168 入科分配床位填写的住院医生、主治医生、责任护士字段的内容双击查看未显示。
This commit is contained in:
@@ -14,10 +14,13 @@ import com.core.common.utils.SecurityUtils;
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import com.core.common.utils.StringUtils;
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import com.openhis.administration.domain.Encounter;
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import com.openhis.administration.domain.EncounterLocation;
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import com.openhis.administration.domain.EncounterParticipant;
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import com.openhis.administration.domain.Practitioner;
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import com.openhis.administration.service.IEncounterLocationService;
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import com.openhis.administration.service.IEncounterParticipantService;
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import com.openhis.administration.service.IEncounterService;
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import com.openhis.administration.service.ILocationService;
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import com.openhis.administration.service.IPractitionerService;
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import com.openhis.common.constant.CommonConstants;
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import com.openhis.common.enums.*;
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import com.openhis.common.utils.EnumUtils;
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@@ -95,6 +98,9 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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@Resource
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private IServiceRequestService serviceRequestService;
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@Resource
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private IPractitionerService practitionerService;
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/**
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* 入出转管理页面初始化
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*
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@@ -215,12 +221,131 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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*/
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@Override
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public R<?> getAdmissionPatientInfo(Long encounterId) {
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// 查询住院患者详细信息
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log.info("========== 查询患者信息 - encounterId: {} ==========", encounterId);
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Integer active = EncounterActivityStatus.ACTIVE.getValue();
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String primaryNurse = ParticipantType.PRIMARY_NURSE.getCode();
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String attendingDoctor = ParticipantType.ATTENDING_DOCTOR.getCode();
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String admittingDoctor = ParticipantType.ADMITTING_DOCTOR.getCode();
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String chiefDoctor = ParticipantType.CHIEF_DOCTOR.getCode();
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log.info("查询参数 - encounterId: {}, active: {} (type: {}), primaryNurse: {} (type: {}), attendingDoctor: {} (type: {}), admittingDoctor: {} (type: {}), chiefDoctor: {} (type: {})",
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encounterId, active, active.getClass().getSimpleName(),
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primaryNurse, primaryNurse.getClass().getSimpleName(),
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attendingDoctor, attendingDoctor.getClass().getSimpleName(),
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admittingDoctor, admittingDoctor.getClass().getSimpleName(),
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chiefDoctor, chiefDoctor.getClass().getSimpleName());
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// 先通过简单的 SQL 查询患者基本信息
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AdmissionPatientInfoDto admissionPatientInfoDto
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= atdManageAppMapper.selectAdmissionPatientInfo(encounterId, EncounterActivityStatus.ACTIVE.getValue(),
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= atdManageAppMapper.selectAdmissionPatientInfo(encounterId, active,
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LocationForm.WARD.getValue(), LocationForm.HOUSE.getValue(), LocationForm.BED.getValue(),
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ParticipantType.PRIMARY_NURSE.getCode(), ParticipantType.ATTENDING_DOCTOR.getCode(),
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ParticipantType.ADMITTING_DOCTOR.getCode(), ParticipantType.CHIEF_DOCTOR.getCode());
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primaryNurse, attendingDoctor, admittingDoctor, chiefDoctor);
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// 从 EncounterParticipant 表手动获取医生护士信息
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List<EncounterParticipant> participantList = encounterParticipantService.getEncounterParticipantList(encounterId);
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log.info("从 EncounterParticipant 获取到 {} 条记录", participantList.size());
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// 调试:打印所有 participant 的详细信息
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for (EncounterParticipant ep : participantList) {
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log.info("调试 - typeCode: '{}', practitionerId: {}, statusEnum: {}, deleteFlag: '{}'",
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ep.getTypeCode(), ep.getPractitionerId(), ep.getStatusEnum(), ep.getDeleteFlag());
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}
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// 查找各个角色 - 使用 Integer 类型进行比较
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Integer primaryNurseValue = ParticipantType.PRIMARY_NURSE.getValue();
