诊疗下面没有诊疗项目

openhis-server-new/core-framework/src/main/java/com/core/framework/config/MybatisPlusConfig.java

@@ -1,22 +1,29 @@
 package com.core.framework.config;
 
 import com.baomidou.mybatisplus.annotation.DbType;
+import com.baomidou.mybatisplus.core.MybatisConfiguration;
 import com.baomidou.mybatisplus.extension.plugins.MybatisPlusInterceptor;
 import com.baomidou.mybatisplus.extension.plugins.handler.TenantLineHandler;
 import com.baomidou.mybatisplus.extension.plugins.inner.BlockAttackInnerInterceptor;
 import com.baomidou.mybatisplus.extension.plugins.inner.OptimisticLockerInnerInterceptor;
 import com.baomidou.mybatisplus.extension.plugins.inner.PaginationInnerInterceptor;
 import com.baomidou.mybatisplus.extension.plugins.inner.TenantLineInnerInterceptor;
+import com.baomidou.mybatisplus.extension.spring.MybatisSqlSessionFactoryBean;
 import com.core.common.utils.SecurityUtils;
 import net.sf.jsqlparser.expression.Expression;
 import net.sf.jsqlparser.expression.LongValue;
+import org.apache.ibatis.session.SqlSessionFactory;
+import org.springframework.beans.factory.annotation.Qualifier;
 import org.springframework.context.annotation.Bean;
 import org.springframework.context.annotation.Configuration;
+import org.springframework.context.annotation.Primary;
+import org.springframework.core.io.support.PathMatchingResourcePatternResolver;
 import org.springframework.transaction.annotation.EnableTransactionManagement;
 import org.springframework.web.context.request.RequestContextHolder;
 import org.springframework.web.context.request.ServletRequestAttributes;
 
 import javax.servlet.http.HttpServletRequest;
+import javax.sql.DataSource;
 import java.util.Arrays;
 import java.util.HashSet;
 import java.util.Set;
@@ -149,4 +156,41 @@ public class MybatisPlusConfig {
 
         return result != null ? result : 1; // 默认租户ID
     }
+
+    /**
+     * 配置 SqlSessionFactory
+     * 由于排除了 DataSourceAutoConfiguration，需要手动配置
+     */
+    @Bean
+    @Primary
+    public SqlSessionFactory sqlSessionFactory(
+            @Qualifier("dynamicDataSource") DataSource dataSource,
+            MybatisPlusInterceptor mybatisPlusInterceptor) throws Exception {
+        MybatisSqlSessionFactoryBean sessionFactory = new MybatisSqlSessionFactoryBean();
+        sessionFactory.setDataSource(dataSource);
+        // 设置 mapper 文件位置
+        sessionFactory.setMapperLocations(new PathMatchingResourcePatternResolver()
+            .getResources("classpath*:mapper/**/*Mapper.xml"));
+        // 设置 typeAliases 包路径
+        sessionFactory.setTypeAliasesPackage("com.core.**.domain,com.openhis.**.domain");
+        
+        // 配置 MyBatis-Plus
+        MybatisConfiguration configuration = new MybatisConfiguration();
+        // 使用驼峰命名法转换字段
+        configuration.setMapUnderscoreToCamelCase(true);
+        // 开启缓存
+        configuration.setCacheEnabled(true);
+        // 允许JDBC支持自动生成主键
+        configuration.setUseGeneratedKeys(true);
+        // 配置默认的执行器
+        configuration.setDefaultExecutorType(org.apache.ibatis.session.ExecutorType.SIMPLE);
+        // 配置日志实现
+        configuration.setLogImpl(org.apache.ibatis.logging.slf4j.Slf4jImpl.class);
+        sessionFactory.setConfiguration(configuration);
+        
+        // 设置拦截器（通过参数注入避免循环依赖）
+        sessionFactory.setPlugins(mybatisPlusInterceptor);
+        
+        return sessionFactory.getObject();
+    }
 }

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

@@ -73,8 +73,10 @@ public class OutpatientPricingAppServiceImpl implements IOutpatientPricingAppSer
         } else {
             adviceTypes = List.of(1, 2, 3);
         }
+        // 门诊划价：不要强制 pricingFlag=1 参与过滤（wor_activity_definition.pricing_flag 可能为 0），
+        // 否则会导致诊疗项目(adviceType=3)查询结果为空 records=[]
         return iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId, null,
-            organizationId, pageNo, pageSize, Whether.YES.getValue(), adviceTypes, null);
+            organizationId, pageNo, pageSize, null, adviceTypes, null);
     }
 
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -127,8 +127,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
         log.info("从数据库查询医嘱基础信息");
 
-        // 设置默认科室 (不取前端传的了)
+        // 设置默认科室：仅当前端/调用方未传 organizationId 时才回退到登录人科室
-        organizationId = SecurityUtils.getLoginUser().getOrgId();
+        // 否则会导致门诊划价等场景（按患者挂号科室查询）返回空
+        if (organizationId == null) {
+            organizationId = SecurityUtils.getLoginUser().getOrgId();
+        }
 
         // 医嘱定价来源
         String orderPricingSource = TenantOptionUtil.getOptionContent(TenantOptionDict.ORDER_PRICING_SOURCE);

openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientChargeAppMapper.xml

@@ -112,6 +112,7 @@
                            ON T1.context_enum = #{activity}
                                AND T1.product_id = T2.id
                                AND T2.delete_flag = '0'
+                               AND T2.status_enum = 1
                  LEFT JOIN med_medication_definition AS T3
                            ON T1.context_enum = #{medication}
                                AND T1.product_id = T3.id
@@ -205,6 +206,7 @@
                                  ON T1.context_enum = #{activity}
                                      AND T1.product_id = T2.id
                                      AND T2.delete_flag = '0'
+                                     AND T2.status_enum = 1
                        LEFT JOIN med_medication_definition AS T3
                                  ON T1.context_enum = #{medication}
                                      AND T1.product_id = T3.id

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml

@@ -227,8 +227,11 @@
                 AND T2.instance_table = #{activityTableName}
                 LEFT JOIN adm_organization_location AS T3 ON T3.activity_definition_id = T1.ID
                 AND T3.delete_flag = '0' AND (CURRENT_TIME :: time (6) BETWEEN T3.start_time AND T3.end_time)
+                <if test="organizationId != null">
+                    AND T3.organization_id = #{organizationId}
+                </if>
                 WHERE T1.delete_flag = '0'
-                <if test="pricingFlag ==1">
+                <if test="pricingFlag != null and pricingFlag == 1">
                     AND (T1.pricing_flag = #{pricingFlag} OR T1.pricing_flag IS NULL)
                 </if>
                 <if test="adviceDefinitionIdParamList != null and !adviceDefinitionIdParamList.isEmpty()">

openhis-server-new/openhis-common/src/main/java/com/openhis/common/aspectj/DictAspect.java

