feat: 门诊手术中计费功能

- 数据库：在adm_charge_item表添加SourceBillNo字段 - 后端实体类：更新ChargeItem.java添加SourceBillNo字段 - 前端组件：创建手术计费界面（基于门诊划价界面） - 后端API：扩展PrePrePaymentDto支持手术计费标识 - 后端Service：扩展getChargeItems方法支持手术计费过滤 - 门诊手术安排界面：添加【计费】按钮注意事项： - 需要手动执行SQL脚本：openhis-server-new/sql/add_source_bill_no_to_adm_charge_item.sql - 术后一站式结算功能待后续开发
2026-02-05 23:47:02 +08:00
parent f3d56bff45
commit 89bf85fd97
117 changed files with 30248 additions and 44 deletions
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/controller/ConsultationConfirmationController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/controller/ConsultationConfirmationController.java
@@ -0,0 +1,95 @@
+package com.openhis.web.consultation.controller;
+
+import com.core.common.core.controller.BaseController;
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.annotation.Log;
+import com.core.common.enums.BusinessType;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.openhis.consultation.domain.ConsultationConfirmation;
+import com.openhis.consultation.service.IConsultationConfirmationService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.time.LocalDateTime;
+import java.util.List;
+
+/**
+ * 会诊确认 Controller
+ *
+ * @author his
+ */
+@RestController
+@RequestMapping("/consultation/confirmation")
+public class ConsultationConfirmationController extends BaseController {
+    @Autowired
+    private IConsultationConfirmationService consultationConfirmationService;
+
+    /**
+     * 查询会诊确认列表
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:confirmation:list')")
+    @GetMapping("/list")
+    public AjaxResult list(ConsultationConfirmation consultationConfirmation,
+                           @RequestParam(defaultValue = "1") Integer pageNum,
+                           @RequestParam(defaultValue = "10") Integer pageSize) {
+        LambdaQueryWrapper<ConsultationConfirmation> queryWrapper = new LambdaQueryWrapper<>();
+        queryWrapper.eq(consultationConfirmation.getConsultationRequestId() != null, 
+                       ConsultationConfirmation::getConsultationRequestId, 
+                       consultationConfirmation.getConsultationRequestId())
+                .eq(consultationConfirmation.getConfirmationStatus() != null, 
+                    ConsultationConfirmation::getConfirmationStatus, 
+                    consultationConfirmation.getConfirmationStatus())
+                .orderByDesc(ConsultationConfirmation::getCreateTime);
+
+        Page<ConsultationConfirmation> page = new Page<>(pageNum, pageSize);
+        Page<ConsultationConfirmation> result = consultationConfirmationService.page(page, queryWrapper);
+        return AjaxResult.success(result);
+    }
+
+    /**
+     * 获取会诊确认详细信息
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:confirmation:query')")
+    @GetMapping(value = "/{id}")
+    public AjaxResult getInfo(@PathVariable("id") Long id) {
+        return AjaxResult.success(consultationConfirmationService.getById(id));
+    }
+
+    /**
+     * 新增会诊确认
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:confirmation:add')")
+    @Log(title = "会诊确认", businessType = BusinessType.INSERT)
+    @PostMapping
+    public AjaxResult add(@RequestBody ConsultationConfirmation consultationConfirmation) {
+        consultationConfirmation.setCreatorId(getUserId());
+        consultationConfirmation.setCreatorName(getUsername());
+        return toAjax(consultationConfirmationService.save(consultationConfirmation));
+    }
+
+    /**
+     * 确认会诊（同意或拒绝）
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:confirmation:confirm')")
+    @Log(title = "会诊确认", businessType = BusinessType.UPDATE)
+    @PutMapping("/confirm")
+    public AjaxResult confirm(@RequestBody ConsultationConfirmation consultationConfirmation) {
+        // 设置确认日期
+        consultationConfirmation.setConfirmationDate(LocalDateTime.now());
+        consultationConfirmation.setUpdaterId(getUserId());
