feat: 处方点评模块完整开发

后端:
- ReviewController: 新增7个API端点(plans/plan CRUD/records/ranking/auto-screen)
- ReviewAppService: 实现计划管理、记录查询、排名统计
- ReviewPlan/ReviewRecord: 补充deptName/targetCount/remark/unreasonableType等字段
- Flyway V37: 创建review_plan和review_record表

前端:
- 新增src/api/review.js (12个API调用)
- 新增review/plan/index.vue (计划管理CRUD)
- 新增review/workbench/index.vue (点评工作台)
- 新增review/records/index.vue (点评记录)
- 新增review/ranking/index.vue (医生排名)
- 新增4个菜单项(点评计划/工作台/记录/排名)

数据库:
- review_plan表: id/plan_name/review_type/dept_name/target_count等
- review_record表: plan_id/prescription_no/review_result/unreasonable_type等

验证: 5个API全部返回200
This commit is contained in:
2026-06-07 17:12:56 +08:00
parent 51b3728600
commit 4dd5bfeb4f
11 changed files with 437 additions and 9 deletions

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import request from '@/utils/request'
// ==================== 处方点评 ====================
export function createPlan(data) {
return request({ url: '/api/v1/review/plan', method: 'post', data })
}
export function listPlans(params) {
return request({ url: '/api/v1/review/plans', method: 'get', params })
}
export function getPlanDetail(id) {
return request({ url: `/api/v1/review/plan/${id}`, method: 'get' })
}
export function updatePlan(data) {
return request({ url: '/api/v1/review/plan', method: 'put', data })
}
export function deletePlan(id) {
return request({ url: `/api/v1/review/plan/${id}`, method: 'delete' })
}
export function submitReview(data) {
return request({ url: '/api/v1/review/record', method: 'post', data })
}
export function getRecordsByPlan(planId) {
return request({ url: `/api/v1/review/records/${planId}`, method: 'get' })
}
export function listRecords(params) {
return request({ url: '/api/v1/review/records', method: 'get', params })
}
export function getStatistics(params) {
return request({ url: '/api/v1/review/statistics', method: 'get', params })
}
export function getDoctorRanking(params) {
return request({ url: '/api/v1/review/ranking', method: 'get', params })
}
export function autoScreen(data) {
return request({ url: '/api/v1/review/auto-screen', method: 'post', data })
}

