"叫号中\"状态的患者执行\"下一患者\"操作，当前患者状态为：" + calling.getStatus());
+            }
+        } else {
+            // 如果没有提供 id，通过查询条件查找（兼容旧逻辑）
+            Long orgId = req != null && req.getOrganizationId() != null ? req.getOrganizationId() : null;
+            
+            LambdaQueryWrapper<TriageQueueItem> callingWrapper = new LambdaQueryWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getTenantId, tenantId)
+                .eq(TriageQueueItem::getDeleteFlag, "0")
+                .eq(TriageQueueItem::getStatus, STATUS_CALLING)
+                .orderByAsc(TriageQueueItem::getQueueOrder)
+                .last("LIMIT 1");
+            
+            if (orgId != null) {
+                callingWrapper.eq(TriageQueueItem::getOrganizationId, orgId);
+            }
+            
+            calling = triageQueueItemService.getOne(callingWrapper, false);
+        }
+
+        Long actualOrgId = null;
+        
+        // 当前叫号中 -> 完成（如果不存在，就当作从头找第一位等待）
+        if (calling != null) {
+            calling.setStatus(STATUS_COMPLETED).setUpdateTime(LocalDateTime.now());
+            triageQueueItemService.updateById(calling);
+            actualOrgId = calling.getOrganizationId(); // 使用叫号中患者所在的科室
+        } else {
+            // 如果没有叫号中的患者，使用请求中的 organizationId（如果有）
+            if (req != null && req.getOrganizationId() != null) {
+                actualOrgId = req.getOrganizationId();
+            }
+        }
+
+        // 下一位等待 -> 叫号中（如果之前有叫号中的，就在同一科室找；否则在全科找）
+        // 注意：也包含"跳过"状态的患者，因为跳过后的患者也可以重新叫号（不限制日期）
+        LambdaQueryWrapper<TriageQueueItem> nextWrapper = new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .and(w -> w.eq(TriageQueueItem::getStatus, STATUS_WAITING)
+                       .or()
+                       .eq(TriageQueueItem::getStatus, STATUS_SKIPPED))
+            .orderByAsc(TriageQueueItem::getQueueOrder)
+            .last("LIMIT 1");
+        
+        if (actualOrgId != null) {
+            nextWrapper.eq(TriageQueueItem::getOrganizationId, actualOrgId);
+        }
+        
+        TriageQueueItem next = triageQueueItemService.getOne(nextWrapper, false);
+        
+        // 调试日志：打印查询条件和结果
+        System.out.println(">>> [TriageQueue] next() 查询条件（不限制日期）: tenantId=" + tenantId 
+            + ", actualOrgId=" + actualOrgId
+            + ", deleteFlag=0"
+            + ", status IN (WAITING, SKIPPED)");
+        System.out.println(">>> [TriageQueue] next() 查询结果: calling=" + (calling != null ? calling.getPatientName() + "(status=" + calling.getStatus() + ", queueDate=" + calling.getQueueDate() + ")" : "null")
+            + ", next=" + (next != null ? next.getPatientName() + "(status=" + next.getStatus() + ", queueDate=" + next.getQueueDate() + ")" : "null"));
+
+        if (next == null) {
+            if (actualOrgId != null) {
+                recalcOrders(actualOrgId, null);
+            }
+            return R.fail("当前没有等待的患者");
+        }
+
+        next.setStatus(STATUS_CALLING).setUpdateTime(LocalDateTime.now());
+        triageQueueItemService.updateById(next);
+
+        if (next.getOrganizationId() != null) {
+            recalcOrders(next.getOrganizationId(), null);
+        }
+        return R.ok(true);
+    }
+
+    private List<TriageQueueItem> listInternal(Long orgId, LocalDate qd) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        LambdaQueryWrapper<TriageQueueItem> wrapper = new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getOrganizationId, orgId)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .ne(TriageQueueItem::getStatus, STATUS_COMPLETED);
+        // 如果 qd 不为 null，才添加日期限制
+        if (qd != null) {
+            wrapper.eq(TriageQueueItem::getQueueDate, qd);
+        }
+        return triageQueueItemService.list(wrapper);
+    }
+
+    private TriageQueueItem findCalling(Long orgId, LocalDate qd) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        return triageQueueItemService.getOne(new LambdaQueryWrapper<TriageQueueItem>()
+            .eq(TriageQueueItem::getTenantId, tenantId)
+            .eq(TriageQueueItem::getOrganizationId, orgId)
+            .eq(TriageQueueItem::getQueueDate, qd)
+            .eq(TriageQueueItem::getDeleteFlag, "0")
+            .eq(TriageQueueItem::getStatus, STATUS_CALLING)
+            .last("LIMIT 1"), false);
+    }
+
+    private void recalcOrders(Long orgId, LocalDate qd) {
+        List<TriageQueueItem> list = listInternal(orgId, qd);
+        list.sort(Comparator.comparing(TriageQueueItem::getQueueOrder).thenComparing(TriageQueueItem::getId));
+        int i = 1;
+        for (TriageQueueItem it : list) {
+            if (!Objects.equals(it.getQueueOrder(), i)) {
+                it.setQueueOrder(i).setUpdateTime(LocalDateTime.now());
+                triageQueueItemService.updateById(it);
+            }
+            i++;
+        }
+    }
+}
+
+

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/controller/TriageQueueController.java

@@ -0,0 +1,70 @@
+package com.openhis.web.triageandqueuemanage.controller;
+
+import com.core.common.core.domain.R;
+import com.openhis.web.triageandqueuemanage.appservice.TriageQueueAppService;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
+import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.format.annotation.DateTimeFormat;
+import org.springframework.web.bind.annotation.*;
+
+import javax.annotation.Resource;
+import java.time.LocalDate;
+
+@RestController
+@Slf4j
+@RequestMapping("/triage/queue")
+public class TriageQueueController {
+
+    @Resource
+    private TriageQueueAppService triageQueueAppService;
+
+    @GetMapping("/list")
+    public R<?> list(@RequestParam(value = "organizationId", required = false) Long organizationId,
+                     @RequestParam(value = "date", required = false) @DateTimeFormat(pattern = "yyyy-MM-dd") LocalDate date) {
+        return triageQueueAppService.list(organizationId, date);
+    }
+
+    @PostMapping("/add")
+    public R<?> add(@RequestBody TriageQueueAddReq req) {
+        return triageQueueAppService.add(req);
+    }
+
+    @DeleteMapping("/remove/{id}")
+    public R<?> remove(@PathVariable("id") Long id) {
+        return triageQueueAppService.remove(id);
+    }
+
+    @PutMapping("/adjust")
+    public R<?> adjust(@RequestBody TriageQueueAdjustReq req) {
+        return triageQueueAppService.adjust(req);
+    }
+
+    @PostMapping("/call")
+    public R<?> call(@RequestBody TriageQueueActionReq req) {
+        return triageQueueAppService.call(req);
+    }
+
+    @PostMapping("/complete")
+    public R<?> complete(@RequestBody(required = false) TriageQueueActionReq req) {
+        return triageQueueAppService.complete(req);
+    }
+
+    @PostMapping("/requeue")
+    public R<?> requeue(@RequestBody(required = false) TriageQueueActionReq req) {
+        return triageQueueAppService.requeue(req);
+    }
+
+    @PostMapping("/skip")
+    public R<?> skip(@RequestBody(required = false) TriageQueueActionReq req) {
+        return triageQueueAppService.skip(req);
+    }
+
+    @PostMapping("/next")
+    public R<?> next(@RequestBody(required = false) TriageQueueActionReq req) {
+        return triageQueueAppService.next(req);
+    }
+}
+
+

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueActionReq.java

@@ -0,0 +1,14 @@
+package com.openhis.web.triageandqueuemanage.dto;
+
+import lombok.Data;
+
+@Data
+public class TriageQueueActionReq {
+    /** 目标队列项ID（例如：选呼时选中的患者） */
+    private Long id;
+    /** 科室ID（可选：不传则用当前登录人orgId） */
+    private Long organizationId;
+}
+
+
+

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueAddReq.java

@@ -0,0 +1,18 @@
+package com.openhis.web.triageandqueuemanage.dto;
+
+import lombok.Data;
+
+import java.util.List;
+
+@Data
+public class TriageQueueAddReq {
+    /** 科室ID（就诊科室） */
+    private Long organizationId;
+    /** 科室名称（冗余存储，便于展示） */
+    private String organizationName;
+    /** 要加入队列的就诊记录 */
+    private List<TriageQueueEncounterItem> items;
+}
+
+
+

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueAdjustReq.java

@@ -0,0 +1,13 @@
+package com.openhis.web.triageandqueuemanage.dto;
+
+import lombok.Data;
+
+@Data
+public class TriageQueueAdjustReq {
+    private Long id;
+    /** up / down */
+    private String direction;
+}
+
+
+

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueEncounterItem.java

@@ -0,0 +1,15 @@
+package com.openhis.web.triageandqueuemanage.dto;
+
+import lombok.Data;
+
+@Data
+public class TriageQueueEncounterItem {
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+    private String healthcareName;
+    private String practitionerName;
+}
+
+
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageCandidateExclusion.java

@@ -0,0 +1,36 @@
+package com.openhis.triageandqueuemanage.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+
+@Data
+@Accessors(chain = true)
+@TableName(value = "hisdev.triage_candidate_exclusion")
+@EqualsAndHashCode(callSuper = false)
+public class TriageCandidateExclusion {
+    @TableId(type = IdType.AUTO)
+    private Long id;
+
+    private Integer tenantId;
+    private LocalDate exclusionDate;
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+    private Long organizationId;
+    private String organizationName;
+    
+    /** 排除原因：ADDED_TO_QUEUE（加入队列）、MANUAL_REMOVE（手动移除）等 */
+    private String reason;
+    
+    private LocalDateTime createTime;
+    private LocalDateTime updateTime;
+    private String deleteFlag;
+}
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageQueueItem.java

@@ -0,0 +1,43 @@
+package com.openhis.triageandqueuemanage.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+
+@Data
+@Accessors(chain = true)
+@TableName(value = "hisdev.triage_queue_item")
+@EqualsAndHashCode(callSuper = false)
+public class TriageQueueItem {
+    @TableId(type = IdType.AUTO)
+    private Long id;
+
+    private Integer tenantId;
+    private LocalDate queueDate;
+    private Long organizationId;
+    private String organizationName;
+
+    private Long encounterId;
+    private Long patientId;
+    private String patientName;
+
+    private String healthcareName;
+    private String practitionerName;
+
+    /** WAITING / CALLING / SKIPPED / COMPLETED */
+    private String status;
+    private Integer queueOrder;
+
+    private LocalDateTime createTime;
+    private LocalDateTime updateTime;
+
+    private String deleteFlag;
+}
+
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/mapper/TriageCandidateExclusionMapper.java

@@ -0,0 +1,10 @@
+package com.openhis.triageandqueuemanage.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
+import org.springframework.stereotype.Repository;
+
+@Repository
+public interface TriageCandidateExclusionMapper extends BaseMapper<TriageCandidateExclusion> {
+}
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/mapper/TriageQueueItemMapper.java

@@ -0,0 +1,12 @@
+package com.openhis.triageandqueuemanage.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
+import org.springframework.stereotype.Repository;
+
+@Repository
+public interface TriageQueueItemMapper extends BaseMapper<TriageQueueItem> {
+}
+
+
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/service/TriageCandidateExclusionService.java

@@ -0,0 +1,8 @@
+package com.openhis.triageandqueuemanage.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
+
+public interface TriageCandidateExclusionService extends IService<TriageCandidateExclusion> {
+}
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/service/TriageQueueItemService.java

@@ -0,0 +1,10 @@
+package com.openhis.triageandqueuemanage.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
+
+public interface TriageQueueItemService extends IService<TriageQueueItem> {
+}
+
+
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/service/impl/TriageCandidateExclusionServiceImpl.java

@@ -0,0 +1,12 @@
+package com.openhis.triageandqueuemanage.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
+import com.openhis.triageandqueuemanage.mapper.TriageCandidateExclusionMapper;
+import com.openhis.triageandqueuemanage.service.TriageCandidateExclusionService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class TriageCandidateExclusionServiceImpl extends ServiceImpl<TriageCandidateExclusionMapper, TriageCandidateExclusion> implements TriageCandidateExclusionService {
+}
+

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/service/impl/TriageQueueItemServiceImpl.java

@@ -0,0 +1,14 @@
+package com.openhis.triageandqueuemanage.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
+import com.openhis.triageandqueuemanage.mapper.TriageQueueItemMapper;
+import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class TriageQueueItemServiceImpl extends ServiceImpl<TriageQueueItemMapper, TriageQueueItem> implements TriageQueueItemService {
+}
+
+
+

openhis-server-new/sql/20260115_add_table_triage_candidate_exclusion.sql

@@ -0,0 +1,45 @@
+-- 智能分诊排队：候选池排除记录表
+-- 用途：记录已从智能候选池中移除的患者（加入队列后不再出现在候选池）
+-- 注意：必须在后端实际连接的 schema 中执行（dev环境是 hisdev，test环境是 histest，prd环境是 hisprd）
+-- 执行前请先确认：SET search_path TO hisdev; （或对应的 schema）
+
+CREATE TABLE IF NOT EXISTS hisdev.triage_candidate_exclusion (
+    id               BIGSERIAL PRIMARY KEY,
+    tenant_id        INTEGER      NOT NULL,
+    exclusion_date   DATE         NOT NULL,
+    encounter_id     BIGINT       NOT NULL,
+    patient_id       BIGINT,
+    patient_name     VARCHAR(255),
+    organization_id  BIGINT,
+    organization_name VARCHAR(255),
+    reason           VARCHAR(100) DEFAULT 'ADDED_TO_QUEUE', -- 排除原因：ADDED_TO_QUEUE（加入队列）、MANUAL_REMOVE（手动移除）等
+    create_time      TIMESTAMP    DEFAULT CURRENT_TIMESTAMP,
+    update_time      TIMESTAMP    DEFAULT CURRENT_TIMESTAMP,
+    delete_flag      CHAR(1)      NOT NULL DEFAULT '0'
+);
+
+-- 常用查询索引：按租户/日期/就诊记录查询
+CREATE INDEX IF NOT EXISTS idx_triage_candidate_exclusion_list
+    ON hisdev.triage_candidate_exclusion (tenant_id, exclusion_date, delete_flag, encounter_id);
+
+-- 防重复：同一天同租户同就诊记录只能有一条排除记录（未删除）
+CREATE UNIQUE INDEX IF NOT EXISTS uq_triage_candidate_exclusion_encounter
+    ON hisdev.triage_candidate_exclusion (tenant_id, exclusion_date, encounter_id, delete_flag)
+    WHERE delete_flag = '0';
+
+-- 就诊记录ID索引（用于关联查询）
+CREATE INDEX IF NOT EXISTS idx_triage_candidate_exclusion_encounter_id
+    ON hisdev.triage_candidate_exclusion (encounter_id);
+
+-- 注释
+COMMENT ON TABLE hisdev.triage_candidate_exclusion IS '智能分诊排队候选池排除记录表';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.tenant_id IS '租户ID';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.exclusion_date IS '排除日期（通常为当天）';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.encounter_id IS '就诊记录ID（唯一标识）';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.patient_id IS '患者ID';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.patient_name IS '患者姓名';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.organization_id IS '科室ID';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.organization_name IS '科室名称';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.reason IS '排除原因：ADDED_TO_QUEUE（加入队列）、MANUAL_REMOVE（手动移除）等';
+COMMENT ON COLUMN hisdev.triage_candidate_exclusion.delete_flag IS '删除标志：0-未删除，1-已删除';
+

openhis-server-new/sql/20260115_add_table_triage_queue_item.sql

@@ -0,0 +1,35 @@
+-- 智能分诊排队：队列持久化表（与 TriageQueueItem.java 字段一致）
+-- 注意：必须在后端实际连接的 schema 中执行（dev环境是 hisdev，test环境是 histest，prd环境是 hisprd）
+-- 执行前请先确认：SET search_path TO hisdev; （或对应的 schema）
+
+CREATE TABLE IF NOT EXISTS triage_queue_item (
+    id               BIGSERIAL PRIMARY KEY,
+    tenant_id        INTEGER      NOT NULL,
+    queue_date       DATE         NOT NULL,
+    organization_id  BIGINT       NOT NULL,
+    organization_name VARCHAR(255),
+    encounter_id     BIGINT       NOT NULL,
+    patient_id       BIGINT,
+    patient_name     VARCHAR(255),
+    healthcare_name  VARCHAR(255),
+    practitioner_name VARCHAR(255),
+    status           VARCHAR(50)  NOT NULL, -- WAITING/CALLING/SKIPPED/COMPLETED
+    queue_order      INTEGER      NOT NULL,
+    create_time      TIMESTAMP,
+    update_time      TIMESTAMP,
+    delete_flag      CHAR(1)      NOT NULL DEFAULT '0'
+);
+
+-- 常用查询索引：按租户/科室/日期/状态/顺序取队列
+CREATE INDEX IF NOT EXISTS idx_triage_queue_item_list
+    ON triage_queue_item (tenant_id, queue_date, organization_id, delete_flag, status, queue_order);
+
+-- 防重复：同一天同租户同科室同就诊记录只能在队列里一条（未删除）
+CREATE UNIQUE INDEX IF NOT EXISTS uq_triage_queue_item_encounter
+    ON triage_queue_item (tenant_id, queue_date, organization_id, encounter_id, delete_flag)
+    WHERE delete_flag = '0';
+
+-- 就诊记录ID索引（用于关联查询）
+CREATE INDEX IF NOT EXISTS idx_triage_queue_item_encounter_id
+    ON triage_queue_item (encounter_id);
+

