feat(clinical-pathway): 临床路径执行管理
This commit is contained in:
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package com.healthlink.his.web.clinical.appservice;
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import com.healthlink.his.clinical.domain.ClinicalPathway;
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import com.healthlink.his.clinical.domain.ClinicalPathwayExecution;
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import com.healthlink.his.clinical.domain.ClinicalPathwayVariance;
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import com.baomidou.mybatisplus.core.metadata.IPage;
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import java.util.Map;
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public interface IClinicalPathwayAppService {
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Map<String, Object> evaluate(Long encounterId);
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void admit(ClinicalPathwayExecution execution);
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void recordExecution(ClinicalPathwayExecution execution);
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void recordVariance(ClinicalPathwayVariance variance);
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void discharge(Long executionId);
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Map<String, Object> getStatistics(String startDate, String endDate);
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IPage<ClinicalPathway> page(String diseaseCode, Integer pageNo, Integer pageSize);
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void add(ClinicalPathway pathway);
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IPage<Map<String, Object>> getExecutionPage(Long pathwayId, Integer pageNo, Integer pageSize);
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}
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package com.healthlink.his.web.clinical.appservice.impl;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import com.baomidou.mybatisplus.core.metadata.IPage;
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import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
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import com.healthlink.his.clinical.domain.ClinicalPathway;
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import com.healthlink.his.clinical.domain.ClinicalPathwayExecution;
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import com.healthlink.his.clinical.domain.ClinicalPathwayVariance;
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import com.healthlink.his.clinical.service.IClinicalPathwayService;
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import com.healthlink.his.clinical.service.IClinicalPathwayExecutionService;
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import com.healthlink.his.clinical.service.IClinicalPathwayVarianceService;
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import com.healthlink.his.web.clinical.appservice.IClinicalPathwayAppService;
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import org.springframework.beans.factory.annotation.Autowired;
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import org.springframework.stereotype.Service;
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import org.springframework.transaction.annotation.Transactional;
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import org.springframework.util.StringUtils;
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import java.time.LocalDate;
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import java.time.temporal.ChronoUnit;
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import java.util.*;
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@Service
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public class ClinicalPathwayAppServiceImpl implements IClinicalPathwayAppService {
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@Autowired
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private IClinicalPathwayService pathwayService;
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@Autowired
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private IClinicalPathwayExecutionService executionService;
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@Autowired
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private IClinicalPathwayVarianceService varianceService;
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@Override
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public Map<String, Object> evaluate(Long encounterId) {
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Map<String, Object> result = new LinkedHashMap<>();
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LambdaQueryWrapper<ClinicalPathwayExecution> qw = new LambdaQueryWrapper<>();
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qw.eq(ClinicalPathwayExecution::getEncounterId, encounterId)
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.eq(ClinicalPathwayExecution::getStatus, "IN_PATH");
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ClinicalPathwayExecution active = executionService.getOne(qw);
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result.put("hasActivePathway", active != null);
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if (active != null) {
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result.put("activeExecution", active);
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LambdaQueryWrapper<ClinicalPathway> pw = new LambdaQueryWrapper<>();
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pw.eq(ClinicalPathway::getId, active.getPathwayId());
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result.put("pathway", pathwayService.getOne(pw));
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}
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LambdaQueryWrapper<ClinicalPathwayExecution> allQw = new LambdaQueryWrapper<>();
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allQw.eq(ClinicalPathwayExecution::getEncounterId, encounterId);
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result.put("totalExecutions", executionService.count(allQw));
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return result;
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void admit(ClinicalPathwayExecution execution) {
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execution.setStatus("IN_PATH");
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execution.setEnterDate(LocalDate.now());
