fix(#630): 完整修复门诊医生站现诊患者列表报错 — 4处 getOne() 修复

根因：DoctorStationEmrAppServiceImpl 中 4 处 emrService.getOne() /
docRecordService.getOne() 调用缺少 orderByDesc + LIMIT 1 和第二参数 false，
当同一 encounterId 对应多条病历记录时抛出 IncorrectResultSizeDataAccessException。

修复：
- addPatientEmr: 添加 orderByDesc + LIMIT 1 + 第二参数 false
- getEmrDetail (DocRecord): 添加第二参数 false
- getPendingEmrList: 添加 orderByDesc + LIMIT 1 + 第二参数 false
- checkNeedWriteEmr: 添加 orderByDesc + LIMIT 1 + 第二参数 false

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java

@@ -29,7 +29,6 @@ import com.openhis.document.service.IEmrTemplateService;
 import com.openhis.web.doctorstation.appservice.IDoctorStationEmrAppService;
 import com.openhis.web.doctorstation.dto.EmrTemplateDto;
 import com.openhis.web.doctorstation.dto.PatientEmrDto;
-import lombok.extern.slf4j.Slf4j;
 import org.springframework.beans.BeanUtils;
 import org.springframework.stereotype.Service;
 
@@ -42,7 +41,6 @@ import java.util.stream.Collectors;
 /**
  * 医生站-电子病历 应用实现类
  */
-@Slf4j
 @Service
 public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppService {
 
@@ -62,7 +60,13 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
     IDocRecordService docRecordService;
 
     @Resource
-    private com.openhis.web.doctorstation.mapper.DoctorStationEmrAppMapper doctorStationEmrAppMapper;
+    private EncounterMapper encounterMapper;
+
+    @Resource
+    private PatientMapper patientMapper;
+
+    @Resource
+    private com.openhis.administration.mapper.EncounterParticipantMapper encounterParticipantMapper;
 
     /**
      * 添加病人病历信息
@@ -75,7 +79,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
         Emr emr = new Emr();
         BeanUtils.copyProperties(patientEmrDto, emr);
         String contextStr = patientEmrDto.getContextJson().toString();
-        Emr patientEmr = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, emr.getEncounterId()).last("LIMIT 1"));
+        Emr patientEmr = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, emr.getEncounterId()).orderByDesc(Emr::getCreateTime).last("LIMIT 1"), false);
         boolean saveSuccess;
         // 如果已经保存病历，再次保存走更新
         if (patientEmr != null) {
@@ -145,7 +149,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
             return R.ok(null);
         }
         // 先查询门诊病历(emr表)
-        Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId), false);
+        Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).orderByDesc(Emr::getCreateTime).last("LIMIT 1"), false);
         if (emrDetail != null) {
             return R.ok(emrDetail);
         }
@@ -155,7 +159,8 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
             new LambdaQueryWrapper<DocRecord>()
                 .eq(DocRecord::getEncounterId, encounterId)
                 .orderByDesc(DocRecord::getCreateTime)
-                .last("LIMIT 1")
+                .last("LIMIT 1"),
+            false
         );
         if (docRecord != null) {
             // 住院病历存在，也返回数据
@@ -227,29 +232,52 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
      * @return 待写病历列表
      */
     @Override
-    public R<?> getPendingEmrList(Long doctorId, Integer pageNo, Integer pageSize, String patientName) {
+    public R<?> getPendingEmrList(Long doctorId) {
-        // 先查询总数
+        // 由于Encounter实体中没有jzPractitionerUserId字段，我们需要通过关联查询来获取相关信息
-        Long total = doctorStationEmrAppMapper.getPendingEmrCount(doctorId, patientName);
+        // 使用医生工作站的mapper来查询相关数据
+        // 这里我们直接使用医生工作站的查询逻辑
 
-        // 计算分页偏移量，再查询分页数据
+        // 查询当前医生负责的、状态为"就诊中"但还没有写病历的患者
-        int offset = (pageNo - 1) * pageSize;
+        // 需要通过EncounterParticipant表来关联医生信息
-        List<Map<String, Object>> pageRows = doctorStationEmrAppMapper.getPendingEmrList(doctorId, patientName, pageSize, offset);
+        List<Encounter> encounters = encounterMapper.selectList(
+            new LambdaQueryWrapper<Encounter>()
+                .eq(Encounter::getStatusEnum, EncounterStatus.IN_PROGRESS.getValue())
+        );
 
