feat(emr): 病历完整性检查

- 创建 IEmrCompletenessAppService + impl，实现 checkCompleteness() 和 getCheckResults() - 创建 EmrCompletenessController，POST /emr/completeness/check 和 GET /emr/completeness/results/{emrId} - 新建 EmrCompletenessCheck.vue 检查结果展示 + 不合格项提醒 - 添加前端 API 函数 checkCompleteness / getCompletenessResults
2026-06-17 13:37:53 +08:00
parent f3a24a9129
commit 9673c0ed80
5 changed files with 322 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrCompletenessAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/IEmrCompletenessAppService.java
@@ -0,0 +1,13 @@
+package com.healthlink.his.web.emr.appservice;
+
+import com.healthlink.his.emr.domain.EmrCompletenessCheck;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IEmrCompletenessAppService {
+
+    Map<String, Object> checkCompleteness(Long emrId, Long encounterId);
+
+    List<EmrCompletenessCheck> getCheckResults(Long emrId);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrCompletenessAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/appservice/impl/EmrCompletenessAppServiceImpl.java
@@ -0,0 +1,112 @@
+package com.healthlink.his.web.emr.appservice.impl;
+
+import com.healthlink.his.document.domain.Emr;
+import com.healthlink.his.document.service.IEmrService;
+import com.healthlink.his.emr.domain.EmrCompletenessCheck;
+import com.healthlink.his.emr.service.IEmrCompletenessCheckService;
+import com.healthlink.his.web.emr.appservice.IEmrCompletenessAppService;
+import jakarta.annotation.Resource;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.*;
+
+@Service
+public class EmrCompletenessAppServiceImpl implements IEmrCompletenessAppService {
+
+    @Resource
+    private IEmrCompletenessCheckService emrCompletenessCheckService;
+
+    @Resource
+    private IEmrService emrService;
+
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public Map<String, Object> checkCompleteness(Long emrId, Long encounterId) {
+        Emr emr = emrService.getById(emrId);
+        if (emr == null) {
+            throw new IllegalArgumentException("病历不存在: " + emrId);
+        }
+
+        List<EmrCompletenessCheck> checks = new ArrayList<>();
+        int total = 0;
+        int requiredPassed = 0;
+        int requiredTotal = 0;
+
+        String[][] checkDefs = {
+                {"chief_complaint", "basic", "true", "主诉"},
+                {"medical_history", "basic", "true", "现病史"},
+                {"past_history", "basic", "false", "既往史"},
+                {"physical_exam", "basic", "true", "体格检查"},
+                {"auxiliary_exam", "examination", "false", "辅助检查"},
+                {"diagnosis", "diagnosis", "true", "诊断"},
+                {"treatment_plan", "treatment", "true", "治疗计划"},
+                {"signature", "signature", "false", "签名"}
+        };
+
+        Map<String, Object> contentMap = parseContent(emr.getContextJson());
+
+        for (String[] def : checkDefs) {
+            total++;
+            boolean isRequired = Boolean.parseBoolean(def[2]);
+            if (isRequired) requiredTotal++;
+
+            boolean hasValue = contentMap.containsKey(def[0])
+                    && contentMap.get(def[0]) != null
+                    && !contentMap.get(def[0]).toString().trim().isEmpty();
+
+            String result = hasValue ? "PASS" : "FAIL";
+            String detail = def[3] + (hasValue ? " - 已填写" : " - 未填写");
+            if (!isRequired && !hasValue) {
+                detail = def[3] + " - 未填写(选填项)";
+            }
+
+            if (isRequired && hasValue) requiredPassed++;
+
+            EmrCompletenessCheck check = new EmrCompletenessCheck()
+                    .setEmrId(emrId)
+                    .setEncounterId(encounterId)
+                    .setCheckItem(def[0])
+                    .setCheckCategory(def[1])
+                    .setIsRequired(isRequired)
+                    .setCheckResult(result)
+                    .setCheckDetail(detail)
+                    .setCheckTime(new Date());
+
+            emrCompletenessCheckService.save(check);
+            checks.add(check);