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execution.setCreateTime(new Date());
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executionService.save(execution);
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void recordExecution(ClinicalPathwayExecution execution) {
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LambdaQueryWrapper<ClinicalPathwayExecution> qw = new LambdaQueryWrapper<>();
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qw.eq(ClinicalPathwayExecution::getEncounterId, execution.getEncounterId())
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.eq(ClinicalPathwayExecution::getStatus, "IN_PATH");
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ClinicalPathwayExecution existing = executionService.getOne(qw);
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if (existing == null) {
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throw new RuntimeException("当前无在径执行记录");
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}
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if (execution.getActualDays() != null) {
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existing.setActualDays(execution.getActualDays());
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}
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if (execution.getActualCost() != null) {
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existing.setActualCost(execution.getActualCost());
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}
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existing.setUpdateTime(new Date());
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executionService.updateById(existing);
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void recordVariance(ClinicalPathwayVariance variance) {
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variance.setCreateTime(new Date());
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varianceService.save(variance);
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LambdaQueryWrapper<ClinicalPathwayExecution> qw = new LambdaQueryWrapper<>();
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qw.eq(ClinicalPathwayExecution::getId, variance.getExecutionId());
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ClinicalPathwayExecution exec = executionService.getOne(qw);
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if (exec != null) {
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exec.setStatus("VARIATION");
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exec.setVariationReason(variance.getVarianceReason());
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exec.setUpdateTime(new Date());
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executionService.updateById(exec);
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}
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void discharge(Long executionId) {
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ClinicalPathwayExecution exec = executionService.getById(executionId);
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if (exec == null) {
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throw new RuntimeException("执行记录不存在");
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}
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exec.setStatus("COMPLETED");
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exec.setCompleteDate(LocalDate.now());
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if (exec.getEnterDate() != null) {
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long days = ChronoUnit.DAYS.between(exec.getEnterDate(), LocalDate.now());
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exec.setActualDays((int) days);
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}
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exec.setUpdateTime(new Date());
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executionService.updateById(exec);
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}
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@Override
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public Map<String, Object> getStatistics(String startDate, String endDate) {
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Map<String, Object> stats = new LinkedHashMap<>();
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stats.put("totalPathways", pathwayService.count());
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stats.put("totalExecutions", executionService.count());
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LambdaQueryWrapper<ClinicalPathwayExecution> inPathQw = new LambdaQueryWrapper<>();
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inPathQw.eq(ClinicalPathwayExecution::getStatus, "IN_PATH");
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stats.put("inPathCount", executionService.count(inPathQw));
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LambdaQueryWrapper<ClinicalPathwayExecution> completedQw = new LambdaQueryWrapper<>();
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completedQw.eq(ClinicalPathwayExecution::getStatus, "COMPLETED");
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stats.put("completedCount", executionService.count(completedQw));
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LambdaQueryWrapper<ClinicalPathwayExecution> variationQw = new LambdaQueryWrapper<>();
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variationQw.eq(ClinicalPathwayExecution::getStatus, "VARIATION");
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stats.put("variationCount", executionService.count(variationQw));
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LambdaQueryWrapper<ClinicalPathwayExecution> exitQw = new LambdaQueryWrapper<>();
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exitQw.eq(ClinicalPathwayExecution::getStatus, "EXIT");
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stats.put("exitCount", executionService.count(exitQw));
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long total = executionService.count();
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long completed = (long) stats.get("completedCount");
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stats.put("completionRate", total > 0 ? Math.round(completed * 100.0 / total) : 0);
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stats.put("totalVariances", varianceService.count());
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return stats;
