feat(reportmanage): T11.1 DRG/DIP分析模块 - AppService + Controller + Frontend

2026-06-18 15:02:48 +08:00
parent dfd4faa00b
commit 965418dc45
5 changed files with 371 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/IDrgAnalysisAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/IDrgAnalysisAppService.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.web.reportmanage.appservice;
+
+import com.core.common.core.domain.R;
+import java.util.Map;
+
+public interface IDrgAnalysisAppService {
+    R<?> analyzeDrg(Map<String, Object> params);
+    R<?> getDrgStats(String startDate, String endDate);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/impl/DrgAnalysisAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/appservice/impl/DrgAnalysisAppServiceImpl.java
@@ -0,0 +1,135 @@
+package com.healthlink.his.web.reportmanage.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.core.domain.R;
+import com.healthlink.his.crossmodule.domain.DrgPerformance;
+import com.healthlink.his.crossmodule.service.IDrgPerformanceService;
+import com.healthlink.his.mrhomepage.domain.MrDrgGrouping;
+import com.healthlink.his.mrhomepage.service.IMrDrgGroupingService;
+import com.healthlink.his.web.reportmanage.appservice.IDrgAnalysisAppService;
+import lombok.AllArgsConstructor;
+import org.springframework.stereotype.Service;
+import org.springframework.util.StringUtils;
+
+import java.math.BigDecimal;
+import java.math.RoundingMode;
+import java.util.*;
+import java.util.stream.Collectors;
+
+@Service
+@AllArgsConstructor
+public class DrgAnalysisAppServiceImpl implements IDrgAnalysisAppService {
+
+    private final IMrDrgGroupingService drgGroupingService;
+    private final IDrgPerformanceService drgPerformanceService;
+
+    @Override
+    public R<?> analyzeDrg(Map<String, Object> params) {
+        String startDate = (String) params.get("startDate");
+        String endDate = (String) params.get("endDate");
+        String groupingType = (String) params.get("groupingType");
+
+        LambdaQueryWrapper<MrDrgGrouping> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(groupingType), MrDrgGrouping::getGroupingType, groupingType)
+         .eq(MrDrgGrouping::getIsValid, true);
+        if (StringUtils.hasText(startDate)) {
+            w.ge(MrDrgGrouping::getDischargeDate, startDate);
+        }
+        if (StringUtils.hasText(endDate)) {
+            w.le(MrDrgGrouping::getDischargeDate, endDate);
+        }
+
+        List<MrDrgGrouping> list = drgGroupingService.list(w);
+
+        Map<String, Object> result = new HashMap<>();
+        result.put("totalCases", list.size());
+
+        BigDecimal totalCost = BigDecimal.ZERO;
+        BigDecimal totalInsurance = BigDecimal.ZERO;
+        int totalLos = 0;
+        for (MrDrgGrouping g : list) {
+            if (g.getTotalCost() != null) totalCost = totalCost.add(g.getTotalCost());
+            if (g.getInsurancePayment() != null) totalInsurance = totalInsurance.add(g.getInsurancePayment());
+            if (g.getLosDays() != null) totalLos += g.getLosDays();
+        }
+        int count = list.size();
+        result.put("totalCost", totalCost);
+        result.put("totalInsurance", totalInsurance);
+        result.put("avgCost", count > 0 ? totalCost.divide(BigDecimal.valueOf(count), 2, RoundingMode.HALF_UP) : BigDecimal.ZERO);
+        result.put("avgLos", count > 0 ? BigDecimal.valueOf(totalLos).divide(BigDecimal.valueOf(count), 1, RoundingMode.HALF_UP) : BigDecimal.ZERO);
+        result.put("insuranceRate", totalCost.compareTo(BigDecimal.ZERO) > 0
+            ? totalInsurance.multiply(BigDecimal.valueOf(100)).divide(totalCost, 2, RoundingMode.HALF_UP) : BigDecimal.ZERO);
+
+        Map<String, Integer> typeCount = list.stream()
+            .collect(Collectors.groupingBy(
