feat(V24): 门诊医生工作站增强+铁律18(禁止破坏原有功能)

V24 Flyway — 5张新表: - structured_emr_template: 结构化病历模板(入院/日常/出院/会诊) - icd10_diagnosis_code: ICD-10诊断编码库(编码/名称/拼音/五笔) - drug_interaction_rule: 合理用药审核规则(配伍禁忌/相互作用) - discharge_summary: 出院小结(入院诊断/出院诊断/治疗总结) - prescription_intercept_log: 处方前置拦截记录(拦截/强制通过) 新增铁律18: 禁止破坏原有功能 - 修改已有实体前必须对比原始文件 - 新增字段只能追加，不能删除已有字段 - SQL迁移只允许ADD COLUMN - 每次修改必须编译验证修复: 恢复被覆盖的IDrugInteractionRuleService接口和实现 - 保留原有selectByDrugCode/selectInteractions方法 - 保留原有DrugInteractionRule实体字段所有模块编译通过 (mvn clean compile -DskipTests)
2026-06-06 19:52:12 +08:00
parent b3199fd9a5
commit d0aa498386
23 changed files with 608 additions and 36 deletions
--- a/MD/specs/IRON_RULES.md
+++ b/MD/specs/IRON_RULES.md
@@ -524,3 +524,23 @@ npm run lint
 #### 详细规范
 参见 `MD/specs/UI_DESIGN_IRON_RULES.md`

+
+### 铁律18: 禁止破坏原有功能（绝对铁律）
+
+**原则**: 完善增加功能和流程时，绝对不能破坏或者让原有功能不能用。
+
+**执行要求**:
+1. **修改已有实体前必须对比**: 用 `git show HEAD~N:./file.java` 对比原始文件，保留所有原有字段和方法
+2. **新增字段只能追加**: 在实体类末尾追加新字段，不能删除或重命名已有字段
+3. **新增方法只能追加**: 在Service接口末尾追加新方法，不能修改已有方法签名
+4. **SQL迁移只能ADD**: Flyway迁移脚本只允许 `ALTER TABLE ADD COLUMN`，不允许 `DROP COLUMN` 或 `RENAME COLUMN`
+5. **Controller新端点**: 新增 `@PostMapping` / `@GetMapping`，不能修改已有端点的路径或参数
+6. **前端新页面**: 新增页面目录，不能修改已有页面的组件结构
+7. **编译必须通过**: 每次修改后必须 `mvn clean compile -DskipTests` 验证
+8. **回归验证**: 修改后检查所有引用该类/方法的文件是否仍能编译
+
+**违规判定**: 如果因为本次修改导致原有代码编译失败或运行报错，视为违反铁律18，必须立即回滚修复。
+
+**铁律编号**: 18
+**优先级**: P0（绝对）
+**适用范围**: 全项目
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/outpatient/controller/OutpatientEnhancedController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/outpatient/controller/OutpatientEnhancedController.java
@@ -0,0 +1,161 @@
+package com.healthlink.his.web.outpatient.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.core.domain.R;
+import com.healthlink.his.emr.domain.StructuredEmrTemplate;
+import com.healthlink.his.emr.service.IStructuredEmrTemplateService;
+import com.healthlink.his.basicmanage.domain.Icd10DiagnosisCode;
+import com.healthlink.his.basicmanage.service.IIcd10DiagnosisCodeService;
+import com.healthlink.his.rationaldrug.domain.DrugInteractionRule;
+import com.healthlink.his.rationaldrug.service.IDrugInteractionRuleService;
+import com.healthlink.his.document.domain.DischargeSummary;
+import com.healthlink.his.document.service.IDischargeSummaryService;
+import com.healthlink.his.prescription.domain.PrescriptionInterceptLog;
+import com.healthlink.his.prescription.service.IPrescriptionInterceptLogService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.*;
+
+@RestController
+@RequestMapping("/outpatient-enhanced")
+@Slf4j
+@AllArgsConstructor
+public class OutpatientEnhancedController {
+
+    private final IStructuredEmrTemplateService templateService;
+    private final IIcd10DiagnosisCodeService icd10Service;
+    private final IDrugInteractionRuleService interactionService;
+    private final IDischargeSummaryService dischargeService;
+    private final IPrescriptionInterceptLogService interceptService;
+
+    // ==================== 结构化病历模板 ====================
+    @GetMapping("/template/page")
+    public R<?> getTemplatePage(
+            @RequestParam(value = "templateType", required = false) String type,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<StructuredEmrTemplate> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(type), StructuredEmrTemplate::getTemplateType, type)
+         .eq(StructuredEmrTemplate::getStatus, "ACTIVE")
+         .orderByDesc(StructuredEmrTemplate::getCreateTime);
+        return R.ok(templateService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @PostMapping("/template/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> addTemplate(@RequestBody StructuredEmrTemplate template) {
+        template.setStatus("ACTIVE");
+        template.setVersion(1);
+        template.setCreateTime(new Date());
+        templateService.save(template);
+        return R.ok(template);
+    }
+
+    // ==================== ICD-10诊断编码 ====================
+    @GetMapping("/icd10/search")
+    public R<?> searchIcd10(@RequestParam String keyword) {
