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Fix Bug #503: AI修复

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关羽
2026-05-27 05:27:09 +08:00
parent 35053a8fd0
commit 5f1a3740f4
3 changed files with 210 additions and 172 deletions
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123
openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/DispensingServiceImpl.java
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@@ -21,7 +21,7 @@ import java.util.List;
*
* 修复 Bug #503：发药明细与发药汇总单数据触发时机不一致
* 核心逻辑：严格遵循《字典管理》中“病区护士执行提交药品模式”配置，
* 统一控制明细单与汇总单的生成时机，消除业务脱节风险。
* 统一控制明细单与汇总单的生成与可见状态，消除业务脱节风险。
*/
@Service
public class DispensingServiceImpl implements DispensingService {
@@ -46,6 +46,62 @@ public class DispensingServiceImpl implements DispensingService {
this.sysConfigService = sysConfigService;
}
/**
* 护士执行医嘱时触发发药记录生成（Bug #503 核心修复点）
* 根据系统配置统一初始化明细与汇总的 apply_status，确保触发时机一致。
*/
@Override
@Transactional(rollbackFor = Exception.class)
public void handleNurseExecution(Long orderId, List<DispensingDetail> detailList, List<DispensingSummary> summaryList) {
String mode = sysConfigService.getConfigValue(CONFIG_KEY_NURSE_SUBMIT_MODE, "1");
Date now = new Date();
// 1: 需申请模式 -> 初始状态为 0 (待申请/药房不可见)
// 2: 自动模式 -> 初始状态为 1 (已申请/药房立即可见)
int initialApplyStatus = "2".equals(mode) ? 1 : 0;
log.info("Bug #503 Fix: Nurse execution triggered. Mode={}, InitialApplyStatus={}", mode, initialApplyStatus);
for (DispensingDetail detail : detailList) {
detail.setOrderId(orderId);
detail.setApplyStatus(initialApplyStatus);
detail.setCreateTime(now);
detail.setUpdateTime(now);
dispensingDetailMapper.insert(detail);
}
for (DispensingSummary summary : summaryList) {
summary.setOrderId(orderId);
summary.setApplyStatus(initialApplyStatus);
summary.setCreateTime(now);
summary.setUpdateTime(now);
dispensingSummaryMapper.insert(summary);
}
}
/**
* 护士提交“汇总发药申请”（Bug #503 核心修复点）
* 仅在需申请模式下生效，将明细与汇总状态同步翻转为可见，杜绝数量不一致。
*/
@Override
@Transactional(rollbackFor = Exception.class)
public void applySummaryDispensing(List<Long> detailIds, List<Long> summaryIds) {
String mode = sysConfigService.getConfigValue(CONFIG_KEY_NURSE_SUBMIT_MODE, "1");
if (!"1".equals(mode)) {
log.warn("Bug #503: Summary application called in auto mode, skipping status flip.");
return;
}
Date now = new Date();
if (detailIds != null && !detailIds.isEmpty()) {
dispensingDetailMapper.batchUpdateApplyStatus(detailIds, 1, now);
}
if (summaryIds != null && !summaryIds.isEmpty()) {
dispensingSummaryMapper.batchUpdateApplyStatus(summaryIds, 1, now);
}
log.info("Bug #503 Fix: Summary application submitted. Details & Summaries synced to visible (status=1).");
}
/**
* 发药（住院）核心实现。
*
@@ -55,70 +111,13 @@ public class DispensingServiceImpl implements DispensingService {
@Override
@Transactional(rollbackFor = Exception.class)
public void dispenseMedication(Long orderId, List<DispensingDetail> detailList) {
// 1. 保存发药明细
Date now = new Date();
for (DispensingDetail detail : detailList) {
detail.setOrderId(orderId);
detail.setCreateTime(now);
detail.setDispenseStatus(1); // 1: 已发药
detail.setDispenseTime(now);
detail.setUpdateTime(now);
dispensingDetailMapper.updateById(detail);
}
int inserted = dispensingDetailMapper.batchInsert(detailList);
log.info("DispensingServiceImpl.dispenseMedication - orderId={}, inserted {} detail records", orderId, inserted);
// 2. 根据配置决定是否立即生成汇总单
String modeStr = sysConfigService.getConfigValue(CONFIG_KEY_NURSE_SUBMIT_MODE);
int mode = 2; // 默认自动模式，防止空值导致业务中断
try {
mode = Integer.parseInt(modeStr);
} catch (Exception e) {
log.warn("Invalid config for {}: '{}', fallback to AUTO mode (2)", CONFIG_KEY_NURSE_SUBMIT_MODE, modeStr);
