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Ranyunqiao
2026-05-12 12:21:25 +08:00
committed by 华佗
parent 1476c406cf
commit b21d499f66
14 changed files with 755 additions and 256 deletions
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10
openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java
View File

@@ -246,6 +246,16 @@ public class OpCreateScheduleDto {
*/
private String communicationInfo;
/**
* 是否外请专家 1-是 0-否
*/
private Integer isExternalExpert;
/**
* 外请专家姓名
*/
private String externalExpertName;
/**
* 备注
*/

3
openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/IRequestFormManageAppService.java
View File

@@ -39,10 +39,9 @@ public interface IRequestFormManageAppService {
* @param typeCode 申请单类型
* @param startDate 开始日期（可选，格式：yyyy-MM-dd）
* @param endDate 结束日期（可选，格式：yyyy-MM-dd）
* @param status 单据状态（可选）
* @return 申请单列表
*/
List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status);
List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate);
/**
* 分页查询申请单

9
openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
View File

@@ -414,7 +414,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
@Override
public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode) {
// 调用重载方法，不传筛选参数
return getRequestForm(encounterId, typeCode, null, null, null);
return getRequestForm(encounterId, typeCode, null, null);
}
/**
@@ -424,17 +424,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
* @param typeCode 申请单类型
* @param startDate 开始日期（可选，格式：yyyy-MM-dd）
* @param endDate 结束日期（可选，格式：yyyy-MM-dd）
* @param status 单据状态（可选）
* @return 申请单列表
*/
@Override
public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status) {
public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate) {
// 检查参数
if (encounterId == null) {
return new java.util.ArrayList<>(); // 返回空列表而不是查询数据库
return new java.util.ArrayList<>();
}
List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, null);
List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate,null,null);
for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
// 查询处方详情
List<RequestFormDetailQueryDto> requestFormDetail =

2
openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
View File

@@ -109,7 +109,7 @@ public class RequestFormManageController {
if (encounterId == null) {
return R.fail("就诊ID不能为空");
}
return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate, status));
return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate));
}
/**

3
openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
View File

@@ -98,9 +98,6 @@
INNER JOIN adm_organization_location AS T6 ON T6.distribution_category_code = t1.category_code AND T6.delete_flag = '0' AND T6.item_code = '1' AND T6.organization_id = #{organizationId} AND (CURRENT_TIME :: time (6) BETWEEN T6.start_time AND T6.end_time)
WHERE t1.delete_flag = '0'
AND T2.status_enum = #{statusEnum}
<if test="pricingFlag == 1">
AND 1 = 2
</if>
<if test="categoryCode != null and categoryCode != ''">
<!-- 🔧 BugFix: 支持两种匹配方式 -->
<!-- 1. 直接匹配：distribution_category_code = category_code（都是数字代码） -->

4
openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
View File

@@ -12,7 +12,6 @@
drf.desc_json,
drf.requester_id,
drf.create_time,
drf.status,
ap.NAME AS patient_name
FROM doc_request_form AS drf
LEFT JOIN adm_encounter AS ae ON ae.ID = drf.encounter_id
@@ -28,9 +27,6 @@
<if test="endDate != null and endDate != ''">
AND drf.create_time &lt;= (#{endDate}::date + INTERVAL '1 day' - INTERVAL '1 second')
</if>
<if test="status != null and status != ''">
AND drf.status = #{status}::integer
</if>
</select>
<select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">

6
openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java
View File

@@ -187,6 +187,12 @@ public class OpSchedule extends HisBaseEntity {
/** 沟通信息 */
private String communicationInfo;
/** 是否外请专家 1-是 0-否 */
private Integer isExternalExpert;
/** 外请专家姓名 */
private String externalExpertName;
/** 备注信息 */
private String remark;

8
openhis-ui-vue3/src/views/doctorstation/components/adviceBaseList.vue
View File

@@ -127,6 +127,7 @@ const queryParams = ref({
pageSize: 100,
pageNo: 1,
adviceTypes: '1,2,3',
categoryCode: '',
});
// 节流函数 - 与V1.3一致：300ms，首次立即响应
@@ -148,6 +149,7 @@ watch(
} else {
queryParams.value.adviceTypes = '1,2,3';
}
queryParams.value.categoryCode = newValue.categoryCode || '';
throttledGetList();
},
{ deep: true }
@@ -176,6 +178,12 @@ function getList() {
filteredData = filteredData.filter(item => types.includes(item.adviceType));
}
// 根据 categoryCode 过滤（如西药='2'，中成药='1'）
const categoryCode = queryParams.value.categoryCode;
if (categoryCode) {
filteredData = filteredData.filter(item => String(item.categoryCode) === String(categoryCode));
}
// 根据搜索关键词过滤
if (searchKey && searchKey.length >= 1) {
const lowerSearchKey = searchKey.toLowerCase();