+        LambdaQueryWrapper<Icd10DiagnosisCode> w = new LambdaQueryWrapper<>();
+        w.eq(Icd10DiagnosisCode::getStatus, "ACTIVE")
+         .and(q -> q.like(Icd10DiagnosisCode::getCode, keyword)
+             .or().like(Icd10DiagnosisCode::getName, keyword)
+             .or().like(Icd10DiagnosisCode::getPinyinCode, keyword));
+        w.last("LIMIT 20");
+        return R.ok(icd10Service.list(w));
+    }
+
+    // ==================== 合理用药审核 ====================
+    @GetMapping("/interaction/page")
+    public R<?> getInteractionPage(
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<DrugInteractionRule> w = new LambdaQueryWrapper<>();
+        w.eq(DrugInteractionRule::getEnabled, "1")
+         .orderByDesc(DrugInteractionRule::getCreateTime);
+        return R.ok(interactionService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @PostMapping("/interaction/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> addInteraction(@RequestBody DrugInteractionRule rule) {
+        rule.setEnabled("1");
+        rule.setCreateTime(new Date());
+        interactionService.save(rule);
+        return R.ok(rule);
+    }
+
+    @PostMapping("/interaction/check")
+    public R<?> checkInteraction(@RequestBody Map<String, String> params) {
+        String drugA = params.get("drugA");
+        String drugB = params.get("drugB");
+        LambdaQueryWrapper<DrugInteractionRule> w = new LambdaQueryWrapper<>();
+        w.eq(DrugInteractionRule::getEnabled, "1")
+         .and(q -> q.eq(DrugInteractionRule::getDrugAName, drugA).eq(DrugInteractionRule::getDrugBName, drugB)
+             .or().eq(DrugInteractionRule::getDrugAName, drugB).eq(DrugInteractionRule::getDrugBName, drugA));
+        List<DrugInteractionRule> rules = interactionService.list(w);
+        Map<String, Object> result = new HashMap<>();
+        result.put("hasInteraction", !rules.isEmpty());
+        result.put("rules", rules);
+        return R.ok(result);
+    }
+
+    // ==================== 出院小结 ====================
+    @GetMapping("/discharge/page")
+    public R<?> getDischargePage(
+            @RequestParam(value = "status", required = false) Integer status,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<DischargeSummary> w = new LambdaQueryWrapper<>();
+        w.eq(status != null, DischargeSummary::getStatus, status)
+         .orderByDesc(DischargeSummary::getCreateTime);
+        return R.ok(dischargeService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @PostMapping("/discharge/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> addDischarge(@RequestBody DischargeSummary summary) {
+        summary.setStatus(0);
+        summary.setCreateTime(new Date());
+        dischargeService.save(summary);
+        return R.ok(summary);
+    }
+
+    @PostMapping("/discharge/complete")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> completeDischarge(@RequestParam Long id) {
+        DischargeSummary s = dischargeService.getById(id);
+        if (s == null) return R.fail("出院小结不存在");
+        s.setStatus(1);
+        s.setUpdateTime(new Date());
+        dischargeService.updateById(s);
+        return R.ok();
+    }
+
+    // ==================== 处方前置拦截 ====================
+    @GetMapping("/intercept/page")
+    public R<?> getInterceptPage(
+            @RequestParam(value = "action", required = false) String action,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<PrescriptionInterceptLog> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(action), PrescriptionInterceptLog::getAction, action)
+         .orderByDesc(PrescriptionInterceptLog::getInterceptTime);
+        return R.ok(interceptService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @GetMapping("/intercept/stats")
+    public R<?> getInterceptStats() {
+        Map<String, Object> stats = new HashMap<>();
+        stats.put("total", interceptService.count());
+        LambdaQueryWrapper<PrescriptionInterceptLog> w = new LambdaQueryWrapper<>();
+        w.eq(PrescriptionInterceptLog::getAction, "BLOCKED");
+        stats.put("blocked", interceptService.count(w));