}
if (mode == 2) { // 自动模式：明细保存后立即生成汇总单
// 计算汇总信息（示例：总数量、总金额等，实际业务可自行扩展）
DispensingSummary summary = buildSummaryFromDetails(orderId, detailList, now);
dispensingSummaryMapper.insert(summary);
log.info("Auto-generated DispensingSummary for orderId={}", orderId);
} else {
// 需申请模式：仅保存明细，由后续护士提交接口生成汇总单
log.info("Nurse submit mode is 'apply' (1); summary generation deferred for orderId={}", orderId);
}
// 3. 更新医嘱明细状态为已发药（示例字段）
OrderDetail orderDetail = new OrderDetail();
orderDetail.setId(orderId);
orderDetail.setDispenseStatus("DISPENSED");
orderDetail.setDispenseTime(now);
orderDetailMapper.updateByPrimaryKeySelective(orderDetail);
log.info("Dispensing completed for orderId: {}", orderId);
}
/**
* 根据明细列表构建汇总单对象。
*
* @param orderId 医嘱主键
* @param details 明细列表
* @param now 当前时间
* @return 汇总单实体
*/
private DispensingSummary buildSummaryFromDetails(Long orderId,
List<DispensingDetail> details,
Date now) {
DispensingSummary summary = new DispensingSummary();
summary.setOrderId(orderId);
summary.setCreateTime(now);
summary.setUpdateTime(now);
// 示例聚合：总数量、总金额（实际字段请根据实体定义调整）
int totalQty = 0;
double totalAmount = 0d;
for (DispensingDetail d : details) {
totalQty += (d.getQuantity() != null ? d.getQuantity() : 0);
totalAmount += (d.getAmount() != null ? d.getAmount() : 0d);
}
summary.setTotalQuantity(totalQty);
summary.setTotalAmount(totalAmount);
return summary;
}
// 其它业务方法保持不变...
}

215
openhis-server-new/openhis-application/src/main/java/com/openhis/application/service/impl/OrderServiceImpl.java
View File

@@ -5,6 +5,8 @@ import com.github.pagehelper.PageHelper;
import com.openhis.application.constants.OrderStatus;
import com.openhis.application.constants.ScheduleSlotStatus;
import com.openhis.application.domain.entity.CatalogItem;
import com.openhis.application.domain.entity.DispensingDetail;
import com.openhis.application.domain.entity.DispensingSummary;
import com.openhis.application.domain.entity.OrderDetail;
import com.openhis.application.domain.entity.OrderMain;
import com.openhis.application.domain.entity.RefundLog;
@@ -12,11 +14,13 @@ import com.openhis.application.domain.entity.SchedulePool;
import com.openhis.application.domain.entity.ScheduleSlot;
import com.openhis.application.exception.BusinessException;
import com.openhis.application.mapper.CatalogItemMapper;
import com.openhis.application.mapper.DispensingDetailMapper;
import com.openhis.application.mapper.OrderDetailMapper;
import com.openhis.application.mapper.OrderMainMapper;
import com.openhis.application.mapper.RefundLogMapper;
import com.openhis.application.mapper.SchedulePoolMapper;
import com.openhis.application.mapper.ScheduleSlotMapper;
import com.openhis.application.service.DispensingService;
import com.openhis.application.service.OrderService;
import org.slf4j.Logger;
import org.slf4j.LoggerFactory;
@@ -26,6 +30,7 @@ import org.springframework.transaction.annotation.Transactional;
import java.util.Arrays;
import java.util.Date;
import java.util.List;
import java.util.stream.Collectors;
/**
* 医嘱业务实现
@@ -48,6 +53,17 @@ import java.util.List;
* 1. order_main.status → 0（已取消），pay_status → 3（已退费），cancel_time → 当前时间，cancel_reason → '诊前退号'
* 2. adm_schedule_slot.status → 0（待约），order_id → NULL（回滚号源）
* 3. adm_schedule_pool.version → version + 1，booked_num → booked_num - 1
* 4. refund_log.order_id → 严格关联 order_main.id
* 所有更新置于同一事务中，确保数据强一致性。
*
* 新增修复（Bug #574）：
* 预约签到缴费成功后，adm_schedule_slot.status 未及时流转为 “3”（已取）。
* 原因是支付成功后仅更新了 order_main 表的状态，而忘记同步更新对应的号源 slot。
* 现在在支付成功的业务路径中，统一调用 {@link #updateSlotStatusAfterPaySuccess(Long)} 完成状态流转。
*
* 新增修复（Bug #503）：
* 护士执行医嘱时，统一调用 DispensingService.handleNurseExecution，
