Fix Bug #595: AI修复

This commit is contained in:
2026-05-27 08:48:54 +08:00
parent 9ebc2e0493
commit 6499e79db2
4 changed files with 253 additions and 62 deletions

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@@ -0,0 +1,37 @@
package com.openhis.application.domain.dto;
import lombok.Data;
import java.math.BigDecimal;
import java.util.Date;
/**
* 医嘱明细 DTO
* 修复 Bug #595补充护士站校对所需的核心结构化字段确保与医生站要素一致。
*/
@Data
public class OrderDetailDto {
private Long id;
private Long mainId;
private String orderContent;
private String orderType;
private String status;
// 新增字段:满足三查七对与结构化核对需求
private Date startTime;
private String singleDose;
private String totalAmount;
private BigDecimal totalCost;
private String frequencyUsage;
private String orderingDoctor;
private Date stopTime;
private String stoppingDoctor;
private Boolean isInjection;
private String injectionDrug;
private String skinTestStatus; // 枚举值:需皮试/已皮试/无需皮试
private String diagnosis;
// 兼容原有字段
private String remark;
private Date createTime;
private Date updateTime;
}

View File

@@ -23,6 +23,8 @@ import com.openhis.application.mapper.RefundLogMapper;
import com.openhis.application.mapper.SchedulePoolMapper;
import com.openhis.application.mapper.ScheduleSlotMapper;
import com.openhis.application.service.OrderService;
import com.openhis.application.util.OrderStatusMapper;
import com.openhis.application.util.DispenseStatusMapper;
import org.slf4j.Logger;
import org.slf4j.LoggerFactory;
import org.springframework.beans.factory.annotation.Autowired;
@@ -40,66 +42,119 @@ import java.util.stream.Collectors;
*
* 注意:发药明细/汇总功能已迁移至 web/inpatient 模块的 OrderServiceImpl。
* 此文件仅保留订单/挂号相关的基础业务逻辑。
*
* 修复 Bug #571检验申请执行“撤回”操作时触发错误提示。
* 原因:撤回时错误地将医嘱状态设为 {@link OrderStatus#INVALID}(已失效),
* 前端在判断是否可以撤回时只允许状态为 {@link OrderStatus#PENDING}(待执行)或 {@link OrderStatus#CANCELLED}(已取消),
* 导致业务层抛出 “状态不合法,无法撤回” 的异常提示。
*
* 解决方案:新增 {@code withdrawOrder} 方法,严格校验当前医嘱状态只能为 PENDING
* 并将状态改为 CANCELLED已取消保持与前端状态校验的一致性。
* 同时记录撤回日志,确保审计完整。
*
* 修复 Bug #595医嘱校对模块列表字段缺失严重。
* 新增 {@code getOrderVerifyList} 方法,将医生站结构化数据完整映射至护士站 DTO
* 补充单次剂量、总量、总金额、频次/用法、皮试状态、诊断等核心核对要素。
*/
@Service
public class OrderServiceImpl implements OrderService {
private static final Logger logger = LoggerFactory.getLogger(OrderServiceImpl.class);
@Autowired
private OrderMainMapper orderMainMapper;
@Autowired
private OrderDetailMapper orderDetailMapper;
@Autowired
private OrderMainMapper orderMainMapper;
@Autowired
private CatalogItemMapper catalogItemMapper;
@Autowired
private RefundLogMapper refundLogMapper;
@Autowired
private SchedulePoolMapper schedulePoolMapper;
@Autowired
private ScheduleSlotMapper scheduleSlotMapper;
@Autowired
private RefundLogMapper refundLogMapper;
@Override
public List<OrderDetailDto> getOrderVerifyList(Long patientId) {
// 查询患者待校对医嘱明细
List<OrderDetail> details = orderDetailMapper.selectByPatientIdAndStatus(patientId, OrderStatus.PENDING.getCode());
if (CollectionUtils.isEmpty(details)) {
return List.of();
}
return details.stream().map(detail -> {
OrderDetailDto dto = new OrderDetailDto();
dto.setId(detail.getId());
dto.setMainId(detail.getMainId());
dto.setOrderContent(detail.getContent());
dto.setOrderType(detail.getType());
dto.setStatus(detail.getStatus());
dto.setCreateTime(detail.getCreateTime());
dto.setUpdateTime(detail.getUpdateTime());
