feat(mrhomepage): 死亡病例讨论记录

2026-06-17 14:50:25 +08:00
parent f1a8fafb72
commit 84c0f6a43d
5 changed files with 388 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/IDeathDiscussionAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/IDeathDiscussionAppService.java
@@ -0,0 +1,14 @@
+package com.healthlink.his.web.mrhomepage.appservice;
+
+import com.healthlink.his.mrhomepage.domain.MrDeathDiscussion;
+
+import java.util.List;
+
+public interface IDeathDiscussionAppService {
+
+    MrDeathDiscussion saveDiscussion(MrDeathDiscussion discussion);
+
+    List<MrDeathDiscussion> getDiscussions(Long homepageId);
+
+    List<MrDeathDiscussion> checkDeadline();
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/impl/DeathDiscussionAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/impl/DeathDiscussionAppServiceImpl.java
@@ -0,0 +1,64 @@
+package com.healthlink.his.web.mrhomepage.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.mrhomepage.domain.MrDeathDiscussion;
+import com.healthlink.his.mrhomepage.service.IMrDeathDiscussionService;
+import com.healthlink.his.web.mrhomepage.appservice.IDeathDiscussionAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.Calendar;
+import java.util.Date;
+import java.util.List;
+
+@Service
+public class DeathDiscussionAppServiceImpl implements IDeathDiscussionAppService {
+
+    @Resource
+    private IMrDeathDiscussionService mrDeathDiscussionService;
+
+    @Override
+    @Transactional
+    public MrDeathDiscussion saveDiscussion(MrDeathDiscussion discussion) {
+        if (discussion.getId() == null) {
+            if (discussion.getDeathDate() != null) {
+                Calendar cal = Calendar.getInstance();
+                cal.setTime(discussion.getDeathDate());
+                cal.add(Calendar.DAY_OF_MONTH, 7);
+                discussion.setDeadlineDate(cal.getTime());
+            }
+            discussion.setIsOverdue(false);
+            discussion.setStatus(0);
+        }
+        mrDeathDiscussionService.saveOrUpdate(discussion);
+        return discussion;
+    }
+
+    @Override
+    public List<MrDeathDiscussion> getDiscussions(Long homepageId) {
+        return mrDeathDiscussionService.list(
+            new LambdaQueryWrapper<MrDeathDiscussion>()
+                .eq(MrDeathDiscussion::getEncounterId, homepageId)
+                .orderByDesc(MrDeathDiscussion::getDiscussionDate)
+        );
+    }
+
+    @Override
+    public List<MrDeathDiscussion> checkDeadline() {
+        Date now = new Date();
+        List<MrDeathDiscussion> overdue = mrDeathDiscussionService.list(
+            new LambdaQueryWrapper<MrDeathDiscussion>()
+                .le(MrDeathDiscussion::getDeadlineDate, now)
+                .eq(MrDeathDiscussion::getIsOverdue, false)
+                .eq(MrDeathDiscussion::getStatus, 0)
+        );
+        for (MrDeathDiscussion d : overdue) {
+            d.setIsOverdue(true);
+        }
+        if (!overdue.isEmpty()) {
+            mrDeathDiscussionService.updateBatchById(overdue);
+        }
+        return overdue;
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/controller/DeathDiscussionController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/controller/DeathDiscussionController.java
@@ -0,0 +1,42 @@
+package com.healthlink.his.web.mrhomepage.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.mrhomepage.domain.MrDeathDiscussion;
+import com.healthlink.his.web.mrhomepage.appservice.IDeathDiscussionAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import jakarta.annotation.Resource;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+
+@RestController
