fix(database): 修复患者首页查询重复数据和关联查询问题
- 在ATDManageAppMapper.xml中添加DISTINCT关键字解决入院患者信息重复问题 - 重构PatientHomeAppMapper.xml中的复杂查询逻辑，使用子查询替代多层JOIN提高性能 - 修复vital signs查询中的字段关联错误，将base_service_req_id改为request_id - 优化前端implementDepartment组件的数据加载逻辑，添加异步处理和错误捕获 - 为诊疗项目下拉框添加数据加载状态检查，防止空数据导致的界面异常 - 实现防抖机制和数据量限制，提升大数据量下的响应性能 - 添加并行数据加载，减少页面初始化时间
This commit is contained in:
@@ -224,7 +224,7 @@
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</select>
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<select id="selectAdmissionPatientInfo"
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resultType="com.openhis.web.inhospitalnursestation.dto.AdmissionPatientInfoDto">
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SELECT ae.id AS encounter_id,
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SELECT DISTINCT ae.id AS encounter_id,
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ae.bus_no,
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ae.priority_enum,
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ae.organization_id,
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@@ -2,189 +2,250 @@
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<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
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<mapper namespace="com.openhis.web.inpatientmanage.mapper.PatientHomeAppMapper">
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<!-- 患者首页信息分页查询-->
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<!-- 患者首页信息分页查询 -->
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<select id="getPage" parameterType="java.util.Map"
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resultType="com.openhis.web.inpatientmanage.dto.PatientHomeDto">
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SELECT
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T1.id,
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T1.active_flag,
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T1.temp_flag,
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T1."name" AS patientName, -- 患者姓名
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T1.name_json,
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T1.bus_no AS patientNo, -- 病历号
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T1.gender_enum, -- 患者性别
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T1.birth_date,
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T1.deceased_date,
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T1.marital_status_enum,
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T1.prfs_enum,
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T1.phone, -- 患者手机号
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COALESCE(NULLIF(T1.address, ''), '') AS address, -- 处理空地址
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T1.address_province,
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T1.address_city,
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T1.address_district,
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T1.address_street,
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T1.address_json,
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T1.nationality_code,
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T1.id_card,
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T1.py_str,
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T1.wb_str,
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T1.blood_abo,
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T1.blood_rh,
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T1.work_company,
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T1.native_place,
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T1.country_code,
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T1.link_name,
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T1.link_relation_code,
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T1.link_telcom,
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T1.link_jsons,
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T1.tenant_id,
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T2.bus_no AS hospitalNo, -- 住院号
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T2.id AS encounterId, -- 就诊ID
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T2.priority_enum, -- 护理级别
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T2.status_enum, -- 患者状态
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T2.organization_id,-- 入院科室
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T2.start_time AS admissionDate, -- 入院日期
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T2.end_time AS dischargeDate, -- 出院日期
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T2.class_enum, -- 就诊类别
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Doctor.name AS responsibleDoctor, -- 责任医生
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Nurse.name AS responsibleNurse, -- 责任护士
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T6.type_code, -- 费别
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T7.status_enum AS surgeryStatusEnum, -- 手术状态
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T8.start_time AS surgeryStartTime, -- 手术开始时间
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T8.end_time AS surgeryEndTime, -- 手术结束时间
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T9.id AS encounterLocationId, -- 就诊位置ID
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T9.location_id, -- 床位号
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T11."name" AS caty, -- 入院科室
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T12."name" AS mainDiagnosis -- 主要诊断
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FROM adm_patient AS T1
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LEFT JOIN adm_encounter T2
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ON T1.id = T2.patient_id -- 患者ID
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AND T2.delete_flag = '0'
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AND T2.class_enum = '1' -- 仅选择住院患者
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-- 获取责任医生
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LEFT JOIN (
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SELECT
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encounter_id,
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practitioner_id,
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"name",
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ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY practitioner_id) as rn
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FROM (
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SELECT
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T3.encounter_id,
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T4."name",
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T3.practitioner_id
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FROM adm_encounter_participant T3
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LEFT JOIN adm_practitioner T4
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ON T3.practitioner_id = T4.id
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AND T4.delete_flag = '0'
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WHERE T3.type_code = '9' -- 责任医生类型
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AND T3.delete_flag = '0'
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) sub
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) Doctor ON T2.id = Doctor.encounter_id AND Doctor.rn = 1
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-- 获取责任护士
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LEFT JOIN (
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SELECT
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encounter_id,
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practitioner_id,
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"name",