+                g -> g.getGroupingType() != null ? g.getGroupingType() : "UNKNOWN",
+                Collectors.summingInt(g -> 1)));
+        result.put("typeDistribution", typeCount);
+
+        Map<String, BigDecimal> drgCostMap = new LinkedHashMap<>();
+        Map<String, Integer> drgCountMap = new LinkedHashMap<>();
+        for (MrDrgGrouping g : list) {
+            String code = g.getDrgCode();
+            if (StringUtils.hasText(code)) {
+                drgCostMap.merge(code, g.getTotalCost() != null ? g.getTotalCost() : BigDecimal.ZERO, BigDecimal::add);
+                drgCountMap.merge(code, 1, Integer::sum);
+            }
+        }
+        List<Map<String, Object>> topDrg = drgCostMap.entrySet().stream()
+            .sorted(Map.Entry.<String, BigDecimal>comparingByValue().reversed())
+            .limit(10)
+            .map(e -> {
+                Map<String, Object> item = new HashMap<>();
+                item.put("drgCode", e.getKey());
+                item.put("count", drgCountMap.getOrDefault(e.getKey(), 0));
+                item.put("totalCost", e.getValue());
+                return item;
+            })
+            .collect(Collectors.toList());
+        result.put("topDrgByCost", topDrg);
+
+        return R.ok(result);
+    }
+
+    @Override
+    public R<?> getDrgStats(String startDate, String endDate) {
+        LambdaQueryWrapper<DrgPerformance> w = new LambdaQueryWrapper<>();
+        if (StringUtils.hasText(startDate)) {
+            w.ge(DrgPerformance::getStatMonth, startDate);
+        }
+        if (StringUtils.hasText(endDate)) {
+            w.le(DrgPerformance::getStatMonth, endDate);
+        }
+        w.orderByDesc(DrgPerformance::getStatMonth);
+        List<DrgPerformance> perfList = drgPerformanceService.list(w);
+
+        Map<String, Object> result = new HashMap<>();
+        result.put("totalRecords", perfList.size());
+
+        if (!perfList.isEmpty()) {
+            DrgPerformance latest = perfList.get(0);
+            result.put("latestMonth", latest.getStatMonth());
+            result.put("latestTotalCases", latest.getTotalCases());
+            result.put("latestDrgCoveredRate", latest.getDrgCoveredRate());
+            result.put("latestAvgWeight", latest.getAvgWeight());
+            result.put("latestAvgCost", latest.getAvgCost());
+            result.put("latestCostControlRate", latest.getCostControlRate());
+            result.put("latestCmiValue", latest.getCmiValue());
+        }
+
+        BigDecimal totalCases = BigDecimal.ZERO;
+        BigDecimal totalWeight = BigDecimal.ZERO;
+        BigDecimal totalCostControl = BigDecimal.ZERO;
+        for (DrgPerformance p : perfList) {
+            if (p.getTotalCases() != null) totalCases = totalCases.add(BigDecimal.valueOf(p.getTotalCases()));
+            if (p.getAvgWeight() != null) totalWeight = totalWeight.add(p.getAvgWeight());
+            if (p.getCostControlRate() != null) totalCostControl = totalCostControl.add(p.getCostControlRate());
+        }
+        int size = perfList.size();
+        result.put("periodTotalCases", totalCases);
+        result.put("avgWeight", size > 0 ? totalWeight.divide(BigDecimal.valueOf(size), 4, RoundingMode.HALF_UP) : BigDecimal.ZERO);
+        result.put("avgCostControlRate", size > 0 ? totalCostControl.divide(BigDecimal.valueOf(size), 2, RoundingMode.HALF_UP) : BigDecimal.ZERO);
+
+        return R.ok(result);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/controller/DrgAnalysisController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/reportmanage/controller/DrgAnalysisController.java
@@ -0,0 +1,33 @@
+package com.healthlink.his.web.reportmanage.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.reportmanage.appservice.IDrgAnalysisAppService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+@RestController
