feat(infection): 院感病例自动筛查
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package com.healthlink.his.web.infection.appservice;
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import com.healthlink.his.infection.domain.HirInfectionCase;
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import java.util.List;
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import java.util.Map;
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public interface IInfectionScreeningAppService {
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Map<String, Object> screenInfectionCases(Map<String, Object> params);
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List<HirInfectionCase> getScreeningResults(Map<String, Object> params);
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}
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package com.healthlink.his.web.infection.appservice.impl;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import com.healthlink.his.infection.domain.HirInfectionCase;
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import com.healthlink.his.infection.service.IHirInfectionCaseService;
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import com.healthlink.his.web.infection.appservice.IInfectionScreeningAppService;
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import lombok.AllArgsConstructor;
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import lombok.extern.slf4j.Slf4j;
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import org.springframework.stereotype.Service;
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import java.util.*;
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import java.util.stream.Collectors;
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@Service
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@Slf4j
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@AllArgsConstructor
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public class InfectionScreeningAppServiceImpl implements IInfectionScreeningAppService {
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private final IHirInfectionCaseService infectionCaseService;
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@Override
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public Map<String, Object> screenInfectionCases(Map<String, Object> params) {
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log.info("开始院感病例自动筛查, 参数: {}", params);
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Map<String, Object> result = new HashMap<>();
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int screenedCount = 0;
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int suspectedCount = 0;
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String startDate = params.get("startDate") != null ? params.get("startDate").toString() : null;
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String endDate = params.get("endDate") != null ? params.get("endDate").toString() : null;
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String departmentName = params.get("departmentName") != null ? params.get("departmentName").toString() : null;
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String infectionType = params.get("infectionType") != null ? params.get("infectionType").toString() : null;
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LambdaQueryWrapper<HirInfectionCase> wrapper = new LambdaQueryWrapper<>();
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if (startDate != null && !startDate.isEmpty()) {
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wrapper.ge(HirInfectionCase::getReportTime, startDate);
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}
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if (endDate != null && !endDate.isEmpty()) {
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wrapper.le(HirInfectionCase::getReportTime, endDate + " 23:59:59");
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}
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if (infectionType != null && !infectionType.isEmpty()) {
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wrapper.eq(HirInfectionCase::getInfectionType, infectionType);
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}
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wrapper.eq(HirInfectionCase::getDeleteFlag, "0");
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wrapper.orderByDesc(HirInfectionCase::getReportTime);
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List<HirInfectionCase> cases = infectionCaseService.list(wrapper);
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screenedCount = cases.size();
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List<HirInfectionCase> suspectedCases = new ArrayList<>();
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for (HirInfectionCase c : cases) {
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if (isSuspectedInfection(c, params)) {
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suspectedCases.add(c);
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}
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}
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suspectedCount = suspectedCases.size();
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result.put("screenedCount", screenedCount);
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result.put("suspectedCount", suspectedCount);
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result.put("suspectedCases", suspectedCases);
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result.put("screenTime", new Date());
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result.put("rules", getScreeningRules(params));
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log.info("筛查完成: 共筛查{}例, 疑似{}例", screenedCount, suspectedCount);
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return result;
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}
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@Override
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public List<HirInfectionCase> getScreeningResults(Map<String, Object> params) {
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String startDate = params.get("startDate") != null ? params.get("startDate").toString() : null;
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String endDate = params.get("endDate") != null ? params.get("endDate").toString() : null;
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String status = params.get("status") != null ? params.get("status").toString() : null;
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LambdaQueryWrapper<HirInfectionCase> wrapper = new LambdaQueryWrapper<>();
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if (startDate != null && !startDate.isEmpty()) {
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wrapper.ge(HirInfectionCase::getReportTime, startDate);
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}
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if (endDate != null && !endDate.isEmpty()) {
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wrapper.le(HirInfectionCase::getReportTime, endDate + " 23:59:59");
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}
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if (status != null && !status.isEmpty()) {
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wrapper.eq(HirInfectionCase::getStatus, status);
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}
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wrapper.eq(HirInfectionCase::getDeleteFlag, "0");
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wrapper.orderByDesc(HirInfectionCase::getReportTime);
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return infectionCaseService.list(wrapper);
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}
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private boolean isSuspectedInfection(HirInfectionCase c, Map<String, Object> params) {
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if (c.getInfectionType() != null && c.getInfectionType().contains("医院感染")) {
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return true;
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}
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if (c.getPathogen() != null && !c.getPathogen().isEmpty()) {
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return true;
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}
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if (c.getInfectionSite() != null) {
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String site = c.getInfectionSite().toLowerCase();
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if (site.contains("血流") || site.contains("尿路") || site.contains("肺部") || site.contains("手术部位")) {
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return true;
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}
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}
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if (params.get("minDays") != null) {
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try {
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int minDays = Integer.parseInt(params.get("minDays").toString());
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if (c.getDiagnosisDate() != null) {
