修复了门诊医生站重新调入该患者的本次就诊记录，点击中医诊断发现诊断详情是空的问题

2026-01-09 15:08:19 +08:00
parent a48308dcbf
commit 3753a916f5
2 changed files with 142 additions and 123 deletions
--- a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue
@@ -92,6 +92,7 @@ import {
  getTcmSyndrome,
  saveTcmDiagnosis,
  updateTcmDiagnosis,
+  getTcmDiagnosis,
 } from '@/views/doctorstation/components/api';

 const props = defineProps({
@@ -120,141 +121,144 @@ const { proxy } = getCurrentInstance();
 const emit = defineEmits(['close']);

 function handleOpen() {
+  // 获取诊断列表
  getTcmCondition().then((res) => {
    conditionList.value = res.data.records;
  });
-  tcmDiagonsisSaveList.value=[];
-  tcmDiagonsisList.value=[];
-  debugger;
-  if (props.updateZy.length>0) {
+  
+  // 清空数据
+  tcmDiagonsisSaveList.value = [];
+  tcmDiagonsisList.value = [];
+  syndromeSelected.value = true; // 设置为true，允许添加新的诊断
+  
+  // 如果是修改模式，加载传入的诊断数据
+  if (props.updateZy.length > 0) {
    props.updateZy.forEach((item) => {
-        let updateIds=item.updateId.split("-");
-        let name=item.name.split("-");
-        tcmDiagonsisSaveList.value.push({
+      let updateIds = item.updateId.split("-");
+      let name = item.name.split("-");
+      tcmDiagonsisSaveList.value.push(
+        {
          conditionId: updateIds[0],
          definitionId: item.illnessDefinitionId,
          ybNo: item.ybNo,
          syndromeGroupNo: item.syndromeGroupNo,
          verificationStatusEnum: 4,
          medTypeCode: '11',
-          diagSrtNo:item.diagSrtNo,
-        });
-        tcmDiagonsisList.value.push({
-          conditionName: name[0],
-          syndromeGroupNo: item.syndromeGroupNo,
-        });
-        tcmDiagonsisSaveList.value.push({
+          diagSrtNo: item.diagSrtNo,
+          isExisting: true // 标记为已存在
+        },
+        {
          conditionId: updateIds[1],
          definitionId: item.symptomDefinitionId,
          ybNo: item.symptomYbNo,
          syndromeGroupNo: item.syndromeGroupNo,
-          diagSrtNo:item.diagSrtNo,
+          diagSrtNo: item.diagSrtNo,
+          isExisting: true // 标记为已存在
+        }
+      );
+      tcmDiagonsisList.value.push({
+        conditionName: name[0],
+        syndromeName: name[1],
+        syndromeGroupNo: item.syndromeGroupNo,
+        isExisting: true // 标记为已存在
      });
-        tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = name[1];
-        console.log("这是修改时带入的数据");
-        console.log(tcmDiagonsisList.value);
-        console.log(tcmDiagonsisSaveList.value);
-        syndromeSelected.value = true;                      
+      syndromeSelected.value = true;
    });
+  } else {
+    // 不是修改模式，加载已保存的中医诊断
+    if (props.patientInfo && props.patientInfo.encounterId) {
+      getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
+        if (res.code === 200 && res.data.illness && res.data.illness.length > 0) {
+          res.data.illness.forEach((item, index) => {
+            const symptom = res.data.symptom[index];
+            if (symptom) {
+              // 添加到显示列表
+              tcmDiagonsisList.value.push({
+                conditionName: item.name,
+                syndromeName: symptom.name,
+                syndromeGroupNo: item.syndromeGroupNo,
+                isExisting: true // 标记为已存在
+              });
+              
+              // 添加到保存列表
+              tcmDiagonsisSaveList.value.push(
+                {
+                  conditionId: item.conditionId,
+                  definitionId: item.definitionId,
+                  ybNo: item.ybNo,
+                  syndromeGroupNo: item.syndromeGroupNo,
+                  verificationStatusEnum: item.verificationStatusEnum || 4,
+                  medTypeCode: item.medTypeCode || '11',
+                  diagSrtNo: item.diagSrtNo,
+                  isExisting: true // 标记为已存在
+                },
+                {
+                  conditionId: symptom.conditionId,
+                  definitionId: symptom.definitionId,
+                  ybNo: symptom.ybNo,
+                  syndromeGroupNo: item.syndromeGroupNo,
+                  diagSrtNo: item.diagSrtNo,
+                  isExisting: true // 标记为已存在
+                }
+              );
+            }
+          });
+        }
+      }).catch(err => {
+        console.error('加载已保存的中医诊断失败:', err);
+      });
+    }
  }
 }

