360 住院护士站-》三测单：体征录入保存失败

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/appservice/IVitalSignsAppService.java

@@ -36,7 +36,7 @@ public interface IVitalSignsAppService {
      *
      * @return 体温单检索结果
      */
-    R<?> searchVitalSigns(String startTime, String endTime);
+    R<?> searchVitalSigns(String startTime, String endTime, String patientId);
 
     /**
      * 体温单记录删除

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/appservice/impl/VitalSignsAppServiceImpl.java

@@ -266,13 +266,14 @@ public class VitalSignsAppServiceImpl implements IVitalSignsAppService {
      *
      * @param startTime 开始时间
      * @param endTime 结束时间
+     * @param patientId 患者ID
      * @return 检索结果
      */
     @Override
-    public R<?> searchVitalSigns(String startTime, String endTime) {
+    public R<?> searchVitalSigns(String startTime, String endTime, String patientId) {
 
         // 基本信息查询
-        List<VitalSigns> vitalSignsList = vitalSignsAppMapper.searchVitalSigns(startTime, endTime);
+        List<VitalSigns> vitalSignsList = vitalSignsAppMapper.searchVitalSigns(startTime, endTime, patientId);
         // 判断查询结果是否为空
         if (vitalSignsList.isEmpty()) {
             return R.ok(Collections.emptyList());

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/controller/VitalSignsController.java

@@ -57,8 +57,8 @@ public class VitalSignsController {
      * @return 体温单检索结果
      */
     @GetMapping("/record-search")
-    public R<?> searchVitalSigns(String startTime, String endTime) {
+    public R<?> searchVitalSigns(String startTime, String endTime, String patientId) {
-        return R.ok(vitalSignsAppService.searchVitalSigns(startTime, endTime));
+        return R.ok(vitalSignsAppService.searchVitalSigns(startTime, endTime, patientId));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/dto/VitalSignsSaveDto.java

@@ -1,6 +1,7 @@
 package com.openhis.web.inpatientmanage.dto;
 
 import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
 import lombok.AllArgsConstructor;
 import lombok.Builder;
 import lombok.Data;
@@ -35,6 +36,7 @@ public class VitalSignsSaveDto extends HisBaseEntity {
     /**
      * 记录日期
      */
+    @JsonFormat(pattern = "yyyy-MM-dd")
     private Date recordingDate;
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/mapper/VitalSignsAppMapper.java

@@ -38,9 +38,10 @@ public interface VitalSignsAppMapper {
      *
      * @param startTime 开始时间
      * @param endTime 结束时间
+     * @param patientId 患者ID
      * @return 查询记录结果
      */
-    List<VitalSigns> searchVitalSigns(@Param("startTime") String startTime, @Param("endTime") String endTime);
+    List<VitalSigns> searchVitalSigns(@Param("startTime") String startTime, @Param("endTime") String endTime, @Param("patientId") String patientId);
 
     /**
      * 删除记录

openhis-server-new/openhis-application/src/main/resources/mapper/inpatientmanage/NursingRecordAppMapper.xml

@@ -25,6 +25,7 @@
                       T2.organization_id AS org_id,           --科室ID（从就诊表取）
                       T2.id              AS encounter_id,     --就诊ID
                      T2.start_time      AS admissionDate,    --入院日期
+                     T3.ward_admission_date AS wardAdmissionDate, --入科日期
                      T3.location_id     AS ward_location_id, --病区
                      T4.location_id     AS bed_location_id   --床号
               FROM adm_patient AS T1

openhis-server-new/openhis-application/src/main/resources/mapper/inpatientmanage/VitalSignsAppMapper.xml

@@ -81,6 +81,9 @@
             -- 记录日期
             T1.recording_date >= #{startTime}::date
             AND T1.recording_date <= #{endTime}::date
+            <if test="patientId != null and patientId != ''">
+                AND T1.patient_id = #{patientId}::bigint
+            </if>
             AND T1.delete_flag = '0'
 
