feat(emr): 病历修改留痕 — AppService/Controller/前端组件

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrRevisionAppService.java

@@ -0,0 +1,14 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrRevision;
+
+import java.util.List;
+
+public interface IEmrRevisionAppService {
+
+    EmrRevision recordRevision(EmrRevision revision);
+
+    List<EmrRevision> getRevisions(Long emrId);
+
+    EmrRevision getRevisionDetail(Long id);
+}

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrRevisionAppServiceImpl.java

@@ -0,0 +1,43 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.emr.domain.EmrRevision;
+import com.healthlink.his.emr.service.IEmrRevisionService;
+import com.healthlink.his.web.emr.appservice.IEmrRevisionAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.Date;
+import java.util.List;
+
+@Service
+public class EmrRevisionAppServiceImpl implements IEmrRevisionAppService {
+
+    @Resource
+    private IEmrRevisionService emrRevisionService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public EmrRevision recordRevision(EmrRevision revision) {
+        EmrRevision latest = emrRevisionService.selectLatest(revision.getEmrId());
+        int nextNumber = (latest != null) ? latest.getRevisionNumber() + 1 : 1;
+        revision.setRevisionNumber(nextNumber);
+        if (revision.getEncounterId() == null && latest != null) {
+            revision.setEncounterId(latest.getEncounterId());
+        }
+        revision.setCreateTime(new Date());
+        emrRevisionService.save(revision);
+        return revision;
+    }
+
+    @Override
+    public List<EmrRevision> getRevisions(Long emrId) {
+        return emrRevisionService.selectByEmrId(emrId);
+    }
+
+    @Override
+    public EmrRevision getRevisionDetail(Long id) {
+        return emrRevisionService.getById(id);
+    }
+}

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrRevisionController.java

@@ -5,26 +5,47 @@ import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
 import com.healthlink.his.emr.domain.EmrRevision;
 import com.healthlink.his.emr.service.IEmrRevisionService;
+import com.healthlink.his.web.emr.appservice.IEmrRevisionAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
 import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
-import org.springframework.transaction.annotation.Transactional;
+import org.springframework.security.access.prepost.PreAuthorize;
 import org.springframework.web.bind.annotation.*;
 
-import java.util.Date;
 import java.util.Map;
 
 /**
  * 病历修改留痕 Controller
  */
 @RestController
-@RequestMapping("/emr-revision")
+@RequestMapping("/emr/revision")
 @Slf4j
 @AllArgsConstructor
+@Tag(name = "病历修改留痕")
 public class EmrRevisionController {
 
     private final IEmrRevisionService revisionService;
 
+    private final IEmrRevisionAppService emrRevisionAppService;
+
+    @PostMapping("/record")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "记录修改留痕")
+    public R<EmrRevision> recordRevision(@RequestBody EmrRevision revision) {
+        return R.ok(emrRevisionAppService.recordRevision(revision));
+    }
+
+    @GetMapping("/list/{emrId}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取修改历史列表")
+    public R<?> getRevisions(@PathVariable Long emrId) {
+        return R.ok(emrRevisionAppService.getRevisions(emrId));
+    }
+
     @GetMapping("/page")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "分页查询修改留痕")
     public R<?> getPage(
             @RequestParam(value = "emrId", required = false) Long emrId,
             @RequestParam(value = "encounterId", required = false) Long encounterId,
@@ -39,35 +60,16 @@ public class EmrRevisionController {
         return R.ok(revisionService.page(new Page<>(pageNo, pageSize), w));
     }
 
-    @GetMapping("/list")
-    public R<?> getList(@RequestParam("emrId") Long emrId) {
-        LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
-        w.eq(EmrRevision::getEmrId, emrId)
-         .orderByAsc(EmrRevision::getRevisionNumber);
-        return R.ok(revisionService.list(w));
-    }
-
     @GetMapping("/{id}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取修订详情")
     public R<?> getById(@PathVariable Long id) {
-        return R.ok(revisionService.getById(id));
-    }
-
-    @PostMapping("/record")
-    @Transactional(rollbackFor = Exception.class)
-    public R<?> recordRevision(@RequestBody EmrRevision revision) {
-        // 自动计算版本号
-        LambdaQueryWrapper<EmrRevision> w = new LambdaQueryWrapper<>();
-        w.eq(EmrRevision::getEmrId, revision.getEmrId())
-         .orderByDesc(EmrRevision::getRevisionNumber)
-         .last("LIMIT 1");
-        EmrRevision last = revisionService.getOne(w);
-        revision.setRevisionNumber(last == null ? 1 : last.getRevisionNumber() + 1);
-        revision.setCreateTime(new Date());
-        revisionService.save(revision);
-        return R.ok(revision);
+        return R.ok(emrRevisionAppService.getRevisionDetail(id));
     }
 
