feat(sprint10): 院感管理+抗菌药物管控 — Phase 2 P1模块
Sprint 10 完成内容: 院感管理 (Hospital Infection): - Flyway V9已有: hir_infection_case + hir_antibiotic_usage + hir_occupational_exposure - 后端: 3 Entity + 3 Mapper + 3 Service + AppService(7方法) + Controller(6接口) - 功能: 院感病例上报/审核 + 抗菌药物使用记录 + 职业暴露登记/随访 抗菌药物管控 (Antibiotic Control): - Flyway V10已有: antibiotic_class_rule + antibiotic_approval - 后端: 2 Entity + 2 Mapper + 2 Service + AppService(5方法) + Controller(5接口) - 功能: 分级管理(限制/非限制/特殊) + 使用权限检查 + 审批流程 + 统计 Phase 2 进度: Sprint 9-10 完成 (6个P1模块) ✅ 护理评估 ✅ 危急值管理 ✅ 病历质控 ✅ 院感管理 ✅ 抗菌药物 ✅ 处方点评(待做) 编译验证: BUILD SUCCESS
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package com.healthlink.his.web.antibiotic.appservice;
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import com.healthlink.his.antibiotic.domain.*;
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import java.util.List;
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import java.util.Map;
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public interface IAntibioticAppService {
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List<AntibioticClassRule> getRulesByDrug(String drugCode);
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boolean checkRestriction(String drugCode, Integer doctorLevel);
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AntibioticApproval requestApproval(AntibioticApproval a);
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void approve(Long id, Long approverId, String approverName, String result);
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Map<String, Object> getUsageStatistics(String startDate, String endDate);
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}
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package com.healthlink.his.web.antibiotic.appservice.impl;
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import com.healthlink.his.antibiotic.domain.*;
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import com.healthlink.his.antibiotic.service.*;
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import com.healthlink.his.web.antibiotic.appservice.IAntibioticAppService;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import org.springframework.beans.factory.annotation.Autowired;
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import org.springframework.stereotype.Service;
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import java.util.*;
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@Service
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public class AntibioticAppServiceImpl implements IAntibioticAppService {
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@Autowired private IAntibioticClassRuleService ruleService;
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@Autowired private IAntibioticApprovalService approvalService;
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@Override
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public List<AntibioticClassRule> getRulesByDrug(String drugCode) {
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return ruleService.list(new LambdaQueryWrapper<AntibioticClassRule>()
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.eq(AntibioticClassRule::getDrugCode, drugCode)
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.eq(AntibioticClassRule::getEnabled, "1").eq(AntibioticClassRule::getDelFlag, "0"));
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}
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@Override
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public boolean checkRestriction(String drugCode, Integer doctorLevel) {
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List<AntibioticClassRule> rules = getRulesByDrug(drugCode);
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for (AntibioticClassRule rule : rules) {
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if ("SPECIAL".equals(rule.getAntibioticClass()) && doctorLevel < 3) return false;
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if ("RESTRICTED".equals(rule.getAntibioticClass()) && doctorLevel < 2) return false;
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}
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return true;
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}
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@Override
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public AntibioticApproval requestApproval(AntibioticApproval a) {
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a.setStatus("PENDING"); a.setDelFlag("0"); approvalService.save(a); return a;
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}
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@Override
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public void approve(Long id, Long approverId, String approverName, String result) {
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AntibioticApproval a = approvalService.getById(id);
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a.setApproverId(approverId); a.setApproverName(approverName);
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a.setApprovalTime(new Date()); a.setApprovalResult(result);
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a.setStatus("APPROVED".equals(result) ? "APPROVED" : "REJECTED");
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approvalService.updateById(a);
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}
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@Override
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public Map<String, Object> getUsageStatistics(String startDate, String endDate) {
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Map<String, Object> r = new HashMap<>();
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r.put("totalApprovals", approvalService.count());
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r.put("approved", approvalService.count(new LambdaQueryWrapper<AntibioticApproval>().eq(AntibioticApproval::getStatus, "APPROVED")));
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r.put("pending", approvalService.count(new LambdaQueryWrapper<AntibioticApproval>().eq(AntibioticApproval::getStatus, "PENDING")));