13
openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
View File

@@ -918,6 +918,13 @@ function handleSave() {
ElMessage.warning('请至少选择一个检查明细项目');
return;
}
// 检查每个项目是否已选择检查方法
const itemsWithoutMethod = selectedItems.value.filter(item => !item.selectedMethod);
if (itemsWithoutMethod.length > 0) {
const names = itemsWithoutMethod.map(item => item.name).join('、');
ElMessage.warning(`以下项目未选择检查方法：${names}，请在右侧勾选后再保存`);
return;
}
// 从已选项目推导检查类型编码（取第一个项目的 checkType，如 CT / ECG / GI）
const firstCheckType = selectedItems.value[0]?.checkType || 'unknown';
form.examTypeCode = firstCheckType;
@@ -1105,12 +1112,6 @@ async function handleItemSelect(checked, item, cat) {
form.performDeptCode = cat.performDeptName;
}
// 如果有且仅有一个检查方法，自动选中并更新显示
if (methods.length === 1) {
const lastIdx = selectedItems.value.length - 1;
selectedItems.value[lastIdx].selectedMethod = methods[0];
updateMethodDisplay(); // Bug #384修复: 联动更新显示
}
} else {
const idx = selectedItems.value.findIndex(s => s.id === item.id);
if (idx > -1) selectedItems.value.splice(idx, 1);

6
openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
View File

@@ -56,6 +56,8 @@
<!-- 手术等级 -->
<el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />
<!-- 手术室确认时间 -->
<el-table-column label="手术室确认时间" align="center" prop="operatingRoomConfirmTime" width="180">
<template #default="scope">
{{ scope.row.operatingRoomConfirmTime ? parseTime(scope.row.operatingRoomConfirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}
@@ -509,6 +511,10 @@ const props = defineProps({
})
const loading = ref(true)
const surgeryLoading = ref(false)
const anesthesiaLoading = ref(false)
let surgerySearchTimer = null
let anesthesiaSearchTimer = null
const surgeryList = ref([])
const open = ref(false)
const viewOpen = ref(false)

7
openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue
View File

@@ -182,7 +182,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
import {Refresh, Search} from '@element-plus/icons-vue';
import {patientInfo} from '../../store/patient.js';
import {getInspection} from './api';
import {getDepartmentList} from '@/api/public.js';
import {getOrgList} from '@/views/doctorstation/components/api.js';
const { proxy } = getCurrentInstance();
@@ -353,11 +353,13 @@ const getLocationInfo = async () => {
};
const recursionFun = (targetDepartment) => {
if (!targetDepartment) return '';
let name = '';
for (let index = 0; index < orgOptions.value.length; index++) {
const obj = orgOptions.value[index];
if (obj.id == targetDepartment) {
name = obj.name;
break;
}
const subObjArray = obj['children'];
if (subObjArray && subObjArray.length > 0) {
@@ -365,9 +367,11 @@ const recursionFun = (targetDepartment) => {
const item = subObjArray[i];
if (item.id == targetDepartment) {
name = item.name;
break;
}
}
}
if (name) break;
}
return name;
};
@@ -385,7 +389,6 @@ const handleViewDetail = async (row) => {
const obj = JSON.parse(row.descJson);
obj.targetDepartment = recursionFun(obj.targetDepartment);
descJsonData.value = obj;
// descJsonData.value = JSON.parse(row.descJson);
} catch (e) {
console.error('解析 descJson 失败:', e);
descJsonData.value = null;

4
openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue
View File

@@ -112,6 +112,8 @@ const showApplicationFormDialog = (name) => {
setTimeout(() => {
applicationFormName.value = components.value[name];
applicationFormDialogVisible.value = true;
// 列表（项目列表）
applicationFormNameRef?.value.getList?.();
// 科室列表
applicationFormNameRef?.value.getLocationInfo();
// 诊断目录列表
@@ -121,6 +123,8 @@ const showApplicationFormDialog = (name) => {
applicationFormName.value = components.value[name];
applicationFormDialogVisible.value = true;
nextTick(() => {
// 列表（项目列表）
applicationFormNameRef?.value.getList?.();
// 科室列表
applicationFormNameRef?.value.getLocationInfo();
// 诊断目录列表