+        }
+
+        Map<String, Object> result = new LinkedHashMap<>();
+        result.put("emrId", emrId);
+        result.put("encounterId", encounterId);
+        result.put("totalItems", total);
+        result.put("requiredTotal", requiredTotal);
+        result.put("requiredPassed", requiredPassed);
+        result.put("requiredFailed", requiredTotal - requiredPassed);
+        result.put("isComplete", requiredPassed == requiredTotal);
+        result.put("checks", checks);
+        return result;
+    }
+
+    @Override
+    public List<EmrCompletenessCheck> getCheckResults(Long emrId) {
+        return emrCompletenessCheckService.selectByEmrId(emrId);
+    }
+
+    private Map<String, Object> parseContent(String contextJson) {
+        Map<String, Object> map = new HashMap<>();
+        if (contextJson == null || contextJson.isEmpty()) {
+            return map;
+        }
+        try {
+            com.fasterxml.jackson.databind.ObjectMapper mapper = new com.fasterxml.jackson.databind.ObjectMapper();
+            @SuppressWarnings("unchecked")
+            Map<String, Object> parsed = mapper.readValue(contextJson, Map.class);
+            map.putAll(parsed);
+        } catch (Exception e) {
+            map.put("raw", contextJson);
+        }
+        return map;
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/emr/controller/EmrCompletenessController.java
@@ -0,0 +1,38 @@
+package com.healthlink.his.web.emr.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.emr.appservice.IEmrCompletenessAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+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("/emr/completeness")
+@Slf4j
+@AllArgsConstructor
+@Tag(name = "病历完整性检查")
+public class EmrCompletenessController {
+
+    private final IEmrCompletenessAppService emrCompletenessAppService;
+
+    @PostMapping("/check")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:edit')")
+    @Operation(summary = "执行病历完整性检查")
+    public R<Map<String, Object>> checkCompleteness(
+            @RequestParam("emrId") Long emrId,
+            @RequestParam("encounterId") Long encounterId) {
+        return R.ok(emrCompletenessAppService.checkCompleteness(emrId, encounterId));
+    }
+
+    @GetMapping("/results/{emrId}")
+    @PreAuthorize("@ss.hasPermi('inpatient:emr:list')")
+    @Operation(summary = "获取完整性检查结果")
+    public R<?> getCheckResults(@PathVariable Long emrId) {
+        return R.ok(emrCompletenessAppService.getCheckResults(emrId));
+    }
+}
--- a/healthlink-his-ui/src/api/emr.js
+++ b/healthlink-his-ui/src/api/emr.js
@@ -13,3 +13,6 @@ export function compareEmrRevisions(id1, id2) { return request({ url: "/emr/revi
 export function saveEmrVersion(data) { return request({ url: "/emr/version/save", method: "post", data }) }
 export function getEmrVersionList(emrId) { return request({ url: "/emr/version/list/" + emrId, method: "get" }) }
 export function compareEmrVersions(id1, id2) { return request({ url: "/emr/version/compare", method: "get", params: { versionId1: id1, versionId2: id2 } }) }
+
+export function checkCompleteness(emrId, encounterId) { return request({ url: "/emr/completeness/check", method: "post", params: { emrId, encounterId } }) }
+export function getCompletenessResults(emrId) { return request({ url: "/emr/completeness/results/" + emrId, method: "get" }) }
--- a/healthlink-his-ui/src/views/emr/completeness-check/index.vue
+++ b/healthlink-his-ui/src/views/emr/completeness-check/index.vue
@@ -0,0 +1,156 @@
+<template>
+  <div class="app-container">
+    <el-card shadow="hover" class="mb8">
+      <template #header>
+        <span>执行完整性检查</span>
+      </template>
+      <el-form :inline="true" :model="checkForm">
+        <el-form-item label="病历ID">
+          <el-input v-model="checkForm.emrId" placeholder="请输入病历ID" clearable />
+        </el-form-item>
+        <el-form-item label="就诊ID">
+          <el-input v-model="checkForm.encounterId" placeholder="请输入就诊ID" clearable />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" icon="Search" :loading="checkLoading" @click="handleCheck">