@@ -117,10 +117,15 @@ public class DictAspect {
 
     private String queryDictLabel(String dictTable, String dictCode, String dictText, String dictValue) {
         if (!StringUtils.hasText(dictTable)) {
-            // 场景 1：默认字典走DictUtils缓存
+            // 场景 1：默认字典走DictUtils缓存（dictTable 为空时）
             return DictUtils.getDictLabel(dictCode, dictValue);
         } else {
-            // 场景 2：查询指定表
+            // 场景 2：查询指定表（dictTable 有值时）
+            // 必须同时有 dictTable 和 dictText 才能执行 SQL 查询
+            if (!StringUtils.hasText(dictText)) {
+                // 如果 dictText 为空，回退到字典缓存查询
+                return DictUtils.getDictLabel(dictCode, dictValue);
+            }
             String sql = String.format("SELECT %s FROM %s WHERE %s::varchar = ? LIMIT 1", dictText, dictTable, dictCode);
             try {
                 return jdbcTemplate.queryForObject(sql, String.class, dictValue);

openhis-server-new/sql/check_outpatient_charge_activity_data.sql

@@ -0,0 +1,94 @@
+-- ============================================
+-- 检查门诊划价"诊疗判断"下没有数据的原因
+-- ============================================
+
+-- 1. 检查是否有诊疗类型的收费项目（context_enum = 3）
+SELECT 
+    COUNT(*) AS total_activity_charge_items,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) AS active_charge_items
+FROM adm_charge_item
+WHERE context_enum = 3;  -- ACTIVITY = 3
+
+-- 2. 检查诊疗类型的收费项目是否能关联到 wor_activity_definition
+SELECT 
+    T1.id AS charge_item_id,
+    T1.encounter_id,
+    T1.context_enum,
+    T1.product_id,
+    T1.status_enum AS charge_status,
+    T2.id AS activity_def_id,
+    T2.name AS activity_name,
+    T2.status_enum AS activity_status,
+    T2.delete_flag AS activity_delete_flag,
+    CASE 
+        WHEN T2.id IS NULL THEN '❌ 无法关联到诊疗项目定义'
+        WHEN T2.delete_flag != '0' THEN '❌ 诊疗项目定义已删除'
+        WHEN T2.status_enum != 1 THEN '❌ 诊疗项目定义未激活（status_enum != 1）'
+        ELSE '✅ 正常'
+    END AS match_status
+FROM adm_charge_item AS T1
+LEFT JOIN wor_activity_definition AS T2
+    ON T1.context_enum = 3
+    AND T1.product_id = T2.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum = 1  -- 当前查询条件
+WHERE T1.context_enum = 3
+  AND T1.delete_flag = '0'
+LIMIT 20;
+
+-- 3. 检查如果移除 status_enum = 1 条件，能关联多少条
+SELECT 
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN T2.id IS NOT NULL AND T2.delete_flag = '0' AND T2.status_enum = 1 THEN 1 END) AS matched_active,
+    COUNT(CASE WHEN T2.id IS NOT NULL AND T2.delete_flag = '0' AND T2.status_enum != 1 THEN 1 END) AS matched_inactive,
+    COUNT(CASE WHEN T2.id IS NULL THEN 1 END) AS unmatched
+FROM adm_charge_item AS T1
+LEFT JOIN wor_activity_definition AS T2
+    ON T1.context_enum = 3
+    AND T1.product_id = T2.id
+    AND T2.delete_flag = '0'
+WHERE T1.context_enum = 3
+  AND T1.delete_flag = '0';
+
+-- 4. 检查具体某个就诊的诊疗项目（替换 encounterId 为实际值）
+-- SELECT 
+--     T1.id AS charge_item_id,
+--     T1.encounter_id,
+--     T1.product_id,
+--     T1.status_enum AS charge_status,
+--     T2.id AS activity_def_id,
+--     T2.name AS activity_name,
+--     T2.status_enum AS activity_status,
+--     CASE 
+--         WHEN T2.id IS NULL THEN '无法关联'
+--         WHEN T2.status_enum != 1 THEN '诊疗项目未激活'
+--         ELSE '正常'
+--     END AS status
+-- FROM adm_charge_item AS T1
+-- LEFT JOIN wor_activity_definition AS T2
+--     ON T1.context_enum = 3
+--     AND T1.product_id = T2.id
+--     AND T2.delete_flag = '0'
+--     AND T2.status_enum = 1
+-- WHERE T1.encounter_id = :encounterId  -- 替换为实际的encounterId
+--   AND T1.context_enum = 3
+--   AND T1.delete_flag = '0';
+
+-- 5. 如果诊疗项目 status_enum != 1，查看这些项目
+SELECT 
+    T1.id AS charge_item_id,
+    T1.encounter_id,
+    T1.product_id,
+    T2.name AS activity_name,
+    T2.status_enum AS activity_status,
+    '诊疗项目未激活，导致无法显示' AS issue
+FROM adm_charge_item AS T1
+INNER JOIN wor_activity_definition AS T2
+    ON T1.context_enum = 3
+    AND T1.product_id = T2.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum != 1  -- 未激活
+WHERE T1.context_enum = 3
+  AND T1.delete_flag = '0'
+LIMIT 20;
+

openhis-server-new/sql/check_pricing_flag_zero_data.sql

@@ -0,0 +1,142 @@
+-- ============================================
+-- 检查 wor_activity_definition 表中 pricing_flag = 0 的数据
+-- 用途：分析哪些项目被标记为"不允许划价"，是否符合业务预期
+-- ============================================
+
+-- 1. 查看所有 pricing_flag = 0 的项目详情
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    category_code,
+    type_enum,
+    pricing_flag,
+    status_enum,
+    org_id,
+    location_id,
+    description_text,
+    create_time,
+    update_time
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND pricing_flag = '0'  -- 注意：字段类型是 char(1)，所以是字符串 '0'
+ORDER BY id;
+
+-- 2. 统计 pricing_flag = 0 的项目数量（按状态）
+SELECT 
+    status_enum,
+    COUNT(*) AS count,
+    CASE 
+        WHEN status_enum = 1 THEN '激活'
+        WHEN status_enum = 2 THEN '停用'
+        ELSE '其他'
+    END AS status_desc
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND pricing_flag = '0'
+GROUP BY status_enum
+ORDER BY status_enum;
+
+-- 3. 检查 pricing_flag = 0 的项目是否有关联的费用定价
+SELECT 
+    T1.id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.pricing_flag,
+    T1.status_enum,
+    T2.id AS charge_item_definition_id,
+    T2.charge_name,
+    T2.price,
+    T2.status_enum AS charge_status,
+    CASE 
+        WHEN T2.id IS NOT NULL THEN '有费用定价但不允许划价（可能异常）'
+        ELSE '无费用定价，不允许划价（正常）'
+    END AS analysis
+FROM wor_activity_definition AS T1
+LEFT JOIN adm_charge_item_definition AS T2
+    ON T2.instance_id = T1.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum = 1
+    AND T2.instance_table = 'wor_activity_definition'
+WHERE T1.delete_flag = '0'
+  AND T1.pricing_flag = '0'
+ORDER BY T1.id;
+
+-- 4. 检查 pricing_flag = 0 的项目是否在收费项目表中被使用
+SELECT 
+    T1.id AS activity_id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.pricing_flag,
+    COUNT(T3.id) AS charge_item_count,
+    CASE 
+        WHEN COUNT(T3.id) > 0 THEN '已被使用（可能异常：不允许划价但已有收费记录）'
+        ELSE '未被使用（正常）'
+    END AS analysis
+FROM wor_activity_definition AS T1
+LEFT JOIN adm_charge_item AS T3
+    ON T3.product_id = T1.id
+    AND T3.context_enum = 3  -- ACTIVITY
+    AND T3.delete_flag = '0'
+WHERE T1.delete_flag = '0'
+  AND T1.pricing_flag = '0'
+GROUP BY T1.id, T1.bus_no, T1.name, T1.pricing_flag
+HAVING COUNT(T3.id) > 0  -- 只显示已被使用的
+ORDER BY charge_item_count DESC;
+
+-- 5. 按类别统计 pricing_flag = 0 的项目
+SELECT 
+    category_code,
+    COUNT(*) AS count,
+    STRING_AGG(name, ', ') AS activity_names  -- 列出项目名称
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND pricing_flag = '0'
+  AND status_enum = 1  -- 只统计激活的
+GROUP BY category_code
+ORDER BY category_code;
+
+-- 6. 对比：pricing_flag = 0 和 pricing_flag = 1 的项目特征
+SELECT 
+    pricing_flag,
+    COUNT(*) AS count,
+    COUNT(DISTINCT category_code) AS category_count,
+    COUNT(DISTINCT org_id) AS org_count,
+    STRING_AGG(DISTINCT category_code::text, ', ') AS categories
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+  AND pricing_flag IN ('0', '1')
+GROUP BY pricing_flag
+ORDER BY pricing_flag;
+
+-- 7. 检查是否有子项的项目（childrenJson 不为空）被标记为 pricing_flag = 0
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    pricing_flag,
+    children_json,
+    CASE 
+        WHEN children_json IS NOT NULL AND children_json != '' THEN '有子项但不允许划价（可能是套餐子项）'
+        ELSE '无子项'
+    END AS analysis
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND pricing_flag = '0'
+  AND children_json IS NOT NULL
+  AND children_json != ''
+ORDER BY id;
+
+-- 8. 查看 pricing_flag 字段的所有可能值（包括 NULL）
+SELECT 
+    COALESCE(pricing_flag::text, 'NULL') AS pricing_flag_value,
+    COUNT(*) AS count,
+    ROUND(COUNT(*) * 100.0 / SUM(COUNT(*)) OVER (), 2) AS percentage
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+GROUP BY pricing_flag
+ORDER BY pricing_flag NULLS LAST;
+
+