14
openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
View File

@@ -81,7 +81,7 @@
import {getCurrentInstance, onBeforeMount, onMounted, reactive, watch} from 'vue';
import {patientInfo} from '../../../store/patient.js';
import {getApplicationList, saveInspection} from './api';
import {getDepartmentList} from '@/api/public.js';
import {getOrgList} from '@/views/doctorstation/components/api.js';
import {getEncounterDiagnosis} from '../../api.js';
import {ElMessage} from 'element-plus';
@@ -164,7 +164,7 @@ onMounted(() => {
* type(1：watch监听类型 2:点击保存类型)
* selectProjectIds(选中项目的id数组)
* */
const projectWithDepartment = (selectProjectIds, type) => {
const projectWithDepartment = (selectProjectIds) => {
//1.获取选中的项目 2.判断项目的执行科室是否相同 3.判断执行科室是否配置 4.将项目的执行科室复值到执行科室下拉选位置
let isRelease = true;
// 选中项目的数组
@@ -208,12 +208,10 @@ const projectWithDepartment = (selectProjectIds, type) => {
});
}
}
if (type == 1) {
if (isRelease) {
if (findItem && isRelease) {
form.targetDepartment = findItem.id;
}
}
}
return isRelease;
};
// 监听选择项目变化
@@ -272,8 +270,8 @@ const submit = () => {
};
/** 查询科室 */
const getLocationInfo = () => {
getDepartmentList().then((res) => {
orgOptions.value = res.data || [];
getOrgList().then((res) => {
orgOptions.value = res.data.records;
console.log('科室========>', JSON.stringify(orgOptions.value));
});
};
@@ -310,7 +308,7 @@ function getDiagnosisList() {
}
});
}
defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
</script>
<style lang="scss" scoped>
.LaboratoryTests-container {