+        consultationConfirmation.setUpdaterName(getUsername());
+        return toAjax(consultationConfirmationService.updateById(consultationConfirmation));
+    }
+
+    /**
+     * 删除会诊确认
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:confirmation:remove')")
+    @Log(title = "会诊确认", businessType = BusinessType.DELETE)
+    @DeleteMapping("/{ids}")
+    public AjaxResult remove(@PathVariable Long[] ids) {
+        return toAjax(consultationConfirmationService.removeByIds(java.util.Arrays.asList(ids)));
+    }
+}
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/controller/ConsultationRecordController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/controller/ConsultationRecordController.java
@@ -0,0 +1,92 @@
+package com.openhis.web.consultation.controller;
+
+import com.core.common.core.controller.BaseController;
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.annotation.Log;
+import com.core.common.enums.BusinessType;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.openhis.consultation.domain.ConsultationRecord;
+import com.openhis.consultation.service.IConsultationRecordService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+
+/**
+ * 会诊记录 Controller
+ *
+ * @author his
+ */
+@RestController
+@RequestMapping("/consultation/record")
+public class ConsultationRecordController extends BaseController {
+    @Autowired
+    private IConsultationRecordService consultationRecordService;
+
+    /**
+     * 查询会诊记录列表
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:record:list')")
+    @GetMapping("/list")
+    public AjaxResult list(ConsultationRecord consultationRecord,
+                           @RequestParam(defaultValue = "1") Integer pageNum,
+                           @RequestParam(defaultValue = "10") Integer pageSize) {
+        LambdaQueryWrapper<ConsultationRecord> queryWrapper = new LambdaQueryWrapper<>();
+        queryWrapper.eq(consultationRecord.getConsultationRequestId() != null, 
+                       ConsultationRecord::getConsultationRequestId, 
+                       consultationRecord.getConsultationRequestId())
+                .eq(consultationRecord.getParticipantDoctorId() != null, 
+                    ConsultationRecord::getParticipantDoctorId, 
+                    consultationRecord.getParticipantDoctorId())
+                .orderByDesc(ConsultationRecord::getRecordDate);
+
+        Page<ConsultationRecord> page = new Page<>(pageNum, pageSize);
+        Page<ConsultationRecord> result = consultationRecordService.page(page, queryWrapper);
+        return AjaxResult.success(result);
+    }
+
+    /**
+     * 获取会诊记录详细信息
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:record:query')")
+    @GetMapping(value = "/{id}")
+    public AjaxResult getInfo(@PathVariable("id") Long id) {
+        return AjaxResult.success(consultationRecordService.getById(id));
+    }
+
+    /**
+     * 新增会诊记录
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:record:add')")
+    @Log(title = "会诊记录", businessType = BusinessType.INSERT)
+    @PostMapping
+    public AjaxResult add(@RequestBody ConsultationRecord consultationRecord) {
+        consultationRecord.setCreatorId(getUserId());
+        consultationRecord.setCreatorName(getUsername());
+        return toAjax(consultationRecordService.save(consultationRecord));
+    }
+
+    /**
+     * 修改会诊记录
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:record:edit')")
+    @Log(title = "会诊记录", businessType = BusinessType.UPDATE)
+    @PutMapping
+    public AjaxResult edit(@RequestBody ConsultationRecord consultationRecord) {
+        consultationRecord.setUpdaterId(getUserId());
+        consultationRecord.setUpdaterName(getUsername());
+        return toAjax(consultationRecordService.updateById(consultationRecord));
+    }
+
+    /**
+     * 删除会诊记录
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:record:remove')")
+    @Log(title = "会诊记录", businessType = BusinessType.DELETE)
