feat(emr): 优化病历检索页面

- 添加患者基本信息：性别、年龄、电话、身份证号
- 添加就诊号字段
- 重写前端页面，参考行业通用设计
- 支持点击查看病历详情
- 同步时自动填充患者和医生信息

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrSyncController.java

@@ -2,6 +2,12 @@ package com.healthlink.his.web.emr.controller;
 
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.core.common.core.domain.R;
+import com.core.common.core.domain.entity.SysUser;
+import com.core.system.mapper.SysUserMapper;
+import com.healthlink.his.administration.domain.Encounter;
+import com.healthlink.his.administration.domain.Patient;
+import com.healthlink.his.administration.mapper.EncounterMapper;
+import com.healthlink.his.administration.mapper.PatientMapper;
 import com.healthlink.his.document.domain.Emr;
 import com.healthlink.his.document.service.IEmrService;
 import com.healthlink.his.emr.domain.EmrRevision;
@@ -31,6 +37,9 @@ public class EmrSyncController {
     private final IEmrRevisionService emrRevisionService;
     private final IEmrSearchIndexService emrSearchIndexService;
     private final JdbcTemplate jdbcTemplate;
+    private final PatientMapper patientMapper;
+    private final EncounterMapper encounterMapper;
+    private final SysUserMapper sysUserMapper;
 
     /**
      * 同步EMR数据
@@ -97,15 +106,61 @@ public class EmrSyncController {
                 String chiefComplaint = contentMap.getOrDefault("chiefComplaint", "");
                 String diagnosis = contentMap.getOrDefault("diagnosis", "");
 
+                // 获取患者详细信息
+                Patient patient = patientMapper.selectById(emr.getPatientId());
+                String patientName = patient != null ? patient.getName() : "未知";
+                String patientGender = "";
+                String patientAge = "";
+                String patientPhone = "";
+                String patientIdCard = "";
+                if (patient != null) {
+                    // 性别
+                    if (patient.getGenderEnum() != null) {
+                        patientGender = patient.getGenderEnum() == 1 ? "男" : "女";
+                    }
+                    // 年龄
+                    if (patient.getBirthDate() != null) {
+                        int age = java.time.Period.between(
+                            patient.getBirthDate().toInstant().atZone(java.time.ZoneId.systemDefault()).toLocalDate(),
+                            java.time.LocalDate.now()
+                        ).getYears();
+                        patientAge = String.valueOf(age);
+                    }
+                    patientPhone = patient.getPhone();
+                    patientIdCard = patient.getIdCard();
+                }
+
+                // 获取就诊信息
+                String encounterNo = "";
+                if (emr.getEncounterId() != null) {
+                    var encounter = encounterMapper.selectById(emr.getEncounterId());
+                    if (encounter != null) {
+                        encounterNo = encounter.getBusNo();
+                    }
+                }
+
                 EmrSearchIndex index = new EmrSearchIndex();
                 index.setEmrId(emr.getId());
                 index.setEncounterId(emr.getEncounterId());
                 index.setPatientId(emr.getPatientId());
-                index.setPatientName("患者" + emr.getPatientId());
+                index.setPatientName(patientName);
+                index.setPatientGender(patientGender);
+                index.setPatientAge(patientAge);
+                index.setPatientPhone(patientPhone);
+                index.setPatientIdCard(patientIdCard);
+                index.setEncounterNo(encounterNo);
                 index.setEmrType(emr.getClassEnum() == 1 ? "OUTPATIENT" : "INPATIENT");
                 index.setEmrTitle(chiefComplaint.isEmpty() ? "未命名病历" : chiefComplaint);
                 index.setDiagnosisText(diagnosis);
-                index.setDoctorName("医生" + emr.getRecordId());
+                // 获取医生姓名
+                String doctorName = "未知医生";
+                if (emr.getRecordId() != null) {
+                    var doctor = sysUserMapper.selectById(emr.getRecordId());
+                    if (doctor != null) {
+                        doctorName = doctor.getNickName();
+                    }
+                }
+                index.setDoctorName(doctorName);
                 index.setCreateTime(emr.getCreateTime());
                 emrSearchIndexService.save(index);
                 searchIndexCount++;

healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V103__add_patient_info_to_emr_search_index.sql

