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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
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commit d1223aec07
27 changed files with 4875 additions and 307 deletions
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openhis-server-new/sql/query_smart_candidate_pool_with_exclusion.sql Normal file
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-- ============================================
-- 智能候选池查询SQL（完整版 - 包含排除列表）
-- 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，且未在排除列表中）
-- 更新日期：2025-01-15
-- ============================================
-- ============================================
-- 方案一：完整查询（包含所有字段，排除已在队列和排除列表中的患者）
-- ============================================
SELECT
T9.tenant_id AS tenantId,
T9.encounter_id AS encounterId,
T9.display_order AS displayOrder,
T9.organization_id AS organizationId,
T9.organization_name AS organizationName,
T9.healthcare_name AS healthcareName,
T9.practitioner_user_id AS practitionerUserId,
T9.practitioner_name AS practitionerName,
T9.contract_name AS contractName,
T9.patient_id AS patientId,
T9.patient_name AS patientName,
T9.phone,
T9.gender_enum AS genderEnum,
T9.id_card AS idCard,
T9.status_enum AS statusEnum,
T9.register_time AS registerTime,
T9.total_price AS totalPrice,
T9.account_name AS accountName,
T9.enterer_name AS entererName,
T9.charge_item_ids AS chargeItemIds,
T9.payment_id AS paymentId,
T9.picture_url AS pictureUrl,
T9.birth_date AS birthDate,
COALESCE(T9.identifier_no, T9.patient_bus_no, '') AS identifierNo,
-- 计算年龄（前端会调用 parseAge 函数）
CASE
WHEN T9.birth_date IS NOT NULL THEN
EXTRACT(YEAR FROM AGE(T9.birth_date))::TEXT || '岁'
ELSE ''
END AS age
FROM (
SELECT T1.tenant_id AS tenant_id,
T1.id AS encounter_id,
T1.display_order AS display_order,
T1.organization_id AS organization_id,
T2.NAME AS organization_name,
T3.NAME AS healthcare_name,
T5.user_id AS practitioner_user_id,
T5.NAME AS practitioner_name,
T7.contract_name AS contract_name,
T8.id AS patient_id,
T8.NAME AS patient_name,
T8.phone AS phone,
T8.gender_enum AS gender_enum,
T8.id_card AS id_card,
T1.status_enum AS status_enum,
T1.create_time AS register_time,
T10.total_price,
T11."name" AS account_name,
T12."name" AS enterer_name,
T13.charge_item_ids,
T13.id AS payment_id,
ai.picture_url AS picture_url,
T8.birth_date AS birth_date,
T8.bus_no AS patient_bus_no,
T18.identifier_no AS identifier_no
FROM adm_encounter AS T1
LEFT JOIN adm_organization AS T2 ON T1.organization_id = T2.ID AND T2.delete_flag = '0'
LEFT JOIN adm_healthcare_service AS T3 ON T1.service_type_id = T3.ID AND T3.delete_flag = '0'
LEFT JOIN (
SELECT *
FROM (
SELECT *,
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 = 'admitter' AND EXISTS(SELECT 1
FROM adm_encounter AS T1
WHERE T1.status_enum = 2 -- IN_PROGRESS
AND T1.ID = encounter_id))
OR
(type_code = 'registration_doctor' AND NOT EXISTS(SELECT 1
FROM adm_encounter AS T1
WHERE T1.status_enum = 2 -- IN_PROGRESS
AND T1.ID = encounter_id))
)
) t
WHERE rn = 1
) AS T4 ON T1.ID = T4.encounter_id
LEFT JOIN adm_practitioner AS T5 ON T5.ID = T4.practitioner_id AND T5.delete_flag = '0'
LEFT JOIN adm_account AS T6
ON T1.ID = T6.encounter_id AND T6.delete_flag = '0' AND T6.encounter_flag = '1'
LEFT JOIN fin_contract AS T7 ON T6.contract_no = T7.bus_no AND T7.delete_flag = '0'
LEFT JOIN adm_patient AS T8 ON T1.patient_id = T8.ID AND T8.delete_flag = '0'
LEFT JOIN (
SELECT patient_id,
identifier_no
FROM (
SELECT patient_id,
identifier_no,
ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
FROM adm_patient_identifier
WHERE delete_flag = '0'
AND identifier_no IS NOT NULL