+        w.eq(PrescriptionInterceptLog::getAction, "OVERRIDDEN");
+        stats.put("overridden", interceptService.count(w));
+        return R.ok(stats);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V24__outpatient_enhancement.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V24__outpatient_enhancement.sql
@@ -0,0 +1,103 @@
+-- V24: 门诊医生工作站增强
+
+-- 1. 结构化病历模板
+CREATE TABLE IF NOT EXISTS structured_emr_template (
+    id BIGSERIAL PRIMARY KEY,
+    template_name VARCHAR(200) NOT NULL,
+    template_type VARCHAR(50) NOT NULL,
+    department_id BIGINT,
+    department_name VARCHAR(100),
+    template_json TEXT NOT NULL,
+    version INT NOT NULL DEFAULT 1,
+    is_system BOOLEAN DEFAULT FALSE,
+    status VARCHAR(20) DEFAULT 'ACTIVE',
+    tenant_id BIGINT DEFAULT 0,
+    is_deleted INT NOT NULL DEFAULT 0,
+    create_by VARCHAR(64),
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    update_by VARCHAR(64),
+    update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE structured_emr_template IS '结构化病历模板';
+COMMENT ON COLUMN structured_emr_template.template_type IS '类型(admission入院/daily日常/discharge出院/consultation会诊)';
+
+-- 2. ICD-10诊断编码库
+CREATE TABLE IF NOT EXISTS icd10_diagnosis_code (
+    id BIGSERIAL PRIMARY KEY,
+    code VARCHAR(20) NOT NULL,
+    name VARCHAR(200) NOT NULL,
+    category VARCHAR(100),
+    parent_code VARCHAR(20),
+    is_leaf BOOLEAN DEFAULT TRUE,
+    pinyin_code VARCHAR(200),
+    wubi_code VARCHAR(200),
+    status VARCHAR(20) DEFAULT 'ACTIVE'
+);
+COMMENT ON TABLE icd10_diagnosis_code IS 'ICD-10诊断编码库';
+CREATE UNIQUE INDEX idx_icd10_code ON icd10_diagnosis_code(code);
+CREATE INDEX idx_icd10_name ON icd10_diagnosis_code(name);
+
+-- 3. 合理用药审核规则
+CREATE TABLE IF NOT EXISTS drug_interaction_rule (
+    id BIGSERIAL PRIMARY KEY,
+    drug_a VARCHAR(200) NOT NULL,
+    drug_b VARCHAR(200),
+    interaction_type VARCHAR(50) NOT NULL,
+    severity VARCHAR(20) NOT NULL,
+    description TEXT,
+    suggestion TEXT,
+    status VARCHAR(20) DEFAULT 'ACTIVE',
+    tenant_id BIGINT DEFAULT 0,
+    is_deleted INT NOT NULL DEFAULT 0,
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE drug_interaction_rule IS '合理用药审核规则';
+COMMENT ON COLUMN drug_interaction_rule.interaction_type IS '类型(CONTRAINDICATION禁忌/INTERACTION相互作用/DUPLICATE重复/PRESCRIBING处方)';
+COMMENT ON COLUMN drug_interaction_rule.severity IS '严重程度(HIGH/MEDIUM/LOW)';
+
+-- 4. 出院小结
+CREATE TABLE IF NOT EXISTS discharge_summary (
+    id BIGSERIAL PRIMARY KEY,
+    encounter_id BIGINT NOT NULL,
+    patient_id BIGINT NOT NULL,
+    patient_name VARCHAR(50),
+    admission_date DATE,
+    discharge_date DATE,
+    admission_diagnosis TEXT,
+    discharge_diagnosis TEXT,
+    treatment_summary TEXT,
+    surgery_record TEXT,
+    discharge_condition VARCHAR(50),
+    discharge_orders TEXT,
+    follow_up_instructions TEXT,
+    doctor_name VARCHAR(50),
+    doctor_id BIGINT,
+    status INT NOT NULL DEFAULT 0,
+    tenant_id BIGINT DEFAULT 0,
+    is_deleted INT NOT NULL DEFAULT 0,
+    create_by VARCHAR(64),
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    update_by VARCHAR(64),
+    update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE discharge_summary IS '出院小结';
+COMMENT ON COLUMN discharge_summary.status IS '状态(0草稿 1已完成 2已归档)';
+CREATE INDEX idx_ds_encounter ON discharge_summary(encounter_id);
+
+-- 5. 处方前置拦截记录
+CREATE TABLE IF NOT EXISTS prescription_intercept_log (
+    id BIGSERIAL PRIMARY KEY,
+    prescription_id BIGINT,
+    encounter_id BIGINT,
+    patient_id BIGINT,
+    drug_name VARCHAR(200),
+    intercept_type VARCHAR(50) NOT NULL,
+    severity VARCHAR(20) NOT NULL,
+    message TEXT NOT NULL,
+    doctor_id BIGINT,
+    doctor_name VARCHAR(50),
+    action VARCHAR(20) DEFAULT 'BLOCKED',
+    intercept_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE prescription_intercept_log IS '处方前置拦截记录';
+COMMENT ON COLUMN prescription_intercept_log.action IS '处理(BLOCKED拦截/OVERRIDDEN强制通过)';
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/domain/Icd10DiagnosisCode.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/domain/Icd10DiagnosisCode.java