+            执行检查
+          </el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-row v-if="checkResult" :gutter="20" class="mb8">
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="检查项总数" :value="checkResult.totalItems" />
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="必填项总数" :value="checkResult.requiredTotal" />
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="必填项通过" :value="checkResult.requiredPassed" />
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="hover">
+          <el-statistic title="是否完整" :value="checkResult.isComplete ? '是' : '否'" />
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-card v-if="checkResult && checkResult.requiredFailed > 0" shadow="hover" class="mb8">
+      <template #header>
+        <span style="color: #e6a23c;">不合格项提醒</span>
+      </template>
+      <el-alert
+        v-for="item in failedItems"
+        :key="item.id"
+        :title="item.checkItem"
+        :description="item.checkDetail"
+        type="warning"
+        show-icon
+        class="mb4"
+      />
+    </el-card>
+
+    <el-card shadow="hover">
+      <template #header>
+        <span>检查结果明细</span>
+      </template>
+      <el-table v-loading="resultLoading" :data="resultList">
+        <el-table-column label="检查项" prop="checkItem" width="150" />
+        <el-table-column label="分类" prop="checkCategory" width="120">
+          <template #default="scope">
+            <el-tag>{{ categoryMap[scope.row.checkCategory] || scope.row.checkCategory }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="是否必填" prop="isRequired" width="100">
+          <template #default="scope">
+            <el-tag :type="scope.row.isRequired ? 'danger' : 'info'">
+              {{ scope.row.isRequired ? '必填' : '选填' }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="检查结果" prop="checkResult" width="120">
+          <template #default="scope">
+            <el-tag :type="scope.row.checkResult === 'PASS' ? 'success' : 'danger'">
+              {{ scope.row.checkResult === 'PASS' ? '通过' : '不合格' }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="详情" prop="checkDetail" min-width="200" show-overflow-tooltip />
+        <el-table-column label="检查时间" prop="checkTime" width="180" />
+      </el-table>
+    </el-card>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, computed } from 'vue'
+import { checkCompleteness, getCompletenessResults } from '@/api/emr'
+import { ElMessage } from 'element-plus'
+
+const checkLoading = ref(false)
+const resultLoading = ref(false)
+const checkResult = ref(null)
+const resultList = ref([])
+
+const checkForm = reactive({ emrId: '', encounterId: '' })
+
+const categoryMap = {
+  basic: '基本信息',
+  examination: '检查',
+  diagnosis: '诊断',
+  treatment: '治疗',
+  signature: '签名'
+}
+
+const failedItems = computed(() => {
+  if (!checkResult.value || !checkResult.value.checks) return []
+  return checkResult.value.checks.filter(c => c.checkResult === 'FAIL')
+})
+
+const handleCheck = async () => {
+  if (!checkForm.emrId) {
+    ElMessage.warning('请输入病历ID')
+    return
+  }
+  if (!checkForm.encounterId) {
+    ElMessage.warning('请输入就诊ID')
+    return
+  }
+  checkLoading.value = true
+  try {
+    const res = await checkCompleteness(checkForm.emrId, checkForm.encounterId)
+    checkResult.value = res.data || res
+    resultList.value = checkResult.value.checks || []
+    ElMessage.success(checkResult.value.isComplete ? '病历完整性检查通过' : '病历完整性检查未通过，存在不合格项')
+  } catch (e) {
+    ElMessage.error('执行检查失败')
+  } finally {
+    checkLoading.value = false
+  }
+}
+
+const loadResults = async () => {
+  if (!checkForm.emrId) return
+  resultLoading.value = true
+  try {
+    const res = await getCompletenessResults(checkForm.emrId)
+    resultList.value = res.data || res || []
+  } catch (e) {
+    ElMessage.error('获取检查结果失败')
+  } finally {
+    resultLoading.value = false
+  }
+}
+</script>
+
+<style scoped>
+.mb8 { margin-bottom: 8px; }
+.mb4 { margin-bottom: 4px; }
+</style>