         </where>

openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue

@@ -1,11 +1,11 @@
 <template>
   <el-dialog
     title="患者详情"
-    v-model="props.open"
+    v-model="dialogVisible"
     width="1700px"
     append-to-body
-    destroy-on-close
+    :destroy-on-close="false"
-    @close="close"
+    @close="closeDialog"
   >
     <div style="display: flex; justify-content: space-between" class="app-container">
       <div style="width: 50%">
@@ -67,45 +67,33 @@
               ref="patientListRef"
               max-height="650"
               :data="patientList"
-              row-key="encounterId"
+              row-key="id"
-              @cell-click="clickRow"
               highlight-current-row
+              @row-click="handleRowClick"
             >
-              <el-table-column type="selection" :selectable="checkSelectable" width="55" />
+              <el-table-column prop="recordingDate" label="日期" width="80" />
-              <el-table-column prop="busNo" label="体温" width="80" />
+              <el-table-column prop="timePoint" label="时间" width="60" />
-              <el-table-column prop="statusEnum_enumText" label="收缩压" min-width="120" />
+              <el-table-column prop="temperature" label="体温" width="70" />
-              <el-table-column prop="busNo" label="舒张压" width="80" />
+              <el-table-column prop="systolicPressure" label="收缩压" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="心率" min-width="120" />
+              <el-table-column prop="diastolicPressure" label="舒张压" width="70" />
-              <el-table-column prop="busNo" label="脉搏" width="80" />
+              <el-table-column prop="heartRate" label="心率" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="呼吸" min-width="120" />
+              <el-table-column prop="pulseRate" label="脉搏" width="70" />
-              <el-table-column prop="busNo" label="血氧" width="80" />
+              <el-table-column prop="respirationRate" label="呼吸" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="动脉压" min-width="120" />
+              <el-table-column prop="bloodOxygen" label="血氧" width="70" />
-              <el-table-column prop="busNo" label="血糖" width="80" />
+              <el-table-column prop="bloodGlucose" label="血糖" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="物理降温" min-width="120" />
+              <el-table-column prop="physicalCooling" label="物理降温" width="80" />
-              <el-table-column prop="busNo" label="左瞳孔(光)" width="80" />
+              <el-table-column prop="ccuHeartRate" label="CCU心率" width="80" />
-              <el-table-column prop="statusEnum_enumText" label="右瞳孔(光)" min-width="120" />
+              <el-table-column prop="newbornsIncubator" label="新生儿箱温" width="90" />
-              <el-table-column prop="busNo" label="CCU心率" width="280" />
+              <el-table-column prop="bloodKetone" label="血酮" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="左瞳孔(大小)" min-width="120" />
+              <el-table-column prop="height" label="身高" width="70" />
-              <el-table-column prop="busNo" label="右瞳孔(大小)" width="280" />
+              <el-table-column prop="waistCircumference" label="腹围" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="意识" min-width="120" />
+              <el-table-column prop="stoolFrequency" label="大便次数" width="80" />
-              <el-table-column prop="busNo" label="新生儿箱温" width="280" />
+              <el-table-column prop="enemaFrequency" label="灌肠次数" width="80" />
-              <el-table-column prop="statusEnum_enumText" label="血酮" min-width="120" />
+              <el-table-column prop="sfAfterEnema" label="灌肠后大便" width="90" />
-              <el-table-column prop="busNo" label="体重" width="280" />
+              <el-table-column prop="output" label="出量" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="身高" min-width="120" />
+              <el-table-column prop="input" label="入量" width="70" />
-              <el-table-column prop="busNo" label="腹围" width="280" />
+              <el-table-column prop="urineVolume" label="尿量" width="70" />
-              <el-table-column prop="statusEnum_enumText" label="大便次数" min-width="120" />
+              <el-table-column prop="stoolVolume" label="大便量" width="70" />
-              <el-table-column prop="busNo" label="灌肠次数" width="280" />
-              <el-table-column prop="statusEnum_enumText" label="灌肠后大便次数" min-width="120" />
-              <el-table-column prop="busNo" label="出量" width="280" />
-              <el-table-column prop="statusEnum_enumText" label="入量" min-width="120" />
-              <el-table-column prop="statusEnum_enumText" label="尿量" min-width="120" />
-              <el-table-column prop="busNo" label="大便量" width="280" />
-              <el-table-column label="操作" min-width="150" fixed="right">
-                <!-- <template #default="scope"> -->
-                <template>
-                  <el-button link type="primary" size="small">保存</el-button>
-                </template>
-              </el-table-column>
             </el-table>
           </div>
         </el-card>
@@ -204,7 +192,7 @@
                       <div class="flex-container">
                         <el-input
                           prop="lowBloodPressure"
-                          v-model="formData.date"
+                          v-model="formData.systolicPressure"
                           style="width: 90px"
                           size="small"
                           @keydown="onKeyDown('1', '1', $event)"
@@ -213,7 +201,7 @@
                         <label>/</label>
                         <el-input
                           prop="HighBloodPressure"
-                          v-model="formData.times"
+                          v-model="formData.diastolicPressure"
                           style="width: 90px"
                           size="small"
                           @keydown="onKeyDown('1', '2', $event)"
@@ -655,20 +643,21 @@
     </div>
     <template #footer>
       <div class="dialog-footer">
-        <el-button @click="close">取 消</el-button>
+        <el-button @click="closeDialog">取 消</el-button>
       </div>
     </template>
   </el-dialog>
 </template>
 