+    @DeleteMapping("/{ids}")
+    public AjaxResult remove(@PathVariable Long[] ids) {
+        return toAjax(consultationRecordService.removeByIds(java.util.Arrays.asList(ids)));
+    }
+}
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/controller/ConsultationRequestController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/controller/ConsultationRequestController.java
@@ -0,0 +1,170 @@
+package com.openhis.web.consultation.controller;
+
+import com.core.common.core.controller.BaseController;
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.annotation.Log;
+import com.core.common.enums.BusinessType;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.openhis.consultation.domain.ConsultationRequest;
+import com.openhis.consultation.service.IConsultationRequestService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.time.LocalDateTime;
+import java.util.List;
+
+/**
+ * 会诊申请 Controller
+ *
+ * @author his
+ */
+@RestController
+@RequestMapping("/consultation/request")
+public class ConsultationRequestController extends BaseController {
+    @Autowired
+    private IConsultationRequestService consultationRequestService;
+
+    /**
+     * 查询会诊申请列表
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:list')")
+    @GetMapping("/list")
+    public AjaxResult list(ConsultationRequest consultationRequest,
+                           @RequestParam(defaultValue = "1") Integer pageNum,
+                           @RequestParam(defaultValue = "10") Integer pageSize) {
+        LambdaQueryWrapper<ConsultationRequest> queryWrapper = new LambdaQueryWrapper<>();
+        queryWrapper.like(consultationRequest.getPatientName() != null, ConsultationRequest::getPatientName, consultationRequest.getPatientName())
+                .eq(consultationRequest.getConsultationStatus() != null, ConsultationRequest::getConsultationStatus, consultationRequest.getConsultationStatus())
+                .eq(consultationRequest.getConsultationActivityId() != null, ConsultationRequest::getConsultationActivityId, consultationRequest.getConsultationActivityId())
+                .orderByDesc(ConsultationRequest::getConsultationRequestDate);
+
+        Page<ConsultationRequest> page = new Page<>(pageNum, pageSize);
+        Page<ConsultationRequest> result = consultationRequestService.page(page, queryWrapper);
+        return AjaxResult.success(result);
+    }
+
+    /**
+     * 获取会诊申请详细信息
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:query')")
+    @GetMapping(value = "/{id}")
+    public AjaxResult getInfo(@PathVariable("id") Long id) {
+        return AjaxResult.success(consultationRequestService.getById(id));
+    }
+
+    /**
+     * 新增会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:add')")
+    @Log(title = "会诊申请", businessType = BusinessType.INSERT)
+    @PostMapping
+    public AjaxResult add(@RequestBody ConsultationRequest consultationRequest) {
+        // 自动生成申请单号
+        String consultationId = "CS" + LocalDateTime.now().toString().replaceAll("[^0-9]", "").substring(0, 14) + String.format("%04d", (int)(Math.random() * 10000));
+        consultationRequest.setConsultationId(consultationId);
+        
+        consultationRequest.setCreateBy(getUsername());
+        consultationRequest.setConsultationRequestDate(LocalDateTime.now());
+        consultationRequest.setConsultationStatus(0); // 新开状态
+        return toAjax(consultationRequestService.save(consultationRequest));
+    }
+
+    /**
+     * 修改会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:edit')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping
+    public AjaxResult edit(@RequestBody ConsultationRequest consultationRequest) {
+        consultationRequest.setUpdateBy(getUsername());
+        return toAjax(consultationRequestService.updateById(consultationRequest));
+    }
+
+    /**
+     * 删除会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:remove')")