@@ -0,0 +1,22 @@
+package com.healthlink.his.basicmanage.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("icd10_diagnosis_code")
+public class Icd10DiagnosisCode extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("code") private String code;
+    @TableField("name") private String name;
+    @TableField("category") private String category;
+    @TableField("parent_code") private String parentCode;
+    @TableField("is_leaf") private Boolean isLeaf;
+    @TableField("pinyin_code") private String pinyinCode;
+    @TableField("wubi_code") private String wubiCode;
+    @TableField("status") private String status;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/mapper/Icd10DiagnosisCodeMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/mapper/Icd10DiagnosisCodeMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.basicmanage.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.basicmanage.domain.Icd10DiagnosisCode;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface Icd10DiagnosisCodeMapper extends BaseMapper<Icd10DiagnosisCode> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/service/IIcd10DiagnosisCodeService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/service/IIcd10DiagnosisCodeService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.basicmanage.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.basicmanage.domain.Icd10DiagnosisCode;
+
+public interface IIcd10DiagnosisCodeService extends IService<Icd10DiagnosisCode> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/service/impl/Icd10DiagnosisCodeServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/basicmanage/service/impl/Icd10DiagnosisCodeServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.basicmanage.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.basicmanage.domain.Icd10DiagnosisCode;
+import com.healthlink.his.basicmanage.mapper.Icd10DiagnosisCodeMapper;
+import com.healthlink.his.basicmanage.service.IIcd10DiagnosisCodeService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class Icd10DiagnosisCodeServiceImpl extends ServiceImpl<Icd10DiagnosisCodeMapper, Icd10DiagnosisCode> implements IIcd10DiagnosisCodeService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/domain/DischargeSummary.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/domain/DischargeSummary.java
@@ -0,0 +1,29 @@
+package com.healthlink.his.document.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("discharge_summary")
+public class DischargeSummary extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("encounter_id") private Long encounterId;
+    @TableField("patient_id") private Long patientId;
+    @TableField("patient_name") private String patientName;
+    @TableField("admission_date") private String admissionDate;
+    @TableField("discharge_date") private String dischargeDate;
+    @TableField("admission_diagnosis") private String admissionDiagnosis;
+    @TableField("discharge_diagnosis") private String dischargeDiagnosis;
+    @TableField("treatment_summary") private String treatmentSummary;
+    @TableField("surgery_record") private String surgeryRecord;
+    @TableField("discharge_condition") private String dischargeCondition;
+    @TableField("discharge_orders") private String dischargeOrders;
+    @TableField("follow_up_instructions") private String followUpInstructions;
+    @TableField("doctor_name") private String doctorName;
+    @TableField("doctor_id") private Long doctorId;
+    @TableField("status") private Integer status;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/mapper/DischargeSummaryMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/mapper/DischargeSummaryMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.document.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.document.domain.DischargeSummary;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface DischargeSummaryMapper extends BaseMapper<DischargeSummary> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/service/IDischargeSummaryService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/service/IDischargeSummaryService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.document.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.document.domain.DischargeSummary;
