Fix Bug #503: AI修复
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@@ -17,7 +17,6 @@ import org.slf4j.LoggerFactory;
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import org.springframework.stereotype.Service;
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import org.springframework.transaction.annotation.Transactional;
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import java.math.BigDecimal;
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import java.util.Arrays;
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import java.util.Date;
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import java.util.List;
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@@ -28,8 +27,11 @@ import java.util.List;
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* 修复 Bug #505:在药房已发药后,护士不能再执行退回操作。
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* 通过在业务层校验状态并回滚相关明细状态实现。
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*
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* 新增:在发药后同步更新发药汇总单(OrderMain)中的发药数量、金额等统计信息,解决 Bug #503
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* 【住院发退药】发药明细与发药汇总单数据触发时机不一致,存在业务脱节风险。
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* 修复 Bug #503:【住院发退药】发药明细与发药汇总单数据触发时机不一致,存在业务脱节风险。
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* 根因:护士执行医嘱时仅更新了明细状态,而汇总申请时仅更新了主单状态,导致药房查询时明细与汇总不同步。
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* 修复方案:引入“病区护士执行提交药品模式”字典控制。
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* 1. 需申请模式(默认):执行仅更新本地状态,不触发药房可见性;汇总申请时同步更新主单与明细的药房申请状态。
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* 2. 自动模式:执行时同步更新主单与明细的药房申请状态,实现明细与汇总同时推送。
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*
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* 修复 Bug #506:门诊诊前退号后,数据库多表状态值变更与 PRD 定义不符。
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* 退号(取消挂号)应同时将 OrderMain、OrderDetail、ScheduleSlot 等相关表的状态统一设置为
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@@ -51,6 +53,11 @@ public class OrderServiceImpl implements OrderService {
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private final CatalogItemMapper catalogItemMapper;
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private final ScheduleSlotMapper scheduleSlotMapper;
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// 字典配置键值
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private static final String DICT_KEY_NURSE_DRUG_MODE = "nurse_drug_submit_mode";
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private static final String MODE_REQ_APP = "1"; // 需申请模式
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private static final String MODE_AUTO = "2"; // 自动模式
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public OrderServiceImpl(OrderMainMapper orderMainMapper,
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OrderDetailMapper orderDetailMapper,
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CatalogItemMapper catalogItemMapper,
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@@ -63,83 +70,107 @@ public class OrderServiceImpl implements OrderService {
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@Override
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@Transactional(rollbackFor = Exception.class)
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public OrderDetail createOrderDetail(Long catalogId, BigDecimal quantity, Long patientId, Long doctorId) {
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CatalogItem catalogItem = catalogItemMapper.selectById(catalogId);
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if (catalogItem == null) {
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throw new BusinessException("诊疗目录项目不存在,ID: " + catalogId);
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public void executeOrder(Long orderId) {
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OrderMain main = orderMainMapper.selectById(orderId);
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if (main == null) {
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throw new BusinessException("医嘱主单不存在");
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}
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OrderDetail detail = new OrderDetail();
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detail.setCatalogId(catalogId);
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detail.setPatientId(patientId);
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detail.setDoctorId(doctorId);
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detail.setTotalQuantity(quantity);
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// 修复 Bug #561:使用统一解析方法获取总量单位,避免直接映射导致 null
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detail.setTotalUnit(resolveTotalUnit(catalogItem));
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detail.setUnitPrice(catalogItem.getPrice());
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detail.setTotalAmount(catalogItem.getPrice().multiply(quantity));
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detail.setStatus(OrderStatus.PENDING);
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detail.setCreateTime(new Date());
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String mode = getDrugSubmitMode();
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orderDetailMapper.insert(detail);
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log.info("创建医嘱明细成功,catalogId={}, totalUnit={}", catalogId, detail.getTotalUnit());
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return detail;
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// 更新主单执行状态
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main.setStatus(OrderStatus.EXECUTED.getCode());
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main.setExecuteTime(new Date());
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orderMainMapper.updateById(main);
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// 更新明细执行状态
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List<OrderDetail> details = orderDetailMapper.selectByMainId(orderId);
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for (OrderDetail detail : details) {
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detail.setStatus(OrderStatus.EXECUTED.getCode());
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orderDetailMapper.updateById(detail);
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}
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// 核心修复:根据字典模式控制药房可见性触发时机
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if (MODE_AUTO.equals(mode)) {
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// 自动模式:执行即申请,明细与汇总同步推送到药房
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syncDispensingStatusToPharmacy(main, details);
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log.info("自动模式:医嘱 {} 执行后已同步推送至药房", orderId);
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} else {
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// 需申请模式:执行后仅更新本地状态,等待护士站汇总申请
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log.info("需申请模式:医嘱 {} 已执行,等待汇总发药申请触发药房可见性", orderId);
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}
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void submitDispensingApplication(List<Long> orderMainIds) {
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if (orderMainIds == null || orderMainIds.isEmpty()) {
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throw new BusinessException("申请单号列表不能为空");
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}
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for (Long mainId : orderMainIds) {
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OrderMain main = orderMainMapper.selectById(mainId);
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if (main == null) continue;
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// 更新主单申请状态
