住院护士站-》医嘱执行页面:勾选医嘱后点击“执行选中”按钮无反应,无法完成执行操作.

疾病报告管理-》报告卡管理:审核报卡界面内容与门诊医生站登记界面不一致
This commit is contained in:
2026-04-30 13:33:03 +08:00
parent b536eadd92
commit 82ef66794b
5 changed files with 328 additions and 83 deletions

View File

@@ -55,6 +55,7 @@ import java.math.RoundingMode;
import java.time.LocalDateTime;
import java.time.ZoneId;
import java.time.format.DateTimeFormatter;
import java.time.format.DateTimeParseException;
import java.util.*;
import java.util.stream.Collectors;
@@ -67,6 +68,10 @@ import java.util.stream.Collectors;
@Service
public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
private static final List<DateTimeFormatter> EXECUTE_TIME_FORMATTERS = List.of(
DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss"),
DateTimeFormatter.ofPattern("yyyy-MM-dd H:mm:ss"));
@Resource
AssignSeqUtil assignSeqUtil;
@@ -669,11 +674,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
for (AdviceExecuteDetailParam adviceExecuteDetailParam : adviceExecuteDetailList) {
for (String executeTime : adviceExecuteDetailParam.getExecuteTimes()) {
// 生成执行记录
DateTimeFormatter formatter = DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss");
// 转换为 LocalDateTime
LocalDateTime localDateTime = LocalDateTime.parse(executeTime, formatter);
// 转换为 Date
Date exeDate = Date.from(localDateTime.atZone(ZoneId.systemDefault()).toInstant());
Date exeDate = parseExecuteTime(executeTime);
// 根据执行记录新增不执行记录
procedureService.addProcedureRecord(adviceExecuteDetailParam.getEncounterId(),
adviceExecuteDetailParam.getPatientId(), adviceExecuteDetailParam.getRequestId(),
@@ -701,16 +702,14 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
List<Long> medicationDefinitionIdList
= medUseExeList.stream().map(MedicationRequestUseExe::getMedicationId).collect(Collectors.toList());
// 医嘱详细信息
Long orgId = SecurityUtils.getLoginUser().getOrgId();
List<AdviceBaseDto> medicationInfos = doctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
medicationDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(1), null, null).getRecords();
medicationDefinitionIdList, orgId, 1, 500, Whether.NO.getValue(), List.of(1), null, null).getRecords();
// 当前时间
Date curDate = new Date();
// 参与者id
Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
// 当前登录账号的科室id
Long orgId = SecurityUtils.getLoginUser().getOrgId();
// 长期
MedicationRequest longMedicationRequest;
ChargeItem chargeItem;
@@ -737,11 +736,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
String minUnitCode = advice.getMinUnitCode();
// 生成执行记录
DateTimeFormatter formatter = DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss");
// 转换为 LocalDateTime
LocalDateTime localDateTime = LocalDateTime.parse(executeTime, formatter);
// 转换为 Date
Date expectedDate = Date.from(localDateTime.atZone(ZoneId.systemDefault()).toInstant());
Date expectedDate = parseExecuteTime(executeTime);
// 执行记录id
Long procedureId = procedureService.addProcedureRecord(longMedicationRequest.getEncounterId(),
longMedicationRequest.getPatientId(), longMedicationRequest.getId(),
@@ -809,14 +804,24 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
chargeItemService.saveOrUpdate(chargeItem);
} else {
// 批次售卖情况
throw new RuntimeException("[住院]批次售卖的情况暂未处理");
/* // 需要的药品数量(小单位)
// 需要的药品数量(小单位)
BigDecimal minUnitQuantity = medicationRequestUseExe.getMinUnitQuantity();
if (minUnitQuantity == null || minUnitQuantity.compareTo(BigDecimal.ZERO) <= 0) {
throw new RuntimeException("药品执行数量异常medicationId: "
+ finalLongMedicationRequest.getMedicationId());
}
// 库存集合
List<AdviceInventoryDto> inventoryList = advice.getInventoryList();
if (inventoryList == null || inventoryList.isEmpty()) {
throw new RuntimeException("药品库存不足medicationId: "
+ finalLongMedicationRequest.getMedicationId());
}
// 价格集合
List<AdvicePriceDto> priceList = advice.getPriceList();