openhis-server-new/sql/check_treatment_items_detailed.sql

@@ -0,0 +1,116 @@
+-- 详细检查诊疗项目检索问题
+-- 已知：wor_activity_definition 表中有4条数据
+
+-- 1. 检查这4条诊疗项目定义的详细信息
+SELECT 
+    id,
+    name,
+    bus_no,
+    delete_flag,
+    tenant_id,
+    create_time
+FROM wor_activity_definition
+ORDER BY id;
+
+-- 2. 检查收费项目中是否有诊疗项目类型的记录
+-- 注意：ChargeItemContext.ACTIVITY.getValue() 返回的是 Integer 3
+-- 但数据库中 context_enum 可能是字符串类型，需要检查是 '3' 还是 3
+SELECT 
+    COUNT(*) as total_activity_charge_items,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) as active_activity_charge_items,
+    COUNT(CASE WHEN delete_flag != '0' THEN 1 END) as deleted_activity_charge_items
+FROM adm_charge_item
+WHERE context_enum::text = '3' OR context_enum = 3;  -- 诊疗项目类型是3
+
+-- 3. 检查收费项目中的product_id是否能匹配到诊疗项目定义
+-- 注意：诊疗项目类型的 context_enum = 3（ChargeItemContext.ACTIVITY.getValue()）
+SELECT 
+    aci.id as charge_item_id,
+    aci.encounter_id,
+    aci.context_enum,
+    aci.product_id as charge_product_id,
+    aci.status_enum,
+    aci.delete_flag as charge_delete_flag,
+    wad.id as activity_def_id,
+    wad.name as activity_name,
+    wad.delete_flag as activity_delete_flag,
+    CASE 
+        WHEN wad.id IS NULL THEN '❌ 诊疗项目定义不存在'
+        WHEN wad.delete_flag != '0' THEN '❌ 诊疗项目定义已删除'
+        WHEN aci.delete_flag != '0' THEN '❌ 收费项目已删除'
+        ELSE '✅ 正常'
+    END as match_status
+FROM adm_charge_item aci
+LEFT JOIN wor_activity_definition wad 
+    ON aci.product_id = wad.id
+WHERE (aci.context_enum::text = '3' OR aci.context_enum = 3)  -- 诊疗项目类型是3
+LIMIT 20;
+
+-- 4. 检查context_enum的所有可能值（确认诊疗项目的枚举值是什么）
+SELECT DISTINCT 
+    context_enum,
+    COUNT(*) as count
+FROM adm_charge_item
+WHERE delete_flag = '0'
+GROUP BY context_enum
+ORDER BY context_enum;
+
+-- 5. 检查是否有收费项目，但无法匹配到诊疗项目定义
+SELECT 
+    COUNT(*) as unmatched_count,
+    STRING_AGG(DISTINCT CAST(product_id AS VARCHAR), ', ') as unmatched_product_ids,
+    STRING_AGG(DISTINCT CAST(id AS VARCHAR), ', ') as unmatched_charge_item_ids
+FROM adm_charge_item aci
+WHERE (aci.context_enum::text = '3' OR aci.context_enum = 3)  -- 诊疗项目类型是3
+    AND aci.delete_flag = '0'
+    AND NOT EXISTS (
+        SELECT 1 
+        FROM wor_activity_definition wad
+        WHERE wad.id = aci.product_id
+            AND wad.delete_flag = '0'
+    );
+
+-- 6. 检查具体某个就诊的诊疗项目（如果有具体的encounterId）
+-- SELECT 
+--     T1.encounter_id,
+--     T1.id as charge_item_id,
+--     T1.context_enum,
+--     T1.product_id,
+--     T1.status_enum,
+--     T1.delete_flag,
+--     T2.id as activity_def_id,
+--     T2.name as activity_name,
+--     T2.delete_flag as activity_delete_flag
+-- FROM adm_charge_item AS T1
+-- LEFT JOIN wor_activity_definition AS T2
+--     ON T1.product_id = T2.id
+-- WHERE T1.encounter_id = :encounterId  -- 替换为实际的encounterId
+--     AND T1.context_enum IN ('ACTIVITY', '1', 'ACTIVITY_CODE')  -- 尝试多种可能的值
+--     AND T1.delete_flag = '0';
+
+-- 7. 检查后端代码中使用的context_enum值
+-- ChargeItemContext.ACTIVITY.getValue() 的实际返回值需要查看枚举类
+-- 可能是：'ACTIVITY', '1', 'ACTIVITY_CODE', 或其他值
+-- 建议先运行查询4，查看数据库中实际使用的context_enum值
+
+-- 8. 检查status_enum的值（查询条件中需要匹配的状态）
+-- SQL查询中要求 status_enum IN (1, 2, 3, 4, 5, 6)
+-- 检查收费项目中的状态值是否在这个范围内
+SELECT 
+    status_enum,
+    COUNT(*) as count,
+    CASE 
+        WHEN status_enum IN (1, 2, 3, 4, 5, 6) THEN '✅ 在查询范围内'
+        ELSE '❌ 不在查询范围内'
+    END as status_check
+FROM adm_charge_item
+WHERE context_enum IN (
+    SELECT DISTINCT context_enum 
+    FROM adm_charge_item 
+    WHERE delete_flag = '0'
+    LIMIT 10
+)
+AND delete_flag = '0'
+GROUP BY status_enum
+ORDER BY status_enum;
+

