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
This commit is contained in:
2026-02-05 23:47:02 +08:00
parent f3d56bff45
commit 89bf85fd97
117 changed files with 30248 additions and 44 deletions

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<template>
<div class="app-container">
<el-form :model="queryParams" ref="queryForm" size="small" :inline="true" v-show="showSearch" label-width="68px">
<el-form-item label="时间类型" prop="timeType">
<el-select v-model="queryParams.timeType" placeholder="请选择时间类型" clearable>
<el-option label="会诊时间" value="consultation" />
<el-option label="申请时间" value="application" />
</el-select>
</el-form-item>
<el-form-item label="开始时间" prop="startTime">
<el-date-picker
v-model="queryParams.startTime"
type="datetime"
placeholder="请选择开始时间"
value-format="YYYY-MM-DD HH:mm:ss"
/>
</el-form-item>
<el-form-item label="结束时间" prop="endTime">
<el-date-picker
v-model="queryParams.endTime"
type="datetime"
placeholder="请选择结束时间"
value-format="YYYY-MM-DD HH:mm:ss"
/>
</el-form-item>
<el-form-item label="申请科室" prop="department">
<el-input
v-model="queryParams.department"
placeholder="请输入申请科室"
clearable
/>
</el-form-item>
<el-form-item label="申请医生" prop="requestingPhysician">
<el-input
v-model="queryParams.requestingPhysician"
placeholder="请输入申请医生"
clearable
/>
</el-form-item>
<el-form-item label="会诊状态" prop="consultationStatus">
<el-select v-model="queryParams.consultationStatus" placeholder="请选择会诊状态" clearable>
<el-option label="全部" value="" />
<el-option label="新开" :value="0" />
<el-option label="已提交" :value="10" />
<el-option label="已确认" :value="20" />
<el-option label="已签名" :value="30" />
<el-option label="已完成" :value="40" />
<el-option label="已取消" :value="50" />
</el-select>
</el-form-item>
<el-form-item label="病人姓名" prop="patientName">
<el-input
v-model="queryParams.patientName"
placeholder="请输入病人姓名"
clearable
/>
</el-form-item>
<el-form-item>
<el-button type="primary" icon="el-icon-search" size="mini" @click="handleQuery">查询</el-button>
<el-button icon="el-icon-refresh" size="mini" @click="resetQuery">重置</el-button>
<el-button type="primary" icon="el-icon-printer" size="mini" @click="handlePrint">打印</el-button>
</el-form-item>
</el-form>
<el-row :gutter="10" class="mb8">
<el-col :span="1.5">
<el-button
type="primary"
plain
icon="el-icon-plus"
size="mini"
@click="handleAdd"
v-hasPermi="['consultation:request:add']"
>新增</el-button>
</el-col>
<el-col :span="1.5">
<el-button
type="warning"
plain
icon="el-icon-document-checked"
size="mini"
:disabled="single"
@click="handleSubmit"
v-hasPermi="['consultation:request:submit']"
>提交</el-button>
</el-col>
<el-col :span="1.5">
<el-button
type="danger"
plain
icon="el-icon-circle-close"
size="mini"
:disabled="single"
@click="handleEnd"
v-hasPermi="['consultation:request:end']"
>结束</el-button>
</el-col>
<el-col :span="1.5">
<el-button
type="success"
plain
icon="el-icon-check"
size="mini"
@click="handleSave"
v-hasPermi="['consultation:request:edit']"
>保存</el-button>
</el-col>
<right-toolbar :showSearch.sync="showSearch" @queryTable="getList"></right-toolbar>
</el-row>
<el-table v-loading="loading" :data="requestList" @selection-change="handleSelectionChange">
<el-table-column type="selection" width="55" align="center" />
<el-table-column label="ID" align="center" prop="id" />
<el-table-column label="急" align="center" prop="consultationUrgency" :formatter="urgentFormatter" />
<el-table-column label="申请单号" align="center" prop="consultationId" />