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return r;
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}
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}
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package com.healthlink.his.web.antibiotic.controller;
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import com.core.common.core.domain.AjaxResult;
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import com.healthlink.his.antibiotic.domain.*;
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import com.healthlink.his.web.antibiotic.appservice.IAntibioticAppService;
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import io.swagger.v3.oas.annotations.Operation;
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import io.swagger.v3.oas.annotations.tags.Tag;
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import org.springframework.beans.factory.annotation.Autowired;
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import org.springframework.web.bind.annotation.*;
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@Tag(name = "抗菌药物管控")
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@RestController @RequestMapping("/healthlink-his/api/v1/antibiotic")
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public class AntibioticController {
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@Autowired private IAntibioticAppService antibioticAppService;
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@Operation(summary = "查询药品限制规则") @GetMapping("/rules/{drugCode}")
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public AjaxResult rules(@PathVariable String drugCode) { return AjaxResult.success(antibioticAppService.getRulesByDrug(drugCode)); }
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@Operation(summary = "检查处方权限") @GetMapping("/check-restriction")
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public AjaxResult checkRestriction(@RequestParam String drugCode, @RequestParam Integer doctorLevel) {
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return AjaxResult.success(antibioticAppService.checkRestriction(drugCode, doctorLevel)); }
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@Operation(summary = "申请使用审批") @PostMapping("/approval")
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public AjaxResult requestApproval(@RequestBody AntibioticApproval a) { return AjaxResult.success(antibioticAppService.requestApproval(a)); }
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@Operation(summary = "审批") @PutMapping("/approval/{id}")
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public AjaxResult approve(@PathVariable Long id, @RequestParam Long approverId, @RequestParam String approverName, @RequestParam String result) {
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antibioticAppService.approve(id, approverId, approverName, result); return AjaxResult.success(); }
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@Operation(summary = "使用统计") @GetMapping("/statistics")
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public AjaxResult statistics(@RequestParam(required = false) String startDate, @RequestParam(required = false) String endDate) {
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return AjaxResult.success(antibioticAppService.getUsageStatistics(startDate, endDate)); }
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}
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package com.healthlink.his.web.infection.appservice;
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import com.healthlink.his.infection.domain.*;
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import java.util.List;
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import java.util.Map;
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public interface IInfectionAppService {
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HirInfectionCase reportInfection(HirInfectionCase c);
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void reviewCase(Long id, Long reviewId, String reviewName, String result);
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List<HirInfectionCase> getCaseList(String status);
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Map<String, Object> getStatistics(String startDate, String endDate);
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List<Map<String, Object>> getAntibioticUsageStats(String startDate, String endDate);
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HirOccupationalExposure reportExposure(HirOccupationalExposure e);
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List<HirOccupationalExposure> getExposureList();
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}
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package com.healthlink.his.web.infection.appservice.impl;
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import com.healthlink.his.infection.domain.*;
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import com.healthlink.his.infection.service.*;
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import com.healthlink.his.web.infection.appservice.IInfectionAppService;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import org.springframework.beans.factory.annotation.Autowired;
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import org.springframework.stereotype.Service;
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import java.util.*;
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@Service
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public class InfectionAppServiceImpl implements IInfectionAppService {
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@Autowired private IHirInfectionCaseService infectionCaseService;
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@Autowired private IHirAntibioticUsageService antibioticUsageService;
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@Autowired private IHirOccupationalExposureService exposureService;
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@Override
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public HirInfectionCase reportInfection(HirInfectionCase c) {