@@ -0,0 +1,13 @@
+-- V103__add_patient_info_to_emr_search_index.sql
+-- 为病历检索索引添加患者基本信息
+
+-- 添加患者信息字段
+ALTER TABLE emr_search_index ADD COLUMN IF NOT EXISTS patient_gender VARCHAR(10);
+ALTER TABLE emr_search_index ADD COLUMN IF NOT EXISTS patient_age VARCHAR(10);
+ALTER TABLE emr_search_index ADD COLUMN IF NOT EXISTS patient_phone VARCHAR(20);
+ALTER TABLE emr_search_index ADD COLUMN IF NOT EXISTS patient_id_card VARCHAR(20);
+ALTER TABLE emr_search_index ADD COLUMN IF NOT EXISTS encounter_no VARCHAR(50);
+
+-- 添加索引
+CREATE INDEX IF NOT EXISTS idx_emr_search_patient_name ON emr_search_index(patient_name);
+CREATE INDEX IF NOT EXISTS idx_emr_search_encounter_no ON emr_search_index(encounter_no);

healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/domain/EmrSearchIndex.java

@@ -5,6 +5,8 @@ import com.core.common.core.domain.HisBaseEntity;
 import lombok.Data;
 import lombok.EqualsAndHashCode;
 
+import java.util.Date;
+
 @Data
 @EqualsAndHashCode(callSuper = true)
 @TableName("emr_search_index")
@@ -19,6 +21,14 @@ public class EmrSearchIndex extends HisBaseEntity {
     private Long patientId;
     @TableField("patient_name")
     private String patientName;
+    @TableField("patient_gender")
+    private String patientGender;
+    @TableField("patient_age")
+    private String patientAge;
+    @TableField("patient_phone")
+    private String patientPhone;
+    @TableField("patient_id_card")
+    private String patientIdCard;
     @TableField("emr_type")
     private String emrType;
     @TableField("emr_title")
@@ -29,4 +39,6 @@ public class EmrSearchIndex extends HisBaseEntity {
     private String doctorName;
     @TableField("department_name")
     private String departmentName;
+    @TableField("encounter_no")
+    private String encounterNo;
 }