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long days = (new Date().getTime() - c.getDiagnosisDate().getTime()) / (1000 * 60 * 60 * 24);
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if (days >= minDays) {
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return true;
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}
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}
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} catch (NumberFormatException ignored) {}
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}
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return false;
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}
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private List<String> getScreeningRules(Map<String, Object> params) {
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List<String> rules = new ArrayList<>();
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rules.add("感染类型为'医院感染'");
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rules.add("已检出病原体");
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rules.add("感染部位为血流/尿路/肺部/手术部位");
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if (params.get("minDays") != null) {
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rules.add("住院天数超过" + params.get("minDays") + "天");
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}
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return rules;
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}
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}
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package com.healthlink.his.web.infection.controller;
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import com.core.common.core.domain.R;
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import com.healthlink.his.web.infection.appservice.IInfectionScreeningAppService;
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import io.swagger.v3.oas.annotations.Operation;
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import io.swagger.v3.oas.annotations.tags.Tag;
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import lombok.AllArgsConstructor;
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import lombok.extern.slf4j.Slf4j;
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import org.springframework.security.access.prepost.PreAuthorize;
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import org.springframework.web.bind.annotation.*;
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import java.util.Map;
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@Tag(name = "院感病例自动筛查")
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@RestController
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@RequestMapping("/infection/screening")
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@Slf4j
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@AllArgsConstructor
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public class InfectionScreeningController {
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private final IInfectionScreeningAppService screeningAppService;
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@Operation(summary = "执行院感病例自动筛查")
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@PreAuthorize("@ss.hasPermi('infection:infection:edit')")
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@PostMapping("/run")
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public R<?> runScreening(@RequestBody Map<String, Object> params) {
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log.info("触发院感病例自动筛查");
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return R.ok(screeningAppService.screenInfectionCases(params));
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}
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@Operation(summary = "查询筛查结果")
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@PreAuthorize("@ss.hasPermi('infection:infection:list')")
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@GetMapping("/results")
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public R<?> getScreeningResults(
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@RequestParam(value = "startDate", required = false) String startDate,
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@RequestParam(value = "endDate", required = false) String endDate,
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@RequestParam(value = "status", required = false) String status) {
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Map<String, Object> params = new java.util.HashMap<>();
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params.put("startDate", startDate);
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params.put("endDate", endDate);
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params.put("status", status);
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return R.ok(screeningAppService.getScreeningResults(params));
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}
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}
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9
healthlink-his-ui/src/api/infection/screening.js
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9
healthlink-his-ui/src/api/infection/screening.js
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import request from '@/utils/request'
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export function runScreening(params) {
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return request({ url: '/infection/screening/run', method: 'post', data: params })
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}
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export function getScreeningResults(params) {
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return request({ url: '/infection/screening/results', method: 'get', params })
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}
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171
healthlink-his-ui/src/views/infection/screening/index.vue
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171
healthlink-his-ui/src/views/infection/screening/index.vue
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<template>
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<div class="screening-container">
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<div class="page-header">
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<span class="tab-title">院感病例自动筛查</span>
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</div>
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<el-card shadow="never" style="margin-bottom: 16px">
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<template #header>
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<span>筛查规则配置</span>
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</template>
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<el-form :model="screeningParams" inline>
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<el-form-item label="开始日期">
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<el-date-picker
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v-model="screeningParams.startDate"
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type="date"
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value-format="YYYY-MM-DD"
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placeholder="选择开始日期"
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/>
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</el-form-item>
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<el-form-item label="结束日期">
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<el-date-picker
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v-model="screeningParams.endDate"
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type="date"
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value-format="YYYY-MM-DD"
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placeholder="选择结束日期"
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/>
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</el-form-item>
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<el-form-item label="感染类型">
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<el-select v-model="screeningParams.infectionType" clearable placeholder="全部">
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<el-option label="医院感染" value="医院感染" />
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<el-option label="社区感染" value="社区感染" />
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</el-select>
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</el-form-item>
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<el-form-item label="住院天数阈值">
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<el-input-number v-model="screeningParams.minDays" :min="0" :max="365" />
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</el-form-item>
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<el-form-item>
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<el-button type="primary" @click="handleScreening" :loading="screening">
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执行筛查
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</el-button>
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</el-form-item>