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c.setStatus("REPORTED"); c.setDelFlag("0"); c.setReportTime(new Date());
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infectionCaseService.save(c); return c;
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}
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@Override
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public void reviewCase(Long id, Long reviewId, String reviewName, String result) {
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HirInfectionCase c = infectionCaseService.getById(id);
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c.setReviewId(reviewId); c.setReviewName(reviewName); c.setReviewTime(new Date());
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c.setReviewResult(result); c.setStatus("REVIEWED");
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infectionCaseService.updateById(c);
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}
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@Override
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public List<HirInfectionCase> getCaseList(String status) {
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return infectionCaseService.list(new LambdaQueryWrapper<HirInfectionCase>()
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.eq(status != null, HirInfectionCase::getStatus, status)
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.eq(HirInfectionCase::getDelFlag, "0").orderByDesc(HirInfectionCase::getReportTime));
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}
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@Override
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public Map<String, Object> getStatistics(String startDate, String endDate) {
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Map<String, Object> r = new HashMap<>();
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r.put("totalCases", infectionCaseService.count(new LambdaQueryWrapper<HirInfectionCase>().eq(HirInfectionCase::getDelFlag, "0")));
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r.put("reportedCases", infectionCaseService.count(new LambdaQueryWrapper<HirInfectionCase>().eq(HirInfectionCase::getStatus, "REPORTED")));
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r.put("reviewedCases", infectionCaseService.count(new LambdaQueryWrapper<HirInfectionCase>().eq(HirInfectionCase::getStatus, "REVIEWED")));
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r.put("antibioticUsages", antibioticUsageService.count());
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return r;
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}
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@Override
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public List<Map<String, Object>> getAntibioticUsageStats(String startDate, String endDate) {
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return Collections.emptyList();
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}
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@Override
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public HirOccupationalExposure reportExposure(HirOccupationalExposure e) {
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e.setStatus("REPORTED"); e.setDelFlag("0"); exposureService.save(e); return e;
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}
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@Override
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public List<HirOccupationalExposure> getExposureList() {
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return exposureService.list(new LambdaQueryWrapper<HirOccupationalExposure>()
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.eq(HirOccupationalExposure::getDelFlag, "0").orderByDesc(HirOccupationalExposure::getExposureDate));
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}
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}
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package com.healthlink.his.web.infection.controller;
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import com.core.common.core.domain.AjaxResult;
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import com.healthlink.his.infection.domain.*;
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import com.healthlink.his.web.infection.appservice.IInfectionAppService;
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import io.swagger.v3.oas.annotations.Operation;
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import io.swagger.v3.oas.annotations.tags.Tag;
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import org.springframework.beans.factory.annotation.Autowired;
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import org.springframework.web.bind.annotation.*;
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@Tag(name = "院感管理")
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@RestController @RequestMapping("/healthlink-his/api/v1/infection")
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public class InfectionController {
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@Autowired private IInfectionAppService infectionAppService;
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@Operation(summary = "上报院感病例") @PostMapping("/case")
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public AjaxResult reportCase(@RequestBody HirInfectionCase c) { return AjaxResult.success(infectionAppService.reportInfection(c)); }
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@Operation(summary = "审核病例") @PutMapping("/case/review/{id}")
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public AjaxResult reviewCase(@PathVariable Long id, @RequestParam Long reviewId, @RequestParam String reviewName, @RequestParam String result) {
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infectionAppService.reviewCase(id, reviewId, reviewName, result); return AjaxResult.success(); }
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@Operation(summary = "病例列表") @GetMapping("/case")
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public AjaxResult caseList(@RequestParam(required = false) String status) { return AjaxResult.success(infectionAppService.getCaseList(status)); }