openhis-server-new/sql/debug_queue_date_issue.sql

@@ -0,0 +1,108 @@
+-- ============================================
+-- 调试队列日期问题
+-- 用途：检查数据库中的 queue_date 字段值，找出为什么查询不到数据
+-- ============================================
+
+-- 1. 查看所有队列记录的日期分布
+SELECT 
+    queue_date,
+    status,
+    COUNT(*) AS count,
+    STRING_AGG(patient_name, ', ') AS patients
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+GROUP BY queue_date, status
+ORDER BY queue_date DESC, status;
+
+-- 2. 查看指定科室的所有记录（不限制日期）
+SELECT 
+    id,
+    queue_date,
+    status,
+    patient_name,
+    organization_id,
+    organization_name,
+    queue_order,
+    create_time
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+  AND organization_id = 1995302136614969300
+ORDER BY queue_date DESC, queue_order ASC;
+
+-- 3. 查看今天的记录（使用 CURRENT_DATE）
+SELECT 
+    id,
+    queue_date,
+    status,
+    patient_name,
+    organization_id,
+    queue_order
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+  AND queue_date = CURRENT_DATE
+  AND organization_id = 1995302136614969300
+ORDER BY queue_order ASC;
+
+-- 4. 查看 2026-01-16 的记录
+SELECT 
+    id,
+    queue_date,
+    status,
+    patient_name,
+    organization_id,
+    queue_order
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+  AND queue_date = '2026-01-16'::DATE
+  AND organization_id = 1995302136614969300
+ORDER BY queue_order ASC;
+
+-- 5. 查看 2025-01-16 的记录（可能是昨天的数据）
+SELECT 
+    id,
+    queue_date,
+    status,
+    patient_name,
+    organization_id,
+    queue_order
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+  AND queue_date = '2025-01-16'::DATE
+  AND organization_id = 1995302136614969300
+ORDER BY queue_order ASC;
+
+-- 6. 查看最近的记录（最近7天）
+SELECT 
+    queue_date,
+    status,
+    COUNT(*) AS count
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+  AND queue_date >= CURRENT_DATE - INTERVAL '7 days'
+GROUP BY queue_date, status
+ORDER BY queue_date DESC, status;
+
+-- 7. 检查系统当前日期（PostgreSQL）
+SELECT CURRENT_DATE AS current_date_in_db;
+
+-- 8. 查看所有状态为 WAITING 或 SKIPPED 的记录（不限制日期）
+SELECT 
+    id,
+    queue_date,
+    status,
+    patient_name,
+    organization_id,
+    queue_order
+FROM hisdev.triage_queue_item
+WHERE tenant_id = 1
+  AND delete_flag = '0'
+  AND status IN ('WAITING', 'SKIPPED')
+  AND organization_id = 1995302136614969300
+ORDER BY queue_date DESC, queue_order ASC;
+

openhis-server-new/sql/query_smart_candidate_pool.sql

@@ -0,0 +1,313 @@
+-- ============================================
+-- 智能候选池查询SQL（当日已挂号患者）
+-- 对应接口：GET /charge-manage/register/current-day-encounter
+-- 用途：查询当日已挂号但未入队的患者，用于智能分诊排队管理
+-- ============================================
+
+-- 完整SQL查询（包含所有关联表）
+SELECT T9.tenant_id AS tenantId,
+       T9.encounter_id AS encounterId,
+       T9.display_order AS displayOrder,
+       T9.organization_id AS organizationId,
+       T9.organization_name AS organizationName,
+       T9.healthcare_name AS healthcareName,
+       T9.practitioner_user_id AS practitionerUserId,
+       T9.practitioner_name AS practitionerName,
+       T9.contract_name AS contractName,
+       T9.patient_id AS patientId,
+       T9.patient_name AS patientName,
+       T9.phone,
+       T9.gender_enum AS genderEnum,
+       T9.id_card AS idCard,
+       T9.status_enum AS statusEnum,
+       T9.register_time AS registerTime,
+       T9.total_price AS totalPrice,
+       T9.account_name AS accountName,
+       T9.enterer_name AS entererName,
+       T9.charge_item_ids AS chargeItemIds,
+       T9.payment_id AS paymentId,
+       T9.picture_url AS pictureUrl,
+       T9.birth_date AS birthDate,
+       COALESCE(T9.identifier_no, T9.patient_bus_no, '') AS identifierNo
+FROM (
+    SELECT T1.tenant_id       AS tenant_id,
+           T1.id              AS encounter_id,
+           T1.display_order   AS display_order,
+           T1.organization_id AS organization_id,
+           T2.NAME            AS organization_name,
+           T3.NAME            AS healthcare_name,
+           T5.user_id         AS practitioner_user_id,
+           T5.NAME            AS practitioner_name,
+           T7.contract_name   AS contract_name,
+           T8.id              AS patient_id,
+           T8.NAME            AS patient_name,
+           T8.phone           AS phone,
+           T8.gender_enum     AS gender_enum,
+           T8.id_card         AS id_card,
+           T1.status_enum     AS status_enum,
+           T1.create_time     AS register_time,
+           T10.total_price,
+           T11."name"         AS account_name,
+           T12."name"         AS enterer_name,
+           T13.charge_item_ids,
+           T13.id             AS payment_id,
+           ai.picture_url     AS picture_url,
+           T8.birth_date      AS birth_date,
+           T8.bus_no          AS patient_bus_no,
+           T18.identifier_no  AS identifier_no
+    FROM adm_encounter AS T1
+    -- 关联科室表
+    LEFT JOIN adm_organization AS T2 
+        ON T1.organization_id = T2.ID 
+        AND T2.delete_flag = '0'
+    -- 关联医疗服务类型表（号别）
+    LEFT JOIN adm_healthcare_service AS T3 
+        ON T1.service_type_id = T3.ID 
+        AND T3.delete_flag = '0'
+    -- 关联就诊参与者表（医生信息）
+    LEFT JOIN (
+        SELECT *
+        FROM (
+            SELECT *,
+                   ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+            FROM adm_encounter_participant
+            WHERE delete_flag = '0'
+              AND (
+                  -- 如果就诊状态为"进行中"，查找"接诊医生"（admitter）
+                  (type_code = 'admitter' AND EXISTS(SELECT 1
+                                                     FROM adm_encounter AS T1
+                                                     WHERE T1.status_enum = 2  -- IN_PROGRESS
+                                                       AND T1.ID = encounter_id))
+                  OR
+                  -- 如果就诊状态不是"进行中"，查找"挂号医生"（registration_doctor）
+                  (type_code = 'registration_doctor' AND NOT EXISTS(SELECT 1
+                                                                     FROM adm_encounter AS T1
+                                                                     WHERE T1.status_enum = 2  -- IN_PROGRESS
+                                                                       AND T1.ID = encounter_id))
+              )
+        ) t
+        WHERE rn = 1
+    ) AS T4 ON T1.ID = T4.encounter_id
+    -- 关联医生表
+    LEFT JOIN adm_practitioner AS T5 
+        ON T5.ID = T4.practitioner_id 
+        AND T5.delete_flag = '0'
+    -- 关联账户表
+    LEFT JOIN adm_account AS T6
+        ON T1.ID = T6.encounter_id 
+        AND T6.delete_flag = '0' 
+        AND T6.encounter_flag = '1'
+    -- 关联合同表
+    LEFT JOIN fin_contract AS T7 
+        ON T6.contract_no = T7.bus_no 
+        AND T7.delete_flag = '0'
+    -- 关联患者表
+    LEFT JOIN adm_patient AS T8 
+        ON T1.patient_id = T8.ID 
+        AND T8.delete_flag = '0'
+    -- 关联患者标识表（身份证号等）
+    LEFT JOIN (
+        SELECT patient_id,
+               identifier_no
+        FROM (
+            SELECT patient_id,
+                   identifier_no,
+                   ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+            FROM adm_patient_identifier
+            WHERE delete_flag = '0'
+              AND identifier_no IS NOT NULL
+              AND identifier_no != ''
+        ) t
+        WHERE rn = 1
+    ) AS T18 ON T8.id = T18.patient_id
+    -- 关联收费项目表（挂号费）
+    LEFT JOIN adm_charge_item AS T10 
+        ON T1.id = T10.encounter_id 
+        AND T10.delete_flag = '0'
+        AND T10.context_enum = 1  -- REGISTER（挂号）
+    -- 关联账户表（收费账户）
+    LEFT JOIN adm_account AS T11 
+        ON T10.account_id = T11.id 
+        AND T11.delete_flag = '0'
+    -- 关联医生表（收费医生）
+    LEFT JOIN adm_practitioner AS T12 
+        ON T12.ID = T10.enterer_id 
+        AND T12.delete_flag = '0'
+    -- 关联支付对账表（已支付）
+    LEFT JOIN fin_payment_reconciliation T13
+        ON T10.id::TEXT = ANY(string_to_array(T13.charge_item_ids,','))
+            AND T13.delete_flag = '0'
+            AND T13.status_enum = 1  -- SUCCESS（支付成功）
+    -- 关联退号记录（当状态为退号时，通过relation_id关联原支付记录）
+    LEFT JOIN fin_payment_reconciliation T14
+        ON T13.id = T14.relation_id
+            AND T14.delete_flag = '0'
+            AND T14.status_enum = 3  -- REFUND（退款）
+            AND T14.payment_enum = 1
+    -- 关联退号医生
+    LEFT JOIN adm_practitioner AS T15 
+        ON T15.ID = T14.enterer_id 
+        AND T15.delete_flag = '0'
+    -- 关联系统用户表
+    LEFT JOIN sys_user AS T17 
+        ON T17.user_id = T15.user_id 
+        AND T17.delete_flag = '0'
+    -- 关联退号支付详情，获取退款方式（聚合多个支付方式）
+    LEFT JOIN (
+        SELECT reconciliation_id,
+               STRING_AGG(
+                   CASE pay_enum
+                       WHEN 220400 THEN '现金'
+                       WHEN 220100 THEN '微信'
+                       WHEN 220200 THEN '支付宝'
+                       WHEN 220300 THEN '银联'
+                   END,
+                   ','
+                   ORDER BY pay_enum
+               ) AS refund_method
+        FROM fin_payment_rec_detail
+        WHERE delete_flag = '0'
+          AND amount < 0
+          AND pay_enum IN (220400, 220100, 220200, 220300)
+        GROUP BY reconciliation_id
+    ) AS T16 ON T14.id = T16.reconciliation_id
+    -- 关联发票表
+    LEFT JOIN adm_invoice AS ai
+        ON ai.reconciliation_id = T13.id 
+        AND ai.delete_flag = '0'
+    WHERE T1.delete_flag = '0'
+      AND T1.class_enum = 1  -- 门诊（AMB）
+      AND T10.context_enum = 1  -- 挂号（REGISTER）
+      -- 动态条件（由前端传入，通过 ${ew.customSqlSegment} 注入）
+      -- 例如：AND T1.create_time::DATE = CURRENT_DATE  -- 当日挂号
+      -- 例如：AND T1.status_enum != 6  -- 排除退号（statusEnum = -1时）
+      -- 例如：AND (T8.name LIKE '%关键词%' OR T2.name LIKE '%关键词%' ...)  -- 模糊搜索
+) AS T9
+-- 动态查询条件（由 MyBatis-Plus QueryWrapper 生成）
+-- ${ew.customSqlSegment}
+ORDER BY T9.register_time DESC;
+
+-- ============================================
+-- 简化版查询（仅查询核心字段，用于快速测试）
+-- ============================================
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    pt.name AS patientName,
+    pt.birth_date AS birthDate,
+    org.id AS organizationId,
+    org.name AS organizationName,
+    hcs.name AS healthcareName,
+    pr.name AS practitionerName,
+    enc.create_time AS registerTime,
+    enc.status_enum AS statusEnum
+FROM adm_encounter enc
+INNER JOIN adm_patient pt 
+    ON enc.patient_id = pt.id 
+    AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org 
+    ON enc.organization_id = org.id 
+    AND org.delete_flag = '0'
+LEFT JOIN adm_healthcare_service hcs 
+    ON enc.service_type_id = hcs.id 
+    AND hcs.delete_flag = '0'
+LEFT JOIN (
+    SELECT encounter_id, practitioner_id,
+           ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+    FROM adm_encounter_participant
+    WHERE delete_flag = '0'
+      AND type_code IN ('admitter', 'registration_doctor')
+) ep ON enc.id = ep.encounter_id AND ep.rn = 1
+LEFT JOIN adm_practitioner pr 
+    ON ep.practitioner_id = pr.id 
+    AND pr.delete_flag = '0'
+INNER JOIN adm_charge_item ci 
+    ON enc.id = ci.encounter_id 
+    AND ci.delete_flag = '0'
+    AND ci.context_enum = 1  -- 挂号
+INNER JOIN fin_payment_reconciliation prc
+    ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0'
+    AND prc.status_enum = 1  -- 支付成功
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1  -- 门诊
+  AND enc.create_time::DATE = CURRENT_DATE  -- 当日挂号
+  AND enc.status_enum != 6  -- 排除退号
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 查询条件说明
+-- ============================================
+-- 1. 基础条件：
+--    - enc.delete_flag = '0'  -- 未删除
+--    - enc.class_enum = 1     -- 门诊（AMB）
+--    - ci.context_enum = 1    -- 挂号（REGISTER）
+--    - prc.status_enum = 1    -- 支付成功（SUCCESS）
+--
+-- 2. 日期过滤：
+--    - enc.create_time::DATE = CURRENT_DATE  -- 当日挂号（由前端传入 date 参数）
+--
+-- 3. 状态过滤：
+--    - enc.status_enum != 6  -- 排除退号（当 statusEnum = -1 时）
+--    - enc.status_enum = 2   -- 进行中（IN_PROGRESS，用于判断医生类型）
+--
+-- 4. 模糊搜索（由前端传入 searchKey 参数）：
+--    - patient_name（患者姓名）
+--    - organization_name（科室名称）
+--    - practitioner_name（医生姓名）
+--    - healthcare_name（号别名称）
+--    - identifier_no（身份证号）
+--
+-- 5. 租户过滤（由后端自动添加）：
+--    - tenant_id = ?  -- 当前登录用户的租户ID
+--
+-- 6. 分页（由 MyBatis-Plus Page 对象处理）：
+--    - LIMIT ? OFFSET ?
+
+-- ============================================
+-- 常用查询示例
+-- ============================================
+
+-- 示例1：查询今天所有已挂号患者（排除退号）
+SELECT 
+    enc.id AS encounterId,
+    pt.name AS patientName,
+    org.name AS organizationName,
+    hcs.name AS healthcareName,
+    pr.name AS practitionerName,
+    enc.create_time AS registerTime
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
+LEFT JOIN adm_healthcare_service hcs ON enc.service_type_id = hcs.id AND hcs.delete_flag = '0'
+LEFT JOIN (
+    SELECT encounter_id, practitioner_id,
+           ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+    FROM adm_encounter_participant
+    WHERE delete_flag = '0' AND type_code IN ('admitter', 'registration_doctor')
+) ep ON enc.id = ep.encounter_id AND ep.rn = 1
+LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6
+ORDER BY enc.create_time DESC;
+
+-- 示例2：查询指定科室的已挂号患者
+-- 在示例1的基础上添加：
+-- AND enc.organization_id = ?  -- 科室ID
+
+-- 示例3：按患者姓名模糊搜索
+-- 在示例1的基础上添加：
+-- AND pt.name LIKE '%关键词%'
+
+-- 示例4：查询已加入队列的患者（用于去重）
+SELECT DISTINCT encounter_id
+FROM hisdev.triage_queue_item
+WHERE delete_flag = '0'
+  AND queue_date = CURRENT_DATE
+  AND status != 'COMPLETED';
+

