151 门诊医生站的诊断TAB页通过维护的个人/科室诊断内容双击开单诊断类型字段显示数字11

openhis-ui-vue3/src/utils/medicalConstants.js

@@ -0,0 +1,109 @@
+/**
+ * 医疗常量配置
+ * 从字典动态获取常量值，避免硬编码
+ * 
+ * 使用方式：
+ * import { DIAG_TYPE } from '@/utils/medicalConstants';
+ * medTypeCode: DIAG_TYPE.WESTERN_MEDICINE
+ */
+
+import { getDicts } from '@/api/system/dict/data';
+
+// 诊断类型字典缓存
+let diagTypeCache = null;
+
+/**
+ * 获取诊断类型字典（异步初始化）
+ */
+async function initDiagType() {
+  if (!diagTypeCache) {
+    try {
+      const res = await getDicts('diag_type');
+      diagTypeCache = res.data || [];
+    } catch (error) {
+      console.error('获取诊断类型字典失败:', error);
+      diagTypeCache = [];
+    }
+  }
+  return diagTypeCache;
+}
+
+/**
+ * 根据标签获取诊断类型的值
+ * @param {string} label - 诊断类型标签，如 '西医诊断'
+ * @returns {string|null} - 诊断类型的值，如 '1'
+ */
+export async function getDiagTypeValue(label) {
+  const dictList = await initDiagType();
+  const item = dictList.find(d => d.dictLabel === label);
+  return item ? item.dictValue : null;
+}
+
+/**
+ * 根据值获取诊断类型的标签
+ * @param {string} value - 诊断类型的值，如 '1'
+ * @returns {string|null} - 诊断类型的标签，如 '西医诊断'
+ */
+export async function getDiagTypeLabel(value) {
+  const dictList = await initDiagType();
+  const item = dictList.find(d => d.dictValue === value);
+  return item ? item.dictLabel : null;
+}
+
+/**
+ * 获取完整的诊断类型字典列表
+ * @returns {Array} - 诊断类型字典列表
+ */
+export async function getDiagTypeList() {
+  return await initDiagType();
+}
+
+/**
+ * 诊断类型常量（同步使用，需要先初始化字典）
+ * 注意：这些值在字典加载后才有效
+ */
+export const DIAG_TYPE = {
+  /** 西医诊断 */
+  WESTERN_MEDICINE: '1',
+  /** 中医主病诊断 */
+  TCM_MAIN_DISEASE: '2',
+  /** 中医主证诊断 */
+  TCM_MAIN_SYNDROME: '3',
+  /** 初诊诊断 */
+  INITIAL: '4',
+  /** 修正诊断 */
+  REVISED: '5',
+  /** 补充诊断 */
+  SUPPLEMENTARY: '6',
+};
+
+/**
+ * 诊断类型常量的说明信息
+ */
+export const DIAG_TYPE_DESCRIPTIONS = {
+  '1': '西医诊断',
+  '2': '中医主病诊断',
+  '3': '中医主证诊断',
+  '4': '初诊诊断',
+  '5': '修正诊断',
+  '6': '补充诊断',
+};
+
+/**
+ * 获取诊断类型的说明
+ * @param {string} value - 诊断类型的值
+ * @returns {string} - 说明信息
+ */
+export function getDiagTypeDescription(value) {
+  return DIAG_TYPE_DESCRIPTIONS[value] || '未知类型';
+}
+
+// 默认导出
+export default {
+  DIAG_TYPE,
+  DIAG_TYPE_DESCRIPTIONS,
+  getDiagTypeValue,
+  getDiagTypeLabel,
+  getDiagTypeList,
+  getDiagTypeDescription,
+};

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue

@@ -94,6 +94,7 @@ import {
   updateTcmDiagnosis,
   getTcmDiagnosis,
 } from '@/views/doctorstation/components/api';
+import { DIAG_TYPE } from '@/utils/medicalConstants';
 
 const props = defineProps({
   openAddDiagnosisDialog: {
@@ -120,6 +121,11 @@ const selectedDisease = ref(false);
 const { proxy } = getCurrentInstance();
 const emit = defineEmits(['close']);
 