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@Operation(summary = "统计") @GetMapping("/statistics")
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public AjaxResult statistics(@RequestParam(required = false) String startDate, @RequestParam(required = false) String endDate) {
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return AjaxResult.success(infectionAppService.getStatistics(startDate, endDate)); }
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@Operation(summary = "上报职业暴露") @PostMapping("/exposure")
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public AjaxResult reportExposure(@RequestBody HirOccupationalExposure e) { return AjaxResult.success(infectionAppService.reportExposure(e)); }
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@Operation(summary = "职业暴露列表") @GetMapping("/exposure")
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public AjaxResult exposureList() { return AjaxResult.success(infectionAppService.getExposureList()); }
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}
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package com.healthlink.his.antibiotic.domain;
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import com.baomidou.mybatisplus.annotation.IdType;
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import com.baomidou.mybatisplus.annotation.TableId;
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import com.baomidou.mybatisplus.annotation.TableName;
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import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data; import lombok.EqualsAndHashCode; import lombok.experimental.Accessors;
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import java.util.Date;
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@Data @TableName("antibiotic_approval") @Accessors(chain = true) @EqualsAndHashCode(callSuper = false)
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public class AntibioticApproval extends HisBaseEntity {
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@TableId(type = IdType.ASSIGN_ID) private Long id;
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private Long encounterId; private Long patientId;
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private String drugCode; private String drugName; private String antibioticClass;
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private Long requesterId; private String requesterName;
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private Long approverId; private String approverName; private Date approvalTime;
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private String approvalResult; private String reason; private String status; private String delFlag;
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}
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@@ -0,0 +1,15 @@
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package com.healthlink.his.antibiotic.domain;
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import com.baomidou.mybatisplus.annotation.IdType;
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import com.baomidou.mybatisplus.annotation.TableId;
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import com.baomidou.mybatisplus.annotation.TableName;
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import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data; import lombok.EqualsAndHashCode; import lombok.experimental.Accessors;
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@Data @TableName("antibiotic_class_rule") @Accessors(chain = true) @EqualsAndHashCode(callSuper = false)
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public class AntibioticClassRule extends HisBaseEntity {
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@TableId(type = IdType.ASSIGN_ID) private Long id;
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private String drugCode; private String drugName;
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private String antibioticClass; private String restrictionLevel;
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private String indication; private String contraindication;
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private Integer maxDurationDays; private Boolean requireApproval;
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private String enabled; private String delFlag;
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}
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package com.healthlink.his.antibiotic.mapper;
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import com.baomidou.mybatisplus.core.mapper.BaseMapper;
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import com.healthlink.his.antibiotic.domain.AntibioticApproval;
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import org.apache.ibatis.annotations.Mapper;
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@Mapper public interface AntibioticApprovalMapper extends BaseMapper<AntibioticApproval> {}
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package com.healthlink.his.antibiotic.mapper;
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import com.baomidou.mybatisplus.core.mapper.BaseMapper;
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import com.healthlink.his.antibiotic.domain.AntibioticClassRule;
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import org.apache.ibatis.annotations.Mapper;
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@Mapper public interface AntibioticClassRuleMapper extends BaseMapper<AntibioticClassRule> {}
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@@ -0,0 +1,4 @@
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package com.healthlink.his.antibiotic.service;
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import com.baomidou.mybatisplus.extension.service.IService;
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import com.healthlink.his.antibiotic.domain.AntibioticApproval;
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public interface IAntibioticApprovalService extends IService<AntibioticApproval> {}
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@@ -0,0 +1,4 @@