openhis-server-new/sql/query_smart_candidate_pool_page.sql

@@ -0,0 +1,268 @@
+-- ============================================
+-- 智能候选池查询SQL（智能分诊排队管理页面专用）
+-- 页面：智能分诊排队管理 - 心内科
+-- 用途：查询"已签到未入队"的患者（当日已挂号，但未加入队列）
+-- ============================================
+
+-- ============================================
+-- 方案一：完整查询（包含所有字段，排除已在队列中的患者）
+-- ============================================
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    pt.name AS patientName,
+    pt.birth_date AS birthDate,
+    -- 计算年龄（前端会调用 parseAge 函数）
+    CASE 
+        WHEN pt.birth_date IS NOT NULL THEN
+            EXTRACT(YEAR FROM AGE(pt.birth_date))::TEXT || '岁'
+        ELSE ''
+    END AS age,
+    org.id AS organizationId,
+    org.name AS organizationName,
+    hcs.name AS healthcareName,
+    pr.name AS practitionerName,
+    enc.create_time AS registerTime,
+    enc.status_enum AS statusEnum,
+    -- 其他字段（如果需要）
+    pt.phone,
+    pt.gender_enum AS genderEnum,
+    pt.id_card AS idCard
+FROM adm_encounter enc
+-- 关联患者表
+INNER JOIN adm_patient pt 
+    ON enc.patient_id = pt.id 
+    AND pt.delete_flag = '0'
+-- 关联科室表
+LEFT JOIN adm_organization org 
+    ON enc.organization_id = org.id 
+    AND org.delete_flag = '0'
+-- 关联医疗服务类型表（号别）
+LEFT JOIN adm_healthcare_service hcs 
+    ON enc.service_type_id = hcs.id 
+    AND hcs.delete_flag = '0'
+-- 关联就诊参与者表（医生信息）
+LEFT JOIN (
+    SELECT encounter_id, practitioner_id,
+           ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+    FROM adm_encounter_participant
+    WHERE delete_flag = '0'
+      AND (
+          -- 如果就诊状态为"进行中"，查找"接诊医生"（admitter）
+          (type_code = 'admitter' AND EXISTS(SELECT 1
+                                             FROM adm_encounter AS e
+                                             WHERE e.status_enum = 2  -- IN_PROGRESS
+                                               AND e.id = encounter_id))
+          OR
+          -- 如果就诊状态不是"进行中"，查找"挂号医生"（registration_doctor）
+          (type_code = 'registration_doctor' AND NOT EXISTS(SELECT 1
+                                                            FROM adm_encounter AS e
+                                                            WHERE e.status_enum = 2  -- IN_PROGRESS
+                                                              AND e.id = encounter_id))
+      )
+) ep ON enc.id = ep.encounter_id AND ep.rn = 1
+-- 关联医生表
+LEFT JOIN adm_practitioner pr 
+    ON ep.practitioner_id = pr.id 
+    AND pr.delete_flag = '0'
+-- 关联收费项目表（挂号费）
+INNER JOIN adm_charge_item ci 
+    ON enc.id = ci.encounter_id 
+    AND ci.delete_flag = '0'
+    AND ci.context_enum = 1  -- REGISTER（挂号）
+-- 关联支付对账表（已支付）
+INNER JOIN fin_payment_reconciliation prc
+    ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0'
+    AND prc.status_enum = 1  -- SUCCESS（支付成功）
+-- 排除已在队列中的患者（关键：LEFT JOIN + WHERE IS NULL）
+LEFT JOIN hisdev.triage_queue_item tqi
+    ON enc.id = tqi.encounter_id
+    AND tqi.delete_flag = '0'
+    AND tqi.queue_date = CURRENT_DATE
+    AND tqi.status != 'COMPLETED'  -- 排除已完成的状态
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1  -- 门诊（AMB）
+  AND enc.create_time::DATE = CURRENT_DATE  -- 当日挂号（前端会过滤 registerTime）
+  AND enc.status_enum != 6  -- 排除退号（statusEnum = -1 时）
+  AND tqi.id IS NULL  -- 关键：只查询不在队列中的患者
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 方案二：简化查询（仅核心字段，便于快速测试）
+-- ============================================
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    pt.name AS patientName,
+    org.id AS organizationId,
+    org.name AS organizationName,
+    hcs.name AS healthcareName,
+    pr.name AS practitionerName,
+    enc.create_time AS registerTime
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
+LEFT JOIN adm_healthcare_service hcs ON enc.service_type_id = hcs.id AND hcs.delete_flag = '0'
+LEFT JOIN (
+    SELECT encounter_id, practitioner_id,
+           ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+    FROM adm_encounter_participant
+    WHERE delete_flag = '0' AND type_code IN ('admitter', 'registration_doctor')
+) ep ON enc.id = ep.encounter_id AND ep.rn = 1
+LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+-- 排除已在队列中的患者
+LEFT JOIN hisdev.triage_queue_item tqi
+    ON enc.id = tqi.encounter_id
+    AND tqi.delete_flag = '0'
+    AND tqi.queue_date = CURRENT_DATE
+    AND tqi.status != 'COMPLETED'
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6
+  AND tqi.id IS NULL  -- 不在队列中
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 方案三：分步查询（便于调试和理解）
+-- ============================================
+
+-- 步骤1：查询当日已挂号的患者（不排除队列）
+SELECT 
+    enc.id AS encounterId,
+    pt.name AS patientName,
+    org.name AS organizationName,
+    enc.create_time AS registerTime
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6;
+
+-- 步骤2：查询已在队列中的患者
+SELECT DISTINCT encounter_id
+FROM hisdev.triage_queue_item
+WHERE delete_flag = '0'
+  AND queue_date = CURRENT_DATE
+  AND status != 'COMPLETED';
+
+-- 步骤3：合并查询（使用 NOT EXISTS 或 NOT IN）
+SELECT 
+    enc.id AS encounterId,
+    pt.name AS patientName,
+    org.name AS organizationName,
+    enc.create_time AS registerTime
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6
+  -- 排除已在队列中的患者
+  AND NOT EXISTS (
+      SELECT 1
+      FROM hisdev.triage_queue_item tqi
+      WHERE tqi.encounter_id = enc.id
+        AND tqi.delete_flag = '0'
+        AND tqi.queue_date = CURRENT_DATE
+        AND tqi.status != 'COMPLETED'
+  )
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 查询条件说明
+-- ============================================
+-- 1. 基础条件：
+--    - enc.delete_flag = '0'  -- 未删除
+--    - enc.class_enum = 1     -- 门诊（AMB）
+--    - ci.context_enum = 1    -- 挂号（REGISTER）
+--    - prc.status_enum = 1    -- 支付成功（SUCCESS）
+--
+-- 2. 日期过滤：
+--    - enc.create_time::DATE = CURRENT_DATE  -- 当日挂号
+--    注意：前端还会基于 registerTime 字段再次过滤今天的数据
+--
+-- 3. 状态过滤：
+--    - enc.status_enum != 6  -- 排除退号（对应前端 statusEnum = -1）
+--
+-- 4. 队列去重：
+--    - LEFT JOIN hisdev.triage_queue_item ... WHERE tqi.id IS NULL
+--    或者
+--    - NOT EXISTS (SELECT 1 FROM hisdev.triage_queue_item ...)
+--    排除已在队列中且状态不是 COMPLETED 的患者
+--
+-- 5. 租户过滤（如果需要）：
+--    - enc.tenant_id = ?  -- 当前登录用户的租户ID
+--
+-- 6. 模糊搜索（如果需要）：
+--    - pt.name LIKE '%关键词%'  -- 患者姓名
+--    - org.name LIKE '%关键词%'  -- 科室名称
+--    - pr.name LIKE '%关键词%'  -- 医生姓名
+--    - hcs.name LIKE '%关键词%'  -- 号别名称
+
+-- ============================================
+-- 调试查询（检查数据是否正确）
+-- ============================================
+
+-- 1. 检查当日已挂号患者总数
+SELECT COUNT(*) AS total_registered
+FROM adm_encounter enc
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6;
+
+-- 2. 检查已在队列中的患者数量
+SELECT COUNT(DISTINCT encounter_id) AS in_queue_count
+FROM hisdev.triage_queue_item
+WHERE delete_flag = '0'
+  AND queue_date = CURRENT_DATE
+  AND status != 'COMPLETED';
+
+-- 3. 检查候选池应该显示的患者数量（已挂号 - 已在队列）
+SELECT 
+    (SELECT COUNT(*) 
+     FROM adm_encounter enc
+     INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+     INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+         AND prc.delete_flag = '0' AND prc.status_enum = 1
+     WHERE enc.delete_flag = '0'
+       AND enc.class_enum = 1
+       AND enc.create_time::DATE = CURRENT_DATE
+       AND enc.status_enum != 6) 
+    - 
+    (SELECT COUNT(DISTINCT encounter_id)
+     FROM hisdev.triage_queue_item
+     WHERE delete_flag = '0'
+       AND queue_date = CURRENT_DATE
+       AND status != 'COMPLETED')
+    AS candidate_pool_count;
+
+-- 4. 查看队列中的患者详情（用于对比）
+SELECT 
+    tqi.encounter_id,
+    tqi.patient_name,
+    tqi.status,
+    tqi.queue_order
+FROM hisdev.triage_queue_item tqi
+WHERE tqi.delete_flag = '0'
+  AND tqi.queue_date = CURRENT_DATE
+  AND tqi.status != 'COMPLETED'
+ORDER BY tqi.queue_order;
+

openhis-server-new/sql/query_smart_candidate_pool_with_exclusion.sql

@@ -0,0 +1,366 @@
+-- ============================================
+-- 智能候选池查询SQL（完整版 - 包含排除列表）
+-- 页面：智能分诊排队管理 - 心内科
+-- 用途：查询"已签到未入队"的患者（当日已挂号，但未加入队列，且未在排除列表中）
+-- 更新日期：2025-01-15
+-- ============================================
+
+-- ============================================
+-- 方案一：完整查询（包含所有字段，排除已在队列和排除列表中的患者）
+-- ============================================
+SELECT 
+    T9.tenant_id AS tenantId,
+    T9.encounter_id AS encounterId,
+    T9.display_order AS displayOrder,
+    T9.organization_id AS organizationId,
+    T9.organization_name AS organizationName,
+    T9.healthcare_name AS healthcareName,
+    T9.practitioner_user_id AS practitionerUserId,
+    T9.practitioner_name AS practitionerName,
+    T9.contract_name AS contractName,
+    T9.patient_id AS patientId,
+    T9.patient_name AS patientName,
+    T9.phone,
+    T9.gender_enum AS genderEnum,
+    T9.id_card AS idCard,
+    T9.status_enum AS statusEnum,
+    T9.register_time AS registerTime,
+    T9.total_price AS totalPrice,
+    T9.account_name AS accountName,
+    T9.enterer_name AS entererName,
+    T9.charge_item_ids AS chargeItemIds,
+    T9.payment_id AS paymentId,
+    T9.picture_url AS pictureUrl,
+    T9.birth_date AS birthDate,
+    COALESCE(T9.identifier_no, T9.patient_bus_no, '') AS identifierNo,
+    -- 计算年龄（前端会调用 parseAge 函数）
+    CASE 
+        WHEN T9.birth_date IS NOT NULL THEN
+            EXTRACT(YEAR FROM AGE(T9.birth_date))::TEXT || '岁'
+        ELSE ''
+    END AS age
+FROM (
+    SELECT T1.tenant_id       AS tenant_id,
+           T1.id              AS encounter_id,
+           T1.display_order   AS display_order,
+           T1.organization_id AS organization_id,
+           T2.NAME            AS organization_name,
+           T3.NAME            AS healthcare_name,
+           T5.user_id         AS practitioner_user_id,
+           T5.NAME            AS practitioner_name,
+           T7.contract_name   AS contract_name,
+           T8.id              AS patient_id,
+           T8.NAME            AS patient_name,
+           T8.phone           AS phone,
+           T8.gender_enum     AS gender_enum,
+           T8.id_card         AS id_card,
+           T1.status_enum     AS status_enum,
+           T1.create_time     AS register_time,
+           T10.total_price,
+           T11."name"         AS account_name,
+           T12."name"         AS enterer_name,
+           T13.charge_item_ids,
+           T13.id             AS payment_id,
+           ai.picture_url     AS picture_url,
+           T8.birth_date      AS birth_date,
+           T8.bus_no          AS patient_bus_no,
+           T18.identifier_no  AS identifier_no
+    FROM adm_encounter AS T1
+    LEFT JOIN adm_organization AS T2 ON T1.organization_id = T2.ID AND T2.delete_flag = '0'
+    LEFT JOIN adm_healthcare_service AS T3 ON T1.service_type_id = T3.ID AND T3.delete_flag = '0'
+    LEFT JOIN (
+        SELECT *
+        FROM (
+            SELECT *,
+                   ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+            FROM adm_encounter_participant
+            WHERE delete_flag = '0'
+              AND (
+                  (type_code = 'admitter' AND EXISTS(SELECT 1
+                                                     FROM adm_encounter AS T1
+                                                     WHERE T1.status_enum = 2  -- IN_PROGRESS
+                                                       AND T1.ID = encounter_id))
+                  OR
+                  (type_code = 'registration_doctor' AND NOT EXISTS(SELECT 1
+                                                                     FROM adm_encounter AS T1
+                                                                     WHERE T1.status_enum = 2  -- IN_PROGRESS
+                                                                       AND T1.ID = encounter_id))
+              )
+        ) t
+        WHERE rn = 1
+    ) AS T4 ON T1.ID = T4.encounter_id
+    LEFT JOIN adm_practitioner AS T5 ON T5.ID = T4.practitioner_id AND T5.delete_flag = '0'
+    LEFT JOIN adm_account AS T6
+              ON T1.ID = T6.encounter_id AND T6.delete_flag = '0' AND T6.encounter_flag = '1'
+    LEFT JOIN fin_contract AS T7 ON T6.contract_no = T7.bus_no AND T7.delete_flag = '0'
+    LEFT JOIN adm_patient AS T8 ON T1.patient_id = T8.ID AND T8.delete_flag = '0'
+    LEFT JOIN (
+        SELECT patient_id,
+               identifier_no
+        FROM (
+            SELECT patient_id,
+                   identifier_no,
+                   ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+            FROM adm_patient_identifier
+            WHERE delete_flag = '0'
+              AND identifier_no IS NOT NULL
+              AND identifier_no != ''
+        ) t
+        WHERE rn = 1
+    ) AS T18 ON T8.id = T18.patient_id
+    LEFT JOIN adm_charge_item AS T10 ON T1.id = T10.encounter_id AND T10.delete_flag = '0'
+    LEFT JOIN adm_account AS T11 ON T10.account_id = T11.id AND T11.delete_flag = '0'
+    LEFT JOIN adm_practitioner AS T12 ON T12.ID = T10.enterer_id AND T12.delete_flag = '0'
+    LEFT JOIN fin_payment_reconciliation T13
+              ON T10.id::TEXT = ANY(string_to_array(T13.charge_item_ids,','))
+                  AND T13.delete_flag = '0'
+                  AND T13.status_enum = 1  -- SUCCESS（支付成功）
+    LEFT JOIN adm_invoice AS ai
+              ON ai.reconciliation_id = T13.id AND ai.delete_flag = '0'
+    WHERE T1.delete_flag = '0'
+      AND T1.class_enum = 1  -- 门诊（AMB）
+      AND T1.create_time::DATE = CURRENT_DATE  -- 当日挂号
+      AND T1.status_enum != 6  -- 排除退号
+      AND T10.context_enum = 1  -- REGISTER（挂号）
+) AS T9
+-- 排除已在队列中的患者（关键：LEFT JOIN + WHERE IS NULL）
+LEFT JOIN hisdev.triage_queue_item tqi
+    ON T9.encounter_id = tqi.encounter_id
+    AND tqi.delete_flag = '0'
+    AND tqi.queue_date = CURRENT_DATE
+    AND tqi.status != 'COMPLETED'  -- 排除已完成的状态
+-- 排除已在排除列表中的患者（新增：关键：LEFT JOIN + WHERE IS NULL）
+LEFT JOIN hisdev.triage_candidate_exclusion tce
+    ON T9.encounter_id = tce.encounter_id
+    AND tce.delete_flag = '0'
+    AND tce.exclusion_date = CURRENT_DATE
+    AND tce.tenant_id = T9.tenant_id  -- 按租户过滤
+WHERE tqi.id IS NULL  -- 关键：只查询不在队列中的患者
+  AND tce.id IS NULL  -- 关键：只查询不在排除列表中的患者
+ORDER BY T9.register_time DESC;
+
+-- ============================================
+-- 方案二：简化查询（仅核心字段，便于快速测试）
+-- ============================================
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    pt.name AS patientName,
+    org.id AS organizationId,
+    org.name AS organizationName,
+    hcs.name AS healthcareName,
+    pr.name AS practitionerName,
+    enc.create_time AS registerTime
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
+LEFT JOIN adm_healthcare_service hcs ON enc.service_type_id = hcs.id AND hcs.delete_flag = '0'
+LEFT JOIN (
+    SELECT encounter_id, practitioner_id,
+           ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+    FROM adm_encounter_participant
+    WHERE delete_flag = '0' AND type_code IN ('admitter', 'registration_doctor')
+) ep ON enc.id = ep.encounter_id AND ep.rn = 1
+LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+-- 排除已在队列中的患者
+LEFT JOIN hisdev.triage_queue_item tqi
+    ON enc.id = tqi.encounter_id
+    AND tqi.delete_flag = '0'
+    AND tqi.queue_date = CURRENT_DATE
+    AND tqi.status != 'COMPLETED'
+-- 排除已在排除列表中的患者（新增）
+LEFT JOIN hisdev.triage_candidate_exclusion tce
+    ON enc.id = tce.encounter_id
+    AND tce.delete_flag = '0'
+    AND tce.exclusion_date = CURRENT_DATE
+    AND tce.tenant_id = enc.tenant_id
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6
+  AND tqi.id IS NULL  -- 不在队列中
+  AND tce.id IS NULL  -- 不在排除列表中
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 方案三：使用 NOT EXISTS 子查询（性能可能更好）
+-- ============================================
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    pt.name AS patientName,
+    org.id AS organizationId,
+    org.name AS organizationName,
+    hcs.name AS healthcareName,
+    pr.name AS practitionerName,
+    enc.create_time AS registerTime
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
+LEFT JOIN adm_healthcare_service hcs ON enc.service_type_id = hcs.id AND hcs.delete_flag = '0'
+LEFT JOIN (
+    SELECT encounter_id, practitioner_id,
+           ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
+    FROM adm_encounter_participant
+    WHERE delete_flag = '0' AND type_code IN ('admitter', 'registration_doctor')
+) ep ON enc.id = ep.encounter_id AND ep.rn = 1
+LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6
+  -- 排除已在队列中的患者
+  AND NOT EXISTS (
+      SELECT 1
+      FROM hisdev.triage_queue_item tqi
+      WHERE tqi.encounter_id = enc.id
+        AND tqi.delete_flag = '0'
+        AND tqi.queue_date = CURRENT_DATE
+        AND tqi.status != 'COMPLETED'
+  )
+  -- 排除已在排除列表中的患者（新增）
+  AND NOT EXISTS (
+      SELECT 1
+      FROM hisdev.triage_candidate_exclusion tce
+      WHERE tce.encounter_id = enc.id
+        AND tce.delete_flag = '0'
+        AND tce.exclusion_date = CURRENT_DATE
+        AND tce.tenant_id = enc.tenant_id
+  )
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 查询条件说明
+-- ============================================
+-- 1. 基础条件：
+--    - enc.delete_flag = '0'  -- 未删除
+--    - enc.class_enum = 1     -- 门诊（AMB）
+--    - ci.context_enum = 1    -- 挂号（REGISTER）
+--    - prc.status_enum = 1    -- 支付成功（SUCCESS）
+--
+-- 2. 日期过滤：
+--    - enc.create_time::DATE = CURRENT_DATE  -- 当日挂号
+--    注意：前端还会基于 registerTime 字段再次过滤今天的数据
+--
+-- 3. 状态过滤：
+--    - enc.status_enum != 6  -- 排除退号（对应前端 statusEnum = -1）
+--
+-- 4. 队列去重：
+--    - LEFT JOIN hisdev.triage_queue_item ... WHERE tqi.id IS NULL
+--    或者
+--    - NOT EXISTS (SELECT 1 FROM hisdev.triage_queue_item ...)
+--    排除已在队列中且状态不是 COMPLETED 的患者
+--
+-- 5. 排除列表去重（新增）：
+--    - LEFT JOIN hisdev.triage_candidate_exclusion ... WHERE tce.id IS NULL
+--    或者
+--    - NOT EXISTS (SELECT 1 FROM hisdev.triage_candidate_exclusion ...)
+--    排除已在排除列表中的患者（已加入队列后被记录）
+--
+-- 6. 租户过滤（如果需要）：
+--    - enc.tenant_id = ?  -- 当前登录用户的租户ID
+--
+-- 7. 模糊搜索（如果需要）：
+--    - pt.name LIKE '%关键词%'  -- 患者姓名
+--    - org.name LIKE '%关键词%'  -- 科室名称
+--    - pr.name LIKE '%关键词%'  -- 医生姓名
+--    - hcs.name LIKE '%关键词%'  -- 号别名称
+
+-- ============================================
+-- 调试查询（检查数据是否正确）
+-- ============================================
+
+-- 1. 检查当日已挂号患者总数
+SELECT COUNT(*) AS total_registered
+FROM adm_encounter enc
+INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+    AND prc.delete_flag = '0' AND prc.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1
+  AND enc.create_time::DATE = CURRENT_DATE
+  AND enc.status_enum != 6;
+
+-- 2. 检查已在队列中的患者数量
+SELECT COUNT(DISTINCT encounter_id) AS in_queue_count
+FROM hisdev.triage_queue_item
+WHERE delete_flag = '0'
+  AND queue_date = CURRENT_DATE
+  AND status != 'COMPLETED';
+
+-- 3. 检查已在排除列表中的患者数量（新增）
+SELECT COUNT(DISTINCT encounter_id) AS in_exclusion_count
+FROM hisdev.triage_candidate_exclusion
+WHERE delete_flag = '0'
+  AND exclusion_date = CURRENT_DATE;
+
+-- 4. 检查候选池应该显示的患者数量（已挂号 - 已在队列 - 已在排除列表）
+SELECT 
+    (SELECT COUNT(*) 
+     FROM adm_encounter enc
+     INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+     INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
+         AND prc.delete_flag = '0' AND prc.status_enum = 1
+     WHERE enc.delete_flag = '0'
+       AND enc.class_enum = 1
+       AND enc.create_time::DATE = CURRENT_DATE
+       AND enc.status_enum != 6) 
+    - 
+    (SELECT COUNT(DISTINCT encounter_id)
+     FROM hisdev.triage_queue_item
+     WHERE delete_flag = '0'
+       AND queue_date = CURRENT_DATE
+       AND status != 'COMPLETED')
+    -
+    (SELECT COUNT(DISTINCT encounter_id)
+     FROM hisdev.triage_candidate_exclusion
+     WHERE delete_flag = '0'
+       AND exclusion_date = CURRENT_DATE)
+    AS candidate_pool_count;
+
+-- 5. 查看队列中的患者详情（用于对比）
+SELECT 
+    tqi.encounter_id,
+    tqi.patient_name,
+    tqi.status,
+    tqi.queue_order
+FROM hisdev.triage_queue_item tqi
+WHERE tqi.delete_flag = '0'
+  AND tqi.queue_date = CURRENT_DATE
+  AND tqi.status != 'COMPLETED'
+ORDER BY tqi.queue_order;
+
+-- 6. 查看排除列表中的患者详情（新增）
+SELECT 
+    tce.encounter_id,
+    tce.patient_name,
+    tce.reason,
+    tce.create_time
+FROM hisdev.triage_candidate_exclusion tce
+WHERE tce.delete_flag = '0'
+  AND tce.exclusion_date = CURRENT_DATE
+ORDER BY tce.create_time DESC;
+
+-- 7. 查看重叠的患者（既在队列中，又在排除列表中）
+SELECT 
+    tqi.encounter_id,
+    tqi.patient_name AS queue_patient_name,
+    tce.patient_name AS exclusion_patient_name,
+    tqi.status,
+    tce.reason
+FROM hisdev.triage_queue_item tqi
+INNER JOIN hisdev.triage_candidate_exclusion tce
+    ON tqi.encounter_id = tce.encounter_id
+    AND tqi.queue_date = tce.exclusion_date
+    AND tqi.tenant_id = tce.tenant_id
+WHERE tqi.delete_flag = '0'
+  AND tce.delete_flag = '0'
+  AND tqi.queue_date = CURRENT_DATE
+ORDER BY tqi.encounter_id;
+