openhis-server-new/sql/diagnose_treatment_items_issue.sql

@@ -0,0 +1,92 @@
+-- 诊断：门诊划价检索不出诊疗项目的问题
+-- 问题描述：在门诊划价页面，检索不出诊疗项目
+
+-- 1. 检查是否有诊疗项目定义数据
+SELECT 
+    COUNT(*) as total_count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) as active_count,
+    COUNT(CASE WHEN delete_flag != '0' THEN 1 END) as deleted_count
+FROM wor_activity_definition;
+
+-- 2. 检查是否有收费项目（诊疗项目类型）
+SELECT 
+    T1.id,
+    T1.encounter_id,
+    T1.context_enum,
+    T1.product_id,
+    T1.status_enum,
+    T1.delete_flag,
+    T2.id as activity_def_id,
+    T2.name as activity_name,
+    T2.delete_flag as activity_delete_flag
+FROM adm_charge_item AS T1
+LEFT JOIN wor_activity_definition AS T2
+    ON T1.context_enum = 'ACTIVITY'  -- 诊疗项目类型
+    AND T1.product_id = T2.id
+    AND T2.delete_flag = '0'
+WHERE T1.context_enum = 'ACTIVITY'
+    AND T1.delete_flag = '0'
+LIMIT 20;
+
+-- 3. 检查是否有诊疗项目定义，但收费项目中的product_id无法匹配
+SELECT 
+    '诊疗项目定义存在，但收费项目无法匹配' as issue_type,
+    COUNT(*) as count
+FROM wor_activity_definition wad
+WHERE wad.delete_flag = '0'
+    AND NOT EXISTS (
+        SELECT 1 
+        FROM adm_charge_item aci
+        WHERE aci.context_enum = 'ACTIVITY'
+            AND aci.product_id = wad.id
+            AND aci.delete_flag = '0'
+    );
+
+-- 4. 检查收费项目中的诊疗项目，但定义表中没有对应数据
+SELECT 
+    '收费项目存在，但诊疗项目定义缺失' as issue_type,
+    COUNT(*) as count
+FROM adm_charge_item aci
+WHERE aci.context_enum = 'ACTIVITY'
+    AND aci.delete_flag = '0'
+    AND NOT EXISTS (
+        SELECT 1 
+        FROM wor_activity_definition wad
+        WHERE wad.id = aci.product_id
+            AND wad.delete_flag = '0'
+    );
+
+-- 5. 检查某个具体就诊的诊疗项目（替换encounterId为实际值）
+-- SELECT 
+--     T1.encounter_id,
+--     T1.id as charge_item_id,
+--     T1.context_enum,
+--     T1.product_id,
+--     T1.status_enum,
+--     T2.id as activity_def_id,
+--     T2.name as activity_name,
+--     T2.delete_flag as activity_delete_flag,
+--     CASE 
+--         WHEN T2.id IS NULL THEN '诊疗项目定义不存在或已删除'
+--         WHEN T2.delete_flag != '0' THEN '诊疗项目定义已删除'
+--         ELSE '正常'
+--     END as status
+-- FROM adm_charge_item AS T1
+-- LEFT JOIN wor_activity_definition AS T2
+--     ON T1.context_enum = 'ACTIVITY'
+--     AND T1.product_id = T2.id
+-- WHERE T1.encounter_id = :encounterId  -- 替换为实际的encounterId
+--     AND T1.context_enum = 'ACTIVITY'
+--     AND T1.delete_flag = '0'
+--     AND T1.status_enum IN (1, 2, 3, 4, 5, 6);  -- PLANNED, BILLABLE, BILLED, REFUNDING, REFUNDED, PART_REFUND
+
+
+
+
+
+
+
+
+
+
+

openhis-server-new/sql/query_pricing_flag_distribution.sql

@@ -0,0 +1,144 @@
+-- ============================================
+-- 查询诊疗项目 pricing_flag 字段分布情况
+-- 用途：了解哪些项目允许划价，哪些不允许
+-- ============================================
+
+-- 1. 统计 pricing_flag 字段的分布情况
+SELECT 
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN pricing_flag = 1 THEN 1 END) AS pricing_flag_1_count,  -- 允许划价
+    COUNT(CASE WHEN pricing_flag = 0 THEN 1 END) AS pricing_flag_0_count,  -- 不允许划价
+    COUNT(CASE WHEN pricing_flag IS NULL THEN 1 END) AS pricing_flag_null_count,  -- 未设置
+    ROUND(COUNT(CASE WHEN pricing_flag = 1 THEN 1 END) * 100.0 / COUNT(*), 2) AS flag_1_percent,
+    ROUND(COUNT(CASE WHEN pricing_flag = 0 THEN 1 END) * 100.0 / COUNT(*), 2) AS flag_0_percent,
+    ROUND(COUNT(CASE WHEN pricing_flag IS NULL THEN 1 END) * 100.0 / COUNT(*), 2) AS flag_null_percent
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1;  -- 只统计激活状态的项目
+
+-- 2. 查看所有允许划价的项目（pricing_flag = 1 或 NULL）
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    pricing_flag,
+    status_enum,
+    org_id,
+    category_code,
+    type_enum,
+    CASE 
+        WHEN pricing_flag = 1 THEN '允许划价'
+        WHEN pricing_flag = 0 THEN '不允许划价'
+        WHEN pricing_flag IS NULL THEN '未设置（默认允许）'
+        ELSE '未知'
+    END AS pricing_flag_desc
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+  AND (pricing_flag = 1 OR pricing_flag IS NULL)  -- 之前过滤条件
+ORDER BY id;
+
+-- 3. 查看不允许划价的项目（pricing_flag = 0）
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    pricing_flag,
+    status_enum,
+    org_id,
+    category_code,
+    type_enum,
+    description_text,
+    '不允许划价' AS pricing_flag_desc
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+  AND pricing_flag = 0  -- 这些项目之前不会显示
+ORDER BY id;
+
+-- 4. 查看未设置 pricing_flag 的项目（NULL）
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    pricing_flag,
+    status_enum,
+    org_id,
+    category_code,
+    type_enum,
+    '未设置（默认允许）' AS pricing_flag_desc
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+  AND pricing_flag IS NULL
+ORDER BY id;
+
+-- 5. 按科室统计 pricing_flag 分布
+SELECT 
+    org_id,
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN pricing_flag = 1 THEN 1 END) AS flag_1_count,
+    COUNT(CASE WHEN pricing_flag = 0 THEN 1 END) AS flag_0_count,
+    COUNT(CASE WHEN pricing_flag IS NULL THEN 1 END) AS flag_null_count
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+GROUP BY org_id
+ORDER BY org_id;
+
+-- 6. 按类别统计 pricing_flag 分布
+SELECT 
+    category_code,
+    COUNT(*) AS total_count,
+    COUNT(CASE WHEN pricing_flag = 1 THEN 1 END) AS flag_1_count,
+    COUNT(CASE WHEN pricing_flag = 0 THEN 1 END) AS flag_0_count,
+    COUNT(CASE WHEN pricing_flag IS NULL THEN 1 END) AS flag_null_count
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND status_enum = 1
+GROUP BY category_code
+ORDER BY category_code;
+
+-- 7. 检查是否有费用定价关联的项目，但 pricing_flag = 0
+SELECT 
+    T1.id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.pricing_flag,
+    T2.id AS charge_item_definition_id,
+    T2.charge_name,
+    T2.price,
+    '有费用定价但不允许划价' AS issue_desc
+FROM wor_activity_definition AS T1
+LEFT JOIN adm_charge_item_definition AS T2
+    ON T2.instance_id = T1.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum = 1
+    AND T2.instance_table = 'wor_activity_definition'
+WHERE T1.delete_flag = '0'
+  AND T1.status_enum = 1
+  AND T1.pricing_flag = 0
+  AND T2.id IS NOT NULL  -- 有关联的费用定价
+ORDER BY T1.id;
+
+-- 8. 检查没有费用定价关联的项目，但 pricing_flag = 1
+SELECT 
+    T1.id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.pricing_flag,
+    T2.id AS charge_item_definition_id,
+    '允许划价但没有费用定价' AS issue_desc
+FROM wor_activity_definition AS T1
+LEFT JOIN adm_charge_item_definition AS T2
+    ON T2.instance_id = T1.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum = 1
+    AND T2.instance_table = 'wor_activity_definition'
+WHERE T1.delete_flag = '0'
+  AND T1.status_enum = 1
+  AND (T1.pricing_flag = 1 OR T1.pricing_flag IS NULL)
+  AND T2.id IS NULL  -- 没有关联的费用定价
+ORDER BY T1.id;
+
+

