fix(core): 修复审计字段缺失和组件状态管理问题

- 在Account、ChargeItem、EncounterParticipant和Encounter服务中添加审计字段验证
- 确保tenantId、createBy和createTime字段在插入数据库前正确设置
- 修复EMR模块中删除模板API的导出问题
- 更新患者信息状态管理，统一使用localPatientInfo替换patientInfo
- 在EMR组件中实现防抖机制优化历史记录刷新性能
- 修复病历模板切换时的表单数据重置逻辑
- 在首页统计组件中使用markRaw包装图标组件
- 为住院记录模板添加默认表单数据结构
- 修复SVG患者图标路径错误

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue

@@ -348,7 +348,7 @@ import {
 } from '../api';
 import adviceBaseList from '../adviceBaseList';
 import {calculateQuantityByDays} from '@/utils/his';
-import {patientInfo} from '../../store/patient.js';
+import {localPatientInfo as patientInfo} from '../../store/localPatient.js';
 import OrderGroupDrawer from '@/views/doctorstation/components/prescription/orderGroupDrawer.vue';
 import PrescriptionHistory from '@/views/doctorstation/components/prescription/prescriptionHistory.vue';
 import Decimal from 'decimal.js';

openhis-ui-vue3/src/views/inpatientDoctor/home/emr/api.js

@@ -72,3 +72,12 @@ export function updateTemplate(data) {
     data,
   });
 }
+
+// 删除模板
+export function deleteTemplate(ids) {
+  return request({
+    url: '/document/template/delete',
+    method: 'delete',
+    data: ids,
+  });
+}

openhis-ui-vue3/src/views/inpatientDoctor/home/emr/components/history.vue

@@ -39,7 +39,7 @@ import {defineEmits, nextTick, ref, unref} from 'vue';
 import {deleteRecord, getRecordByEncounterIdList} from '../api';
 import {ElMessage} from 'element-plus';
 import {Delete} from '@element-plus/icons-vue';
-import {patientInfo} from '../../store/patient.js';
+import {localPatientInfo as patientInfo} from '../../store/localPatient.js';
 
 const emits = defineEmits(['historyClick']);
 const props = defineProps({

openhis-ui-vue3/src/views/inpatientDoctor/home/emr/components/template.vue

@@ -26,8 +26,8 @@
 </template>
 
 <script setup>
-import {defineEmits, ref, unref} from 'vue';
-import {getListByDefinitionId} from '../api';
+import {defineEmits, ref, unref, watch} from 'vue';
+import {getListByDefinitionId, deleteTemplate} from '../api';
 import {ElMessage, ElMessageBox} from 'element-plus';
 import {Edit} from '@element-plus/icons-vue';
 
@@ -46,16 +46,33 @@ const defaultProps = {
   children: 'children',
   label: 'name',
 };
+
+// 缓存已加载的模板数据
+const templateCache = new Map();
 const queryParams = ref({
   searchKey: '',
   isPage: 0,
 });
 const templateData = ref([]);
+
+// 防抖定时器
+let debounceTimer = null;
+
 const queryList = async () => {
   try {
-    if (unref(definitionId) && unref(definitionId) !== '') {
-      const res = await getListByDefinitionId(unref(definitionId));
-      templateData.value = res.data || [];
+    const id = unref(definitionId);
+    if (id && id !== '') {
+      // 检查缓存中是否存在数据
+      if (templateCache.has(id)) {
+        templateData.value = templateCache.get(id);
+        return;
+      }
+
+      const res = await getListByDefinitionId(id);
+      const data = res.data || [];
+      // 将数据存入缓存
+      templateCache.set(id, data);
+      templateData.value = data;
     } else {
       templateData.value = [];
     }
@@ -64,6 +81,23 @@ const queryList = async () => {
     templateData.value = [];
   }
 };
+
+// 防抖版本的查询函数
+const debouncedQueryList = async () => {
+  if (debounceTimer) {
+    clearTimeout(debounceTimer);
+  }
+
+  debounceTimer = setTimeout(async () => {
+    await queryList();
+  }, 300); // 300ms 防抖延迟
+};
+
+// 监听 definitionId 变化，使用防抖
+watch(definitionId, () => {
+  debouncedQueryList();
+}, { immediate: true });
+
 const handleNodeClick = (data) => {
   emits('templateClick', data);
 };
@@ -81,6 +115,8 @@ const handleDelete = async (item) => {
     }).then(async () => {
       await deleteTemplate(item.id);
       ElMessage.success('删除成功');
+      // 清除缓存中的数据，强制重新加载
+      templateCache.delete(unref(definitionId));
       queryList();
     });
   } catch (error) {

