feat(P2): 电子病历增强 — 修改留痕+打印归档
- EmrRevisionController: 修订记录查询/对比/自动版本号 - EmrArchiveController: 打印记录/归档/补打/24h归档率统计 - EmrArchiveRecord: 归档记录实体+V27 Flyway迁移 - 前端revision-history: 版本列表+详情弹窗 - 前端archive: 归档统计卡片+归档操作 - 后端编译通过，前端构建通过
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package com.healthlink.his.web.emr.controller;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
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import com.core.common.core.domain.R;
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import com.healthlink.his.emr.domain.EmrArchiveRecord;
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import com.healthlink.his.emr.service.IEmrArchiveRecordService;
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import lombok.AllArgsConstructor;
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import lombok.extern.slf4j.Slf4j;
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import org.springframework.transaction.annotation.Transactional;
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import org.springframework.util.StringUtils;
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import org.springframework.web.bind.annotation.*;
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import java.util.*;
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/**
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* 病历打印归档 Controller
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*/
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@RestController
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@RequestMapping("/emr-archive")
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@Slf4j
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@AllArgsConstructor
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public class EmrArchiveController {
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private final IEmrArchiveRecordService archiveService;
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@GetMapping("/page")
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public R<?> getPage(
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@RequestParam(value = "patientName", required = false) String patientName,
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@RequestParam(value = "emrType", required = false) String emrType,
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@RequestParam(value = "archiveStatus", required = false) String archiveStatus,
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@RequestParam(value = "encounterId", required = false) Long encounterId,
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@RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
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@RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
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LambdaQueryWrapper<EmrArchiveRecord> w = new LambdaQueryWrapper<>();
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w.like(StringUtils.hasText(patientName), EmrArchiveRecord::getPatientName, patientName)
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.eq(StringUtils.hasText(emrType), EmrArchiveRecord::getEmrType, emrType)
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.eq(StringUtils.hasText(archiveStatus), EmrArchiveRecord::getArchiveStatus, archiveStatus)
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.eq(encounterId != null, EmrArchiveRecord::getEncounterId, encounterId)
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.orderByDesc(EmrArchiveRecord::getCreateTime);
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return R.ok(archiveService.page(new Page<>(pageNo, pageSize), w));
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}
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@PostMapping("/print")
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@Transactional(rollbackFor = Exception.class)
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public R<?> recordPrint(@RequestBody EmrArchiveRecord record) {
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record.setArchiveType("PRINT");
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record.setArchiveStatus("PRINTED");
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record.setPrintTime(new Date());
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record.setPrintCount(1);
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record.setCreateTime(new Date());
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archiveService.save(record);
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return R.ok(record);
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}
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@PutMapping("/archive/{id}")
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@Transactional(rollbackFor = Exception.class)
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public R<?> archive(@PathVariable Long id, @RequestParam("archivedBy") String archivedBy) {
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EmrArchiveRecord record = archiveService.getById(id);
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if (record == null) return R.fail("归档记录不存在");
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record.setArchiveStatus("ARCHIVED");
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record.setArchiveTime(new Date());
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record.setArchivedBy(archivedBy);
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archiveService.updateById(record);
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return R.ok(record);
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}
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@PutMapping("/reprint/{id}")
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@Transactional(rollbackFor = Exception.class)
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public R<?> reprint(@PathVariable Long id) {
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EmrArchiveRecord record = archiveService.getById(id);
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if (record == null) return R.fail("归档记录不存在");