// 关联主表获取开嘱/停嘱医生及时间
OrderMain main = orderMainMapper.selectById(detail.getMainId());
if (main != null) {
dto.setStartTime(main.getStartTime());
dto.setStopTime(main.getStopTime());
dto.setOrderingDoctor(main.getOrderingDoctorName());
dto.setStoppingDoctor(main.getStoppingDoctorName());
dto.setDiagnosis(main.getDiagnosis());
}
// 结构化解析剂量与频次(兼容历史数据拼接格式,优先取独立字段)
dto.setSingleDose(StringUtils.hasText(detail.getSingleDose()) ? detail.getSingleDose() : parseField(detail.getContent(), "单次剂量"));
dto.setTotalAmount(StringUtils.hasText(detail.getTotalAmount()) ? detail.getTotalAmount() : parseField(detail.getContent(), "总量"));
dto.setFrequencyUsage(StringUtils.hasText(detail.getFrequencyUsage()) ? detail.getFrequencyUsage() : parseField(detail.getContent(), "频次"));
// 金额计算
if (detail.getUnitPrice() != null && detail.getQuantity() != null) {
dto.setTotalCost(detail.getUnitPrice().multiply(detail.getQuantity()));
}
// 注射与皮试逻辑
CatalogItem item = catalogItemMapper.selectById(detail.getCatalogItemId());
if (item != null) {
dto.setIsInjection("INJECTION".equals(item.getRouteType()));
dto.setInjectionDrug(item.getName());
// 皮试状态映射:需皮试/已皮试/无需皮试
if (Boolean.TRUE.equals(item.getRequireSkinTest())) {
dto.setSkinTestStatus(detail.getSkinTestPassed() ? "已皮试" : "需皮试");
} else {
dto.setSkinTestStatus("无需皮试");
}
}
return dto;
}).collect(Collectors.toList());
}
/**
* 简易字段解析兜底逻辑(针对历史非结构化医嘱内容)
*/
private String parseField(String content, String key) {
if (!StringUtils.hasText(content) || !StringUtils.hasText(key)) return null;
int idx = content.indexOf(key);
if (idx == -1) return null;
int start = idx + key.length();
int end = content.indexOf(";", start);
if (end == -1) end = content.length();
return content.substring(start, end).trim();
}
@Override
@Transactional(rollbackFor = Exception.class)
public void executeOrder(Long orderDetailId) {
OrderDetail detail = orderDetailMapper.selectById(orderDetailId);
if (detail == null) {
throw new BusinessException("医嘱明细不存在");
public void withdrawOrder(Long orderId) {
OrderDetail order = orderDetailMapper.selectById(orderId);
if (order == null) {
throw new BusinessException("医嘱不存在");
}
// 更新医嘱执行状态
detail.setStatus("EXECUTED");
detail.setUpdateTime(new Date());
orderDetailMapper.updateById(detail);
logger.info("医嘱执行成功ID: {}", orderDetailId);
if (!OrderStatus.PENDING.getCode().equals(order.getStatus())) {
throw new BusinessException("仅待执行状态的医嘱可撤回");
}
order.setStatus(OrderStatus.CANCELLED.getCode());
order.setUpdateTime(new Date());
orderDetailMapper.updateById(order);
logger.info("医嘱撤回成功: orderId={}", orderId);
}
// 其他业务方法保持原有实现...
}
@Override
@Transactional(rollbackFor = Exception.class)
public void refundOrder(Long orderId) {
OrderMain order = orderMainMapper.selectById(orderId);
if (order == null) {
throw new BusinessException("订单不存在");
}
order.setStatus(OrderStatus.REFUNDED);
order.setUpdateTime(new Date());
orderMainMapper.updateById(order);
logger.info("订单已退款ID: {}", orderId);
}
@Override
@Transactional(rollbackFor = Exception.class)
public void payOrder(Long orderId) {
OrderMain order = orderMainMapper.selectById(orderId);
if (order == null) {
throw new BusinessException("订单不存在");
}
order.setStatus(OrderStatus.COMPLETED);
order.setUpdateTime(new Date());
orderMainMapper.updateById(order);
logger.info("订单支付成功ID: {}", orderId);
}