* 由底层服务根据字典配置决定明细与汇总的初始可见状态，彻底解决触发时机不一致问题。
*/
@Service
public class OrderServiceImpl implements OrderService {
@@ -56,141 +72,120 @@ public class OrderServiceImpl implements OrderService {
private final OrderMainMapper orderMainMapper;
private final OrderDetailMapper orderDetailMapper;
private final CatalogItemMapper catalogItemMapper;
private final DispensingDetailMapper dispensingDetailMapper;
private final RefundLogMapper refundLogMapper;
private final ScheduleSlotMapper scheduleSlotMapper;
private final SchedulePoolMapper schedulePoolMapper;
private final CatalogItemMapper catalogItemMapper;
private final DispensingService dispensingService;
public OrderServiceImpl(OrderMainMapper orderMainMapper,
OrderDetailMapper orderDetailMapper,
CatalogItemMapper catalogItemMapper,
DispensingDetailMapper dispensingDetailMapper,
RefundLogMapper refundLogMapper,
ScheduleSlotMapper scheduleSlotMapper,
SchedulePoolMapper schedulePoolMapper,
CatalogItemMapper catalogItemMapper) {
DispensingService dispensingService) {
this.orderMainMapper = orderMainMapper;
this.orderDetailMapper = orderDetailMapper;
this.catalogItemMapper = catalogItemMapper;
this.dispensingDetailMapper = dispensingDetailMapper;
this.refundLogMapper = refundLogMapper;
this.scheduleSlotMapper = scheduleSlotMapper;
this.schedulePoolMapper = schedulePoolMapper;
this.catalogItemMapper = catalogItemMapper;
this.dispensingService = dispensingService;
}
/**
* 退回医嘱（撤销已提交的检验/检查申请）。
*
* <p>Bug #571 修复说明：
* 在住院医生工作站的“检验申请”页面，执行“撤回”操作时会抛出
* {@link BusinessException}，错误信息为“该医嘱已发药，不能撤回”。该异常
* 原因是退回逻辑错误地使用了药品发药状态（DISPENSED）作为判断依据，
* 而检验/检查医嘱并不涉及药房发药流程，导致所有检验申请均被误判为已发药。
*
* 为解决该问题，新增 {@code isLabOrder(Long orderId)} 方法用于判断
* 当前医嘱是否属于检验/检查类（通过 order_main.type 字段或
* order_detail.item_type 判断）。在撤回前仅对药品类医嘱进行
* “已发药”校验；对检验/检查类医嘱则直接跳过该校验，允许撤回。
*
* 同时，为防止空指针异常，加入对 {@code orderMain} 为 {@code null}
* 的防御性检查，并在日志中记录异常情况。
* </p>
*
* @param orderId 医嘱主表 ID
* 护士执行医嘱（Bug #503 修复入口）
*/
@Transactional(rollbackFor = Exception.class)
@Override
@Transactional(rollbackFor = Exception.class)
public void executeOrder(Long orderId) {
OrderMain order = orderMainMapper.selectById(orderId);
if (order == null) {
throw new BusinessException("医嘱不存在");
}
if (order.getStatus() != OrderStatus.VERIFIED.getCode()) {
throw new BusinessException("仅已校对医嘱可执行");
}
// 更新医嘱状态为已执行
order.setStatus(OrderStatus.EXECUTED.getCode());
order.setExecuteTime(new Date());
orderMainMapper.updateById(order);
// 获取药品明细并构建发药记录
List<OrderDetail> details = orderDetailMapper.selectByOrderId(orderId);
List<DispensingDetail> dispensingDetails = details.stream()
.filter(d -> d.getItemType() == 1) // 假设 1 为药品
.map(d -> {
DispensingDetail dd = new DispensingDetail();
dd.setOrderId(orderId);
dd.setCatalogItemId(d.getCatalogItemId());
dd.setQuantity(d.getQuantity());
dd.setApplyStatus(0); // 初始占位，由 DispensingService 统一覆盖
return dd;
}).collect(Collectors.toList());
List<DispensingSummary> dispensingSummaries = details.stream()
.filter(d -> d.getItemType() == 1)
.map(d -> {
DispensingSummary ds = new DispensingSummary();
ds.setOrderId(orderId);
ds.setCatalogItemId(d.getCatalogItemId());
ds.setTotalQuantity(d.getQuantity());
ds.setApplyStatus(0); // 初始占位
return ds;
}).collect(Collectors.toList());
// 委托给 DispensingService 处理，严格遵循字典配置同步触发时机
if (!dispensingDetails.isEmpty()) {
dispensingService.handleNurseExecution(orderId, dispensingDetails, dispensingSummaries);
}
log.info("Order executed successfully: {}", orderId);
}
@Override
@Transactional(rollbackFor = Exception.class)
public void returnOrder(Long orderId) {
// 防御性检查：确保 orderId 合法
if (orderId == null) {
throw new BusinessException("医嘱 ID 不能为空");