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}
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@Override
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public IPage<ClinicalPathway> page(String diseaseCode, Integer pageNo, Integer pageSize) {
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LambdaQueryWrapper<ClinicalPathway> w = new LambdaQueryWrapper<>();
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w.eq(StringUtils.hasText(diseaseCode), ClinicalPathway::getDiseaseCode, diseaseCode)
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.eq(ClinicalPathway::getStatus, "ACTIVE");
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return pathwayService.page(new Page<>(pageNo, pageSize), w);
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void add(ClinicalPathway pathway) {
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pathway.setVersion(1);
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pathway.setStatus("ACTIVE");
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pathway.setCreateTime(new Date());
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pathwayService.save(pathway);
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}
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@Override
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public IPage<Map<String, Object>> getExecutionPage(Long pathwayId, Integer pageNo, Integer pageSize) {
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LambdaQueryWrapper<ClinicalPathwayExecution> qw = new LambdaQueryWrapper<>();
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qw.eq(pathwayId != null, ClinicalPathwayExecution::getPathwayId, pathwayId)
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.orderByDesc(ClinicalPathwayExecution::getCreateTime);
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Page<ClinicalPathwayExecution> execPage = executionService.page(new Page<>(pageNo, pageSize), qw);
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Page<Map<String, Object>> result = new Page<>(execPage.getCurrent(), execPage.getSize(), execPage.getTotal());
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List<Map<String, Object>> records = new ArrayList<>();
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for (ClinicalPathwayExecution exec : execPage.getRecords()) {
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Map<String, Object> row = new LinkedHashMap<>();
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row.put("id", exec.getId());
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row.put("pathwayId", exec.getPathwayId());
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row.put("encounterId", exec.getEncounterId());
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row.put("patientId", exec.getPatientId());
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row.put("patientName", exec.getPatientName());
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row.put("enterDate", exec.getEnterDate());
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row.put("expectedDays", exec.getExpectedDays());
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row.put("actualDays", exec.getActualDays());
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row.put("expectedCost", exec.getExpectedCost());
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row.put("actualCost", exec.getActualCost());
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row.put("status", exec.getStatus());
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row.put("completeDate", exec.getCompleteDate());
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row.put("createTime", exec.getCreateTime());
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LambdaQueryWrapper<ClinicalPathway> pw = new LambdaQueryWrapper<>();
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pw.eq(ClinicalPathway::getId, exec.getPathwayId());
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ClinicalPathway pwObj = pathwayService.getOne(pw);
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if (pwObj != null) {
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row.put("pathwayName", pwObj.getPathwayName());
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row.put("diseaseCode", pwObj.getDiseaseCode());
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row.put("diseaseName", pwObj.getDiseaseName());
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}
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records.add(row);
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}
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result.setRecords(records);
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return result;
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}
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}
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@@ -1,17 +1,23 @@
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package com.healthlink.his.web.clinical.controller;
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import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
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import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
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import com.core.common.core.domain.AjaxResult;
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import com.core.common.core.domain.R;
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import com.healthlink.his.clinical.domain.*;
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import com.healthlink.his.clinical.service.*;
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import com.healthlink.his.web.clinical.appservice.IClinicalPathwayAppService;
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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;import lombok.extern.slf4j.Slf4j;
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import org.springframework.security.access.prepost.PreAuthorize;
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import org.springframework.transaction.annotation.Transactional;
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import org.springframework.util.StringUtils;import org.springframework.web.bind.annotation.*;
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import java.util.*;
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@RestController @RequestMapping("/clinical-pathway") @Slf4j @AllArgsConstructor