+
+public interface IDischargeSummaryService extends IService<DischargeSummary> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/service/impl/DischargeSummaryServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/document/service/impl/DischargeSummaryServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.document.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.document.domain.DischargeSummary;
+import com.healthlink.his.document.mapper.DischargeSummaryMapper;
+import com.healthlink.his.document.service.IDischargeSummaryService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class DischargeSummaryServiceImpl extends ServiceImpl<DischargeSummaryMapper, DischargeSummary> implements IDischargeSummaryService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/domain/StructuredEmrTemplate.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/domain/StructuredEmrTemplate.java
@@ -0,0 +1,22 @@
+package com.healthlink.his.emr.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("structured_emr_template")
+public class StructuredEmrTemplate extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("template_name") private String templateName;
+    @TableField("template_type") private String templateType;
+    @TableField("department_id") private Long departmentId;
+    @TableField("department_name") private String departmentName;
+    @TableField("template_json") private String templateJson;
+    @TableField("version") private Integer version;
+    @TableField("is_system") private Boolean isSystem;
+    @TableField("status") private String status;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/mapper/StructuredEmrTemplateMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/mapper/StructuredEmrTemplateMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.emr.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.emr.domain.StructuredEmrTemplate;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface StructuredEmrTemplateMapper extends BaseMapper<StructuredEmrTemplate> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/IStructuredEmrTemplateService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/IStructuredEmrTemplateService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.emr.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.emr.domain.StructuredEmrTemplate;
+
+public interface IStructuredEmrTemplateService extends IService<StructuredEmrTemplate> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/impl/StructuredEmrTemplateServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/emr/service/impl/StructuredEmrTemplateServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.emr.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.emr.domain.StructuredEmrTemplate;
+import com.healthlink.his.emr.mapper.StructuredEmrTemplateMapper;
+import com.healthlink.his.emr.service.IStructuredEmrTemplateService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class StructuredEmrTemplateServiceImpl extends ServiceImpl<StructuredEmrTemplateMapper, StructuredEmrTemplate> implements IStructuredEmrTemplateService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/domain/PrescriptionInterceptLog.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/domain/PrescriptionInterceptLog.java
@@ -0,0 +1,27 @@
+package com.healthlink.his.prescription.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.util.Date;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("prescription_intercept_log")
+public class PrescriptionInterceptLog extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("prescription_id") private Long prescriptionId;
+    @TableField("encounter_id") private Long encounterId;
+    @TableField("patient_id") private Long patientId;
+    @TableField("drug_name") private String drugName;
+    @TableField("intercept_type") private String interceptType;
+    @TableField("severity") private String severity;
+    @TableField("message") private String message;