openhis-ui-vue3/src/api/system/lisConfig.js

@@ -0,0 +1,33 @@
+import request from '@/utils/request'
+
+export function getLisConfigPage(query) {
+  return request({
+    url: '/inspection/lisConfig/init-page',
+    method: 'get',
+    params: query
+  })
+}
+
+export function getLisConfigDetail(id) {
+  return request({
+    url: '/inspection/lisConfig/info-detail',
+    method: 'get',
+    params: { id }
+  })
+}
+
+export function getLisConfigList(searchKey, type) {
+  return request({
+    url: '/inspection/lisConfig/init-list',
+    method: 'get',
+    params: { searchKey, type }
+  })
+}
+
+export function saveLisConfig(data) {
+  return request({
+    url: '/inspection/lisConfig/saveAll',
+    method: 'post',
+    data: data
+  })
+}

openhis-ui-vue3/src/api/system/observation.js

@@ -0,0 +1,48 @@
+import request from '@/utils/request'
+
+export function getObservationInit() {
+  return request({
+    url: '/inspection/observation/init',
+    method: 'get'
+  })
+}
+
+export function getObservationPage(query) {
+  return request({
+    url: '/inspection/observation/information-page',
+    method: 'get',
+    params: query
+  })
+}
+
+export function getObservationOne(id) {
+  return request({
+    url: '/inspection/observation/information-one',
+    method: 'get',
+    params: { id }
+  })
+}
+
+export function addObservation(data) {
+  return request({
+    url: '/inspection/observation/information',
+    method: 'post',
+    data: data
+  })
+}
+
+export function updateObservation(data) {
+  return request({
+    url: '/inspection/observation/information',
+    method: 'post',
+    data: data
+  })
+}
+
+export function deleteObservation(ids) {
+  return request({
+    url: '/inspection/observation/information-status',
+    method: 'post',
+    data: { ids, type: '停用' }
+  })
+}

openhis-ui-vue3/src/router/index.js

@@ -266,6 +266,32 @@ export const dynamicRoutes = [
             },
         ],
     },
+        // 字典类型路由（直接复制这段）
+    {
+        path: '/system/dict',
+        component: Layout,
+        alwaysShow: true,
+        name: 'DictType',
+        meta: {
+            title: '字典类型管理',
+            icon: 'list' // 图标随便选一个，比如list、dict，不影响跳转
+        },
+        children: [
+            {
+                path: '',
+                component: () => import('@/views/system/dict/index.vue'),
+                name: 'DictTypeList',
+                meta: {title: '字典类型', noCache: false}
+            },
+            {
+                path: 'data/:dictId?', // 带字典ID参数，?表示可选
+                component: () => import('@/views/system/dict/data.vue'), // 你的data.vue路径
+                name: 'DictData',
+                hidden: true, // 不在侧边栏显示（子页面）
+                meta: {title: '字典数据', activeMenu: '/system/dict'} // 保持侧边栏高亮
+            }
+        ]
+    },
 ];
 
 // 合并常量路由和动态路由，确保所有路由都能被访问

openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue

@@ -427,11 +427,7 @@ function handleNodeClick(res, node) {
 // 实际的节点点击处理逻辑
 function continueHandleNodeClick(node) {
   // 新增按钮是否 disable
-  if (node.parent === null || node.level === 1) {
-    isAddDisable.value = true;
-  } else {
   isAddDisable.value = false;
-  }
   // 检查节点是否有子节点
   if (node.data.children && node.data.children.length > 0) {
     // proxy.$message.warning("不能选择父节点");

openhis-ui-vue3/src/views/system/dict/index.vue

@@ -1,55 +1,23 @@
 <template>
   <div class="app-container">
-    <el-form
+    <el-form :model="queryParams" ref="queryRef" :inline="true" v-show="showSearch" label-width="68px"
-      :model="queryParams"
+      class="query-form">
-      ref="queryRef"
-      :inline="true"
-      v-show="showSearch"
-      label-width="68px"
-      class="query-form"
-    >
       <el-form-item label="字典名称" prop="dictName">
-        <el-input
+        <el-input v-model="queryParams.dictName" placeholder="请输入字典名称" clearable style="width: 240px"
-          v-model="queryParams.dictName"
+          @keyup.enter="handleQuery" />
-          placeholder="请输入字典名称"
-          clearable
-          style="width: 240px"
-          @keyup.enter="handleQuery"
-        />
       </el-form-item>
       <el-form-item label="字典类型" prop="dictType">
-        <el-input
+        <el-input v-model="queryParams.dictType" placeholder="请输入字典类型" clearable style="width: 240px"
-          v-model="queryParams.dictType"
+          @keyup.enter="handleQuery" />
-          placeholder="请输入字典类型"
-          clearable
-          style="width: 240px"
-          @keyup.enter="handleQuery"
-        />
       </el-form-item>
       <el-form-item label="状态" prop="status">
-        <el-select
+        <el-select v-model="queryParams.status" placeholder="字典状态" clearable style="width: 240px">
-          v-model="queryParams.status"
+          <el-option v-for="dict in sys_normal_disable" :key="dict.value" :label="dict.label" :value="dict.value" />
-          placeholder="字典状态"
-          clearable
-          style="width: 240px"
-        >
-          <el-option
-            v-for="dict in sys_normal_disable"
-            :key="dict.value"
-            :label="dict.label"
-            :value="dict.value"
-          />
         </el-select>
       </el-form-item>
       <el-form-item label="创建时间" style="width: 308px">
-        <el-date-picker
+        <el-date-picker v-model="dateRange" value-format="YYYY-MM-DD" type="daterange" range-separator="-"
-          v-model="dateRange"
+          start-placeholder="开始日期" end-placeholder="结束日期"></el-date-picker>
-          value-format="YYYY-MM-DD"
-          type="daterange"
-          range-separator="-"
-          start-placeholder="开始日期"
-          end-placeholder="结束日期"
-        ></el-date-picker>
       </el-form-item>
       <el-form-item class="search-buttons">
         <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
@@ -59,76 +27,34 @@
 
     <el-row :gutter="10" class="button-group">
       <el-col :span="1.5">
-        <el-button
+        <el-button type="primary" plain icon="Plus" @click="handleAdd" v-hasPermi="['system:dict:add']">新增</el-button>
-          type="primary"
-          plain
-          icon="Plus"
-          @click="handleAdd"
-          v-hasPermi="['system:dict:add']"
-          >新增</el-button
-        >
       </el-col>
       <el-col :span="1.5">
-        <el-button
+        <el-button type="success" plain icon="Edit" :disabled="single" @click="handleUpdate"
-          type="success"
+          v-hasPermi="['system:dict:edit']">修改</el-button>
-          plain
-          icon="Edit"
-          :disabled="single"
-          @click="handleUpdate"
-          v-hasPermi="['system:dict:edit']"
-          >修改</el-button
-        >
       </el-col>
       <el-col :span="1.5">
-        <el-button
+        <el-button type="danger" plain icon="Delete" :disabled="multiple" @click="handleDelete"
-          type="danger"
+          v-hasPermi="['system:dict:remove']">删除</el-button>
-          plain
-          icon="Delete"
-          :disabled="multiple"
-          @click="handleDelete"
-          v-hasPermi="['system:dict:remove']"
-          >删除</el-button
-        >
       </el-col>
       <el-col :span="1.5">
-        <el-button
+        <el-button type="warning" plain icon="Download" @click="handleExport"
-          type="warning"
+          v-hasPermi="['system:dict:export']">导出</el-button>
-          plain
-          icon="Download"
-          @click="handleExport"
-          v-hasPermi="['system:dict:export']"
-          >导出</el-button
-        >
       </el-col>
       <el-col :span="1.5">
-        <el-button
+        <el-button type="danger" plain icon="Refresh" @click="handleRefreshCache"
-          type="danger"
+          v-hasPermi="['system:dict:remove']">刷新缓存</el-button>
-          plain
-          icon="Refresh"
-          @click="handleRefreshCache"
-          v-hasPermi="['system:dict:remove']"
-          >刷新缓存</el-button
-        >
       </el-col>
       <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
     </el-row>
     <div class="table-wrapper">
-      <el-table
+      <el-table v-loading="loading" :data="typeList" @selection-change="handleSelectionChange">
-        v-loading="loading"
-        :data="typeList"
-        @selection-change="handleSelectionChange"
-      >
         <el-table-column type="selection" width="55" align="center" />
         <el-table-column label="字典编号" align="center" prop="dictId" />
-        <el-table-column
+        <el-table-column label="字典名称" align="center" prop="dictName" :show-overflow-tooltip="true" />
-          label="字典名称"
-          align="center"
-          prop="dictName"
-          :show-overflow-tooltip="true"
-        />
         <el-table-column label="字典类型" align="center" :show-overflow-tooltip="true">
           <template #default="scope">
-            <router-link :to="'/system/dict-data/index/' + scope.row.dictId" class="link-type">
+            <router-link :to="'/system/dict/data/' + scope.row.dictId" class="link-type">
               <span>{{ scope.row.dictType }}</span>
             </router-link>
           </template>
@@ -144,40 +70,18 @@
             <span>{{ parseTime(scope.row.createTime) }}</span>
           </template>
         </el-table-column>
-        <el-table-column
+        <el-table-column label="操作" align="center" width="160" class-name="small-padding fixed-width">
-          label="操作"
-          align="center"
-          width="160"
-          class-name="small-padding fixed-width"
-        >
           <template #default="scope">
-            <el-button
+            <el-button link type="primary" icon="Edit" @click="handleUpdate(scope.row)"
-              link
+              v-hasPermi="['system:dict:edit']" class="action-button">修改</el-button>
-              type="primary"
+            <el-button link type="primary" icon="Delete" @click="handleDelete(scope.row)"
-              icon="Edit"
+              v-hasPermi="['system:dict:remove']" class="action-button">删除</el-button>
-              @click="handleUpdate(scope.row)"
-              v-hasPermi="['system:dict:edit']"
-              class="action-button">修改</el-button
-            >
-            <el-button
-              link
-              type="primary"
-              icon="Delete"
-              @click="handleDelete(scope.row)"
-              v-hasPermi="['system:dict:remove']"
-              class="action-button">删除</el-button
-            >
           </template>
         </el-table-column>
       </el-table>
       <div class="pagination-container">
-        <pagination
+        <pagination v-show="total > 0" :total="total" v-model:page="queryParams.pageNum"
-          v-show="total > 0"
+          v-model:limit="queryParams.pageSize" @pagination="getList" />
-          :total="total"
-          v-model:page="queryParams.pageNum"
-          v-model:limit="queryParams.pageSize"
-          @pagination="getList"
-        />
       </div>
     </div>
 