<el-table-column label="会诊时间" align="center" prop="consultationDate" width="180">
<template #default="scope">
<span>{{ parseTime(scope.row.consultationDate, '{y}-{m}-{d} {h}:{i}:{s}') }}</span>
</template>
</el-table-column>
<el-table-column label="邀请对象" align="center" prop="invitedObject" />
<el-table-column label="申请科室" align="center" prop="department" />
<el-table-column label="申请医师" align="center" prop="requestingPhysician" />
<el-table-column label="申请时间" align="center" prop="consultationRequestDate" width="180">
<template #default="scope">
<span>{{ parseTime(scope.row.consultationRequestDate, '{y}-{m}-{d} {h}:{i}:{s}') }}</span>
</template>
</el-table-column>
<el-table-column label="提交" align="center" prop="consultationStatus">
<template #default="scope">
<el-switch
v-model="scope.row.consultationStatus"
:active-value="10"
:inactive-value="0"
active-color="#13ce66"
inactive-color="#ff4949"
@change="handleToggleSubmit(scope.row)"
/>
</template>
</el-table-column>
<el-table-column label="结束" align="center" prop="consultationStatus">
<template #default="scope">
<el-switch
v-model="scope.row.consultationStatus"
:active-value="40"
:inactive-value="30"
active-color="#13ce66"
inactive-color="#ff4949"
:disabled="scope.row.consultationStatus !== 30"
/>
</template>
</el-table-column>
<el-table-column label="操作" align="center" class-name="small-padding fixed-width">
<template #default="scope">
<el-button
size="mini"
type="text"
icon="el-icon-edit"
@click="handleUpdate(scope.row)"
v-hasPermi="['consultation:request:edit']"
>编辑</el-button>
<el-button
size="mini"
type="text"
icon="el-icon-view"
@click="handleView(scope.row)"
v-hasPermi="['consultation:request:query']"
>查看</el-button>
<el-button
size="mini"
type="text"
icon="el-icon-delete"
@click="handleDelete(scope.row)"
v-hasPermi="['consultation:request:remove']"
>删除</el-button>
</template>
</el-table-column>
</el-table>
<pagination
v-show="total>0"
:total="total"
v-model:page="queryParams.pageNum"
v-model:limit="queryParams.pageSize"
@pagination="getList"
/>
<!-- 会诊申请单弹窗 -->
<el-dialog :title="title" v-model="open" width="80%" append-to-body>
<el-form ref="form" :model="form" :rules="rules" label-width="100px">
<el-row>
<el-col :span="12">
<el-form-item label="申请单号" prop="consultationId">
<el-input v-model="form.consultationId" placeholder="系统自动生成" readonly />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="申请时间" prop="consultationRequestDate">
<el-input v-model="form.consultationRequestDate" readonly />
</el-form-item>
</el-col>
</el-row>
<el-row>
<el-col :span="8">
<el-form-item label="病人姓名" prop="patientName">
<el-input v-model="form.patientName" readonly />
</el-form-item>
</el-col>
<el-col :span="8">
<el-form-item label="性别" prop="genderEnum">
<el-input v-model="form.genderEnum" readonly />
</el-form-item>
</el-col>
<el-col :span="8">
<el-form-item label="年龄" prop="age">
<el-input v-model="form.age" readonly />
</el-form-item>
</el-col>
</el-row>
<el-row>
<el-col :span="12">
<el-form-item label="会诊时间" prop="consultationDate">
<el-date-picker
v-model="form.consultationDate"
type="datetime"
placeholder="选择会诊时间"
value-format="YYYY-MM-DD HH:mm:ss"
/>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="紧急程度" prop="consultationUrgency">
<el-checkbox v-model="form.consultationUrgency" true-label="紧急" false-label="一般">是否紧急</el-checkbox>
</el-form-item>
</el-col>
</el-row>
<el-row>
<el-col :span="12">
<el-form-item label="申请医师" prop="requestingPhysician">