     @GetMapping("/compare")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "对比两个修订版本")
     public R<?> compareRevisions(
             @RequestParam("revisionId1") Long id1,
             @RequestParam("revisionId2") Long id2) {

healthlink-his-ui/src/api/anesthesia.js

@@ -93,3 +93,11 @@ export function saveAnesSummary(data) {
 export function getAnesSummary(recordId) {
   return request({ url: '/api/v1/anesthesia/summary/' + recordId, method: 'get' })
 }
+
+export function recordPostopFollowup(data) {
+  return request({ url: '/api/v1/anesthesia/postop-followup', method: 'post', data })
+}
+
+export function getPostopFollowups(encounterId) {
+  return request({ url: '/api/v1/anesthesia/postop-followup/' + encounterId, method: 'get' })
+}

healthlink-his-ui/src/api/emr.js

@@ -2,6 +2,10 @@ import request from "@/utils/request"
 export function getTimelinessByEncounter(encounterId) { return request({ url: "/emr-revision/timeliness/" + encounterId, method: "get" }) }
 export function getTimelinessStatistics(params) { return request({ url: "/emr-revision/statistics", method: "get", params }) }
 export function getPendingEmrCount(params) { return request({ url: "/emr-archive/pending-count", method: "get", params }) }
-
-// 查询超期病历列表
 export function getOverdueList(params) { return request({ url: "/emr-archive/overdue/list", method: "get", params }) }
+
+export function recordEmrRevision(data) { return request({ url: "/emr/revision/record", method: "post", data }) }
+export function getEmrRevisionList(emrId) { return request({ url: "/emr/revision/list/" + emrId, method: "get" }) }
+export function getEmrRevisionPage(params) { return request({ url: "/emr/revision/page", method: "get", params }) }
+export function getEmrRevisionDetail(id) { return request({ url: "/emr/revision/" + id, method: "get" }) }
+export function compareEmrRevisions(id1, id2) { return request({ url: "/emr/revision/compare", method: "get", params: { revisionId1: id1, revisionId2: id2 } }) }

healthlink-his-ui/src/api/emr/index.js

@@ -1,4 +1,5 @@
 import request from '@/utils/request'
+
 export function createRevision(data) { return request({ url: '/api/v1/emr/revision', method: 'post', data }) }
 export function getRevisionHistory(emrId) { return request({ url: '/api/v1/emr/revision/' + emrId, method: 'get' }) }
 export function executeCompletenessCheck(emrId) { return request({ url: '/api/v1/emr/completeness-check/' + emrId, method: 'post' }) }
@@ -7,3 +8,9 @@ export function getTimelinessByEncounter(encounterId) { return request({ url: '/
 export function getOverdueList() { return request({ url: '/api/v1/emr/timeliness/overdue', method: 'get' }) }
 export function getTimelinessStatistics(params) { return request({ url: '/api/v1/emr/timeliness/statistics', method: 'get', params }) }
 export function checkTimeliness(data) { return request({ url: '/api/v1/emr/timeliness/check', method: 'post', data }) }
+
+export function recordEmrRevision(data) { return request({ url: '/emr/revision/record', method: 'post', data }) }
+export function getEmrRevisionList(emrId) { return request({ url: '/emr/revision/list/' + emrId, method: 'get' }) }
+export function getEmrRevisionPage(params) { return request({ url: '/emr/revision/page', method: 'get', params }) }
+export function getEmrRevisionDetail(id) { return request({ url: '/emr/revision/' + id, method: 'get' }) }
+export function compareEmrRevisions(id1, id2) { return request({ url: '/emr/revision/compare', method: 'get', params: { revisionId1: id1, revisionId2: id2 } }) }