 <script setup>
-import {ref} from 'vue';
+import {ref, watch} from 'vue';
+import request from '@/utils/request';
 import {addVitalSigns, listPatient} from './api';
 import moment from "moment";
 
 const { proxy } = getCurrentInstance();
 const props = defineProps({
-  open: {
+  modelValue: {
     type: Boolean,
     default: false,
   },
@@ -678,9 +667,21 @@ const props = defineProps({
   },
   patientInfo: {
     type: Object,
-    default: () => {},
+    default: () => ({}),
   },
 });
+
+const emit = defineEmits(['close', 'update:modelValue']);
+
+// 直接使用computed双向绑定，更可靠
+const dialogVisible = computed({
+  get() {
+    return props.modelValue;
+  },
+  set(val) {
+    emit('update:modelValue', val);
+  }
+});
 const { method_code, unit_code, rate_code, distribution_category_code } = proxy.useDict(
   'method_code',
   'unit_code',
@@ -688,12 +689,14 @@ const { method_code, unit_code, rate_code, distribution_category_code } = proxy.
   'distribution_category_code'
 );
 
-const emit = defineEmits(['close']);
 const queryParams = ref({
   pageNum: 1,
   pageSize: 10,
   patientId: undefined, // 患者id
+  startTime: undefined,
+  endTime: undefined,
 });
+const patientList = ref([]);
 // const patientInfo = ref({
 //   patientName: '张三',
 // });
@@ -758,10 +761,33 @@ const InputOptions = ref([
   },
 ])
 
-// 表单数据
+// 日期范围 - 体征信息搜索时间
+const receptionTime = ref(null);
+
+// 表单数据 - 体征录入
 const formData = ref({
-  username: '',
+  timePoint: '',
-  gender: '',
+  temperature: '',
+  systolicPressure: '',
+  diastolicPressure: '',
+  heartRate: '',
+  pulseRate: '',
+  respirationRate: '',
+  bloodOxygen: '',
+  bloodGlucose: '',
+  physicalCooling: '',
+  ccuHeartRate: '',
+  newbornsIncubator: '',
+  bloodKetone: '',
+  height: '',
+  waistCircumference: '',
+  stoolFrequency: '',
+  enemaFrequency: '',
+  sfAfterEnema: '',
+  output: '',
+  input: '',
+  urineVolume: '',
+  stoolVolume: '',
 });
 // 表格列配置数据
 const tableColumns = ref([
@@ -790,19 +816,64 @@ const tableColumns = ref([
   // 更多列配置...
 ]);
 