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record.setPrintCount(record.getPrintCount() + 1);
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archiveService.updateById(record);
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return R.ok(record);
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}
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@GetMapping("/stats")
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public R<?> getArchiveStats(@RequestParam(required = false) Long encounterId) {
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Map<String, Object> stats = new HashMap<>();
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LambdaQueryWrapper<EmrArchiveRecord> w = new LambdaQueryWrapper<>();
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if (encounterId != null) w.eq(EmrArchiveRecord::getEncounterId, encounterId);
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stats.put("total", archiveService.count(w));
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w.eq(EmrArchiveRecord::getArchiveStatus, "ARCHIVED");
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stats.put("archived", archiveService.count(w));
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w.eq(EmrArchiveRecord::getArchiveStatus, "PRINTED");
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stats.put("printed", archiveService.count(w));
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// 24h归档率
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LambdaQueryWrapper<EmrArchiveRecord> w24 = new LambdaQueryWrapper<>();
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if (encounterId != null) w24.eq(EmrArchiveRecord::getEncounterId, encounterId);
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w24.ge(EmrArchiveRecord::getCreateTime, new Date(System.currentTimeMillis() - 24 * 60 * 60 * 1000));
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long total24h = archiveService.count(w24);
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w24.eq(EmrArchiveRecord::getArchiveStatus, "ARCHIVED");
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long archived24h = archiveService.count(w24);
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stats.put("archiveRate24h", total24h > 0 ? Math.round(archived24h * 100.0 / total24h) : 100);
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return R.ok(stats);
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}
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}
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package com.healthlink.his.web.emr.controller;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
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import com.core.common.core.domain.R;
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import com.healthlink.his.emr.domain.EmrRevision;
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import com.healthlink.his.emr.service.IEmrRevisionService;
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import lombok.AllArgsConstructor;
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import lombok.extern.slf4j.Slf4j;
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import org.springframework.transaction.annotation.Transactional;
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import org.springframework.web.bind.annotation.*;
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import java.util.Date;
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import java.util.Map;
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/**
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* 病历修改留痕 Controller
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*/
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@RestController
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@RequestMapping("/emr-revision")
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@Slf4j
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@AllArgsConstructor
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public class EmrRevisionController {
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private final IEmrRevisionService revisionService;
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@GetMapping("/page")
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public R<?> getPage(
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@RequestParam(value = "emrId", required = false) Long emrId,
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@RequestParam(value = "encounterId", required = false) Long encounterId,
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@RequestParam(value = "operatorName", required = false) String operatorName,
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@RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
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@RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
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LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
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w.eq(emrId != null, EmrRevision::getEmrId, emrId)
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.eq(encounterId != null, EmrRevision::getEncounterId, encounterId)
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.like(operatorName != null, EmrRevision::getOperatorName, operatorName)
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.orderByDesc(EmrRevision::getCreateTime);
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return R.ok(revisionService.page(new Page<>(pageNo, pageSize), w));
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}
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@GetMapping("/list")
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public R<?> getList(@RequestParam("emrId") Long emrId) {
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LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
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w.eq(EmrRevision::getEmrId, emrId)
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.orderByAsc(EmrRevision::getRevisionNumber);
