feat: 评估趋势分析 + 影像历史对比页面增强

- 评估趋势分析页面增强（统计卡片/趋势图表/风险分布/评估记录明细）
- 影像历史对比页面增强（统计卡片/新增/详情/筛选）

healthlink-his-ui/src/views/assessmenttrend/index.vue

@@ -1,27 +1,179 @@
 <template>
   <div style="padding:16px">
-    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">评估趋势</span></div>
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">护理评估趋势分析</span>
+      <div>
+        <el-button type="primary" @click="loadData">查询</el-button>
+        <el-button type="warning" @click="exportReport">导出报告</el-button>
+      </div>
+    </div>
+
+    <!-- 查询表单 -->
     <el-card shadow="never" style="margin-bottom:16px">
       <el-form inline>
-        <el-form-item label="就诊ID"><el-input v-model="encounterId" style="width:120px"/></el-form-item>
-        <el-form-item><el-button type="primary" @click="loadData">查询</el-button></el-form-item>
+        <el-form-item label="就诊号"><el-input v-model="encounterId" placeholder="请输入就诊号" style="width:180px"/></el-form-item>
+        <el-form-item label="评估类型">
+          <el-select v-model="assessmentType" clearable placeholder="请选择" style="width:140px">
+            <el-option label="压疮评估(Braden)" value="BRADEN"/>
+            <el-option label="跌倒评估(Morse)" value="MORSE"/>
+            <el-option label="营养筛查(NRS2002)" value="NRS2002"/>
+            <el-option label="疼痛评估" value="PAIN"/>
+            <el-option label="管道风险" value="TUBE"/>
+          </el-select>
+        </el-form-item>
+        <el-form-item label="日期范围">
+          <el-date-picker v-model="dateRange" type="daterange" start-placeholder="开始" end-placeholder="结束" style="width:240px"/>
+        </el-form-item>
       </el-form>
     </el-card>
-    <el-table :data="trendData" border stripe>
-      <el-table-column prop="assessmentType" label="评估类型" width="110"/>
-      <el-table-column prop="score" label="评分" width="80" align="center"/>
-      <el-table-column prop="riskLevel" label="风险等级" width="90">
-        <template #default="{row}"><el-tag :type="{HIGH:'danger',MEDIUM:'warning',LOW:'success'}[row.riskLevel]" size="small">{{ row.riskLevel }}</el-tag></template>
-      </el-table-column>
-      <el-table-column prop="assessTime" label="评估时间" width="170"/>
-      <el-table-column prop="assessorName" label="评估人" width="90"/>
-    </el-table>
+
+    <!-- 统计卡片 -->
+    <el-row :gutter="16" style="margin-bottom:16px">
+      <el-col :span="4" v-for="item in statCards" :key="item.label">
+        <el-card shadow="hover" :body-style="{padding:'10px'}">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold" :style="{color:item.color}">{{ item.value }}</div>
+            <div style="font-size:12px;color:#999">{{ item.label }}</div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <!-- 趋势图表区域 -->
+    <el-row :gutter="16" style="margin-bottom:16px">
+      <el-col :span="12">
+        <el-card shadow="never">
+          <template #header>评估评分趋势</template>
+          <div style="height:300px;display:flex;align-items:center;justify-content:center;flex-direction:column">
+            <div v-if="trendData.length > 0" style="width:100%;padding:20px">
+              <div v-for="(item, index) in trendData.slice(0, 10)" :key="index" style="display:flex;align-items:center;margin-bottom:8px">
+                <span style="width:80px;font-size:12px;color:#666">{{ item.assessmentType }}</span>
+                <div style="flex:1;background:#f0f0f0;border-radius:4px;height:20px">
+                  <div :style="{width: Math.min(item.score * 10, 100) + '%', background: item.riskLevel === 'HIGH' ? '#F56C6C' : item.riskLevel === 'MEDIUM' ? '#E6A23C' : '#67C23A', height: '100%', borderRadius: '4px'}"></div>
+                </div>
+                <span style="width:40px;text-align:right;font-size:12px;font-weight:bold">{{ item.score }}</span>
+              </div>
+            </div>
+            <el-empty v-else description="暂无数据"/>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="12">
+        <el-card shadow="never">
+          <template #header>风险等级分布</template>
+          <div style="height:300px;display:flex;align-items:center;justify-content:center;flex-direction:column;gap:12px">
+            <div v-for="(item, index) in riskDistribution" :key="index" style="display:flex;align-items:center;gap:8px">
+              <el-tag :type="item.type" size="small" style="width:60px;text-align:center">{{ item.level }}</el-tag>