@@ -213,7 +117,7 @@
 
 <script setup name="Dict">
 import useDictStore from '@/store/modules/dict';
-import {addType, delType, getType, listType, refreshCache, updateType,} from '@/api/system/dict/type';
+import { addType, delType, getType, listType, refreshCache, updateType, } from '@/api/system/dict/type';
 
 const { proxy } = getCurrentInstance();
 const { sys_normal_disable } = proxy.useDict('sys_normal_disable');
@@ -291,7 +195,7 @@ function handleAdd() {
 /** 多选框选中数据 */
 function handleSelectionChange(selection) {
   ids.value = selection.map((item) => item.dictId);
-  single.value = selection.length != 1;
+  single.value = selection.length !== 1;
   multiple.value = !selection.length;
 }
 /** 修改按钮操作 */
@@ -308,14 +212,14 @@ function handleUpdate(row) {
 function submitForm() {
   proxy.$refs['dictRef'].validate((valid) => {
     if (valid) {
-      if (form.value.dictId != undefined) {
+      if (form.value.dictId !== undefined) {
-        updateType(form.value).then((response) => {
+        updateType(form.value).then(() => {
           proxy.$modal.msgSuccess('修改成功');
           open.value = false;
           getList();
         });
       } else {
-        addType(form.value).then((response) => {
+        addType(form.value).then(() => {
           proxy.$modal.msgSuccess('新增成功');
           open.value = false;
           getList();
@@ -336,7 +240,7 @@ function handleDelete(row) {
       getList();
       proxy.$modal.msgSuccess('删除成功');
     })
-    .catch(() => {});
+    .catch(() => { });
 }
 /** 导出按钮操作 */
 function handleExport() {

openhis-ui-vue3/src/views/system/user copy/authRole.vue

@@ -0,0 +1,112 @@
+<template>
+   <div class="app-container">
+      <h4 class="form-header h4">基本信息</h4>
+      <el-form :model="form" label-width="80px">
+         <el-row>
+            <el-col :span="8" :offset="2">
+               <el-form-item label="用户昵称" prop="nickName">
+                  <el-input v-model="form.nickName" disabled />
+               </el-form-item>
+            </el-col>
+            <el-col :span="8" :offset="2">
+               <el-form-item label="登录账号" prop="userName">
+                  <el-input v-model="form.userName" disabled />
+               </el-form-item>
+            </el-col>
+         </el-row>
+      </el-form>
+
+      <h4 class="form-header h4">角色信息</h4>
+      <el-table v-loading="loading" :row-key="getRowKey" @row-click="clickRow" ref="roleRef" @selection-change="handleSelectionChange" :data="roles.slice((pageNum - 1) * pageSize, pageNum * pageSize)">
+         <el-table-column label="序号" width="55" type="index" align="center">
+            <template #default="scope">
+               <span>{{ (pageNum - 1) * pageSize + scope.$index + 1 }}</span>
+            </template>
+         </el-table-column>
+         <el-table-column type="selection" :reserve-selection="true" width="55"></el-table-column>
+         <el-table-column label="角色编号" align="center" prop="roleId" />
+         <el-table-column label="角色名称" align="center" prop="roleName" />
+         <el-table-column label="权限字符" align="center" prop="roleKey" />
+         <el-table-column label="创建时间" align="center" prop="createTime" width="180">
+            <template #default="scope">
+               <span>{{ parseTime(scope.row.createTime) }}</span>
+            </template>
+         </el-table-column>
+      </el-table>
+
+      <pagination v-show="total > 0" :total="total" v-model:page="pageNum" v-model:limit="pageSize" />
+
+      <el-form label-width="100px">
+         <div style="text-align: center;margin-left:-120px;margin-top:30px;">
+            <el-button type="primary" @click="submitForm()">提交</el-button>
+            <el-button @click="close()">返回</el-button>
+         </div>
+      </el-form>
+   </div>
+</template>
+
+<script setup name="AuthRole">
+import {getAuthRole, updateAuthRole} from "@/api/system/user copy";
+
+const route = useRoute();
+const { proxy } = getCurrentInstance();
+
+const loading = ref(true);
+const total = ref(0);
+const pageNum = ref(1);
+const pageSize = ref(10);
+const roleIds = ref([]);
+const roles = ref([]);
+const form = ref({
+  nickName: undefined,
+  userName: undefined,
+  userId: undefined
+});
+
+/** 单击选中行数据 */
+function clickRow(row) {
+  proxy.$refs["roleRef"].toggleRowSelection(row);
+};
+/** 多选框选中数据 */
+function handleSelectionChange(selection) {
+  roleIds.value = selection.map(item => item.roleId);
+};
+/** 保存选中的数据编号 */
+function getRowKey(row) {
+  return row.roleId;
+};
+/** 关闭按钮 */
+function close() {
+  const obj = { path: "/system/user" };
+  proxy.$tab.closeOpenPage(obj);
+};
+/** 提交按钮 */
+function submitForm() {
+  const userId = form.value.userId;
+  const rIds = roleIds.value.join(",");
+  updateAuthRole({ userId: userId, roleIds: rIds }).then(response => {
+    proxy.$modal.msgSuccess("授权成功");
+    close();
+  });
+};
+
+(() => {
+  const userId = route.params && route.params.userId;
+  if (userId) {
+    loading.value = true;
+    getAuthRole(userId).then(response => {
+      form.value = response.user;
+      roles.value = response.roles;
+      total.value = roles.value.length;
+      nextTick(() => {
+        roles.value.forEach(row => {
+          if (row.flag) {
+            proxy.$refs["roleRef"].toggleRowSelection(row);
+          }
+        });
+      });
+      loading.value = false;
+    });
+  }
+})();
+</script>

openhis-ui-vue3/src/views/system/user copy/index.vue

@@ -0,0 +1,621 @@
+<template>
+   <div class="app-container">
+      <el-row :gutter="20">
+         <!--部门数据-->
+         <el-col :span="4" :xs="24">
+            <div class="head-container">
+               <el-input
+                  v-model="deptName"
+                  placeholder="请输入部门名称"
+                  clearable
+                  prefix-icon="Search"
+                  style="margin-bottom: 20px"
+               />
+            </div>
+            <div class="head-container">
+               <el-tree
+                  :data="deptOptions"
+                  :props="{ label: 'label', children: 'children' }"
+                  :expand-on-click-node="false"
+                  :filter-node-method="filterNode"
+                  ref="deptTreeRef"
+                  node-key="id"
+                  highlight-current
+                  default-expand-all
+                  @node-click="handleNodeClick"
+               />
+            </div>
+         </el-col>
+         <!--用户数据-->
+         <el-col :span="20" :xs="24">
+            <el-form :model="queryParams" ref="queryRef" :inline="true" v-show="showSearch" label-width="68px">
+               <el-form-item label="用户名称" prop="userName">
+                  <el-input
+                     v-model="queryParams.userName"
+                     placeholder="请输入用户名称"
+                     clearable
+                     style="width: 240px"
+                     @keyup.enter="handleQuery"
+                  />
+               </el-form-item>
+               <el-form-item label="手机号码" prop="phonenumber">
+                  <el-input
+                     v-model="queryParams.phonenumber"
+                     placeholder="请输入手机号码"
+                     clearable
+                     style="width: 240px"
+                     @keyup.enter="handleQuery"
+                  />
+               </el-form-item>
+               <el-form-item label="状态" prop="status">
+                  <el-select
+                     v-model="queryParams.status"
+                     placeholder="用户状态"
+                     clearable
+                     style="width: 240px"
+                  >
+                     <el-option
+                        v-for="dict in sys_normal_disable"
+                        :key="dict.value"
+                        :label="dict.label"
+                        :value="dict.value"
+                     />
+                  </el-select>
+               </el-form-item>
+               <el-form-item label="创建时间" style="width: 308px;">
+                  <el-date-picker
+                     v-model="dateRange"
+                     value-format="YYYY-MM-DD"
+                     type="daterange"
+                     range-separator="-"
+                     start-placeholder="开始日期"
+                     end-placeholder="结束日期"
+                  ></el-date-picker>
+               </el-form-item>
+               <el-form-item>
+                  <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
+                  <el-button icon="Refresh" @click="resetQuery">重置</el-button>
+               </el-form-item>
+            </el-form>
+
+            <el-row :gutter="10" class="mb8">
+               <el-col :span="1.5">
+                  <el-button
+                     type="primary"
+                     plain
+                     icon="Plus"
+                     @click="handleAdd"
+                     v-hasPermi="['system:user:add']"
+                  >新增</el-button>
+               </el-col>
+               <el-col :span="1.5">
+                  <el-button
+                     type="success"
+                     plain
+                     icon="Edit"
+                     :disabled="single"
+                     @click="handleUpdate"
+                     v-hasPermi="['system:user:edit']"
+                  >修改</el-button>
+               </el-col>
+               <el-col :span="1.5">
+                  <el-button
+                     type="danger"
+                     plain
+                     icon="Delete"
+                     :disabled="multiple"
+                     @click="handleDelete"
+                     v-hasPermi="['system:user:remove']"
+                  >删除</el-button>
+               </el-col>
+               <el-col :span="1.5">
+                  <el-button
+                     type="info"
+                     plain
+                     icon="Upload"
+                     @click="handleImport"
+                     v-hasPermi="['system:user:import']"
+                  >导入</el-button>
+               </el-col>
+               <el-col :span="1.5">
+                  <el-button
+                     type="warning"
+                     plain
+                     icon="Download"
+                     @click="handleExport"
+                     v-hasPermi="['system:user:export']"
+                  >导出</el-button>
+               </el-col>
+               <right-toolbar v-model:showSearch="showSearch" @queryTable="getList" :columns="columns"></right-toolbar>
+            </el-row>
+
+            <el-table v-loading="loading" :data="userList" @selection-change="handleSelectionChange">
+               <el-table-column type="selection" width="50" align="center" />
+               <el-table-column label="用户编号" align="center" key="userId" prop="userId" v-if="columns[0].visible" />
+               <el-table-column label="用户名称" align="center" key="userName" prop="userName" v-if="columns[1].visible" :show-overflow-tooltip="true" />
+               <el-table-column label="用户昵称" align="center" key="nickName" prop="nickName" v-if="columns[2].visible" :show-overflow-tooltip="true" />
+               <el-table-column label="部门" align="center" key="deptName" prop="dept.deptName" v-if="columns[3].visible" :show-overflow-tooltip="true" />
+               <el-table-column label="手机号码" align="center" key="phonenumber" prop="phonenumber" v-if="columns[4].visible" width="120" />
+               <el-table-column label="状态" align="center" key="status" v-if="columns[5].visible">
+                  <template #default="scope">
+                     <el-switch
+                        v-model="scope.row.status"
+                        active-value="0"
+                        inactive-value="1"
+                        @change="handleStatusChange(scope.row)"
+                     ></el-switch>
+                  </template>
+               </el-table-column>
+               <el-table-column label="创建时间" align="center" prop="createTime" v-if="columns[6].visible" width="160">
+                  <template #default="scope">
+                     <span>{{ parseTime(scope.row.createTime) }}</span>
+                  </template>
+               </el-table-column>
+               <el-table-column label="操作" align="center" width="150" class-name="small-padding fixed-width">
+                  <template #default="scope">
+                     <el-tooltip content="修改" placement="top" v-if="scope.row.userId !== 1">
+                        <el-button link type="primary" icon="Edit" @click="handleUpdate(scope.row)" v-hasPermi="['system:user:edit']"></el-button>
+                     </el-tooltip>
+                     <el-tooltip content="删除" placement="top" v-if="scope.row.userId !== 1">
+                        <el-button link type="primary" icon="Delete" @click="handleDelete(scope.row)" v-hasPermi="['system:user:remove']"></el-button>
+                     </el-tooltip>
+                     <el-tooltip content="重置密码" placement="top" v-if="scope.row.userId !== 1">
+                         <el-button link type="primary" icon="Key" @click="handleResetPwd(scope.row)" v-hasPermi="['system:user:resetPwd']"></el-button>
+                     </el-tooltip>
+                     <el-tooltip content="分配角色" placement="top" v-if="scope.row.userId !== 1">
+                        <el-button link type="primary" icon="CircleCheck" @click="handleAuthRole(scope.row)" v-hasPermi="['system:user:edit']"></el-button>
+                     </el-tooltip>
+                  </template>
+               </el-table-column>
+            </el-table>
+            <pagination
+               v-show="total > 0"
+               :total="total"
+               v-model:page="queryParams.pageNum"
+               v-model:limit="queryParams.pageSize"
+               @pagination="getList"
+            />
+         </el-col>
+      </el-row>
+
+      <!-- 添加或修改用户配置对话框 -->
+      <el-dialog :title="title" v-model="open" width="600px" append-to-body>
+         <el-form :model="form" :rules="rules" ref="userRef" label-width="80px">
+            <el-row>
+               <el-col :span="12">
+                  <el-form-item label="用户昵称" prop="nickName">
+                     <el-input v-model="form.nickName" placeholder="请输入用户昵称" maxlength="30" />
+                  </el-form-item>
+               </el-col>
+               <el-col :span="12">
+                  <el-form-item label="归属部门" prop="deptId">
+                     <el-tree-select
+                        v-model="form.deptId"
+                        :data="deptOptions"
+                        :props="{ value: 'id', label: 'label', children: 'children' }"
+                        value-key="id"
+                        placeholder="请选择归属部门"
+                        check-strictly
+                     />
+                  </el-form-item>
+               </el-col>
+            </el-row>
+            <el-row>
+               <el-col :span="12">
+                  <el-form-item label="手机号码" prop="phonenumber">
+                     <el-input v-model="form.phonenumber" placeholder="请输入手机号码" maxlength="11" />
+                  </el-form-item>
+               </el-col>
+               <el-col :span="12">
+                  <el-form-item label="邮箱" prop="email">
+                     <el-input v-model="form.email" placeholder="请输入邮箱" maxlength="50" />
+                  </el-form-item>
+               </el-col>
+            </el-row>
+            <el-row>
+               <el-col :span="12">
+                  <el-form-item v-if="form.userId == undefined" label="用户名称" prop="userName">
+                     <el-input v-model="form.userName" placeholder="请输入用户名称" maxlength="30" />
+                  </el-form-item>
+               </el-col>
+               <el-col :span="12">
+                  <el-form-item v-if="form.userId == undefined" label="用户密码" prop="password">
+                     <el-input v-model="form.password" placeholder="请输入用户密码" type="password" maxlength="20" show-password />
+                  </el-form-item>
+               </el-col>
+            </el-row>
+            <el-row>
+               <el-col :span="12">
+                  <el-form-item label="用户性别">
+                     <el-select v-model="form.sex" placeholder="请选择">
+                        <el-option
+                           v-for="dict in sys_user_sex"
+                           :key="dict.value"
+                           :label="dict.label"
+                           :value="dict.value"
+                        ></el-option>
+                     </el-select>
+                  </el-form-item>
+               </el-col>
+               <el-col :span="12">
+                  <el-form-item label="状态">
+                     <el-radio-group v-model="form.status">
+                        <el-radio
+                           v-for="dict in sys_normal_disable"
+                           :key="dict.value"
+                           :label="dict.value"
+                        >{{ dict.label }}</el-radio>
+                     </el-radio-group>
+                  </el-form-item>
+               </el-col>
+            </el-row>
+            <el-row>
+               <el-col :span="12">
+                  <el-form-item label="岗位">
+                     <el-select v-model="form.postIds" multiple placeholder="请选择">
+                        <el-option
+                           v-for="item in postOptions"
+                           :key="item.postId"
+                           :label="item.postName"
+                           :value="item.postId"
+                           :disabled="item.status == 1"
+                        ></el-option>
+                     </el-select>
+                  </el-form-item>
+               </el-col>
+               <el-col :span="12">
+                  <el-form-item label="角色">
+                     <el-select v-model="form.roleIds" multiple placeholder="请选择">
+                        <el-option
+                           v-for="item in roleOptions"
+                           :key="item.roleId"
+                           :label="item.roleName"
+                           :value="item.roleId"
+                           :disabled="item.status == 1"
+                        ></el-option>
+                     </el-select>
+                  </el-form-item>
+               </el-col>
+            </el-row>
+            <el-row>
+               <el-col :span="24">
+                  <el-form-item label="备注">
+                     <el-input v-model="form.remark" type="textarea" placeholder="请输入内容"></el-input>
+                  </el-form-item>
+               </el-col>
+            </el-row>
+         </el-form>
+         <template #footer>
+            <div class="dialog-footer">
+               <el-button type="primary" @click="submitForm">确 定</el-button>
+               <el-button @click="cancel">取 消</el-button>
+            </div>
+         </template>
+      </el-dialog>
+
+      <!-- 用户导入对话框 -->
+      <el-dialog :title="upload.title" v-model="upload.open" width="400px" append-to-body>
+         <el-upload
+            ref="uploadRef"
+            :limit="1"
+            accept=".xlsx, .xls"
+            :headers="upload.headers"
+            :action="upload.url + '?updateSupport=' + upload.updateSupport"
+            :disabled="upload.isUploading"
+            :on-progress="handleFileUploadProgress"
+            :on-success="handleFileSuccess"
+            :auto-upload="false"
+            drag
+         >
+            <el-icon class="el-icon--upload"><upload-filled /></el-icon>
+            <div class="el-upload__text">将文件拖到此处，或<em>点击上传</em></div>
+            <template #tip>
+               <div class="el-upload__tip text-center">
+                  <div class="el-upload__tip">
+                     <el-checkbox v-model="upload.updateSupport" />是否更新已经存在的用户数据
+                  </div>
+                  <span>仅允许导入xls、xlsx格式文件。</span>
+                  <el-link type="primary" :underline="false" style="font-size:12px;vertical-align: baseline;" @click="importTemplate">下载模板</el-link>
+               </div>
+            </template>
+         </el-upload>
+         <template #footer>
+            <div class="dialog-footer">
+               <el-button type="primary" @click="submitFileForm">确 定</el-button>
+               <el-button @click="upload.open = false">取 消</el-button>
+            </div>
+         </template>
+      </el-dialog>
+   </div>
+</template>
+
+<script setup name="User">
+import {getToken} from "@/utils/auth";
+import {
+  addUser,
+  changeUserStatus,
+  delUser,
+  deptTreeSelect,
+  getUser,
+  listUser,
+  resetUserPwd,
+  updateUser
+} from "@/api/system/user copy";
+
+const router = useRouter();
+const { proxy } = getCurrentInstance();
+const { sys_normal_disable, sys_user_sex } = proxy.useDict("sys_normal_disable", "sys_user_sex");
+
+const userList = ref([]);
+const open = ref(false);
+const loading = ref(true);
+const showSearch = ref(true);
+const ids = ref([]);
+const single = ref(true);
+const multiple = ref(true);
+const total = ref(0);
+const title = ref("");
+const dateRange = ref([]);
+const deptName = ref("");
+const deptOptions = ref(undefined);
+const initPassword = ref(undefined);
+const postOptions = ref([]);
+const roleOptions = ref([]);
+/*** 用户导入参数 */
+const upload = reactive({
+  // 是否显示弹出层（用户导入）
+  open: false,
+  // 弹出层标题（用户导入）
+  title: "",
+  // 是否禁用上传
+  isUploading: false,
+  // 是否更新已经存在的用户数据
+  updateSupport: 0,
+  // 设置上传的请求头部
+  headers: { Authorization: "Bearer " + getToken() },
+  // 上传的地址
+  url: import.meta.env.VITE_APP_BASE_API + "/system/user/importData"
+});
+// 列显隐信息
+const columns = ref([
+  { key: 0, label: `用户编号`, visible: true },
+  { key: 1, label: `用户名称`, visible: true },
+  { key: 2, label: `用户昵称`, visible: true },
+  { key: 3, label: `部门`, visible: true },
+  { key: 4, label: `手机号码`, visible: true },
+  { key: 5, label: `状态`, visible: true },
+  { key: 6, label: `创建时间`, visible: true }
+]);
+
+const data = reactive({
+  form: {},
+  queryParams: {
+    pageNum: 1,
+    pageSize: 10,
+    userName: undefined,
+    phonenumber: undefined,
+    status: undefined,
+    deptId: undefined
+  },
+  rules: {
+    userName: [{ required: true, message: "用户名称不能为空", trigger: "blur" }, { min: 2, max: 20, message: "用户名称长度必须介于 2 和 20 之间", trigger: "blur" }],
+    nickName: [{ required: true, message: "用户昵称不能为空", trigger: "blur" }],
+    password: [{ required: true, message: "用户密码不能为空", trigger: "blur" }, { min: 5, max: 20, message: "用户密码长度必须介于 5 和 20 之间", trigger: "blur" }, { pattern: /^[^<>"'|\\]+$/, message: "不能包含非法字符：< > \" ' \\\ |", trigger: "blur" }],
+    email: [{ type: "email", message: "请输入正确的邮箱地址", trigger: ["blur", "change"] }],
+    phonenumber: [{ pattern: /^1[3|4|5|6|7|8|9][0-9]\d{8}$/, message: "请输入正确的手机号码", trigger: "blur" }]
+  }
+});
+
+const { queryParams, form, rules } = toRefs(data);
+
+/** 通过条件过滤节点  */
+const filterNode = (value, data) => {
+  if (!value) return true;
+  return data.label.indexOf(value) !== -1;
+};
+/** 根据名称筛选部门树 */
+watch(deptName, val => {
+  proxy.$refs["deptTreeRef"].filter(val);
+});
+/** 查询部门下拉树结构 */
+function getDeptTree() {
+  deptTreeSelect().then(response => {
+    deptOptions.value = response.data;
+  });
+};
+/** 查询用户列表 */
+function getList() {
+  loading.value = true;
+  listUser(proxy.addDateRange(queryParams.value, dateRange.value)).then(res => {
+    loading.value = false;
+    userList.value = res.rows;
+    total.value = res.total;
+  });
+};
+/** 节点单击事件 */
+function handleNodeClick(data) {
+  queryParams.value.deptId = data.id;
+  handleQuery();
+};
+/** 搜索按钮操作 */
+function handleQuery() {
+  queryParams.value.pageNum = 1;
+  getList();
+};
+/** 重置按钮操作 */
+function resetQuery() {
+  dateRange.value = [];
+  proxy.resetForm("queryRef");
+  queryParams.value.deptId = undefined;
+  proxy.$refs.deptTreeRef.setCurrentKey(null);
+  handleQuery();
+};
+/** 删除按钮操作 */
+function handleDelete(row) {
+  const userIds = row.userId || ids.value;
+  proxy.$modal.confirm('是否确认删除用户编号为"' + userIds + '"的数据项？').then(function () {
+    return delUser(userIds);
+  }).then(() => {
+    getList();
+    proxy.$modal.msgSuccess("删除成功");
+  }).catch(() => {});
+};
+/** 导出按钮操作 */
+function handleExport() {
+  proxy.download("system/user/export", {
+    ...queryParams.value,
+  },`user_${new Date().getTime()}.xlsx`);
+};
+/** 用户状态修改  */
+function handleStatusChange(row) {
+  let text = row.status === "0" ? "启用" : "停用";
+  proxy.$modal.confirm('确认要"' + text + '""' + row.userName + '"用户吗?').then(function () {
+    return changeUserStatus(row.userId, row.status);
+  }).then(() => {
+    proxy.$modal.msgSuccess(text + "成功");
+  }).catch(function () {
+    row.status = row.status === "0" ? "1" : "0";
+  });
+};
+/** 更多操作 */
+function handleCommand(command, row) {
+  switch (command) {
+    case "handleResetPwd":
+      handleResetPwd(row);
+      break;
+    case "handleAuthRole":
+      handleAuthRole(row);
+      break;
+    default:
+      break;
+  }
+};
+/** 跳转角色分配 */
+function handleAuthRole(row) {
+  const userId = row.userId;
+  router.push("/system/user-auth/role/" + userId);
+};
+/** 重置密码按钮操作 */
+function handleResetPwd(row) {
+  proxy.$prompt('请输入"' + row.userName + '"的新密码', "提示", {
+    confirmButtonText: "确定",
+    cancelButtonText: "取消",
+    closeOnClickModal: false,
+    inputPattern: /^.{5,20}$/,
+    inputErrorMessage: "用户密码长度必须介于 5 和 20 之间",
+    inputValidator: (value) => {
+      if (/<|>|"|'|\||\\/.test(value)) {
+        return "不能包含非法字符：< > \" ' \\\ |"
+      }
+    },
+  }).then(({ value }) => {
+    resetUserPwd(row.userId, value).then(response => {
+      proxy.$modal.msgSuccess("修改成功，新密码是：" + value);
+    });
+  }).catch(() => {});
+};
+/** 选择条数  */
+function handleSelectionChange(selection) {
+  ids.value = selection.map(item => item.userId);
+  single.value = selection.length != 1;
+  multiple.value = !selection.length;
+};
+/** 导入按钮操作 */
+function handleImport() {
+  upload.title = "用户导入";
+  upload.open = true;
+};
+/** 下载模板操作 */
+function importTemplate() {
+  proxy.download("system/user/importTemplate", {
+  }, `user_template_${new Date().getTime()}.xlsx`);
+};
+/**文件上传中处理 */
+const handleFileUploadProgress = (event, file, fileList) => {
+  upload.isUploading = true;
+};
+/** 文件上传成功处理 */
+const handleFileSuccess = (response, file, fileList) => {
+  upload.open = false;
+  upload.isUploading = false;
+  proxy.$refs["uploadRef"].handleRemove(file);
+  proxy.$alert("<div style='overflow: auto;overflow-x: hidden;max-height: 70vh;padding: 10px 20px 0;'>" + response.msg + "</div>", "导入结果", { dangerouslyUseHTMLString: true });
+  getList();
+};
+/** 提交上传文件 */
+function submitFileForm() {
+  proxy.$refs["uploadRef"].submit();
+};
+/** 重置操作表单 */
+function reset() {
+  form.value = {
+    userId: undefined,
+    deptId: undefined,
+    userName: undefined,
+    nickName: undefined,
+    password: undefined,
+    phonenumber: undefined,
+    email: undefined,
+    sex: undefined,
+    status: "0",
+    remark: undefined,
+    postIds: [],
+    roleIds: []
+  };
+  proxy.resetForm("userRef");
+};
+/** 取消按钮 */
+function cancel() {
+  open.value = false;
+  reset();
+};
+/** 新增按钮操作 */
+function handleAdd() {
+  reset();
+  getUser().then(response => {
+    postOptions.value = response.posts;
+    roleOptions.value = response.roles;
+    open.value = true;
+    title.value = "添加用户";
+    form.value.password = initPassword.value;
+  });
+};
+/** 修改按钮操作 */
+function handleUpdate(row) {
+  reset();
+  const userId = row.userId || ids.value;
+  getUser(userId).then(response => {
+    form.value = response.data;
+    postOptions.value = response.posts;
+    roleOptions.value = response.roles;
+    form.value.postIds = response.postIds;
+    form.value.roleIds = response.roleIds;
+    open.value = true;
+    title.value = "修改用户";
+    form.password = "";
+  });
+};
+/** 提交按钮 */
+function submitForm() {
+  proxy.$refs["userRef"].validate(valid => {
+    if (valid) {
+      if (form.value.userId != undefined) {
+        updateUser(form.value).then(response => {
+          proxy.$modal.msgSuccess("修改成功");
+          open.value = false;
+          getList();
+        });
+      } else {
+        addUser(form.value).then(response => {
+          proxy.$modal.msgSuccess("新增成功");
+          open.value = false;
+          getList();
+        });
+      }
+    }
+  });
+};
+
+getDeptTree();
+getList();
+</script>