healthlink-his-ui/src/views/emrsearch/index.vue

@@ -1,143 +1,296 @@
 <template>
-  <div style="padding:16px">
-    <div style="margin-bottom:16px">
-      <span style="font-size:18px;font-weight:bold">病历检索</span>
-    </div>
-    <el-card
-      shadow="never"
-      style="margin-bottom:16px"
-    >
-      <el-form
-        :model="queryParams"
-        inline
-      >
+  <div class="emr-search-container">
+    <el-card shadow="never" class="search-card">
+      <template #header>
+        <div class="card-header">
+          <span>病历检索</span>
+          <el-tag type="info" size="small">共 {{ total }} 条记录</el-tag>
+        </div>
+      </template>
+      <el-form :model="queryParams" inline class="search-form">
         <el-form-item label="关键词">
           <el-input
             v-model="queryParams.keyword"
-            placeholder="诊断/标题/患者"
+            placeholder="病历号/患者/诊断"
             clearable
             style="width:200px"
+            @keyup.enter="handleSearch"
           />
         </el-form-item>
-        <el-form-item label="患者">
+        <el-form-item label="患者姓名">
           <el-input
             v-model="queryParams.patientName"
+            placeholder="患者姓名"
             clearable
-            style="width:120px"
+            style="width:140px"
           />
         </el-form-item>
-        <el-form-item label="类型">
-          <el-select
-            v-model="queryParams.emrType"
-            clearable
-            style="width:120px"
-          >
-            <el-option
-              v-for="t in [{l:'入院记录',v:'admission'},{l:'日常病程',v:'daily'},{l:'出院记录',v:'discharge'},{l:'手术记录',v:'surgery'},{l:'会诊记录',v:'consultation'}]"
-              :key="t.v"
-              :label="t.l"
-              :value="t.v"
-            />
+        <el-form-item label="病历类型">
+          <el-select v-model="queryParams.emrType" placeholder="全部" clearable style="width:130px">
+            <el-option v-for="t in emrTypeOptions" :key="t.value" :label="t.label" :value="t.value" />
           </el-select>
         </el-form-item>
         <el-form-item label="医生">
-          <el-input
-            v-model="queryParams.doctorName"
-            clearable
-            style="width:100px"
-          />
+          <el-input v-model="queryParams.doctorName" placeholder="医生姓名" clearable style="width:120px" />
+        </el-form-item>
+        <el-form-item label="科室">
+          <el-input v-model="queryParams.departmentName" placeholder="科室名称" clearable style="width:120px" />
         </el-form-item>
         <el-form-item>
-          <el-button
-            type="primary"
-            @click="handleSearch"
-          >
-            检索
-          </el-button>
-          <el-button @click="resetQuery">
-            重置
-          </el-button>
+          <el-button type="primary" icon="Search" @click="handleSearch">检索</el-button>
+          <el-button icon="Refresh" @click="resetQuery">重置</el-button>
         </el-form-item>
       </el-form>
     </el-card>
-    <el-table
-      v-loading="loading"
-      :data="searchData"
-      border
-      stripe
-    >
-      <el-table-column
-        prop="patientName"
-        label="患者"
-        width="90"
-      />
-      <el-table-column
-        prop="emrType"
-        label="类型"
-        width="100"
+
+    <el-card shadow="never" class="result-card">
+      <el-table
+        v-loading="loading"
+        :data="searchData"
+        border
+        stripe
+        highlight-current-row
+        @row-click="handleRowClick"
+        style="cursor: pointer"
       >
-        <template #default="{row}">
-          {{ {admission:'入院记录',daily:'日常病程',discharge:'出院记录',surgery:'手术记录',consultation:'会诊记录'}[row.emrType]||row.emrType }}
-        </template>
-      </el-table-column>
-      <el-table-column
-        prop="emrTitle"
-        label="标题"
-        min-width="180"
+        <el-table-column type="index" label="#" width="50" />
+        <el-table-column prop="encounterNo" label="病历号" width="120" show-overflow-tooltip />
+        <el-table-column prop="patientName" label="患者姓名" width="100">
+          <template #default="{row}">
+            <span class="patient-name">{{ row.patientName }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="patientGender" label="性别" width="60" align="center">
+          <template #default="{row}">
+            <el-tag :type="row.patientGender === '男' ? '' : 'danger'" size="small">{{ row.patientGender }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="patientAge" label="年龄" width="60" align="center">
+          <template #default="{row}">