if (priceList == null || priceList.isEmpty()) {
throw new RuntimeException("未找到药品匹配的定价信息: "
+ finalLongMedicationRequest.getMedicationId());
}
// 剩余需要分配的数量
BigDecimal remainingQuantity = minUnitQuantity;
@@ -840,48 +845,52 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
}
// 批次号
String lotNumber = inventory.getLotNumber();
if (lotNumber == null) {
continue;
}
// 根据批次库存量,生成发放
longMedicationRequest.setQuantity(actualQuantity);// 小单位的数量
longMedicationRequest.setUnitCode(minUnitCode); // 小单位
longMedicationRequest.setLotNumber(lotNumber);
MedicationRequest batchMedicationRequest = new MedicationRequest();
BeanUtils.copyProperties(longMedicationRequest, batchMedicationRequest);
batchMedicationRequest.setQuantity(actualQuantity);// 小单位的数量
batchMedicationRequest.setUnitCode(minUnitCode); // 小单位
batchMedicationRequest.setLotNumber(lotNumber);
// 生成药品发放
Long dispenseId = medicationDispenseService.generateMedicationDispense(longMedicationRequest,
procedureId, exeDate);
medicationDispenseService.generateMedicationDispense(batchMedicationRequest,
procedureId, expectedDate);
// 生成账单
chargeItem = new ChargeItem();
chargeItem.setStatusEnum(ChargeItemStatus.BILLABLE.getValue()); // 收费状态
chargeItem.setBusNo(
AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(longMedicationRequest.getBusNo()));
AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(batchMedicationRequest.getBusNo()));
chargeItem.setGenerateSourceEnum(GenerateSource.ORDER_EXECUTE.getValue()); // 生成来源
chargeItem.setPrescriptionNo(longMedicationRequest.getPrescriptionNo()); // 处方号
chargeItem.setPatientId(longMedicationRequest.getPatientId()); // 患者
chargeItem.setPrescriptionNo(batchMedicationRequest.getPrescriptionNo()); // 处方号
chargeItem.setPatientId(batchMedicationRequest.getPatientId()); // 患者
chargeItem.setContextEnum(ChargeItemContext.MEDICATION.getValue()); // 类型
chargeItem.setEncounterId(longMedicationRequest.getEncounterId()); // 就诊id
chargeItem.setEncounterId(batchMedicationRequest.getEncounterId()); // 就诊id
chargeItem.setEntererId(practitionerId);// 开立人ID
chargeItem.setRequestingOrgId(orgId); // 开立科室
chargeItem.setEnteredDate(curDate); // 开立时间
chargeItem.setServiceTable(CommonConstants.TableName.MED_MEDICATION_REQUEST);// 医疗服务类型
chargeItem.setServiceId(longMedicationRequest.getId()); // 医疗服务ID
chargeItem.setServiceId(batchMedicationRequest.getId()); // 医疗服务ID
chargeItem.setProductTable(CommonConstants.TableName.MED_MEDICATION_DEFINITION);// 产品所在表
chargeItem.setProductId(longMedicationRequest.getMedicationId());// 收费项id
chargeItem.setProductId(batchMedicationRequest.getMedicationId());// 收费项id
chargeItem.setAccountId(medicationRequestUseExe.getAccountId());// 关联账户ID
chargeItem.setConditionId(longMedicationRequest.getConditionId()); // 诊断id
chargeItem.setEncounterDiagnosisId(longMedicationRequest.getEncounterDiagnosisId()); // 就诊诊断id
chargeItem.setConditionId(batchMedicationRequest.getConditionId()); // 诊断id
chargeItem.setEncounterDiagnosisId(batchMedicationRequest.getEncounterDiagnosisId()); // 就诊诊断id
chargeItem.setProcedureId(procedureId); // 执行id
chargeItem.setDispenseTable(CommonConstants.TableName.MED_MEDICATION_DISPENSE); // 发放表名
// chargeItem.setDispenseId(dispenseId); // 发放ID
// ------------------------------ 匹配定价信息
// 在 priceList 中查找匹配的定价信息
Optional<AdvicePriceDto> matchedPrice =
priceList.stream().filter(p -> lotNumber.equals(p.getConditionValue())).findFirst();
if (matchedPrice.isEmpty()) {
AdvicePriceDto priceDto = matchedPrice.orElseGet(() -> priceList.stream().findFirst().orElse(null));
if (priceDto == null) {
throw new RuntimeException(
"未找到匹配的定价信息lotNumber: " + finalLongMedicationRequest.getLotNumber());
"未找到匹配的定价信息lotNumber: " + lotNumber);
}
AdvicePriceDto priceDto = matchedPrice.get();
// 单价(大单位)
BigDecimal price = priceDto.getPrice();
// 单价(小单位)
@@ -919,7 +928,11 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
