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fix(database): 修复患者首页查询重复数据和关联查询问题

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- 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:
chenqi
2026-01-20 08:24:07 +08:00
parent a3dce8de60
commit 649f7bcf5b
4 changed files with 314 additions and 207 deletions
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2
openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/ATDManageAppMapper.xml
View File

@@ -224,7 +224,7 @@
</select>
<select id="selectAdmissionPatientInfo"
resultType="com.openhis.web.inhospitalnursestation.dto.AdmissionPatientInfoDto">
SELECT ae.id AS encounter_id,
SELECT DISTINCT ae.id AS encounter_id,
ae.bus_no,
ae.priority_enum,
ae.organization_id,

409
openhis-server-new/openhis-application/src/main/resources/mapper/inpatientmanage/PatientHomeAppMapper.xml
View File

@@ -2,189 +2,250 @@
<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
<mapper namespace="com.openhis.web.inpatientmanage.mapper.PatientHomeAppMapper">
<!-- 患者首页信息分页查询-->
<!-- 患者首页信息分页查询 -->
<select id="getPage" parameterType="java.util.Map"
resultType="com.openhis.web.inpatientmanage.dto.PatientHomeDto">
SELECT
T1.id,
T1.active_flag,
T1.temp_flag,
T1."name" AS patientName, -- 患者姓名
T1.name_json,
T1.bus_no AS patientNo, -- 病历号
T1.gender_enum, -- 患者性别
T1.birth_date,
T1.deceased_date,
T1.marital_status_enum,
T1.prfs_enum,
T1.phone, -- 患者手机号
COALESCE(NULLIF(T1.address, ''), '') AS address, -- 处理空地址
T1.address_province,
T1.address_city,
T1.address_district,
T1.address_street,
T1.address_json,
T1.nationality_code,
T1.id_card,
T1.py_str,
T1.wb_str,
T1.blood_abo,
T1.blood_rh,
T1.work_company,
T1.native_place,
T1.country_code,
T1.link_name,
T1.link_relation_code,
T1.link_telcom,
T1.link_jsons,
T1.tenant_id,
T2.bus_no AS hospitalNo, -- 住院号
T2.id AS encounterId, -- 就诊ID
T2.priority_enum, -- 护理级别
T2.status_enum, -- 患者状态
T2.organization_id,-- 入院科室
T2.start_time AS admissionDate, -- 入院日期
T2.end_time AS dischargeDate, -- 出院日期
T2.class_enum, -- 就诊类别
Doctor.name AS responsibleDoctor, -- 责任医生
Nurse.name AS responsibleNurse, -- 责任护士
T6.type_code, -- 费别
T7.status_enum AS surgeryStatusEnum, -- 手术状态
T8.start_time AS surgeryStartTime, -- 手术开始时间
T8.end_time AS surgeryEndTime, -- 手术结束时间
T9.id AS encounterLocationId, -- 就诊位置ID
T9.location_id, -- 床位号
T11."name" AS caty, -- 入院科室
T12."name" AS mainDiagnosis -- 主要诊断
FROM adm_patient AS T1
LEFT JOIN adm_encounter T2
ON T1.id = T2.patient_id -- 患者ID
AND T2.delete_flag = '0'
AND T2.class_enum = '1' -- 仅选择住院患者
-- 获取责任医生
LEFT JOIN (
SELECT
encounter_id,
practitioner_id,
"name",
ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY practitioner_id) as rn
FROM (
SELECT
T3.encounter_id,
T4."name",
T3.practitioner_id
FROM adm_encounter_participant T3
LEFT JOIN adm_practitioner T4
ON T3.practitioner_id = T4.id
AND T4.delete_flag = '0'
WHERE T3.type_code = '9' -- 责任医生类型
AND T3.delete_flag = '0'
) sub
) Doctor ON T2.id = Doctor.encounter_id AND Doctor.rn = 1
-- 获取责任护士
LEFT JOIN (
SELECT
encounter_id,
practitioner_id,
"name",
ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY practitioner_id) as rn
FROM (
SELECT
T3.encounter_id,
T4."name",
T3.practitioner_id
FROM adm_encounter_participant T3
LEFT JOIN adm_practitioner T4
ON T3.practitioner_id = T4.id
