完成100需求,补充99需求追溯术中产生的费用新增费用项时向表中插入SourceBillNo和generate_source_enum字段值

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgicalScheduleController.java

@@ -2,11 +2,14 @@ package com.openhis.web.clinicalmanage.controller;
 
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.core.common.core.domain.R;
+import com.core.common.core.domain.model.LoginUser;
+import com.core.common.utils.SecurityUtils;
 import com.openhis.web.clinicalmanage.appservice.ISurgicalScheduleAppService;
 import com.openhis.web.clinicalmanage.dto.OpCreateScheduleDto;
 import com.openhis.web.clinicalmanage.dto.OpScheduleDto;
 import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
+import org.apache.catalina.User;
 import org.springframework.web.bind.annotation.*;
 
 import javax.servlet.http.HttpServletResponse;
@@ -98,4 +101,29 @@ public class SurgicalScheduleController {
         surgicalScheduleAppService.exportSurgerySchedule(opScheduleDto, response);
     }
 
+    /**
+     * 验证密码
+     * @param password 密码
+     * @return 结果
+     */
+    @PostMapping(value = "/checkPassword")
+    public R<?> checkPassword(@RequestParam String password) {
+        try {
+            //获取当前登录用户信息
+            LoginUser loginUser = SecurityUtils.getLoginUser();
+            if (loginUser == null) {
+                return R.fail("用户未登录");
+            }
+            // 直接使用 SecurityUtils.matchesPassword 进行密码验证
+            boolean isMatch = SecurityUtils.matchesPassword(password, loginUser.getPassword());
+            if (isMatch) {
+                return R.ok(true);
+            } else {
+                return R.fail("密码错误");
+            }
+        } catch (Exception e) {
+            return R.fail("密码验证失败：" + e.getMessage());
+        }
+    }
+
 }

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

@@ -635,6 +635,10 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 } else {
                     chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
                 }
+                // 来源业务单据号：如果前端指定了来源业务单据号，设置该字段
+                if (adviceSaveDto.getSourceBillNo() != null) {
+                    chargeItem.setSourceBillNo(adviceSaveDto.getSourceBillNo());
+                }
                 chargeItem.setPrescriptionNo(adviceSaveDto.getPrescriptionNo()); // 处方号
                 chargeItem.setPatientId(adviceSaveDto.getPatientId()); // 患者
                 chargeItem.setContextEnum(adviceSaveDto.getAdviceType()); // 类型
@@ -652,10 +656,6 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 chargeItem.setConditionId(adviceSaveDto.getConditionId()); // 诊断id
                 chargeItem.setEncounterDiagnosisId(adviceSaveDto.getEncounterDiagnosisId()); // 就诊诊断id
                 chargeItem.setDispenseId(dispenseId); // 发放ID
-                // 来源业务单据号：如果前端指定了来源业务单据号，设置该字段
-                if (adviceSaveDto.getSourceBillNo() != null) {
-                    chargeItem.setSourceBillNo(adviceSaveDto.getSourceBillNo());
-                }
                 chargeItem.setTenantId(tenantId);           // 设置租户ID (修复本次报错)
                 chargeItem.setCreateBy(currentUsername);    // 设置创建人
                 chargeItem.setCreateTime(curDate);          // 设置创建时间
@@ -768,6 +768,16 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
                 // 保存耗材费用项
                 chargeItem = new ChargeItem();
+                // 生成来源：如果前端指定了生成来源，使用前端值；否则使用默认的医生开立
+                if (adviceSaveDto.getGenerateSourceEnum() != null) {
+                    chargeItem.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum());
+                } else {
+                    chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                }
+                // 来源业务单据号：如果前端指定了来源业务单据号，设置该字段
+                if (adviceSaveDto.getSourceBillNo() != null) {
+                    chargeItem.setSourceBillNo(adviceSaveDto.getSourceBillNo());
+                }
                 chargeItem.setId(adviceSaveDto.getChargeItemId()); // 费用项id
                 chargeItem.setTenantId(tenantId);           // 补全租户ID
                 chargeItem.setCreateBy(currentUsername);    // 补全创建人
@@ -909,6 +919,16 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             // 保存时保存诊疗费用项
             if (is_save) {
                 chargeItem = new ChargeItem();
+                // 生成来源：如果前端指定了生成来源，使用前端值；否则使用默认的医生开立
+                if (adviceSaveDto.getGenerateSourceEnum() != null) {
+                    chargeItem.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum());
+                } else {
+                    chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                }
+                // 来源业务单据号：如果前端指定了来源业务单据号，设置该字段
+                if (adviceSaveDto.getSourceBillNo() != null) {
+                    chargeItem.setSourceBillNo(adviceSaveDto.getSourceBillNo());
+                }
                 chargeItem.setId(adviceSaveDto.getChargeItemId()); // 费用项id
                 chargeItem.setTenantId(tenantId);           // 补全租户ID
                 chargeItem.setCreateBy(currentUsername);    // 补全创建人

openhis-ui-vue3/src/api/surgicalschedule.js

@@ -59,4 +59,13 @@ export function exportSurgerySchedule(query) {
     method: 'get',
     params: query
   })
+}
+
+//签名密码验证
+export function checkPassword(params) {
+  return request({
+    url: '/clinical-manage/surgery-schedule/checkPassword',
+    method: 'POST',
+    params: params
+  })
 }

openhis-ui-vue3/src/views/surgicalschedule/index.vue

@@ -55,6 +55,9 @@
       <el-col :span="1.5">
         <el-button type="success" plain icon="Money" @click="handleChargeCharge(selectedRow)" :disabled="!selectedRow"> 计费 </el-button>
       </el-col>
+      <el-col :span="1.5">
+        <el-button type="success" plain icon="Document" @click="handleMedicalAdvice(selectedRow)" :disabled="!selectedRow"> 医嘱 </el-button>
+      </el-col>
       <el-col :span="1.5">
         <el-button type="success" plain icon="Download" @click="handleExport">导出表格</el-button>
       </el-col>
@@ -62,7 +65,7 @@
     </el-row>
 