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@Tag(name = "临床路径管理") @RestController @RequestMapping("/clinical-pathway") @Slf4j @AllArgsConstructor
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public class ClinicalPathwayController {
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private final IClinicalPathwayService pathwayService;
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private final IClinicalPathwayExecutionService executionService;
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private final IClinicalPathwayAppService clinicalPathwayAppService;
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@GetMapping("/page")
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public R<?> getPage(@RequestParam(value="diseaseCode",required=false) String diseaseCode,
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@RequestParam(value="pageNo",defaultValue="1") Integer pageNo,
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@@ -59,4 +65,45 @@ public class ClinicalPathwayController {
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stats.put("completionRate", total > 0 ? Math.round(completed * 100.0 / total) : 0);
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return R.ok(stats);
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}
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@Operation(summary = "入径评估")
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@PreAuthorize("@ss.hasPermi('inpatient:clinical:list')")
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@GetMapping("/evaluate/{encounterId}")
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public AjaxResult evaluate(@PathVariable Long encounterId) {
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return AjaxResult.success(clinicalPathwayAppService.evaluate(encounterId));
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}
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@Operation(summary = "入径")
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@PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
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@PostMapping("/admission")
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public AjaxResult admission(@RequestBody ClinicalPathwayExecution execution) {
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clinicalPathwayAppService.admit(execution);
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return AjaxResult.success();
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}
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@Operation(summary = "执行记录")
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@PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
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@PostMapping("/execution/record")
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public AjaxResult executionRecord(@RequestBody ClinicalPathwayExecution execution) {
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clinicalPathwayAppService.recordExecution(execution);
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return AjaxResult.success();
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}
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@Operation(summary = "变异记录")
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@PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
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@PostMapping("/variance/record")
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public AjaxResult varianceRecord(@RequestBody ClinicalPathwayVariance variance) {
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clinicalPathwayAppService.recordVariance(variance);
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return AjaxResult.success();
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}
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@Operation(summary = "出径")
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@PreAuthorize("@ss.hasPermi('inpatient:clinical:edit')")
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@PostMapping("/discharge")
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public AjaxResult discharge(@RequestParam Long executionId) {
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clinicalPathwayAppService.discharge(executionId);
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return AjaxResult.success();
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}
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@Operation(summary = "路径统计")
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@PreAuthorize("@ss.hasPermi('inpatient:clinical:list')")
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@GetMapping("/statistics")
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public AjaxResult statistics(@RequestParam(required = false) String startDate,
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@RequestParam(required = false) String endDate) {
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return AjaxResult.success(clinicalPathwayAppService.getStatistics(startDate, endDate));
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}
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}
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@@ -0,0 +1,21 @@
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CREATE TABLE IF NOT EXISTS clinical_pathway_variance (
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id BIGSERIAL PRIMARY KEY,
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execution_id BIGINT NOT NULL,
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pathway_id BIGINT NOT NULL,
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variance_date DATE NOT NULL,
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variance_type VARCHAR(20) NOT NULL,
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expected_item VARCHAR(200),
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actual_item VARCHAR(200),
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variance_reason TEXT,
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adjustment_action TEXT,
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record_by BIGINT,
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record_by_name VARCHAR(50),
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tenant_id INTEGER DEFAULT 0,
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del_flag CHAR(1) DEFAULT '0',
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create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