<el-input v-model="form.requestingPhysician" readonly />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="申请科室" prop="department">
<el-input v-model="form.department" readonly />
</el-form-item>
</el-col>
</el-row>
<el-form-item label="门诊诊断" prop="provisionalDiagnosis">
<el-input v-model="form.provisionalDiagnosis" type="textarea" :rows="2" readonly />
</el-form-item>
<el-form-item label="会诊邀请对象" prop="invitedObject">
<el-input v-model="form.invitedObject" type="textarea" :rows="2" placeholder="请选择会诊专家" />
</el-form-item>
<el-form-item label="会诊确认参加医师" prop="confirmingPhysicianParticipation">
<el-input v-model="form.confirmingPhysicianParticipation" type="textarea" :rows="2" />
</el-form-item>
<el-form-item label="所属医生" prop="confirmingPhysicianName">
<el-input v-model="form.confirmingPhysicianName" />
</el-form-item>
<el-form-item label="代表科室" prop="confirmingDepartmentName">
<el-input v-model="form.confirmingDepartmentName" />
</el-form-item>
<el-form-item label="签名医生" prop="signature">
<el-input v-model="form.signature" />
</el-form-item>
<el-form-item label="签名时间" prop="signatureDate">
<el-input v-model="form.signatureDate" readonly />
</el-form-item>
<el-form-item label="病史及会诊目的" prop="consultationPurpose">
<el-input v-model="form.consultationPurpose" type="textarea" :rows="4" />
</el-form-item>
<el-form-item label="会诊意见" prop="consultationOpinion">
<el-input v-model="form.consultationOpinion" type="textarea" :rows="4" />
</el-form-item>
</el-form>
<template #footer>
<div class="dialog-footer">
<el-button @click="cancel"> </el-button>
<el-button type="primary" @click="submitForm"> </el-button>
</div>
</template>
</el-dialog>
</div>
</template>
<script setup name="ConsultationRequest">
import { listRequest, getRequest, delRequest, addRequest, updateRequest, submitRequest, cancelSubmitRequest, endRequest, cancelRequest } from "@/api/consultation/request";
const { proxy } = getCurrentInstance();
const requestList = ref([]);
const loading = ref(true);
const showSearch = ref(true);
const ids = ref([]);
const single = ref(true);
const multiple = ref(false);
const total = ref(0);
const title = ref("");
const open = ref(false);
const dateRange = ref([]);
const data = reactive({
form: {},
queryParams: {
pageNum: 1,
pageSize: 10,
timeType: 'consultation',
startTime: null,
endTime: null,
department: null,
requestingPhysician: null,
consultationStatus: null,
patientName: null
},
rules: {
patientName: [
{ required: true, message: "病人姓名不能为空", trigger: "blur" }
],
consultationDate: [
{ required: true, message: "会诊时间不能为空", trigger: "change" }
],
invitedObject: [
{ required: true, message: "会诊邀请对象不能为空", trigger: "blur" }
],
consultationPurpose: [
{ required: true, message: "病史及会诊目的不能为空", trigger: "blur" }
]
}
});
const { queryParams, form, rules } = toRefs(data);
/** 查询会诊申请列表 */
function getList() {
loading.value = true;
listRequest(proxy.addDateRange(queryParams.value, dateRange.value)).then(response => {
requestList.value = response.rows;
total.value = response.total;
loading.value = false;
});
}
/** 搜索按钮操作 */
function handleQuery() {
queryParams.value.pageNum = 1;
getList();
}
/** 重置按钮操作 */
function resetQuery() {
dateRange.value = [];
proxy.resetForm("queryForm");
handleQuery();
}
/** 重置表单 */
function reset() {
form.value = {
id: null,
consultationId: null,
patientId: null,
encounterId: null,
orderId: null,
patientName: null,
patientBusNo: null,
patientIdentifierNo: null,
genderEnum: null,
age: null,
department: null,