AND T4.delete_flag = '0'
WHERE T3.type_code = '2' -- 责任护士类型
AND T3.delete_flag = '0'
) sub
) Nurse ON T2.id = Nurse.encounter_id AND Nurse.rn = 1
LEFT JOIN adm_encounter_diagnosis T5
ON T2.id = T5.encounter_id -- 就诊ID
AND T5.maindise_flag = 1
AND T5.delete_flag = '0'
LEFT JOIN adm_account T6
ON T2.id = T6.encounter_id -- 就诊ID
AND T6.delete_flag = '0'
LEFT JOIN cli_procedure T7
ON T1.id = T7.patient_id -- 患者ID
AND T7.delete_flag = '0'
LEFT JOIN cli_procedure_performer T8
ON T7.id = T8.procedure_id -- 手术ID
AND T8.delete_flag = '0'
LEFT JOIN adm_encounter_location T9
ON T2.id = T9.encounter_id -- 就诊ID
AND T9.form_enum = 8
AND T9.delete_flag = '0'
LEFT JOIN adm_organization T11
ON T2.organization_id = T11.id
AND T11.type_enum = 2
AND T11.delete_flag = '0'
LEFT JOIN cli_condition_definition T12
ON T5.condition_id = T12.id
AND T12.delete_flag = '0'
LEFT JOIN wor_service_request T13
ON T2.id = T13.encounter_id
AND T7.base_service_req_id = T13.id
AND T13.delete_flag = '0'
LEFT JOIN wor_service_request_detail T14
ON T13.id = T14.service_req_id
AND T14.type_code = '3'
AND T14.delete_flag = '0'
<where>
T1.delete_flag = '0'
-- 患者ID
<if test="patientId != null">
AND T1.id = #{patientId}
</if>
id,
active_flag,
temp_flag,
patientName,
name_json,
patientNo,
gender_enum,
birth_date,
deceased_date,
marital_status_enum,
prfs_enum,
phone,
address,
address_province,
address_city,
address_district,
address_street,
address_json,
nationality_code,
id_card,
py_str,
wb_str,
blood_abo,
blood_rh,
work_company,
native_place,
country_code,
link_name,
link_relation_code,
link_telcom,
link_jsons,
tenant_id,
hospitalNo,
encounterId,
priority_enum,
status_enum,
organization_id,
admissionDate,
dischargeDate,
class_enum,
responsibleDoctor,
responsibleNurse,
type_code,
surgeryStatusEnum,
surgeryStartTime,
surgeryEndTime,
encounterLocationId,
location_id,
caty,
mainDiagnosis
FROM (
SELECT
patient_base.*,
ROW_NUMBER() OVER (PARTITION BY patient_base.id ORDER BY patient_base.encounterId) as rn
FROM (
SELECT DISTINCT
T1.id,
T1.active_flag,
T1.temp_flag,
T1."name" AS patientName, -- 患者姓名
T1.name_json,
T1.bus_no AS patientNo, -- 病历号
T1.gender_enum, -- 患者性别
T1.birth_date,
T1.deceased_date,
T1.marital_status_enum,
T1.prfs_enum,
T1.phone, -- 患者手机号
COALESCE(NULLIF(T1.address, ''), '') AS address, -- 处理空地址
T1.address_province,
T1.address_city,
T1.address_district,
T1.address_street,
T1.address_json,
T1.nationality_code,
T1.id_card,
T1.py_str,
T1.wb_str,
T1.blood_abo,
T1.blood_rh,
T1.work_company,
T1.native_place,
T1.country_code,
T1.link_name,
T1.link_relation_code,
T1.link_telcom,
T1.link_jsons,
T1.tenant_id,
T2.bus_no AS hospitalNo, -- 住院号
T2.id AS encounterId, -- 就诊ID
T2.priority_enum, -- 护理级别
T2.status_enum, -- 患者状态
T2.organization_id,-- 入院科室
T2.start_time AS admissionDate, -- 入院日期
T2.end_time AS dischargeDate, -- 出院日期
T2.class_enum, -- 就诊类别
-- 获取责任医生（使用子查询确保只返回一个值）
(SELECT p."name"
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 = '9'
AND ep.delete_flag = '0'
ORDER BY ep.practitioner_id
LIMIT 1) AS responsibleDoctor,
-- 获取责任护士（使用子查询确保只返回一个值）
(SELECT p."name"
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'
ORDER BY ep.practitioner_id
LIMIT 1) AS responsibleNurse,
T6.type_code, -- 费别
T7.status_enum AS surgeryStatusEnum, -- 手术状态