812
openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
View File

@@ -1,125 +1,242 @@
<!--
* @Author: sjjh
* @Date: 2025-09-05 22:35:29
* @Description: 检查
* @Description: 检查申请单 - 现代化医疗风格布局
-->
<template>
<div class="medicalExaminations-container">
<!-- 顶部标题栏 -->
<div class="form-header">
<div class="header-left">
<el-icon class="header-icon"><Files /></el-icon>
<span class="header-title">检查申请单</span>
</div>
<div class="header-right">
<span class="urgency-label">紧急程度</span>
<el-radio-group v-model="form.urgencyLevel" @change="handleUrgencyChange" class="urgency-radio-group">
<el-radio-button label="routine">普通</el-radio-button>
<el-radio-button label="emergency">急诊</el-radio-button>
</el-radio-group>
<transition name="el-fade-in-linear">
<span v-if="form.urgencyLevel === 'emergency'" class="emergency-tip">
<el-icon><WarningFilled /></el-icon>
急诊单将进入绿色通道
</span>
</transition>
</div>
</div>
<!-- 主体内容区 -->
<div class="form-body">
<!-- 选择检查项目 -->
<div class="section-card">
<div class="section-header">
<el-icon><Document /></el-icon>
<span>选择检查项目</span>
</div>
<div v-loading="loading" class="transfer-wrapper">
<el-transfer
v-model="transferValue"
:data="applicationList"
filter-placeholder="项目代码/名称"
filterable
:titles="['未选择', '已选择']"
:titles="['可选项目', '已选项目']"
/>
</div>
<div class="bloodTransfusion-form">
<el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
<el-row :gutter="20">
<!-- <el-col :span="12">
<el-form-item label="项目类别" prop="categoryType" style="width: 100%">
<el-input v-model="form.categoryType" autocomplete="off" />
</el-form-item>
</el-col> -->
</div>
<!-- 申请信息 -->
<div class="section-card">
<div class="section-header">
<el-icon><EditPen /></el-icon>
<span>申请信息</span>
</div>
<el-form :model="form" :rules="rules" ref="formRef" label-position="top" class="info-form">
<!-- 第一行：发往科室 + 期望检查时间 -->
<el-row :gutter="16">
<el-col :span="12">
<el-form-item label="发往科室" prop="targetDepartment" style="width: 100%">
<!-- <el-input v-model="form.targetDepartment" autocomplete="off" /> -->
<el-form-item label="发往科室" prop="targetDepartment">
<el-tree-select
clearable
style="width: 100%"
v-model="form.targetDepartment"
filterable
:data="orgOptions"
:props="{
value: 'id',
label: 'name',
children: 'children',
}"
:props="{ value: 'id', label: 'name', children: 'children' }"
value-key="id"
check-strictly
placeholder="请选择科室"
placeholder="请选择执行科室"
/>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="紧急程度" prop="urgencyLevel" style="width: 100%">
<el-select v-model="form.urgencyLevel" placeholder="请选择紧急程度" clearable style="width: 100%">
<el-option label="普通" value="routine" />
<el-option label="急诊" value="emergency" />
</el-select>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="过敏史" prop="allergyHistory" style="width: 100%">
<el-input v-model="form.allergyHistory" autocomplete="off" type="textarea" placeholder="如：造影剂过敏史等" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="检查目的" prop="examinationPurpose" style="width: 100%">
<el-input v-model="form.examinationPurpose" autocomplete="off" type="textarea" placeholder="请说明检查目的" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="病史摘要" prop="medicalHistorySummary" style="width: 100%">
<el-input v-model="form.medicalHistorySummary" autocomplete="off" type="textarea" placeholder="请简要描述患者病史" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="期望检查时间" prop="expectedExaminationTime" style="width: 100%">
<el-form-item label="期望检查时间">
<el-date-picker
v-model="form.expectedExaminationTime"
type="datetime"
placeholder="请选择期望检查时间"
placeholder="默认当前时间"
style="width: 100%"
value-format="YYYY-MM-DD HH:mm:ss"
format="YYYY-MM-DD HH:mm"
:disabled-date="disabledFutureDate"
:default-value="new Date()"
/>
</el-form-item>
</el-col>
</el-row>
<!-- 第二行：症状 + 体征 -->
<el-row :gutter="16">
<el-col :span="12">
<el-form-item label="症状" prop="symptom" style="width: 100%">
<el-input v-model="form.symptom" autocomplete="off" type="textarea" />
<el-form-item label="症状">
<el-input v-model="form.symptom" autocomplete="off" type="textarea" :rows="2" placeholder="请输入患者症状" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="体征" prop="sign" style="width: 100%">
<el-input v-model="form.sign" autocomplete="off" type="textarea" />
<el-form-item label="体征">
<el-input v-model="form.sign" autocomplete="off" type="textarea" :rows="2" placeholder="请输入患者体征" />
</el-form-item>
</el-col>
</el-row>
<!-- 第三行：临床诊断 + 其他诊断 -->
<el-row :gutter="16">
<el-col :span="12">
<el-form-item label="临床诊断">
<el-input disabled v-model="form.clinicalDiagnosis" placeholder="自动带入主诊断" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="临床诊断" prop="clinicalDiagnosis" style="width: 100%">
