feat(diagnosis): 完善诊断模块功能并优化病历数据获取

- 添加isSaving状态控制保存过程
- 监听患者信息变化自动获取病历详情和诊断列表
- 增强getDetail方法添加错误处理和日志输出
- 重构handleAddDiagnosis方法分离验证逻辑到独立函数
- 优化病历详情获取接口同时查询门诊和住院病历数据
- 添加文档定义树形列表按使用范围筛选功能
- 修复历史病历数据加载错误处理机制

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java

@@ -16,10 +16,12 @@ import java.util.Date;
 import java.sql.Timestamp;
 import com.openhis.common.enums.BindingType;
 import com.openhis.common.enums.EncounterStatus;
+import com.openhis.document.domain.DocRecord;
 import com.openhis.document.domain.Emr;
 import com.openhis.document.domain.EmrDetail;
 import com.openhis.document.domain.EmrDict;
 import com.openhis.document.domain.EmrTemplate;
+import com.openhis.document.service.IDocRecordService;
 import com.openhis.document.service.IEmrDetailService;
 import com.openhis.document.service.IEmrDictService;
 import com.openhis.document.service.IEmrService;
@@ -54,6 +56,9 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
     @Resource
     IEmrDictService emrDictService;
 
+    @Resource
+    IDocRecordService docRecordService;
+
     @Resource
     private EncounterMapper encounterMapper;
 
@@ -128,14 +133,33 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
 
     /**
      * 获取病历详情
+     * 同时检查门诊病历(emr表)和住院病历(doc_record表)
      *
      * @param encounterId 就诊id
      * @return 病历详情
      */
     @Override
     public R<?> getEmrDetail(Long encounterId) {
+        // 先查询门诊病历(emr表)
         Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId));
-        return R.ok(emrDetail);
+        if (emrDetail != null) {
+            return R.ok(emrDetail);
+        }
+
+        // 如果门诊病历为空，检查住院病历(doc_record表)
+        DocRecord docRecord = docRecordService.getOne(
+            new LambdaQueryWrapper<DocRecord>()
+                .eq(DocRecord::getEncounterId, encounterId)
+                .orderByDesc(DocRecord::getCreateTime)
+                .last("LIMIT 1")
+        );
+        if (docRecord != null) {
+            // 住院病历存在，也返回数据
+            return R.ok(docRecord);
+        }
+
+        // 都没有病历
+        return R.ok(null);
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/document/controller/DocDefinitionController.java

@@ -106,7 +106,9 @@ public class DocDefinitionController {
      * @return
      */
     @GetMapping("/treeList")
-    public R<?> getTreeList(DocDefinitonParam docDefinitonParam) {
+    public R<?> getTreeList(DocDefinitonParam docDefinitonParam,
+        @RequestParam(value = "useRanges", required = false) List<Integer> useRanges) {
+        docDefinitonParam.setUseRanges(useRanges);
         return iDocDefinitionAppService.getTreeList(docDefinitonParam);
     }