+              <div style="width:200px;background:#f0f0f0;border-radius:4px;height:24px">
+                <div :style="{width: item.percent + '%', background: item.color, height: '100%', borderRadius: '4px', transition: 'width 0.5s'}"></div>
+              </div>
+              <span style="font-size:13px;font-weight:bold">{{ item.count }}人 ({{ item.percent }}%)</span>
+            </div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <!-- 评估记录表 -->
+    <el-card shadow="never">
+      <template #header>评估记录明细</template>
+      <el-table :data="trendData" border stripe v-loading="loading">
+        <el-table-column type="index" label="序号" width="60" align="center"/>
+        <el-table-column prop="assessmentType" label="评估类型" width="120" align="center">
+          <template #default="{row}">
+            <el-tag size="small">{{ assessmentTypeText(row.assessmentType) }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="patientName" label="患者" width="100"/>
+        <el-table-column prop="score" label="评分" width="80" align="center">
+          <template #default="{row}">
+            <span :style="{color: row.riskLevel === 'HIGH' ? '#F56C6C' : row.riskLevel === 'MEDIUM' ? '#E6A23C' : '#67C23A', fontWeight:'bold', fontSize:'16px'}">
+              {{ row.score }}
+            </span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="riskLevel" label="风险等级" width="100" align="center">
+          <template #default="{row}">
+            <el-tag :type="{HIGH:'danger',MEDIUM:'warning',LOW:'success',NORMAL:'info'}[row.riskLevel]" size="small">
+              {{ riskLevelText(row.riskLevel) }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="assessTime" label="评估时间" width="170"/>
+        <el-table-column prop="assessorName" label="评估人" width="100"/>
+        <el-table-column prop="detail" label="评估备注" min-width="150" show-overflow-tooltip/>
+      </el-table>
+    </el-card>
   </div>
 </template>
+
 <script setup>
-import {ref} from 'vue'
+import {ref, computed, onMounted} from 'vue'
+import {ElMessage} from 'element-plus'
 import {getTrend} from './api'
-const encounterId=ref('')
-const trendData=ref([])
-const loadData=async()=>{if(!encounterId.value)return;const r=await getTrend({encounterId:encounterId.value});trendData.value=r.data||[]}
+
+const encounterId = ref('')
+const assessmentType = ref('')
+const dateRange = ref(null)
+const loading = ref(false)
+const trendData = ref([])
+
+const statCards = ref([
+  {label:'总评估数', value:0, color:'#409eff'},
+  {label:'高危患者', value:0, color:'#f56c6c'},
+  {label:'中危患者', value:0, color:'#e6a23c'},
+  {label:'低危患者', value:0, color:'#67c23a'},
+  {label:'平均分', value:0, color:'#909399'},
+  {label:'评估类型', value:0, color:'#409eff'}
+])
+
+const riskDistribution = computed(() => {
+  let high = 0, medium = 0, low = 0, normal = 0
+  trendData.value.forEach(row => {
+    if (row.riskLevel === 'HIGH') high++
+    else if (row.riskLevel === 'MEDIUM') medium++
+    else if (row.riskLevel === 'LOW') low++
+    else normal++
+  })
+  const total = trendData.value.length || 1
+  return [
+    {level:'高危', count:high, percent:Math.round(high*100/total), type:'danger', color:'#F56C6C'},
+    {level:'中危', count:medium, percent:Math.round(medium*100/total), type:'warning', color:'#E6A23C'},
+    {level:'低危', count:low, percent:Math.round(low*100/total), type:'success', color:'#67C23A'},
+    {level:'正常', count:normal, percent:Math.round(normal*100/total), type:'info', color:'#909399'}
+  ]
+})
+
+function assessmentTypeText(t) {
+  return {BRADEN:'压疮评估',MORSE:'跌倒评估',NRS2002:'营养筛查',PAIN:'疼痛评估',TUBE:'管道风险'}[t] || t
+}
+function riskLevelText(l) {
+  return {HIGH:'高危',MEDIUM:'中危',LOW:'低危',NORMAL:'正常'}[l] || l
+}
+
+async function loadData() {
+  if (!encounterId.value) return
+  loading.value = true
+  try {
+    const r = await getTrend({encounterId:encounterId.value, assessmentType:assessmentType.value})
+    trendData.value = r.data || []
+    // Stats
+    let high = 0, medium = 0, low = 0, totalScore = 0, typeSet = new Set()
+    trendData.value.forEach(row => {
+      if (row.riskLevel === 'HIGH') high++
+      else if (row.riskLevel === 'MEDIUM') medium++
+      else low++
+      totalScore += (row.score || 0)
+      typeSet.add(row.assessmentType)
+    })
+    statCards.value[0].value = trendData.value.length
+    statCards.value[1].value = high
+    statCards.value[2].value = medium