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create_by VARCHAR(64),
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update_time TIMESTAMP,
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update_by VARCHAR(64)
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);
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CREATE INDEX IF NOT EXISTS idx_cpv_execution ON clinical_pathway_variance(execution_id);
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CREATE INDEX IF NOT EXISTS idx_cpv_pathway ON clinical_pathway_variance(pathway_id);
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@@ -0,0 +1,12 @@
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package com.healthlink.his.clinical.domain;
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import com.baomidou.mybatisplus.annotation.*;import com.core.common.core.domain.HisBaseEntity;
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import lombok.Data;import lombok.EqualsAndHashCode;
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import java.time.LocalDate;
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@Data @EqualsAndHashCode(callSuper=true) @TableName("clinical_pathway_variance")
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public class ClinicalPathwayVariance extends HisBaseEntity {
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@TableId(value="id",type=IdType.ASSIGN_ID) private Long id;
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private Long executionId; private Long pathwayId; private LocalDate varianceDate;
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private String varianceType; private String expectedItem; private String actualItem;
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private String varianceReason; private String adjustmentAction;
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private Long recordBy; private String recordByName;
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}
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@@ -0,0 +1,6 @@
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package com.healthlink.his.clinical.mapper;
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import com.baomidou.mybatisplus.core.mapper.BaseMapper;
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import com.healthlink.his.clinical.domain.ClinicalPathwayVariance;
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import org.apache.ibatis.annotations.Mapper;
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@Mapper
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public interface ClinicalPathwayVarianceMapper extends BaseMapper<ClinicalPathwayVariance> {}
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@@ -0,0 +1,4 @@
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package com.healthlink.his.clinical.service;
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import com.baomidou.mybatisplus.extension.service.IService;
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import com.healthlink.his.clinical.domain.ClinicalPathwayVariance;
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public interface IClinicalPathwayVarianceService extends IService<ClinicalPathwayVariance> {}
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@@ -0,0 +1,8 @@
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package com.healthlink.his.clinical.service.impl;
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import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
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import com.healthlink.his.clinical.domain.ClinicalPathwayVariance;
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import com.healthlink.his.clinical.mapper.ClinicalPathwayVarianceMapper;
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import com.healthlink.his.clinical.service.IClinicalPathwayVarianceService;
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import org.springframework.stereotype.Service;
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@Service
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public class ClinicalPathwayVarianceServiceImpl extends ServiceImpl<ClinicalPathwayVarianceMapper, ClinicalPathwayVariance> implements IClinicalPathwayVarianceService {}
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37
healthlink-his-ui/src/api/clinicalPathway.js
Normal file
37
healthlink-his-ui/src/api/clinicalPathway.js
Normal file
@@ -0,0 +1,37 @@
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import request from '@/utils/request'
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export function evaluatePathway(encounterId) {
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return request({ url: '/clinical-pathway/evaluate/' + encounterId, method: 'get' })
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}
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export function admitPathway(data) {
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return request({ url: '/clinical-pathway/admission', method: 'post', data: data })
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}
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export function recordExecution(data) {
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return request({ url: '/clinical-pathway/execution/record', method: 'post', data: data })
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}
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export function recordVariance(data) {
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return request({ url: '/clinical-pathway/variance/record', method: 'post', data: data })
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}
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export function dischargePathway(executionId) {
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return request({ url: '/clinical-pathway/discharge', method: 'post', params: { executionId: executionId } })
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}
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export function getPathwayStatistics(params) {
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return request({ url: '/clinical-pathway/statistics', method: 'get', params: params })
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}
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export function getPathwayPage(params) {
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return request({ url: '/clinical-pathway/page', method: 'get', params: params })