healthlink-his-ui/src/views/inpatientDoctor/EmrRevisionTrack.vue

@@ -0,0 +1,277 @@
+<template>
+  <div class="emr-revision-track">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>修改留痕记录</span>
+          <div>
+            <el-button v-if="compareIds.length === 2" type="primary" size="small" @click="handleCompare">对比选中</el-button>
+            <el-button type="info" size="small" @click="handleRefresh">刷新</el-button>
+          </div>
+        </div>
+      </template>
+
+      <el-timeline v-if="revisions.length > 0">
+        <el-timeline-item
+          v-for="item in revisions"
+          :key="item.id"
+          :timestamp="item.createTime"
+          placement="top"
+          :type="getTimelineType(item.operationType)"
+          size="large"
+        >
+          <el-card shadow="never" class="revision-card">
+            <div class="revision-header">
+              <div class="revision-meta">
+                <el-tag size="small" :type="getOpTagType(item.operationType)">{{ getOpLabel(item.operationType) }}</el-tag>
+                <span class="revision-number">版本 #{{ item.revisionNumber }}</span>
+                <span class="revision-operator">{{ item.operatorName }}</span>
+              </div>
+              <div class="revision-actions">
+                <el-checkbox
+                  :model-value="compareIds.includes(item.id)"
+                  :disabled="!compareIds.includes(item.id) && compareIds.length >= 2"
+                  @change="(val) => toggleCompare(item.id, val)"
+                />
+                <el-button link type="primary" size="small" @click="handleViewDetail(item)">查看详情</el-button>
+              </div>
+            </div>
+            <div v-if="item.diffContent" class="revision-diff">
+              <div class="diff-label">修改内容：</div>
+              <pre class="diff-content">{{ item.diffContent }}</pre>
+            </div>
+            <div v-if="item.snapshotContent" class="revision-snapshot">
+              <div class="diff-label">快照内容：</div>
+              <pre class="diff-content">{{ truncateContent(item.snapshotContent) }}</pre>
+            </div>
+          </el-card>
+        </el-timeline-item>
+      </el-timeline>
+
+      <el-empty v-else description="暂无修改记录" />
+    </el-card>
+
+    <el-dialog v-model="detailVisible" title="修订详情" width="700px" destroy-on-close top="5vh">
+      <div v-if="currentRevision" class="detail-content">
+        <el-descriptions :column="2" border size="small">
+          <el-descriptions-item label="版本号">{{ currentRevision.revisionNumber }}</el-descriptions-item>
+          <el-descriptions-item label="操作类型">
+            <el-tag size="small" :type="getOpTagType(currentRevision.operationType)">{{ getOpLabel(currentRevision.operationType) }}</el-tag>
+          </el-descriptions-item>
+          <el-descriptions-item label="操作人">{{ currentRevision.operatorName }}</el-descriptions-item>
+          <el-descriptions-item label="操作时间">{{ currentRevision.createTime }}</el-descriptions-item>
+          <el-descriptions-item label="病历ID">{{ currentRevision.emrId }}</el-descriptions-item>
+          <el-descriptions-item label="就诊ID">{{ currentRevision.encounterId }}</el-descriptions-item>
+        </el-descriptions>
+        <div v-if="currentRevision.diffContent" style="margin-top: 16px">
+          <div class="diff-label">修改内容：</div>
+          <pre class="detail-pre">{{ currentRevision.diffContent }}</pre>
+        </div>
+        <div v-if="currentRevision.snapshotContent" style="margin-top: 16px">
+          <div class="diff-label">快照内容：</div>
+          <pre class="detail-pre">{{ currentRevision.snapshotContent }}</pre>
+        </div>
+      </div>
+      <template #footer>
+        <el-button @click="detailVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="compareVisible" title="修订对比" width="900px" destroy-on-close top="5vh">
+      <div v-if="compareData" class="compare-content">
+        <el-row :gutter="20">
+          <el-col :span="12">
+            <el-card shadow="never">
+              <template #header>
+                <span>版本 #{{ compareData.revision1?.revisionNumber }} — {{ compareData.revision1?.operatorName }}</span>