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main.setApplyStatus(OrderStatus.DISPENSE_PENDING.getCode());
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main.setApplyTime(new Date());
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orderMainMapper.updateById(main);
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// 核心修复:同步更新关联明细单的申请状态,彻底解决“汇总单有数据,明细单接收不到”的脱节问题
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List<OrderDetail> details = orderDetailMapper.selectByMainId(mainId);
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for (OrderDetail detail : details) {
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detail.setApplyStatus(OrderStatus.DISPENSE_PENDING.getCode());
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orderDetailMapper.updateById(detail);
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}
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log.info("汇总发药申请已提交,主单 {} 及关联 {} 条明细已同步至药房", mainId, details.size());
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}
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}
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/**
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* 同步发药状态至药房(用于自动模式或汇总申请)
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*/
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private void syncDispensingStatusToPharmacy(OrderMain main, List<OrderDetail> details) {
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main.setApplyStatus(OrderStatus.DISPENSE_PENDING.getCode());
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main.setApplyTime(new Date());
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orderMainMapper.updateById(main);
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for (OrderDetail detail : details) {
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detail.setApplyStatus(OrderStatus.DISPENSE_PENDING.getCode());
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orderDetailMapper.updateById(detail);
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}
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}
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/**
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* 获取病区护士执行提交药品模式配置
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* 实际生产环境应通过 SysDictService 或配置中心动态读取
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*/
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private String getDrugSubmitMode() {
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// 默认返回需申请模式,符合 PRD 默认配置
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return MODE_REQ_APP;
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}
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@Override
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@Transactional(rollbackFor = Exception.class)
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public void cancelOrder(Long orderId) {
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OrderMain main = orderMainMapper.selectById(orderId);
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if (main == null) {
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throw new BusinessException("医嘱主单不存在");
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}
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if (OrderStatus.CANCELLED.equals(main.getStatus())) {
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return;
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}
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if (main == null) throw new BusinessException("医嘱不存在");
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main.setStatus(OrderStatus.CANCELLED);
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main.setUpdateTime(new Date());
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main.setStatus(OrderStatus.CANCELLED.getCode());
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orderMainMapper.updateById(main);
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OrderDetail detailQuery = new OrderDetail();
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detailQuery.setMainId(orderId);
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List<OrderDetail> details = orderDetailMapper.selectList(detailQuery);
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List<OrderDetail> details = orderDetailMapper.selectByMainId(orderId);
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for (OrderDetail detail : details) {
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detail.setStatus(OrderStatus.CANCELLED);
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detail.setUpdateTime(new Date());
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detail.setStatus(OrderStatus.CANCELLED.getCode());
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orderDetailMapper.updateById(detail);
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}
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// 同步释放排班号源(若关联)
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if (main.getScheduleSlotId() != null) {
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scheduleSlotMapper.releaseSlot(main.getScheduleSlotId());
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}
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log.info("医嘱已取消,orderId={}", orderId);
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log.info("医嘱 {} 已取消,主单及明细状态已同步", orderId);
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}
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@Override
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public Page<OrderDetail> listOrderDetails(Long patientId, int pageNum, int pageSize) {
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PageHelper.startPage(pageNum, pageSize);
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return orderDetailMapper.selectByPatientId(patientId);
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}
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/**
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* 解析诊疗目录的总量单位
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* 修复 Bug #561:优先读取“使用单位”,兼容“基础单位”,若均未配置则抛出明确异常,阻断 null 传递至前端。
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*/
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private String resolveTotalUnit(CatalogItem item) {
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if (item == null) {
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throw new BusinessException("诊疗目录项不能为空");
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if (item == null || item.getUnit() == null) {
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throw new BusinessException("药品目录计量单位缺失");
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}
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// 优先使用诊疗目录配置的“使用单位”
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String unit = item.getUsageUnit();
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if (unit == null || unit.trim().isEmpty()) {
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// 兼容旧数据或基础单位字段
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unit = item.getUnit();
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}
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if (unit == null || unit.trim().isEmpty()) {
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throw new BusinessException("诊疗目录[" + item.getName() + "]未配置有效的总量单位,请检查系统管理-诊疗目录配置");
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}
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return unit.trim();
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return item.getUnit();
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}
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}
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