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-ui-vue3/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue

@@ -189,6 +189,7 @@ import {patientInfo} from '../../store/patient.js';
 import {ElMessage} from 'element-plus';
 // const diagnosisList = ref([]);
 const allowAdd = ref(false);
+const isSaving = ref(false);
 const tree = ref([]);
 const openDiagnosis = ref(false);
 const openAddDiagnosisDialog = ref(false);
@@ -229,15 +230,42 @@ watch(
   { deep: true }
 );
 
+// 监听患者信息变化，自动获取病历详情和诊断列表
+watch(
+  () => props.patientInfo,
+  (newVal) => {
+    if (newVal?.encounterId) {
+      getDetail(newVal.encounterId);
+      getList();
+    }
+  },
+  { immediate: true, deep: true }
+);
+
 function getDetail(encounterId) {
   if (!encounterId) {
     console.warn('未提供有效的就诊ID，无法获取病历详情');
+    allowAdd.value = false;
     return;
   }
   
-  getEmrDetail(encounterId).then((res) => {
-    allowAdd.value = res.data ? true : false;
-  });
+  console.log('正在获取病历详情，encounterId:', encounterId);
+  
+  getEmrDetail(encounterId)
+    .then((res) => {
+      console.log('病历详情API返回:', res);
+      if (res.code === 200) {
+        allowAdd.value = res.data ? true : false;
+        console.log('设置 allowAdd =', allowAdd.value, ', 病历数据:', res.data);
+      } else {
+        allowAdd.value = false;
+        console.warn('获取病历详情失败:', res.msg);
+      }
+    })
+    .catch((error) => {
+      console.error('获取病历详情异常:', error);
+      allowAdd.value = false;
+    });
 }
 
 function getList() {
@@ -245,7 +273,10 @@ function getList() {
     console.warn('患者就诊信息不完整，无法获取诊断数据');
     return;
   }
-  
+
+  // 初始化中医诊断列表
+  const newList = [];
+
   getEncounterDiagnosis(props.patientInfo.encounterId).then((res) => {
     if (res.code == 200) {
       const datas = (res.data || []).map((item) => {
@@ -405,30 +436,57 @@ function getTree() {
  * 添加西医诊断
  */
 function handleAddDiagnosis() {
-  proxy.$refs.formRef.validate((valid) => {
+  console.log('点击新增诊断按钮，allowAdd:', allowAdd.value);
+  
+  // 检查表单ref是否存在
+  if (!proxy.$refs.formRef) {
+    console.error('表单ref不存在');
+    // 直接添加诊断，不经过表单验证
+    addDiagnosisItem();
+    return;
+  }
+  
+  proxy.$refs.formRef.validate((valid, fields) => {
+    console.log('表单验证结果:', valid, '错误字段:', fields);
     if (valid) {
       if (!allowAdd.value) {
         proxy.$modal.msgWarning('请先填写病历');
         return;
       }
-      form.value.diagnosisList.push({
-        showPopover: false,
-        name: undefined,
-        verificationStatusEnum: 4,
-        medTypeCode: undefined,  // 不设默认值
-        diagSrtNo: form.value.diagnosisList.length + 1,
-        iptDiseTypeCode: 2,
-        diagnosisDesc: '',
-        diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-        diagnosisTime: new Date().toLocaleString('zh-CN')
-      });
-      if (form.value.diagnosisList.length == 1) {
-        form.value.diagnosisList[0].maindiseFlag = 1;
+      addDiagnosisItem();
+    } else {
+      console.warn('表单验证失败:', fields);
+      // 验证失败时也允许添加（因为是新增空行）
+      if (allowAdd.value) {
+        console.log('验证失败但允许添加，强制添加诊断');
+        addDiagnosisItem();
       }
     }
   });
 }
 
+/**
+ * 添加诊断项
+ */
+function addDiagnosisItem() {
+  console.log('执行添加诊断，当前列表长度:', form.value.diagnosisList.length);
+  form.value.diagnosisList.push({
+    showPopover: false,
+    name: undefined,
+    verificationStatusEnum: 4,
+    medTypeCode: undefined,
+    diagSrtNo: form.value.diagnosisList.length + 1,
+    iptDiseTypeCode: 2,
+    diagnosisDesc: '',
+    diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+    diagnosisTime: new Date().toLocaleString('zh-CN')
+  });
+  if (form.value.diagnosisList.length == 1) {
+    form.value.diagnosisList[0].maindiseFlag = 1;
+  }
+  console.log('添加完成，新列表长度:', form.value.diagnosisList.length);
+}
+
 // 添加中医诊断
 function handleAddTcmDiagonsis() {
   openAddDiagnosisDialog.value = true;

openhis-ui-vue3/src/views/inpatientDoctor/home/emr/index.vue

@@ -560,12 +560,12 @@ const loadLatestMedicalRecord = async () => {
   loading.value = true;
   try {
     // 获取患者的历史病历记录
-    // const res = await getRecordByEncounterIdList({
-    //   isPage: 0,
-    //   encounterId: patientInfo.value.encounterId,
-    //   patientId: patientInfo.value.patientId,
-    //   definitionId: currentSelectTemplate.value.id,
-    // });
+    const res = await getRecordByEncounterIdList({
+      isPage: 0,
+      encounterId: patientInfo.value.encounterId,
+      patientId: patientInfo.value.patientId,
+      definitionId: currentSelectTemplate.value.id,
+    });
 
     const historyRecords = res.data || [];
     if (historyRecords.length > 0) {
@@ -623,7 +623,8 @@ const loadLatestMedicalRecord = async () => {
       loading.value = false;
     }
   } catch (error) {
-    ElMessage.error('加载最新病历数据失败=====>', error);
+    console.error('加载最新病历数据失败:', error);
+    ElMessage.error('加载最新病历数据失败');
     // 出错时也清空选中状态
     selectedHistoryRecordId.value = '';
     // 出错时也要清空表单数据，避免显示之前患者的数据

openhis-ui-vue3/src/views/inpatientDoctor/home/index.vue

@@ -153,6 +153,7 @@ const handleItemClick = (node) => {
     updateLocalPatientInfo(node);
 
     diagnosisRef.value?.getList();
+    diagnosisRef.value?.getDetail(node?.encounterId);
     adviceRef.value?.getListInfo();
     adviceRef.value?.getDiagnosisInfo();
   }, 100); // 100ms 防抖延迟
@@ -189,6 +190,7 @@ watch(activeTabName, (newTab) => {
 provide('diagnosisInit', (value) => {
   currentPatientInfo.value = value;
   diagnosisRef.value.getList();
+  diagnosisRef.value.getDetail(value?.encounterId);
 });
 provide('getAdviceList', (value) => {
   adviceRef.value.getListInfo();