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挂号补单功能的完善

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nanyangbreeze
2026-01-20 09:31:37 +08:00
parent 649f7bcf5b
commit d1223aec07
27 changed files with 4875 additions and 307 deletions
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openhis-server-new/sql/query_smart_candidate_pool_page.sql Normal file
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-- ============================================
-- 智能候选池查询SQL（智能分诊排队管理页面专用）
-- 页面：智能分诊排队管理 - 心内科
-- 用途：查询"已签到未入队"的患者（当日已挂号，但未加入队列）
-- ============================================
-- ============================================
-- 方案一：完整查询（包含所有字段，排除已在队列中的患者）
-- ============================================
SELECT
enc.id AS encounterId,
enc.patient_id AS patientId,
pt.name AS patientName,
pt.birth_date AS birthDate,
-- 计算年龄（前端会调用 parseAge 函数）
CASE
WHEN pt.birth_date IS NOT NULL THEN
EXTRACT(YEAR FROM AGE(pt.birth_date))::TEXT || '岁'
ELSE ''
END AS age,
org.id AS organizationId,
org.name AS organizationName,
hcs.name AS healthcareName,
pr.name AS practitionerName,
enc.create_time AS registerTime,
enc.status_enum AS statusEnum,
-- 其他字段（如果需要）
pt.phone,
pt.gender_enum AS genderEnum,
pt.id_card AS idCard
FROM adm_encounter enc
-- 关联患者表
INNER JOIN adm_patient pt
ON enc.patient_id = pt.id
AND pt.delete_flag = '0'
-- 关联科室表
LEFT JOIN adm_organization org
ON enc.organization_id = org.id
AND org.delete_flag = '0'
-- 关联医疗服务类型表（号别）
LEFT JOIN adm_healthcare_service hcs
ON enc.service_type_id = hcs.id
AND hcs.delete_flag = '0'
-- 关联就诊参与者表（医生信息）
LEFT JOIN (
SELECT encounter_id, practitioner_id,
ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
FROM adm_encounter_participant
WHERE delete_flag = '0'
AND (
-- 如果就诊状态为"进行中"，查找"接诊医生"（admitter）
(type_code = 'admitter' AND EXISTS(SELECT 1
FROM adm_encounter AS e
WHERE e.status_enum = 2 -- IN_PROGRESS
AND e.id = encounter_id))
OR
-- 如果就诊状态不是"进行中"，查找"挂号医生"（registration_doctor）
(type_code = 'registration_doctor' AND NOT EXISTS(SELECT 1
FROM adm_encounter AS e
WHERE e.status_enum = 2 -- IN_PROGRESS
AND e.id = encounter_id))
)
) ep ON enc.id = ep.encounter_id AND ep.rn = 1
-- 关联医生表
LEFT JOIN adm_practitioner pr
ON ep.practitioner_id = pr.id
AND pr.delete_flag = '0'
-- 关联收费项目表（挂号费）
INNER JOIN adm_charge_item ci
ON enc.id = ci.encounter_id
AND ci.delete_flag = '0'
AND ci.context_enum = 1 -- REGISTER（挂号）
-- 关联支付对账表（已支付）
INNER JOIN fin_payment_reconciliation prc
ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
AND prc.delete_flag = '0'
AND prc.status_enum = 1 -- SUCCESS（支付成功）
-- 排除已在队列中的患者（关键：LEFT JOIN + WHERE IS NULL）
LEFT JOIN hisdev.triage_queue_item tqi
ON enc.id = tqi.encounter_id
AND tqi.delete_flag = '0'
AND tqi.queue_date = CURRENT_DATE
AND tqi.status != 'COMPLETED' -- 排除已完成的状态
WHERE enc.delete_flag = '0'
AND enc.class_enum = 1 -- 门诊（AMB）
AND enc.create_time::DATE = CURRENT_DATE -- 当日挂号（前端会过滤 registerTime）
AND enc.status_enum != 6 -- 排除退号（statusEnum = -1 时）
AND tqi.id IS NULL -- 关键：只查询不在队列中的患者
ORDER BY enc.create_time DESC;
-- ============================================
-- 方案二：简化查询（仅核心字段，便于快速测试）
-- ============================================
SELECT
enc.id AS encounterId,
enc.patient_id AS patientId,
pt.name AS patientName,
org.id AS organizationId,
org.name AS organizationName,
hcs.name AS healthcareName,
pr.name AS practitionerName,
enc.create_time AS registerTime
FROM adm_encounter enc
INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
LEFT JOIN adm_healthcare_service hcs ON enc.service_type_id = hcs.id AND hcs.delete_flag = '0'
LEFT JOIN (
SELECT encounter_id, practitioner_id,
ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
FROM adm_encounter_participant
WHERE delete_flag = '0' AND type_code IN ('admitter', 'registration_doctor')
) ep ON enc.id = ep.encounter_id AND ep.rn = 1
LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