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</el-form>
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</el-card>
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<el-card v-if="screeningResult" shadow="never" style="margin-bottom: 16px">
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<template #header>
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<span>筛查结果概览</span>
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</template>
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<div style="display: flex; gap: 40px; text-align: center">
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<div>
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<div style="font-size: 28px; font-weight: bold; color: #409eff">
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{{ screeningResult.screenedCount || 0 }}
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</div>
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<div>筛查病例数</div>
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</div>
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<div>
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<div style="font-size: 28px; font-weight: bold; color: #e6a23c">
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{{ screeningResult.suspectedCount || 0 }}
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</div>
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<div>疑似病例数</div>
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</div>
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<div>
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<div style="font-size: 28px; font-weight: bold; color: #67c23a">
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{{ screeningResult.screenTime || '-' }}
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</div>
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<div>筛查时间</div>
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</div>
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</div>
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<div style="margin-top: 12px">
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<el-tag v-for="(rule, index) in screeningResult.rules" :key="index" style="margin-right: 8px">
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{{ rule }}
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</el-tag>
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</div>
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</el-card>
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<el-card shadow="never">
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<template #header>
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<div style="display: flex; justify-content: space-between; align-items: center">
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<span>筛查结果列表</span>
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<el-button type="primary" link @click="loadResults">刷新</el-button>
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</div>
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</template>
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<el-table :data="results" v-loading="loading" border stripe style="width: 100%">
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<el-table-column prop="patientName" label="患者姓名" width="100" />
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<el-table-column prop="infectionType" label="感染类型" width="100" />
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<el-table-column prop="infectionSite" label="感染部位" width="120" />
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<el-table-column prop="pathogen" label="病原体" width="120" />
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<el-table-column prop="diagnosisDate" label="诊断日期" width="120" />
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<el-table-column prop="reportTime" label="上报时间" width="170" />
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<el-table-column prop="status" label="状态" width="100">
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<template #default="{ row }">
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<el-tag :type="statusTagType(row.status)" size="small">
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{{ statusText(row.status) }}
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</el-tag>
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</template>
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</el-table-column>
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<el-table-column prop="reviewResult" label="审核结果" width="100">
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<template #default="{ row }">
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<el-tag v-if="row.reviewResult" :type="row.reviewResult === 'CONFIRMED' ? 'success' : 'danger'" size="small">
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{{ row.reviewResult === 'CONFIRMED' ? '确认' : '驳回' }}
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</el-tag>
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<span v-else>-</span>
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</template>
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</el-table-column>
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</el-table>
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</el-card>
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</div>
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</template>
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<script setup>
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import { ref, reactive, onMounted } from 'vue'
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import { ElMessage } from 'element-plus'
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import { runScreening, getScreeningResults } from '@/api/infection/screening'
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const screeningParams = reactive({
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startDate: '',
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endDate: '',
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infectionType: '',
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minDays: 3
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})
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const screening = ref(false)
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const loading = ref(false)
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const screeningResult = ref(null)
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const results = ref([])
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const statusText = (status) => {
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const map = { 'REPORTED': '已上报', 'REVIEWED': '已审核', 'CONFIRMED': '已确认', 'REJECTED': '已驳回' }
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return map[status] || status
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}
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const statusTagType = (status) => {
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const map = { 'REPORTED': 'warning', 'REVIEWED': 'info', 'CONFIRMED': 'success', 'REJECTED': 'danger' }
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return map[status] || ''
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}
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const handleScreening = async () => {
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screening.value = true
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try {
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const res = await runScreening(screeningParams)
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screeningResult.value = res.data
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results.value = res.data?.suspectedCases || []
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ElMessage.success('筛查完成')
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} catch (e) {
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ElMessage.error('筛查失败: ' + (e.message || '未知错误'))
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} finally {
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screening.value = false
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}
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}
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const loadResults = async () => {
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loading.value = true
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try {
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const res = await getScreeningResults({
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|
startDate: screeningParams.startDate,
|
||||||
|
endDate: screeningParams.endDate
|
||||||
|
})
|
||||||
|
results.value = res.data || []
|
||||||
|
} finally {
|
||||||
|
loading.value = false
|
||||||
|
}
|
||||||
|
}
|
||||||
|
|
||||||
|
onMounted(() => loadResults())
|
||||||
|
</script>
|
||||||
|
|
||||||
|
<style scoped>
|
||||||
|
.screening-container { padding: 16px; }
|
||||||
|
.page-header { margin-bottom: 16px; }
|
||||||
|
.tab-title { font-size: 18px; font-weight: bold; }
|
||||||
|
</style>
|
||||||
Reference in New Issue
Block a user