+            {{ row.patientAge ? row.patientAge + '岁' : '-' }}
+          </template>
+        </el-table-column>
+        <el-table-column prop="patientPhone" label="联系电话" width="120">
+          <template #default="{row}">
+            {{ row.patientPhone || '-' }}
+          </template>
+        </el-table-column>
+        <el-table-column prop="emrType" label="病历类型" width="100">
+          <template #default="{row}">
+            <el-tag size="small" :type="getEmrTypeTag(row.emrType)">{{ getEmrTypeLabel(row.emrType) }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="emrTitle" label="病历标题" min-width="150" show-overflow-tooltip />
+        <el-table-column prop="diagnosisText" label="诊断" min-width="180" show-overflow-tooltip>
+          <template #default="{row}">
+            <span class="diagnosis-text">{{ row.diagnosisText || '暂无诊断' }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="doctorName" label="主治医生" width="100" />
+        <el-table-column prop="departmentName" label="科室" width="100" />
+        <el-table-column prop="createTime" label="就诊时间" width="160" />
+        <el-table-column label="操作" width="100" fixed="right">
+          <template #default="{row}">
+            <el-button type="primary" link size="small" @click.stop="handleViewDetail(row)">
+              <el-icon><View /></el-icon> 详情
+            </el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+
+      <el-pagination
+        v-model:current-page="queryParams.pageNo"
+        v-model:page-size="queryParams.pageSize"
+        :page-sizes="[10, 20, 50, 100]"
+        :total="total"
+        layout="total, sizes, prev, pager, next, jumper"
+        style="margin-top: 16px; justify-content: flex-end"
+        @size-change="handleSearch"
+        @current-change="handleSearch"
       />
-      <el-table-column
-        prop="diagnosisText"
-        label="诊断"
-        min-width="200"
-        show-overflow-tooltip
-      />
-      <el-table-column
-        prop="doctorName"
-        label="医生"
-        width="90"
-      />
-      <el-table-column
-        prop="departmentName"
-        label="科室"
-        width="120"
-      />
-      <el-table-column
-        prop="createTime"
-        label="创建时间"
-        width="170"
-      />
-    </el-table>
-    <el-pagination
-      v-model:current-page="queryParams.pageNo"
-      v-model:page-size="queryParams.pageSize"
-      :total="total"
-      layout="total,prev,pager,next"
-      style="margin-top:16px;text-align:right"
-      @current-change="handleSearch"
-    />
+    </el-card>
+
+    <!-- 病历详情弹窗 -->
+    <el-drawer
+      v-model="detailVisible"
+      title="病历详情"
+      size="60%"
+      direction="rtl"
+    >
+      <template v-if="currentRow">
+        <el-descriptions :column="2" border>
+          <el-descriptions-item label="病历号">{{ currentRow.encounterNo || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="病历类型">
+            <el-tag>{{ getEmrTypeLabel(currentRow.emrType) }}</el-tag>
+          </el-descriptions-item>
+          <el-descriptions-item label="患者姓名">{{ currentRow.patientName }}</el-descriptions-item>
+          <el-descriptions-item label="性别">{{ currentRow.patientGender }}</el-descriptions-item>
+          <el-descriptions-item label="年龄">{{ currentRow.patientAge ? currentRow.patientAge + '岁' : '-' }}</el-descriptions-item>
+          <el-descriptions-item label="联系电话">{{ currentRow.patientPhone || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="身份证号" :span="2">{{ currentRow.patientIdCard || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="主治医生">{{ currentRow.doctorName }}</el-descriptions-item>
+          <el-descriptions-item label="科室">{{ currentRow.departmentName }}</el-descriptions-item>
+          <el-descriptions-item label="就诊时间" :span="2">{{ currentRow.createTime }}</el-descriptions-item>
+        </el-descriptions>
+
+        <el-divider content-position="left">诊断信息</el-divider>
+        <el-input
+          v-model="currentRow.diagnosisText"
+          type="textarea"
+          :rows="3"
+          readonly
+          placeholder="暂无诊断信息"
+        />
+
+        <el-divider content-position="left">病历标题</el-divider>
+        <el-input
+          v-model="currentRow.emrTitle"
+          type="textarea"
+          :rows="2"
+          readonly
+          placeholder="暂无标题"
+        />
+
+        <el-divider />
+        <div class="drawer-footer">
+          <el-button @click="detailVisible = false">关闭</el-button>
+          <el-button type="primary" @click="handleViewFullEmr">查看完整病历</el-button>
+        </div>
+      </template>
+    </el-drawer>
   </div>
 </template>
 