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ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY practitioner_id) as rn
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FROM (
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SELECT
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T3.encounter_id,
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T4."name",
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T3.practitioner_id
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FROM adm_encounter_participant T3
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LEFT JOIN adm_practitioner T4
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ON T3.practitioner_id = T4.id
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AND T4.delete_flag = '0'
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WHERE T3.type_code = '2' -- 责任护士类型
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AND T3.delete_flag = '0'
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) sub
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) Nurse ON T2.id = Nurse.encounter_id AND Nurse.rn = 1
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LEFT JOIN adm_encounter_diagnosis T5
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ON T2.id = T5.encounter_id -- 就诊ID
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AND T5.maindise_flag = 1
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AND T5.delete_flag = '0'
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LEFT JOIN adm_account T6
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ON T2.id = T6.encounter_id -- 就诊ID
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AND T6.delete_flag = '0'
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LEFT JOIN cli_procedure T7
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ON T1.id = T7.patient_id -- 患者ID
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AND T7.delete_flag = '0'
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LEFT JOIN cli_procedure_performer T8
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ON T7.id = T8.procedure_id -- 手术ID
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AND T8.delete_flag = '0'
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LEFT JOIN adm_encounter_location T9
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ON T2.id = T9.encounter_id -- 就诊ID
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AND T9.form_enum = 8
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AND T9.delete_flag = '0'
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LEFT JOIN adm_organization T11
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ON T2.organization_id = T11.id
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AND T11.type_enum = 2
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AND T11.delete_flag = '0'
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LEFT JOIN cli_condition_definition T12
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ON T5.condition_id = T12.id
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AND T12.delete_flag = '0'
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LEFT JOIN wor_service_request T13
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ON T2.id = T13.encounter_id
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AND T7.base_service_req_id = T13.id
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AND T13.delete_flag = '0'
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LEFT JOIN wor_service_request_detail T14
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ON T13.id = T14.service_req_id
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AND T14.type_code = '3'
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AND T14.delete_flag = '0'
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<where>
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T1.delete_flag = '0'
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-- 患者ID
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<if test="patientId != null">
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AND T1.id = #{patientId}
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</if>
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id,
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active_flag,
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temp_flag,
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patientName,
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name_json,
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patientNo,
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gender_enum,
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birth_date,
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deceased_date,
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marital_status_enum,
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prfs_enum,
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phone,
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address,
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address_province,
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address_city,
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address_district,
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address_street,
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address_json,
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nationality_code,
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id_card,
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py_str,
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wb_str,
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blood_abo,
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blood_rh,
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work_company,
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native_place,
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country_code,
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link_name,
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link_relation_code,
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link_telcom,
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link_jsons,
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tenant_id,
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hospitalNo,
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encounterId,
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priority_enum,
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status_enum,
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organization_id,
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admissionDate,
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dischargeDate,
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class_enum,
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responsibleDoctor,
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responsibleNurse,
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type_code,
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surgeryStatusEnum,
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surgeryStartTime,
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surgeryEndTime,
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encounterLocationId,
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location_id,
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caty,
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mainDiagnosis
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FROM (
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SELECT
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patient_base.*,
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ROW_NUMBER() OVER (PARTITION BY patient_base.id ORDER BY patient_base.encounterId) as rn
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FROM (
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SELECT DISTINCT
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T1.id,