chargeItemService.saveOrUpdate(chargeItem);
}*/
}
if (remainingQuantity.compareTo(BigDecimal.ZERO) > 0) {
throw new RuntimeException("药品库存不足medicationId: "
+ finalLongMedicationRequest.getMedicationId());
}
}
}
}
@@ -932,11 +945,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
BeanUtils.copyProperties(medicationRequestUseExe, tempMedicationRequest);
// 生成执行记录
DateTimeFormatter formatter = DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss");
// 转换为 LocalDateTime
LocalDateTime localDateTime = LocalDateTime.parse(executeTime, formatter);
// 转换为 Date
Date expectedDate = Date.from(localDateTime.atZone(ZoneId.systemDefault()).toInstant());
Date expectedDate = parseExecuteTime(executeTime);
// 执行记录id
Long procedureId = procedureService.addProcedureRecord(tempMedicationRequest.getEncounterId(),
tempMedicationRequest.getPatientId(), tempMedicationRequest.getId(),
@@ -978,16 +987,14 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
List<Long> activityDefinitionIdList
= actUseExeList.stream().map(ServiceRequestUseExe::getActivityId).collect(Collectors.toList());
// 医嘱详细信息
Long orgId = SecurityUtils.getLoginUser().getOrgId();
List<AdviceBaseDto> activityInfos = doctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), null, null).getRecords();
activityDefinitionIdList, orgId, 1, 500, Whether.NO.getValue(), List.of(3), null, null).getRecords();
// 当前时间
Date curDate = new Date();
// 参与者id
Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
// 当前登录账号的科室id
Long orgId = SecurityUtils.getLoginUser().getOrgId();
Date clickDate = new Date();
// 长期
@@ -1002,11 +1009,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
BeanUtils.copyProperties(serviceRequestUseExe, longServiceRequest);
// 生成执行记录
DateTimeFormatter formatter = DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss");
// 转换为 LocalDateTime
LocalDateTime localDateTime = LocalDateTime.parse(executeTime, formatter);
// 转换为 Date
Date expectedDate = Date.from(localDateTime.atZone(ZoneId.systemDefault()).toInstant());
Date expectedDate = parseExecuteTime(executeTime);
// 执行记录id
Long procedureId = procedureService.addProcedureRecord(longServiceRequest.getEncounterId(),
longServiceRequest.getPatientId(), longServiceRequest.getId(),
@@ -1077,11 +1080,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
BeanUtils.copyProperties(serviceRequestUseExe, tempServiceRequest);
// 生成执行记录
DateTimeFormatter formatter = DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss");
// 转换为 LocalDateTime
LocalDateTime localDateTime = LocalDateTime.parse(executeTime, formatter);
// 转换为 Date
Date expectedDate = Date.from(localDateTime.atZone(ZoneId.systemDefault()).toInstant());
Date expectedDate = parseExecuteTime(executeTime);
// 执行记录id
Long procedureId = procedureService.addProcedureRecord(tempServiceRequest.getEncounterId(),
tempServiceRequest.getPatientId(), tempServiceRequest.getId(),
@@ -1146,7 +1145,8 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
// 耗材医嘱详细信息
List<AdviceBaseDto> deviceInfos = doctorStationAdviceAppService
.getAdviceBaseInfo(null, null, null, deviceIds, 0L, 1, 500, Whether.NO.getValue(), List.of(2), null, null)
.getAdviceBaseInfo(null, null, null, deviceIds, orgId, 1, 500, Whether.NO.getValue(), List.of(2),
null, null)
.getRecords();
DeviceRequest deviceRequest;
@@ -1405,6 +1405,18 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
return actUseExeList;
}
private Date parseExecuteTime(String executeTime) {
for (DateTimeFormatter formatter : EXECUTE_TIME_FORMATTERS) {
try {
LocalDateTime localDateTime = LocalDateTime.parse(executeTime, formatter);
return Date.from(localDateTime.atZone(ZoneId.systemDefault()).toInstant());
} catch (DateTimeParseException ignored) {
// try next formatter
}
}
throw new RuntimeException("无法解析执行时间: " + executeTime);
}
/**
* 生成退药单
*