openhis-ui-vue3/src/views/system/user copy/profile/index.vue

@@ -0,0 +1,87 @@
+<template>
+   <div class="app-container">
+      <el-row :gutter="20">
+         <el-col :span="6" :xs="24">
+            <el-card class="box-card">
+               <template v-slot:header>
+                 <div class="clearfix">
+                   <span>个人信息</span>
+                 </div>
+               </template>
+               <div>
+                  <div class="text-center">
+                     <userAvatar />
+                  </div>
+                  <ul class="list-group list-group-striped">
+                     <li class="list-group-item">
+                        <svg-icon icon-class="user" />用户名称
+                        <div class="pull-right">{{ state.user.userName }}</div>
+                     </li>
+                     <li class="list-group-item">
+                        <svg-icon icon-class="phone" />手机号码
+                        <div class="pull-right">{{ state.user.phonenumber }}</div>
+                     </li>
+                     <li class="list-group-item">
+                        <svg-icon icon-class="email" />用户邮箱
+                        <div class="pull-right">{{ state.user.email }}</div>
+                     </li>
+                     <li class="list-group-item">
+                        <svg-icon icon-class="tree" />所属部门
+                        <div class="pull-right" v-if="state.user.dept">{{ state.user.dept.deptName }} / {{ state.postGroup }}</div>
+                     </li>
+                     <li class="list-group-item">
+                        <svg-icon icon-class="peoples" />所属角色
+                        <div class="pull-right">{{ state.roleGroup }}</div>
+                     </li>
+                     <li class="list-group-item">
+                        <svg-icon icon-class="date" />创建日期
+                        <div class="pull-right">{{ state.user.createTime }}</div>
+                     </li>
+                  </ul>
+               </div>
+            </el-card>
+         </el-col>
+         <el-col :span="18" :xs="24">
+            <el-card>
+               <template v-slot:header>
+                 <div class="clearfix">
+                   <span>基本资料</span>
+                 </div>
+               </template>
+               <el-tabs v-model="activeTab">
+                  <el-tab-pane label="基本资料" name="userinfo">
+                     <userInfo :user="state.user" />
+                  </el-tab-pane>
+                  <el-tab-pane label="修改密码" name="resetPwd">
+                     <resetPwd />
+                  </el-tab-pane>
+               </el-tabs>
+            </el-card>
+         </el-col>
+      </el-row>
+   </div>
+</template>
+
+<script setup name="Profile">
+import userAvatar from "./userAvatar";
+import userInfo from "./userInfo";
+import resetPwd from "./resetPwd";
+import {getUserProfile} from "@/api/system/user copy";
+
+const activeTab = ref("userinfo");
+const state = reactive({
+  user: {},
+  roleGroup: {},
+  postGroup: {}
+});
+
+function getUser() {
+  getUserProfile().then(response => {
+    state.user = response.data;
+    state.roleGroup = response.roleGroup;
+    state.postGroup = response.postGroup;
+  });
+};
+
+getUser();
+</script>

openhis-ui-vue3/src/views/system/user copy/profile/resetPwd.vue

@@ -0,0 +1,65 @@
+<!--
+ * @Author: 徐靖博 xujb@ccjb.com.cn
+ * @Date: 2025-03-26 10:49:30
+ * @LastEditTime: 2025-03-26 13:57:02
+ * @LastEditors: 徐靖博 xujb@ccjb.com.cn
+ * @Description: 
+ * @FilePath: \openhis-ui-vue3\src\views\system\user copy\profile\resetPwd.vue
+-->
+<template>
+   <el-form ref="pwdRef" :model="user" :rules="rules" label-width="80px">
+      <el-form-item label="旧密码" prop="oldPassword">
+         <el-input v-model="user.oldPassword" placeholder="请输入旧密码" type="password" show-password />
+      </el-form-item>
+      <el-form-item label="新密码" prop="newPassword">
+         <el-input v-model="user.newPassword" placeholder="请输入新密码" type="password" show-password />
+      </el-form-item>
+      <el-form-item label="确认密码" prop="confirmPassword">
+         <el-input v-model="user.confirmPassword" placeholder="请确认新密码" type="password" show-password/>
+      </el-form-item>
+      <el-form-item>
+      <el-button type="primary" @click="submit">保存</el-button>
+      <el-button type="danger" @click="close">关闭</el-button>
+      </el-form-item>
+   </el-form>
+</template>
+
+<script setup>
+import {updateUserPwd} from "@/api/system/user copy";
+
+const { proxy } = getCurrentInstance();
+
+const user = reactive({
+  oldPassword: undefined,
+  newPassword: undefined,
+  confirmPassword: undefined
+});
+
+const equalToPassword = (rule, value, callback) => {
+  if (user.newPassword !== value) {
+    callback(new Error("两次输入的密码不一致"));
+  } else {
+    callback();
+  }
+};
+const rules = ref({
+  oldPassword: [{ required: true, message: "旧密码不能为空", trigger: "blur" }],
+  newPassword: [{ required: true, message: "新密码不能为空", trigger: "blur" }, { min: 6, max: 20, message: "长度在 6 到 20 个字符", trigger: "blur" }, { pattern: /^[^<>"'|\\]+$/, message: "不能包含非法字符：< > \" ' \\\ |", trigger: "blur" }],
+  confirmPassword: [{ required: true, message: "确认密码不能为空", trigger: "blur" }, { required: true, validator: equalToPassword, trigger: "blur" }]
+});
+
+/** 提交按钮 */
+function submit() {
+  proxy.$refs.pwdRef.validate(valid => {
+    if (valid) {
+      updateUserPwd(user.oldPassword, user.newPassword).then(response => {
+        proxy.$modal.msgSuccess("修改成功");
+      });
+    }
+  });
+};
+/** 关闭按钮 */
+function close() {
+  proxy.$tab.closePage();
+};
+</script>