+              </template>
+              <pre class="compare-pre">{{ compareData.revision1?.snapshotContent || '无快照' }}</pre>
+            </el-card>
+          </el-col>
+          <el-col :span="12">
+            <el-card shadow="never">
+              <template #header>
+                <span>版本 #{{ compareData.revision2?.revisionNumber }} — {{ compareData.revision2?.operatorName }}</span>
+              </template>
+              <pre class="compare-pre">{{ compareData.revision2?.snapshotContent || '无快照' }}</pre>
+            </el-card>
+          </el-col>
+        </el-row>
+      </div>
+      <template #footer>
+        <el-button @click="compareVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getEmrRevisionList, getEmrRevisionDetail, compareEmrRevisions } from '@/api/emr'
+
+const props = defineProps({
+  emrId: { type: [Number, String], default: null }
+})
+
+const loading = ref(false)
+const revisions = ref([])
+const compareIds = ref([])
+const detailVisible = ref(false)
+const compareVisible = ref(false)
+const currentRevision = ref(null)
+const compareData = ref(null)
+
+const OP_LABEL_MAP = { CREATE: '创建', EDIT: '编辑', APPROVE: '审批', SIGN: '签名' }
+const OP_TAG_MAP = { CREATE: 'success', EDIT: '', APPROVE: 'warning', SIGN: 'info' }
+const TIMELINE_MAP = { CREATE: 'primary', EDIT: 'success', APPROVE: 'warning', SIGN: 'info' }
+
+function getOpLabel(type) { return OP_LABEL_MAP[type] || type }
+function getOpTagType(type) { return OP_TAG_MAP[type] || '' }
+function getTimelineType(type) { return TIMELINE_MAP[type] || '' }
+
+function truncateContent(content) {
+  if (!content) return ''
+  return content.length > 200 ? content.substring(0, 200) + '...' : content
+}
+
+function loadRevisions() {
+  if (!props.emrId) return
+  loading.value = true
+  getEmrRevisionList(props.emrId).then(res => {
+    revisions.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询修改记录失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleRefresh() {
+  compareIds.value = []
+  loadRevisions()
+}
+
+function toggleCompare(id, checked) {
+  if (checked) {
+    compareIds.value.push(id)
+  } else {
+    compareIds.value = compareIds.value.filter(i => i !== id)
+  }
+}
+
+function handleViewDetail(item) {
+  loading.value = true
+  getEmrRevisionDetail(item.id).then(res => {
+    currentRevision.value = res.data
+    detailVisible.value = true
+  }).catch(() => {
+    ElMessage.error('查询详情失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleCompare() {
+  if (compareIds.value.length !== 2) {
+    ElMessage.warning('请选择两个版本进行对比')
+    return
+  }
+  loading.value = true
+  compareEmrRevisions(compareIds.value[0], compareIds.value[1]).then(res => {
+    compareData.value = res.data
+    compareVisible.value = true
+  }).catch(() => {
+    ElMessage.error('对比查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+watch(() => props.emrId, () => { loadRevisions() })
+
+onMounted(() => { loadRevisions() })
+</script>
+
+<style scoped>
+.emr-revision-track {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.revision-card {
+  margin-bottom: 0;
+}
+.revision-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.revision-meta {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+.revision-number {
+  font-weight: 600;
+  color: #303133;
+}
+.revision-operator {
+  color: #606266;
+}
+.revision-actions {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+.diff-label {
+  font-size: 13px;
+  color: #909399;
+  margin-bottom: 4px;
+}
+.diff-content {
+  background: #f5f7fa;
+  padding: 8px 12px;
+  border-radius: 4px;
+  font-size: 12px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+  max-height: 120px;
+  overflow-y: auto;
+}
+.detail-content {
+  max-height: 60vh;
+  overflow-y: auto;
+}
+.detail-pre {
+  background: #f5f7fa;
+  padding: 12px;
+  border-radius: 4px;
+  font-size: 13px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+}
+.compare-content {
+  max-height: 65vh;
+  overflow-y: auto;
+}
+.compare-pre {
+  background: #f5f7fa;
+  padding: 12px;
+  border-radius: 4px;
+  font-size: 12px;
+  line-height: 1.6;
+  white-space: pre-wrap;
+  word-break: break-all;
+  margin: 0;
+  max-height: 50vh;
+  overflow-y: auto;
+}
+</style>