     <!-- 中部表格区 -->
-    <el-table v-loading="loading" :data="surgeryList" row-key="scheduleId" :row-class-name="getRowClassName" highlight-current-row @current-change="handleCurrentChange">
+    <el-table v-loading="loading" :data="surgeryList" row-key="scheduleId" :row-class-name="getRowClassName" @current-change="handleCurrentChange">
       <el-table-column label="ID" align="center" width="80">
         <template #default="{ $index }">
           {{ (applyQueryParams.pageNo - 1) * applyQueryParams.pageSize + $index + 1 }}
@@ -799,6 +802,18 @@
         </div>
       </div>
     </el-dialog>
+
+    <!-- 临时医嘱弹窗 -->
+    <el-dialog :title="temporaryMedicalTitle" v-model="showTemporaryMedical" width="80%" append-to-body :close-on-click-modal="false">
+      <temporary-medical
+        :patient-info="temporaryPatientInfo"
+        :billing-medicines="temporaryBillingMedicines"
+        v-model:temporary-advices="temporaryAdvices"
+        @submit="handleTemporaryMedicalSubmit"
+        @cancel="handleTemporaryMedicalCancel"
+        @delete-advice="handleDeleteTemporaryAdvice"
+      />
+    </el-dialog>
   </div>
 </template>
 
@@ -810,6 +825,9 @@ import { useDict } from '@/utils/dict'
 import download from '@/plugins/download'
 import Prescriptionlist from '@/views/clinicmanagement/bargain/component/prescriptionlist.vue'
 import useUserStore from '@/store/modules/user'
+import { ElMessage } from 'element-plus'
+// 导入计费相关接口
+import { getPrescriptionList } from '@/views/clinicmanagement/bargain/component/api'
 
 // API 导入
 import { getSurgerySchedulePage, addSurgerySchedule, updateSurgerySchedule, deleteSurgerySchedule, getSurgeryScheduleDetail } from '@/api/surgicalschedule'
@@ -820,6 +838,7 @@ import { getTestResultPage} from '@/views/inpatientDoctor/home/components/applic
 import { getTenantPage } from '@/api/system/tenant'
 import { getContract } from '@/views/inpatientDoctor/home/components/api.js'
 import SurgeryCharge from '../charge/surgerycharge/index.vue'
+import TemporaryMedical from './temporaryMedical.vue'
 
 const { proxy } = getCurrentInstance()
 const userStore = useUserStore()
@@ -947,6 +966,13 @@ const chargePatientInfo = ref({})
 const chargeSurgeryInfo = ref({})
 const prescriptionRef = ref()
 
+// 临时医嘱弹窗
+const showTemporaryMedical = ref(false)
+const temporaryMedicalTitle = ref('门诊术中临时医嘱')
+const temporaryPatientInfo = ref({})
+const temporaryBillingMedicines = ref([])
+const temporaryAdvices = ref([])
+
 // 下拉列表数据
 const orgList = ref([])
 const deptList = ref([])
@@ -1026,8 +1052,7 @@ function loadOrgList() {
         orgList.value = []
       }
     })
-    .catch(error => {
-      console.error('加载卫生机构列表失败:', error)
+    .catch(() => {
       proxy.$modal.msgError('获取卫生机构列表失败')
       orgList.value = []
     })
@@ -1046,7 +1071,6 @@ function loadDeptList() {
       }
     })
     .catch(error => {
-      console.error('加载科室列表失败:', error)
       proxy.$modal.msgError('获取科室列表失败')
       deptList.value = []
     })
@@ -1065,7 +1089,6 @@ function loadDoctorList() {
       }
     })
     .catch(error => {
-      console.error('加载医生列表失败:', error)
       proxy.$modal.msgError('获取医生列表失败')
       doctorList.value = []
     })
@@ -1084,7 +1107,6 @@ function loadNurseList() {
       }
     })
     .catch(error => {
-      console.error('加载护士列表失败:', error)
       proxy.$modal.msgError('获取护士列表失败')
       nurseList.value = []
     })
@@ -1103,7 +1125,6 @@ function loadOperatingRoomList() {
       }
     })
     .catch(error => {
-      console.error('加载手术室列表失败:', error)
       proxy.$modal.msgError('获取手术室列表失败')
       operatingRoomList.value = []
     })
@@ -1116,7 +1137,6 @@ function getList() {
     surgeryList.value = res.data.records
     total.value = res.data.total
   }).catch(error => {
-    console.error('获取手术安排列表失败:', error)
     proxy.$modal.msgError('获取手术安排列表失败，请稍后重试')
     surgeryList.value = []
     total.value = 0
@@ -1170,8 +1190,7 @@ function handleEdit(row) {
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
-  }).catch(error => {
-    console.error('获取手术安排详情失败:', error)
+  }).catch(() => {
     proxy.$modal.msgError('获取手术安排详情失败')
   })
   open.value = true
@@ -1190,8 +1209,7 @@ function handleView(row) {
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
-  }).catch(error => {
-    console.error('获取手术安排详情失败:', error)
+  }).catch(() => {
     proxy.$modal.msgError('获取手术安排详情失败')
   })
   open.value = true
@@ -1215,7 +1233,8 @@ function handleDelete(row) {
   }).then(() => {
     getPageList()
     proxy.$modal.msgSuccess('手术安排已取消')
-  }).catch(error => {
+  }).catch(() => {
+    return
   })
 }
 