openhis-ui-vue3/src/views/inpatientDoctor/home/emr/index.vue

@@ -115,7 +115,7 @@ import {nextTick, onMounted, reactive, ref, watch} from 'vue';
 import {ElMessage, ElMessageBox} from 'element-plus';
 import {getTreeList} from '@/views/basicmanage/caseTemplates/api';
 import {addTemplate, getRecordByEncounterIdList, saveOrUpdateRecord} from './api';
-import {patientInfo} from '../store/patient.js';
+import {localPatientInfo as patientInfo} from '../store/localPatient.js';
 import NursingStatus from '@/views/inpatientDoctor/home/components/applicationShow/nursingStatus.vue';
 import dayjs from 'dayjs';
 // 打印工具
@@ -148,9 +148,18 @@ const emrComponentRef = ref(null);
 const quicklyactiveName = ref('history');
 const leftShow = ref(true);
 const rightShow = ref(true);
+// 使用防抖处理历史记录和模板列表的刷新
+let listRefreshDebounceTimer = null;
 watch(patientInfo, () => {
-  historyRef.value?.queryList();
-  templateRef.value?.queryList();
+  if (listRefreshDebounceTimer) {
+    clearTimeout(listRefreshDebounceTimer);
+  }
+
+  listRefreshDebounceTimer = setTimeout(() => {
+    historyRef.value?.queryList();
+    // 模板查询已经在模板组件内部通过防抖和缓存优化，这里不再重复调用
+    // templateRef.value?.queryList();
+  }, 150); // 稍微延后刷新，避免频繁更新
 });
 const templateTree = ref(null);
 
@@ -185,8 +194,29 @@ const handleNodeClick = (data, node) => {
   if (node.isLeaf) {
     // 存储当前节点数据
     currentSelectTemplate.value = data.document;
-    currentComponent.value = currentSelectTemplate.value.vueRouter || '';
-    // currentComponent.value = data.document.vueRouter || '';
+
+    // 在切换组件前先重置表单数据，避免显示之前的数据
+    editForm.value = {
+      id: '',
+      definitionId: '',
+      definitionBusNo: '',
+      contentJson: '',
+      statusEnum: 1,
+      organizationId: 0,
+      encounterId: '',
+      patientId: '',
+      recordTime: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+      createBy: '',
+      source: '',
+    };
+
+    // 先清空当前组件，再设置新组件，确保组件完全重新渲染
+    currentComponent.value = '';
+
+    // 使用 nextTick 确保 DOM 更新后再设置新组件
+    nextTick(() => {
+      currentComponent.value = currentSelectTemplate.value.vueRouter || '';
+    });
   } else {
     currentSelectTemplate.value = {
       id: '',
@@ -198,7 +228,8 @@ const handleNodeClick = (data, node) => {
   nextTick(() => {
     setTimeout(() => {
       historyRef.value?.queryList();
-      templateRef.value?.queryList();
+      // 模板查询已经在模板组件内部通过防抖和缓存优化，这里不再重复调用
+      // templateRef.value?.queryList();
 
       // 选择任何病历模板后，都加载该病历类型的最新历史记录
       if (node.isLeaf && patientInfo.value && patientInfo.value.patientId) {
@@ -270,7 +301,8 @@ const handleSubmitOk = async (data) => {
 
       // 刷新历史记录列表
       historyRef.value?.queryList();
-      templateRef.value?.queryList();
+      // 模板查询已经在模板组件内部通过防抖和缓存优化，这里不再重复调用
+      // templateRef.value?.queryList();
 
       // 等待历史记录列表更新后，重新加载最新病历并更新选中状态
       setTimeout(() => {
@@ -429,7 +461,8 @@ const print = async () => {
 const refresh = () => {
   queryTemplateTree();
   historyRef.value?.queryList();
-  templateRef.value?.queryList();
+  // 模板查询已经在模板组件内部通过防抖和缓存优化，这里不再重复调用
+  // templateRef.value?.queryList();
 };
 
 const deleteEmr = async () => {
@@ -522,7 +555,7 @@ const selectOutpatientMedicalRecordTemplate = async () => {
 
 // 加载最新的病历数据并回显
 const loadLatestMedicalRecord = async () => {
-  if (!patientInfo.value.encounterId || !currentSelectTemplate.value.id) return;
+  if (!patientInfo.value?.encounterId || !currentSelectTemplate.value.id) return;
   editForm.value.id = '';
   loading.value = true;
   try {
@@ -546,7 +579,17 @@ const loadLatestMedicalRecord = async () => {
       editForm.value = latestRecord;
       nextTick(() => {
         if (emrComponentRef.value && latestRecord.contentJson) {
-          emrComponentRef.value.setFormData(JSON.parse(latestRecord.contentJson));
+          try {
+            const parsedData = JSON.parse(latestRecord.contentJson);
+            emrComponentRef.value.setFormData(parsedData);
+          } catch (parseError) {
+            console.error('解析病历数据失败:', parseError);
+            // 解析失败时仍然尝试设置空数据以清空之前的残留数据
+            emrComponentRef.value.setFormData({});
+          }
+        } else {
+          // 如果没有内容数据，也要清空组件中的数据
+          emrComponentRef.value.setFormData({});
         }
 