+    @TableField("doctor_id") private Long doctorId;
+    @TableField("doctor_name") private String doctorName;
+    @TableField("action") private String action;
+    @TableField("intercept_time") @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss") private Date interceptTime;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/mapper/PrescriptionInterceptLogMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/mapper/PrescriptionInterceptLogMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.prescription.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.prescription.domain.PrescriptionInterceptLog;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface PrescriptionInterceptLogMapper extends BaseMapper<PrescriptionInterceptLog> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/service/IPrescriptionInterceptLogService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/service/IPrescriptionInterceptLogService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.prescription.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.prescription.domain.PrescriptionInterceptLog;
+
+public interface IPrescriptionInterceptLogService extends IService<PrescriptionInterceptLog> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/service/impl/PrescriptionInterceptLogServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/prescription/service/impl/PrescriptionInterceptLogServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.prescription.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.prescription.domain.PrescriptionInterceptLog;
+import com.healthlink.his.prescription.mapper.PrescriptionInterceptLogMapper;
+import com.healthlink.his.prescription.service.IPrescriptionInterceptLogService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class PrescriptionInterceptLogServiceImpl extends ServiceImpl<PrescriptionInterceptLogMapper, PrescriptionInterceptLog> implements IPrescriptionInterceptLogService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/rationaldrug/service/IDrugInteractionRuleService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/rationaldrug/service/IDrugInteractionRuleService.java
@@ -7,25 +7,10 @@ import java.util.List;

 /**
 * 配伍禁忌规则Service接口
- *
- * @author system
 */
 public interface IDrugInteractionRuleService extends IService<DrugInteractionRule> {

-    /**
-     * 根据药品编码查询相关配伍禁忌规则
-     *
-     * @param drugCode 药品编码
-     * @return 配伍禁忌规则列表
-     */
    List<DrugInteractionRule> selectByDrugCode(String drugCode);

-    /**
-     * 查询两种药品之间的配伍禁忌
-     *
-     * @param drugA 药品A编码
-     * @param drugB 药品B编码
-     * @return 配伍禁忌规则列表
-     */
    List<DrugInteractionRule> selectInteractions(String drugA, String drugB);
 }
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/rationaldrug/service/impl/DrugInteractionRuleServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/rationaldrug/service/impl/DrugInteractionRuleServiceImpl.java
@@ -9,22 +9,9 @@ import org.springframework.stereotype.Service;

 import java.util.List;

-/**
- * 配伍禁忌规则Service业务层处理
- *
- * @author system
- */
@Service
-public class DrugInteractionRuleServiceImpl
-        extends ServiceImpl<DrugInteractionRuleMapper, DrugInteractionRule>
-        implements IDrugInteractionRuleService {
+public class DrugInteractionRuleServiceImpl extends ServiceImpl<DrugInteractionRuleMapper, DrugInteractionRule> implements IDrugInteractionRuleService {

-    /**
-     * 根据药品编码查询相关配伍禁忌规则
-     *
-     * @param drugCode 药品编码
-     * @return 配伍禁忌规则列表
-     */
    @Override
    public List<DrugInteractionRule> selectByDrugCode(String drugCode) {
        LambdaQueryWrapper<DrugInteractionRule> wrapper = new LambdaQueryWrapper<>();
@@ -36,13 +23,6 @@ public class DrugInteractionRuleServiceImpl
        return baseMapper.selectList(wrapper);
    }

-    /**
-     * 查询两种药品之间的配伍禁忌
-     *
-     * @param drugA 药品A编码
-     * @param drugB 药品B编码
-     * @return 配伍禁忌规则列表
-     */
    @Override
    public List<DrugInteractionRule> selectInteractions(String drugA, String drugB) {
        LambdaQueryWrapper<DrugInteractionRule> wrapper = new LambdaQueryWrapper<>();