@@ -1232,32 +1251,18 @@ async function handleChargeCharge(row) {
     return
   }
   
-  console.log('计费按钮被点击，行数据:', row)
-  
-  // 检查用户信息中的机构信息
-  console.log('完整的用户信息:', JSON.stringify(userStore, null, 2))
-  console.log('用户机构信息:', {
-    organizationId: userStore.organizationId,
-    orgId: userStore.orgId,
-    tenantId: userStore.tenantId,
-    userInfo: userStore.userInfo
-  })
-  
   // 调用接口获取账户信息
   let accountId = null
   try {
     const contractResult = await getContract({ encounterId: row.visitId })
-    console.log('账户信息接口返回:', contractResult)
-    
     if (contractResult.code === 200 && contractResult.data && contractResult.data.length > 0) {
       // 从返回数据中提取accountId - data是数组，取第一个元素的accountId
       accountId = contractResult.data[0].accountId || contractResult.data[0].id
-      console.log('获取到的accountId:', accountId)
     } else {
-      console.warn('获取账户信息失败:', contractResult.msg)
+      proxy.$modal.msgError('获取账户信息失败')
     }
   } catch (error) {
-    console.error('调用账户信息接口出错:', error)
+   return
   }
   
   // 设置计费弹窗数据 - 直接复制划价页面的逻辑
@@ -1279,7 +1284,9 @@ async function handleChargeCharge(row) {
     // 添加账户ID
     accountId: accountId,
     // 添加手术申请单号用于追溯
-    sourceBillNo: row.applyId || row.operCode
+    sourceBillNo: row.applyId,
+    //添加计费标志手术计费
+    generateSourceEnum: 6
   }
   
   chargeSurgeryInfo.value = {
@@ -1287,21 +1294,12 @@ async function handleChargeCharge(row) {
     surgeryNo: row.operCode
   }
   
-  console.log('计费弹窗数据设置完成:', {
-    chargeDialogTitle: chargeDialogTitle.value,
-    chargePatientInfo: chargePatientInfo.value,
-    chargeSurgeryInfo: chargeSurgeryInfo.value
-  })
-  
   // 打开计费弹窗
   showChargeDialog.value = true
-  console.log('计费弹窗状态:', showChargeDialog.value)
   
   // 延迟加载处方列表，确保组件已经渲染
   nextTick(() => {
-    console.log('nextTick执行，prescriptionRef:', prescriptionRef.value)
     if (prescriptionRef.value && prescriptionRef.value.getListInfo) {
-      console.log('调用prescriptionRef.getListInfo()')
       prescriptionRef.value.getListInfo()
     }
   })
@@ -1314,6 +1312,114 @@ function closeChargeDialog() {
   chargeSurgeryInfo.value = {}
 }
 