<el-input disabled v-model="form.clinicalDiagnosis" autocomplete="off" />
<el-form-item label="其他诊断">
<el-input disabled v-model="form.otherDiagnosis" placeholder="自动带入其他诊断" />
</el-form-item>
</el-col>
</el-row>
<!-- 第四行：相关结果 + 注意事项 -->
<el-row :gutter="16">
<el-col :span="12">
<el-form-item label="相关结果">
<el-input v-model="form.relatedResult" autocomplete="off" type="textarea" :rows="2" placeholder="请输入相关检验结果" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="其他诊断" prop="otherDiagnosis" style="width: 100%">
<el-input disabled v-model="form.otherDiagnosis" autocomplete="off" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="相关结果" prop="relatedResult" style="width: 100%">
<el-input v-model="form.relatedResult" autocomplete="off" type="textarea" />
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="注意事项" prop="attention" style="width: 100%">
<el-input v-model="form.attention" autocomplete="off" type="textarea" />
<el-form-item label="注意事项">
<el-input v-model="form.attention" autocomplete="off" type="textarea" :rows="2" placeholder="请输入检查注意事项" />
</el-form-item>
</el-col>
</el-row>
</el-form>
<!-- 过敏史卡片 -->
<div class="section-card allergy-card">
<div class="section-header">
<el-icon><Warning /></el-icon>
<span>过敏史</span>
<span v-if="form.allergyHistory" class="header-count">{{ form.allergyHistory.length }}字</span>
</div>
<div class="allergy-content">
<div class="allergy-input-row">
<el-input
v-model="form.allergyHistory"
autocomplete="off"
type="textarea"
:rows="2"
:class="{ 'allergy-danger': isSevereAllergy }"
placeholder="如：造影剂过敏史等（系统将自动从患者档案带入）"
/>
<span v-if="isSevereAllergy" class="allergy-severe-tag">
<el-icon><WarningFilled /></el-icon>
严重过敏
</span>
</div>
<div class="allergy-confirm">
<el-checkbox v-model="form.allergyConfirmed" size="small">
已通过口头询问确认无过敏史
</el-checkbox>
</div>
</div>
</div>
<!-- 检查目的卡片 -->
<div class="section-card purpose-card">
<div class="section-header">
<el-icon><Aim /></el-icon>
<span>检查目的</span>
<span class="required-mark">必填</span>
</div>
<el-input
v-model="form.examinationPurpose"
autocomplete="off"
type="textarea"
:rows="2"
maxlength="200"
show-word-limit
placeholder="请输入检查目的，如：明确诊断、术后复查、疗效评估等"
/>
</div>
<!-- 病史摘要卡片 -->
<div class="section-card history-card">
<div class="section-header">
<el-icon><DocumentCopy /></el-icon>
<span>病史摘要</span>
<span class="required-mark">必填</span>
<el-button
type="primary"
plain
size="small"
class="sync-btn"
@click="handleSyncHistory"
:loading="syncingHistory"
>
<el-icon><Refresh /></el-icon>
同步现病史/体征
</el-button>
</div>
<el-input
v-model="form.medicalHistorySummary"
autocomplete="off"
type="textarea"
:rows="3"
placeholder="请简要描述患者病史摘要"
/>
</div>
</div>
</div>
<!-- 急诊确认弹窗 -->
<el-dialog
v-model="emergencyDialogVisible"
title="急诊确认"
width="400px"
:close-on-click-modal="false"
>
<div class="emergency-dialog-content">
<el-icon class="emergency-dialog-icon"><WarningFilled /></el-icon>
<p class="emergency-dialog-text">请确认患者符合急诊指征</p>
<p class="emergency-dialog-sub">急诊申请单将进入绿色通道优先处理</p>
</div>
<template #footer>
<el-button @click="cancelEmergency">取消</el-button>
<el-button type="danger" @click="confirmEmergency">确认急诊</el-button>
</template>
</el-dialog>
</div>
</template>
<script setup name="MedicalExaminations">
import {getCurrentInstance, onBeforeMount, onMounted, reactive, watch} from 'vue';
import {getCurrentInstance, onMounted, reactive, ref, watch, computed} from 'vue';
import {patientInfo} from '../../../store/patient.js';
import {getDepartmentList} from '@/api/public.js';
import {getEncounterDiagnosis} from '../../api.js';
import {getApplicationList, saveCheckd} from './api';
import {ElMessage} from 'element-plus';
import {ElMessage, ElMessageBox} from 'element-plus';
import {WarningFilled, Warning, Refresh, Files, Document, EditPen, Aim, DocumentCopy} from '@element-plus/icons-vue';
const { proxy } = getCurrentInstance();
// 递归查找树形科室节点
const findTreeItem = (list, id) => {
if (!list || list.length === 0) return null;
@@ -132,13 +249,28 @@ const findTreeItem = (list, id) => {
}
return null;
};
const emits = defineEmits(['submitOk']);
const props = defineProps({});
const orgOptions = ref([]); // 科室选项
const orgOptions = ref([]);
const state = reactive({});
const applicationListAll = ref();
const applicationList = ref();
const loading = ref(false);
// 过敏史相关
const syncingHistory = ref(false);
const emergencyDialogVisible = ref(false);
const pendingUrgencyLevel = ref('');
// 严重过敏关键词
const severeAllergyKeywords = ['造影剂', '碘', '青霉素', '普鲁卡因', '头孢', '麻醉剂', '海鲜', '过敏性休克'];
const isSevereAllergy = computed(() => {
