会诊管理中 门诊会诊申请确认和门诊会诊申请管理模块全部功能的实现。包括数据库设计，前端UI设计，后端接口开发。

openhis-server-new/openhis-application/src/main/resources/sql/consultation_confirmation_fix.sql

@@ -0,0 +1,27 @@
+-- ============================================
+-- 修复会诊确认表的 NOT NULL 约束问题
+-- ============================================
+
+-- 将 confirming_physician_id 等字段改为可空
+-- 因为在新的方案中，这些字段在所有医生确认后才会填充
+
+ALTER TABLE hisdev.consultation_confirmation 
+ALTER COLUMN confirming_physician_id DROP NOT NULL;
+
+ALTER TABLE hisdev.consultation_confirmation 
+ALTER COLUMN confirming_physician_name DROP NOT NULL;
+
+ALTER TABLE hisdev.consultation_confirmation 
+ALTER COLUMN confirming_dept_id DROP NOT NULL;
+
+ALTER TABLE hisdev.consultation_confirmation 
+ALTER COLUMN confirming_dept_name DROP NOT NULL;
+
+ALTER TABLE hisdev.consultation_confirmation 
+ALTER COLUMN confirming_date DROP NOT NULL;
+
+-- 说明：
+-- 在新的方案中，consultation_confirmation 记录在所有医生确认后才创建
+-- 这些字段用于记录"最后一个确认的医生"或"代表性医生"
+-- 因此允许为 NULL，实际的医生信息存储在 confirming_physicians (JSON) 字段中
+

openhis-server-new/openhis-application/src/main/resources/sql/consultation_confirmation_optimization.sql

@@ -0,0 +1,94 @@
+-- ============================================
+-- 会诊确认功能优化 - 数据库表结构修改 (PostgreSQL版本)
+-- ============================================
+
+-- 1. 修改 consultation_request 表（添加计数字段）
+ALTER TABLE hisdev.consultation_request 
+ADD COLUMN IF NOT EXISTS confirmed_count INT DEFAULT 0;
+
+ALTER TABLE hisdev.consultation_request 
+ADD COLUMN IF NOT EXISTS signed_count INT DEFAULT 0;
+
+ALTER TABLE hisdev.consultation_request 
+ADD COLUMN IF NOT EXISTS invited_count INT DEFAULT 0;
+
+-- 2. 修改 consultation_invited 表（添加签名时间字段）
+ALTER TABLE hisdev.consultation_invited 
+ADD COLUMN IF NOT EXISTS signature_time TIMESTAMP NULL;
+
+-- 3. 修改 consultation_confirmation 表（优化字段）
+ALTER TABLE hisdev.consultation_confirmation 
+ADD COLUMN IF NOT EXISTS all_confirmed_date TIMESTAMP NULL;
+
+ALTER TABLE hisdev.consultation_confirmation 
+ADD COLUMN IF NOT EXISTS all_signed_date TIMESTAMP NULL;
+
+-- 检查 confirming_physicians 字段是否存在，如果不存在则添加
+DO $$
+BEGIN
+    IF NOT EXISTS (
+        SELECT 1 FROM information_schema.columns 
+        WHERE table_schema = 'hisdev' 
+        AND table_name = 'consultation_confirmation' 
+        AND column_name = 'confirming_physicians'
+    ) THEN
+        -- 如果 confirming_physician 存在，则重命名
+        IF EXISTS (
+            SELECT 1 FROM information_schema.columns 
+            WHERE table_schema = 'hisdev' 
+            AND table_name = 'consultation_confirmation' 
+            AND column_name = 'confirming_physician'
+        ) THEN
+            ALTER TABLE hisdev.consultation_confirmation 
+            RENAME COLUMN confirming_physician TO confirming_physicians;
+        ELSE
+            -- 如果都不存在，则新增
+            ALTER TABLE hisdev.consultation_confirmation 
+            ADD COLUMN confirming_physicians TEXT;
+        END IF;
+    END IF;
+END $$;
+
+-- 4. 为现有数据初始化计数字段
+UPDATE hisdev.consultation_request cr
+SET invited_count = (
+    SELECT COUNT(*) 
+    FROM hisdev.consultation_invited ci 
+    WHERE ci.consultation_request_id = cr.id 
+      AND ci.is_deleted = 0
+)
+WHERE cr.invited_count = 0 OR cr.invited_count IS NULL;
+
+UPDATE hisdev.consultation_request cr
+SET confirmed_count = (
+    SELECT COUNT(*) 
+    FROM hisdev.consultation_invited ci 
+    WHERE ci.consultation_request_id = cr.id 
+      AND ci.invited_status >= 1
+      AND ci.is_deleted = 0
+)
+WHERE cr.confirmed_count = 0 OR cr.confirmed_count IS NULL;
+
+UPDATE hisdev.consultation_request cr
+SET signed_count = (
+    SELECT COUNT(*) 
+    FROM hisdev.consultation_invited ci 
+    WHERE ci.consultation_request_id = cr.id 
+      AND ci.invited_status >= 3
+      AND ci.is_deleted = 0
+)
+WHERE cr.signed_count = 0 OR cr.signed_count IS NULL;
+
+-- 5. 添加索引优化查询性能（如果不存在）
+CREATE INDEX IF NOT EXISTS idx_invited_status ON hisdev.consultation_invited(invited_status);
+CREATE INDEX IF NOT EXISTS idx_confirm_time ON hisdev.consultation_invited(confirm_time);
+
+-- 6. 添加字段注释
+COMMENT ON COLUMN hisdev.consultation_request.confirmed_count IS '已确认的医生数量';
+COMMENT ON COLUMN hisdev.consultation_request.signed_count IS '已签名的医生数量';
+COMMENT ON COLUMN hisdev.consultation_request.invited_count IS '被邀请的医生总数';
+COMMENT ON COLUMN hisdev.consultation_invited.signature_time IS '签名时间';
+COMMENT ON COLUMN hisdev.consultation_confirmation.all_confirmed_date IS '所有医生都确认的时间';
+COMMENT ON COLUMN hisdev.consultation_confirmation.all_signed_date IS '所有医生都签名的时间';
+COMMENT ON COLUMN hisdev.consultation_confirmation.confirming_physicians IS '参与确认的医生列表（JSON格式）';
+