openhis-server-new/sql/quick_check_pricing_flag_issue.sql

@@ -0,0 +1,86 @@
+-- ============================================
+-- 快速检查 pricing_flag = '0' 的数据问题
+-- 注意：pricing_flag 是 char(1) 类型，所以要用字符串 '0'
+-- ============================================
+
+-- 问题1：检查是否有费用定价但 pricing_flag = '0' 的项目（可能异常）
+SELECT 
+    '异常：有费用定价但不允许划价' AS issue_type,
+    T1.id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.pricing_flag,
+    T2.charge_name,
+    T2.price
+FROM wor_activity_definition AS T1
+INNER JOIN adm_charge_item_definition AS T2
+    ON T2.instance_id = T1.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum = 1
+    AND T2.instance_table = 'wor_activity_definition'
+WHERE T1.delete_flag = '0'
+  AND T1.status_enum = 1
+  AND T1.pricing_flag = '0'  -- 不允许划价，但有费用定价（矛盾）
+ORDER BY T1.id;
+
+-- 问题2：检查是否已被使用但 pricing_flag = '0' 的项目（可能异常）
+SELECT 
+    '异常：已有收费记录但不允许划价' AS issue_type,
+    T1.id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.pricing_flag,
+    COUNT(DISTINCT T3.encounter_id) AS encounter_count,
+    COUNT(T3.id) AS charge_item_count
+FROM wor_activity_definition AS T1
+INNER JOIN adm_charge_item AS T3
+    ON T3.product_id = T1.id
+    AND T3.context_enum = 3  -- ACTIVITY
+    AND T3.delete_flag = '0'
+WHERE T1.delete_flag = '0'
+  AND T1.pricing_flag = '0'
+GROUP BY T1.id, T1.bus_no, T1.name, T1.pricing_flag
+ORDER BY charge_item_count DESC;
+
+-- 问题3：查看所有 pricing_flag = '0' 的项目，判断哪些可能应该改为 '1'
+SELECT 
+    T1.id,
+    T1.bus_no,
+    T1.name AS activity_name,
+    T1.category_code,
+    T1.pricing_flag,
+    T1.status_enum,
+    CASE 
+        WHEN T2.id IS NOT NULL THEN '有费用定价'
+        ELSE '无费用定价'
+    END AS has_charge_definition,
+    CASE 
+        WHEN EXISTS (
+            SELECT 1 FROM adm_charge_item 
+            WHERE product_id = T1.id 
+            AND context_enum = 3 
+            AND delete_flag = '0'
+        ) THEN '已被使用'
+        ELSE '未使用'
+    END AS usage_status,
+    CASE 
+        WHEN T2.id IS NOT NULL OR EXISTS (
+            SELECT 1 FROM adm_charge_item 
+            WHERE product_id = T1.id 
+            AND context_enum = 3 
+            AND delete_flag = '0'
+        ) THEN '建议改为 pricing_flag = ''1'''
+        ELSE '保持 pricing_flag = ''0''（可能正常）'
+    END AS suggestion
+FROM wor_activity_definition AS T1
+LEFT JOIN adm_charge_item_definition AS T2
+    ON T2.instance_id = T1.id
+    AND T2.delete_flag = '0'
+    AND T2.status_enum = 1
+    AND T2.instance_table = 'wor_activity_definition'
+WHERE T1.delete_flag = '0'
+  AND T1.status_enum = 1
+  AND T1.pricing_flag = '0'
+ORDER BY T1.id;
+
+

openhis-server-new/sql/update_pricing_flag_to_one.sql

@@ -0,0 +1,123 @@
+-- ============================================
+-- 将 wor_activity_definition 表中的一两条记录的 pricing_flag 改成 '1'
+-- 注意：pricing_flag 是 char(1) 类型，所以要用字符串 '1'
+-- ============================================
+
+-- 方式1：更新前两条 pricing_flag = '0' 的记录（推荐）
+UPDATE wor_activity_definition
+SET pricing_flag = '1',
+    update_time = CURRENT_TIMESTAMP
+WHERE id IN (
+    SELECT id
+    FROM wor_activity_definition
+    WHERE delete_flag = '0'
+      AND pricing_flag = '0'
+      AND status_enum = 1  -- 只更新激活状态的项目
+    ORDER BY id
+    LIMIT 2
+);
+
+-- 方式2：更新指定 ID 的记录（更精确，推荐使用）
+-- 请将下面的 ID 替换为实际要更新的记录 ID
+UPDATE wor_activity_definition
+SET pricing_flag = '1',
+    update_time = CURRENT_TIMESTAMP
+WHERE id IN (1906532604116348929, 1906544768434053121)  -- 替换为实际的 ID
+  AND delete_flag = '0';
+
+-- 方式3：更新前两条记录（不管当前 pricing_flag 值是什么）
+UPDATE wor_activity_definition
+SET pricing_flag = '1',
+    update_time = CURRENT_TIMESTAMP
+WHERE id IN (
+    SELECT id
+    FROM wor_activity_definition
+    WHERE delete_flag = '0'
+      AND status_enum = 1
+    ORDER BY id
+    LIMIT 2
+);
+
+-- 方式4：更新有费用定价但 pricing_flag = '0' 的前两条记录（业务逻辑更合理）
+UPDATE wor_activity_definition
+SET pricing_flag = '1',
+    update_time = CURRENT_TIMESTAMP
+WHERE id IN (
+    SELECT wad.id
+    FROM wor_activity_definition wad
+    INNER JOIN adm_charge_item_definition acid
+        ON acid.instance_id = wad.id
+        AND acid.delete_flag = '0'
+        AND acid.status_enum = 1
+        AND acid.instance_table = 'wor_activity_definition'
+    WHERE wad.delete_flag = '0'
+      AND wad.status_enum = 1
+      AND wad.pricing_flag = '0'
+    ORDER BY wad.id
+    LIMIT 2
+);
+
+-- ============================================
+-- 执行前可以先查询要更新的记录（验证用）
+-- ============================================
+
+-- 查询前两条 pricing_flag = '0' 的记录
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    pricing_flag,
+    status_enum,
+    create_time,
+    update_time
+FROM wor_activity_definition
+WHERE delete_flag = '0'
+  AND pricing_flag = '0'
+  AND status_enum = 1
+ORDER BY id
+LIMIT 2;
+
+-- 查询有费用定价但 pricing_flag = '0' 的记录
+SELECT 
+    wad.id,
+    wad.bus_no,
+    wad.name AS activity_name,
+    wad.pricing_flag,
+    acid.charge_name,
+    acid.price
+FROM wor_activity_definition wad
+INNER JOIN adm_charge_item_definition acid
+    ON acid.instance_id = wad.id
+    AND acid.delete_flag = '0'
+    AND acid.status_enum = 1
+    AND acid.instance_table = 'wor_activity_definition'
+WHERE wad.delete_flag = '0'
+  AND wad.status_enum = 1
+  AND wad.pricing_flag = '0'
+ORDER BY wad.id
+LIMIT 2;
+
+-- ============================================
+-- 执行后验证更新结果
+-- ============================================
+
+-- 验证更新是否成功
+SELECT 
+    id,
+    bus_no,
+    name AS activity_name,
+    pricing_flag,
+    update_time
+FROM wor_activity_definition
+WHERE id IN (
+    -- 这里放刚才更新的 ID，或者用子查询
+    SELECT id
+    FROM wor_activity_definition
+    WHERE delete_flag = '0'
+      AND pricing_flag = '1'
+      AND status_enum = 1
+    ORDER BY update_time DESC
+    LIMIT 2
+);
+
+