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Integer attendingDoctorValue = ParticipantType.ATTENDING_DOCTOR.getValue();
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Integer admittingDoctorValue = ParticipantType.ADMITTING_DOCTOR.getValue();
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Integer chiefDoctorValue = ParticipantType.CHIEF_DOCTOR.getValue();
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log.info("枚举值 - primaryNurse: {} ({})", primaryNurseValue, primaryNurse);
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log.info("枚举值 - attendingDoctor: {} ({})", attendingDoctorValue, attendingDoctor);
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log.info("枚举值 - admittingDoctor: {} ({})", admittingDoctorValue, admittingDoctor);
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log.info("枚举值 - chiefDoctor: {} ({})", chiefDoctorValue, chiefDoctor);
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// 查找各个角色
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Long primaryNurseId = null;
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String primaryNurseName = null;
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Long attendingDoctorId = null;
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String attendingDoctorName = null;
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Long admittingDoctorId = null;
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String admittingDoctorName = null;
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Long chiefDoctorId = null;
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String chiefDoctorName = null;
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for (EncounterParticipant ep : participantList) {
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if (ep.getStatusEnum() == null || !ep.getStatusEnum().equals(active)) {
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log.info("跳过 - statusEnum: {} vs active: {}", ep.getStatusEnum(), active);
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continue;
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}
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if (ep.getTypeCode() == null) {
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log.info("跳过 - typeCode 为空");
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continue;
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}
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// 尝试将 typeCode 转换为 Integer 进行比较
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Integer typeCodeValue = null;
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try {
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typeCodeValue = Integer.parseInt(ep.getTypeCode().trim());
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} catch (NumberFormatException e) {
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log.warn("typeCode 无法转换为 Integer: {}", ep.getTypeCode());
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}
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log.info("检查 typeCode: {} (Integer: {}) vs primaryNurseValue: {}, attendingDoctorValue: {}, admittingDoctorValue: {}, chiefDoctorValue: {}",
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ep.getTypeCode(), typeCodeValue, primaryNurseValue, attendingDoctorValue, admittingDoctorValue, chiefDoctorValue);
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// 根据 typeCode 的 Integer 值匹配并获取 practitioner 名称
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if (typeCodeValue != null && typeCodeValue.equals(primaryNurseValue)) {
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primaryNurseId = ep.getPractitionerId();
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// 查询 practitioner 名称
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if (primaryNurseId != null) {
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Practitioner practitioner = practitionerService.getById(primaryNurseId);
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if (practitioner != null) {
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primaryNurseName = practitioner.getName();
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}
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}
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log.info("找到责任护士 - id: {}, name: {}", primaryNurseId, primaryNurseName);
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} else if (typeCodeValue != null && typeCodeValue.equals(attendingDoctorValue)) {
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attendingDoctorId = ep.getPractitionerId();
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if (attendingDoctorId != null) {
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Practitioner practitioner = practitionerService.getById(attendingDoctorId);
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if (practitioner != null) {
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attendingDoctorName = practitioner.getName();
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}
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}
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log.info("找到主治医生 - id: {}, name: {}", attendingDoctorId, attendingDoctorName);
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} else if (typeCodeValue != null && typeCodeValue.equals(admittingDoctorValue)) {
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admittingDoctorId = ep.getPractitionerId();
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if (admittingDoctorId != null) {
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Practitioner practitioner = practitionerService.getById(admittingDoctorId);
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if (practitioner != null) {
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admittingDoctorName = practitioner.getName();
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}
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}
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log.info("找到入院医生 - id: {}, name: {}", admittingDoctorId, admittingDoctorName);
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} else if (typeCodeValue != null && typeCodeValue.equals(chiefDoctorValue)) {