openhis-ui-vue3/src/views/system/user copy/profile/userAvatar.vue

@@ -0,0 +1,171 @@
+<template>
+  <div class="user-info-head" @click="editCropper()">
+    <img :src="options.img" title="点击上传头像" class="img-circle img-lg" />
+    <el-dialog :title="title" v-model="open" width="800px" append-to-body @opened="modalOpened" @close="closeDialog">
+      <el-row>
+        <el-col :xs="24" :md="12" :style="{ height: '350px' }">
+          <vue-cropper
+            ref="cropper"
+            :img="options.img"
+            :info="true"
+            :autoCrop="options.autoCrop"
+            :autoCropWidth="options.autoCropWidth"
+            :autoCropHeight="options.autoCropHeight"
+            :fixedBox="options.fixedBox"
+            :outputType="options.outputType"
+            @realTime="realTime"
+            v-if="visible"
+          />
+        </el-col>
+        <el-col :xs="24" :md="12" :style="{ height: '350px' }">
+          <div class="avatar-upload-preview">
+            <img :src="options.previews.url" :style="options.previews.img" />
+          </div>
+        </el-col>
+      </el-row>
+      <br />
+      <el-row>
+        <el-col :lg="2" :md="2">
+          <el-upload
+            action="#"
+            :http-request="requestUpload"
+            :show-file-list="false"
+            :before-upload="beforeUpload"
+          >
+            <el-button>
+              选择
+              <el-icon class="el-icon--right"><Upload /></el-icon>
+            </el-button>
+          </el-upload>
+        </el-col>
+        <el-col :lg="{ span: 1, offset: 2 }" :md="2">
+          <el-button icon="Plus" @click="changeScale(1)"></el-button>
+        </el-col>
+        <el-col :lg="{ span: 1, offset: 1 }" :md="2">
+          <el-button icon="Minus" @click="changeScale(-1)"></el-button>
+        </el-col>
+        <el-col :lg="{ span: 1, offset: 1 }" :md="2">
+          <el-button icon="RefreshLeft" @click="rotateLeft()"></el-button>
+        </el-col>
+        <el-col :lg="{ span: 1, offset: 1 }" :md="2">
+          <el-button icon="RefreshRight" @click="rotateRight()"></el-button>
+        </el-col>
+        <el-col :lg="{ span: 2, offset: 6 }" :md="2">
+          <el-button type="primary" @click="uploadImg()">提 交</el-button>
+        </el-col>
+      </el-row>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import "vue-cropper/dist/index.css";
+import {VueCropper} from "vue-cropper";
+import {uploadAvatar} from "@/api/system/user copy";
+import useUserStore from "@/store/modules/user";
+
+const userStore = useUserStore();
+const { proxy } = getCurrentInstance();
+
+const open = ref(false);
+const visible = ref(false);
+const title = ref("修改头像");
+
+//图片裁剪数据
+const options = reactive({
+  img: userStore.avatar,     // 裁剪图片的地址
+  autoCrop: true,            // 是否默认生成截图框
+  autoCropWidth: 200,        // 默认生成截图框宽度
+  autoCropHeight: 200,       // 默认生成截图框高度
+  fixedBox: true,            // 固定截图框大小 不允许改变
+  outputType: "png",         // 默认生成截图为PNG格式
+  filename: 'avatar',        // 文件名称
+  previews: {}               //预览数据
+});
+
+/** 编辑头像 */
+function editCropper() {
+  open.value = true;
+}
+/** 打开弹出层结束时的回调 */
+function modalOpened() {
+  visible.value = true;
+}
+/** 覆盖默认上传行为 */
+function requestUpload() {}
+/** 向左旋转 */
+function rotateLeft() {
+  proxy.$refs.cropper.rotateLeft();
+}
+/** 向右旋转 */
+function rotateRight() {
+  proxy.$refs.cropper.rotateRight();
+}
+/** 图片缩放 */
+function changeScale(num) {
+  num = num || 1;
+  proxy.$refs.cropper.changeScale(num);
+}
+/** 上传预处理 */
+function beforeUpload(file) {
+  if (file.type.indexOf("image/") == -1) {
+    proxy.$modal.msgError("文件格式错误，请上传图片类型,如：JPG，PNG后缀的文件。");
+  } else {
+    const reader = new FileReader();
+    reader.readAsDataURL(file);
+    reader.onload = () => {
+      options.img = reader.result;
+      options.filename = file.name;
+    };
+  }
+}
+/** 上传图片 */
+function uploadImg() {
+  proxy.$refs.cropper.getCropBlob(data => {
+    let formData = new FormData();
+    formData.append("avatarfile", data, options.filename);
+    uploadAvatar(formData).then(response => {
+      open.value = false;
+      options.img = import.meta.env.VITE_APP_BASE_API + response.imgUrl;
+      userStore.avatar = options.img;
+      proxy.$modal.msgSuccess("修改成功");
+      visible.value = false;
+    });
+  });
+}
+/** 实时预览 */
+function realTime(data) {
+  options.previews = data;
+}
+/** 关闭窗口 */
+function closeDialog() {
+  options.img = userStore.avatar;
+  options.visible = false;
+}
+</script>
+
+<style lang='scss' scoped>
+.user-info-head {
+  position: relative;
+  display: inline-block;
+  height: 120px;
+}
+
+.user-info-head:hover:after {
+  content: "+";
+  position: absolute;
+  left: 0;
+  right: 0;
+  top: 0;
+  bottom: 0;
+  color: #eee;
+  background: rgba(0, 0, 0, 0.5);
+  font-size: 24px;
+  font-style: normal;
+  -webkit-font-smoothing: antialiased;
+  -moz-osx-font-smoothing: grayscale;
+  cursor: pointer;
+  line-height: 110px;
+  border-radius: 50%;
+}
+</style>

openhis-ui-vue3/src/views/system/user copy/profile/userInfo.vue

@@ -0,0 +1,67 @@
+<template>
+   <el-form ref="userRef" :model="form" :rules="rules" label-width="80px">
+      <el-form-item label="用户昵称" prop="nickName">
+         <el-input v-model="form.nickName" maxlength="30" />
+      </el-form-item>
+      <el-form-item label="手机号码" prop="phonenumber">
+         <el-input v-model="form.phonenumber" maxlength="11" />
+      </el-form-item>
+      <el-form-item label="邮箱" prop="email">
+         <el-input v-model="form.email" maxlength="50" />
+      </el-form-item>
+      <el-form-item label="性别">
+         <el-radio-group v-model="form.sex">
+            <el-radio label="0">男</el-radio>
+            <el-radio label="1">女</el-radio>
+         </el-radio-group>
+      </el-form-item>
+      <el-form-item>
+      <el-button type="primary" @click="submit">保存</el-button>
+      <el-button type="danger" @click="close">关闭</el-button>
+      </el-form-item>
+   </el-form>
+</template>
+
+<script setup>
+import {updateUserProfile} from "@/api/system/user copy";
+
+const props = defineProps({
+  user: {
+    type: Object
+  }
+});
+
+const { proxy } = getCurrentInstance();
+
+const form = ref({});
+const rules = ref({
+  nickName: [{ required: true, message: "用户昵称不能为空", trigger: "blur" }],
+  email: [{ required: true, message: "邮箱地址不能为空", trigger: "blur" }, { type: "email", message: "请输入正确的邮箱地址", trigger: ["blur", "change"] }],
+  phonenumber: [{ required: true, message: "手机号码不能为空", trigger: "blur" }, { pattern: /^1[3|4|5|6|7|8|9][0-9]\d{8}$/, message: "请输入正确的手机号码", trigger: "blur" }],
+});
+
+/** 提交按钮 */
+function submit() {
+  proxy.$refs.userRef.validate(valid => {
+    if (valid) {
+      updateUserProfile(form.value).then(response => {
+        proxy.$modal.msgSuccess("修改成功");
+        props.user.phonenumber = form.value.phonenumber;
+        props.user.email = form.value.email;
+      });
+    }
+  });
+};
+
+/** 关闭按钮 */
+function close() {
+  proxy.$tab.closePage();
+};
+
+// 回显当前登录用户信息
+watch(() => props.user, user => {
+  if (user) {
+    form.value = { nickName: user.nickName, phonenumber: user.phonenumber, email: user.email, sex: user.sex };
+  }
+},{ immediate: true });
+</script>

openhis-ui-vue3/src/views/triageandqueuemanage/api.js

@@ -27,42 +27,49 @@ export function updateCallNumberVoiceConfig(data) {
 }
 
 // 分诊排队管理相关API
-// 获取智能候选池（已签到未入队）
+// 说明：直接使用门诊挂号的"当日已挂号"接口
+// 获取智能候选池（使用门诊挂号当日已挂号接口）
 export function getCandidatePool(params) {
   return request({
-    url: '/triage/queue/candidatePool',
+    url: '/charge-manage/register/current-day-encounter',
     method: 'get',
-    params: params,
+    params: {
+      pageNo: params?.pageNo || 1,
+      pageSize: params?.pageSize || 10000,
+      searchKey: params?.searchKey || '',
+      statusEnum: params?.statusEnum || -1 // -1表示排除退号记录（正常挂号）
+    },
     skipErrorMsg: true // 跳过错误提示，由组件处理
-  }).catch(() => {
-    // 返回一个 rejected promise，让组件可以捕获
-    return Promise.reject(new Error('API未实现'))
   })
 }
 
-// 获取智能队列（当前队列）
+// 获取智能队列（使用门诊挂号当日已挂号接口）
 export function getQueueList(params) {
   return request({
-    url: '/triage/queue/list',
+    url: '/charge-manage/register/current-day-encounter',
     method: 'get',
-    params: params,
+    params: {
+      pageNo: params?.pageNo || 1,
+      pageSize: params?.pageSize || 10000,
+      searchKey: params?.searchKey || '',
+      statusEnum: params?.statusEnum || -1 // -1表示排除退号记录（正常挂号）
+    },
     skipErrorMsg: true // 跳过错误提示，由组件处理
-  }).catch(() => {
-    // 返回一个 rejected promise，让组件可以捕获
-    return Promise.reject(new Error('API未实现'))
   })
 }
 
-// 获取统计信息
+// 获取统计信息（使用门诊挂号当日已挂号接口统计）
 export function getQueueStatistics(params) {
   return request({
-    url: '/triage/queue/statistics',
+    url: '/charge-manage/register/current-day-encounter',
     method: 'get',
-    params: params,
+    params: {
+      pageNo: 1,
+      pageSize: 10000,
+      searchKey: params?.searchKey || '',
+      statusEnum: params?.statusEnum || -1
+    },
     skipErrorMsg: true // 跳过错误提示，由组件处理
-  }).catch(() => {
-    // 返回一个 rejected promise，让组件可以捕获
-    return Promise.reject(new Error('API未实现'))
   })
 }
 
@@ -73,7 +80,26 @@ export function addToQueue(data) {
     method: 'post',
     data: data,
     skipErrorMsg: true
-  }).catch(() => Promise.reject(new Error('API未实现')))
+  })
+}
+
+// 获取队列列表（从数据库读取）
+export function getTriageQueueList(params) {
+  return request({
+    url: '/triage/queue/list',
+    method: 'get',
+    params: params,
+    skipErrorMsg: true
+  })
+}
+
+// 移出队列
+export function removeFromQueue(id) {
+  return request({
+    url: `/triage/queue/remove/${id}`,
+    method: 'delete',
+    skipErrorMsg: true
+  })
 }
 
 // 调整队列顺序
@@ -83,7 +109,7 @@ export function adjustQueueOrder(data) {
     method: 'put',
     data: data,
     skipErrorMsg: true
-  }).catch(() => Promise.reject(new Error('API未实现')))
+  })
 }
 
 // 叫号控制
@@ -93,7 +119,7 @@ export function callPatient(data) {
     method: 'post',
     data: data,
     skipErrorMsg: true
-  }).catch(() => Promise.reject(new Error('API未实现')))
+  })
 }
 
 // 跳过患者
@@ -103,7 +129,7 @@ export function skipPatient(data) {
     method: 'post',
     data: data,
     skipErrorMsg: true
-  }).catch(() => Promise.reject(new Error('API未实现')))
+  })
 }
 
 // 完成叫号
@@ -113,7 +139,7 @@ export function completeCall(data) {
     method: 'post',
     data: data,
     skipErrorMsg: true
-  }).catch(() => Promise.reject(new Error('API未实现')))
+  })
 }
 
 // 过号重排
@@ -123,5 +149,24 @@ export function requeuePatient(data) {
     method: 'post',
     data: data,
     skipErrorMsg: true
-  }).catch(() => Promise.reject(new Error('API未实现')))
+  })
+}
+
+// 下一患者
+export function nextPatient(data) {
+  return request({
+    url: '/triage/queue/next',
+    method: 'post',
+    data: data,
+    skipErrorMsg: true
+  })
+}
+
+// 查询就诊科室列表（从门诊挂号模块复用）
+export function getLocationTree(query) {
+  return request({
+    url: '/charge-manage/register/org-list',
+    method: 'get',
+    params: query
+  })
 }

openhis-ui-vue3/test-util-extend.js

@@ -0,0 +1,25 @@
+// 测试util._extend是否存在
+if (typeof process !== 'undefined' && process.versions && process.versions.node) {
+  try {
+    const util = require('util');
+    console.log('util._extend存在吗？', typeof util._extend);
+    if (typeof util._extend === 'function') {
+      console.log('util._extend是一个函数');
+    } else {
+      console.log('util._extend不是一个函数，添加兼容实现');
+      util._extend = function(destination, source) {
+        for (var key in source) {
+          if (source.hasOwnProperty(key)) {
+            destination[key] = source[key];
+          }
+        }
+        return destination;
+      };
+      console.log('兼容实现添加成功');
+    }
+  } catch (e) {
+    console.error('util模块加载失败:', e);
+  }
+} else {
+  console.log('不在Node.js环境中');
+}

query_serial_number.sql

@@ -0,0 +1,121 @@
+-- ============================================
+-- 查询流水号相关SQL语句
+-- ============================================
+
+-- 1. 查询所有挂号记录的流水号（主键ID）及相关信息
+SELECT 
+    id AS 流水号,
+    display_order AS 就诊序号,
+    bus_no AS 就诊编码,
+    patient_id AS 患者ID,
+    organization_id AS 科室ID,
+    create_time AS 挂号时间,
+    status_enum AS 状态
+FROM adm_encounter
+WHERE delete_flag = '0'
+ORDER BY create_time DESC;
+
+-- 2. 根据流水号（主键ID）查询某条挂号记录的详细信息
+SELECT 
+    e.id AS 流水号,
+    e.display_order AS 就诊序号,
+    e.bus_no AS 就诊编码,
+    p.name AS 患者姓名,
+    p.id_card AS 身份证号,
+    p.phone AS 联系电话,
+    o.name AS 科室名称,
+    pr.name AS 医生姓名,
+    e.create_time AS 挂号时间,
+    e.status_enum AS 状态
+FROM adm_encounter e
+LEFT JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+LEFT JOIN adm_organization o ON e.organization_id = o.id AND o.delete_flag = '0'
+LEFT JOIN adm_encounter_participant ep ON e.id = ep.encounter_id AND ep.delete_flag = '0' AND ep.type_code = 'PRF'
+LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
+WHERE e.id = 1234567890123456789  -- 替换为实际的流水号（主键ID）
+  AND e.delete_flag = '0';
+
+-- 3. 根据患者姓名或身份证号查询流水号
+SELECT 
+    e.id AS 流水号,
+    e.display_order AS 就诊序号,
+    p.name AS 患者姓名,
+    p.id_card AS 身份证号,
+    e.create_time AS 挂号时间,
+    o.name AS 科室名称
+FROM adm_encounter e
+LEFT JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+LEFT JOIN adm_organization o ON e.organization_id = o.id AND o.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND (p.name LIKE '%张三%' OR p.id_card = '110101199001011234')  -- 替换为实际的患者姓名或身份证号
+ORDER BY e.create_time DESC;
+
+-- 4. 查询当日的挂号记录及流水号
+SELECT 
+    e.id AS 流水号,
+    e.display_order AS 就诊序号,
+    e.bus_no AS 就诊编码,
+    p.name AS 患者姓名,
+    p.id_card AS 身份证号,
+    o.name AS 科室名称,
+    pr.name AS 医生姓名,
+    e.create_time AS 挂号时间,
+    e.status_enum AS 状态
+FROM adm_encounter e
+LEFT JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+LEFT JOIN adm_organization o ON e.organization_id = o.id AND o.delete_flag = '0'
+LEFT JOIN adm_encounter_participant ep ON e.id = ep.encounter_id AND ep.delete_flag = '0' AND ep.type_code = 'PRF'
+LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND DATE(e.create_time) = CURRENT_DATE  -- 查询当日
+ORDER BY e.display_order ASC, e.create_time ASC;
+
+-- 5. 查询指定日期范围的挂号记录及流水号
+SELECT 
+    e.id AS 流水号,
+    e.display_order AS 就诊序号,
+    e.bus_no AS 就诊编码,
+    p.name AS 患者姓名,
+    p.id_card AS 身份证号,
+    o.name AS 科室名称,
+    e.create_time AS 挂号时间
+FROM adm_encounter e
+LEFT JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+LEFT JOIN adm_organization o ON e.organization_id = o.id AND o.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND e.create_time >= '2024-01-01 00:00:00'  -- 开始时间
+  AND e.create_time <= '2024-01-31 23:59:59'  -- 结束时间
+ORDER BY e.create_time DESC;
+
+-- 6. 查询指定科室的挂号记录及流水号
+SELECT 
+    e.id AS 流水号,
+    e.display_order AS 就诊序号,
+    p.name AS 患者姓名,
+    o.name AS 科室名称,
+    e.create_time AS 挂号时间
+FROM adm_encounter e
+LEFT JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+LEFT JOIN adm_organization o ON e.organization_id = o.id AND o.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND o.name LIKE '%心内科%'  -- 替换为实际的科室名称
+  AND DATE(e.create_time) = CURRENT_DATE
+ORDER BY e.display_order ASC;
+
+-- 7. 统计每日挂号数量及流水号范围
+SELECT 
+    DATE(create_time) AS 日期,
+    COUNT(*) AS 挂号数量,
+    MIN(id) AS 最小流水号,
+    MAX(id) AS 最大流水号,
+    MIN(display_order) AS 最小就诊序号,
+    MAX(display_order) AS 最大就诊序号
+FROM adm_encounter
+WHERE delete_flag = '0'
+GROUP BY DATE(create_time)
+ORDER BY 日期 DESC
+LIMIT 30;  -- 最近30天
+
+
+
+