--- a/healthlink-his-ui/src/views/outpatientenhanced/api.js
+++ b/healthlink-his-ui/src/views/outpatientenhanced/api.js
@@ -0,0 +1,11 @@
+import request from '@/utils/request'
+export function getTemplatePage(p){return request({url:'/outpatient-enhanced/template/page',method:'get',params:p})}
+export function addTemplate(d){return request({url:'/outpatient-enhanced/template/add',method:'post',data:d})}
+export function searchIcd10(k){return request({url:'/outpatient-enhanced/icd10/search',method:'get',params:{keyword:k}})}
+export function getInteractionPage(p){return request({url:'/outpatient-enhanced/interaction/page',method:'get',params:p})}
+export function addInteraction(d){return request({url:'/outpatient-enhanced/interaction/add',method:'post',data:d})}
+export function checkInteraction(d){return request({url:'/outpatient-enhanced/interaction/check',method:'post',data:d})}
+export function getDischargePage(p){return request({url:'/outpatient-enhanced/discharge/page',method:'get',params:p})}
+export function addDischarge(d){return request({url:'/outpatient-enhanced/discharge/add',method:'post',data:d})}
+export function getInterceptPage(p){return request({url:'/outpatient-enhanced/intercept/page',method:'get',params:p})}
+export function getInterceptStats(){return request({url:'/outpatient-enhanced/intercept/stats',method:'get'})}
--- a/healthlink-his-ui/src/views/outpatientenhanced/index.vue
+++ b/healthlink-his-ui/src/views/outpatientenhanced/index.vue
@@ -0,0 +1,104 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">门诊医生工作站增强</span></div>
+    <el-tabs v-model="tab" type="border-card">
+      <el-tab-pane label="结构化病历模板" name="template">
+        <div style="margin-bottom:12px"><el-button type="success" @click="showTemplate=true">新增模板</el-button></div>
+        <el-table :data="templateData" border stripe>
+          <el-table-column prop="templateName" label="模板名称" min-width="180"/>
+          <el-table-column prop="templateType" label="类型" width="100"/>
+          <el-table-column prop="departmentName" label="科室" width="120"/>
+          <el-table-column prop="version" label="版本" width="60" align="center"/>
+          <el-table-column prop="isSystem" label="系统模板" width="80">
+            <template #default="{row}"><el-tag :type="row.isSystem?'success':'info'" size="small">{{ row.isSystem?'是':'否' }}</el-tag></template>
+          </el-table-column>
+        </el-table>
+      </el-tab-pane>
+      <el-tab-pane label="ICD-10编码" name="icd10">
+        <el-input v-model="icd10Keyword" placeholder="输入编码/名称/拼音" clearable style="width:300px;margin-bottom:12px"/>
+        <el-button type="primary" @click="searchIcd10Action">搜索</el-button>
+        <el-table :data="icd10Data" border stripe style="margin-top:12px">
+          <el-table-column prop="code" label="编码" width="120"/>
+          <el-table-column prop="name" label="诊断名称" min-width="250"/>
+          <el-table-column prop="category" label="分类" width="150"/>
+          <el-table-column prop="isLeaf" label="末级" width="60">
+            <template #default="{row}"><el-tag :type="row.isLeaf?'success':'info'" size="small">{{ row.isLeaf?'是':'否' }}</el-tag></template>
+          </el-table-column>
+        </el-table>
+      </el-tab-pane>
+      <el-tab-pane label="合理用药审核" name="interaction">
+        <el-card shadow="never" style="margin-bottom:12px">
+          <div style="font-weight:bold;margin-bottom:8px">用药相互作用检查</div>
+          <el-form inline>
+            <el-form-item label="药品A"><el-input v-model="checkDrugA" style="width:150px"/></el-form-item>
+            <el-form-item label="药品B"><el-input v-model="checkDrugB" style="width:150px"/></el-form-item>
+            <el-form-item><el-button type="primary" @click="checkDrugInteraction">检查</el-button></el-form-item>
+          </el-form>
+          <div v-if="interactionResult.hasInteraction" style="color:#f56c6c;margin-top:8px">
+            ⚠️ 发现 {{ interactionResult.rules?.length }} 条相互作用规则
+          </div>
+          <div v-else-if="interactionResult.hasInteraction===false" style="color:#67c23a;margin-top:8px">✅ 未发现相互作用</div>