+// 处理医嘱按钮点击事件
+function handleMedicalAdvice(row) {
+  // 如果没有传入行数据，使用选中的行
+  if (!row && selectedRow.value) {
+    row = selectedRow.value
+  }
+  
+  // 如果还是没有行数据，显示提示
+  if (!row) {
+    proxy.$modal.msgWarning('请先选择要开具医嘱的手术安排')
+    return
+  }
+  
+  // 设置临时医嘱弹窗数据
+  temporaryPatientInfo.value = {
+    patientName: row.patientName,
+    visitId: row.visitId,
+    operCode: row.operCode,
+    roomCode: row.roomCode,
+    doctorName: userStore.nickName,
+    role: userStore.roles[0],
+  }
+  
+  // 初始化临时医嘱列表
+  temporaryAdvices.value = []
+  
+  // 调用计费接口获取数据
+  getPrescriptionList(row.visitId).then((res) => {
+    if (res.code === 200 && res.data) {
+      // 过滤数据，只保留 adviceType 值为 1 的药品
+      const filteredItems = res.data.filter(item => {
+        try {
+          // 尝试从 contentJson 中解析数据
+          const contentData = JSON.parse(item.contentJson)
+          const adviceType = Number(contentData.adviceType)
+          return adviceType === 3
+        } catch (e) {
+          // 如果解析失败，尝试使用顶层的 adviceType
+          const adviceType = Number(item.adviceType)
+          return adviceType === 3
+        }
+      })
+      
+      // 将过滤后的数据转换为临时医嘱需要的格式
+      temporaryBillingMedicines.value = filteredItems.map(item => {
+        try {
+          // 从 contentJson 中解析详细数据
+          const contentData = JSON.parse(item.contentJson)
+          return {
+            medicineName: contentData.adviceName || item.adviceName || '',
+            specification: contentData.volume || contentData.specification || '',
+            quantity: contentData.quantity || item.quantity || 0,
+            batchNumber: contentData.lotNumber || item.lotNumber || '',
+            unitPrice: contentData.unitPrice || item.unitPrice || 0,
+            subtotal: contentData.totalPrice || item.totalPrice || 0,
+            insuranceType: contentData.insuranceType === 1 ? '医保' : '自费'
+          }
+        } catch (e) {
+          // 如果解析失败，使用顶层数据
+          return {
+            medicineName: item.adviceName || '',
+            specification: item.specification || '',
+            quantity: item.quantity || 0,
+            batchNumber: item.lotNumber || '',
+            unitPrice: item.unitPrice || 0,
+            subtotal: item.totalPrice || 0,
+            insuranceType: item.insuranceType === 1 ? '医保' : '自费'
+          }
+        }
+      })
+    } else {
+      // 如果没有数据或接口调用失败，初始化空列表
+      temporaryBillingMedicines.value = []
+    }
+  }).catch(() => {
+    temporaryBillingMedicines.value = []
+  })
+  
+  // 打开临时医嘱弹窗
+  showTemporaryMedical.value = true
+}
+
+// 关闭临时医嘱弹窗
+function closeTemporaryMedical() {
+  showTemporaryMedical.value = false
+  temporaryPatientInfo.value = {}
+  temporaryBillingMedicines.value = []
+  temporaryAdvices.value = []
+}
+
+// 处理临时医嘱提交
+function handleTemporaryMedicalSubmit(data) {
+  // 这里可以调用后端API保存临时医嘱数据
+  proxy.$modal.msgSuccess('临时医嘱提交成功')
+  closeTemporaryMedical()
+}
+
+// 处理临时医嘱取消
+function handleTemporaryMedicalCancel() {
+  closeTemporaryMedical()
+}
+
+// 处理删除临时医嘱
+function handleDeleteTemporaryAdvice(index) {
+  temporaryAdvices.value.splice(index, 1)
+  proxy.$modal.msgSuccess('临时医嘱已删除')
+}
+
 // 格式化计费弹窗中的日期
 function formatChargeDate(date) {
   if (!date) return '-'
@@ -1394,15 +1500,13 @@ function submitForm() {
   proxy.$refs['surgeryRef'].validate((valid) => {
     if (valid) {
       const submitData = { ...form }
-      console.log("scheduleId:", form.scheduleId)
       if (!form.scheduleId) {
         // 新增手术安排
         addSurgerySchedule(submitData).then((res) => {
           proxy.$modal.msgSuccess('新增成功')
           open.value = false
           getPageList()
-        }).catch(error => {
-          console.error('新增手术安排失败:', error)
+        }).catch(() => {
           proxy.$message.error('新增手术安排失败，请检查表单信息')
         })
       } else {
@@ -1411,8 +1515,7 @@ function submitForm() {
           proxy.$modal.msgSuccess('修改成功')
           open.value = false
           getPageList()
-        }).catch(error => {
-          console.error('更新手术安排失败:', error)
+        }).catch(() => {
           proxy.$message.error('更新手术安排失败，请检查表单信息')
         })
       }
@@ -1455,8 +1558,7 @@ function getSurgicalScheduleList() {
     const responseData = res.data.data || res.data
     applyList.value = responseData.records || []
     applyTotal.value = responseData.total || 0
-  }).catch(error => {
-    console.error('获取手术申请列表失败:', error)
+  }).catch(() => {
     proxy.$modal.msgError('获取手术申请列表失败，请稍后重试')
     applyList.value = []
     applyTotal.value = 0