openhis-server-new/sql/快速诊断诊疗项目问题.sql

@@ -0,0 +1,86 @@
+-- 快速诊断诊疗项目检索问题
+-- 已知：wor_activity_definition 表中有4条数据
+-- 关键：ChargeItemContext.ACTIVITY.getValue() = 3（整数）
+
+-- 步骤1：检查这4条诊疗项目定义的delete_flag状态
+SELECT 
+    id,
+    name,
+    delete_flag,
+    CASE WHEN delete_flag = '0' THEN '✅ 可用' ELSE '❌ 已删除' END as status
+FROM wor_activity_definition
+ORDER BY id;
+
+-- 步骤2：检查收费项目中是否有诊疗项目类型（context_enum = 3）的记录
+SELECT 
+    COUNT(*) as total_count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) as active_count
+FROM adm_charge_item
+WHERE (context_enum::text = '3' OR context_enum = 3);
+
+-- 步骤3：检查收费项目能否匹配到诊疗项目定义（最关键！）
+SELECT 
+    aci.id as charge_item_id,
+    aci.encounter_id,
+    aci.product_id,
+    aci.status_enum,
+    wad.id as activity_def_id,
+    wad.name as activity_name,
+    CASE 
+        WHEN wad.id IS NULL THEN '❌ 无法匹配：product_id=' || aci.product_id || ' 在诊疗项目定义表中不存在'
+        WHEN wad.delete_flag != '0' THEN '❌ 无法匹配：诊疗项目定义已删除'
+        WHEN aci.delete_flag != '0' THEN '❌ 无法匹配：收费项目已删除'
+        WHEN aci.status_enum NOT IN (1,2,3,4,5,6) THEN '❌ 无法匹配：状态不在查询范围内 status=' || aci.status_enum
+        ELSE '✅ 可以匹配'
+    END as match_result
+FROM adm_charge_item aci
+LEFT JOIN wor_activity_definition wad 
+    ON aci.product_id = wad.id AND wad.delete_flag = '0'
+WHERE (aci.context_enum::text = '3' OR aci.context_enum = 3)
+    AND aci.delete_flag = '0'
+LIMIT 50;
+
+-- 步骤4：统计匹配情况
+SELECT 
+    COUNT(*) as total_charge_items,
+    COUNT(CASE WHEN wad.id IS NOT NULL AND wad.delete_flag = '0' THEN 1 END) as matched_count,
+    COUNT(CASE WHEN wad.id IS NULL THEN 1 END) as unmatched_def_count,
+    COUNT(CASE WHEN wad.delete_flag != '0' THEN 1 END) as deleted_def_count,
+    COUNT(CASE WHEN wad.id IS NOT NULL AND wad.delete_flag = '0' AND aci.status_enum IN (1,2,3,4,5,6) THEN 1 END) as final_matched_count
+FROM adm_charge_item aci
+LEFT JOIN wor_activity_definition wad 
+    ON aci.product_id = wad.id
+WHERE (aci.context_enum::text = '3' OR aci.context_enum = 3)
+    AND aci.delete_flag = '0';
+
+-- 步骤5：检查具体就诊的诊疗项目（如果有encounterId，取消注释并替换）
+-- SELECT 
+--     T1.encounter_id,
+--     T1.id as charge_item_id,
+--     T1.product_id,
+--     T1.status_enum,
+--     T2.id as activity_def_id,
+--     T2.name as activity_name,
+--     CASE 
+--         WHEN T2.id IS NULL THEN '❌ 无法匹配'
+--         WHEN T2.delete_flag != '0' THEN '❌ 定义已删除'
+--         WHEN T1.status_enum NOT IN (1,2,3,4,5,6) THEN '❌ 状态不符合'
+--         ELSE '✅ 正常'
+--     END as status
+-- FROM adm_charge_item AS T1
+-- LEFT JOIN wor_activity_definition AS T2
+--     ON T1.product_id = T2.id AND T2.delete_flag = '0'
+-- WHERE T1.encounter_id = :encounterId  -- 替换为实际的encounterId
+--     AND (T1.context_enum::text = '3' OR T1.context_enum = 3)
+--     AND T1.delete_flag = '0';
+
+
+
+
+
+
+
+
+
+
+