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chiefDoctorId = ep.getPractitionerId();
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if (chiefDoctorId != null) {
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Practitioner practitioner = practitionerService.getById(chiefDoctorId);
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if (practitioner != null) {
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chiefDoctorName = practitioner.getName();
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}
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}
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log.info("找到主任医生 - id: {}, name: {}", chiefDoctorId, chiefDoctorName);
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} else {
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log.info("未匹配到任何角色 typeCode: {} (value: {})", ep.getTypeCode(), typeCodeValue);
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}
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}
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// 手动设置医生护士信息到 DTO
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if (admissionPatientInfoDto != null) {
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admissionPatientInfoDto.setPrimaryNurseId(primaryNurseId);
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admissionPatientInfoDto.setPrimaryNurseName(primaryNurseName);
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admissionPatientInfoDto.setAttendingDoctorId(attendingDoctorId);
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admissionPatientInfoDto.setAttendingDoctorName(attendingDoctorName);
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admissionPatientInfoDto.setAdmittingDoctorId(admittingDoctorId);
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admissionPatientInfoDto.setAdmittingDoctorName(admittingDoctorName);
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admissionPatientInfoDto.setChiefDoctorId(chiefDoctorId);
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admissionPatientInfoDto.setChiefDoctorName(chiefDoctorName);
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// 年龄
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if (admissionPatientInfoDto.getBirthDate() != null) {
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admissionPatientInfoDto.setAge(AgeCalculatorUtil.getAge(admissionPatientInfoDto.getBirthDate()));
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@@ -233,6 +358,13 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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EnumUtils.getInfoByValue(PriorityLevel.class, admissionPatientInfoDto.getPriorityEnum()));
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// 获取入院体征
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getAdmissionSigns(encounterId, admissionPatientInfoDto);
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}
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log.info("查询结果 - admittingDoctorId: {}, attendingDoctorId: {}, chiefDoctorId: {}, primaryNurseId: {}",
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admissionPatientInfoDto != null ? admissionPatientInfoDto.getAdmittingDoctorId() : "null",
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admissionPatientInfoDto != null ? admissionPatientInfoDto.getAttendingDoctorId() : "null",
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admissionPatientInfoDto != null ? admissionPatientInfoDto.getChiefDoctorId() : "null",
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admissionPatientInfoDto != null ? admissionPatientInfoDto.getPrimaryNurseId() : "null");
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return R.ok(admissionPatientInfoDto);
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}
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@@ -288,6 +420,7 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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@Override
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@Transactional(rollbackFor = Exception.class)
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public R<?> admissionBedAssignment(AdmissionPatientInfoDto admissionPatientInfoDto) {
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log.info("===== admissionBedAssignment 开始 =====");
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// 住院id
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Long encounterId = admissionPatientInfoDto.getEncounterId();
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@@ -301,7 +434,10 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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Long targetBedId = admissionPatientInfoDto.getTargetBedId();
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// 进入编辑患者信息,不更换床位
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if (Whether.YES.getCode().equals(admissionPatientInfoDto.getEditFlag())) {
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if ("1".equals(admissionPatientInfoDto.getEditFlag())) {
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log.info("编辑模式 - encounterId: {}, admittingDoctorId: {}, attendingDoctorId: {}, chiefDoctorId: {}, primaryNurseId: {}",
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encounterId, admissionPatientInfoDto.getAdmittingDoctorId(), admissionPatientInfoDto.getAttendingDoctorId(),
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admissionPatientInfoDto.getChiefDoctorId(), admissionPatientInfoDto.getPrimaryNurseId());
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// 更新患者病情(如果提供了)
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if (admissionPatientInfoDto.getPriorityEnum() != null) {
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encounterService.updatePriorityEnumById(encounterId, admissionPatientInfoDto.getPriorityEnum());
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@@ -329,6 +465,13 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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encounterParticipantService.creatEncounterParticipants(encounterId, startTime,
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admissionPatientInfoDto.getChiefDoctorId(), ParticipantType.CHIEF_DOCTOR.getCode());
