From 7c3c22d02993c24d627cbc75068d942f7609abee Mon Sep 17 00:00:00 2001
From: chenqi <chen.qi@jin-group.cn>
Date: Thu, 18 Jun 2026 12:13:16 +0800
Subject: [PATCH] =?UTF-8?q?feat(nursing):=20T6.1=20=E7=AE=A1=E9=81=93?=
 =?UTF-8?q?=E6=BB=91=E8=84=B1=E9=A3=8E=E9=99=A9=E8=AF=84=E4=BC=B0=E5=8A=9F?=
 =?UTF-8?q?=E8=83=BD?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../appservice/IPipeRiskAppService.java       |  10 ++
 .../impl/PipeRiskAppServiceImpl.java          |  50 ++++++
 .../controller/PipeRiskController.java        |  36 +++++
 .../nursing/assessment/PipeRiskAssessment.vue | 145 ++++++++++++++++++
 4 files changed, 241 insertions(+)
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPipeRiskAppService.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PipeRiskAppServiceImpl.java
 create mode 100644 healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PipeRiskController.java
 create mode 100644 healthlink-his-ui/src/views/nursing/assessment/PipeRiskAssessment.vue

diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPipeRiskAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPipeRiskAppService.java
new file mode 100644
index 000000000..b7c3eabb8
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/IPipeRiskAppService.java
@@ -0,0 +1,10 @@
+package com.healthlink.his.web.nursing.appservice;
+
+import com.healthlink.his.nursing.domain.NursingAssessmentIntervention;
+
+import java.util.List;
+
+public interface IPipeRiskAppService {
+    NursingAssessmentIntervention assessPipeRisk(NursingAssessmentIntervention intervention);
+    List<NursingAssessmentIntervention> getPipeRiskRecords(Long encounterId);
+}
\ No newline at end of file
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PipeRiskAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PipeRiskAppServiceImpl.java
new file mode 100644
index 000000000..2de7cfbeb
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/appservice/impl/PipeRiskAppServiceImpl.java
@@ -0,0 +1,50 @@
+package com.healthlink.his.web.nursing.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.nursing.domain.NursingAssessmentIntervention;
+import com.healthlink.his.nursing.service.INursingAssessmentInterventionService;
+import com.healthlink.his.web.nursing.appservice.IPipeRiskAppService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import java.util.Date;
+import java.util.List;
+
+@Service
+public class PipeRiskAppServiceImpl implements IPipeRiskAppService {
+
+    @Autowired
+    private INursingAssessmentInterventionService interventionService;
+
+    @Override
+    public NursingAssessmentIntervention assessPipeRisk(NursingAssessmentIntervention intervention) {
+        intervention.setRiskLevel(calculatePipeRiskLevel(intervention));
+        intervention.setInterventionType("TUBE");
+        intervention.setStatus("PENDING");
+        intervention.setDeleteFlag("0");
+        interventionService.save(intervention);
+        return intervention;
+    }
+
+    @Override
+    public List<NursingAssessmentIntervention> getPipeRiskRecords(Long encounterId) {
+        return interventionService.list(new LambdaQueryWrapper<NursingAssessmentIntervention>()
+                .eq(NursingAssessmentIntervention::getEncounterId, encounterId)
+                .eq(NursingAssessmentIntervention::getInterventionType, "TUBE")
+                .orderByDesc(NursingAssessmentIntervention::getCreateTime));
+    }
+
+    private String calculatePipeRiskLevel(NursingAssessmentIntervention intervention) {
+        String content = intervention.getInterventionContent();
+        if (content == null) return "LOW";
+        int score = 0;
+        if (content.contains("高风险")) score += 3;
+        else if (content.contains("中风险")) score += 2;
+        else if (content.contains("低风险")) score += 1;
+        if (content.contains("活动")) score += 2;
+        if (content.contains("固定")) score += 1;
+        if (score >= 4) return "HIGH";
+        if (score >= 2) return "MEDIUM";
+        return "LOW";
+    }
+}
\ No newline at end of file
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PipeRiskController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PipeRiskController.java
new file mode 100644
index 000000000..8c4d18f05
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/PipeRiskController.java
@@ -0,0 +1,36 @@
+package com.healthlink.his.web.nursing.controller;
+
+import com.core.common.core.domain.AjaxResult;
+import com.healthlink.his.nursing.domain.NursingAssessmentIntervention;
+import com.healthlink.his.web.nursing.appservice.IPipeRiskAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+
+@Tag(name = "管道滑脱风险评估")
+@RestController
+@RequestMapping("/api/v1/nursing/pipe-risk")
+public class PipeRiskController {
+
+    @Autowired
+    private IPipeRiskAppService pipeRiskAppService;
+
+    @Operation(summary = "管道滑脱风险评估")
+    @PostMapping("/assess")