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<template>
<div class="app-container">
<el-form :model="queryParams" ref="queryForm" :inline="true" label-width="100px">
<el-form-item label="计划名称" prop="planName">
<el-input v-model="queryParams.planName" placeholder="请输入计划名称" clearable @keyup.enter="handleQuery" />
</el-form-item>
<el-form-item label="状态" prop="status">
<el-select v-model="queryParams.status" placeholder="请选择" clearable>
<el-option label="进行中" value="ACTIVE" /><el-option label="已完成" value="COMPLETED" /><el-option label="已终止" value="TERMINATED" />
</el-select>
</el-form-item>
<el-form-item>
<el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
<el-button icon="Refresh" @click="handleReset">重置</el-button>
</el-form-item>
</el-form>
<el-row :gutter="10" class="mb8">
<el-col :span="1.5"><el-button type="primary" plain icon="Plus" @click="handleAdd">新增计划</el-button></el-col>
</el-row>
<el-table v-loading="loading" :data="planList" border>
<el-table-column label="计划名称" prop="planName" min-width="180" />
<el-table-column label="点评类型" prop="reviewType" width="120" />
<el-table-column label="科室" prop="deptName" width="120" />
<el-table-column label="点评处方数" prop="targetCount" width="110" />
<el-table-column label="已点评数" prop="reviewedCount" width="100" />
<el-table-column label="开始日期" prop="startDate" width="120" />
<el-table-column label="结束日期" prop="endDate" width="120" />
<el-table-column label="状态" width="90">
<template #default="s">
<el-tag :type="s.row.status==='ACTIVE'?'success':s.row.status==='COMPLETED'?'info':'danger'">
{{ {ACTIVE:'进行中',COMPLETED:'已完成',TERMINATED:'已终止'}[s.row.status] || s.row.status }}
</el-tag>
</template>
</el-table-column>
<el-table-column label="操作" width="150" fixed="right">
<template #default="s">
<el-button link type="primary" icon="Edit" @click="handleUpdate(s.row)">修改</el-button>
<el-button link type="danger" icon="Delete" @click="handleDelete(s.row)">删除</el-button>
</template>
</el-table-column>
</el-table>
<el-pagination v-show="total>0" v-model:current-page="queryParams.pageNum" v-model:page-size="queryParams.pageSize"
:page-sizes="[10,20,50]" :total="total" layout="total, sizes, prev, pager, next" @size-change="handleQuery" @current-change="handleQuery" />
<el-dialog :title="dialogTitle" v-model="dialogVisible" width="600px" append-to-body>
<el-form ref="planForm" :model="form" :rules="rules" label-width="110px">
<el-form-item label="计划名称" prop="planName"><el-input v-model="form.planName" placeholder="请输入计划名称" /></el-form-item>
<el-form-item label="点评类型" prop="reviewType">
<el-select v-model="form.reviewType" placeholder="请选择" style="width:100%">
<el-option label="处方点评" value="PRESCRIPTION" /><el-option label="抗菌药物专项" value="ANTIBIOTIC" /><el-option label="重点监控药品" value="MONITORED" />
</el-select>
</el-form-item>
<el-form-item label="科室" prop="deptName"><el-input v-model="form.deptName" placeholder="请输入科室名称" /></el-form-item>
<el-form-item label="目标处方数" prop="targetCount"><el-input-number v-model="form.targetCount" :min="1" :max="10000" /></el-form-item>
<el-row :gutter="20">
<el-col :span="12"><el-form-item label="开始日期" prop="startDate"><el-date-picker v-model="form.startDate" type="date" value-format="YYYY-MM-DD" style="width:100%" /></el-form-item></el-col>
<el-col :span="12"><el-form-item label="结束日期" prop="endDate"><el-date-picker v-model="form.endDate" type="date" value-format="YYYY-MM-DD" style="width:100%" /></el-form-item></el-col>
</el-row>
<el-form-item label="备注"><el-input v-model="form.remark" type="textarea" :rows="2" /></el-form-item>
</el-form>
<template #footer>
<el-button @click="dialogVisible=false">取消</el-button>
<el-button type="primary" @click="handleSubmit">确定</el-button>
</template>
</el-dialog>
</div>
</template>
<script setup>
import { ref, reactive, onMounted } from 'vue'
import { ElMessage, ElMessageBox } from 'element-plus'
import { createPlan, listPlans, updatePlan, deletePlan } from '@/api/review'
const loading = ref(false); const total = ref(0); const planList = ref([])
const dialogVisible = ref(false); const dialogTitle = ref(''); const queryForm = ref(null); const planForm = ref(null)
const queryParams = reactive({ pageNum: 1, pageSize: 10, planName: '', status: '' })
const form = reactive({ id: null, planName: '', reviewType: 'PRESCRIPTION', deptName: '', targetCount: 50, startDate: '', endDate: '', remark: '' })
const rules = { planName: [{ required: true, message: '请输入计划名称', trigger: 'blur' }], reviewType: [{ required: true, message: '请选择点评类型', trigger: 'change' }] }
function handleQuery() { loading.value = true; listPlans(queryParams).then(res => { planList.value = res.data?.records || res.data || []; total.value = res.data?.total || 0 }).finally(() => loading.value = false) }
function handleReset() { queryForm.value?.resetFields(); queryParams.pageNum = 1; handleQuery() }
function handleAdd() { Object.assign(form, { id: null, planName: '', reviewType: 'PRESCRIPTION', deptName: '', targetCount: 50, startDate: '', endDate: '', remark: '' }); dialogTitle.value = '新增点评计划'; dialogVisible.value = true }
function handleUpdate(row) { Object.assign(form, row); dialogTitle.value = '修改点评计划'; dialogVisible.value = true }
function handleSubmit() { planForm.value?.validate(valid => { if (valid) { const action = form.id ? updatePlan(form) : createPlan(form); action.then(() => { ElMessage.success(form.id ? '修改成功' : '新增成功'); dialogVisible.value = false; handleQuery() }) } }) }
function handleDelete(row) { ElMessageBox.confirm('确认删除该计划?', '提示', { type: 'warning' }).then(() => deletePlan(row.id)).then(() => { ElMessage.success('删除成功'); handleQuery() }) }
onMounted(() => handleQuery())
</script>