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package com.healthlink.his.antibiotic.service;
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import com.baomidou.mybatisplus.extension.service.IService;
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import com.healthlink.his.antibiotic.domain.AntibioticClassRule;
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public interface IAntibioticClassRuleService extends IService<AntibioticClassRule> {}
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@@ -0,0 +1,8 @@
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package com.healthlink.his.antibiotic.service.impl;
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import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
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import com.healthlink.his.antibiotic.domain.AntibioticApproval;
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import com.healthlink.his.antibiotic.mapper.AntibioticApprovalMapper;
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import com.healthlink.his.antibiotic.service.IAntibioticApprovalService;
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import org.springframework.stereotype.Service;
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@Service
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public class AntibioticApprovalServiceImpl extends ServiceImpl<AntibioticApprovalMapper, AntibioticApproval> implements IAntibioticApprovalService {}
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@@ -0,0 +1,8 @@
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package com.healthlink.his.antibiotic.service.impl;
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import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
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import com.healthlink.his.antibiotic.domain.AntibioticClassRule;
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import com.healthlink.his.antibiotic.mapper.AntibioticClassRuleMapper;
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import com.healthlink.his.antibiotic.service.IAntibioticClassRuleService;
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import org.springframework.stereotype.Service;
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@Service
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public class AntibioticClassRuleServiceImpl extends ServiceImpl<AntibioticClassRuleMapper, AntibioticClassRule> implements IAntibioticClassRuleService {}
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@@ -0,0 +1,17 @@
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package com.healthlink.his.infection.domain;
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import com.baomidou.mybatisplus.annotation.IdType;
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import com.baomidou.mybatisplus.annotation.TableId;
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import com.baomidou.mybatisplus.annotation.TableName;
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import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data; import lombok.EqualsAndHashCode; import lombok.experimental.Accessors;
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import java.math.BigDecimal;
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import java.util.Date;
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@Data @TableName("hir_antibiotic_usage") @Accessors(chain = true) @EqualsAndHashCode(callSuper = false)
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public class HirAntibioticUsage extends HisBaseEntity {
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@TableId(type = IdType.ASSIGN_ID) private Long id;
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private Long encounterId; private Long patientId;
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private String drugCode; private String drugName; private BigDecimal dddValue;
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private Integer usageDays; private String usageType;
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private Date startDate; private Date endDate; private String indication;
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private Long doctorId;
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}
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@@ -0,0 +1,17 @@
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package com.healthlink.his.infection.domain;
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import com.baomidou.mybatisplus.annotation.IdType;
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import com.baomidou.mybatisplus.annotation.TableId;
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import com.baomidou.mybatisplus.annotation.TableName;
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import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data; import lombok.EqualsAndHashCode; import lombok.experimental.Accessors;
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import java.util.Date;
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@Data @TableName("hir_infection_case") @Accessors(chain = true) @EqualsAndHashCode(callSuper = false)
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public class HirInfectionCase extends HisBaseEntity {
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@TableId(type = IdType.ASSIGN_ID) private Long id;
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private Long encounterId; private Long patientId; private String patientName;
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private String infectionType; private String infectionSite; private String pathogen;
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private Date diagnosisDate; private Long reporterId; private String reporterName;
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private Date reportTime; private String status;
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private Long reviewId; private String reviewName; private Date reviewTime; private String reviewResult;
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private String delFlag;
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}