+@RequestMapping("/api/v1/mr-homepage/death-discussion")
+@Tag(name = "死亡病例讨论记录")
+public class DeathDiscussionController {
+
+    @Resource
+    private IDeathDiscussionAppService deathDiscussionAppService;
+
+    @PostMapping("/save")
+    @PreAuthorize("hasAuthority('inpatient:mrhomepage:edit')")
+    @Operation(summary = "保存死亡病例讨论记录")
+    public R<MrDeathDiscussion> saveDiscussion(@RequestBody MrDeathDiscussion discussion) {
+        return R.ok(deathDiscussionAppService.saveDiscussion(discussion));
+    }
+
+    @GetMapping("/list/{homepageId}")
+    @PreAuthorize("hasAuthority('inpatient:mrhomepage:list')")
+    @Operation(summary = "查询死亡病例讨论记录列表")
+    public R<List<MrDeathDiscussion>> getDiscussions(@PathVariable Long homepageId) {
+        return R.ok(deathDiscussionAppService.getDiscussions(homepageId));
+    }
+
+    @GetMapping("/pending-deadline")
+    @PreAuthorize("hasAuthority('inpatient:mrhomepage:list')")
+    @Operation(summary = "查询7日到期未讨论记录")
+    public R<List<MrDeathDiscussion>> checkDeadline() {
+        return R.ok(deathDiscussionAppService.checkDeadline());
+    }
+}
--- a/healthlink-his-ui/src/api/mrhomepage/index.js
+++ b/healthlink-his-ui/src/api/mrhomepage/index.js
@@ -11,3 +11,6 @@ export function getQualityResults(homepageId) { return request({ url: '/api/v1/m
 export function submitHqmsReport(homepageId, reportType) { return request({ url: '/api/v1/mr-homepage/hqms/report', method: 'post', params: { homepageId, reportType } }) }
 export function getHqmsReportStatus(homepageId) { return request({ url: '/api/v1/mr-homepage/hqms/status/' + homepageId, method: 'get' }) }
 export function listHqmsReports(homepageId) { return request({ url: '/api/v1/mr-homepage/hqms/list/' + homepageId, method: 'get' }) }
+export function saveDeathDiscussion(data) { return request({ url: '/api/v1/mr-homepage/death-discussion/save', method: 'post', data }) }
+export function listDeathDiscussions(homepageId) { return request({ url: '/api/v1/mr-homepage/death-discussion/list/' + homepageId, method: 'get' }) }
+export function getPendingDeadline() { return request({ url: '/api/v1/mr-homepage/death-discussion/pending-deadline', method: 'get' }) }
--- a/healthlink-his-ui/src/views/mrhomepage/death-discussion/index.vue
+++ b/healthlink-his-ui/src/views/mrhomepage/death-discussion/index.vue
@@ -0,0 +1,265 @@
+<template>
+  <div class="app-container">
+    <el-card shadow="never">
+      <template #header>
+        <div class="card-header">
+          <span>死亡病例讨论记录</span>
+          <div>
+            <el-input
+              v-model="homepageId"
+              placeholder="请输入病案首页ID"
+              style="width: 220px; margin-right: 12px"
+              @keyup.enter="loadDiscussions"
+            />
+            <el-button type="primary" :loading="loading" @click="loadDiscussions">
+              查询
+            </el-button>
+            <el-button type="warning" :loading="deadlineLoading" @click="checkDeadline" style="margin-left: 8px">
+              到期检查
+            </el-button>
+            <el-button type="success" @click="showAddDialog" style="margin-left: 8px">
+              新增讨论
+            </el-button>
+          </div>
+        </div>
+      </template>
+
+      <el-alert
+        v-if="pendingDeadline.length > 0"
+        :title="'有 ' + pendingDeadline.length + ' 条死亡病例已超过7日期限未讨论'"
+        type="warning"
+        show-icon
+        :closable="false"
+        style="margin-bottom: 16px"
+      >
+        <template #default>
+          <div v-for="item in pendingDeadline" :key="item.id" style="margin-top: 4px; font-size: 13px">
+            患者：{{ item.patientName }} | 死亡日期：{{ item.deathDate }} | 截止日期：{{ item.deadlineDate }}