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return R.ok(revisionService.list(w));
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}
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@GetMapping("/{id}")
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public R<?> getById(@PathVariable Long id) {
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return R.ok(revisionService.getById(id));
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}
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@PostMapping("/record")
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@Transactional(rollbackFor = Exception.class)
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public R<?> recordRevision(@RequestBody EmrRevision revision) {
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// 自动计算版本号
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LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
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w.eq(EmrRevision::getEmrId, revision.getEmrId())
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.orderByDesc(EmrRevision::getRevisionNumber)
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.last("LIMIT 1");
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EmrRevision last = revisionService.getOne(w);
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revision.setRevisionNumber(last == null ? 1 : last.getRevisionNumber() + 1);
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revision.setCreateTime(new Date());
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revisionService.save(revision);
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return R.ok(revision);
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}
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@GetMapping("/compare")
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public R<?> compareRevisions(
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@RequestParam("revisionId1") Long id1,
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@RequestParam("revisionId2") Long id2) {
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EmrRevision r1 = revisionService.getById(id1);
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EmrRevision r2 = revisionService.getById(id2);
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if (r1 == null || r2 == null) return R.fail("修订记录不存在");
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return R.ok(Map.of("revision1", r1, "revision2", r2));
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}
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}
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-- V27: 电子病历增强 — 修改留痕+打印归档
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-- 病历打印归档记录表
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CREATE TABLE IF NOT EXISTS emr_archive_record (
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id BIGSERIAL PRIMARY KEY,
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emr_id BIGINT NOT NULL,
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encounter_id BIGINT NOT NULL,
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patient_id BIGINT NOT NULL,
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patient_name VARCHAR(50),
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emr_type VARCHAR(50),
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emr_title VARCHAR(200),
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archive_type VARCHAR(20) NOT NULL,
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print_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
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print_by VARCHAR(64),
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print_count INT DEFAULT 1,
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archive_status VARCHAR(20) DEFAULT 'PRINTED',
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archive_time TIMESTAMP,
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archived_by VARCHAR(64),
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file_path VARCHAR(500),
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tenant_id BIGINT DEFAULT 0,
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is_deleted INT NOT NULL DEFAULT 0,
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create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
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);
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COMMENT ON TABLE emr_archive_record IS '病历打印归档记录';
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COMMENT ON COLUMN emr_archive_record.archive_type IS '归档类型(PRINT打印/ARCHIVE归档/REPRINT补打)';
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COMMENT ON COLUMN emr_archive_record.archive_status IS '状态(PRINTED已打印/ARCHIVED已归档/LOST遗失)';
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CREATE INDEX idx_ear_encounter ON emr_archive_record(encounter_id);
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CREATE INDEX idx_ear_patient ON emr_archive_record(patient_id);
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CREATE INDEX idx_ear_status ON emr_archive_record(archive_status);
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package com.healthlink.his.emr.domain;
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import com.baomidou.mybatisplus.annotation.*;
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import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data;
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import lombok.EqualsAndHashCode;
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import java.util.Date;
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/**
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* 病历打印归档记录
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*/
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@Data
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@EqualsAndHashCode(callSuper = true)
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@TableName("emr_archive_record")
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public class EmrArchiveRecord extends HisBaseEntity {