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}
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export function addPathway(data) {
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return request({ url: '/clinical-pathway/add', method: 'post', data: data })
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}
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export function getExecutionPage(params) {
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return request({ url: '/clinical-pathway/execution/page', method: 'get', params: params })
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}
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472
healthlink-his-ui/src/views/inpatientDoctor/ClinicalPathway.vue
Normal file
472
healthlink-his-ui/src/views/inpatientDoctor/ClinicalPathway.vue
Normal file
@@ -0,0 +1,472 @@
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<template>
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<div class="clinical-pathway-container">
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<el-row :gutter="16" class="stats-row">
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<el-col :span="4"><el-card shadow="hover"><el-statistic title="路径总数" :value="stats.totalPathways || 0" /></el-card></el-col>
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<el-col :span="4"><el-card shadow="hover"><el-statistic title="在径数" :value="stats.inPathCount || 0" /></el-card></el-col>
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<el-col :span="4"><el-card shadow="hover"><el-statistic title="完成数" :value="stats.completedCount || 0" /></el-card></el-col>
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<el-col :span="4"><el-card shadow="hover"><el-statistic title="变异数" :value="stats.variationCount || 0" /></el-card></el-col>
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<el-col :span="4"><el-card shadow="hover"><el-statistic title="退出数" :value="stats.exitCount || 0" /></el-card></el-col>
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<el-col :span="4"><el-card shadow="hover"><el-statistic title="完成率(%)" :value="stats.completionRate || 0" /></el-card></el-col>
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</el-row>
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<el-card>
|
||||
<template #header>
|
||||
<div class="card-header">
|
||||
<span>临床路径管理</span>
|
||||
<el-button type="primary" size="small" @click="handleAddPathway">新增路径</el-button>
|
||||
</div>
|
||||
</template>
|
||||
<el-form :inline="true" :model="pathwayQuery" class="query-form">
|
||||
<el-form-item label="疾病编码">
|
||||
<el-input v-model="pathwayQuery.diseaseCode" placeholder="疾病编码" clearable style="width: 160px" />
|
||||
</el-form-item>
|
||||
<el-form-item>
|
||||
<el-button type="primary" @click="loadPathways">查询</el-button>
|
||||
<el-button @click="pathwayQuery.diseaseCode = ''; loadPathways()">重置</el-button>
|
||||
</el-form-item>
|
||||
</el-form>
|
||||
<el-table :data="pathwayList" border style="width: 100%">
|
||||
<el-table-column type="index" label="序号" width="60" align="center" />
|
||||
<el-table-column prop="diseaseCode" label="疾病编码" width="120" />
|
||||
<el-table-column prop="diseaseName" label="疾病名称" width="140" />
|
||||
<el-table-column prop="pathwayName" label="路径名称" min-width="200" show-overflow-tooltip />
|
||||
<el-table-column prop="departmentName" label="科室" width="120" />
|
||||
<el-table-column prop="avgDays" label="平均住院日" width="100" align="center" />
|
||||
<el-table-column prop="version" label="版本" width="70" align="center" />
|
||||
<el-table-column prop="status" label="状态" width="80" align="center">
|
||||
<template #default="scope">
|
||||
<el-tag :type="scope.row.status === 'ACTIVE' ? 'success' : 'info'">{{ scope.row.status === 'ACTIVE' ? '启用' : '停用' }}</el-tag>
|
||||
</template>
|
||||
</el-table-column>
|
||||
<el-table-column label="操作" width="240" align="center" fixed="right">
|
||||
<template #default="scope">
|
||||
<el-button link type="primary" @click="handleEnterPathway(scope.row)">入径</el-button>
|
||||
<el-button link type="success" @click="handleViewExecution(scope.row)">执行</el-button>
|
||||
<el-button link type="warning" @click="handleVariance(scope.row)">变异</el-button>
|
||||
</template>
|
||||
</el-table-column>
|
||||
</el-table>
|
||||
<el-pagination
|
||||
v-model:current-page="pathwayQuery.pageNo"
|
||||
v-model:page-size="pathwayQuery.pageSize"
|
||||
:page-sizes="[10, 20, 50]"
|
||||
layout="total, sizes, prev, pager, next, jumper"
|
||||
:total="pathwayTotal"
|
||||
style="margin-top: 12px; justify-content: flex-end"
|
||||
@size-change="loadPathways"
|
||||
@current-change="loadPathways"
|
||||
/>
|
||||
</el-card>
|
||||
|
||||
<el-dialog v-model="addDialogVisible" title="新增临床路径" width="650px" destroy-on-close :close-on-click-modal="false">
|
||||
<el-form ref="addFormRef" :model="addForm" :rules="addRules" label-width="110px">
|
||||
<el-row :gutter="20">
|
||||
<el-col :span="12">
|
||||
<el-form-item label="疾病编码" prop="diseaseCode">
|
||||
<el-input v-model="addForm.diseaseCode" placeholder="请输入疾病编码" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="疾病名称" prop="diseaseName">
|
||||
<el-input v-model="addForm.diseaseName" placeholder="请输入疾病名称" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="24">
|
||||
<el-form-item label="路径名称" prop="pathwayName">
|
||||
<el-input v-model="addForm.pathwayName" placeholder="请输入路径名称" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="科室">
|
||||
<el-input v-model="addForm.departmentName" placeholder="请输入科室" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="平均住院日">
|
||||
<el-input-number v-model="addForm.avgDays" :min="1" style="width: 100%" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="24">
|
||||
<el-form-item label="路径内容">
|
||||
<el-input v-model="addForm.pathwayJson" type="textarea" :rows="4" placeholder="请输入路径内容（JSON格式）" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
</el-row>
|
||||
</el-form>
|
||||
<template #footer>
|
||||
<el-button @click="addDialogVisible = false">取消</el-button>
|
||||
<el-button type="primary" :loading="submitLoading" @click="submitAddPathway">确定</el-button>
|
||||
</template>
|
||||
</el-dialog>
|
||||
|
||||
<el-dialog v-model="enterDialogVisible" title="入径" width="600px" destroy-on-close :close-on-click-modal="false">
|
||||
<el-form ref="enterFormRef" :model="enterForm" :rules="enterRules" label-width="110px">
|
||||
<el-row :gutter="20">
|
||||
<el-col :span="12">
|
||||