openhis-ui-vue3/src/views/surgicalschedule/temporaryMedical.vue

@@ -0,0 +1,673 @@
+<template>
+  <div class="temporary-medical-container">
+    <!-- 患者信息区域 -->
+    <div class="patient-info-section">
+      <div class="patient-info-header">
+        <h3>门诊术中临时医嘱</h3>
+      </div>
+      <div class="patient-info-content">
+        <el-descriptions :column="3" border>
+          <el-descriptions-item label="患者：">{{ patientInfo.patientName || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="就诊卡号：">{{ patientInfo.visitId || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="手术单号：">{{ patientInfo.operCode || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="科室：">{{ patientInfo.roomCode || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="医师：">{{ patientInfo.doctorName || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="角色：">{{ patientInfo.role || '-' }}</el-descriptions-item>
+        </el-descriptions>
+      </div>
+    </div>
+
+    <!-- 已引用计费药品区域 -->
+    <div class="medicine-section">
+      <h4>一、已引用计费药品（待生成医嘱）</h4>
+      <el-table :data="billingMedicines" border style="width: 100%; margin-bottom: 16px" fit>
+        <el-table-column label="序号" type="index" width="60" align="center" />
+        <el-table-column label="药品名称" prop="medicineName" min-width="150" show-overflow-tooltip />
+        <el-table-column label="规格" prop="specification" min-width="100" align="center" />
+        <el-table-column label="数量" prop="quantity" width="80" align="center" />
+        <el-table-column label="批号" prop="batchNumber" min-width="120" align="center" />
+        <el-table-column label="单价" prop="unitPrice" min-width="80" align="center">
+          <template #default="{ row }">
+            {{ row.unitPrice ? `￥${row.unitPrice}` : '-' }}
+          </template>
+        </el-table-column>
+        <el-table-column label="小计" prop="subtotal" min-width="100" align="center">
+          <template #default="{ row }">
+            {{ row.subtotal ? `￥${row.subtotal}` : '-' }}
+          </template>
+        </el-table-column>
+        <el-table-column label="医保" prop="insuranceType" width="80" align="center" />
+      </el-table>
+      
+      <div class="medicine-summary">
+        <div class="summary-item">医保内：￥{{ insuranceAmount }}</div>
+        <div class="summary-item">自费：￥{{ selfPayAmount }}</div>
+        <div class="summary-item total">总计：￥{{ totalAmount }}</div>
+      </div>
+    </div>
+
+    <!-- 临时医嘱预览区域 -->
+    <div class="advice-section">
+      <h4>二、临时医嘱预览（已生成）</h4>
+      <el-table :data="displayAdvices" border style="width: 100%; margin-bottom: 16px" fit>
+        <el-table-column label="序号" type="index" width="60" align="center" />
+        <el-table-column label="医嘱名称" prop="adviceName" min-width="150" show-overflow-tooltip />
+        <el-table-column label="剂量" prop="dosage" min-width="80" align="center" />
+        <el-table-column label="单位" prop="unit" min-width="80" align="center" />
+        <el-table-column label="用法" prop="usage" min-width="100" show-overflow-tooltip />
+        <el-table-column label="频次" prop="frequency" min-width="80" align="center" />
+        <el-table-column label="执行时间" prop="executeTime" min-width="120" align="center" />
+        <el-table-column label="操作" min-width="120" align="center">
+          <template #default="{ $index }">
+            <el-button link type="primary" @click="handleEditAdvice($index)">编辑</el-button>
+            <el-button link type="danger" @click="handleDeleteAdvice($index)">删除</el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+    </div>
+
+    <!-- 医师电子签名区域 -->
+    <div class="signature-section">
+      <h4>三、医师电子签名</h4>
+      <div class="signature-content">
+        <div class="signature-info">
+          <span>签名医师：</span>
+          <span :class="{ 'unsigned': !isSigned }">{{ isSigned ? currentUser.name : '未签名' }}</span>
+        </div>
+        <div class="signature-info">
+          <span>时间：</span>
+          <span>{{ signatureTime || '-' }}</span>
+        </div>
+      </div>
+    </div>
+
+    <!-- 底部操作按钮 -->
+    <div class="footer-actions">
+      <el-button class="cancel-btn" @click="handleCancel">取消</el-button>
+      <el-button 
+        class="sign-submit-btn" 
+        :class="{ 'signed': isSigned }"
+        @click="handleSignAndSubmit"
+      >
+        {{ isSigned ? '提交' : '一键签名并生成医嘱' }}
+      </el-button>
+    </div>
+
+    <!-- 签名密码弹窗 -->
+    <el-dialog v-model="showSignDialog" title="弹窗-签名密码" width="400px" append-to-body>
+      <div class="sign-dialog-content">
+        <p>请输入账户密码：</p>
+        <el-input 
+          v-model="signPassword" 
+          type="password" 
+          placeholder="请输入密码" 
+          style="margin-bottom: 16px" 
+          @keyup.enter="confirmSign"
+        />
+        <div class="dialog-actions">
+          <el-button @click="showSignDialog = false">取消</el-button>
+          <el-button type="primary" @click="confirmSign">确认</el-button>
+        </div>
+      </div>
+    </el-dialog>
+
+    <!-- 编辑医嘱弹窗 -->
+    <el-dialog v-model="showEditDialog" title="编辑医嘱" width="500px" append-to-body>
+      <div class="edit-dialog-content">
+        <el-form :model="editForm" label-width="80px">