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@TableId(value = "id", type = IdType.ASSIGN_ID)
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private Long id;
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private Long emrId;
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private Long encounterId;
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private Long patientId;
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private String patientName;
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private String emrType;
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private String emrTitle;
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private String archiveType;
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private Date printTime;
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private String printBy;
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private Integer printCount;
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private String archiveStatus;
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private Date archiveTime;
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private String archivedBy;
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private String filePath;
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}
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package com.healthlink.his.emr.mapper;
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import com.baomidou.mybatisplus.core.mapper.BaseMapper;
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import com.healthlink.his.emr.domain.EmrArchiveRecord;
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import org.apache.ibatis.annotations.Mapper;
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@Mapper
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public interface EmrArchiveRecordMapper extends BaseMapper<EmrArchiveRecord> {
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}
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package com.healthlink.his.emr.service;
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import com.baomidou.mybatisplus.extension.service.IService;
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import com.healthlink.his.emr.domain.EmrArchiveRecord;
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public interface IEmrArchiveRecordService extends IService<EmrArchiveRecord> {
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}
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package com.healthlink.his.emr.service.impl;
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import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
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import com.healthlink.his.emr.domain.EmrArchiveRecord;
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import com.healthlink.his.emr.mapper.EmrArchiveRecordMapper;
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import com.healthlink.his.emr.service.IEmrArchiveRecordService;
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import org.springframework.stereotype.Service;
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@Service
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public class EmrArchiveRecordServiceImpl
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extends ServiceImpl<EmrArchiveRecordMapper, EmrArchiveRecord>
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implements IEmrArchiveRecordService {
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}
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6
healthlink-his-ui/src/views/emr/archive/api.js
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6
healthlink-his-ui/src/views/emr/archive/api.js
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import request from '@/utils/request'
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export function getArchivePage(p){return request({url:'/emr-archive/page',method:'get',params:p})}
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export function recordPrint(d){return request({url:'/emr-archive/print',method:'post',data:d})}
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export function archive(id,archivedBy){return request({url:'/emr-archive/archive/'+id,method:'put',params:{archivedBy}})}
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export function reprint(id){return request({url:'/emr-archive/reprint/'+id,method:'put'})}
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export function getArchiveStats(p){return request({url:'/emr-archive/stats',method:'get',params:p})}
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64
healthlink-his-ui/src/views/emr/archive/index.vue
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64
healthlink-his-ui/src/views/emr/archive/index.vue
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<template>
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<div style="padding:16px">
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<div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
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<span style="font-size:18px;font-weight:bold">病历打印归档</span>
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<el-button type="primary" @click="loadStats">刷新统计</el-button>
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</div>
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<el-row :gutter="12" style="margin-bottom:16px">
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<el-col :span="6"><el-card shadow="hover"><div style="text-align:center"><div style="font-size:22px;font-weight:bold;color:#409eff">{{ stats.total||0 }}</div><div style="font-size:12px;color:#999">总记录</div></div></el-card></el-col>
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<el-col :span="6"><el-card shadow="hover"><div style="text-align:center"><div style="font-size:22px;font-weight:bold;color:#67c23a">{{ stats.archived||0 }}</div><div style="font-size:12px;color:#999">已归档</div></div></el-card></el-col>