+          </div>
+        </template>
+      </el-alert>
+
+      <el-table :data="discussions" stripe border style="width: 100%">
+        <el-table-column prop="patientName" label="患者姓名" width="120" />
+        <el-table-column prop="deathDate" label="死亡日期" width="170" />
+        <el-table-column prop="discussionDate" label="讨论日期" width="170" />
+        <el-table-column prop="deadlineDate" label="讨论截止" width="170">
+          <template #default="scope">
+            <span :style="{ color: scope.row.isOverdue ? '#f56c6c' : '' }">
+              {{ scope.row.deadlineDate }}
+            </span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="hostDoctorName" label="主持人" width="120" />
+        <el-table-column prop="participants" label="参加人员" min-width="180" show-overflow-tooltip />
+        <el-table-column prop="discussionConclusion" label="讨论结论" min-width="200" show-overflow-tooltip />
+        <el-table-column prop="status" label="状态" width="100">
+          <template #default="scope">
+            <el-tag :type="scope.row.status === 1 ? 'success' : (scope.row.isOverdue ? 'danger' : 'warning')" size="small">
+              {{ scope.row.status === 1 ? '已完成' : (scope.row.isOverdue ? '已逾期' : '待讨论') }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="操作" width="100" fixed="right">
+          <template #default="scope">
+            <el-button
+              v-if="scope.row.status === 0"
+              type="primary"
+              link
+              size="small"
+              @click="showEditDialog(scope.row)"
+            >
+              编辑
+            </el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+    </el-card>
+
+    <el-dialog v-model="dialogVisible" :title="isEdit ? '编辑讨论记录' : '新增讨论记录'" width="700px">
+      <el-form ref="formRef" :model="form" :rules="rules" label-width="110px">
+        <el-form-item label="病案首页ID" prop="encounterId">
+          <el-input-number v-model="form.encounterId" :min="1" style="width: 100%" />
+        </el-form-item>
+        <el-form-item label="患者姓名" prop="patientName">
+          <el-input v-model="form.patientName" placeholder="请输入患者姓名" />
+        </el-form-item>
+        <el-form-item label="患者ID" prop="patientId">
+          <el-input-number v-model="form.patientId" :min="1" style="width: 100%" />
+        </el-form-item>
+        <el-form-item label="死亡日期" prop="deathDate">
+          <el-date-picker
+            v-model="form.deathDate"
+            type="datetime"
+            placeholder="选择死亡日期"
+            style="width: 100%"
+          />
+        </el-form-item>
+        <el-form-item label="讨论日期" prop="discussionDate">
+          <el-date-picker
+            v-model="form.discussionDate"
+            type="datetime"
+            placeholder="选择讨论日期"
+            style="width: 100%"
+          />
+        </el-form-item>
+        <el-form-item label="主持人" prop="hostDoctorName">
+          <el-input v-model="form.hostDoctorName" placeholder="请输入主持人姓名" />
+        </el-form-item>
+        <el-form-item label="主持人职称">
+          <el-input v-model="form.hostTitle" placeholder="请输入主持人职称" />
+        </el-form-item>
+        <el-form-item label="参加人员">
+          <el-input v-model="form.participants" placeholder="请输入参加人员（逗号分隔）" />
+        </el-form-item>
+        <el-form-item label="讨论结论">
+          <el-input v-model="form.discussionConclusion" type="textarea" :rows="3" placeholder="请输入讨论结论" />
+        </el-form-item>
+        <el-form-item label="改进措施">
+          <el-input v-model="form.improvementMeasures" type="textarea" :rows="3" placeholder="请输入改进措施" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="handleSubmit">