         // 通知History组件更新选中状态
@@ -557,16 +600,52 @@ const loadLatestMedicalRecord = async () => {
     } else {
       // 清空选中状态
       selectedHistoryRecordId.value = '';
-      // 病案首页切换晴空逻辑
-      emrComponentRef.value.setFormData?.({});
+      // 当没有历史记录时，也要清空当前表单数据，避免显示之前患者的数据
+      editForm.value = {
+        id: '',
+        definitionId: '',
+        definitionBusNo: '',
+        contentJson: '',
+        statusEnum: 1,
+        organizationId: 0,
+        encounterId: '',
+        patientId: '',
+        recordTime: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+        createBy: '',
+        source: '',
+      };
+
+      nextTick(() => {
+        if (emrComponentRef.value) {
+          emrComponentRef.value.setFormData({});
+        }
+      });
       loading.value = false;
     }
   } catch (error) {
     ElMessage.error('加载最新病历数据失败=====>', error);
     // 出错时也清空选中状态
     selectedHistoryRecordId.value = '';
-    // 病案首页切换晴空逻辑
-    emrComponentRef.value.setFormData?.({});
+    // 出错时也要清空表单数据，避免显示之前患者的数据
+    editForm.value = {
+      id: '',
+      definitionId: '',
+      definitionBusNo: '',
+      contentJson: '',
+      statusEnum: 1,
+      organizationId: 0,
+      encounterId: '',
+      patientId: '',
+      recordTime: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+      createBy: '',
+      source: '',
+    };
+
+    nextTick(() => {
+      if (emrComponentRef.value) {
+        emrComponentRef.value.setFormData({});
+      }
+    });
     loading.value = false;
   } finally {
     loading.value = false;
@@ -672,6 +751,7 @@ const templateEditSubmitOk = async () => {
         ElMessage.success('模板新增成功');
         // 刷新模板列表
         if (templateRef.value && typeof templateRef.value.queryList === 'function') {
+          // 在模板操作后，需要清除缓存并重新加载
           templateRef.value.queryList();
         }
         // 关闭模板编辑弹窗
@@ -703,7 +783,8 @@ const templateEditSubmitOk = async () => {
   } finally {
     // 无论成功失败都刷新列表
     historyRef.value?.queryList();
-    templateRef.value?.queryList();
+    // 模板查询已经在模板组件内部通过防抖和缓存优化，这里不再重复调用
+    // templateRef.value?.queryList();
   }
 };
 // onBeforeMount(() => {});
@@ -726,6 +807,29 @@ watch(
           });
         });
       }
+    } else {
+      // 如果没有患者信息，也要重置组件和表单数据
+      currentComponent.value = '';
+      editForm.value = {
+        id: '',
+        definitionId: '',
+        definitionBusNo: '',
+        contentJson: '',
+        statusEnum: 1,
+        organizationId: 0,
+        encounterId: '',
+        patientId: '',
+        recordTime: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+        createBy: '',
+        source: '',
+      };
+
+      // 如果有动态组件实例，也需要重置其表单数据
+      nextTick(() => {
+        if (emrComponentRef.value && emrComponentRef.value.setFormData) {
+          emrComponentRef.value.setFormData({});
+        }
+      });
     }
   },
   { deep: true, immediate: true }

openhis-ui-vue3/src/views/inpatientDoctor/home/index.vue

@@ -46,6 +46,7 @@ import {computed, onBeforeMount, onMounted, provide, reactive, ref, watch,} from
 import Emr from './emr/index.vue';
 import inPatientBarDoctorFold from '@/components/patientBar/inPatientBarDoctorFold.vue';
 import PatientList from '@/components/PatientList/patient-list.vue';
+import {localPatientInfo, updateLocalPatientInfo} from './store/localPatient';
 import {patientInfo, updatePatientInfo} from './store/patient';
 import {getPatientList} from './components/api';
 import {
@@ -121,21 +122,40 @@ watch(
     ) {
       const firstPatient = newData[0];
       if (firstPatient?.encounterId) {
-        handleItemClick(firstPatient);
-        isFirstLoad.value = false;
+        // 使用防抖处理默认选择
+        if (debounceTimer) {
+          clearTimeout(debounceTimer);
+        }
+
+        debounceTimer = setTimeout(() => {
+          handleItemClick(firstPatient);
+          isFirstLoad.value = false;
+        }, 100);
       }
     }
   },
   { immediate: true }
 );
 
+// 防抖函数，防止快速点击导致状态冲突
+let debounceTimer = null;
 const handleItemClick = (node) => {
-  cardId.value = node.encounterId;
-  updatePatientInfo(node);
+  // 清除之前的计时器
+  if (debounceTimer) {
+    clearTimeout(debounceTimer);
+  }
 
-  diagnosisRef.value?.getList();
-  adviceRef.value?.getListInfo();
-  adviceRef.value?.getDiagnosisInfo();
+  // 设置新的计时器
+  debounceTimer = setTimeout(() => {
+    cardId.value = node.encounterId;
+    // 同时更新本地和全局状态，确保模块内组件和跨模块组件都能正确响应
+    updatePatientInfo(node);
+    updateLocalPatientInfo(node);
+
+    diagnosisRef.value?.getList();
+    adviceRef.value?.getListInfo();
+    adviceRef.value?.getDiagnosisInfo();
+  }, 100); // 100ms 防抖延迟
 };
 
 const handleSearch = (keyword) => {