AND identifier_no != ''
) t
WHERE rn = 1
) AS T18 ON T8.id = T18.patient_id
LEFT JOIN adm_charge_item AS T10 ON T1.id = T10.encounter_id AND T10.delete_flag = '0'
LEFT JOIN adm_account AS T11 ON T10.account_id = T11.id AND T11.delete_flag = '0'
LEFT JOIN adm_practitioner AS T12 ON T12.ID = T10.enterer_id AND T12.delete_flag = '0'
LEFT JOIN fin_payment_reconciliation T13
ON T10.id::TEXT = ANY(string_to_array(T13.charge_item_ids,','))
AND T13.delete_flag = '0'
AND T13.status_enum = 1 -- SUCCESS（支付成功）
LEFT JOIN adm_invoice AS ai
ON ai.reconciliation_id = T13.id AND ai.delete_flag = '0'
WHERE T1.delete_flag = '0'
AND T1.class_enum = 1 -- 门诊（AMB）
AND T1.create_time::DATE = CURRENT_DATE -- 当日挂号
AND T1.status_enum != 6 -- 排除退号
AND T10.context_enum = 1 -- REGISTER（挂号）
) AS T9
-- 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 T9.encounter_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
-- 排除已在排除列表中的患者（新增：关键：LEFT JOIN + WHERE IS NULL）
LEFT JOIN hisdev.triage_candidate_exclusion tce
ON T9.encounter_id = tce.encounter_id
AND tce.delete_flag = '0'
AND tce.exclusion_date = CURRENT_DATE
AND tce.tenant_id = T9.tenant_id -- 按租户过滤
WHERE tqi.id IS NULL -- 关键：只查询不在队列中的患者
AND tce.id IS NULL -- 关键：只查询不在排除列表中的患者
ORDER BY T9.register_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'
-- 排除已在排除列表中的患者（新增）
LEFT JOIN hisdev.triage_candidate_exclusion tce
ON enc.id = tce.encounter_id
AND tce.delete_flag = '0'
AND tce.exclusion_date = CURRENT_DATE
AND tce.tenant_id = enc.tenant_id
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
AND tce.id IS NULL -- 不在排除列表中
ORDER BY enc.create_time DESC;
-- ============================================
-- 方案三：使用 NOT EXISTS 子查询（性能可能更好）
-- ============================================
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
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'
)
-- 排除已在排除列表中的患者（新增）
AND NOT EXISTS (
SELECT 1
FROM hisdev.triage_candidate_exclusion tce
WHERE tce.encounter_id = enc.id
AND tce.delete_flag = '0'
AND tce.exclusion_date = CURRENT_DATE
AND tce.tenant_id = enc.tenant_id
)
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. 排除列表去重（新增）：
-- - LEFT JOIN hisdev.triage_candidate_exclusion ... WHERE tce.id IS NULL
-- 或者
-- - NOT EXISTS (SELECT 1 FROM hisdev.triage_candidate_exclusion ...)
-- 排除已在排除列表中的患者（已加入队列后被记录）
--
-- 6. 租户过滤（如果需要）：
-- - enc.tenant_id = ? -- 当前登录用户的租户ID
--
-- 7. 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. 检查已在排除列表中的患者数量（新增）
SELECT COUNT(DISTINCT encounter_id) AS in_exclusion_count
FROM hisdev.triage_candidate_exclusion
WHERE delete_flag = '0'
AND exclusion_date = CURRENT_DATE;
-- 4. 检查候选池应该显示的患者数量（已挂号 - 已在队列 - 已在排除列表）
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')
-
(SELECT COUNT(DISTINCT encounter_id)
FROM hisdev.triage_candidate_exclusion
WHERE delete_flag = '0'
AND exclusion_date = CURRENT_DATE)
AS candidate_pool_count;
-- 5. 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;
-- 6. 查看排除列表中的患者详情（新增）
SELECT
tce.encounter_id,
tce.patient_name,
tce.reason,
tce.create_time
FROM hisdev.triage_candidate_exclusion tce
WHERE tce.delete_flag = '0'
AND tce.exclusion_date = CURRENT_DATE
ORDER BY tce.create_time DESC;
-- 7. 查看重叠的患者（既在队列中，又在排除列表中）
SELECT
tqi.encounter_id,
tqi.patient_name AS queue_patient_name,
tce.patient_name AS exclusion_patient_name,
tqi.status,
tce.reason
FROM hisdev.triage_queue_item tqi
INNER JOIN hisdev.triage_candidate_exclusion tce
ON tqi.encounter_id = tce.encounter_id
AND tqi.queue_date = tce.exclusion_date
AND tqi.tenant_id = tce.tenant_id
WHERE tqi.delete_flag = '0'
AND tce.delete_flag = '0'
AND tqi.queue_date = CURRENT_DATE
ORDER BY tqi.encounter_id;