-function getPatientList() {}
+function getPatientList() {
+  let startTime = null;
+  let endTime = null;
+  if (receptionTime.value && receptionTime.value.length === 2) {
+    startTime = receptionTime.value[0];
+    endTime = receptionTime.value[1];
+  }
+  // 查询体征数据 - 使用正确的API接口
+  request({
+    url: '/vital-signs/record-search',
+    method: 'get',
+    params: {
+      startTime,
+      endTime,
+      patientId: props.patientId
+    }
+  }).then((res) => {
+
+    // 判断返回的数据结构
+    let data = res.data;
+    if (res.data && res.data.data && typeof res.data.data === 'object') {
+      // 如果是嵌套结构 {data: {data: Array(3)}}
+      data = res.data.data;
+    } else if (res.data && typeof res.data === 'object' && res.data.data !== undefined) {
+      // 如果是 {code: 200, msg: '操作成功', data: Array(3)}
+      data = res.data.data;
+    }
+
+    console.log('=== data 长度 ===', data?.length);
+
+    if (res.code === 200 && data) {
+      console.log('=== 准备赋值 patientList.value ===');
+      patientList.value = data;
+      console.log('=== patientList.value 赋值后 ===', patientList.value);
+      console.log('=== patientList.value 长度 ===', patientList.value?.length);
+    } else {
+      console.error('=== 查询失败或无数据 ===');
+    }
+  }).catch(err => {
+    console.error('=== 查询报错 ===', err);
+  });
+}
 /**
  * 取得患者信息详细
  */
 function getPatientDetial() {
+  console.log('=== getPatientDetial 开始 ===', props.patientInfo);
   patientInfo.value = props.patientInfo;
   console.log(props, 'props', props.patientInfo);
   reset();
   title.value = '';
-  title.value = props.title;
-  console.log(props, 'props', title.value);
   console.log(queryParams.value, 'queryParams.value', props.patientId);
   queryParams.value.patientId = props.patientId;
+  // 默认查询今天的数据
+  const today = moment().format('YYYY-MM-DD');
+  receptionTime.value = [today, today];
+  // 自动加载数据
+  getPatientList();
   listPatient(queryParams.value).then((res) => {
     if (res.data && res.data.records && res.data.records.length > 0) {
       form.value = res.data.records[0];
@@ -823,22 +894,186 @@ function getPatientDetial() {
   });
 }
 