 // 点击诊断列表处理，点击以后才显示证候列表
 function handleClickRow(row) {
  if (syndromeSelected.value || tcmDiagonsisList.value.length == 0) {
-      syndromeSelected.value = false;
+    syndromeSelected.value = false;
    selectedDisease.value = true;
    timestamp.value = Date.now();
    getTcmSyndrome().then((res) => {
      syndromeList.value = res.data.records;
    });
    
-    if (props.updateZy.length>0) {
-        props.updateZy.forEach((item) => {
-          let updateIds=item.updateId.split("-");
-          tcmDiagonsisSaveList.value.push({
-          updateId:updateIds[0],
-          conditionId: updateIds[0],
-          definitionId: row.id,
-          ybNo: row.ybNo,
-          syndromeGroupNo: timestamp.value,
-          verificationStatusEnum: 4,
-          medTypeCode: '11',
-          diagSrtNo:item.diagSrtNo,
-        });
-        debugger;
-        if(tcmDiagonsisList.value.length>0){
-          tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].conditionName = row.name;
-        }else{
-          tcmDiagonsisList.value.push({
-            conditionName: row.name,
-            syndromeGroupNo: timestamp.value,
-          });
-        }
-      });
-    }else{
-       tcmDiagonsisSaveList.value.push({
-        definitionId: row.id,
-        ybNo: row.ybNo,
-        syndromeGroupNo: timestamp.value,
-        verificationStatusEnum: 4,
-        medTypeCode: '11',
-      });
-        tcmDiagonsisList.value.push({
-          conditionName: row.name,
-          syndromeGroupNo: timestamp.value,
-      });
-    }
-
-
-    }
-
-      // tcmDiagonsisList.value.push({
-      //   conditionName: row.name,
-      //   syndromeGroupNo: timestamp.value,
-      // });
-
+    // 添加新的诊断
+    tcmDiagonsisSaveList.value.push({
+      definitionId: row.id,
+      ybNo: row.ybNo,
+      syndromeGroupNo: timestamp.value,
+      verificationStatusEnum: 4,
+      medTypeCode: '11',
+      isExisting: false // 标记为新增
+    });
+    tcmDiagonsisList.value.push({
+      conditionName: row.name,
+      syndromeGroupNo: timestamp.value,
+      isExisting: false // 标记为新增
+    });
  }
+}