AND prc.delete_flag = '0' AND prc.status_enum = 1
-- 排除已在队列中的患者
LEFT JOIN hisdev.triage_queue_item tqi
ON enc.id = tqi.encounter_id
AND tqi.delete_flag = '0'
AND tqi.queue_date = CURRENT_DATE
AND tqi.status != 'COMPLETED'
WHERE enc.delete_flag = '0'
AND enc.class_enum = 1
AND enc.create_time::DATE = CURRENT_DATE
AND enc.status_enum != 6
AND tqi.id IS NULL -- 不在队列中
ORDER BY enc.create_time DESC;
-- ============================================
-- 方案三：分步查询（便于调试和理解）
-- ============================================
-- 步骤1：查询当日已挂号的患者（不排除队列）
SELECT
enc.id AS encounterId,
pt.name AS patientName,
org.name AS organizationName,
enc.create_time AS registerTime
FROM adm_encounter enc
INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
AND prc.delete_flag = '0' AND prc.status_enum = 1
WHERE enc.delete_flag = '0'
AND enc.class_enum = 1
AND enc.create_time::DATE = CURRENT_DATE
AND enc.status_enum != 6;
-- 步骤2：查询已在队列中的患者
SELECT DISTINCT encounter_id
FROM hisdev.triage_queue_item
WHERE delete_flag = '0'
AND queue_date = CURRENT_DATE
AND status != 'COMPLETED';
-- 步骤3：合并查询（使用 NOT EXISTS 或 NOT IN）
SELECT
enc.id AS encounterId,
pt.name AS patientName,
org.name AS organizationName,
enc.create_time AS registerTime
FROM adm_encounter enc
INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
AND prc.delete_flag = '0' AND prc.status_enum = 1
WHERE enc.delete_flag = '0'
AND enc.class_enum = 1
AND enc.create_time::DATE = CURRENT_DATE
AND enc.status_enum != 6
-- 排除已在队列中的患者
AND NOT EXISTS (
SELECT 1
FROM hisdev.triage_queue_item tqi
WHERE tqi.encounter_id = enc.id
AND tqi.delete_flag = '0'
AND tqi.queue_date = CURRENT_DATE
AND tqi.status != 'COMPLETED'
)
ORDER BY enc.create_time DESC;
-- ============================================
-- 查询条件说明
-- ============================================
-- 1. 基础条件：
-- - enc.delete_flag = '0' -- 未删除
-- - enc.class_enum = 1 -- 门诊（AMB）
-- - ci.context_enum = 1 -- 挂号（REGISTER）
-- - prc.status_enum = 1 -- 支付成功（SUCCESS）
--
-- 2. 日期过滤：
-- - enc.create_time::DATE = CURRENT_DATE -- 当日挂号
-- 注意：前端还会基于 registerTime 字段再次过滤今天的数据
--
-- 3. 状态过滤：
-- - enc.status_enum != 6 -- 排除退号（对应前端 statusEnum = -1）
--
-- 4. 队列去重：
-- - LEFT JOIN hisdev.triage_queue_item ... WHERE tqi.id IS NULL
-- 或者
-- - NOT EXISTS (SELECT 1 FROM hisdev.triage_queue_item ...)
-- 排除已在队列中且状态不是 COMPLETED 的患者
--
-- 5. 租户过滤（如果需要）：
-- - enc.tenant_id = ? -- 当前登录用户的租户ID
--
-- 6. 模糊搜索（如果需要）：
-- - pt.name LIKE '%关键词%' -- 患者姓名
-- - org.name LIKE '%关键词%' -- 科室名称
-- - pr.name LIKE '%关键词%' -- 医生姓名
-- - hcs.name LIKE '%关键词%' -- 号别名称
-- ============================================
-- 调试查询（检查数据是否正确）
-- ============================================
-- 1. 检查当日已挂号患者总数
SELECT COUNT(*) AS total_registered
FROM adm_encounter enc
INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
AND prc.delete_flag = '0' AND prc.status_enum = 1
WHERE enc.delete_flag = '0'
AND enc.class_enum = 1
AND enc.create_time::DATE = CURRENT_DATE
AND enc.status_enum != 6;
-- 2. 检查已在队列中的患者数量
SELECT COUNT(DISTINCT encounter_id) AS in_queue_count
FROM hisdev.triage_queue_item
WHERE delete_flag = '0'
AND queue_date = CURRENT_DATE
AND status != 'COMPLETED';
-- 3. 检查候选池应该显示的患者数量（已挂号 - 已在队列）
SELECT
(SELECT COUNT(*)
FROM adm_encounter enc
INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
AND prc.delete_flag = '0' AND prc.status_enum = 1
WHERE enc.delete_flag = '0'
AND enc.class_enum = 1
AND enc.create_time::DATE = CURRENT_DATE
AND enc.status_enum != 6)
-
(SELECT COUNT(DISTINCT encounter_id)
FROM hisdev.triage_queue_item
WHERE delete_flag = '0'
AND queue_date = CURRENT_DATE
AND status != 'COMPLETED')
AS candidate_pool_count;
-- 4. 查看队列中的患者详情（用于对比）
SELECT
tqi.encounter_id,
tqi.patient_name,
tqi.status,
tqi.queue_order
FROM hisdev.triage_queue_item tqi
WHERE tqi.delete_flag = '0'
AND tqi.queue_date = CURRENT_DATE
AND tqi.status != 'COMPLETED'
ORDER BY tqi.queue_order;