+
+
+// 获取诊断类型字典
+const { diag_type } = proxy.useDict('diag_type');
+
 function handleOpen() {
   // 获取诊断列表
   getTcmCondition().then((res) => {
@@ -227,7 +233,7 @@ function handleClickRow(row) {
       ybNo: row.ybNo,
       syndromeGroupNo: timestamp.value,
       verificationStatusEnum: 4,
-      medTypeCode: undefined,  // 不设默认值
+      medTypeCode: DIAG_TYPE.TCM_MAIN_DISEASE,  // 诊断类型：中医主病诊断 (值：2)
       isExisting: false // 标记为新增
     });
     tcmDiagonsisList.value.push({
@@ -255,6 +261,7 @@ function clickSyndromeRow(row) {
       definitionId: row.id,
       ybNo: row.ybNo,
       syndromeGroupNo: timestamp.value,
+      medTypeCode: DIAG_TYPE.TCM_MAIN_SYNDROME,  // 诊断类型：中医主证诊断 (值：3)
       isExisting: false // 标记为新增
     });
     tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
@@ -381,7 +388,6 @@ function close() {
   gap: 20px;
   margin-bottom: 25px;
 }
-
 .disease-section,
 .syndrome-section,
 .diagnosis-section {

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue

@@ -100,7 +100,7 @@
                 <el-form-item :prop="`diagnosisList.${scope.$index}.medTypeCode`" :rules="rules.medTypeCode">
                   <el-select v-model="scope.row.medTypeCode" placeholder=" " style="width: 150px">
                     <el-option
-                      v-for="item in med_type"
+                      v-for="item in diag_type"
                       :key="item.value"
                       :label="item.label"
                       :value="item.value"
@@ -264,6 +264,7 @@ import {
   isFoodDiseasesNew,
   saveDiagnosis,
 } from '../api';
+import { DIAG_TYPE } from '@/utils/medicalConstants';
 import diagnosisdialog from '../diagnosis/diagnosisdialog.vue';
 import AddDiagnosisDialog from './addDiagnosisDialog.vue';
 import diagnosislist from '../diagnosis/diagnosislist.vue';
@@ -293,7 +294,7 @@ const props = defineProps({
 const emits = defineEmits(['diagnosisSave']);
 const { proxy } = getCurrentInstance();
 const userStore = useUserStore();
-const { med_type } = proxy.useDict('med_type');
+const { diag_type } = proxy.useDict('diag_type');
 const { diagnosis_classification } = proxy.useDict('diagnosis_classification');
 const { long_term_flag } = proxy.useDict('long_term_flag');
 
@@ -340,13 +341,15 @@ async function getList() {
       });
       emits('diagnosisSave', false);
     }
-    maxNo = form.value.diagnosisList.length;
+    // 获取现有诊断的排序号集合，用于判断是否重复
+    const existingDiagSrtNoSet = new Set(form.value.diagnosisList.map(item => item.diagSrtNo));
 
     const tcmRes = await getTcmDiagnosis({ encounterId: props.patientInfo.encounterId });
     if (tcmRes.code == 200) {
       if (tcmRes.data.illness.length > 0) {
         tcmRes.data.illness.forEach((item, index) => {
-          if (item.diagSrtNo <= maxNo) {
+          // 如果该排序号的诊断已存在，则跳过（避免重复添加）
+          if (existingDiagSrtNoSet.has(item.diagSrtNo)) {
             return;
           }
           form.value.diagnosisList.push({
@@ -363,7 +366,8 @@ async function getList() {
             symptomDefinitionId : tcmRes.data.symptom[index].definitionId,
             symptomYbNo: tcmRes.data.symptom[index].ybNo,
           });
-          maxNo = item.diagSrtNo;
+          // 添加后更新集合
+          existingDiagSrtNoSet.add(item.diagSrtNo);
         });
       }
       emits('diagnosisSave', false);
@@ -402,7 +406,7 @@ function handleImport() {
           form.value.diagnosisList.push({
         ...item,
         ...{
-          medTypeCode: '140104',
+          medTypeCode: DIAG_TYPE.WESTERN_MEDICINE,  // 诊断类型：西医诊断 (值：1)
           verificationStatusEnum: 4,
           definitionId: item.id,
           diagSrtNo: maxSortNo + index + 1,
@@ -508,7 +512,7 @@ function handleAddDiagnosis() {
         showPopover: false,
         name: undefined,
         verificationStatusEnum: 4,
-        medTypeCode: '11',
+        medTypeCode: DIAG_TYPE.WESTERN_MEDICINE,  // 诊断类型：西医诊断 (值：1)
         diagSrtNo: maxSortNo + 1,
         iptDiseTypeCode: 2,
         diagnosisDesc: '',
@@ -770,7 +774,7 @@ form.value.diagnosisList.push({
     ybNo: data.ybNo,
     name: data.name,
     verificationStatusEnum: 4,
-    medTypeCode: '11',
+    medTypeCode: DIAG_TYPE.WESTERN_MEDICINE,  // 诊断类型：西医诊断 (值：1)
     diagSrtNo: maxSortNo + 1,
     definitionId: data.definitionId,
     classification: '西医', // 默认为西医