-function close() {
+function closeDialog() {
   reset();
+  dialogVisible.value = false;
   emit('close');
 }
+
+// 转换时间格式 HH:MM:SS -> HHMM
+function convertTimePoint(timeStr) {
+  if (!timeStr) return '';
+  // 如果已经是 HHMM 格式（4位数字），直接返回
+  if (/^\d{4}$/.test(timeStr)) {
+    return timeStr;
+  }
+  // 转换 HH:MM:SS -> HHMM
+  const parts = timeStr.split(':');
+  if (parts.length >= 2) {
+    return (parts[0].padStart(2, '0') + parts[1].padStart(2, '0'));
+  }
+  return timeStr;
+}
+
+// 表格行点击 - 填充表单
+function handleRowClick(row) {
+  formData.value = {
+    ...formData.value,
+    id: row.id,
+    timePoint: convertTimePoint(row.timePoint) || '',
+    temperature: row.temperature || '',
+    systolicPressure: row.systolicPressure || '',
+    diastolicPressure: row.diastolicPressure || '',
+    heartRate: row.heartRate || '',
+    pulseRate: row.pulseRate || '',
+    respirationRate: row.respirationRate || '',
+    bloodOxygen: row.bloodOxygen || '',
+    bloodGlucose: row.bloodGlucose || '',
+    physicalCooling: row.physicalCooling || '',
+    ccuHeartRate: row.ccuHeartRate || '',
+    newbornsIncubator: row.newbornsIncubator || '',
+    bloodKetone: row.bloodKetone || '',
+    height: row.height || '',
+    waistCircumference: row.waistCircumference || '',
+    stoolFrequency: row.stoolFrequency || '',
+    enemaFrequency: row.enemaFrequency || '',
+    sfAfterEnema: row.sfAfterEnema || '',
+    output: row.output || '',
+    input: row.input || '',
+    urineVolume: row.urineVolume || '',
+    stoolVolume: row.stoolVolume || '',
+  };
+}
 function confirmCharge() {
-  let params = {}
+  const params = {
-  params = formData.value
+    ...formData.value,
-  params.patientId = props.patientInfo.patientId
+    patientId: props.patientInfo.patientId,
-  params.encounterId = props.patientInfo.encounterId
+    encounterId: props.patientInfo.encounterId,
+  };
+
+  // 收集所有录入的体征数据
+  const vitalSignsCode = [];
+  const vitalSignsValues = [];
+
+  if (params.temperature) {
+    vitalSignsCode.push('003');
+    vitalSignsValues.push(params.temperature);
+  }
+  if (params.systolicPressure && params.diastolicPressure) {
+    vitalSignsCode.push('001', '002');
+    vitalSignsValues.push(params.systolicPressure, params.diastolicPressure);
+  }
+  if (params.heartRate) {
+    vitalSignsCode.push('004');
+    vitalSignsValues.push(params.heartRate);
+  }
+  if (params.pulseRate) {
+    vitalSignsCode.push('005');
+    vitalSignsValues.push(params.pulseRate);
+  }
+  if (params.respirationRate) {
+    vitalSignsCode.push('006');
+    vitalSignsValues.push(params.respirationRate);
+  }
+  if (params.bloodOxygen) {
+    vitalSignsCode.push('014');
+    vitalSignsValues.push(params.bloodOxygen);
+  }
+  if (params.bloodGlucose) {
+    vitalSignsCode.push('016');
+    vitalSignsValues.push(params.bloodGlucose);
+  }
+  if (params.physicalCooling) {
+    vitalSignsCode.push('017');
+    vitalSignsValues.push(params.physicalCooling);
+  }
+  if (params.ccuHeartRate) {
+    vitalSignsCode.push('041');
+    vitalSignsValues.push(params.ccuHeartRate);
+  }
+  if (params.newbornsIncubator) {
+    vitalSignsCode.push('061');
+    vitalSignsValues.push(params.newbornsIncubator);
+  }
+  if (params.bloodKetone) {
+    vitalSignsCode.push('140');
+    vitalSignsValues.push(params.bloodKetone);
+  }
+  if (params.height) {
+    vitalSignsCode.push('009');
+    vitalSignsValues.push(params.height);
+  }
+  if (params.waistCircumference) {
+    vitalSignsCode.push('052');
+    vitalSignsValues.push(params.waistCircumference);
+  }
+  if (params.stoolFrequency) {
+    vitalSignsCode.push('131');
+    vitalSignsValues.push(params.stoolFrequency);
+  }
+  if (params.enemaFrequency) {
+    vitalSignsCode.push('132');
+    vitalSignsValues.push(params.enemaFrequency);
+  }
+  if (params.sfAfterEnema) {
+    vitalSignsCode.push('133');
+    vitalSignsValues.push(params.sfAfterEnema);
+  }
+  if (params.output) {
+    vitalSignsCode.push('112');
+    vitalSignsValues.push(params.output);
+  }
+  if (params.input) {
+    vitalSignsCode.push('111');
+    vitalSignsValues.push(params.input);
+  }
+  if (params.urineVolume) {
+    vitalSignsCode.push('115');
+    vitalSignsValues.push(params.urineVolume);
+  }
+  if (params.stoolVolume) {
+    vitalSignsCode.push('134');
+    vitalSignsValues.push(params.stoolVolume);
+  }
+
+  params.vitalSignsCode = vitalSignsCode;
+  params.vitalSignsValues = vitalSignsValues;
   params.recordingDate = moment(new Date()).format('YYYY-MM-DD');
-  params.timePoint = formData.value.timePoint
+
-  params.vitalSignsCode = ['003']
+  addVitalSigns(params).then(res => {
-  params.vitalSignsValues = ['38']
+    console.log('保存成功:', res);
-  addVitalSigns(formData.value).then(res => {
+    if (res.code === 200) {
-    console.log(res)
+      // 保存成功后刷新列表
-  })
+      getPatientList();
+      // 清空表单
+      formData.value = {
+        timePoint: '',
+        temperature: '',
+        systolicPressure: '',
+        diastolicPressure: '',
+        heartRate: '',
+        pulseRate: '',
+        respirationRate: '',
+        bloodOxygen: '',
+        bloodGlucose: '',
+        physicalCooling: '',
+        ccuHeartRate: '',
+        newbornsIncubator: '',
+        bloodKetone: '',
+        height: '',
+        waistCircumference: '',
+        stoolFrequency: '',
+        enemaFrequency: '',
+        sfAfterEnema: '',
+        output: '',
+        input: '',
+        urineVolume: '',
+        stoolVolume: '',
+      };
+      // 保存成功后关闭弹窗
+      closeDialog();
+    }
+  });
 }
 /** 重置操作表单 */
 function reset() {
@@ -935,6 +1170,10 @@ defineExpose({
   width: 100%;
 }
 
+.input-time-inline .el-select {
+  width: 150px;
+}
+
 .flex-container {
   display: flex;
   align-items: center; /* 垂直居中对齐 */

openhis-ui-vue3/src/views/inpatientNurse/tprChart/index.vue

@@ -125,7 +125,7 @@
     </div>
     <add-tpr-dialog
       ref="addTprDialogRef"
-      :open="openAddTpr"
+      v-model="openAddTpr"
       :patientId="patientId"
       :patientInfo="patientData"
       @close="closePatientDetialDialog"