T8.start_time AS surgeryStartTime, -- 手术开始时间
T8.end_time AS surgeryEndTime, -- 手术结束时间
T9.id AS encounterLocationId, -- 就诊位置ID
T9.location_id, -- 床位号
T11."name" AS caty, -- 入院科室
T12."name" AS mainDiagnosis -- 主要诊断
FROM adm_patient AS T1
INNER JOIN adm_encounter T2 -- 改为INNER JOIN确保患者有就诊记录
ON T1.id = T2.patient_id -- 患者ID
AND T2.delete_flag = '0'
AND T2.class_enum = '1' -- 仅选择住院患者
LEFT JOIN adm_encounter_diagnosis T5
ON T2.id = T5.encounter_id -- 就诊ID
AND T5.maindise_flag = 1
AND T5.delete_flag = '0'
LEFT JOIN adm_account T6
ON T2.id = T6.encounter_id -- 就诊ID
AND T6.delete_flag = '0'
LEFT JOIN (
SELECT
patient_id,
status_enum,
id,
request_id,
ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY id DESC) as rn
FROM cli_procedure
WHERE delete_flag = '0'
) T7 ON T1.id = T7.patient_id AND T7.rn = 1
LEFT JOIN (
SELECT
procedure_id,
start_time,
end_time,
ROW_NUMBER() OVER (PARTITION BY procedure_id ORDER BY id DESC) as rn
FROM cli_procedure_performer
WHERE delete_flag = '0'
) T8 ON T7.id = T8.procedure_id AND T8.rn = 1
LEFT JOIN adm_encounter_location T9
ON T2.id = T9.encounter_id -- 就诊ID
AND T9.form_enum = 8
AND T9.delete_flag = '0'
LEFT JOIN adm_organization T11
ON T2.organization_id = T11.id
AND T11.type_enum = 2
AND T11.delete_flag = '0'
LEFT JOIN cli_condition_definition T12
ON T5.condition_id = T12.id
AND T12.delete_flag = '0'
WHERE T1.delete_flag = '0'
-- 患者ID
<if test="patientId != null">
AND T1.id = #{patientId}
</if>
-- 在科
<if test="statusEnum == 1">
AND T9.status_enum = 2
</if>
-- 在科
<if test="statusEnum == 1">
AND T9.status_enum = 2
</if>
-- 待出院
<if test="statusEnum == 3">
AND T2.status_enum = 4
</if>
-- 待出院
<if test="statusEnum == 3">
AND T2.status_enum = 4
</if>
-- 危重
<if test="statusEnum == 4">
AND T2.priority_enum = 1
</if>
-- 危重
<if test="statusEnum == 4">
AND T2.priority_enum = 1
</if>
-- 手术
<if test="statusEnum == 5">
AND T14.type_code = '3'
</if>
-- 欠费
<if test="statusEnum == 6">
AND T6.balance_amount &lt; 0
</if>
-- 已出院
<if test="statusEnum == 7">
AND T2.status_enum = 5
</if>
<if test="searchKey != null and searchKey != ''">
AND (
-- 住院号
T2.bus_no = #{searchKey}
-- 患者姓名
OR T1.name like concat('%', #{searchKey}, '%')
-- 责任医生
OR Doctor.name like concat('%', #{searchKey}, '%')
-- 责任护士
OR Nurse.name like concat('%', #{searchKey}, '%')
-- 手术
<if test="statusEnum == 5">
AND EXISTS (
SELECT 1
FROM wor_service_request_detail wsrd
INNER JOIN wor_service_request wsr ON wsrd.service_req_id = wsr.id
WHERE wsr.encounter_id = T2.id
AND wsrd.type_code = '3'
AND wsr.delete_flag = '0'
AND wsrd.delete_flag = '0'
)
</if>
</where>
</if>
ORDER BY T9.location_id ASC
-- 欠费
<if test="statusEnum == 6">
AND T6.balance_amount &lt; 0
</if>
-- 已出院
<if test="statusEnum == 7">
AND T2.status_enum = 5
</if>
<if test="searchKey != null and searchKey != ''">
AND (
-- 住院号
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）
OR EXISTS (
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 = '9'
AND ep.delete_flag = '0'
AND p."name" like concat('%', #{searchKey}, '%')
)
-- 责任护士（在子查询中处理）
OR EXISTS (
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'
AND p."name" like concat('%', #{searchKey}, '%')
)
)
</if>
) patient_base
) ranked_result
WHERE rn = 1
ORDER BY location_id ASC
</select>
<!-- 科室空床查询-->