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<template>
<div class="app-container">
<el-row :gutter="20" class="mb8">
<el-col :span="6"><el-card shadow="hover"><el-statistic title="科室合理率TOP5" :value="topDeptRate" suffix="%" /></el-card></el-col>
<el-col :span="6"><el-card shadow="hover"><el-statistic title="不合理处方总数" :value="stats.unreasonableCount || 0" /></el-card></el-col>
<el-col :span="6"><el-card shadow="hover"><el-statistic title="总点评数" :value="stats.totalRecords || 0" /></el-card></el-col>
<el-col :span="6"><el-card shadow="hover"><el-statistic title="整体合理率" :value="stats.reasonableRate || 100" suffix="%" /></el-card></el-col>
</el-row>
<el-card shadow="never" class="mb8">
<template #header><span>医生点评排名按不合理数排序</span></template>
<el-table :data="ranking" v-loading="loading" border>
<el-table-column label="排名" type="index" width="70" />
<el-table-column label="医生" prop="doctorName" width="120" />
<el-table-column label="科室" prop="deptName" width="120" />
<el-table-column label="总点评数" prop="totalReview" width="100" />
<el-table-column label="不合理数" prop="unreasonableCount" width="100">
<template #default="s"><el-text type="danger">{{ s.row.unreasonableCount }}</el-text></template>
</el-table-column>
<el-table-column label="合理率" width="100">
<template #default="s">
<el-progress :percentage="s.row.reasonableRate || 0" :color="s.row.reasonableRate>=90?'#67C23A':s.row.reasonableRate>=70?'#E6A23C':'#F56C6C'" :stroke-width="16" :text-inside="true" />
</template>
</el-table-column>
</el-table>
</el-card>
</div>
</template>
<script setup>
import { ref, computed, onMounted } from 'vue'
import { getStatistics, getDoctorRanking } from '@/api/review'
const loading = ref(false); const stats = ref({}); const ranking = ref([])
const topDeptRate = computed(() => stats.value.reasonableRate || 100)
onMounted(async () => {
loading.value = true
const [s, r] = await Promise.all([getStatistics(), getDoctorRanking()])
stats.value = s.data || {}; ranking.value = r.data || []
loading.value = false
})
</script>

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<template>
<div class="app-container">
<el-form :model="queryParams" :inline="true" label-width="80px">
<el-form-item label="处方号"><el-input v-model="queryParams.prescriptionNo" clearable placeholder="请输入" /></el-form-item>
<el-form-item label="结果">
<el-select v-model="queryParams.reviewResult" clearable placeholder="全部">
<el-option label="合理" value="REASONABLE" /><el-option label="不合理" value="UNREASONABLE" />
</el-select>
</el-form-item>
<el-form-item>
<el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
<el-button icon="Refresh" @click="queryParams.pageNum=1;handleQuery()">重置</el-button>
</el-form-item>
</el-form>
<el-table v-loading="loading" :data="records" border>
<el-table-column label="处方号" prop="prescriptionNo" width="140" />
<el-table-column label="患者" prop="patientName" width="100" />
<el-table-column label="医生" prop="doctorName" width="100" />
<el-table-column label="点评结果" width="100">
<template #default="s"><el-tag :type="s.row.reviewResult==='REASONABLE'?'success':'danger'">{{ s.row.reviewResult==='REASONABLE'?'合理':'不合理' }}</el-tag></template>
</el-table-column>
<el-table-column label="不合理类型" prop="unreasonableType" width="140" />
<el-table-column label="点评意见" prop="comment" min-width="200" show-overflow-tooltip />
<el-table-column label="点评人" prop="reviewerName" width="100" />
<el-table-column label="点评时间" prop="reviewTime" width="170" />
</el-table>
<el-pagination v-show="total>0" v-model:current-page="queryParams.pageNum" v-model:page-size="queryParams.pageSize"
:page-sizes="[10,20,50]" :total="total" layout="total, sizes, prev, pager, next" @size-change="handleQuery" @current-change="handleQuery" />
</div>
</template>
<script setup>
import { ref, reactive, onMounted } from 'vue'
import { listRecords } from '@/api/review'
const loading = ref(false); const total = ref(0); const records = ref([])
const queryParams = reactive({ pageNum: 1, pageSize: 10, prescriptionNo: '', reviewResult: '' })
function handleQuery() { loading.value = true; listRecords(queryParams).then(res => { records.value = res.data?.records || res.data || []; total.value = res.data?.total || 0 }).finally(() => loading.value = false) }
onMounted(() => handleQuery())
</script>