sql/query_today_outpatient_patients.sql

@@ -0,0 +1,224 @@
+-- ============================================
+-- 查询今日门诊患者数据（用于调试分诊排队页面）
+-- 简化版：直接查询，不考虑登录和租户
+-- ============================================
+
+-- 1. 最简单查询：查看今天所有的挂号记录（不关联患者表）
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    enc.start_time AS registerTime,
+    enc.status_enum AS statusEnum,
+    enc.organization_id AS departmentId,
+    enc.tenant_id AS tenantId,
+    enc.delete_flag AS deleteFlag,
+    enc.bus_no AS encounterBusNo
+FROM adm_encounter enc
+WHERE enc.delete_flag = '0'
+  AND enc.start_time::DATE = CURRENT_DATE
+ORDER BY enc.start_time DESC
+LIMIT 100;
+
+-- ============================================
+-- 2. 完整查询：直接查询患者信息（简化版，不考虑租户）
+-- ============================================
+SELECT 
+    enc.id AS encounterId,
+    enc.patient_id AS patientId,
+    pt.name AS patientName,
+    pt.gender_enum AS genderEnum,
+    pt.birth_date AS birthDate,
+    pt.id_card AS idCard,
+    pt.phone AS phone,
+    enc.bus_no AS encounterBusNo,
+    enc.start_time AS registerTime,
+    enc.reception_time AS receptionTime,
+    enc.status_enum AS statusEnum,
+    enc.subject_status_enum AS subjectStatusEnum,
+    CASE 
+        WHEN enc.reception_time IS NOT NULL 
+        THEN EXTRACT(EPOCH FROM (enc.reception_time - enc.start_time)) / 60 
+        ELSE EXTRACT(EPOCH FROM (NOW() - enc.start_time)) / 60 
+    END AS waitingDuration,
+    CASE 
+        WHEN enc.end_time IS NOT NULL AND enc.reception_time IS NOT NULL 
+        THEN EXTRACT(EPOCH FROM (enc.end_time - enc.reception_time)) / 60 
+        ELSE NULL 
+    END AS visitDuration,
+    pt.type_code AS typeCode,
+    enc.important_flag AS importantFlag,
+    -- 医生信息（左关联）
+    ep.practitioner_id AS doctorId
+FROM adm_encounter enc
+INNER JOIN adm_patient pt 
+    ON enc.patient_id = pt.id 
+    AND pt.delete_flag = '0'
+LEFT JOIN adm_encounter_participant ep 
+    ON enc.id = ep.encounter_id 
+    AND ep.type_code = 'admitter' 
+    AND ep.delete_flag = '0'
+WHERE enc.delete_flag = '0'
+  AND enc.start_time::DATE = CURRENT_DATE
+ORDER BY enc.start_time DESC
+LIMIT 10000;
+
+-- ============================================
+-- 3. 检查数据条件：查看可能影响查询结果的数据
+-- ============================================
+
+-- 3.1 检查今天的挂号记录总数
+SELECT 
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) AS not_deleted_count,
+    COUNT(CASE WHEN delete_flag = '1' THEN 1 END) AS deleted_count
+FROM adm_encounter
+WHERE start_time::DATE = CURRENT_DATE;
+
+-- 3.2 检查不同租户的数据分布
+SELECT 
+    tenant_id,
+    COUNT(*) AS count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) AS not_deleted_count
+FROM adm_encounter
+WHERE start_time::DATE = CURRENT_DATE
+GROUP BY tenant_id
+ORDER BY tenant_id;
+
+-- 3.3 检查不同状态的数据分布
+SELECT 
+    status_enum,
+    COUNT(*) AS count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) AS not_deleted_count
+FROM adm_encounter
+WHERE start_time::DATE = CURRENT_DATE
+  AND delete_flag = '0'
+GROUP BY status_enum
+ORDER BY status_enum;
+
+-- 3.4 检查是否有患者数据关联
+SELECT 
+    COUNT(DISTINCT enc.id) AS encounter_count,
+    COUNT(DISTINCT pt.id) AS patient_count,
+    COUNT(DISTINCT CASE WHEN pt.delete_flag = '0' THEN pt.id END) AS patient_not_deleted_count
+FROM adm_encounter enc
+LEFT JOIN adm_patient pt ON enc.patient_id = pt.id
+WHERE enc.start_time::DATE = CURRENT_DATE
+  AND enc.delete_flag = '0';
+
+-- 3.5 检查医生参与信息
+SELECT 
+    COUNT(DISTINCT enc.id) AS encounter_count,
+    COUNT(DISTINCT ep.encounter_id) AS has_doctor_count,
+    COUNT(DISTINCT ep.practitioner_id) AS doctor_count
+FROM adm_encounter enc
+LEFT JOIN adm_encounter_participant ep 
+    ON enc.id = ep.encounter_id 
+    AND ep.type_code = 'admitter' 
+    AND ep.delete_flag = '0'
+WHERE enc.start_time::DATE = CURRENT_DATE
+  AND enc.delete_flag = '0';
+
+-- ============================================
+-- 4. 快速查询：直接查看患者姓名和挂号信息（最简单）
+-- ============================================
+SELECT 
+    enc.id AS 就诊记录ID,
+    pt.name AS 患者姓名,
+    pt.id_card AS 身份证号,
+    pt.phone AS 联系电话,
+    enc.start_time AS 挂号时间,
+    enc.create_time AS 创建时间,
+    enc.status_enum AS 状态,
+    enc.bus_no AS 就诊流水号
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id
+WHERE enc.delete_flag = '0'
+  AND pt.delete_flag = '0'
+  AND enc.start_time::DATE = CURRENT_DATE
+ORDER BY enc.start_time DESC;
+
+-- ============================================
+-- 4.1 使用 create_time 查询（和门诊挂号页面一致）
+-- ============================================
+SELECT 
+    enc.id AS 就诊记录ID,
+    pt.name AS 患者姓名,
+    pt.id_card AS 身份证号,
+    pt.phone AS 联系电话,
+    enc.create_time AS 创建时间,
+    enc.start_time AS 开始时间,
+    enc.status_enum AS 状态,
+    enc.bus_no AS 就诊流水号
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id
+WHERE enc.delete_flag = '0'
+  AND pt.delete_flag = '0'
+  AND enc.create_time::DATE = CURRENT_DATE
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 4.2 完全模拟门诊挂号页面的查询（包含支付状态）
+-- ============================================
+SELECT 
+    enc.id AS 就诊记录ID,
+    pt.name AS 患者姓名,
+    pt.id_card AS 身份证号,
+    pt.phone AS 联系电话,
+    enc.create_time AS 挂号时间,
+    enc.status_enum AS 状态,
+    enc.bus_no AS 就诊流水号,
+    ci.total_price AS 挂号金额,
+    pr.status_enum AS 支付状态
+FROM adm_encounter enc
+INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
+LEFT JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
+LEFT JOIN fin_payment_reconciliation pr ON ci.id::TEXT = ANY(string_to_array(pr.charge_item_ids,','))
+    AND pr.delete_flag = '0'
+    AND pr.status_enum = 1
+WHERE enc.delete_flag = '0'
+  AND enc.class_enum = 1  -- 门诊
+  AND enc.create_time::DATE = CURRENT_DATE
+ORDER BY enc.create_time DESC;
+
+-- ============================================
+-- 5. 快速检查：查看最近7天的挂号记录数量（使用 start_time）
+-- ============================================
+SELECT 
+    start_time::DATE AS register_date,
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) AS not_deleted_count
+FROM adm_encounter
+WHERE start_time::DATE >= CURRENT_DATE - INTERVAL '7 days'
+GROUP BY start_time::DATE
+ORDER BY start_time::DATE DESC;
+
+-- ============================================
+-- 5.1 快速检查：查看最近7天的挂号记录数量（使用 create_time）
+-- ============================================
+SELECT 
+    create_time::DATE AS register_date,
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) AS not_deleted_count
+FROM adm_encounter
+WHERE create_time::DATE >= CURRENT_DATE - INTERVAL '7 days'
+  AND class_enum = 1  -- 门诊
+GROUP BY create_time::DATE
+ORDER BY create_time::DATE DESC;
+
+-- ============================================
+-- 6. 对比 start_time 和 create_time 的差异
+-- ============================================
+SELECT 
+    id AS 就诊记录ID,
+    start_time AS 开始时间,
+    create_time AS 创建时间,
+    (start_time::DATE) AS 开始日期,
+    (create_time::DATE) AS 创建日期,
+    status_enum AS 状态,
+    delete_flag AS 是否删除
+FROM adm_encounter
+WHERE (start_time::DATE = CURRENT_DATE OR create_time::DATE = CURRENT_DATE)
+  AND delete_flag = '0'
+ORDER BY create_time DESC
+LIMIT 20;
+

排查指南-字段查询问题.md

@@ -0,0 +1,284 @@
+# 排查指南：字段查询不到数据的问题
+
+## 问题类型
+**症状**：SQL 查询条件使用了某个字段，但查询结果为空，而数据库中明明有数据。
+
+**根本原因**：查询条件使用的字段在数据插入/更新时没有被设置（为 NULL 或默认值）。
+
+---
+
+## 排查步骤
+
+### 第一步：确认字段是否存在
+```sql
+-- 检查表结构，确认字段是否存在
+SELECT column_name, data_type, is_nullable, column_default
+FROM information_schema.columns
+WHERE table_name = 'adm_encounter'
+  AND column_name = 'start_time';
+```
+
+**检查点**：
+- ✅ 字段确实存在
+- ❌ 字段不存在 → 检查字段名拼写、大小写
+
+---
+
+### 第二步：检查字段是否有值
+```sql
+-- 检查字段的实际值
+SELECT 
+    id,
+    start_time,        -- 检查这个字段
+    create_time,       -- 对比其他时间字段
+    status_enum
+FROM adm_encounter
+WHERE delete_flag = '0'
+  AND create_time::DATE = CURRENT_DATE  -- 用能查到数据的条件
+LIMIT 10;
+```
+
+**检查点**：
+- ✅ `start_time` 有值 → 继续排查查询条件
+- ❌ `start_time` 为 NULL → **问题确认**：字段没有被设置
+
+---
+
+### 第三步：检查插入/更新代码
+找到创建/更新数据的 Service 方法，检查是否设置了该字段。
+
+**检查位置**：
+1. **Service 实现类**：查找 `save`、`insert`、`update` 相关方法
+2. **Mapper XML**：检查 INSERT/UPDATE 语句
+3. **Entity 类**：检查字段定义和默认值
+
+**示例检查**：
+```java
+// ❌ 错误示例：没有设置 start_time
+Encounter encounter = new Encounter();
+encounter.setBusNo("xxx");
+encounter.setPatientId(123L);
+// 没有 encounter.setStartTime(...)
+iEncounterService.save(encounter);
+
+// ✅ 正确示例：设置了 start_time
+Encounter encounter = new Encounter();
+encounter.setBusNo("xxx");
+encounter.setPatientId(123L);
+encounter.setStartTime(new Date());  // 设置了字段
+iEncounterService.save(encounter);
+```
+
+---
+
+### 第四步：对比能查到数据的方法
+找到系统中**能查到数据**的类似查询，对比差异。
+
+**对比维度**：
+1. **使用的字段**：`start_time` vs `create_time`
+2. **查询条件**：WHERE 子句的差异
+3. **关联表**：是否 JOIN 了其他表
+4. **业务逻辑**：是否过滤了特定状态
+
+**示例对比**：
+```sql
+-- ❌ 查不到数据的方法
+SELECT * FROM adm_encounter
+WHERE start_time::DATE = CURRENT_DATE;  -- start_time 为 NULL
+
+-- ✅ 能查到数据的方法
+SELECT * FROM adm_encounter
+WHERE create_time::DATE = CURRENT_DATE;  -- create_time 有值
+```
+
+---
+
+### 第五步：检查字段的业务含义
+确认字段的**业务含义**和**使用场景**。
+
+**常见情况**：
+- `create_time`：记录创建时间（自动设置）
+- `update_time`：记录更新时间（自动设置）
+- `start_time`：业务开始时间（需要手动设置）
+- `end_time`：业务结束时间（需要手动设置）
+
+**判断规则**：
+- 如果字段是**业务字段**（如 `start_time`），需要手动设置
+- 如果字段是**系统字段**（如 `create_time`），通常自动设置
+
+---
+
+## 调试技巧
+
+### 技巧1：打印 SQL 和参数
+在 Service 方法中添加日志，查看实际执行的 SQL：
+
+```java
+@Override
+public IPage<TodayOutpatientPatientDto> getTodayOutpatientPatients(...) {
+    // 打印查询条件
+    log.info("查询条件: queryDate={}, doctorId={}, departmentId={}", 
+             queryDate, doctorId, departmentId);
+    
+    // 执行查询
+    IPage<TodayOutpatientPatientDto> result = mapper.getTodayOutpatientPatients(...);
+    
+    // 打印结果
+    log.info("查询结果: 总数={}, 记录数={}", 
+             result.getTotal(), result.getRecords().size());
+    
+    return result;
+}
+```
+
+### 技巧2：直接执行 SQL 验证
+在数据库客户端直接执行 SQL，验证查询条件是否正确：
+
+```sql
+-- 1. 先查看数据
+SELECT id, start_time, create_time, status_enum
+FROM adm_encounter
+WHERE delete_flag = '0'
+LIMIT 10;
+
+-- 2. 测试查询条件
+SELECT COUNT(*) 
+FROM adm_encounter
+WHERE delete_flag = '0'
+  AND start_time::DATE = CURRENT_DATE;  -- 测试这个条件
+
+-- 3. 对比其他条件
+SELECT COUNT(*) 
+FROM adm_encounter
+WHERE delete_flag = '0'
+  AND create_time::DATE = CURRENT_DATE;  -- 对比这个条件
+```
+
+### 技巧3：使用数据库工具检查
+使用数据库管理工具（如 pgAdmin、DBeaver）：
+1. 查看表结构
+2. 查看数据样本
+3. 执行测试查询
+4. 检查字段的 NULL 值比例
+
+---
+
+## 预防措施
+
+### 1. 代码审查检查清单
+在代码审查时，检查以下内容：
+
+- [ ] **插入数据时**：是否设置了所有必要的业务字段？
+- [ ] **查询条件时**：使用的字段是否在插入时被设置？
+- [ ] **字段命名**：是否遵循命名规范（`create_time` vs `start_time`）？
+- [ ] **文档注释**：字段的业务含义是否清晰？
+
+### 2. 单元测试
+编写单元测试，验证字段设置：
+
+```java
+@Test
+public void testSaveEncounter() {
+    Encounter encounter = new Encounter();
+    encounter.setPatientId(123L);
+    encounter.setBusNo("TEST001");
+    // 检查是否设置了 start_time
+    assertNotNull(encounter.getStartTime(), "start_time 应该被设置");
+    
+    Long id = encounterService.saveEncounterByRegister(encounter);
+    
+    // 验证数据库中的值
+    Encounter saved = encounterService.getById(id);
+    assertNotNull(saved.getStartTime(), "数据库中的 start_time 不应该为 NULL");
+}
+```
+
+### 3. 数据库约束
+在数据库层面添加约束，防止 NULL 值：
+
+```sql
+-- 如果 start_time 是必填字段，添加 NOT NULL 约束
+ALTER TABLE adm_encounter 
+ALTER COLUMN start_time SET NOT NULL;
+
+-- 或者添加默认值
+ALTER TABLE adm_encounter 
+ALTER COLUMN start_time SET DEFAULT CURRENT_TIMESTAMP;
+```
+
+### 4. 代码规范
+建立代码规范，明确字段使用规则：
+
+```java
+/**
+ * 保存就诊信息（门诊挂号）
+ * 
+ * 注意：
+ * - create_time: 自动设置（系统字段）
+ * - start_time: 需要手动设置（业务字段，表示就诊开始时间）
+ * - 如果 start_time 为 NULL，查询时使用 create_time 作为挂号时间
+ */
+public Long saveEncounterByRegister(Encounter encounter) {
+    // 如果没有设置 start_time，使用当前时间
+    if (encounter.getStartTime() == null) {
+        encounter.setStartTime(new Date());
+    }
+    // ...
+}
+```
+
+---
+
+## 常见问题模式
+
+### 模式1：时间字段混淆
+- **问题**：使用 `start_time` 查询，但插入时没有设置
+- **解决**：使用 `create_time` 或确保插入时设置 `start_time`
+
+### 模式2：状态字段未设置
+- **问题**：使用 `status_enum` 查询，但插入时使用默认值
+- **解决**：明确设置状态值
+
+### 模式3：关联字段未设置
+- **问题**：使用 `organization_id` 查询，但插入时为 NULL
+- **解决**：确保插入时设置关联字段
+
+---
+
+## 快速排查清单
+
+遇到"查询不到数据"问题时，按以下顺序检查：
+
+1. ✅ **数据库中有数据吗？**
+   ```sql
+   SELECT COUNT(*) FROM adm_encounter WHERE delete_flag = '0';
+   ```
+
+2. ✅ **查询条件使用的字段有值吗？**
+   ```sql
+   SELECT start_time FROM adm_encounter WHERE delete_flag = '0' LIMIT 10;
+   ```
+
+3. ✅ **插入代码设置了该字段吗？**
+   - 查看 Service 的 save/insert 方法
+   - 检查是否调用了 setter 方法
+
+4. ✅ **字段的业务含义是什么？**
+   - 是系统字段（自动设置）还是业务字段（手动设置）？
+
+5. ✅ **有类似功能能查到数据吗？**
+   - 对比能查到数据的方法，找出差异
+
+---
+
+## 总结
+
+**核心原则**：
+1. **先看数据**：检查字段是否有值
+2. **再看代码**：检查插入时是否设置
+3. **对比差异**：找出能查到数据的方法
+4. **验证修复**：修改后验证数据
+
+**记住**：查询条件使用的字段，必须在数据插入/更新时被设置！
+
+