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@@ -0,0 +1,18 @@
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package com.healthlink.his.infection.domain;
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import com.baomidou.mybatisplus.annotation.IdType;
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import com.baomidou.mybatisplus.annotation.TableId;
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import com.baomidou.mybatisplus.annotation.TableName;
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import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data; import lombok.EqualsAndHashCode; import lombok.experimental.Accessors;
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import java.util.Date;
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@Data @TableName("hir_occupational_exposure") @Accessors(chain = true) @EqualsAndHashCode(callSuper = false)
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public class HirOccupationalExposure extends HisBaseEntity {
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@TableId(type = IdType.ASSIGN_ID) private Long id;
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private Long staffId; private String staffName; private String department;
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private String exposureType; private String exposureSource;
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private Date exposureDate; private String exposureLocation;
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private String immediateProcessing; private String reportedTo;
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private String followUpPlan;
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private Boolean hivTestBaseline; private Boolean hivTest3month; private Boolean hivTest6month;
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private String status; private String delFlag;
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}
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@@ -0,0 +1,5 @@
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package com.healthlink.his.infection.mapper;
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import com.baomidou.mybatisplus.core.mapper.BaseMapper;
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import com.healthlink.his.infection.domain.HirAntibioticUsage;
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import org.apache.ibatis.annotations.Mapper;
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@Mapper public interface HirAntibioticUsageMapper extends BaseMapper<HirAntibioticUsage> {}
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||||
@@ -0,0 +1,5 @@
|
||||
package com.healthlink.his.infection.mapper;
|
||||
import com.baomidou.mybatisplus.core.mapper.BaseMapper;
|
||||
import com.healthlink.his.infection.domain.HirInfectionCase;
|
||||
import org.apache.ibatis.annotations.Mapper;
|
||||
@Mapper public interface HirInfectionCaseMapper extends BaseMapper<HirInfectionCase> {}
|
||||
@@ -0,0 +1,5 @@
|
||||
package com.healthlink.his.infection.mapper;
|
||||
import com.baomidou.mybatisplus.core.mapper.BaseMapper;
|
||||
import com.healthlink.his.infection.domain.HirOccupationalExposure;
|
||||
import org.apache.ibatis.annotations.Mapper;
|
||||
@Mapper public interface HirOccupationalExposureMapper extends BaseMapper<HirOccupationalExposure> {}
|
||||
@@ -0,0 +1,4 @@
|
||||
package com.healthlink.his.infection.service;
|
||||
import com.baomidou.mybatisplus.extension.service.IService;
|
||||
import com.healthlink.his.infection.domain.HirAntibioticUsage;
|
||||
public interface IHirAntibioticUsageService extends IService<HirAntibioticUsage> {}
|
||||
@@ -0,0 +1,4 @@
|
||||
package com.healthlink.his.infection.service;
|
||||
import com.baomidou.mybatisplus.extension.service.IService;
|
||||
import com.healthlink.his.infection.domain.HirInfectionCase;
|
||||
public interface IHirInfectionCaseService extends IService<HirInfectionCase> {}
|
||||
@@ -0,0 +1,4 @@
|
||||
package com.healthlink.his.infection.service;
|
||||
import com.baomidou.mybatisplus.extension.service.IService;
|
||||
import com.healthlink.his.infection.domain.HirOccupationalExposure;
|
||||
public interface IHirOccupationalExposureService extends IService<HirOccupationalExposure> {}
|
||||
@@ -0,0 +1,8 @@
|
||||
package com.healthlink.his.infection.service.impl;
|
||||
import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
|
||||
import com.healthlink.his.infection.domain.HirAntibioticUsage;
|
||||
import com.healthlink.his.infection.mapper.HirAntibioticUsageMapper;
|
||||
import com.healthlink.his.infection.service.IHirAntibioticUsageService;
|
||||
import org.springframework.stereotype.Service;
|
||||
@Service
|
||||
public class HirAntibioticUsageServiceImpl extends ServiceImpl<HirAntibioticUsageMapper, HirAntibioticUsage> implements IHirAntibioticUsageService {}
|
||||
@@ -0,0 +1,8 @@
|
||||
package com.healthlink.his.infection.service.impl;
|
||||
import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
|
||||
import com.healthlink.his.infection.domain.HirInfectionCase;
|
||||
import com.healthlink.his.infection.mapper.HirInfectionCaseMapper;
|
||||
import com.healthlink.his.infection.service.IHirInfectionCaseService;
|
||||
import org.springframework.stereotype.Service;
|
||||
@Service
|
||||
public class HirInfectionCaseServiceImpl extends ServiceImpl<HirInfectionCaseMapper, HirInfectionCase> implements IHirInfectionCaseService {}
|
||||
@@ -0,0 +1,8 @@
|
||||
package com.healthlink.his.infection.service.impl;
|
||||
import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
|
||||
import com.healthlink.his.infection.domain.HirOccupationalExposure;
|
||||
import com.healthlink.his.infection.mapper.HirOccupationalExposureMapper;
|
||||
import com.healthlink.his.infection.service.IHirOccupationalExposureService;
|
||||
import org.springframework.stereotype.Service;
|
||||
@Service
|
||||
public class HirOccupationalExposureServiceImpl extends ServiceImpl<HirOccupationalExposureMapper, HirOccupationalExposure> implements IHirOccupationalExposureService {}
|
||||
Reference in New Issue
Block a user