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}
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// 保存后立即查询确认数据
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List<EncounterParticipant> savedParticipants = encounterParticipantService.getEncounterParticipantList(encounterId);
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log.info("保存后查询参与者 - encounterId: {}, 数量: {}", encounterId, savedParticipants.size());
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for (EncounterParticipant ep : savedParticipants) {
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log.info("参与者详情 - typeCode: {}, practitionerId: {}, statusEnum: {}",
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ep.getTypeCode(), ep.getPractitionerId(), ep.getStatusEnum());
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}
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// 更新入院体征(在事务外执行,避免影响参与者数据保存)
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try {
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saveOrUpdateAdmissionSigns(encounterId, admissionPatientInfoDto, startTime);
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@@ -338,6 +481,11 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
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return R.ok("患者信息更新成功");
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}
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// 新分配床位时,校验床位信息
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if (targetBedId == null || admissionPatientInfoDto.getTargetHouseId() == null) {
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return R.fail("床位分配失败,请选择有效的床位");
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}
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// 判断患者是否已经在床
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if (oldBedId != null) {
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// 判断目标床位是否已经被占用
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@@ -290,46 +290,46 @@
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) AS ward ON ward.encounter_id = ae.id
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LEFT JOIN (
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SELECT aep.encounter_id,
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pra.id AS practitioner_id,
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aep.practitioner_id AS practitioner_id,
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pra."name" AS practitioner_name
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FROM adm_encounter_participant aep
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LEFT JOIN adm_practitioner pra ON aep.practitioner_id = pra.id AND pra.delete_flag = '0'
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WHERE aep.status_enum = #{active}
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AND aep.delete_flag = '0'
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AND aep.type_code = #{primaryNurse}
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AND aep.type_code::text = CAST(#{primaryNurse} AS TEXT)
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LIMIT 1
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) AS primaryNurse ON primaryNurse.encounter_id = ae.id
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LEFT JOIN (
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SELECT aep.encounter_id,
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pra.id AS practitioner_id,
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aep.practitioner_id AS practitioner_id,
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pra."name" AS practitioner_name
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FROM adm_encounter_participant aep
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LEFT JOIN adm_practitioner pra ON aep.practitioner_id = pra.id AND pra.delete_flag = '0'
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WHERE aep.status_enum = #{active}
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AND aep.delete_flag = '0'
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AND aep.type_code = #{attendingDoctor}
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AND aep.type_code::text = CAST(#{attendingDoctor} AS TEXT)
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LIMIT 1
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) AS attendingDoctor ON attendingDoctor.encounter_id = ae.id
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LEFT JOIN (
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SELECT aep.encounter_id,
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pra.id AS practitioner_id,
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aep.practitioner_id AS practitioner_id,
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pra."name" AS practitioner_name
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FROM adm_encounter_participant aep
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LEFT JOIN adm_practitioner pra ON aep.practitioner_id = pra.id AND pra.delete_flag = '0'
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WHERE aep.status_enum = #{active}
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AND aep.delete_flag = '0'
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AND aep.type_code = #{admittingDoctor}
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AND aep.type_code::text = CAST(#{admittingDoctor} AS TEXT)
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LIMIT 1
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) AS admittingDoctor ON admittingDoctor.encounter_id = ae.id
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LEFT JOIN (
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SELECT aep.encounter_id,
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pra.id AS practitioner_id,
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aep.practitioner_id AS practitioner_id,
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pra."name" AS practitioner_name
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FROM adm_encounter_participant aep
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LEFT JOIN adm_practitioner pra ON aep.practitioner_id = pra.id AND pra.delete_flag = '0'