departmentId: null,
requestingPhysician: null,
requestingPhysicianId: null,
consultationRequestDate: null,
invitedObject: null,
consultationDate: null,
consultationPurpose: null,
provisionalDiagnosis: null,
consultationOpinion: null,
consultationStatus: 0,
consultationUrgency: '一般',
confirmingPhysician: null,
confirmingPhysicianId: null,
confirmingDate: null,
signature: null,
signaturePhysicianId: null,
signatureDate: null,
cancelNatureDate: null,
cancelReason: null,
createTime: null,
updateTime: null,
createBy: null,
updateBy: null,
tenantId: null,
isDeleted: 0,
remark: null,
consultationActivityId: null,
consultationActivityName: null,
confirmingPhysicianName: null,
confirmingDepartmentName: null,
confirmingPhysicianParticipation: null
};
proxy.resetForm("form");
}
/** 格式化紧急标识 */
function urgentFormatter(row, column, cellValue) {
return cellValue === '紧急' ? '✓' : '';
}
/** 多选框选中数据 */
function handleSelectionChange(selection) {
ids.value = selection.map(item => item.id);
single.value = selection.length !== 1;
multiple.value = !selection.length;
}
/** 新增按钮操作 */
function handleAdd() {
reset();
open.value = true;
title.value = "添加会诊申请";
}
/** 修改按钮操作 */
function handleUpdate(row) {
reset();
const id = row.id || ids.value[0];
getRequest(id).then(response => {
form.value = response.data;
open.value = true;
title.value = "修改会诊申请";
});
}
/** 查看按钮操作 */
function handleView(row) {
reset();
const id = row.id;
getRequest(id).then(response => {
form.value = response.data;
open.value = true;
title.value = "查看会诊申请";
// 设置为只读模式
});
}
/** 提交按钮操作 */
function handleSubmit() {
const id = ids.value[0];
if (id) {
submitRequest(id).then(response => {
proxy.$modal.msgSuccess(response.msg || "提交成功");
getList();
});
} else {
proxy.$modal.msgError("请选择要提交的会诊申请");
}
}
/** 结束按钮操作 */
function handleEnd() {
const id = ids.value[0];
if (id) {
endRequest(id).then(response => {
proxy.$modal.msgSuccess(response.msg || "结束成功");
getList();
});
} else {
proxy.$modal.msgError("请选择要结束的会诊申请");
}
}
/** 保存按钮操作 */
function handleSave() {
proxy.$refs["form"].validate(valid => {
if (valid) {
if (form.value.id != null) {
updateRequest(form.value).then(response => {
proxy.$modal.msgSuccess("修改成功");
open.value = false;
getList();
});
} else {
addRequest(form.value).then(response => {
proxy.$modal.msgSuccess("新增成功");
open.value = false;
getList();
});
}
}
});
}
/** 删除按钮操作 */
function handleDelete(row) {
const ids = row.id ? [row.id] : ids.value;
proxy.$modal.confirm('是否确认删除会诊申请编号为"' + ids + '"的数据项?').then(function() {
return delRequest(ids);
}).then(() => {
getList();
proxy.$modal.msgSuccess("删除成功");
}).catch(() => {});
}
/** 提交/取消提交切换 */
function handleToggleSubmit(row) {
if (row.consultationStatus === 10) {
// 取消提交
cancelSubmitRequest(row.id).then(response => {
proxy.$modal.msgSuccess(response.msg || "取消提交成功");
getList();
});
} else {
// 提交
submitRequest(row.id).then(response => {
proxy.$modal.msgSuccess(response.msg || "提交成功");
getList();
});
}
}
/** 打印按钮操作 */
function handlePrint() {
// 实现打印功能
proxy.$modal.msgSuccess("打印功能待实现");
}
/** 提交按钮 */
function submitForm() {
proxy.$refs["form"].validate(valid => {
if (valid) {
if (form.value.id != null) {
updateRequest(form.value).then(response => {
proxy.$modal.msgSuccess("修改成功");
open.value = false;
getList();
});
} else {
addRequest(form.value).then(response => {
proxy.$modal.msgSuccess("新增成功");
open.value = false;
getList();
});
}
}
});
}
/** 取消按钮 */
function cancel() {
open.value = false;
reset();
}
getList();
</script>