 function clickSyndromeRow(row) {
-  debugger;
-  let flag=true;
-  tcmDiagonsisList.value.forEach( item => {
-    if(tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].conditionName==item.conditionName){
-      if(item.syndromeName==row.name ){
-        proxy.$modal.msgWarning('不能存在完全相同的诊断和证侯');
-        flag=false;
-      }
+  // 检查是否已存在完全相同的诊断和证候
+  let flag = true;
+  const currentConditionName = tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].conditionName;
+  
+  tcmDiagonsisList.value.forEach(item => {
+    if (item.conditionName === currentConditionName && item.syndromeName === row.name) {
+      proxy.$modal.msgWarning('不能存在完全相同的诊断和证候');
+      flag = false;
    }
  });
-  if(flag){
-      if(props.updateZy.length>0){
-        props.updateZy.forEach((item) => {
-          let updateIds=item.updateId.split("-");
-            tcmDiagonsisSaveList.value.push({
-              updateId:updateIds[1],
-              conditionId: updateIds[1],
-              definitionId: row.id,
-              ybNo: row.ybNo,
-              syndromeGroupNo: timestamp.value,
-            });
-            tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
-            syndromeSelected.value = true;
-        });
-        
-      }else{
-        tcmDiagonsisSaveList.value.push({
-            definitionId: row.id,
-            ybNo: row.ybNo,
-            syndromeGroupNo: timestamp.value,
-        });
-        tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
-        syndromeSelected.value = true;
-      }
-
-    
-      // tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
-      // syndromeSelected.value = true;
+  
+  if (flag) {
+    tcmDiagonsisSaveList.value.push({
+      definitionId: row.id,
+      ybNo: row.ybNo,
+      syndromeGroupNo: timestamp.value,
+      isExisting: false // 标记为新增
+    });
+    tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
+    syndromeSelected.value = true;
  }
 }

@@ -268,38 +272,52 @@ function removeDiagnosis(row, index) {
 }

 function save() {
-  if(props.updateZy.length>0){
+  // 只保存新增的诊断，过滤掉已存在的
+  const newDiagnosisList = tcmDiagonsisSaveList.value.filter(item => !item.isExisting);
+  
+  if (newDiagnosisList.length === 0) {
+    proxy.$modal.msgWarning('没有新增的诊断需要保存');
+    return;
+  }
+  
+  if (props.updateZy.length > 0) {
+    // 修改模式
    updateTcmDiagnosis({
      patientId: props.patientInfo.patientId,
      encounterId: props.patientInfo.encounterId,
-      diagnosisChildList: tcmDiagonsisSaveList.value,
-      }).then((res) => {
-        if (res.code == 200) {
-          emit('close');
-          proxy.$modal.msgSuccess('诊断已保存');
-        }
+      diagnosisChildList: newDiagnosisList,
+    }).then((res) => {
+      if (res.code == 200) {
+        emit('close');
+        proxy.$modal.msgSuccess('诊断已保存');
+      }
    });
-  }else{
+  } else {
+    // 新增模式
    saveTcmDiagnosis({
      patientId: props.patientInfo.patientId,
      encounterId: props.patientInfo.encounterId,
-      diagnosisChildList: tcmDiagonsisSaveList.value,
-      }).then((res) => {
-        if (res.code == 200) {
-          emit('close');
-          proxy.$modal.msgSuccess('诊断已保存');
-        }
+      diagnosisChildList: newDiagnosisList,
+    }).then((res) => {
+      if (res.code == 200) {
+        emit('close');
+        proxy.$modal.msgSuccess('诊断已保存');
+      }
    });
  }
-  
 }

 function submit() {
-  debugger;
-  if (
-    tcmDiagonsisSaveList.value.length > 0 &&
-    (syndromeSelected.value || tcmDiagonsisSaveList.value.length % 2 == 0)
-  ) {
+  // 检查是否有新增的诊断
+  const hasNewDiagnosis = tcmDiagonsisSaveList.value.some(item => !item.isExisting);
+  
+  if (!hasNewDiagnosis) {
+    // 如果没有新增诊断，直接关闭
+    emit('close');
+    return;
+  }
+  
+  if (syndromeSelected.value || tcmDiagonsisSaveList.value.length % 2 == 0) {
    save();
  } else {
    proxy.$modal.msgWarning('请选择证候');
--- a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
@@ -252,7 +252,8 @@ function getList() {
  getEncounterDiagnosis(props.patientInfo.encounterId)
    .then((res) => {
      if (res.code == 200) {
-        form.value.diagnosisList = res.data;
+        // 过滤掉中医诊断，只保留西医诊断
+        form.value.diagnosisList = res.data.filter(item => item.typeName !== '中医诊断');
        emits('diagnosisSave', false);
      }
      maxNo = form.value.diagnosisList.length;