+          保存
+        </el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive } from 'vue'
+import { saveDeathDiscussion, listDeathDiscussions, getPendingDeadline } from '@/api/mrhomepage'
+import { ElMessage } from 'element-plus'
+
+const homepageId = ref('')
+const loading = ref(false)
+const deadlineLoading = ref(false)
+const discussions = ref([])
+const pendingDeadline = ref([])
+
+const dialogVisible = ref(false)
+const isEdit = ref(false)
+const submitLoading = ref(false)
+const formRef = ref(null)
+
+const form = reactive({
+  id: null,
+  encounterId: null,
+  patientId: null,
+  patientName: '',
+  deathDate: null,
+  discussionDate: null,
+  hostDoctorName: '',
+  hostTitle: '',
+  participants: '',
+  discussionConclusion: '',
+  improvementMeasures: ''
+})
+
+const rules = {
+  encounterId: [{ required: true, message: '请输入病案首页ID', trigger: 'blur' }],
+  patientName: [{ required: true, message: '请输入患者姓名', trigger: 'blur' }],
+  patientId: [{ required: true, message: '请输入患者ID', trigger: 'blur' }],
+  deathDate: [{ required: true, message: '请选择死亡日期', trigger: 'change' }],
+  discussionDate: [{ required: true, message: '请选择讨论日期', trigger: 'change' }],
+  hostDoctorName: [{ required: true, message: '请输入主持人', trigger: 'blur' }]
+}
+
+const resetForm = () => {
+  form.id = null
+  form.encounterId = homepageId.value ? Number(homepageId.value) : null
+  form.patientId = null
+  form.patientName = ''
+  form.deathDate = null
+  form.discussionDate = null
+  form.hostDoctorName = ''
+  form.hostTitle = ''
+  form.participants = ''
+  form.discussionConclusion = ''
+  form.improvementMeasures = ''
+}
+
+const showAddDialog = () => {
+  isEdit.value = false
+  resetForm()
+  dialogVisible.value = true
+}
+
+const showEditDialog = (row) => {
+  isEdit.value = true
+  Object.assign(form, {
+    id: row.id,
+    encounterId: row.encounterId,
+    patientId: row.patientId,
+    patientName: row.patientName,
+    deathDate: row.deathDate,
+    discussionDate: row.discussionDate,
+    hostDoctorName: row.hostDoctorName,
+    hostTitle: row.hostTitle,
+    participants: row.participants,
+    discussionConclusion: row.discussionConclusion,
+    improvementMeasures: row.improvementMeasures
+  })
+  dialogVisible.value = true
+}
+
+const loadDiscussions = async () => {
+  if (!homepageId.value) {
+    ElMessage.warning('请输入病案首页ID')
+    return
+  }
+  loading.value = true
+  try {
+    discussions.value = await listDeathDiscussions(homepageId.value)
+  } catch (e) {
+    ElMessage.error('查询失败: ' + (e.message || '未知错误'))
+  } finally {
+    loading.value = false
+  }
+}
+
+const checkDeadline = async () => {
+  deadlineLoading.value = true
+  try {
+    pendingDeadline.value = await getPendingDeadline()
+    if (pendingDeadline.value.length === 0) {
+      ElMessage.success('暂无到期记录')
+    } else {
+      ElMessage.warning('发现 ' + pendingDeadline.value.length + ' 条到期记录')
+    }
+  } catch (e) {
+    ElMessage.error('检查失败: ' + (e.message || '未知错误'))
+  } finally {
+    deadlineLoading.value = false
+  }
+}
+
+const handleSubmit = async () => {
+  if (!formRef.value) return
+  await formRef.value.validate()
+  submitLoading.value = true
+  try {
+    await saveDeathDiscussion({ ...form })
+    ElMessage.success('保存成功')
+    dialogVisible.value = false
+    if (homepageId.value) {
+      loadDiscussions()
+    }
+  } catch (e) {
+    ElMessage.error('保存失败: ' + (e.message || '未知错误'))
+  } finally {
+    submitLoading.value = false
+  }
+}
+</script>
+
+<style scoped>
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>