+    @Log(title = "会诊申请", businessType = BusinessType.DELETE)
+    @DeleteMapping("/{ids}")
+    public AjaxResult remove(@PathVariable Long[] ids) {
+        return toAjax(consultationRequestService.removeByIds(java.util.Arrays.asList(ids)));
+    }
+
+    /**
+     * 提交会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:submit')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping("/submit/{id}")
+    public AjaxResult submit(@PathVariable Long id) {
+        int result = consultationRequestService.submitConsultation(id, getUserId(), getUsername());
+        return result > 0 ? AjaxResult.success("提交成功") : AjaxResult.error("提交失败");
+    }
+
+    /**
+     * 取消提交会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:cancelSubmit')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping("/cancelSubmit/{id}")
+    public AjaxResult cancelSubmit(@PathVariable Long id) {
+        int result = consultationRequestService.cancelSubmitConsultation(id);
+        return result > 0 ? AjaxResult.success("取消提交成功") : AjaxResult.error("取消提交失败");
+    }
+
+    /**
+     * 结束会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:end')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping("/end/{id}")
+    public AjaxResult end(@PathVariable Long id) {
+        int result = consultationRequestService.endConsultation(id, getUserId(), getUsername());
+        return result > 0 ? AjaxResult.success("结束成功") : AjaxResult.error("结束失败，请确保会诊已签名");
+    }
+
+    /**
+     * 作废会诊申请
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:cancel')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping("/cancel/{id}")
+    public AjaxResult cancel(@PathVariable Long id) {
+        int result = consultationRequestService.cancelConsultation(id, getUserId(), getUsername());
+        return result > 0 ? AjaxResult.success("作废成功") : AjaxResult.error("作废失败");
+    }
+
+    /**
+     * 确认会诊
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:confirm')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping("/confirm")
+    public AjaxResult confirm(@RequestBody ConsultationRequest request) {
+        int result = consultationRequestService.confirmConsultation(
+            request.getId(), 
+            request.getConfirmingPhysicianName(), 
+            String.valueOf(request.getConfirmingPhysicianId()), 
+            request.getConsultationOpinion()
+        );
+        return result > 0 ? AjaxResult.success("确认成功") : AjaxResult.error("确认失败");
+    }
+
+    /**
+     * 签名会诊
+     */
+    @PreAuthorize("@ss.hasPermi('consultation:request:sign')")
+    @Log(title = "会诊申请", businessType = BusinessType.UPDATE)
+    @PutMapping("/sign")
+    public AjaxResult sign(@RequestBody ConsultationRequest request) {
+        int result = consultationRequestService.signConsultation(
+            request.getId(), 
+            request.getSignature(), 
+            getUserId(), 
+            getUsername()
+        );
+        return result > 0 ? AjaxResult.success("签名成功") : AjaxResult.error("签名失败，请确保会诊已确认");
+    }
+}
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
@@ -190,8 +190,15 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
    @Override
    public R<?> prePayment(PrePaymentDto prePaymentDto) {
        logger.info("预结算：参数：" + JSON.toJSONString(prePaymentDto));
-        // 查收费项
-        List<ChargeItem> chargeItemList = getChargeItems(prePaymentDto.getChargeItemIds());
+        // 查收费项（支持手术计费）
+        List<ChargeItem> chargeItemList;
+        if (prePaymentDto.getGenerateSourceEnum() != null && prePaymentDto.getGenerateSourceEnum() == 2) {
+            // 手术计费：根据generateSourceEnum和sourceBillNo过滤
+            chargeItemList = getChargeItems(prePaymentDto.getChargeItemIds(), prePaymentDto.getGenerateSourceEnum(), prePaymentDto.getSourceBillNo());
+        } else {
+            // 普通门诊划价
+            chargeItemList = getChargeItems(prePaymentDto.getChargeItemIds());
+        }