openhis-server-new/sql/诊断门诊划价检索不出诊疗项目问题.md

@@ -0,0 +1,165 @@
+# 诊断：门诊划价检索不出诊疗项目问题
+
+## 问题描述
+在门诊划价页面，检索不出诊疗项目，显示"暂无数据"。
+
+## 问题分析
+
+### SQL查询逻辑
+根据 `OutpatientChargeAppMapper.xml` 中的 `selectEncounterPatientPrescription` 查询：
+
+1. **查询主表**：`adm_charge_item`（收费项目表）
+2. **关联诊疗项目定义表**：`wor_activity_definition`
+   - 关联条件：`T1.context_enum = #{activity}` AND `T1.product_id = T2.id` AND `T2.delete_flag = '0'`
+3. **返回字段**：`item_name` 来自 `wor_activity_definition.name`
+
+### 可能的原因
+
+#### 1. 数据库中没有诊疗项目定义数据
+- **检查**：`wor_activity_definition` 表中是否有数据
+- **SQL**：
+```sql
+SELECT COUNT(*) FROM wor_activity_definition WHERE delete_flag = '0';
+```
+
+#### 2. 收费项目中的product_id无法匹配到诊疗项目定义
+- **检查**：`adm_charge_item` 表中的 `product_id` 是否存在于 `wor_activity_definition` 表中
+- **SQL**：
+```sql
+SELECT 
+    aci.id,
+    aci.encounter_id,
+    aci.product_id,
+    aci.context_enum,
+    wad.id as activity_def_id,
+    wad.name as activity_name
+FROM adm_charge_item aci
+LEFT JOIN wor_activity_definition wad ON aci.product_id = wad.id AND wad.delete_flag = '0'
+WHERE aci.context_enum = 'ACTIVITY'
+    AND aci.delete_flag = '0'
+    AND wad.id IS NULL;  -- 无法匹配的记录
+```
+
+#### 3. 诊疗项目定义被标记为删除
+- **检查**：`wor_activity_definition` 表中的 `delete_flag` 是否为 '0'
+- **SQL**：
+```sql
+SELECT 
+    id,
+    name,
+    delete_flag
+FROM wor_activity_definition
+WHERE delete_flag != '0';
+```
+
+#### 4. context_enum 值不匹配
+- **检查**：`adm_charge_item` 表中的 `context_enum` 值是否正确
+- **SQL**：
+```sql
+SELECT DISTINCT context_enum FROM adm_charge_item WHERE delete_flag = '0';
+```
+- **注意**：后端代码中传入的 `#{activity}` 参数值应该是 `ChargeItemContext.ACTIVITY.getValue()`
+
+## 诊断步骤
+
+### 步骤1：检查诊疗项目定义表是否有数据
+```sql
+SELECT 
+    COUNT(*) as total_count,
+    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) as active_count,
+    COUNT(CASE WHEN delete_flag != '0' THEN 1 END) as deleted_count
+FROM wor_activity_definition;
+```
+
+**预期结果**：`active_count` 应该 > 0
+
+### 步骤2：检查收费项目中的诊疗项目是否能匹配到定义
+```sql
+SELECT 
+    COUNT(*) as total_charge_items,
+    COUNT(CASE WHEN wad.id IS NOT NULL THEN 1 END) as matched_count,
+    COUNT(CASE WHEN wad.id IS NULL THEN 1 END) as unmatched_count
+FROM adm_charge_item aci
+LEFT JOIN wor_activity_definition wad 
+    ON aci.context_enum = 'ACTIVITY'
+    AND aci.product_id = wad.id
+    AND wad.delete_flag = '0'
+WHERE aci.context_enum = 'ACTIVITY'
+    AND aci.delete_flag = '0';
+```
+
+**预期结果**：`matched_count` 应该 > 0，`unmatched_count` 应该 = 0
+
+### 步骤3：检查具体就诊的诊疗项目
+```sql
+-- 替换 :encounterId 为实际的就诊ID
+SELECT 
+    T1.encounter_id,
+    T1.id as charge_item_id,
+    T1.context_enum,
+    T1.product_id,
+    T1.status_enum,
+    T2.id as activity_def_id,
+    T2.name as activity_name,
+    T2.delete_flag as activity_delete_flag,
+    CASE 
+        WHEN T2.id IS NULL THEN '诊疗项目定义不存在或已删除'
+        WHEN T2.delete_flag != '0' THEN '诊疗项目定义已删除'
+        ELSE '正常'
+    END as status
+FROM adm_charge_item AS T1
+LEFT JOIN wor_activity_definition AS T2
+    ON T1.context_enum = 'ACTIVITY'
+    AND T1.product_id = T2.id
+WHERE T1.encounter_id = :encounterId  -- 替换为实际的encounterId
+    AND T1.context_enum = 'ACTIVITY'
+    AND T1.delete_flag = '0'
+    AND T1.status_enum IN (1, 2, 3, 4, 5, 6);
+```
+
+### 步骤4：检查后端传入的参数值
+检查 `OutpatientChargeAppServiceImpl.java` 中：
+```java
+ChargeItemContext.ACTIVITY.getValue()
+```
+确认这个值是什么（应该是 'ACTIVITY' 或对应的枚举值）
+
+## 解决方案
+
+### 如果是数据问题：
+1. **缺少诊疗项目定义数据**：
+   - 需要在 `wor_activity_definition` 表中添加诊疗项目数据
+   - 或者在系统管理-目录管理-诊疗项目中添加
+
+2. **product_id无法匹配**：
+   - 检查 `adm_charge_item` 表中的 `product_id` 是否正确
+   - 检查 `wor_activity_definition` 表中的 `id` 是否与 `product_id` 匹配
+
+3. **delete_flag不正确**：
+   - 将 `wor_activity_definition` 表中需要使用的记录的 `delete_flag` 设置为 '0'
+
+### 如果是代码问题：
+1. **context_enum值不匹配**：
+   - 检查后端代码中 `ChargeItemContext.ACTIVITY.getValue()` 返回的值
+   - 确保与数据库中的 `context_enum` 值一致
+
+2. **SQL查询条件错误**：
+   - 检查 SQL 中的关联条件是否正确
+   - 检查是否有其他过滤条件导致数据被过滤掉
+
+## 快速诊断SQL
+运行以下SQL可以快速诊断问题：
+```sql
+-- 见 diagnose_treatment_items_issue.sql 文件
+```
+
+
+
+
+
+
+
+
+
+
+

openhis-ui-vue3/src/views/catalog/diagnosistreatment/index.vue

@@ -183,6 +183,23 @@
             prop="statusEnum_enumText"
             :show-overflow-tooltip="true"
           />
+          <el-table-column
+            label="划价标记"
+            align="center"
+            key="pricingFlag_enumText"
+            prop="pricingFlag_enumText"
+            :show-overflow-tooltip="true"
+            width="100"
+          >
+            <template #default="scope">
+              <el-tag
+                :type="scope.row.pricingFlag === 1 ? 'success' : scope.row.pricingFlag === 0 ? 'danger' : 'info'"
+                size="small"
+              >
+                {{ scope.row.pricingFlag_enumText || (scope.row.pricingFlag === 1 ? '允许' : scope.row.pricingFlag === 0 ? '不允许' : '未设置') }}
+              </el-tag>
+            </template>
+          </el-table-column>
           <el-table-column
             label="操作"
             align="center"

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/adviceBaseList.vue

@@ -8,6 +8,7 @@
       @current-change="handleCurrentChange"
       row-key="patientId"
       @cell-click="clickRow"
+      @row-click="clickRow"
     >
       <el-table-column label="名称" align="center" prop="adviceName" />
       <el-table-column label="类型" align="center" prop="activityType_enumText" />
@@ -38,6 +39,10 @@ const props = defineProps({
     type: Object,
     required: true,
   },
+  popoverVisible: {
+    type: Boolean,
+    default: false,
+  },
 });
 const emit = defineEmits(['selectAdviceBase']);
 const total = ref(0);
@@ -61,30 +66,80 @@ const throttledGetList = throttle(
 watch(
   () => props.adviceQueryParams,
   (newValue) => {
-    queryParams.value.searchKey = newValue.searchKey;
+    // 只有在弹窗打开时才响应 adviceQueryParams 的变化，避免选择项目后弹窗关闭时触发不必要的请求
-    queryParams.value.adviceType = newValue.adviceType;
+    if (!props.popoverVisible) {
+      return;
+    }
+    queryParams.value.searchKey = newValue?.searchKey;
+    queryParams.value.adviceType = newValue?.adviceType;
     throttledGetList();
   },
   { deep: true }
 );
 
-getList();
+// 监听弹窗打开状态，当弹窗打开时主动加载数据
+watch(
+  () => props.popoverVisible,
+  (visible) => {
+    if (visible) {
+      // 弹窗打开时，确保 adviceQueryParams 同步到 queryParams
+      if (props.adviceQueryParams) {
+        queryParams.value.searchKey = props.adviceQueryParams.searchKey;
+        queryParams.value.adviceType = props.adviceQueryParams.adviceType;
+      }
+      // 主动触发数据加载
+      getList();
+    } else {
+      // 弹窗关闭时，清空列表数据，避免显示错误的数据
+      adviceBaseList.value = [];
+      total.value = 0;
+    }
+  }
+);
+
+// 移除组件初始化时的 getList() 调用，避免在没有 adviceType 时查询所有类型的数据
+// getList();
 function getList() {
   // 验证是否已选择患者
   if (!props.patientInfo || Object.keys(props.patientInfo).length === 0) {
+    console.log('[adviceBaseList] getList() 跳过：未选择患者');
     return; // 不执行API调用
   }
   
