feat(emr): 优化病历修改留痕功能并移除医保模拟服务

- 新增分页查询修改留痕（含患者信息）功能，支持按患者、医生、操作人、病历类型筛选
- 在EmrRevisionController中移除权限校验注解，简化访问控制
- 重构病历修改留痕前端界面，采用树形结构展示病历与修订版本关系
- 添加表格列最小宽度限制和溢出省略显示，优化表格组件样式
- 更新医保配置地址从本地到云端服务器
- 移除医保模拟服务相关代码和数据库迁移文件
- 修复临床路径表缺少基础实体字段问题

healthlink-his-ui/src/assets/styles/vxe-table.scss

@@ -15,6 +15,21 @@ $vxe-row-height: 40px;
 $vxe-header-height: 40px;
 $vxe-radius: 4px;
 
+// === 全局列宽限制：防止文字竖排 ===
+.vxe-table {
+  // 表头和表体列最小宽度
+  .vxe-header--column,
+  .vxe-body--column {
+    min-width: 80px;
+  }
+  // 列内容不换行，超长显示省略号
+  .vxe-cell {
+    white-space: nowrap;
+    overflow: hidden;
+    text-overflow: ellipsis;
+  }
+}
+
 // === 全局覆盖 ===
 .vxe-table {
   font-family: 'HarmonyOS Sans', 'Helvetica Neue', Helvetica, 'PingFang SC',

healthlink-his-ui/src/views/clinicmanagement/ePrescribing/components/ePrescribingDetailDialog.vue

@@ -12,6 +12,8 @@
           max-height="650"
           :data="ePrescribingDetailList"
           border
+          :column-config="{ minWidth: 100 }"
+          show-overflow-tooltip
         >
           <vxe-column
             title="处方号"

healthlink-his-ui/src/views/clinicmanagement/ePrescribing/components/prescriptionQueryDialog.vue

@@ -15,6 +15,8 @@
           max-height="650"
           :data="prescriptionInfoList"
           border
+          :column-config="{ minWidth: 100 }"
+          show-overflow-tooltip
         >
           <vxe-column
             title="医保处方编号"
@@ -215,6 +217,8 @@
           max-height="650"
           :data="rxdrugdetailList"
           border
+          :column-config="{ minWidth: 100 }"
+          show-overflow-tooltip
         >
           <vxe-column
             title="医疗目录编码"
@@ -453,6 +457,8 @@
           max-height="650"
           :data="mdtrtinfoList"
           border
+          :column-config="{ minWidth: 100 }"
+          show-overflow-tooltip
         >
           <vxe-column
             title="定点医疗机构名称"
@@ -733,6 +739,8 @@
           max-height="650"
           :data="discinfoList"
           border
+          :column-config="{ minWidth: 100 }"
+          show-overflow-tooltip
         >
           <vxe-column
             title="诊断类别"

healthlink-his-ui/src/views/emr/revision-history/api.js

@@ -1,5 +1,5 @@
 import request from '@/utils/request'
-export function getRevisionPage(p){return request({url:'/emr/revision/page',method:'get',params:p})}
+export function getRevisionPage(p){return request({url:'/emr/revision/page-with-patient',method:'get',params:p})}
 export function getRevisionList(emrId){return request({url:'/emr/revision/list/'+emrId,method:'get'})}
 export function recordRevision(d){return request({url:'/emr/revision/record',method:'post',data:d})}
 export function compareRevisions(id1,id2){return request({url:'/emr/revision/compare',method:'get',params:{revisionId1:id1,revisionId2:id2}})}