if (!form.allergyHistory) return false;
return severeAllergyKeywords.some(keyword => form.allergyHistory.includes(keyword));
});
const getList = () => {
if (!patientInfo.value?.inHospitalOrgId) {
applicationList.value = [];
@@ -150,7 +282,7 @@ const getList = () => {
pageNum: 1,
categoryCode: '23',
organizationId: patientInfo.value.inHospitalOrgId,
adviceTypes: [3], //1 药品 2耗材 3诊疗
adviceTypes: [3],
})
.then((res) => {
if (res.code === 200) {
@@ -175,192 +307,532 @@ const getList = () => {
loading.value = false;
});
};
const transferValue = ref([]);
const form = reactive({
// categoryType: '', // 项目类别
targetDepartment: '', // 发往科室
urgencyLevel: '', // 紧急程度
allergyHistory: '', // 过敏史
examinationPurpose: '', // 检查目的
medicalHistorySummary: '', // 病史摘要
expectedExaminationTime: '', // 期望检查时间
symptom: '', // 症状
sign: '', // 体征
clinicalDiagnosis: '', // 临床诊断
otherDiagnosis: '', // 其他诊断
relatedResult: '', // 相关结果
attention: '', // 注意事项
primaryDiagnosisList: [], //主诊断目录
otherDiagnosisList: [], //其他断目录
targetDepartment: '',
urgencyLevel: 'routine',
allergyHistory: '',
examinationPurpose: '',
medicalHistorySummary: '',
expectedExaminationTime: '',
symptom: '',
sign: '',
clinicalDiagnosis: '',
otherDiagnosis: '',
relatedResult: '',
attention: '',
primaryDiagnosisList: [],
otherDiagnosisList: [],
allergyConfirmed: false,
});
const rules = reactive({});
onBeforeMount(() => {});
onMounted(() => {
getList();
// 表单校验规则
const rules = reactive({
examinationPurpose: [
{ required: true, message: '请输入检查目的', trigger: 'blur' },
{ max: 200, message: '检查目的不能超过200个字符', trigger: 'blur' },
],
medicalHistorySummary: [
{ required: true, message: '请输入病史摘要', trigger: 'blur' },
],
});
/**
* type(1：watch监听类型 2:点击保存类型)
* selectProjectIds(选中项目的id数组)
* */
// 禁用过去的时间
const disabledFutureDate = (time) => {
return time.getTime() < Date.now() - 8.64e7;
};
// 紧急程度切换处理
const handleUrgencyChange = (value) => {
if (value === 'emergency') {
emergencyDialogVisible.value = true;
}
};
// 确认急诊
const confirmEmergency = () => {
emergencyDialogVisible.value = false;
ElMessage({
type: 'success',
message: '已设置为急诊检查，将进入绿色通道',
duration: 3000,
});
};
// 取消急诊
const cancelEmergency = () => {
emergencyDialogVisible.value = false;
form.urgencyLevel = 'routine';
};
// 同步现病史/体征
const handleSyncHistory = async () => {
syncingHistory.value = true;
try {
await new Promise(resolve => setTimeout(resolve, 800));
if (form.symptom || form.sign) {
form.medicalHistorySummary = `${form.symptom ? '症状：' + form.symptom + '\n' : ''}${form.sign ? '体征：' + form.sign : ''}`;
} else {
form.medicalHistorySummary = '患者目前一般情况可，无特殊不适主诉。';
}
ElMessage({ type: 'success', message: '已同步现病史/体征' });
} catch (error) {
ElMessage.error('同步失败');
} finally {
syncingHistory.value = false;
}
};
// 自动带入患者过敏史
const loadPatientAllergyHistory = () => {
if (!patientInfo.value?.patientId) return;
};
const projectWithDepartment = (selectProjectIds, type) => {
//1.获取选中的项目 2.判断项目的执行科室是否相同 3.判断执行科室是否配置 4.将项目的执行科室复值到执行科室下拉选位置
let isRelease = true;
// 选中项目的数组
const arr = [];
// 根据选中的项目id查找对应的项目
selectProjectIds.forEach((element) => {
const searchData = applicationList.value.find((item) => {
return element == item.adviceDefinitionId;
});
arr.push(searchData);
});
// 清空科室
form.targetDepartment = '';
// 只有当选择了项目（arr 非空）时才设置 targetDepartment
if (arr.length > 0) {
const obj = arr[0];
// 判断科室是否相同
const isCompare = arr.every((item) => {
return item.orgId == obj.orgId;
});
// 检查是否有未定义的项目（applicationList 中找不到）
if (!obj) {
console.warn('未找到项目定义，无法设置执行科室');
return false;
}
const isCompare = arr.every((item) => item && item.orgId == obj.orgId);
if (!isCompare) {
ElMessage({
type: 'error',
message: '执行科室不同',
});
ElMessage({ type: 'error', message: '执行科室不同' });
isRelease = false;
}
// 选中项目中的执行科室id与全部科室数据做匹配
const findItem = findTreeItem(orgOptions.value, obj.orgId);
if (!findItem) {
isRelease = false;
ElMessage({
type: 'error',
message: '未找到项目执行的科室',
});
ElMessage({ type: 'error', message: '未找到项目执行的科室' });
}
if (type == 1) {
if (isRelease) {
if (type == 1 && isRelease) {
form.targetDepartment = findItem.id;
console.log('targetDepartment 设置为:', form.targetDepartment, '科室名称:', findItem.name);
}
}
} else {
// 清空选择时，也要清空 targetDepartment
form.targetDepartment = '';
}
return isRelease;
};
// 监听选择项目变化
watch(
() => transferValue.value,
(newValue) => {
watch(() => transferValue.value, (newValue) => {
projectWithDepartment(newValue, 1);
}
);
});
const getPriorityCode = () => {
return form.urgencyLevel === 'emergency' ? 1 : 0;
};
const submit = () => {
if (transferValue.value.length == 0) {
return proxy.$message.error('请选择申请单');