+@RequestMapping("/report/drg")
+@Slf4j
+@AllArgsConstructor
+public class DrgAnalysisController {
+
+    private final IDrgAnalysisAppService drgAnalysisAppService;
+
+    @PostMapping("/analyze")
+    @PreAuthorize("hasAuthority('infection:report:edit')")
+    public R<?> analyzeDrg(@RequestBody Map<String, Object> params) {
+        return drgAnalysisAppService.analyzeDrg(params);
+    }
+
+    @GetMapping("/stats")
+    @PreAuthorize("hasAuthority('infection:report:list')")
+    public R<?> getDrgStats(
+            @RequestParam(required = false) String startDate,
+            @RequestParam(required = false) String endDate) {
+        return drgAnalysisAppService.getDrgStats(startDate, endDate);
+    }
+}
--- a/healthlink-his-ui/src/views/drganalysis/api.js
+++ b/healthlink-his-ui/src/views/drganalysis/api.js
@@ -0,0 +1,3 @@
+import request from '@/utils/request'
+export function analyzeDrg(d){return request({url:'/report/drg/analyze',method:'post',data:d})}
+export function getDrgStats(p){return request({url:'/report/drg/stats',method:'get',params:p})}
--- a/healthlink-his-ui/src/views/drganalysis/index.vue
+++ b/healthlink-his-ui/src/views/drganalysis/index.vue
@@ -0,0 +1,191 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">DRG/DIP分析</span>
+      <div>
+        <el-button type="primary" @click="loadStats">刷新</el-button>
+        <el-button type="success" @click="runAnalysis">执行分析</el-button>
+      </div>
+    </div>
+
+    <el-row :gutter="16" style="margin-bottom:16px">
+      <el-col :span="6">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:22px;font-weight:bold;color:#409eff">{{ stats.totalCases || 0 }}</div>
+            <div style="font-size:12px;color:#999">总病例数</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:22px;font-weight:bold;color:#67c23a">{{ formatMoney(stats.totalCost) }}</div>
+            <div style="font-size:12px;color:#999">总费用(万)</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:22px;font-weight:bold;color:#e6a23c">{{ formatMoney(stats.avgCost) }}</div>
+            <div style="font-size:12px;color:#999">平均费用(万)</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:22px;font-weight:bold;color:#f56c6c">{{ stats.insuranceRate || 0 }}%</div>
+            <div style="font-size:12px;color:#999">医保支付率</div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-row :gutter="16" style="margin-bottom:16px">
+      <el-col :span="6">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:22px;font-weight:bold;color:#409eff">{{ stats.avgLos || 0 }}天</div>
+            <div style="font-size:12px;color:#999">平均住院日</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:22px;font-weight:bold;color:#67c23a">{{ formatMoney(stats.totalInsurance) }}</div>
+            <div style="font-size:12px;color:#999">医保总支付(万)</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="12">
+        <el-card shadow="hover" :body-style="{padding:'12px'}">
+          <div style="text-align:center">
+            <div style="font-size:14px;font-weight:bold;color:#909399;margin-bottom:8px">分组类型分布</div>
+            <div v-for="(v,k) in (stats.typeDistribution || {})" :key="k" style="display:inline-block;margin:0 12px">
+              <span style="font-size:18px;font-weight:bold;color:#409eff">{{ v }}</span>
+              <span style="font-size:12px;color:#666"> {{ k }}</span>
+            </div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-card shadow="never" style="margin-bottom:16px">
+      <template #header>DRG绩效指标</template>
+      <el-row :gutter="16">
+        <el-col :span="4">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#409eff">{{ perfStats.latestTotalCases || 0 }}</div>
+            <div style="font-size:12px;color:#999">当月病例数</div>
+          </div>
+        </el-col>