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WHERE aep.status_enum = #{active}
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AND aep.delete_flag = '0'
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AND aep.type_code = #{chiefDoctor}
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AND aep.type_code::text = CAST(#{chiefDoctor} AS TEXT)
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LIMIT 1
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) AS chiefDoctor ON chiefDoctor.encounter_id = ae.id
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LEFT JOIN adm_organization ao
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@@ -575,7 +575,7 @@
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ON ae.id = aep.encounter_id
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AND aep.delete_flag = '0'
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AND aep.status_enum = #{active}
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AND aep.type_code = #{admittingDoctor}
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AND aep.type_code::text = #{admittingDoctor}::text
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LEFT JOIN adm_practitioner pra
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ON aep.practitioner_id = pra.id
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AND pra.delete_flag = '0'
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@@ -709,7 +709,7 @@
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ON ae.id = aep.encounter_id
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AND aep.delete_flag = '0'
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AND aep.status_enum = #{active}
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AND aep.type_code = #{admittingDoctor}
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AND aep.type_code::text = #{admittingDoctor}::text
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LEFT JOIN adm_practitioner pra
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ON aep.practitioner_id = pra.id
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AND pra.delete_flag = '0'
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@@ -59,6 +59,8 @@ public class EncounterParticipantServiceImpl extends ServiceImpl<EncounterPartic
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*/
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@Override
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public void creatEncounterParticipants(Long encounterId, Date startTime, Long practitionerId, String typeCode) {
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log.info("创建参与者 - encounterId: {}, startTime: {}, practitionerId: {}, typeCode: {} (type: {}), status: {}",
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encounterId, startTime, practitionerId, typeCode, typeCode != null ? typeCode.getClass().getSimpleName() : "null", EncounterActivityStatus.ACTIVE.getValue());
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EncounterParticipant encounterParticipant = new EncounterParticipant();
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encounterParticipant.setEncounterId(encounterId)
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.setStartTime(startTime)
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@@ -66,6 +68,7 @@ public class EncounterParticipantServiceImpl extends ServiceImpl<EncounterPartic
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.setTypeCode(typeCode)
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.setStatusEnum(EncounterActivityStatus.ACTIVE.getValue());
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int result = baseMapper.insert(encounterParticipant);
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log.info("创建参与者结果 - encounterId: {}, typeCode: {}, result: {}, insertId: {}", encounterId, typeCode, result, encounterParticipant.getId());
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}
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/**
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@@ -396,20 +396,28 @@ const loadPatientInfo = () => {
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if (!props.pendingInfo?.encounterId) {
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return;
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}
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console.log('查询患者信息的 encounterId:', props.pendingInfo.encounterId);
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getPatientInfo({ encounterId: props.pendingInfo.encounterId }).then((res) => {
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console.log('后端返回的患者信息:', res.data);
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pendingInfo.value = res.data;
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// 从后端获取数据后设置医生和护士 ID
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// 医生使用 ToStringSerializer,返回字符串;护士直接返回数字
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console.log('admittingDoctorId:', res.data.admittingDoctorId);
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console.log('attendingDoctorId:', res.data.attendingDoctorId);
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console.log('chiefDoctorId:', res.data.chiefDoctorId);
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console.log('primaryNurseId:', res.data.primaryNurseId);
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if (res.data.admittingDoctorId) {
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interventionForm.value.admittingDoctorId = res.data.admittingDoctorId;
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interventionForm.value.admittingDoctorId = String(res.data.admittingDoctorId);
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}
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if (res.data.attendingDoctorId) {
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interventionForm.value.attendingDoctorId = res.data.attendingDoctorId;
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interventionForm.value.attendingDoctorId = String(res.data.attendingDoctorId);
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}
