fix: 修复Bug #318 - 门诊医生站手术申请单自动生成手术医嘱（从descJson解析）

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java

@@ -8,6 +8,7 @@ import com.core.common.exception.ServiceException;
 import com.core.common.utils.AssignSeqUtil;
 import com.core.common.utils.MessageUtils;
 import com.core.common.utils.SecurityUtils;
+import com.fasterxml.jackson.databind.ObjectMapper;
 import com.openhis.administration.domain.ChargeItem;
 import com.openhis.administration.service.IChargeItemService;
 import com.openhis.common.constant.CommonConstants;
@@ -31,6 +32,7 @@ import javax.annotation.Resource;
 import java.math.BigDecimal;
 import java.util.Date;
 import java.util.List;
+import java.util.Map;
 import java.util.stream.Collectors;
 
 /**
@@ -214,6 +216,27 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
 
         // 如果是手术申请单，需要额外生成手术医嘱
         if (ActivityDefCategory.PROCEDURE.getCode().equals(typeCode)) {
+            // 从 descJson 中解析手术信息
+            String descJson = requestFormSaveDto.getDescJson();
+            Map<String, Object> descMap = null;
+            if (descJson != null && !descJson.isEmpty()) {
+                try {
+                    ObjectMapper objectMapper = new ObjectMapper();
+                    descMap = objectMapper.readValue(descJson, Map.class);
+                } catch (Exception e) {
+                    log.error("解析手术申请单 descJson 失败", e);
+                }
+            }
+            
+            // 获取手术信息
+            String surgeryName = descMap != null ? (String) descMap.get("surgeryName") : null;
+            String surgeryCode = descMap != null ? (String) descMap.get("surgeryCode") : null;
+            String surgeryFee = descMap != null ? (String) descMap.get("surgeryFee") : null;
+            String anesthesiaFee = descMap != null ? (String) descMap.get("anesthesiaFee") : null;
+            String plannedTime = descMap != null ? (String) descMap.get("plannedTime") : null;
+            String surgeryIndication = descMap != null ? (String) descMap.get("surgeryIndication") : null;
+            String preoperativeDiagnosis = descMap != null ? (String) descMap.get("preoperativeDiagnosis") : null;
+            
             // 生成手术医嘱
             ServiceRequest surgeryServiceRequest = new ServiceRequest();
             surgeryServiceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());
@@ -224,7 +247,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             surgeryServiceRequest.setQuantity(BigDecimal.valueOf(1));
             surgeryServiceRequest.setUnitCode("次");
             surgeryServiceRequest.setCategoryEnum(4); // 4-手术
-            // 从 activityList 中获取第一个手术 ID 作为活动 ID
+            // 优先从 activityList 获取手术 ID，如果为空则从 descJson 获取
             if (!activityList.isEmpty()) {
                 surgeryServiceRequest.setActivityId(activityList.get(0).getAdviceDefinitionId());
             }
@@ -233,6 +256,26 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             surgeryServiceRequest.setEncounterId(encounterId);
             surgeryServiceRequest.setAuthoredTime(curDate);
             surgeryServiceRequest.setOrgId(orgId);
+            // 设置手术相关信息到 note 字段
+            StringBuilder noteBuilder = new StringBuilder();
+            if (surgeryName != null && !surgeryName.isEmpty()) {
+                noteBuilder.append("手术名称：").append(surgeryName).append("; ");
+            }
+            if (surgeryCode != null && !surgeryCode.isEmpty()) {
+                noteBuilder.append("手术编码：").append(surgeryCode).append("; ");
+            }
+            if (plannedTime != null && !plannedTime.isEmpty()) {
+                noteBuilder.append("计划时间：").append(plannedTime).append("; ");
+            }
+            if (surgeryIndication != null && !surgeryIndication.isEmpty()) {
+                noteBuilder.append("手术指征：").append(surgeryIndication).append("; ");
+            }
+            if (preoperativeDiagnosis != null && !preoperativeDiagnosis.isEmpty()) {
+                noteBuilder.append("术前诊断：").append(preoperativeDiagnosis).append("; ");
+            }
+            if (noteBuilder.length() > 0) {
+                surgeryServiceRequest.setNote(noteBuilder.toString());
+            }
             iServiceRequestService.save(surgeryServiceRequest);
 
             // 生成手术收费项目
@@ -248,6 +291,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             surgeryChargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);
             surgeryChargeItem.setServiceId(surgeryServiceRequest.getId());
             surgeryChargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
+            // 优先从 activityList 获取 productId，如果为空则不设置
             if (!activityList.isEmpty()) {
                 surgeryChargeItem.setProductId(activityList.get(0).getAdviceDefinitionId());
             }
@@ -255,7 +299,45 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             surgeryChargeItem.setRequestingOrgId(orgId);
             surgeryChargeItem.setQuantityValue(BigDecimal.valueOf(1));
             surgeryChargeItem.setQuantityUnit("次");
+            // 设置手术费用
+            if (surgeryFee != null && !surgeryFee.isEmpty()) {
+                try {
+                    surgeryChargeItem.setUnitPrice(new BigDecimal(surgeryFee));
+                    surgeryChargeItem.setTotalPrice(new BigDecimal(surgeryFee));
+                } catch (NumberFormatException e) {
+                    log.warn("手术费用格式不正确：{}", surgeryFee);
+                }
+            }
             iChargeItemService.save(surgeryChargeItem);
+            
+            // 如果存在麻醉费用，生成麻醉收费项目
+            if (anesthesiaFee != null && !anesthesiaFee.isEmpty()) {
+                try {
+                    BigDecimal anesthesiaFeeAmount = new BigDecimal(anesthesiaFee);
+                    if (anesthesiaFeeAmount.compareTo(BigDecimal.ZERO) > 0) {
+                        ChargeItem anesthesiaChargeItem = new ChargeItem();
+                        anesthesiaChargeItem.setStatusEnum(ChargeItemStatus.DRAFT.getValue());
+                        anesthesiaChargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(surgeryServiceRequest.getBusNo()));
+                        anesthesiaChargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                        anesthesiaChargeItem.setPatientId(patientId);
+                        anesthesiaChargeItem.setContextEnum(3); // 3-诊疗
+                        anesthesiaChargeItem.setEncounterId(encounterId);
+                        anesthesiaChargeItem.setEntererId(practitionerId);
+                        anesthesiaChargeItem.setEnteredDate(curDate);
+                        anesthesiaChargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);
+                        anesthesiaChargeItem.setServiceId(surgeryServiceRequest.getId());
+                        anesthesiaChargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
+                        anesthesiaChargeItem.setRequestingOrgId(orgId);
+                        anesthesiaChargeItem.setQuantityValue(BigDecimal.valueOf(1));
+                        anesthesiaChargeItem.setQuantityUnit("次");
+                        anesthesiaChargeItem.setUnitPrice(anesthesiaFeeAmount);
+                        anesthesiaChargeItem.setTotalPrice(anesthesiaFeeAmount);
+                        iChargeItemService.save(anesthesiaChargeItem);
+                    }
+                } catch (NumberFormatException e) {
+                    log.warn("麻醉费用格式不正确：{}", anesthesiaFee);
+                }
+            }
         }
 
         return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[] {"申请单"}));