<el-form-item label="就诊ID" prop="encounterId">
|
||||
<el-input v-model="enterForm.encounterId" placeholder="请输入就诊ID" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="患者ID" prop="patientId">
|
||||
<el-input v-model="enterForm.patientId" placeholder="请输入患者ID" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="患者姓名">
|
||||
<el-input v-model="enterForm.patientName" placeholder="请输入患者姓名" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="预计住院日">
|
||||
<el-input-number v-model="enterForm.expectedDays" :min="1" style="width: 100%" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="预计费用">
|
||||
<el-input-number v-model="enterForm.expectedCost" :min="0" :precision="2" style="width: 100%" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
</el-row>
|
||||
</el-form>
|
||||
<template #footer>
|
||||
<el-button @click="enterDialogVisible = false">取消</el-button>
|
||||
<el-button type="primary" :loading="submitLoading" @click="submitEnterPathway">确认入径</el-button>
|
||||
</template>
|
||||
</el-dialog>
|
||||
|
||||
<el-dialog v-model="executionDialogVisible" title="路径执行记录" width="900px" destroy-on-close :close-on-click-modal="false">
|
||||
<el-table :data="executionList" border style="width: 100%">
|
||||
<el-table-column type="index" label="序号" width="60" align="center" />
|
||||
<el-table-column prop="patientName" label="患者" width="100" />
|
||||
<el-table-column prop="enterDate" label="入径日期" width="120" />
|
||||
<el-table-column prop="expectedDays" label="预计天数" width="90" align="center" />
|
||||
<el-table-column prop="actualDays" label="实际天数" width="90" align="center" />
|
||||
<el-table-column prop="status" label="状态" width="90" align="center">
|
||||
<template #default="scope">
|
||||
<el-tag v-if="scope.row.status === 'IN_PATH'" type="primary">在径</el-tag>
|
||||
<el-tag v-else-if="scope.row.status === 'COMPLETED'" type="success">完成</el-tag>
|
||||
<el-tag v-else-if="scope.row.status === 'VARIATION'" type="warning">变异</el-tag>
|
||||
<el-tag v-else-if="scope.row.status === 'EXIT'" type="danger">退出</el-tag>
|
||||
<el-tag v-else type="info">{{ scope.row.status }}</el-tag>
|
||||
</template>
|
||||
</el-table-column>
|
||||
<el-table-column prop="completeDate" label="完成日期" width="120" />
|
||||
<el-table-column prop="createTime" label="创建时间" width="170" />
|
||||
<el-table-column label="操作" width="160" align="center" fixed="right">
|
||||
<template #default="scope">
|
||||
<el-button v-if="scope.row.status === 'IN_PATH'" link type="success" @click="handleDischarge(scope.row)">出径</el-button>
|
||||
<el-button v-if="scope.row.status === 'IN_PATH'" link type="warning" @click="handleVarianceFromExec(scope.row)">变异</el-button>
|
||||
</template>
|
||||
</el-table-column>
|
||||
</el-table>
|
||||
<el-pagination
|
||||
v-model:current-page="executionQuery.pageNo"
|
||||
v-model:page-size="executionQuery.pageSize"
|
||||
:page-sizes="[10, 20, 50]"
|
||||
layout="total, sizes, prev, pager, next, jumper"
|
||||
:total="executionTotal"
|
||||
style="margin-top: 12px; justify-content: flex-end"
|
||||
@size-change="loadExecutions"
|
||||
@current-change="loadExecutions"
|
||||
/>
|
||||
<template #footer>
|
||||
<el-button @click="executionDialogVisible = false">关闭</el-button>
|
||||
</template>
|
||||
</el-dialog>
|
||||
|
||||
<el-dialog v-model="varianceDialogVisible" title="变异记录" width="650px" destroy-on-close :close-on-click-modal="false">
|
||||
<el-form ref="varianceFormRef" :model="varianceForm" :rules="varianceRules" label-width="110px">
|
||||
<el-row :gutter="20">
|
||||
<el-col :span="12">
|
||||
<el-form-item label="变异日期" prop="varianceDate">
|
||||
<el-date-picker v-model="varianceForm.varianceDate" type="date" placeholder="选择日期" value-format="YYYY-MM-DD" style="width: 100%" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="变异类型" prop="varianceType">
|
||||
<el-select v-model="varianceForm.varianceType" placeholder="请选择" style="width: 100%">
|
||||
<el-option label="系统变异" value="SYSTEM" />
|
||||
<el-option label="个人变异" value="PERSONAL" />
|
||||
<el-option label="疾病变异" value="DISEASE" />
|
||||
<el-option label="患者变异" value="PATIENT" />
|
||||
</el-select>
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="预期项目">
|
||||
<el-input v-model="varianceForm.expectedItem" placeholder="请输入预期项目" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="实际项目">
|
||||
<el-input v-model="varianceForm.actualItem" placeholder="请输入实际项目" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="24">
|
||||
<el-form-item label="变异原因" prop="varianceReason">
|
||||
<el-input v-model="varianceForm.varianceReason" type="textarea" :rows="3" placeholder="请输入变异原因" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="24">
|
||||
<el-form-item label="调整措施">
|
||||
<el-input v-model="varianceForm.adjustmentAction" type="textarea" :rows="2" placeholder="请输入调整措施" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
<el-col :span="12">
|
||||
<el-form-item label="记录人">
|
||||
<el-input v-model="varianceForm.recordByName" placeholder="请输入记录人姓名" />
|
||||
</el-form-item>
|
||||
</el-col>
|
||||
</el-row>
|
||||
</el-form>
|
||||
<template #footer>
|
||||
<el-button @click="varianceDialogVisible = false">取消</el-button>
|
||||
<el-button type="primary" :loading="submitLoading" @click="submitVariance">保存</el-button>
|
||||
</template>
|
||||
</el-dialog>
|
||||
</div>
|
||||
</template>
|
||||
|
||||
<script setup>
|
||||
import { ref, reactive, onMounted } from 'vue'
|
||||
import { ElMessage, ElMessageBox } from 'element-plus'
|
||||
import {
|
||||
getPathwayPage, addPathway, admitPathway, recordExecution,
|
||||
recordVariance, dischargePathway, getPathwayStatistics, getExecutionPage
|
||||
} from '@/api/clinicalPathway'
|
||||
|
||||
const loading = ref(false)
|
||||
const submitLoading = ref(false)
|
||||
const stats = ref({})
|
||||
|
||||
const pathwayList = ref([])
|
||||
const pathwayTotal = ref(0)
|
||||
const pathwayQuery = reactive({ diseaseCode: '', pageNo: 1, pageSize: 10 })
|
||||
|
||||
const addDialogVisible = ref(false)
|
||||
const enterDialogVisible = ref(false)
|
||||
const executionDialogVisible = ref(false)
|
||||
const varianceDialogVisible = ref(false)
|
||||
|
||||
const addFormRef = ref(null)
|
||||
const enterFormRef = ref(null)
|
||||
const varianceFormRef = ref(null)
|
||||
|
||||
const addForm = reactive({ diseaseCode: '', diseaseName: '', pathwayName: '', departmentName: '', avgDays: 7, pathwayJson: '' })
|
||||
const addRules = {
|
||||
diseaseCode: [{ required: true, message: '请输入疾病编码', trigger: 'blur' }],