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<el-col :span="6"><el-card shadow="hover"><div style="text-align:center"><div style="font-size:22px;font-weight:bold;color:#e6a23c">{{ stats.printed||0 }}</div><div style="font-size:12px;color:#999">待归档</div></div></el-card></el-col>
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<el-col :span="6"><el-card shadow="hover"><div style="text-align:center"><div style="font-size:22px;font-weight:bold" :style="{color:stats.archiveRate24h>=90?'#67c23a':'#f56c6c'}">{{ stats.archiveRate24h||0 }}%</div><div style="font-size:12px;color:#999">24h归档率</div></div></el-card></el-col>
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</el-row>
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<div style="margin-bottom:12px;display:flex;gap:8px;flex-wrap:wrap">
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<el-input v-model="q.patientName" placeholder="患者姓名" clearable style="width:140px"/>
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<el-select v-model="q.archiveStatus" placeholder="状态" clearable style="width:120px">
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<el-option label="已打印" value="PRINTED"/>
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<el-option label="已归档" value="ARCHIVED"/>
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<el-option label="已遗失" value="LOST"/>
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</el-select>
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<el-button type="primary" @click="loadData">查询</el-button>
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</div>
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<el-table :data="tableData" border stripe>
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<el-table-column prop="patientName" label="患者" width="100"/>
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<el-table-column prop="emrType" label="病历类型" width="100"/>
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<el-table-column prop="emrTitle" label="标题" width="150" show-overflow-tooltip/>
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<el-table-column prop="archiveType" label="操作" width="80">
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<template #default="{row}">
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<el-tag v-if="row.archiveType==='PRINT'" type="info" size="small">打印</el-tag>
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<el-tag v-else-if="row.archiveType==='ARCHIVE'" type="success" size="small">归档</el-tag>
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<el-tag v-else type="warning" size="small">补打</el-tag>
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</template>
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</el-table-column>
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<el-table-column prop="printBy" label="打印人" width="80"/>
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<el-table-column prop="printCount" label="打印次数" width="80" align="center"/>
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<el-table-column prop="archiveStatus" label="状态" width="90">
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<template #default="{row}">
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<el-tag v-if="row.archiveStatus==='ARCHIVED'" type="success" size="small">已归档</el-tag>
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<el-tag v-else-if="row.archiveStatus==='PRINTED'" type="warning" size="small">待归档</el-tag>
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<el-tag v-else type="info" size="small">{{ row.archiveStatus }}</el-tag>
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</template>
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</el-table-column>
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<el-table-column prop="createTime" label="时间" width="170"/>
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<el-table-column label="操作" width="160">
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<template #default="{row}">
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<el-button v-if="row.archiveStatus==='PRINTED'" type="success" link size="small" @click="doArchive(row)">归档</el-button>
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<el-button type="primary" link size="small" @click="doReprint(row)">补打</el-button>
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</template>
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</el-table-column>
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</el-table>
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<el-pagination style="margin-top:12px;justify-content:flex-end" v-model:current-page="q.pageNo" v-model:page-size="q.pageSize" :total="total" layout="total,prev,pager,next" @current-change="loadData"/>
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</div>
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</template>
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<script setup>
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import {ref,onMounted} from 'vue'
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import {ElMessage,ElMessageBox} from 'element-plus'
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import {getArchivePage,archive,reprint,getArchiveStats} from './api'
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const tableData=ref([]);const total=ref(0);const stats=ref({})
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const q=ref({pageNo:1,pageSize:20,patientName:'',archiveStatus:''})
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const loadData=async()=>{const r=await getArchivePage(q.value);tableData.value=r.data?.records||[];total.value=r.data?.total||0}
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const loadStats=async()=>{const r=await getArchiveStats();stats.value=r.data||{}}
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const doArchive=async(row)=>{const {value}=await ElMessageBox.prompt('归档人','确认归档');if(value){await archive(row.id,value);ElMessage.success('已归档');loadData();loadStats()}}
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const doReprint=async(row)=>{await reprint(row.id);ElMessage.success('补打记录已添加');loadData()}