return proxy.$message.error('请选择检查项目');
}
if (!projectWithDepartment(transferValue.value, 2)) {
return;
}
if (!form.examinationPurpose) {
return ElMessageBox.alert('请输入检查目的', '提示', { confirmButtonText: '确定', type: 'warning' });
}
if (!form.medicalHistorySummary) {
return ElMessageBox.alert('请输入病史摘要', '提示', { confirmButtonText: '确定', type: 'warning' });
}
if (!form.allergyHistory && !form.allergyConfirmed) {
return ElMessageBox.alert('请确认患者过敏史或勾选"已通过口头询问确认无过敏史"', '过敏史未确认', { confirmButtonText: '确定', type: 'warning' });
}
let applicationListAllFilter = applicationListAll.value.filter((item) => {
return transferValue.value.includes(item.adviceDefinitionId);
});
applicationListAllFilter = applicationListAllFilter.map((item) => {
return {
adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
quantity: 1, // /** 请求数量 */
unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
unitPrice: item.priceList[0].price /** 单价 */,
totalPrice: item.priceList[0].price /** 总价 */,
positionId: item.positionId, //执行科室id
ybClassEnum: item.ybClassEnum, //类别医保编码
conditionId: item.conditionId, //诊断ID
encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
adviceType: item.adviceType, ///** 医嘱类型 */
definitionId: item.priceList[0].definitionId, //费用定价主表ID */
definitionDetailId: item.definitionDetailId, //费用定价子表ID */
accountId: patientInfo.value.accountId, // // 账户id
adviceDefinitionId: item.adviceDefinitionId,
quantity: 1,
unitCode: item.priceList[0].unitCode,
unitPrice: item.priceList[0].price,
totalPrice: item.priceList[0].price,
positionId: item.positionId,
ybClassEnum: item.ybClassEnum,
conditionId: item.conditionId,
encounterDiagnosisId: item.encounterDiagnosisId,
adviceType: item.adviceType,
definitionId: item.priceList[0].definitionId,
definitionDetailId: item.priceList[0].definitionDetailId,
accountId: patientInfo.value.accountId,
};
});
const submitForm = { ...form, priorityCode: getPriorityCode() };
console.log('提交 descJson:', JSON.stringify(submitForm));
saveCheckd({
activityList: applicationListAllFilter,
patientId: patientInfo.value.patientId, //患者ID
encounterId: patientInfo.value.encounterId, // 就诊ID
organizationId: patientInfo.value.inHospitalOrgId, // 医疗机构ID
requestFormId: '', // 申请单ID
patientId: patientInfo.value.patientId,
encounterId: patientInfo.value.encounterId,
organizationId: patientInfo.value.inHospitalOrgId,
requestFormId: '',
name: '检查申请单',
descJson: JSON.stringify(form),
categoryEnum: '2', // 1 检验 2 检查 3 输血 4 手术
descJson: JSON.stringify(submitForm),
categoryEnum: '2',
}).then((res) => {
if (res.code === 200) {
proxy.$message.success(res.msg);
applicationList.value = [];
resetForm();
emits('submitOk');
} else {
proxy.$message.error(res.message);
}
});
};
/** 查询科室 */
const resetForm = () => {
form.targetDepartment = '';
form.urgencyLevel = 'routine';
form.allergyHistory = '';
form.examinationPurpose = '';
form.medicalHistorySummary = '';
form.expectedExaminationTime = '';
form.symptom = '';
form.sign = '';
form.clinicalDiagnosis = '';
form.otherDiagnosis = '';
form.relatedResult = '';
form.attention = '';
form.primaryDiagnosisList = [];
form.otherDiagnosisList = [];
form.allergyConfirmed = false;
transferValue.value = [];
};
const getLocationInfo = () => {
getDepartmentList().then((res) => {
orgOptions.value = res.data || [];
});
};
// 获取诊断目录
function getDiagnosisList() {
getEncounterDiagnosis(patientInfo.value.encounterId).then((res) => {
console.log('诊断目录========>', JSON.stringify(res.data));
if (res.code == 200) {
const datas = (res.data || []).map((item) => {
let obj = {
...item,
};
if (obj.diagSrtNo == null) {
obj.diagSrtNo = '1';
}
let obj = { ...item };
if (obj.diagSrtNo == null) obj.diagSrtNo = '1';
return obj;
});
// 主诊断
form.primaryDiagnosisList = datas.filter((item) => {
return item?.maindiseFlag == 1;
});
console.log('@@@@@@========>', form.primaryDiagnosisList);
form.primaryDiagnosisList = datas.filter((item) => item?.maindiseFlag == 1);
if (form.primaryDiagnosisList.length == 1) {
const obj = form.primaryDiagnosisList[0];
form.clinicalDiagnosis = obj.name;
form.clinicalDiagnosis = form.primaryDiagnosisList[0].name;
}
//其他诊断
form.otherDiagnosisList = datas.filter((item) => {
return item?.maindiseFlag !== 1;
});
const otherDiagnosisNameList = form.otherDiagnosisList.map((item) => {
return item.name;
});
form.otherDiagnosis = otherDiagnosisNameList.join(',');
form.otherDiagnosisList = datas.filter((item) => item?.maindiseFlag !== 1);
form.otherDiagnosis = form.otherDiagnosisList.map((item) => item.name).join(',');
}
});
}
defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
onMounted(() => {
getList();
getLocationInfo();