        if (chargeItemList.isEmpty()) {
            return R.fail("未选择收费项");
        }
@@ -2093,6 +2100,24 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
        return chargeItemService.list(new LambdaQueryWrapper<ChargeItem>().in(ChargeItem::getId, chargeItemIds));
    }

+    /**
+     * 获取收费项集合（支持手术计费）
+     *
+     * @param chargeItemIds 收费项id集合
+     * @param generateSourceEnum 账单生成来源（2：手术计费）
+     * @param sourceBillNo 来源业务单据号（手术单号）
+     * @return 收费项集合
+     */
+    private List<ChargeItem> getChargeItems(List<Long> chargeItemIds, Integer generateSourceEnum, String sourceBillNo) {
+        LambdaQueryWrapper<ChargeItem> wrapper = new LambdaQueryWrapper<ChargeItem>().in(ChargeItem::getId, chargeItemIds);
+        // 如果是手术计费，需要额外过滤条件
+        if (generateSourceEnum != null && generateSourceEnum == 2 && sourceBillNo != null) {
+            wrapper.eq(ChargeItem::getGenerateSourceEnum, 2)
+                   .eq(ChargeItem::getSourceBillNo, sourceBillNo);
+        }
+        return chargeItemService.list(wrapper);
+    }
+
    /**
     * 类型转换：收费项chargeItem转成PaymentedItemModel
     *
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/ybmanage/controller/DayEndMedicalInsuranceSettlementController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/ybmanage/controller/DayEndMedicalInsuranceSettlementController.java
@@ -0,0 +1,94 @@
+package com.openhis.web.ybmanage.controller;
+
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.core.domain.PageResult;
+import com.core.common.core.page.TableDataInfo;
+import com.core.common.core.controller.BaseController;
+import com.openhis.yb.domain.DayEndMedicalInsuranceSettlement;
+import com.openhis.yb.service.IDayEndMedicalInsuranceSettlementService;
+import io.swagger.annotations.Api;
+import io.swagger.annotations.ApiOperation;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.List;
+
+/**
+ * 日结医保结算Controller
+ *
+ * @author
+ * @date 2026-02-02
+ */
+@Api(tags = "日结医保结算")
+@RestController
+@RequestMapping("/ybmanage/dayEndMedicalInsuranceSettlement")
+public class DayEndMedicalInsuranceSettlementController extends BaseController {
+
+    @Autowired
+    private IDayEndMedicalInsuranceSettlementService dayEndMedicalInsuranceSettlementService;
+
+    /**
+     * 查询日结医保结算列表
+     */
+    @ApiOperation("查询日结医保结算列表")
+    @PreAuthorize("@ss.hasPermi('ybmanage:dayEndMedicalInsuranceSettlement:list')")
+    @GetMapping("/list")
+    public TableDataInfo list(DayEndMedicalInsuranceSettlement dayEndMedicalInsuranceSettlement) {
+        startPage();
+        List<DayEndMedicalInsuranceSettlement> list = dayEndMedicalInsuranceSettlementService.selectDayEndMedicalInsuranceSettlementList(dayEndMedicalInsuranceSettlement);
+        return getDataTable(list);
+    }
+
+    /**
+     * 分页查询日结医保结算列表
+     */
+    @ApiOperation("分页查询日结医保结算列表")
+    @PreAuthorize("@ss.hasPermi('ybmanage:dayEndMedicalInsuranceSettlement:list')")
+    @GetMapping("/page")
+    public PageResult<DayEndMedicalInsuranceSettlement> page(DayEndMedicalInsuranceSettlement dayEndMedicalInsuranceSettlement,
+                                                            @RequestParam(defaultValue = "1") int pageNum,
+                                                            @RequestParam(defaultValue = "10") int pageSize) {
+        return dayEndMedicalInsuranceSettlementService.selectDayEndMedicalInsuranceSettlementPage(dayEndMedicalInsuranceSettlement, pageNum, pageSize);
+    }
+
+    /**
+     * 获取日结医保结算详细信息
+     */
+    @ApiOperation("获取日结医保结算详细信息")
+    @PreAuthorize("@ss.hasPermi('ybmanage:dayEndMedicalInsuranceSettlement:query')")
+    @GetMapping(value = "/{id}")
+    public AjaxResult getInfo(@PathVariable("id") Long id) {
+        return AjaxResult.success(dayEndMedicalInsuranceSettlementService.selectDayEndMedicalInsuranceSettlementById(id));
+    }
+
+    /**
+     * 新增日结医保结算
+     */
+    @ApiOperation("新增日结医保结算")