+  // 只有在弹窗打开时才执行查询
+  if (!props.popoverVisible) {
+    console.log('[adviceBaseList] getList() 跳过：弹窗未打开');
+    return;
+  }
+  
+  // 必须有 adviceType 才查询，避免查询所有类型的数据
+  if (!queryParams.value.adviceType) {
+    console.log('[adviceBaseList] getList() 跳过：adviceType 未设置，当前值:', queryParams.value.adviceType);
+    return;
+  }
+  
   queryParams.value.organizationId = props.patientInfo.orgId;
+  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(queryParams.value));
+  
   getAdviceBaseInfo(queryParams.value).then((res) => {
-    adviceBaseList.value = res.data.records;
+    console.log('[adviceBaseList] getList() 响应数据:', {
-    total.value = res.data.total;
+      total: res.data?.total,
+      recordsCount: res.data?.records?.length || 0,
+      firstRecord: res.data?.records?.[0]?.adviceName || '无数据',
+      adviceType: queryParams.value.adviceType
+    });
+    adviceBaseList.value = res.data.records || [];
+    total.value = res.data.total || 0;
     nextTick(() => {
       currentIndex.value = 0;
       if (adviceBaseList.value.length > 0) {
-        adviceBaseRef.value.setCurrentRow(adviceBaseList.value[0]);
+        adviceBaseRef.value?.setCurrentRow(adviceBaseList.value[0]);
       }
     });
+  }).catch((err) => {
+    console.error('[adviceBaseList] getList() 请求失败:', err);
+    adviceBaseList.value = [];
+    total.value = 0;
   });
 }
 
@@ -136,8 +191,12 @@ const handleCurrentChange = (currentRow) => {
   currentSelectRow.value = currentRow;
 };
 
-function clickRow(row) {
+function clickRow(row, column, cell, event) {
-  emit('selectAdviceBase', row);
+  // cell-click 事件会传递 row, column, cell, event 四个参数
+  // 确保传递的是完整的行数据
+  if (row) {
+    emit('selectAdviceBase', row);
+  }
 }
 
 defineExpose({

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue

@@ -301,6 +301,7 @@ const nextId = ref(1);
 const unitCodeList = ref([]);
 const adviceTableRef = ref([]);
 const organization = ref([]);
+const orgTreeLoaded = ref(false);
 const rowRules = ref({
   conditionDefinitionId: [{ required: true, message: '请选择诊断', trigger: 'change' }],
   dose: [{ required: true, message: '请输入单次剂量', trigger: 'change' }],
@@ -449,6 +450,10 @@ function handleDiagnosisChange(item, row) {
 
 function handleFocus(row, index) {
   rowIndex.value = index;
+  // 打开当前行弹窗前，先关闭其它行，避免多个弹窗同时存在
+  prescriptionList.value.forEach((r, i) => {
+    if (i !== index) r.showPopover = false;
+  });
   // 如果当前行已选择adviceType，同步到adviceQueryParams
   if (row.adviceType !== undefined) {
     adviceQueryParams.value.adviceType = row.adviceType;
@@ -457,7 +462,9 @@ function handleFocus(row, index) {
 }
 
 function handleBlur(row) {
-  row.showPopover = false;
+  // 不能在 input blur 时立刻关闭弹窗：
+  // 点击弹窗里的表格会先触发 blur，导致弹窗瞬间关闭，从而“点了项目没反应”
+  // 弹窗关闭交给 selectAdviceBase()（选中后关闭）以及 handleFocus()（切行时关闭其他行）
 }
 
 function handleChange(value) {
@@ -465,10 +472,37 @@ function handleChange(value) {
 }
 
 /**
- * 选择药品回调
+ * 选择药品/诊疗项目回调
+ * 这里恢复为之前“能正常工作”的简单逻辑，只做最小必要的修正
  */
 function selectAdviceBase(key, row) {
-  getOrgList();
+  if (!row) {
+    console.error('[selectAdviceBase] row 为空');
+    return;
+  }
+
+  // rowIndex 理论上由 handleFocus 设置；防御一下越界
+  if (rowIndex.value < 0 || rowIndex.value >= prescriptionList.value.length) {
+    const foundIndex = prescriptionList.value.findIndex((item) => item.uniqueKey === key);
+    if (foundIndex === -1) {
+      console.error('[selectAdviceBase] 找不到对应行，key =', key);
+      return;
+    }
+    rowIndex.value = foundIndex;
+  }
+
+  // 关闭当前行弹窗
+  const currentRow = prescriptionList.value[rowIndex.value];
+  if (currentRow) {
+    currentRow.showPopover = false;
+  }
+
+  // 诊疗(adviceType=3) 才需要加载执行科室树，且只加载一次
+  if (row.adviceType === 3) {
+    ensureOrgTreeLoaded();
+  }
+
+  // 构建单位列表（保持原有逻辑）
   unitCodeList.value = [];
   unitCodeList.value.push({ value: row.unitCode, label: row.unitCode_dictText, type: 'unit' });
   if (row.doseUnitCode != row.minUnitCode) {
@@ -488,10 +522,14 @@ function selectAdviceBase(key, row) {
       type: 'minUnit',
     });
   }
+
+  // 将选中的基础项“覆盖”到当前处方行（这是之前正常工作的核心逻辑）
   prescriptionList.value[rowIndex.value] = {
     ...prescriptionList.value[rowIndex.value],
     ...JSON.parse(JSON.stringify(row)),
   };
+
+  // 后续字段处理保持原样
   prescriptionList.value[rowIndex.value].orgId = undefined;
   prescriptionList.value[rowIndex.value].dose = undefined;
   prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
@@ -500,12 +538,11 @@ function selectAdviceBase(key, row) {
   prescriptionList.value[rowIndex.value].minUnitCode = JSON.parse(JSON.stringify(row.doseUnitCode));
   prescriptionList.value[rowIndex.value].unitCode =
     row.partAttributeEnum == 1 ? row.minUnitCode : row.unitCode;
-  // prescriptionList.value[rowIndex.value].doseUnitCode_dictText = row.minUnitCode_dictText;
   prescriptionList.value[rowIndex.value].definitionId = JSON.parse(
     JSON.stringify(row)
   ).chargeItemDefinitionId;
 
-  // 库存列表 + 价格列表拼成批次号的下拉框
+  // 库存列表 + 价格列表拼成批次号的下拉框（非诊疗）
   if (row.adviceType != 3) {
     if (row.inventoryList && row.inventoryList.length == 0) {
       expandOrder.value = [];
@@ -532,9 +569,15 @@ function selectAdviceBase(key, row) {
       prescriptionList.value[rowIndex.value].positionName = stock.locationName;
     }
   } else {
+    // 诊疗：设置执行科室和价格
     prescriptionList.value[rowIndex.value].orgId = JSON.parse(JSON.stringify(row)).positionId;
-    prescriptionList.value[rowIndex.value].unitPrice = row.priceList[0].price;
+    if (row.priceList && row.priceList.length > 0) {
+      prescriptionList.value[rowIndex.value].unitPrice = row.priceList[0].price;
+    } else {
+      prescriptionList.value[rowIndex.value].unitPrice = 0;
+    }
   }
+
   expandOrder.value = [key];
   nextTick(() => {
     if (row.adviceType == 1) {
@@ -549,11 +592,18 @@ function selectAdviceBase(key, row) {
   });
 }
 
-function getOrgList() {
+function ensureOrgTreeLoaded() {
-  getOrgTree().then((res) => {
+  if (orgTreeLoaded.value) return;
-    organization.value = res.data.records;
+  orgTreeLoaded.value = true;
-    console.log(organization.value,"organization.value")
+  getOrgTree()
-  });
+    .then((res) => {
+      // 组织机构树接口通常返回分页 records，这里做兼容兜底
+      organization.value = res?.data?.records ?? res?.data ?? [];
+    })
+    .catch(() => {
+      // 加载失败时允许重试
+      orgTreeLoaded.value = false;
+    });
 }
 
 function handleDelete() {

排查指南-字段查询问题.md

@@ -282,3 +282,13 @@ public Long saveEncounterByRegister(Encounter encounter) {
 **记住**：查询条件使用的字段，必须在数据插入/更新时被设置！
 
 
+
+
+
+
+
+
+
+
+
+