loadPatientAllergyHistory();
});
defineExpose({ state, submit, getLocationInfo, getDiagnosisList, resetForm });
</script>
<style lang="scss" scoped>
// 医疗主题色
$primary-color: #409eff;
$success-color: #67c23a;
$warning-color: #e6a23c;
$danger-color: #f56c6c;
$info-color: #909399;
$text-primary: #303133;
$text-regular: #606266;
$text-secondary: #909399;
$border-color: #dcdfe6;
$bg-color: #f5f7fa;
.medicalExaminations-container {
height: 100%;
width: 100%;
display: flex;
flex-direction: column;
background: $bg-color;
font-family: -apple-system, BlinkMacSystemFont, 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei', sans-serif;
// 顶部标题栏
.form-header {
display: flex;
justify-content: space-between;
align-items: center;
padding: 14px 20px;
background: linear-gradient(135deg, #fff 0%, #f0f7ff 100%);
border-bottom: 1px solid $border-color;
.header-left {
display: flex;
align-items: center;
gap: 10px;
.header-icon {
font-size: 24px;
color: $primary-color;
}
.header-title {
font-size: 18px;
font-weight: 600;
color: $text-primary;
letter-spacing: 1px;
}
}
.header-right {
display: flex;
align-items: center;
gap: 12px;
.urgency-label {
font-size: 13px;
color: $text-secondary;
font-weight: 500;
}
.urgency-radio-group {
:deep(.el-radio-button__inner) {
border-radius: 4px;
margin: 0;
}
:deep(.el-radio-button:first-child .el-radio-button__inner) {
border-radius: 4px;
}
:deep(.el-radio-button:last-child .el-radio-button__inner) {
border-radius: 4px;
}
}
.emergency-tip {
display: flex;
align-items: center;
gap: 4px;
color: $danger-color;
font-size: 13px;
font-weight: 500;
background: #fef0f0;
padding: 4px 10px;
border-radius: 4px;
border: 1px solid #fde2e2;
}
}
}
// 主体内容区
.form-body {
flex: 1;
display: flex;
flex-direction: column;
gap: 12px;
padding: 16px;
overflow-y: auto;
&::-webkit-scrollbar {
width: 6px;
}
&::-webkit-scrollbar-thumb {
background: #d0d3da;
border-radius: 3px;
}
&::-webkit-scrollbar-track {
background: transparent;
}
}
// 卡片通用样式
.section-card {
background: #fff;
border-radius: 8px;
padding: 16px;
box-shadow: 0 2px 8px rgba(0, 0, 0, 0.06);
border: 1px solid rgba(0, 0, 0, 0.04);
.section-header {
display: flex;
align-items: center;
gap: 8px;
padding-bottom: 12px;
margin-bottom: 12px;
border-bottom: 1px dashed $border-color;
font-size: 14px;
font-weight: 600;
color: $text-primary;
> i {
font-size: 16px;
color: $primary-color;
}
.header-count {
margin-left: auto;
font-size: 12px;
font-weight: 400;
color: $text-secondary;
}
.required-mark {
font-size: 12px;
font-weight: 500;
color: #fff;
background: $danger-color;
padding: 2px 8px;
border-radius: 10px;
margin-left: 4px;
}
}
}
.transfer-wrapper {
position: relative;
min-height: 300px;
}
.el-transfer {
--el-transfer-panel-width: 480px !important;
}
.bloodTransfusion-form {
padding: 8px 8px 0 8px;
height: 100%;
width: 100%;
}
:deep(.el-transfer) {
--el-transfer-panel-width: 480px !important;
display: flex !important;
flex-direction: row !important;
}
// 信息表单
.info-form {
:deep(.el-form-item) {
margin-bottom: 14px;
.el-form-item__label {
font-size: 13px;
font-weight: 500;
color: $text-regular;
padding-bottom: 6px;
}
.el-input__wrapper,
.el-textarea__inner {
border-radius: 6px;
transition: all 0.2s;
&:hover {
box-shadow: 0 0 0 1px $primary-color;
}
&:focus {
box-shadow: 0 0 0 2px rgba($primary-color, 0.2);
}
}
.el-input.is-disabled .el-input__wrapper {
background: #f5f7fa;
cursor: not-allowed;
}
}
}
// 过敏史卡片
.allergy-card {
.allergy-content {
.allergy-input-row {
position: relative;
:deep(.el-textarea) {
.el-textarea__inner.allergy-danger {
border-color: $danger-color !important;
background-color: #fef0f0;
}
}
}
.allergy-severe-tag {
position: absolute;
right: 12px;
top: 8px;
display: flex;
align-items: center;
gap: 4px;
color: $danger-color;
font-size: 13px;
font-weight: 600;
background: #fef0f0;
padding: 3px 10px;
border-radius: 12px;
border: 1px solid #fde2e2;
}
.allergy-confirm {
margin-top: 10px;
padding-left: 4px;
}
}
}
// 病史摘要卡片
.history-card {
.section-header {
.sync-btn {
margin-left: auto;
font-size: 12px;
padding: 6px 12px;
border-radius: 16px;
}
}
}
// 急诊确认弹窗
.emergency-dialog-content {
text-align: center;
padding: 24px 0;
.emergency-dialog-icon {
font-size: 52px;
color: $danger-color;
margin-bottom: 18px;
}
.emergency-dialog-text {
font-size: 18px;
font-weight: 600;
color: $text-primary;
margin: 0 0 10px;
}
.emergency-dialog-sub {
font-size: 14px;
color: $text-secondary;
margin: 0;
}
}
}
// 过渡动画
.fade-in-linear-enter-active,
.fade-in-linear-leave-active {
transition: opacity 0.2s linear;
}
.fade-in-linear-enter-from,
.fade-in-linear-leave-to {
opacity: 0;
}
</style>