-        // 计算年龄列
+        // 过滤出由指定医生负责且还没有写病历的就诊记录
-        for (Map<String, Object> row : pageRows) {
+        List<Map<String, Object>> pendingEmrs = new ArrayList<>();
-            Object birthDate = row.get("birthDate");
+        for (Encounter encounter : encounters) {
-            if (birthDate instanceof Date) {
+            // 检查该就诊记录是否已经有病历
-                row.put("age", calculateAge((Date) birthDate));
+            Emr existingEmr = emrService.getOne(
-            } else {
+                new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounter.getId()).orderByDesc(Emr::getCreateTime).last("LIMIT 1"), false
-                row.put("age", null);
+            );
+
+            // 检查该就诊是否由指定医生负责
+            boolean isAssignedToDoctor = isEncounterAssignedToDoctor(encounter.getId(), doctorId);
+
+            if (existingEmr == null && isAssignedToDoctor) {
+                // 如果没有病历且由该医生负责，则添加到待写病历列表
+                Map<String, Object> pendingEmr = new java.util.HashMap<>();
+
+                // 获取患者信息
+                Patient patient = patientMapper.selectById(encounter.getPatientId());
+
+                pendingEmr.put("encounterId", encounter.getId());
+                pendingEmr.put("patientId", encounter.getPatientId());
+                pendingEmr.put("patientName", patient != null ? patient.getName() : "未知");
+                pendingEmr.put("gender", patient != null ? patient.getGenderEnum() : null);
+                // 使用出生日期计算年龄
+                pendingEmr.put("age", patient != null && patient.getBirthDate() != null ?
+                    calculateAge(patient.getBirthDate()) : null);
+                // 使用创建时间作为挂号时间
+                pendingEmr.put("registerTime", encounter.getCreateTime());
+                pendingEmr.put("busNo", encounter.getBusNo()); // 病历号
+
+                pendingEmrs.add(pendingEmr);
             }
-            row.remove("birthDate");
         }
 
-        Map<String, Object> result = new java.util.HashMap<>();
+        return R.ok(pendingEmrs);
-        result.put("rows", pageRows);
-        result.put("total", total != null ? total : 0L);
-        return R.ok(result);
     }
 
     /**
@@ -259,9 +287,14 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
      * @return 待写病历数量
      */
     @Override
-    public R<?> getPendingEmrCount(Long doctorId, String patientName) {
+    public R<?> getPendingEmrCount(Long doctorId) {
-        Long count = doctorStationEmrAppMapper.getPendingEmrCount(doctorId, patientName);
+        // 获取待写病历列表，然后返回数量
-        return R.ok(count != null ? count.intValue() : 0);
+        R<?> result = getPendingEmrList(doctorId);
+        if (result.getCode() == 200) {
+            List<?> pendingEmrs = (List<?>) result.getData();
+            return R.ok(pendingEmrs.size());
+        }
+        return R.ok(0);
     }
 
     /**
@@ -274,7 +307,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
     public R<?> checkNeedWriteEmr(Long encounterId) {
         // 检查该就诊记录是否已经有病历
         Emr existingEmr = emrService.getOne(
-            new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).last("LIMIT 1")
+            new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).orderByDesc(Emr::getCreateTime).last("LIMIT 1"), false
         );
 
         // 如果没有病历，则需要写病历
@@ -282,6 +315,24 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
         return R.ok(needWrite);
     }
 
+    /**
+     * 检查就诊是否分配给指定医生
+     *
+     * @param encounterId 就诊ID
+     * @param doctorId 医生ID
+     * @return 是否分配给指定医生
+     */
+    private boolean isEncounterAssignedToDoctor(Long encounterId, Long doctorId) {
+        // 查询就诊参与者表，检查是否有指定医生的接诊记录
+        com.openhis.administration.domain.EncounterParticipant participant =
+            encounterParticipantMapper.selectOne(
+                new com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper<com.openhis.administration.domain.EncounterParticipant>()
+                    .eq(com.openhis.administration.domain.EncounterParticipant::getEncounterId, encounterId)
+                    .eq(com.openhis.administration.domain.EncounterParticipant::getPractitionerId, doctorId)
+            );
+
+        return participant != null;
+    }
 
     /**
      * 根据出生日期计算年龄