|
||||
diseaseName: [{ required: true, message: '请输入疾病名称', trigger: 'blur' }],
|
||||
pathwayName: [{ required: true, message: '请输入路径名称', trigger: 'blur' }]
|
||||
}
|
||||
|
||||
const enterForm = reactive({ pathwayId: null, encounterId: '', patientId: '', patientName: '', expectedDays: 7, expectedCost: null })
|
||||
const enterRules = {
|
||||
encounterId: [{ required: true, message: '请输入就诊ID', trigger: 'blur' }],
|
||||
patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }]
|
||||
}
|
||||
|
||||
const executionList = ref([])
|
||||
const executionTotal = ref(0)
|
||||
const executionQuery = reactive({ pathwayId: null, pageNo: 1, pageSize: 10 })
|
||||
|
||||
const varianceForm = reactive({
|
||||
executionId: null, pathwayId: null, varianceDate: '', varianceType: '',
|
||||
expectedItem: '', actualItem: '', varianceReason: '', adjustmentAction: '',
|
||||
recordBy: null, recordByName: ''
|
||||
})
|
||||
const varianceRules = {
|
||||
varianceDate: [{ required: true, message: '请选择变异日期', trigger: 'change' }],
|
||||
varianceType: [{ required: true, message: '请选择变异类型', trigger: 'change' }],
|
||||
varianceReason: [{ required: true, message: '请输入变异原因', trigger: 'blur' }]
|
||||
}
|
||||
|
||||
let currentPathway = null
|
||||
|
||||
function loadStats() {
|
||||
getPathwayStatistics().then(res => {
|
||||
stats.value = res.data || {}
|
||||
})
|
||||
}
|
||||
|
||||
function loadPathways() {
|
||||
loading.value = true
|
||||
getPathwayPage(pathwayQuery).then(res => {
|
||||
pathwayList.value = res.data?.records || []
|
||||
pathwayTotal.value = res.data?.total || 0
|
||||
}).catch(() => {
|
||||
ElMessage.error('查询失败')
|
||||
}).finally(() => {
|
||||
loading.value = false
|
||||
})
|
||||
}
|
||||
|
||||
function handleAddPathway() {
|
||||
addForm.diseaseCode = ''
|
||||
addForm.diseaseName = ''
|
||||
addForm.pathwayName = ''
|
||||
addForm.departmentName = ''
|
||||
addForm.avgDays = 7
|
||||
addForm.pathwayJson = ''
|
||||
addDialogVisible.value = true
|
||||
}
|
||||
|
||||
function submitAddPathway() {
|
||||
addFormRef.value?.validate(valid => {
|
||||
if (!valid) return
|
||||
submitLoading.value = true
|
||||
addPathway({ ...addForm }).then(res => {
|
||||
if (res.code === 200) {
|
||||
ElMessage.success('创建成功')
|
||||
addDialogVisible.value = false
|
||||
loadPathways()
|
||||
loadStats()
|
||||
} else {
|
||||
ElMessage.error(res.msg || '创建失败')
|
||||
}
|
||||
}).catch(() => {
|
||||
ElMessage.error('创建失败')
|
||||
}).finally(() => {
|
||||
submitLoading.value = false
|
||||
})
|
||||
})
|
||||
}
|
||||
|
||||
function handleEnterPathway(row) {
|
||||
currentPathway = row
|
||||
enterForm.pathwayId = row.id
|
||||
enterForm.encounterId = ''
|
||||
enterForm.patientId = ''
|
||||
enterForm.patientName = ''
|
||||
enterForm.expectedDays = row.avgDays || 7
|
||||
enterForm.expectedCost = null
|
||||
enterDialogVisible.value = true
|
||||
}
|
||||
|
||||
function submitEnterPathway() {
|
||||
enterFormRef.value?.validate(valid => {
|
||||
if (!valid) return
|
||||
submitLoading.value = true
|
||||
admitPathway({ ...enterForm }).then(res => {
|
||||
if (res.code === 200) {
|
||||
ElMessage.success('入径成功')
|
||||
enterDialogVisible.value = false
|
||||
loadStats()
|
||||
} else {
|
||||
ElMessage.error(res.msg || '入径失败')
|
||||
}
|
||||
}).catch(() => {
|
||||
ElMessage.error('入径失败')
|
||||
}).finally(() => {
|
||||
submitLoading.value = false
|
||||
})
|
||||
})
|
||||
}
|
||||
|
||||
function handleViewExecution(row) {
|
||||
currentPathway = row
|
||||
executionQuery.pathwayId = row.id
|
||||
executionQuery.pageNo = 1
|
||||
loadExecutions()
|
||||
}
|
||||
|
||||
function loadExecutions() {
|
||||
loading.value = true
|
||||
getExecutionPage(executionQuery).then(res => {
|
||||
executionList.value = res.data?.records || []
|
||||
executionTotal.value = res.data?.total || 0
|
||||
executionDialogVisible.value = true
|
||||
}).catch(() => {
|
||||
ElMessage.error('查询执行记录失败')
|
||||
}).finally(() => {
|
||||
loading.value = false
|
||||
})
|
||||
}
|
||||
|
||||
function handleDischarge(row) {
|
||||
ElMessageBox.confirm('确认出径？出径后将自动计算实际住院天数。', '出径确认', { type: 'success' })
|
||||
.then(() => {
|
||||
dischargePathway(row.id).then(res => {
|
||||
if (res.code === 200) {
|
||||
ElMessage.success('出径成功')
|
||||
loadExecutions()
|
||||
loadStats()
|
||||
} else {
|
||||
ElMessage.error(res.msg || '出径失败')
|
||||
}
|
||||
}).catch(() => {
|
||||
ElMessage.error('出径失败')
|
||||
})
|
||||
}).catch(() => {})
|
||||
}
|
||||
|
||||
function handleVariance(row) {
|
||||
currentPathway = row
|
||||
varianceForm.executionId = null
|
||||
varianceForm.pathwayId = row.id
|
||||
varianceForm.varianceDate = ''
|
||||
varianceForm.varianceType = ''
|
||||
varianceForm.expectedItem = ''
|
||||
varianceForm.actualItem = ''
|
||||
varianceForm.varianceReason = ''
|
||||
varianceForm.adjustmentAction = ''
|
||||
varianceForm.recordByName = ''
|
||||
varianceDialogVisible.value = true
|
||||
}
|
||||
|
||||
function handleVarianceFromExec(row) {
|
||||
currentPathway = { id: row.pathwayId }
|
||||
varianceForm.executionId = row.id
|
||||
varianceForm.pathwayId = row.pathwayId
|
||||
varianceForm.varianceDate = ''
|
||||
varianceForm.varianceType = ''
|
||||
varianceForm.expectedItem = ''
|
||||
varianceForm.actualItem = ''
|
||||
varianceForm.varianceReason = ''
|
||||
varianceForm.adjustmentAction = ''
|
||||
varianceForm.recordByName = ''
|
||||
varianceDialogVisible.value = true
|
||||
}
|
||||
|
||||
function submitVariance() {
|
||||
varianceFormRef.value?.validate(valid => {
|
||||
if (!valid) return
|
||||
submitLoading.value = true
|
||||
recordVariance({ ...varianceForm }).then(res => {
|
||||
if (res.code === 200) {
|
||||
ElMessage.success('变异记录已保存')
|
||||
varianceDialogVisible.value = false
|
||||
loadStats()
|
||||
} else {
|
||||
ElMessage.error(res.msg || '保存失败')
|
||||
}
|
||||
}).catch(() => {
|
||||
ElMessage.error('保存失败')
|
||||
}).finally(() => {
|
||||
submitLoading.value = false
|
||||
})
|
||||
})
|
||||
}
|
||||
|
||||
onMounted(() => {
|
||||
loadPathways()
|
||||
loadStats()
|
||||
})
|
||||
</script>
|
||||
|
||||
<style scoped>
|
||||
.clinical-pathway-container {
|
||||
padding: 12px;
|
||||
}
|
||||
.stats-row {
|
||||
margin-bottom: 16px;
|
||||
}
|
||||
.card-header {
|
||||
display: flex;
|
||||
justify-content: space-between;
|
||||
align-items: center;
|
||||
}
|
||||
.query-form {
|
||||
margin-bottom: 0;
|
||||
}
|
||||
</style>
|
||||
Reference in New Issue
Block a user