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T1.active_flag,
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T1.temp_flag,
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T1."name" AS patientName, -- 患者姓名
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T1.name_json,
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T1.bus_no AS patientNo, -- 病历号
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T1.gender_enum, -- 患者性别
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T1.birth_date,
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T1.deceased_date,
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T1.marital_status_enum,
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T1.prfs_enum,
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T1.phone, -- 患者手机号
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COALESCE(NULLIF(T1.address, ''), '') AS address, -- 处理空地址
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T1.address_province,
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T1.address_city,
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T1.address_district,
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T1.address_street,
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T1.address_json,
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T1.nationality_code,
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T1.id_card,
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T1.py_str,
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T1.wb_str,
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T1.blood_abo,
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T1.blood_rh,
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T1.work_company,
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T1.native_place,
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T1.country_code,
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T1.link_name,
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T1.link_relation_code,
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T1.link_telcom,
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T1.link_jsons,
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T1.tenant_id,
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T2.bus_no AS hospitalNo, -- 住院号
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T2.id AS encounterId, -- 就诊ID
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T2.priority_enum, -- 护理级别
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T2.status_enum, -- 患者状态
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T2.organization_id,-- 入院科室
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T2.start_time AS admissionDate, -- 入院日期
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T2.end_time AS dischargeDate, -- 出院日期
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T2.class_enum, -- 就诊类别
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-- 获取责任医生（使用子查询确保只返回一个值）
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(SELECT p."name"
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FROM adm_encounter_participant ep
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LEFT JOIN adm_practitioner p ON ep.practitioner_id = p.id AND p.delete_flag = '0'
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WHERE ep.encounter_id = T2.id
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AND ep.type_code = '9'
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AND ep.delete_flag = '0'
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ORDER BY ep.practitioner_id
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LIMIT 1) AS responsibleDoctor,
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-- 获取责任护士（使用子查询确保只返回一个值）
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(SELECT p."name"
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FROM adm_encounter_participant ep
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LEFT JOIN adm_practitioner p ON ep.practitioner_id = p.id AND p.delete_flag = '0'
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WHERE ep.encounter_id = T2.id
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AND ep.type_code = '2'
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AND ep.delete_flag = '0'
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ORDER BY ep.practitioner_id
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LIMIT 1) AS responsibleNurse,
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T6.type_code, -- 费别
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T7.status_enum AS surgeryStatusEnum, -- 手术状态
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T8.start_time AS surgeryStartTime, -- 手术开始时间
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T8.end_time AS surgeryEndTime, -- 手术结束时间
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T9.id AS encounterLocationId, -- 就诊位置ID
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T9.location_id, -- 床位号
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T11."name" AS caty, -- 入院科室
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T12."name" AS mainDiagnosis -- 主要诊断
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FROM adm_patient AS T1
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INNER JOIN adm_encounter T2 -- 改为INNER JOIN确保患者有就诊记录
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ON T1.id = T2.patient_id -- 患者ID
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AND T2.delete_flag = '0'
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AND T2.class_enum = '1' -- 仅选择住院患者
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LEFT JOIN adm_encounter_diagnosis T5
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ON T2.id = T5.encounter_id -- 就诊ID
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AND T5.maindise_flag = 1
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AND T5.delete_flag = '0'
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LEFT JOIN adm_account T6
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ON T2.id = T6.encounter_id -- 就诊ID
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AND T6.delete_flag = '0'
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LEFT JOIN (
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SELECT
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patient_id,
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status_enum,
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id,
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request_id,
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ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY id DESC) as rn
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FROM cli_procedure
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WHERE delete_flag = '0'
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) T7 ON T1.id = T7.patient_id AND T7.rn = 1
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LEFT JOIN (
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SELECT
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procedure_id,
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start_time,
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end_time,
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ROW_NUMBER() OVER (PARTITION BY procedure_id ORDER BY id DESC) as rn
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FROM cli_procedure_performer
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WHERE delete_flag = '0'
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) T8 ON T7.id = T8.procedure_id AND T8.rn = 1
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LEFT JOIN adm_encounter_location T9
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ON T2.id = T9.encounter_id -- 就诊ID
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AND T9.form_enum = 8
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AND T9.delete_flag = '0'
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LEFT JOIN adm_organization T11