+        <el-col :span="4">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#67c23a">{{ perfStats.latestDrgCoveredRate || 0 }}%</div>
+            <div style="font-size:12px;color:#999">DRG入组率</div>
+          </div>
+        </el-col>
+        <el-col :span="4">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#e6a23c">{{ perfStats.latestAvgWeight || 0 }}</div>
+            <div style="font-size:12px;color:#999">平均权重</div>
+          </div>
+        </el-col>
+        <el-col :span="4">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#f56c6c">{{ formatMoney(perfStats.latestAvgCost) }}</div>
+            <div style="font-size:12px;color:#999">平均费用(万)</div>
+          </div>
+        </el-col>
+        <el-col :span="4">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#409eff">{{ perfStats.latestCostControlRate || 0 }}%</div>
+            <div style="font-size:12px;color:#999">费用控制率</div>
+          </div>
+        </el-col>
+        <el-col :span="4">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold;color:#67c23a">{{ perfStats.latestCmiValue || 0 }}</div>
+            <div style="font-size:12px;color:#999">CMI值</div>
+          </div>
+        </el-col>
+      </el-row>
+    </el-card>
+
+    <el-card shadow="never" style="margin-bottom:16px">
+      <template #header>费用TOP10 DRG组</template>
+      <el-table :data="stats.topDrgByCost || []" border stripe>
+        <el-table-column type="index" label="排名" width="60" align="center" />
+        <el-table-column prop="drgCode" label="DRG组代码" width="140" />
+        <el-table-column prop="count" label="病例数" width="100" align="center" />
+        <el-table-column prop="totalCost" label="总费用(万元)" align="right">
+          <template #default="{row}">{{ formatMoney(row.totalCost) }}</template>
+        </el-table-column>
+      </el-table>
+    </el-card>
+
+    <el-card shadow="never">
+      <template #header>查询条件</template>
+      <div style="display:flex;gap:8px;flex-wrap:wrap;align-items:center">
+        <el-select v-model="query.groupingType" placeholder="分组类型" clearable style="width:120px">
+          <el-option label="DRG" value="DRG" />
+          <el-option label="DIP" value="DIP" />
+        </el-select>
+        <el-date-picker v-model="query.dateRange" type="daterange" start-placeholder="开始日期" end-placeholder="结束日期" style="width:260px" />
+        <el-button type="primary" @click="runAnalysis">分析</el-button>
+        <el-button @click="resetQuery">重置</el-button>
+      </div>
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import {ref, onMounted} from 'vue'
+import {ElMessage} from 'element-plus'
+import {analyzeDrg, getDrgStats} from './api'
+
+const loading = ref(false)
+const stats = ref({})
+const perfStats = ref({})
+const query = ref({groupingType:'', dateRange:null})
+
+function formatMoney(val) {
+  if (!val) return '0.00'
+  return (val / 10000).toFixed(2)
+}
+
+async function loadStats() {
+  loading.value = true
+  try {
+    const [s, p] = await Promise.all([getDrgStats({}), getDrgStats({})])
+    stats.value = s.data || {}
+    perfStats.value = p.data || {}
+  } finally { loading.value = false }
+}
+
+async function runAnalysis() {
+  loading.value = true
+  try {
+    const params = {groupingType: query.value.groupingType}
+    if (query.value.dateRange && query.value.dateRange.length === 2) {
+      params.startDate = query.value.dateRange[0]
+      params.endDate = query.value.dateRange[1]
+    }
+    const r = await analyzeDrg(params)
+    stats.value = r.data || {}
+    const p = await getDrgStats(params)
+    perfStats.value = p.data || {}
+    ElMessage.success('分析完成')
+  } finally { loading.value = false }
+}
+
+function resetQuery() {
+  query.value = {groupingType:'', dateRange:null}
+  loadStats()
+}
+
+onMounted(() => loadStats())
+</script>