+          <el-form-item label="药品名称">
+            <el-input v-model="editForm.adviceName" disabled />
+          </el-form-item>
+          <el-form-item label="剂量" required>
+            <el-input v-model.number="editForm.dosage" placeholder="请输入剂量" />
+          </el-form-item>
+          <el-form-item label="单位">
+            <el-input v-model="editForm.unit" placeholder="请输入单位" />
+          </el-form-item>
+          <el-form-item label="用法" required>
+            <el-select v-model="editForm.usage" placeholder="请选择用法" style="width: 100%">
+              <el-option
+                v-for="dict in method_code"
+                :key="dict.value"
+                :label="dict.label"
+                :value="dict.label"
+              />
+            </el-select>
+          </el-form-item>
+          <el-form-item label="频次">
+            <el-input v-model="editForm.frequency" disabled />
+          </el-form-item>
+        </el-form>
+        <div class="dialog-actions">
+          <el-button @click="handleCancelEdit">取消</el-button>
+          <el-button type="primary" @click="handleSaveEdit">保存</el-button>
+        </div>
+      </div>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, computed, getCurrentInstance } from 'vue'
+import { ElMessage, ElMessageBox } from 'element-plus'
+import useUserStore from '@/store/modules/user'
+import { checkPassword } from '@/api/surgicalschedule'
+import { savePrescription } from '@/views/clinicmanagement/bargain/component/api.js'
+
+// 定义props
+const props = defineProps({
+  // 患者和医生信息
+  patientInfo: {
+    type: Object,
+    default: () => ({
+      patientName: '',
+      visitId: '',
+      operCode: '',
+      roomCode: '',
+      doctorName: '',
+      role: ''
+    })
+  },
+  // 计费药品列表
+  billingMedicines: {
+    type: Array,
+    default: () => []
+  },
+  // 临时医嘱列表
+  temporaryAdvices: {
+    type: Array,
+    default: () => []
+  }
+})
+
+// 定义emit事件
+const emit = defineEmits(['submit', 'cancel', 'delete-advice', 'update:temporaryAdvices'])
+
+// 用户store
+const userStore = useUserStore()
+
+// 获取当前实例
+const { proxy } = getCurrentInstance()
+
+// 获取字典数据（与门诊医生站保持一致）
+const { method_code } = proxy.useDict('method_code')
+
+// 响应式数据
+const isSigned = ref(false)
+const signatureTime = ref('')
+const showSignDialog = ref(false)
+const signPassword = ref('')
+const showEditDialog = ref(false)
+const currentEditIndex = ref(-1)
+const editForm = ref({
+  adviceName: '',
+  dosage: '',
+  unit: '',
+  usage: '',
+  frequency: '临时'
+})
+
+// 计算属性
+const currentUser = computed(() => ({
+  name: userStore.name || '未知用户',
+  id: userStore.id
+}))
+
+const insuranceAmount = computed(() => {
+  return props.billingMedicines
+    .filter(med => med.insuranceType === '甲' || med.insuranceType === '乙')
+    .reduce((sum, med) => sum + (med.subtotal || 0), 0)
+})
+
+const selfPayAmount = computed(() => {
+  return props.billingMedicines
+    .filter(med => !med.insuranceType || med.insuranceType === '自费')
+    .reduce((sum, med) => sum + (med.subtotal || 0), 0)
+})
+
+const totalAmount = computed(() => {
+  return insuranceAmount.value + selfPayAmount.value
+})
+
+// 将计费药品转换为临时医嘱数据
+const convertedAdvices = computed(() => {
+  return props.billingMedicines.map((medicine, index) => {
+    // 解析规格中的数值和单位
+    const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
+    const specValue = specMatch ? parseInt(specMatch[1]) : 1
+    const specUnit = specMatch ? specMatch[2] : 'ml'
+    
+    // 计算剂量 = 规格数值 × 数量
+    const dosage = specValue * (medicine.quantity || 1)
+    
+    // 根据药品名称判断用法
+    let usage = '静脉注射'
+    if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
+      usage = '静脉注射'
+    } else if (medicine.medicineName && medicine.medicineName.includes('片')) {
+      usage = '口服'
+    } else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
+      usage = '口服'
+    }
+    
+    return {
+      id: index + 1,
+      adviceName: medicine.medicineName || '',
+      dosage: dosage,
+      unit: specUnit,
+      usage: usage,
+      frequency: '临时',
+      executeTime: new Date().toLocaleString('zh-CN'),
+      originalMedicine: medicine
+    }
+  })
+})
+
+// 使用转换后的数据或传入的临时医嘱数据
+const displayAdvices = computed(() => {
+  return props.temporaryAdvices.length > 0 ? props.temporaryAdvices : convertedAdvices.value
+})
+
+// 方法
+const handleSign = () => {
+  showSignDialog.value = true
+}
+
+// 编辑医嘱
+const handleEditAdvice = (index) => {
+  const advice = displayAdvices.value[index]
+  currentEditIndex.value = index
+  editForm.value = {
+    adviceName: advice.adviceName,
+    dosage: advice.dosage,
+    unit: advice.unit,
+    usage: advice.usage,
+    frequency: advice.frequency
+  }
+  showEditDialog.value = true
+}
+
+// 保存编辑
+const handleSaveEdit = () => {
+  if (!editForm.value.dosage || !editForm.value.usage) {
+    ElMessage.warning('请填写剂量和用法')
+    return
+  }
+  
+  // 构建更新后的数据
+  const updatedAdvice = {
+    ...displayAdvices.value[currentEditIndex.value],
+    ...editForm.value
+  }
+  
+  // 构建完整的更新后列表
+  const updatedAdvices = [...displayAdvices.value]
+  updatedAdvices[currentEditIndex.value] = updatedAdvice
+  
+  // 通知父组件更新数据
+  emit('update:temporaryAdvices', updatedAdvices)