|
||||
onMounted(()=>{loadData();loadStats()})
|
||||
</script>
|
||||
5
healthlink-his-ui/src/views/emr/revision-history/api.js
Normal file
5
healthlink-his-ui/src/views/emr/revision-history/api.js
Normal file
@@ -0,0 +1,5 @@
|
||||
import request from '@/utils/request'
|
||||
export function getRevisionPage(p){return request({url:'/emr-revision/page',method:'get',params:p})}
|
||||
export function getRevisionList(p){return request({url:'/emr-revision/list',method:'get',params:p})}
|
||||
export function recordRevision(d){return request({url:'/emr-revision/record',method:'post',data:d})}
|
||||
export function compareRevisions(id1,id2){return request({url:'/emr-revision/compare',method:'get',params:{revisionId1:id1,revisionId2:id2}})}
|
||||
@@ -1,49 +1,52 @@
|
||||
<template>
|
||||
<div class="app-container">
|
||||
<el-form :model="queryParams" ref="queryForm" :inline="true" v-show="showSearch">
|
||||
<el-form-item label="病历ID" prop="emrId">
|
||||
<el-input v-model="queryParams.emrId" placeholder="请输入病历ID" clearable />
|
||||
</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-table v-loading="loading" :data="dataList">
|
||||
<el-table-column label="版本号" prop="revisionNumber" width="100" />
|
||||
<el-table-column label="操作人" prop="operatorName" width="120" />
|
||||
<el-table-column label="操作类型" prop="operationType" width="120">
|
||||
<template #default="scope">
|
||||
<el-tag :type="operationTypeMap[scope.row.operationType]?.type">{{ operationTypeMap[scope.row.operationType]?.label }}</el-tag>
|
||||
<div style="padding:16px">
|
||||
<div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">病历修改留痕</span></div>
|
||||
<div style="margin-bottom:12px;display:flex;gap:8px;flex-wrap:wrap">
|
||||
<el-input v-model="q.emrId" placeholder="病历ID" clearable style="width:120px"/>
|
||||
<el-input v-model="q.operatorName" placeholder="操作人" clearable style="width:120px"/>
|
||||
<el-button type="primary" @click="loadData">查询</el-button>
|
||||
</div>
|
||||
<el-table :data="tableData" border stripe>
|
||||
<el-table-column prop="emrId" label="病历ID" width="100"/>
|
||||
<el-table-column prop="revisionNumber" label="版本" width="70" align="center">
|
||||
<template #default="{row}"><el-tag size="small">V{{ row.revisionNumber }}</el-tag></template>
|
||||
</el-table-column>
|
||||
<el-table-column prop="operatorName" label="操作人" width="100"/>
|
||||
<el-table-column prop="operationType" label="操作类型" width="100"/>
|
||||
<el-table-column prop="diffContent" label="变更内容" min-width="200" show-overflow-tooltip/>
|
||||
<el-table-column prop="createTime" label="修改时间" width="170"/>
|
||||
<el-table-column label="操作" width="100">
|
||||
<template #default="{row}">
|
||||
<el-button type="primary" link size="small" @click="viewDetail(row)">查看</el-button>
|
||||
</template>
|
||||
</el-table-column>
|
||||
<el-table-column label="操作时间" prop="createTime" width="180" />
|
||||
<el-table-column label="变更内容" prop="diffContent" show-overflow-tooltip />
|
||||
</el-table>
|
||||
<pagination v-show="total > 0" :total="total" v-model:page="queryParams.pageNum" v-model:limit="queryParams.pageSize" @pagination="getList" />
|
||||
<el-pagination style="margin-top:12px;justify-content:flex-end" v-model:current-page="q.pageNo" v-model:page-size="q.pageSize" :total="total" layout="total,prev,pager,next" @current-change="loadData"/>
|
||||
<el-dialog v-model="detailVisible" title="修订详情" width="700px">
|
||||
<el-descriptions :column="2" border>
|
||||
<el-descriptions-item label="版本">V{{ detail.revisionNumber }}</el-descriptions-item>
|
||||
<el-descriptions-item label="操作人">{{ detail.operatorName }}</el-descriptions-item>
|
||||
<el-descriptions-item label="操作类型">{{ detail.operationType }}</el-descriptions-item>
|
||||
<el-descriptions-item label="时间">{{ detail.createTime }}</el-descriptions-item>
|
||||
</el-descriptions>
|
||||
<div style="margin-top:12px">
|
||||
<div style="font-weight:bold;margin-bottom:8px">变更内容:</div>
|
||||
<pre style="background:#f5f7fa;padding:12px;border-radius:4px;max-height:300px;overflow:auto">{{ detail.diffContent }}</pre>
|
||||
</div>
|
||||
<div style="margin-top:12px">
|
||||
<div style="font-weight:bold;margin-bottom:8px">内容快照:</div>
|
||||
<pre style="background:#f5f7fa;padding:12px;border-radius:4px;max-height:300px;overflow:auto">{{ detail.snapshotContent }}</pre>
|
||||
</div>
|
||||
</el-dialog>
|
||||
</div>
|
||||
</template>
|
||||
|
||||
<script setup>
|
||||
import { ref, reactive, onMounted } from 'vue'
|
||||
import { getRevisionHistory } from '@/api/emr'
|
||||
|
||||
const loading = ref(true)
|
||||
const showSearch = ref(true)
|
||||
const dataList = ref([])
|
||||
const total = ref(0)
|
||||
const queryParams = reactive({ emrId: undefined, pageNum: 1, pageSize: 10 })
|
||||
const operationTypeMap = { CREATE: { label: '创建', type: 'success' }, EDIT: { label: '编辑', type: '' }, APPROVE: { label: '审批', type: 'warning' }, SIGN: { label: '签名', type: 'primary' } }
|
||||
|
||||
const getList = async () => {
|
||||
if (!queryParams.emrId) { loading.value = false; return }
|
||||
loading.value = true
|
||||
const res = await getRevisionHistory(queryParams.emrId)
|
||||
dataList.value = res.rows || res.data || []
|
||||
total.value = res.total || dataList.value.length
|
||||
loading.value = false
|
||||
}
|
||||
const handleQuery = () => { queryParams.pageNum = 1; getList() }
|
||||
const resetQuery = () => { queryParams.emrId = undefined; dataList.value = []; total.value = 0 }
|
||||
onMounted(() => {})
|
||||
import {ref,onMounted} from 'vue'
|
||||
import {getRevisionPage} from './api'
|
||||
const tableData=ref([]);const total=ref(0)
|
||||
const q=ref({pageNo:1,pageSize:20,emrId:'',operatorName:''})
|
||||
const detailVisible=ref(false);const detail=ref({})
|
||||
const loadData=async()=>{const r=await getRevisionPage(q.value);tableData.value=r.data?.records||[];total.value=r.data?.total||0}
|
||||
const viewDetail=(row)=>{detail.value=row;detailVisible.value=true}
|
||||
onMounted(()=>loadData())
|
||||
</script>
|
||||
|
||||
Reference in New Issue
Block a user