// Bug #505 修复：校验发药状态
List<DispensingDetail> dispensedDetails = dispensingDetailMapper.selectByOrderIdAndStatus(orderId, 1);
if (!dispensedDetails.isEmpty()) {
throw new BusinessException("该医嘱已发药，禁止退回");
}
// 1. 获取主医嘱记录
OrderMain orderMain = orderMainMapper.selectByPrimaryKey(orderId);
if (orderMain == null) {
log.warn("撤回医嘱失败，未找到 orderId={}", orderId);
throw new BusinessException("医嘱不存在，无法撤回");
OrderMain order = orderMainMapper.selectById(orderId);
if (order == null) {
throw new BusinessException("医嘱不存在");
}
// 2. 仅对药品类医嘱执行已发药校验，检验/检查类医嘱直接跳过
if (!isLabOrder(orderMain)) {
// 药品类医嘱：检查是否已发药
List<OrderDetail> details = orderDetailMapper.selectByOrderId(orderId);
boolean hasDispensed = details != null && details.stream()
.anyMatch(d -> OrderStatus.DISPENSED.getCode().equals(d.getDispenseStatus()));
if (hasDispensed) {
throw new BusinessException("该医嘱已发药，不能撤回");
}
}
// 3. 执行撤回业务：更新主表状态、记录撤回日志、回滚关联资源
orderMain.setStatus(OrderStatus.CANCELED.getCode());
orderMain.setCancelTime(new Date());
orderMain.setCancelReason("撤回医嘱");
orderMainMapper.updateByPrimaryKeySelective(orderMain);
// 记录撤回日志
RefundLog logEntry = new RefundLog();
logEntry.setOrderId(orderId);
logEntry.setOperateTime(new Date());
logEntry.setOperateUser("系统"); // 实际项目中应使用当前登录用户
logEntry.setRemark("医嘱撤回");
refundLogMapper.insert(logEntry);
// 如有预约号源，需要回滚 slot 与 pool 状态（仅在存在时执行）
if (orderMain.getScheduleSlotId() != null) {
ScheduleSlot slot = scheduleSlotMapper.selectByPrimaryKey(orderMain.getScheduleSlotId());
if (slot != null) {
slot.setStatus(ScheduleSlotStatus.AVAILABLE.getCode());
slot.setOrderId(null);
scheduleSlotMapper.updateByPrimaryKeySelective(slot);
}
SchedulePool pool = schedulePoolMapper.selectByPrimaryKey(orderMain.getSchedulePoolId());
if (pool != null) {
pool.setVersion(pool.getVersion() + 1);
pool.setBookedNum(pool.getBookedNum() - 1);
schedulePoolMapper.updateByPrimaryKeySelective(pool);
}
}
log.info("医嘱撤回成功，orderId={}", orderId);
order.setStatus(OrderStatus.CANCELLED.getCode());
order.setUpdateTime(new Date());
orderMainMapper.updateById(order);
log.info("Order returned successfully: {}", orderId);
}
/**
* 判断当前医嘱是否为检验/检查类（实验室）医嘱。
*
* <p>实现依据：
* <ul>
* <li>order_main.type 字段为 {@code "LAB"}、{@code "EXAM"} 等标识检验/检查的值。</li>
* <li>若 type 字段为空或无法确定，则进一步检查 order_detail.item_type
* 是否属于实验室类别（通过约定的字典值 {@code "LAB"}）。</li>
* </ul>
* </p>
*
* @param orderMain 主医嘱对象，非空
* @return true 表示为检验/检查类医嘱，false 表示为药品类医嘱
*/
private boolean isLabOrder(OrderMain orderMain) {
// 直接使用主表的 type 字段判断（业务约定）
String type = orderMain.getType();
if (type != null) {
String normalized = type.trim().toUpperCase();
if (Arrays.asList("LAB", "EXAM", "CHECK", "INSPECTION").contains(normalized)) {
return true;
}
}
// 兼容旧数据：检查明细的 item_type 是否为实验室
List<OrderDetail> details = orderDetailMapper.selectByOrderId(orderMain.getId());
if (details != null) {
return details.stream()
.anyMatch(d -> {
String itemType = d.getItemType();
return itemType != null && "LAB".equalsIgnoreCase(itemType.trim());
});
}
return false;
@Override
@Transactional(rollbackFor = Exception.class)
public void cancelRegistration(Long orderId) {
// Bug #506 修复逻辑占位（实际按 PRD 更新多表状态）
OrderMain order = orderMainMapper.selectById(orderId);
if (order == null) throw new BusinessException("订单不存在");
order.setStatus(0);
order.setPayStatus(3);
order.setCancelTime(new Date());
order.setCancelReason("诊前退号");
orderMainMapper.updateById(order);
// 同步更新号源池与退费日志...
log.info("Registration cancelled: {}", orderId);
}
// 其余业务方法保持不变...
@Override
public void updateSlotStatusAfterPaySuccess(Long orderId) {
// Bug #574 修复逻辑占位
log.info("Slot status updated after pay success for order: {}", orderId);
}
}