+    statCards.value[3].value = low
+    statCards.value[4].value = trendData.value.length > 0 ? (totalScore / trendData.value.length).toFixed(1) : 0
+    statCards.value[5].value = typeSet.size
+  } finally { loading.value = false }
+}
+
+function exportReport() { ElMessage.info('导出功能开发中') }
 </script>

healthlink-his-ui/src/views/radiologycomparison/index.vue

@@ -1,27 +1,174 @@
 <template>
   <div style="padding:16px">
-    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">影像历史对比</span></div>
+    <div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
+      <span style="font-size:18px;font-weight:bold">影像历史对比</span>
+      <div>
+        <el-button type="primary" @click="loadData">查询</el-button>
+        <el-button type="success" @click="showAdd = true">新增检查</el-button>
+      </div>
+    </div>
+
+    <!-- 查询表单 -->
     <el-card shadow="never" style="margin-bottom:16px">
       <el-form inline>
-        <el-form-item label="患者ID"><el-input v-model="patientId" style="width:120px"/></el-form-item>
-        <el-form-item><el-button type="primary" @click="loadData">查询</el-button></el-form-item>
+        <el-form-item label="患者ID"><el-input v-model="patientId" placeholder="请输入患者ID" style="width:180px"/></el-form-item>
+        <el-form-item label="检查类型">
+          <el-select v-model="examType" clearable placeholder="请选择" style="width:140px">
+            <el-option label="X光" value="XRAY"/>
+            <el-option label="CT" value="CT"/>
+            <el-option label="MRI" value="MRI"/>
+            <el-option label="超声" value="ULTRASOUND"/>
+            <el-option label="内镜" value="ENDOSCOPY"/>
+          </el-select>
+        </el-form-item>
+        <el-form-item label="日期范围">
+          <el-date-picker v-model="dateRange" type="daterange" start-placeholder="开始" end-placeholder="结束" style="width:240px"/>
+        </el-form-item>
       </el-form>
     </el-card>
-    <el-table :data="imageData" border stripe>
-      <el-table-column prop="examinationType" label="检查类型" width="100"/>
-      <el-table-column prop="examinationName" label="检查名称" width="150"/>
+
+    <!-- 统计卡片 -->
+    <el-row :gutter="16" style="margin-bottom:16px">
+      <el-col :span="4" v-for="item in statCards" :key="item.label">
+        <el-card shadow="hover" :body-style="{padding:'10px'}">
+          <div style="text-align:center">
+            <div style="font-size:20px;font-weight:bold" :style="{color:item.color}">{{ item.value }}</div>
+            <div style="font-size:12px;color:#999">{{ item.label }}</div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <!-- 数据表格 -->
+    <el-table :data="imageData" border stripe v-loading="loading">
+      <el-table-column type="index" label="序号" width="60" align="center"/>
+      <el-table-column prop="examinationType" label="检查类型" width="100" align="center">
+        <template #default="{row}">
+          <el-tag size="small" :type="examTagType(row.examinationType)">
+            {{ examTypeText(row.examinationType) }}
+          </el-tag>
+        </template>
+      </el-table-column>
+      <el-table-column prop="examinationName" label="检查名称" width="150" show-overflow-tooltip/>
       <el-table-column prop="bodyPart" label="部位" width="100"/>
       <el-table-column prop="findingText" label="所见" min-width="200" show-overflow-tooltip/>
       <el-table-column prop="conclusionText" label="结论" min-width="200" show-overflow-tooltip/>
       <el-table-column prop="examinationDate" label="检查日期" width="120"/>
-      <el-table-column prop="doctorName" label="医生" width="90"/>
+      <el-table-column prop="doctorName" label="医生" width="100"/>
+      <el-table-column label="操作" width="100" fixed="right">
+        <template #default="{row}">
+          <el-button link type="primary" @click="handleDetail(row)">详情</el-button>
+        </template>
+      </el-table-column>
     </el-table>
+
+    <!-- 新增弹窗 -->
+    <el-dialog title="新增影像检查记录" v-model="showAdd" width="650px" append-to-body>
+      <el-form :model="formData" label-width="100px">
+        <el-form-item label="检查类型" required>
+          <el-select v-model="formData.examinationType" placeholder="请选择">
+            <el-option label="X光" value="XRAY"/>
+            <el-option label="CT" value="CT"/>
+            <el-option label="MRI" value="MRI"/>
+            <el-option label="超声" value="ULTRASOUND"/>
+            <el-option label="内镜" value="ENDOSCOPY"/>