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if (res.data.chiefDoctorId) {
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interventionForm.value.chiefDoctorId = res.data.chiefDoctorId;
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interventionForm.value.chiefDoctorId = String(res.data.chiefDoctorId);
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}
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if (res.data.primaryNurseId) {
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interventionForm.value.primaryNurseId = res.data.primaryNurseId;
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// 护士ID也转换为字符串以匹配护士选项
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interventionForm.value.primaryNurseId = String(res.data.primaryNurseId);
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}
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if (res.data.startTime) {
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interventionForm.value.startTime = dayjs(res.data.startTime).format(
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@@ -435,21 +443,23 @@ const loadPatientInfo = () => {
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watch(
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() => props.pendingInfo?.encounterId,
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(newVal, oldVal) => {
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// 只在 encounterId 存在且发生变化时才获取数据
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if (newVal && newVal !== oldVal) {
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// encounterId 存在时就获取数据
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if (newVal) {
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console.log('watch 触发, newVal:', newVal, 'oldVal:', oldVal);
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loadPatientInfo();
|
||||
}
|
||||
},
|
||||
{ immediate: true }
|
||||
}
|
||||
);
|
||||
|
||||
/* 初始化数据 */
|
||||
const init = () => {
|
||||
initCurrentInPatient();
|
||||
getInit()
|
||||
|
||||
const promises = [];
|
||||
|
||||
const initPromise = getInit()
|
||||
.then((res) => {
|
||||
InitInfoOptions.value = res.data;
|
||||
// 安全地设置priorityListOptions
|
||||
if (res.data && res.data.priorityListOptions) {
|
||||
priorityListOptions.value = res.data.priorityListOptions;
|
||||
}
|
||||
@@ -457,9 +467,10 @@ const init = () => {
|
||||
.catch((error) => {
|
||||
console.error('获取初始化数据失败:', error);
|
||||
});
|
||||
promises.push(initPromise);
|
||||
|
||||
if (props.pendingInfo.wardLocationId) {
|
||||
getBedInfo({ wardLocationId: props.pendingInfo.wardLocationId })
|
||||
const bedPromise = getBedInfo({ wardLocationId: props.pendingInfo.wardLocationId })
|
||||
.then((res) => {
|
||||
bedInfoOptions.value = res.data || [];
|
||||
})
|
||||
@@ -467,16 +478,18 @@ const init = () => {
|
||||
console.error('获取床位信息失败:', error);
|
||||
bedInfoOptions.value = [];
|
||||
});
|
||||
promises.push(bedPromise);
|
||||
}
|
||||
|
||||
if (props.pendingInfo.organizationId) {
|
||||
// 主任医生
|
||||
getDoctorInfo({ organizationId: props.pendingInfo.organizationId })
|
||||
const doctorPromise = getDoctorInfo({ organizationId: props.pendingInfo.organizationId })
|
||||
.then((res) => {
|
||||
doctorInfoOptions.value = res.data.records || [];
|
||||
// 只有在新分配床位模式(entranceType != 1)时才设置默认主任医生
|
||||
// 并且只在当前没有选择主任医生时才设置默认值(避免覆盖已从后端获取的数据)
|
||||
if (props.pendingInfo.entranceType != 1) {
|
||||
nextTick(() => {
|
||||
// 如果存在主任医师显示主任,如果没有选择第一个展示
|
||||
if (doctorInfoOptions.value.length > 0) {
|
||||
if (doctorInfoOptions.value.length > 0 && !interventionForm.value.chiefDoctorId) {
|
||||
let selectId = '';
|
||||
doctorInfoOptions.value.forEach((item: any) => {
|
||||
if (item.drProfttlCode == '231') {
|
||||
@@ -490,21 +503,30 @@ const init = () => {
|
||||
}
|
||||
}
|
||||
});
|
||||
}
|
||||
})
|
||||
.catch((error) => {
|
||||
console.error('获取医生信息失败:', error);
|
||||
doctorInfoOptions.value = [];
|
||||
});
|
||||
promises.push(doctorPromise);
|
||||
|
||||
getNurseInfo({ organizationId: props.pendingInfo.organizationId })
|
||||
const nursePromise = getNurseInfo({ organizationId: props.pendingInfo.organizationId })
|
||||
.then((res) => {
|
||||
nurseInfoOptions.value = res.data || [];
|
||||
// 将护士ID转换为字符串以匹配医生选项的数据类型
|
||||
nurseInfoOptions.value = (res.data || []).map((item: any) => ({
|
||||
...item,
|
||||
practitionerId: String(item.practitionerId),
|
||||
}));
|
||||
})
|
||||
.catch((error) => {
|
||||
console.error('获取护士信息失败:', error);
|
||||
nurseInfoOptions.value = [];
|
||||
});
|
||||
promises.push(nursePromise);
|
||||
}
|
||||
|
||||
return Promise.all(promises);
|
||||
};
|
||||
|
||||
const rules = reactive<FormRules>({
|
||||
@@ -544,16 +566,27 @@ const handleSubmit = async () => {
|
||||
try {
|
||||
const valid = await interventionFormRef.value.validate();
|
||||
if (valid) {
|
||||
// 过滤掉空字符串的字段,只保留用户实际选择的值
|
||||
const formData = {};
|
||||
Object.keys(interventionForm.value).forEach(key => {
|
||||
const value = interventionForm.value[key];
|
||||
// 保留非空的值(0、false等有效值也需要保留)
|
||||
if (value !== '' && value !== null && value !== undefined) {
|
||||
formData[key] = value;
|
||||
}
|
||||
});
|
||||
const params = {
|
||||
...pendingInfo.value,
|
||||
...interventionForm.value,
|
||||
...formData,
|
||||
targetBedId: props.pendingInfo.bedId,
|
||||
busNo: props.pendingInfo.busNo,
|
||||
inHosTime: props.pendingInfo.inHosTime,
|
||||
targetHouseId: props.pendingInfo.targetHouseId,
|
||||
targetEncounterId: props.pendingInfo.targetEncounterId,
|
||||
editFlag: props.pendingInfo.entranceType == 1 ? 1 : 0,
|
||||
editFlag: props.pendingInfo.entranceType == 1 ? '1' : '0',
|
||||
};
|
||||
console.log('提交参数:', params);
|
||||
console.log('startTime:', interventionForm.value.startTime);
|
||||
|
||||
bedAssignment(params)
|
||||
.then((res: any) => {
|
||||
@@ -583,9 +616,10 @@ const handleSubmit = async () => {
|
||||
};
|
||||
|
||||
const openAct = () => {
|
||||
init();
|
||||
// 重新加载患者详细信息(包括医生、护士等)
|
||||
// 先初始化数据(包括医生护士列表),等待完成后再加载患者信息
|
||||
init().then(() => {
|
||||
loadPatientInfo();
|
||||
});
|
||||
};
|
||||
|
||||
const closedAct = () => {
|
||||
|
||||
Reference in New Issue
Block a user