+    @PreAuthorize("@ss.hasPermi('ybmanage:dayEndMedicalInsuranceSettlement:add')")
+    @PostMapping
+    public AjaxResult add(@RequestBody DayEndMedicalInsuranceSettlement dayEndMedicalInsuranceSettlement) {
+        return toAjax(dayEndMedicalInsuranceSettlementService.insertDayEndMedicalInsuranceSettlement(dayEndMedicalInsuranceSettlement));
+    }
+
+    /**
+     * 修改日结医保结算
+     */
+    @ApiOperation("修改日结医保结算")
+    @PreAuthorize("@ss.hasPermi('ybmanage:dayEndMedicalInsuranceSettlement:edit')")
+    @PutMapping
+    public AjaxResult edit(@RequestBody DayEndMedicalInsuranceSettlement dayEndMedicalInsuranceSettlement) {
+        return toAjax(dayEndMedicalInsuranceSettlementService.updateDayEndMedicalInsuranceSettlement(dayEndMedicalInsuranceSettlement));
+    }
+
+    /**
+     * 删除日结医保结算
+     */
+    @ApiOperation("删除日结医保结算")
+    @PreAuthorize("@ss.hasPermi('ybmanage:dayEndMedicalInsuranceSettlement:remove')")
+    @DeleteMapping("/{ids}")
+    public AjaxResult remove(@PathVariable Long[] ids) {
+        return toAjax(dayEndMedicalInsuranceSettlementService.deleteDayEndMedicalInsuranceSettlementByIds(ids));
+    }
+}
--- a/openhis-server-new/openhis-application/src/main/resources/application-dev.yml
+++ b/openhis-server-new/openhis-application/src/main/resources/application-dev.yml
@@ -90,4 +90,15 @@ server:
  port: 18080
  servlet:
    # 应用的访问路径
-    context-path: /openhis
+    context-path: /openhis
+
+# 开发环境日志配置
+logging:
+  level:
+    com.openhis: debug
+    com.baomidou.mybatisplus: debug
+    com.openhis.mapper: debug
+    com.openhis.domain: debug
+    org.springframework.jdbc.core: debug
+    com.alibaba.druid: debug
+    com.alibaba.druid.sql: debug
--- a/openhis-server-new/openhis-application/src/main/resources/application.yml
+++ b/openhis-server-new/openhis-application/src/main/resources/application.yml
@@ -32,16 +32,17 @@ server:
 # 日志配置
 logging:
  level:
-    com.openhis: info
+    com.openhis: debug
    org.springframework: warn
    # MyBatis和MyBatis-Plus日志
-    com.baomidou.mybatisplus: info
-    com.openhis.web.regdoctorstation.mapper: info
+    com.baomidou.mybatisplus: debug
+    com.openhis.mapper: debug
+    com.openhis.domain: debug
    # JDBC日志
-    org.springframework.jdbc.core: info
+    org.springframework.jdbc.core: debug
    # Druid SQL日志
-    com.alibaba.druid: info
-    com.alibaba.druid.sql: info
+    com.alibaba.druid: debug
+    com.alibaba.druid.sql: debug

 # 用户配置
 user:
@@ -91,6 +92,9 @@ mybatis-plus:
  mapperLocations: classpath*:mapper/**/*Mapper.xml
  # 加载全局的配置文件
  configLocation: classpath:mybatis/mybatis-config.xml
+  configuration:
+    # 开启 SQL 日志输出
+    log-impl: org.apache.ibatis.logging.stdout.StdOutImpl
  global-config:
    db-config:
      logic-delete-field: validFlag # 全局逻辑删除的实体字段名
--- a/openhis-server-new/openhis-application/src/main/resources/mybatis/mybatis-config.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mybatis/mybatis-config.xml
@@ -12,7 +12,7 @@
        <!-- 配置默认的执行器.SIMPLE就是普通执行器;REUSE执行器会重用预处理语句(prepared statements);BATCH执行器将重用语句并执行批量更新 -->
        <setting name="defaultExecutorType" value="SIMPLE"/>
        <!-- 指定 MyBatis 所用日志的具体实现 -->
-                <setting name="logImpl" value="SLF4J"/>
+                <setting name="logImpl" value="STDOUT"/>
 <!--        <setting name="logImpl" value="org.apache.ibatis.logging.stdout.StdOutImpl"/>-->
        <!-- 使用驼峰命名法转换字段 -->
        <setting name="mapUnderscoreToCamelCase" value="true"/>
--- a/openhis-server-new/openhis-application/src/main/resources/spy.properties
+++ b/openhis-server-new/openhis-application/src/main/resources/spy.properties
@@ -0,0 +1,5 @@
+modulelist=com.baomidou.mybatisplus.extension.p6spy.MybatisPlusLogFactory,com.p6spy.engine.outage.P6OutageFactory
+logMessageFormat=com.baomidou.mybatisplus.extension.p6spy.P6SpyLogger
+outagedetection=true
+outagedetectioninterval=2000
+appender=com.baomidou.mybatisplus.extension.p6spy.StdoutLogger