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/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) => {