+    @PreAuthorize("hasAuthority('nursing:nursing:edit')")
+    public AjaxResult assessPipeRisk(@RequestBody NursingAssessmentIntervention intervention) {
+        return AjaxResult.success(pipeRiskAppService.assessPipeRisk(intervention));
+    }
+
+    @Operation(summary = "获取管道滑脱风险评估记录")
+    @GetMapping("/list/{encounterId}")
+    @PreAuthorize("hasAuthority('nursing:nursing:list')")
+    public AjaxResult getPipeRiskRecords(@PathVariable Long encounterId) {
+        List<NursingAssessmentIntervention> records = pipeRiskAppService.getPipeRiskRecords(encounterId);
+        return AjaxResult.success(records);
+    }
+}
\ No newline at end of file
diff --git a/healthlink-his-ui/src/views/nursing/assessment/PipeRiskAssessment.vue b/healthlink-his-ui/src/views/nursing/assessment/PipeRiskAssessment.vue
new file mode 100644
index 000000000..7ac08c701
--- /dev/null
+++ b/healthlink-his-ui/src/views/nursing/assessment/PipeRiskAssessment.vue
@@ -0,0 +1,145 @@
+<template>
+  <div class="app-container">
+    <el-card class="box-card">
+      <template #header>
+        <div class="card-header">
+          <span>管道滑脱风险评估</span>
+        </div>
+      </template>
+
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="120px">
+        <el-form-item label="就诊号" prop="encounterId">
+          <el-input v-model="form.encounterId" placeholder="请输入就诊号" />
+        </el-form-item>
+        <el-form-item label="患者ID" prop="patientId">
+          <el-input v-model="form.patientId" placeholder="请输入患者ID" />
+        </el-form-item>
+        <el-form-item label="干预内容" prop="interventionContent">
+          <el-input v-model="form.interventionContent" type="textarea" :rows="4" placeholder="请输入评估内容，如：高风险、中风险、低风险、活动、固定等关键词" />
+        </el-form-item>
+        <el-form-item label="护士姓名" prop="nurseName">
+          <el-input v-model="form.nurseName" placeholder="请输入护士姓名" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="submitAssess">提交评估</el-button>
+          <el-button @click="resetForm">重置</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-card class="box-card" style="margin-top: 20px;">
+      <template #header>
+        <div class="card-header">
+          <span>评估记录</span>
+        </div>
+      </template>
+
+      <el-table v-loading="loading" :data="records" style="width: 100%">
+        <el-table-column label="风险等级" prop="riskLevel" width="100">
+          <template #default="scope">
+            <el-tag :type="getRiskType(scope.row.riskLevel)">
+              {{ scope.row.riskLevel }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="干预内容" prop="interventionContent" />
+        <el-table-column label="护士" prop="nurseName" width="100" />
+        <el-table-column label="状态" prop="status" width="100">
+          <template #default="scope">
+            <el-tag :type="getStatusType(scope.row.status)">
+              {{ scope.row.status }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="创建时间" prop="createTime" width="170" />
+      </el-table>
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import request from '@/utils/request'
+
+const formRef = ref(null)
+const loading = ref(false)
+const records = ref([])
+
+const form = reactive({
+  encounterId: '',
+  patientId: '',
+  interventionContent: '',
+  nurseName: ''
+})
+
+const rules = {
+  encounterId: [{ required: true, message: '请输入就诊号', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }],
+  interventionContent: [{ required: true, message: '请输入评估内容', trigger: 'blur' }],
+  nurseName: [{ required: true, message: '请输入护士姓名', trigger: 'blur' }]
+}
+
+const getRiskType = (level) => {
+  const map = { HIGH: 'danger', MEDIUM: 'warning', LOW: 'success' }
+  return map[level] || 'info'
+}
+
+const getStatusType = (status) => {
+  const map = { PENDING: 'warning', EXECUTED: 'success', CANCELLED: 'info' }
+  return map[status] || 'info'
+}
+
+const submitAssess = async () => {
+  try {
+    await formRef.value.validate()
+    loading.value = true
+    await request({
+      url: '/api/v1/nursing/pipe-risk/assess',
+      method: 'post',
+      data: form
+    })
+    ElMessage.success('评估提交成功')
+    getRecords()
+    resetForm()
+  } catch (error) {
+    ElMessage.error('提交失败')
+  } finally {
+    loading.value = false
+  }
+}
+
+const getRecords = async () => {
+  if (!form.encounterId) return
+  loading.value = true
+  try {
+    const res = await request({
+      url: `/api/v1/nursing/pipe-risk/list/${form.encounterId}`,
+      method: 'get'
+    })
+    records.value = res.data || []
+  } catch (error) {
+    ElMessage.error('获取记录失败')
+  } finally {
+    loading.value = false
+  }
+}
+
+const resetForm = () => {
+  formRef.value?.resetFields()
+}
+
+onMounted(() => {
+  if (form.encounterId) {
+    getRecords()
+  }
+})
+</script>
+
+<style scoped>
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>
\ No newline at end of file