+  
+  showEditDialog.value = false
+  ElMessage.success('编辑成功')
+}
+
+// 取消编辑
+const handleCancelEdit = () => {
+  showEditDialog.value = false
+  currentEditIndex.value = -1
+  editForm.value = {
+    adviceName: '',
+    dosage: '',
+    unit: '',
+    usage: '',
+    frequency: '临时'
+  }
+}
+
+const confirmSign = async () => {
+  if (!signPassword.value) {
+    ElMessage.warning('请输入密码')
+    return
+  }
+
+  // 调用后端接口验证密码
+  try {
+    const response = await checkPassword({
+      password: signPassword.value
+    })
+    
+    if (response.code === 200 && response.data) {
+      isSigned.value = true
+      signatureTime.value = new Date().toLocaleString('zh-CN')
+      showSignDialog.value = false
+      signPassword.value = ''
+      ElMessage.success('签名成功')
+      
+      // 签名成功后自动提交
+      handleSubmit()
+    } else {
+      ElMessage.error('密码错误，请重新输入')
+    }
+  } catch (error) {
+    ElMessage.error('签名失败，请重试')
+  }
+}
+
+const handleSignAndSubmit = () => {
+  if (isSigned.value) {
+    // 如果已经签名，直接提交
+    handleSubmit()
+  } else {
+    // 如果未签名，打开签名弹窗
+    handleSign()
+  }
+}
+
+const handleDeleteAdvice = (index) => {
+  ElMessageBox.confirm('确定要删除这条医嘱吗？', '提示', {
+    confirmButtonText: '确定',
+    cancelButtonText: '取消',
+    type: 'warning'
+  }).then(() => {
+    // 检查数据来源
+    if (props.temporaryAdvices.length > 0) {
+      // 如果使用的是传入的临时医嘱数据，通知父组件删除
+      emit('delete-advice', index)
+    } else {
+      // 如果使用的是转换的数据，需要构建新的临时医嘱数据并通知父组件
+      const updatedAdvices = [...displayAdvices.value]
+      updatedAdvices.splice(index, 1)
+      emit('update:temporaryAdvices', updatedAdvices)
+    }
+    ElMessage.success('删除成功')
+  }).catch(() => {
+    // 用户取消删除
+  })
+}
+
+const handleSubmit = async () => {
+  if (!isSigned.value) {
+    ElMessage.warning('请先进行电子签名')
+    return
+  }
+
+  // 检查是否有医嘱数据
+  if (displayAdvices.value.length === 0) {
+    ElMessage.warning('没有可保存的医嘱数据')
+    return
+  }
+
+  try {
+    // 构建保存医嘱的请求参数
+    const saveData = {
+      organizationId: props.patientInfo.organizationId || 1, // 默认科室ID
+      adviceSaveList: displayAdvices.value.map((advice, index) => {
+        // 获取原始药品数据
+        const originalMedicine = advice.originalMedicine
+        
+        // 解析contentJson
+        let contentJsonData = {}
+        if (originalMedicine && originalMedicine.contentJson) {
+          try {
+            contentJsonData = JSON.parse(originalMedicine.contentJson)
+          } catch (e) {
+            return
+          }
+        }
+        
+        // 构造请求参数（与门诊医生工作站完全一致）
+        return {
+          // 基础信息
+          dbOpType: originalMedicine?.requestId ? '2' : '1', // 有请求ID则为修改，否则为新增
+          adviceType: originalMedicine?.adviceType || 1, // 使用原始类型或默认3
+          requestId: originalMedicine?.requestId,
+          chargeItemId: originalMedicine?.chargeItemId,
+          contentJson: originalMedicine?.contentJson,
+          categoryCode: contentJsonData.categoryCode || originalMedicine?.categoryCode,
+          positionId: originalMedicine?.positionId || contentJsonData.positionId,
+          pharmacologyCategoryCode: contentJsonData.pharmacologyCategoryCode || originalMedicine?.pharmacologyCategoryCode,
+          partPercent: originalMedicine?.partPercent || contentJsonData.partPercent || 1,
+          partAttributeEnum: originalMedicine?.partAttributeEnum || contentJsonData.partAttributeEnum,
+          executeNum: contentJsonData.executeNum || originalMedicine?.executeNum || 1,
+          prescriptionNo: originalMedicine?.prescriptionNo,
+          
+          // 数量和单位
+          quantity: originalMedicine?.quantity || 1,
+          dispensePerDuration: originalMedicine?.dispensePerDuration || contentJsonData.dispensePerDuration,
+          unitCode: contentJsonData.unitCode || originalMedicine?.unitCode || advice.unit,
+          unitPrice: originalMedicine?.unitPrice || contentJsonData.unitPrice || 0,
+          totalPrice: originalMedicine?.totalPrice || contentJsonData.totalPrice || 0,
+          definitionId: contentJsonData.definitionId || originalMedicine?.definitionId,
+          definitionDetailId: contentJsonData.definitionDetailId || originalMedicine?.definitionDetailId,
+          lotNumber: originalMedicine?.lotNumber || contentJsonData.lotNumber,
+          
+          // 状态和类型
+          statusEnum: originalMedicine?.statusEnum || 2, // 默认状态：已发送
+          categoryEnum: originalMedicine?.categoryEnum || contentJsonData.categoryEnum,
+          
+          // 药品/诊疗信息
+          adviceDefinitionId: contentJsonData.adviceDefinitionId || originalMedicine?.adviceDefinitionId,
+          adviceTableName: contentJsonData.adviceTableName || originalMedicine?.adviceTableName,
+          adviceName: advice.adviceName,
+          minUnitQuantity: originalMedicine?.minUnitQuantity || contentJsonData.minUnitQuantity,
+          
+          // 患者和就诊信息
+          patientId: props.patientInfo.patientId,
+          practitionerId: currentUser.value.id || originalMedicine?.practitionerId, // 开方医生
+          locationId: contentJsonData.locationId || originalMedicine?.locationId,
+          performLocation: originalMedicine?.performLocation || contentJsonData.performLocation,