 <script setup>
-import {ref,reactive,onMounted} from 'vue'
-import {useRoute} from 'vue-router'
-import {searchEmr} from './api'
+import { ref, reactive, onMounted } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { searchEmr } from './api'
+import { ElMessage } from 'element-plus'
+import { View } from '@element-plus/icons-vue'
 
-const route=useRoute()
-const loading=ref(false)
-const searchData=ref([])
-const total=ref(0)
-const queryParams=reactive({keyword:'',patientName:'',emrType:'',doctorName:'',departmentName:'',pageNo:1,pageSize:20})
+const route = useRoute()
+const router = useRouter()
+const loading = ref(false)
+const searchData = ref([])
+const total = ref(0)
+const detailVisible = ref(false)
+const currentRow = ref(null)
 
-const handleSearch=async()=>{
-  loading.value=true
-  try{const r=await searchEmr(queryParams);searchData.value=r.data?.records||[];total.value=r.data?.total||0}finally{loading.value=false}
+const queryParams = reactive({
+  keyword: '',
+  patientName: '',
+  emrType: '',
+  doctorName: '',
+  departmentName: '',
+  pageNo: 1,
+  pageSize: 20
+})
+
+const emrTypeOptions = [
+  { label: '入院记录', value: 'OUTPATIENT' },
+  { label: '日常病程', value: 'DAILY' },
+  { label: '出院记录', value: 'DISCHARGE' },
+  { label: '手术记录', value: 'SURGERY' },
+  { label: '会诊记录', value: 'CONSULTATION' }
+]
+
+const emrTypeMap = {
+  OUTPATIENT: { label: '入院记录', type: '' },
+  INPATIENT: { label: '住院病历', type: 'success' },
+  DAILY: { label: '日常病程', type: 'warning' },
+  DISCHARGE: { label: '出院记录', type: 'info' },
+  SURGERY: { label: '手术记录', type: 'danger' },
+  CONSULTATION: { label: '会诊记录', type: '' }
 }
-const resetQuery=()=>{Object.assign(queryParams,{keyword:'',patientName:'',emrType:'',doctorName:'',pageNo:1});handleSearch()}
-onMounted(()=>{
-  if(route.query.patientName){queryParams.patientName=route.query.patientName}
-  if(route.query.emrType){queryParams.emrType=route.query.emrType}
-  if(route.query.keyword){queryParams.keyword=route.query.keyword}
+
+const getEmrTypeLabel = (type) => emrTypeMap[type]?.label || type
+const getEmrTypeTag = (type) => emrTypeMap[type]?.type || 'info'
+
+const handleSearch = async () => {
+  loading.value = true
+  try {
+    const params = { ...queryParams }
+    // 清理空参数
+    Object.keys(params).forEach(key => {
+      if (params[key] === '' || params[key] === null) delete params[key]
+    })
+    const res = await searchEmr(params)
+    searchData.value = res.data?.records || res.data || []
+    total.value = res.data?.total || searchData.value.length
+  } catch (e) {
+    console.error('检索失败:', e)
+    ElMessage.error('检索失败')
+  } finally {
+    loading.value = false
+  }
+}
+
+const resetQuery = () => {
+  Object.assign(queryParams, {
+    keyword: '',
+    patientName: '',
+    emrType: '',
+    doctorName: '',
+    departmentName: '',
+    pageNo: 1,
+    pageSize: 20
+  })
+  handleSearch()
+}
+
+const handleRowClick = (row) => {
+  handleViewDetail(row)
+}
+
+const handleViewDetail = (row) => {
+  currentRow.value = row
+  detailVisible.value = true
+}
+
+const handleViewFullEmr = () => {
+  if (currentRow.value?.encounterId) {
+    router.push({
+      path: '/doctorstation',
+      query: { encounterId: currentRow.value.encounterId }
+    })
+  }
+}
+
+onMounted(() => {
+  if (route.query.patientName) queryParams.patientName = route.query.patientName
+  if (route.query.emrType) queryParams.emrType = route.query.emrType
+  if (route.query.keyword) queryParams.keyword = route.query.keyword
   handleSearch()
 })
 </script>
+
+<style scoped>
+.emr-search-container {
+  padding: 16px;
+}
+.search-card {
+  margin-bottom: 16px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.search-form {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
+}
+.patient-name {
+  font-weight: 500;
+  color: #303133;
+}
+.diagnosis-text {
+  color: #606266;
+}
+.drawer-footer {
+  display: flex;
+  justify-content: flex-end;
+  gap: 12px;
+}
+</style>