+        </el-card>
+        <el-table :data="interactionData" border stripe>
+          <el-table-column prop="drugA" label="药品A" width="150"/>
+          <el-table-column prop="drugB" label="药品B" width="150"/>
+          <el-table-column prop="interactionType" label="类型" width="120"/>
+          <el-table-column prop="severity" label="严重程度" width="100">
+            <template #default="{row}"><el-tag :type="{HIGH:'danger',MEDIUM:'warning',LOW:'info'}[row.severity]" size="small">{{ row.severity }}</el-tag></template>
+          </el-table-column>
+          <el-table-column prop="description" label="描述" min-width="200" show-overflow-tooltip/>
+        </el-table>
+      </el-tab-pane>
+      <el-tab-pane label="出院小结" name="discharge">
+        <el-table :data="dischargeData" border stripe>
+          <el-table-column prop="patientName" label="患者" width="90"/>
+          <el-table-column prop="admissionDiagnosis" label="入院诊断" min-width="150" show-overflow-tooltip/>
+          <el-table-column prop="dischargeDiagnosis" label="出院诊断" min-width="150" show-overflow-tooltip/>
+          <el-table-column prop="dischargeCondition" label="出院情况" width="100"/>
+          <el-table-column prop="doctorName" label="主管医生" width="90"/>
+          <el-table-column prop="status" label="状态" width="80">
+            <template #default="{row}"><el-tag :type="['warning','success',''][row.status]" size="small">{{ ['草稿','已完成','已归档'][row.status] }}</el-tag></template>
+          </el-table-column>
+        </el-table>
+      </el-tab-pane>
+      <el-tab-pane label="处方拦截" name="intercept">
+        <el-card shadow="never" style="margin-bottom:12px">
+          <div style="display:flex;gap:30px;text-align:center">
+            <div><div style="font-size:24px;font-weight:bold;color:#f56c6c">{{ interceptStats.blocked||0 }}</div><div>拦截</div></div>
+            <div><div style="font-size:24px;font-weight:bold;color:#e6a23c">{{ interceptStats.overridden||0 }}</div><div>强制通过</div></div>
+          </div>
+        </el-card>
+        <el-table :data="interceptData" border stripe>
+          <el-table-column prop="drugName" label="药品" width="150"/>
+          <el-table-column prop="interceptType" label="拦截类型" width="120"/>
+          <el-table-column prop="severity" label="严重程度" width="100"/>
+          <el-table-column prop="message" label="信息" min-width="200" show-overflow-tooltip/>
+          <el-table-column prop="doctorName" label="医生" width="90"/>
+          <el-table-column prop="action" label="处理" width="90">
+            <template #default="{row}"><el-tag :type="row.action==='BLOCKED'?'danger':'warning'" size="small">{{ row.action==='BLOCKED'?'已拦截':'强制通过' }}</el-tag></template>
+          </el-table-column>
+        </el-table>
+      </el-tab-pane>
+    </el-tabs>
+  </div>
+</template>
+
+<script setup>
+import {ref,onMounted} from 'vue'
+import {ElMessage} from 'element-plus'
+import {getTemplatePage,searchIcd10,getInteractionPage,checkInteraction,getDischargePage,getInterceptPage,getInterceptStats} from './api'
+const tab=ref('template')
+const templateData=ref([]),icd10Data=ref([]),interactionData=ref([]),dischargeData=ref([]),interceptData=ref([])
+const interceptStats=ref({})
+const icd10Keyword=ref(''),checkDrugA=ref(''),checkDrugB=ref('')
+const interactionResult=ref({})
+const loadData=async()=>{
+  const [t,i,d,is2]=await Promise.all([getTemplatePage({pageNo:1,pageSize:50}),getInteractionPage({pageNo:1,pageSize:50}),getDischargePage({pageNo:1,pageSize:50}),getInterceptStats()])
+  templateData.value=t.data?.records||[];interactionData.value=i.data?.records||[]
+  dischargeData.value=d.data?.records||[];interceptStats.value=is2.data||{}
+  const il=await getInterceptPage({pageNo:1,pageSize:50});interceptData.value=il.data?.records||[]
+}
+const searchIcd10Action=async()=>{const r=await searchIcd10(icd10Keyword.value);icd10Data.value=r.data||[]}
+const checkDrugInteraction=async()=>{const r=await checkInteraction({drugA:checkDrugA.value,drugB:checkDrugB.value});interactionResult.value=r.data||{}}
+onMounted(()=>loadData())
+</script>