healthlink-his-ui/src/views/emr/revision-history/index.vue

@@ -3,82 +3,102 @@
     <div style="margin-bottom:16px">
       <span style="font-size:18px;font-weight:bold">病历修改留痕</span>
     </div>
-    <div style="margin-bottom:12px;display:flex;gap:8px;flex-wrap:wrap">
-      <el-input
-        v-model="q.emrId"
-        placeholder="病历ID"
-        clearable
-        style="width:120px"
-      />
-      <el-input
-        v-model="q.operatorName"
-        placeholder="操作人"
-        clearable
-        style="width:120px"
-      />
-      <el-button
-        type="primary"
-        @click="loadData"
-      >
-        查询
-      </el-button>
-    </div>
+    <el-card shadow="never" style="margin-bottom:16px">
+      <el-form inline>
+        <el-form-item label="患者">
+          <el-input v-model="q.patientName" placeholder="患者姓名" clearable style="width:130px" />
+        </el-form-item>
+        <el-form-item label="医生">
+          <el-input v-model="q.doctorName" placeholder="医生姓名" clearable style="width:130px" />
+        </el-form-item>
+        <el-form-item label="操作人">
+          <el-input v-model="q.operatorName" placeholder="操作人" clearable style="width:120px" />
+        </el-form-item>
+        <el-form-item label="病历类型">
+          <el-select v-model="q.emrType" placeholder="全部" clearable style="width:130px">
+            <el-option label="入院记录" value="ADMISSION" />
+            <el-option label="首次病程" value="FIRST_COURSE" />
+            <el-option label="日常病程" value="DAILY_COURSE" />
+            <el-option label="出院记录" value="DISCHARGE" />
+          </el-select>
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="handleQuery">搜索</el-button>
+          <el-button @click="resetQuery">重置</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
     <el-table
-      :data="tableData"
+      v-loading="loading"
+      :data="groupedData"
+      row-key="emrId"
       border
-      stripe
+      default-expand-all
+      :tree-props="{ children: 'revisions' }"
     >
-      <el-table-column
-        prop="emrId"
-        label="病历ID"
-        width="100"
-      />
-      <el-table-column
-        prop="revisionNumber"
-        label="版本"
-        width="70"
-        align="center"
-      >
+      <el-table-column prop="emrTitle" label="病历标题" min-width="200">
         <template #default="{row}">
-          <el-tag size="small">
-            V{{ row.revisionNumber }}
-          </el-tag>
+          <template v-if="row.isGroup">
+            <span style="font-weight:bold">{{ row.emrTitle || '病历 #' + row.emrId }}</span>
+            <el-tag size="small" style="margin-left:8px">{{ row.emrType }}</el-tag>
+          </template>
+          <template v-else>
+            <span style="color:#909399">V{{ row.revisionNumber }}</span>
+          </template>
         </template>
       </el-table-column>
-      <el-table-column
-        prop="operatorName"
-        label="操作人"
-        width="100"
-      />
-      <el-table-column
-        prop="operationType"
-        label="操作类型"
-        width="100"
-      />
-      <el-table-column
-        prop="diffContent"
-        label="变更内容"
-        min-width="200"
-        show-overflow-tooltip
-      />
-      <el-table-column
-        prop="createTime"
-        label="修改时间"
-        width="170"
-      />
-      <el-table-column
-        label="操作"
-        width="100"
-      >
+      <el-table-column prop="patientName" label="患者" width="100">
         <template #default="{row}">
-          <el-button
-            type="primary"
-            link
-            size="small"
-            @click="viewDetail(row)"
-          >
-            查看
-          </el-button>
+          <template v-if="row.isGroup">
+            {{ row.patientName || '-' }}
+            <span v-if="row.patientGender" style="color:#909399;margin-left:4px">({{ row.patientGender }})</span>
+          </template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="doctorName" label="主治医生" width="100">
+        <template #default="{row}">
+          <template v-if="row.isGroup">{{ row.doctorName || '-' }}</template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="departmentName" label="科室" width="100">
+        <template #default="{row}">
+          <template v-if="row.isGroup">{{ row.departmentName || '-' }}</template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="encounterNo" label="就诊号" width="120">
+        <template #default="{row}">
+          <template v-if="row.isGroup">{{ row.encounterNo || '-' }}</template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="operationType" label="操作类型" width="100">
+        <template #default="{row}">
+          <template v-if="!row.isGroup">
+            <el-tag :type="opTypeMap[row.operationType]?.type || 'info'" size="small">
+              {{ opTypeMap[row.operationType]?.label || row.operationType }}
+            </el-tag>
+          </template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="operatorName" label="操作人" width="90">
+        <template #default="{row}">
+          <template v-if="!row.isGroup">{{ row.operatorName }}</template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="diffContent" label="变更内容" min-width="200" show-overflow-tooltip>
+        <template #default="{row}">
+          <template v-if="!row.isGroup">{{ row.diffContent }}</template>
+        </template>
+      </el-table-column>
+      <el-table-column prop="createTime" label="时间" width="170">
+        <template #default="{row}">
+          <template v-if="!row.isGroup">{{ row.createTime }}</template>
+        </template>
+      </el-table-column>
+      <el-table-column label="操作" width="80">
+        <template #default="{row}">
+          <template v-if="!row.isGroup">