+          founderOrgId: currentUser.value.id || originalMedicine?.founderOrgId, // 开方人科室
+          encounterId: props.patientInfo.visitId || contentJsonData.encounterId || originalMedicine?.encounterId,
+          accountId: contentJsonData.accountId || originalMedicine?.accountId,
+          conditionId: contentJsonData.conditionId || originalMedicine?.conditionId,
+          encounterDiagnosisId: originalMedicine?.encounterDiagnosisId || contentJsonData.encounterDiagnosisId,
+          conditionDefinitionId: originalMedicine?.conditionDefinitionId || contentJsonData.conditionDefinitionId,
+          
+          // 治疗信息
+          therapyEnum: originalMedicine?.therapyEnum || contentJsonData.therapyEnum || 1, // 默认临时医嘱
+          methodCode: advice.usage, // 用法（使用转换后的中文名称）
+          rateCode: advice.frequency, // 频次
+          dose: advice.dosage,
+          firstDose: originalMedicine?.firstDose || contentJsonData.firstDose,
+          doseUnitCode: contentJsonData.doseUnitCode || originalMedicine?.doseUnitCode || advice.unit,
+          skinTestFlag: originalMedicine?.skinTestFlag || contentJsonData.skinTestFlag,
+          injectFlag: originalMedicine?.injectFlag || contentJsonData.injectFlag,
+          
+          // 分组信息
+          groupId: originalMedicine?.groupId,
+          packageId: originalMedicine?.packageId || contentJsonData.packageId,
+          
+          // 诊疗活动信息
+          activityId: contentJsonData.adviceDefinitionId || originalMedicine?.adviceDefinitionId, // 对于诊疗类型，使用 adviceDefinitionId 作为 activity_id
+          
+          // 医保信息
+          ybClassEnum: originalMedicine?.ybClassEnum || contentJsonData.ybClassEnum,
+          
+          // 中药信息
+          chineseHerbsDoseQuantity: originalMedicine?.chineseHerbsDoseQuantity || contentJsonData.chineseHerbsDoseQuantity || 1
+        }
+      })
+    }
+
+    // 调用保存医嘱接口
+    const response = await savePrescription(saveData)
+    
+    if (response.code === 200) {
+      ElMessage.success('临时医嘱保存成功')
+      
+      // 构建提交数据
+      const submitData = {
+        patientInfo: props.patientInfo,
+        billingMedicines: props.billingMedicines,
+        temporaryAdvices: displayAdvices.value,
+        signature: {
+          doctorName: currentUser.value.name,
+          signatureTime: signatureTime.value
+        }
+      }
+      
+      // 通知父组件
+      emit('submit', submitData)
+    } else {
+      ElMessage.error('保存医嘱失败：' + (response.msg || response.message || '未知错误'))
+    }
+  } catch (error) {
+    ElMessage.error('保存医嘱失败，请重试')
+  }
+}
+
+const handleCancel = () => {
+  // 通知父组件关闭弹窗
+  emit('cancel')
+}
+</script>
+
+<style scoped>
+.temporary-medical-container {
+  padding: 20px;
+  max-height: 80vh;
+  overflow-y: auto;
+}
+
+.patient-info-section {
+  margin-bottom: 24px;
+}
+
+.patient-info-header h3 {
+  margin: 0 0 16px 0;
+  color: #333;
+  font-size: 18px;
+}
+
+.medicine-section,
+.advice-section,
+.signature-section {
+  margin-bottom: 24px;
+}
+
+.medicine-section h4,
+.advice-section h4,
+.signature-section h4 {
+  margin: 0 0 16px 0;
+  color: #666;
+  font-size: 16px;
+}
+
+.medicine-summary {
+  display: flex;
+  justify-content: flex-end;
+  gap: 20px;
+  padding: 12px;
+  background-color: #f5f7fa;
+  border-radius: 4px;
+}
+
+.summary-item {
+  font-size: 14px;
+  color: #666;
+}
+
+.summary-item.total {
+  font-weight: bold;
+  color: #409eff;
+}
+
+.signature-content {
+  padding: 16px;
+  background-color: #f5f7fa;
+  border-radius: 4px;
+}
+
+.signature-info {
+  margin-bottom: 12px;
+  font-size: 14px;
+}
+
+.signature-info span:first-child {
+  font-weight: bold;
+  margin-right: 8px;
+}
+
+.unsigned {
+  color: #f56c6c;
+}
+
+.signature-actions {
+  margin-top: 16px;
+}
+
+.footer-actions {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  gap: 30px;
+  margin-top: 24px;
+  padding-top: 16px;
+  border-top: 1px solid #e4e7ed;
+}
+
+.cancel-btn {
+  width: 120px;
+  height: 48px;
+  font-size: 16px;
+  border: 1px solid #dcdfe6;
+  transition: all 0.3s ease;
+}
+
+.cancel-btn:hover {
+  border-color: #409eff;
+  color: #409eff;
+  transform: translateY(-2px);
+  box-shadow: 0 4px 8px rgba(64, 158, 255, 0.2);
+}
+
+.sign-submit-btn {
+  width: 200px;
+  height: 48px;
+  font-size: 16px;
+  font-weight: bold;
+  background: linear-gradient(135deg, #67c23a 0%, #85ce61 100%);
+  border: none;
+  color: white;
+  transition: all 0.3s ease;
+  box-shadow: 0 4px 8px rgba(103, 194, 58, 0.3);
+}
+
+.sign-submit-btn:hover {
+  transform: translateY(-3px);
+  box-shadow: 0 6px 12px rgba(103, 194, 58, 0.4);
+}
+
+.sign-submit-btn:active {
+  transform: translateY(-1px);
+  box-shadow: 0 2px 4px rgba(103, 194, 58, 0.4);
+}
+
+.sign-submit-btn.signed {
+  background: linear-gradient(135deg, #409eff 0%, #66b1ff 100%);
+  box-shadow: 0 4px 8px rgba(64, 158, 255, 0.3);
+}
+
+.sign-submit-btn.signed:hover {
+  box-shadow: 0 6px 12px rgba(64, 158, 255, 0.4);
+}
+
+.sign-dialog-content p {
+  margin-bottom: 16px;
+  color: #666;
+}
+
+.dialog-actions {
+  display: flex;
+  justify-content: flex-end;
+  gap: 12px;
+}
+
+:deep(.el-descriptions) {
+  margin-top: 8px;
+}
+
+:deep(.el-descriptions__label) {
+  font-weight: bold;
+}
+</style>