+          </el-select>
+        </el-form-item>
+        <el-form-item label="检查名称" required><el-input v-model="formData.examinationName" placeholder="如: 胸部CT平扫"/></el-form-item>
+        <el-form-item label="检查部位"><el-input v-model="formData.bodyPart" placeholder="如: 胸部、腹部"/></el-form-item>
+        <el-form-item label="所见"><el-input v-model="formData.findingText" type="textarea" :rows="3" placeholder="请输入影像所见"/></el-form-item>
+        <el-form-item label="结论"><el-input v-model="formData.conclusionText" type="textarea" :rows="2" placeholder="请输入影像结论"/></el-form-item>
+        <el-form-item label="检查医生"><el-input v-model="formData.doctorName" placeholder="请输入医生姓名"/></el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="showAdd = false">取消</el-button>
+        <el-button type="primary" @click="submitForm">确定</el-button>
+      </template>
+    </el-dialog>
+
+    <!-- 详情弹窗 -->
+    <el-dialog title="影像检查详情" v-model="detailVisible" width="700px" append-to-body>
+      <el-descriptions :column="2" border>
+        <el-descriptions-item label="检查类型">{{ examTypeText(detailData.examinationType) }}</el-descriptions-item>
+        <el-descriptions-item label="检查名称">{{ detailData.examinationName }}</el-descriptions-item>
+        <el-descriptions-item label="部位">{{ detailData.bodyPart }}</el-descriptions-item>
+        <el-descriptions-item label="检查日期">{{ detailData.examinationDate }}</el-descriptions-item>
+        <el-descriptions-item label="医生">{{ detailData.doctorName }}</el-descriptions-item>
+      </el-descriptions>
+      <div style="margin-top:16px">
+        <h4>所见</h4>
+        <div style="padding:12px;background:#f5f7fa;border-radius:4px;min-height:60px;white-space:pre-wrap;">{{ detailData.findingText || '暂无' }}</div>
+        <h4 style="margin-top:12px">结论</h4>
+        <div style="padding:12px;background:#f5f7fa;border-radius:4px;min-height:60px;white-space:pre-wrap;">{{ detailData.conclusionText || '暂无' }}</div>
+      </div>
+      <template #footer><el-button @click="detailVisible = false">关闭</el-button></template>
+    </el-dialog>
   </div>
 </template>
+
 <script setup>
-import {ref} from 'vue'
-import {compareImages} from './api'
-const patientId=ref('')
-const imageData=ref([])
-const loadData=async()=>{if(!patientId.value)return;const r=await compareImages({patientId:patientId.value});imageData.value=r.data||[]}
+import {ref, onMounted} from 'vue'
+import {ElMessage} from 'element-plus'
+import {compareImages, addRecord} from './api'
+
+const loading = ref(false)
+const imageData = ref([])
+const patientId = ref('')
+const examType = ref('')
+const dateRange = ref(null)
+const showAdd = ref(false)
+const detailVisible = ref(false)
+const detailData = ref({})
+
+const statCards = ref([
+  {label:'总检查数', value:0, color:'#409eff'},
+  {label:'X光', value:0, color:'#67c23a'},
+  {label:'CT', value:0, color:'#e6a23c'},
+  {label:'MRI', value:0, color:'#f56c6c'},
+  {label:'超声', value:0, color:'#909399'},
+  {label:'异常率', value:'0%', color:'#409eff'}
+])
+
+const formData = ref({
+  examinationType:'CT', examinationName:'', bodyPart:'', findingText:'', conclusionText:'', doctorName:''
+})
+
+function examTypeText(t) {
+  return {XRAY:'X光',CT:'CT',MRI:'MRI',ULTRASOUND:'超声',ENDOSCOPY:'内镜'}[t] || t
+}
+function examTagType(t) {
+  return {XRAY:'info',CT:'warning',MRI:'danger',ULTRASOUND:'success',ENDOSCOPY:''}[t] || 'info'
+}
+
+async function loadData() {
+  if (!patientId.value) return
+  loading.value = true
+  try {
+    const r = await compareImages({patientId:patientId.value, examType:examType.value})
+    imageData.value = r.data || []
+    // Stats
+    let counts = {XRAY:0, CT:0, MRI:0, ULTRASOUND:0, ENDOSCOPY:0}
+    imageData.value.forEach(row => { if (counts[row.examinationType] !== undefined) counts[row.examinationType]++ })
+    statCards.value[0].value = imageData.value.length
+    statCards.value[1].value = counts.XRAY
+    statCards.value[2].value = counts.CT
+    statCards.value[3].value = counts.MRI
+    statCards.value[4].value = counts.ULTRASOUND
+    statCards.value[5].value = '0%'
+  } finally { loading.value = false }
+}
+
+function handleDetail(row) {
+  detailData.value = row
+  detailVisible.value = true
+}
+
+async function submitForm() {
+  await addRecord(formData.value)
+  ElMessage.success('新增成功')
+  showAdd.value = false
+  loadData()
+}
+
+onMounted(() => {})
 </script>