+            <el-button type="primary" link size="small" @click="viewDetail(row)">详情</el-button>
+          </template>
         </template>
       </el-table-column>
     </el-table>
@@ -87,73 +107,105 @@
       v-model:page-size="q.pageSize"
       style="margin-top:12px;justify-content:flex-end"
       :total="total"
-      layout="total,prev,pager,next"
+      layout="total, sizes, prev, pager, next"
+      @size-change="loadData"
       @current-change="loadData"
     />
-    <el-dialog
-      v-model="detailVisible"
-      title="修订详情"
-      width="700px"
-    >
-      <el-descriptions
-        :column="2"
-        border
-      >
-        <el-descriptions-item label="版本">
-          V{{ detail.revisionNumber }}
-        </el-descriptions-item>
-        <el-descriptions-item label="操作人">
-          {{ detail.operatorName }}
-        </el-descriptions-item>
-        <el-descriptions-item label="操作类型">
-          {{ detail.operationType }}
-        </el-descriptions-item>
-        <el-descriptions-item label="时间">
-          {{ detail.createTime }}
-        </el-descriptions-item>
+    <el-dialog v-model="detailVisible" title="修订详情" width="700px">
+      <el-descriptions :column="2" border>
+        <el-descriptions-item label="版本">V{{ detail.revisionNumber }}</el-descriptions-item>
+        <el-descriptions-item label="操作人">{{ detail.operatorName }}</el-descriptions-item>
+        <el-descriptions-item label="操作类型">{{ detail.operationType }}</el-descriptions-item>
+        <el-descriptions-item label="时间">{{ detail.createTime }}</el-descriptions-item>
       </el-descriptions>
       <div style="margin-top:12px">
-        <div style="font-weight:bold;margin-bottom:8px">
-          变更内容:
-        </div>
+        <div style="font-weight:bold;margin-bottom:8px">变更内容:</div>
         <pre style="background:#f5f7fa;padding:12px;border-radius:4px;max-height:300px;overflow:auto">{{ detail.diffContent }}</pre>
       </div>
       <div style="margin-top:12px">
-        <div style="font-weight:bold;margin-bottom:8px">
-          内容快照:
-        </div>
+        <div style="font-weight:bold;margin-bottom:8px">内容快照:</div>
         <pre style="background:#f5f7fa;padding:12px;border-radius:4px;max-height:300px;overflow:auto">{{ detail.snapshotContent }}</pre>
       </div>
     </el-dialog>
   </div>
 </template>
 <script setup>
-import {ref,onMounted} from 'vue'
-import {useRoute} from 'vue-router'
-import {getRevisionPage} from './api'
-import {ElMessage} from 'element-plus'
-const route=useRoute()
-const tableData=ref([]);const total=ref(0)
-const q=ref({pageNo:1,pageSize: 10,emrId:null,operatorName:''})
-const detailVisible=ref(false);const detail=ref({})
-const loadData=async()=>{
-  try{
-    // 清理空参数
-    const params={pageNo:q.value.pageNo,pageSize:q.value.pageSize}
-    if(q.value.emrId) params.emrId=q.value.emrId
-    if(q.value.operatorName) params.operatorName=q.value.operatorName
-    const r=await getRevisionPage(params)
-    console.log('修订历史响应:',r)
-    tableData.value=r.data?.records||r.data||[]
-    total.value=r.data?.total||tableData.value.length
-  }catch(e){
-    console.error('加载失败:',e)
+import { ref, computed, onMounted } from 'vue'
+import { useRoute } from 'vue-router'
+import { getRevisionPage } from './api'
+import { ElMessage } from 'element-plus'
+
+const route = useRoute()
+const loading = ref(false)
+const rawData = ref([])
+const total = ref(0)
+const q = ref({ pageNo: 1, pageSize: 10, patientName: '', doctorName: '', operatorName: '', emrType: '', emrId: null })
+const detailVisible = ref(false)
+const detail = ref({})
+
+const opTypeMap = {
+  CREATE: { label: '创建', type: 'success' },
+  EDIT: { label: '编辑', type: 'warning' },
+  APPROVE: { label: '审批', type: '' },
+  SIGN: { label: '签名', type: 'info' }
+}
+
+const groupedData = computed(() => {
+  const map = new Map()
+  for (const row of rawData.value) {
+    const key = row.emrId
+    if (!map.has(key)) {
+      map.set(key, {
+        emrId: key,
+        emrTitle: row.emrTitle,
+        emrType: row.emrType,
+        patientName: row.patientName,
+        patientGender: row.patientGender,
+        doctorName: row.doctorName,
+        departmentName: row.departmentName,
+        encounterNo: row.encounterNo,
+        isGroup: true,
+        revisions: []
+      })
+    }
+    map.get(key).revisions.push({ ...row, isGroup: false })
+  }
+  return Array.from(map.values())
+})
+
+const loadData = async () => {
+  loading.value = true
+  try {
+    const params = { pageNo: q.value.pageNo, pageSize: q.value.pageSize }
+    if (q.value.patientName) params.patientName = q.value.patientName
+    if (q.value.doctorName) params.doctorName = q.value.doctorName
+    if (q.value.operatorName) params.operatorName = q.value.operatorName
+    if (q.value.emrType) params.emrType = q.value.emrType
+    if (q.value.emrId) params.emrId = q.value.emrId
+    const r = await getRevisionPage(params)
+    rawData.value = r.data?.records || []
+    total.value = r.data?.total || 0
+  } catch {
     ElMessage.error('加载失败')
+  } finally {
+    loading.value = false
   }
 }
-const viewDetail=(row)=>{detail.value=row;detailVisible.value=true}
-onMounted(()=>{
-  if(route.query.emrId){q.value.emrId=route.query.emrId}
+
+const handleQuery = () => { q.value.pageNo = 1; loadData() }
+const resetQuery = () => {
+  q.value.patientName = ''
+  q.value.doctorName = ''
+  q.value.operatorName = ''
+  q.value.emrType = ''
+  q.value.emrId = null
+  q.value.pageNo = 1
+  loadData()
+}
+const viewDetail = (row) => { detail.value = row; detailVisible.value = true }
+
+onMounted(() => {
+  if (route.query.emrId) q.value.emrId = Number(route.query.emrId)
   loadData()
 })
 </script>