Merge develop into test - sync latest code

scripts/query_patient_data.py

@@ -0,0 +1,206 @@
+import psycopg2
+import sys
+
+sys.stdout.reconfigure(encoding="utf-8")
+
+# 数据库连接
+conn = psycopg2.connect(
+    host="192.168.110.252",
+    port=15432,
+    database="postgresql",
+    user="postgresql",
+    password="Jchl1528",
+)
+
+cursor = conn.cursor()
+cursor.execute("SET search_path TO hisdev, public")
+conn.commit()
+
+print("=" * 80)
+print("查询患者：王俊彭 (病历号: PN0000000038)")
+print("=" * 80)
+print()
+
+# 1. 查询患者基本信息和就诊ID
+print("步骤1: 查询患者基本信息...")
+cursor.execute("""
+    SELECT 
+        p.id as patient_id,
+        p.name as patient_name,
+        e.id as encounter_id,
+        e.create_time as encounter_time
+    FROM adm_patient p
+    LEFT JOIN adm_encounter e ON e.patient_id = p.id
+    WHERE p.name = '王俊彭'
+    ORDER BY e.create_time DESC
+    LIMIT 5
+""")
+patient_rows = cursor.fetchall()
+
+if not patient_rows:
+    print("✗ 未找到患者信息")
+else:
+    for row in patient_rows:
+        print(
+            f"  患者ID: {row[0]}, 姓名: {row[1]}, 就诊ID: {row[2]}, 就诊时间: {row[3]}"
+        )
+
+    # 获取最新的就诊ID
+    encounter_id = patient_rows[0][2]
+    patient_id = patient_rows[0][0]
+    print(f"\n使用就诊ID: {encounter_id}")
+    print()
+
+    # 2. 查询手术申请单
+    print("步骤2: 查询手术申请单...")
+    cursor.execute(
+        """
+        SELECT 
+            id,
+            prescription_no,
+            type_code,
+            name,
+            create_time,
+            desc_json
+        FROM doc_request_form
+        WHERE encounter_id = %s
+          AND type_code = 'PROCEDURE'
+          AND delete_flag = '0'
+        ORDER BY create_time DESC
+    """,
+        (encounter_id,),
+    )
+
+    request_forms = cursor.fetchall()
+    if not request_forms:
+        print("✗ 未找到手术申请单")
+    else:
+        print(f"✓ 找到 {len(request_forms)} 条手术申请单：")
+        for rf in request_forms:
+            print(
+                f"  申请单ID: {rf[0]}, 单号: {rf[1]}, 类型: {rf[2]}, 名称: {rf[3]}, 时间: {rf[4]}"
+            )
+            if rf[5]:
+                try:
+                    import json
+
+                    desc = json.loads(rf[5])
+                    surgery_name = desc.get("surgeryName", "N/A")
+                    surgery_fee = desc.get("surgeryFee", "N/A")
+                    print(f"    -> 手术名称: {surgery_name}, 手术费用: {surgery_fee}")
+                except:
+                    print(f"    -> 手术详情: {rf[5][:100]}")
+    print()
+
+    # 3. 查询手术医嘱（ServiceRequest）
+    print("步骤3: 查询手术医嘱（ServiceRequest）...")
+    cursor.execute(
+        """
+        SELECT 
+            id,
+            prescription_no,
+            status_enum,
+            category_enum,
+            patient_id,
+            encounter_id,
+            create_time,
+            content_json
+        FROM wor_service_request
+        WHERE patient_id = %s
+          AND category_enum = 4
+          AND delete_flag = '0'
+        ORDER BY create_time DESC
+    """,
+        (patient_id,),
+    )
+
+    service_requests = cursor.fetchall()
+    if not service_requests:
+        print("✗ 未找到手术医嘱")
+        print("\n⚠️ 问题确认：有手术申请单但没有对应的手术医嘱！")
+    else:
+        print(f"✓ 找到 {len(service_requests)} 条手术医嘱：")
+        for sr in service_requests:
+            status_text = {1: "待签发", 2: "已签发", 3: "已执行"}.get(
+                sr[2], f"状态{sr[2]}"
+            )
+            print(
+                f"  医嘱ID: {sr[0]}, 单号: {sr[1]}, 状态: {status_text}, 就诊ID: {sr[5]}, 时间: {sr[6]}"
+            )
+    print()
+
+    # 4. 查询收费项目
+    print("步骤4: 查询收费项目（ChargeItem）...")
+    cursor.execute(
+        """
+        SELECT 
+            id,
+            bus_no,
+            status_enum,
+            total_price,
+            service_id
+        FROM adm_charge_item
+        WHERE patient_id = %s
+          AND service_table = 'wor_service_request'
+          AND delete_flag = '0'
+        ORDER BY create_time DESC
+    """,
+        (patient_id,),
+    )
+
+    charge_items = cursor.fetchall()
+    if not charge_items:
+        print("✗ 未找到收费项目")
+    else:
+        print(f"✓ 找到 {len(charge_items)} 条收费项目：")
+        for ci in charge_items:
+            print(f"  收费ID: {ci[0]}, 单号: {ci[1]}, 金额: {ci[3]}, 关联医嘱: {ci[4]}")
+    print()
+
+    # 5. 查询医嘱列表（用于对比）
+    print("步骤5: 查询该患者的所有医嘱...")
+    cursor.execute(
+        """
+        SELECT 
+            category_enum,
+            status_enum,
+            count(*) as count
+        FROM wor_service_request
+        WHERE patient_id = %s
+          AND delete_flag = '0'
+        GROUP BY category_enum, status_enum
+        ORDER BY category_enum
+    """,
+        (patient_id,),
+    )
+
+    categories = cursor.fetchall()
+    if categories:
+        print("✓ 医嘱统计：")
+        cat_names = {1: "西药", 2: "耗材", 3: "诊疗", 4: "手术"}
+        stat_names = {1: "待签发", 2: "已签发", 3: "已执行"}
+        for cat in categories:
+            cat_name = cat_names.get(cat[0], f"类型{cat[0]}")
+            stat_name = stat_names.get(cat[1], f"状态{cat[1]}")
+            print(f"  {cat_name} - {stat_name}: {cat[2]}条")
+    print()
+
+    print("=" * 80)
+
+    # 问题诊断
+    if request_forms and not service_requests:
+        print("\n🔴 问题确认：")
+        print("  ✓ 手术申请单存在（doc_request_form）")
+        print("  ✗ 手术医嘱不存在（wor_service_request）")
+        print("\n  结论：保存手术申请单时未生成手术医嘱")
+        print("  原因：代码修复可能未生效或未部署到生产环境")
+    elif service_requests:
+        print("\n✅ 数据正常：")
+        print("  ✓ 手术申请单存在")
+        print("  ✓ 手术医嘱存在")
+        print("\n  请在医嘱TAB页面查看是否能显示")
+
+print()
+
+cursor.close()
+conn.close()