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ON T2.organization_id = T11.id
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AND T11.type_enum = 2
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AND T11.delete_flag = '0'
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LEFT JOIN cli_condition_definition T12
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ON T5.condition_id = T12.id
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AND T12.delete_flag = '0'
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WHERE T1.delete_flag = '0'
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-- 患者ID
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<if test="patientId != null">
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AND T1.id = #{patientId}
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</if>
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-- 在科
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<if test="statusEnum == 1">
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AND T9.status_enum = 2
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</if>
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-- 在科
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<if test="statusEnum == 1">
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AND T9.status_enum = 2
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</if>
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-- 待出院
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<if test="statusEnum == 3">
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AND T2.status_enum = 4
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</if>
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-- 待出院
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<if test="statusEnum == 3">
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AND T2.status_enum = 4
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</if>
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-- 危重
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<if test="statusEnum == 4">
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AND T2.priority_enum = 1
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</if>
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-- 危重
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<if test="statusEnum == 4">
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AND T2.priority_enum = 1
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</if>
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-- 手术
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<if test="statusEnum == 5">
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AND T14.type_code = '3'
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</if>
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-- 欠费
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<if test="statusEnum == 6">
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AND T6.balance_amount < 0
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</if>
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-- 已出院
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<if test="statusEnum == 7">
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AND T2.status_enum = 5
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</if>
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<if test="searchKey != null and searchKey != ''">
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AND (
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-- 住院号
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T2.bus_no = #{searchKey}
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-- 患者姓名
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OR T1.name like concat('%', #{searchKey}, '%')
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-- 责任医生
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OR Doctor.name like concat('%', #{searchKey}, '%')
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-- 责任护士
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OR Nurse.name like concat('%', #{searchKey}, '%')
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-- 手术
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<if test="statusEnum == 5">
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AND EXISTS (
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SELECT 1
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FROM wor_service_request_detail wsrd
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INNER JOIN wor_service_request wsr ON wsrd.service_req_id = wsr.id
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||||
WHERE wsr.encounter_id = T2.id
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AND wsrd.type_code = '3'
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AND wsr.delete_flag = '0'
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AND wsrd.delete_flag = '0'
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)
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</if>
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</where>
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</if>
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ORDER BY T9.location_id ASC
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-- 欠费
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<if test="statusEnum == 6">
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AND T6.balance_amount < 0
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</if>
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-- 已出院
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<if test="statusEnum == 7">
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AND T2.status_enum = 5
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</if>
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|
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<if test="searchKey != null and searchKey != ''">
|
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AND (
|
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-- 住院号
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T2.bus_no = #{searchKey}
|
||||
-- 患者姓名
|
||||
OR T1.name like concat('%', #{searchKey}, '%')
|
||||
-- 责任医生（在子查询中处理）
|
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OR EXISTS (
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SELECT 1
|
||||
FROM adm_encounter_participant ep
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||||
LEFT JOIN adm_practitioner p ON ep.practitioner_id = p.id AND p.delete_flag = '0'
|
||||
WHERE ep.encounter_id = T2.id
|
||||
AND ep.type_code = '9'
|
||||
AND ep.delete_flag = '0'
|
||||
AND p."name" like concat('%', #{searchKey}, '%')
|
||||
)
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||||
-- 责任护士（在子查询中处理）
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OR EXISTS (
|
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SELECT 1
|
||||
FROM adm_encounter_participant ep
|
||||
LEFT JOIN adm_practitioner p ON ep.practitioner_id = p.id AND p.delete_flag = '0'
|
||||
WHERE ep.encounter_id = T2.id
|
||||
AND ep.type_code = '2'
|
||||
AND ep.delete_flag = '0'
|
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AND p."name" like concat('%', #{searchKey}, '%')
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)
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||||
)
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||||
</if>
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) patient_base
|
||||
) ranked_result
|
||||
WHERE rn = 1
|
||||
ORDER BY location_id ASC
|
||||
</select>
|
||||
|
||||
<!-- 科室空床查询-->
|
||||
|
||||
@@ -46,7 +46,7 @@
|
||||
AND T6.delete_flag = '0'
|
||||
LEFT JOIN wor_service_request T7
|
||||
ON T1.encounter_id = T7.encounter_id
|
||||
AND T5.base_service_req_id = T7.id
|
||||
AND T5.request_id = T7.id
|
||||
AND T7.delete_flag = '0'
|
||||
LEFT JOIN wor_service_request_detail T8
|
||||
ON T7.id = T8.service_req_id
|
||||
|
||||
Reference in New Issue
Block a user