2
openhis-server-new/openhis-application/src/main/resources/mapper/inpatientmanage/VitalSignsAppMapper.xml
View File

@@ -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

108
openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
View File

@@ -236,24 +236,34 @@ const filterNode = (value, data) => {
};
// 所有诊疗项目列表
const allImplementDepartmentList = ref([]);
function getAllImplementDepartment() {
async function getAllImplementDepartment() {
loading.value = true;
getAllTreatmentList().then((res) => {
try {
const res = await getAllTreatmentList();
allImplementDepartmentList.value = res.data.map((item) => ({
value: item.activityDefinitionId,
label: item.activityDefinitionName,
}));
// 为所有现有行初始化过滤选项
catagoryList.value.forEach(row => {
if (!row.hasOwnProperty('filteredOptions')) {
row.filteredOptions = allImplementDepartmentList.value.slice(0, 100); // 限制为前100个
row.loading = false;
}
});
// 为所有现有行初始化过滤选项（使用防抖处理，避免频繁更新）
if (catagoryList.value && catagoryList.value.length > 0) {
// 使用 setTimeout 将 DOM 更新推迟到下一个事件循环，避免阻塞
setTimeout(() => {
catagoryList.value.forEach(row => {
if (!row.hasOwnProperty('filteredOptions')) {
row.filteredOptions = allImplementDepartmentList.value.slice(0, 100); // 限制为前100个
row.loading = false;
}
});
}, 0);
}
loading.value = false;
});
} catch (error) {
console.error('获取诊疗项目列表失败:', error);
loading.value = false;
proxy.$message.error('获取诊疗项目列表失败');
}
}
/** 选择条数 */
@@ -269,16 +279,30 @@ function handleRemoteQuery(query, row) {
row.loading = true;
// 模拟异步延迟
setTimeout(() => {
// 过滤选项
row.filteredOptions = allImplementDepartmentList.value.filter(item => {
// 确保数据已加载
if (!allImplementDepartmentList.value || allImplementDepartmentList.value.length === 0) {
row.filteredOptions = [];
row.loading = false;
return;
}
// 过滤选项，限制结果数量以提高性能
const filtered = allImplementDepartmentList.value.filter(item => {
return item.label.toLowerCase().includes(query.toLowerCase()) ||
item.value.toLowerCase().includes(query.toLowerCase());
});
// 限制返回结果数量，避免过多选项导致性能问题
row.filteredOptions = filtered.slice(0, 100); // 限制为前100个匹配项
row.loading = false;
}, 300); // 300ms 延迟，模拟网络请求
} else {
// 如果查询为空，显示所有选项（但限制数量以提高性能）
row.filteredOptions = allImplementDepartmentList.value.slice(0, 100); // 限制为前100个
if (allImplementDepartmentList.value && allImplementDepartmentList.value.length > 0) {
row.filteredOptions = allImplementDepartmentList.value.slice(0, 100); // 限制为前100个
} else {
row.filteredOptions = [];
}
}
}
@@ -288,6 +312,15 @@ function handleAddItem() {
proxy.$message.warning('请先保存当前行后再新增！');
return;
}
// 确保 allImplementDepartmentList 已经初始化
if (!allImplementDepartmentList.value || allImplementDepartmentList.value.length === 0) {
proxy.$message.warning('正在加载数据，请稍后再试！');
// 如果数据还未加载完成，尝试重新加载
getAllImplementDepartment();
return;
}
const newRow = {
startTime: '00:00:00',
endTime: '23:59:59',
@@ -411,26 +444,28 @@ function continueHandleNodeClick(node) {
}
/** 目录分类查询 */
function getDiseaseTreatmentList() {
async function getDiseaseTreatmentList() {
loading.value = true;
getDiseaseTreatmentInit().then(({ data }) => {
loading.value = false;
try {
const { data } = await getDiseaseTreatmentInit();
//分类目录初始化获取
// 分类目录初始化获取
catagoryDicts.value = data.diagnosisCategoryOptions.sort((a, b) => {
return parseInt(a.value) - parseInt(b.value);
});
});
// 诊疗目录分类查询下拉树结d构
loading.value = true;
// 诊疗目录分类查询下拉树结d构
getImplDepartList();
} catch (error) {
console.error('获取疾病治疗初始化数据失败:', error);
proxy.$message.error('获取分类目录失败');
}
// 诊疗目录分类查询下拉树结构
await getImplDepartList();
loading.value = false;
}
// 诊疗目录分类查询下拉树结d构
function getImplDepartList() {
loading.value = true;
getImplementDepartmentList().then((res) => {
loading.value = false;
async function getImplDepartList() {
try {
const res = await getImplementDepartmentList();
if (res.code === 200) {
if (res.data.records.length > 0) {
organization.value = res.data.records.map((res) => {
@@ -444,13 +479,24 @@ function getImplDepartList() {
organization.value = [];
}
} else {
this.$modal.msgError(res.code);
proxy.$modal.msgError(res.code);
}
});
} catch (error) {
console.error('获取实施部门列表失败:', error);
proxy.$message.error('获取科室信息失败');
}
}
onMounted(() => {
getAllImplementDepartment();
getDiseaseTreatmentList();
onMounted(async () => {
try {
// 并行加载数据，提高效率
await Promise.all([
getAllImplementDepartment(),
getDiseaseTreatmentList()
]);
} catch (error) {
console.error('初始化数据加载失败:', error);
proxy.$message.error('数据加载失败，请稍后重试');
}
});
</script>
<style scoped>