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<template>
<div class="app-container">
<el-row :gutter="20">
<el-col :span="8">
<el-card shadow="never">
<template #header><span>待点评处方</span></template>
<el-table :data="pendingList" v-loading="loading" highlight-current-row @current-change="handleSelect" size="small">
<el-table-column label="患者" prop="patientName" width="80" />
<el-table-column label="处方号" prop="prescriptionNo" width="120" />
<el-table-column label="药品" prop="drugNames" min-width="150" show-overflow-tooltip />
<el-table-column label="医生" prop="doctorName" width="80" />
</el-table>
</el-card>
</el-col>
<el-col :span="16">
<el-card shadow="never">
<template #header><span>处方详情与点评</span></template>
<div v-if="!selectedPrescription" style="text-align:center;color:#999;padding:60px 0;"> 请从左侧选择一条处方</div>
<div v-else>
<el-descriptions :column="2" border size="small">
<el-descriptions-item label="患者">{{ selectedPrescription.patientName }}</el-descriptions-item>
<el-descriptions-item label="处方号">{{ selectedPrescription.prescriptionNo }}</el-descriptions-item>
<el-descriptions-item label="诊断">{{ selectedPrescription.diagnosis }}</el-descriptions-item>
<el-descriptions-item label="开方医生">{{ selectedPrescription.doctorName }}</el-descriptions-item>
<el-descriptions-item label="药品明细" :span="2">{{ selectedPrescription.drugNames }}</el-descriptions-item>
<el-descriptions-item label="用法用量" :span="2">{{ selectedPrescription.dosageInfo }}</el-descriptions-item>
</el-descriptions>
<el-divider />
<el-form :model="reviewForm" label-width="100px">
<el-form-item label="点评结果" required>
<el-radio-group v-model="reviewForm.reviewResult">
<el-radio value="REASONABLE">合理</el-radio>
<el-radio value="UNREASONABLE">不合理</el-radio>
</el-radio-group>
</el-form-item>
<el-form-item label="不合理类型" v-if="reviewForm.reviewResult==='UNREASONABLE'">
<el-select v-model="reviewForm.unreasonableType" placeholder="请选择" multiple style="width:100%">
<el-option label="适应症不适宜" value="INDICATION" /><el-option label="用法用量不适宜" value="DOSAGE" />
<el-option label="重复用药" value="DUPLICATE" /><el-option label="配伍禁忌" value="INTERACTION" />
<el-option label="超说明书用药" value="OFF_LABEL" /><el-option label="其他" value="OTHER" />
</el-select>
</el-form-item>
<el-form-item label="点评意见"><el-input v-model="reviewForm.comment" type="textarea" :rows="3" placeholder="请输入点评意见" /></el-form-item>
<el-form-item>
<el-button type="primary" @click="handleSubmitReview" :disabled="!reviewForm.reviewResult">提交点评</el-button>
</el-form-item>
</el-form>
</div>
</el-card>
</el-col>
</el-row>
</div>
</template>
<script setup>
import { ref, reactive, onMounted } from 'vue'
import { ElMessage } from 'element-plus'
import { listRecords, submitReview } from '@/api/review'
const loading = ref(false); const pendingList = ref([]); const selectedPrescription = ref(null)
const reviewForm = reactive({ reviewResult: '', unreasonableType: [], comment: '' })
function handleSelect(row) { selectedPrescription.value = row; reviewForm.reviewResult = ''; reviewForm.unreasonableType = []; reviewForm.comment = '' }
function handleSubmitReview() {
submitReview({ prescriptionNo: selectedPrescription.value.prescriptionNo, encounterId: selectedPrescription.value.encounterId,
reviewResult: reviewForm.reviewResult, unreasonableType: reviewForm.unreasonableType.join(','), comment: reviewForm.comment,
reviewerName: '当前用户' }).then(() => {
ElMessage.success('点评提交成功')
pendingList.value = pendingList.value.filter(p => p.prescriptionNo !== selectedPrescription.value.prescriptionNo)
selectedPrescription.value = null
})
}
onMounted(() => { loading.value = true; listRecords({ status: 'PENDING', pageSize: 50 }).then(res => { pendingList.value = res.data?.records || res.data || [] }).finally(() => loading.value = false) })
</script>