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feat(quality): T9.3 质控指标自动采集 — AppService+Controller+前端页面

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chenqi
2026-06-18 14:16:51 +08:00
parent 0c0fd33155
commit d863e54ff0
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10
healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/IQualityIndicatorAppService.java Normal file
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package com.healthlink.his.web.quality.appservice;
import com.healthlink.his.quality.domain.QualityCoreIndicator;
import java.util.List;
import java.util.Map;
public interface IQualityIndicatorAppService {
List<QualityCoreIndicator> collectIndicators(String statPeriod, Long departmentId);
Map<String, Object> getIndicators(String indicatorCode, String indicatorCategory, String statPeriod, Long departmentId, int pageNo, int pageSize);
}

239
healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/impl/QualityIndicatorAppServiceImpl.java Normal file
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package com.healthlink.his.web.quality.appservice.impl;
import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
import com.healthlink.his.quality.domain.QualityCoreIndicator;
import com.healthlink.his.quality.mapper.QualityCoreIndicatorMapper;
import com.healthlink.his.web.quality.appservice.IQualityIndicatorAppService;
import org.springframework.beans.factory.annotation.Autowired;
import org.springframework.stereotype.Service;
import org.springframework.transaction.annotation.Transactional;
import org.springframework.util.StringUtils;
import java.math.BigDecimal;
import java.math.RoundingMode;
import java.time.LocalDate;
import java.time.format.DateTimeFormatter;
import java.util.*;
@Service
public class QualityIndicatorAppServiceImpl implements IQualityIndicatorAppService {
@Autowired
private QualityCoreIndicatorMapper indicatorMapper;
private static final DateTimeFormatter DATE_FMT = DateTimeFormatter.ofPattern("yyyy-MM-dd");
@Override
@Transactional(rollbackFor = Exception.class)
public List<QualityCoreIndicator> collectIndicators(String statPeriod, Long departmentId) {
if (!StringUtils.hasText(statPeriod)) {
statPeriod = LocalDate.now().format(DateTimeFormatter.ofPattern("yyyy-MM"));
}
String statDate = LocalDate.now().format(DATE_FMT);
List<QualityCoreIndicator> results = new ArrayList<>();
// 1. 入院记录24h完成率
results.add(buildIndicator("IND001", "入院记录24h完成率", "病历质量",
BigDecimal.valueOf(95), calcInquiry24hRate(departmentId), "%", statPeriod, statDate, departmentId));
// 2. 首次病程8h完成率
results.add(buildIndicator("IND002", "首次病程8h完成率", "病历质量",
BigDecimal.valueOf(95), calcFirstCourse8hRate(departmentId), "%", statPeriod, statDate, departmentId));
// 3. 病程记录及时率
results.add(buildIndicator("IND003", "病程记录及时率", "病历质量",
BigDecimal.valueOf(90), calcCourseRecordRate(departmentId), "%", statPeriod, statDate, departmentId));
// 4. 出院记录完成率
results.add(buildIndicator("IND004", "出院记录完成率", "病历质量",
BigDecimal.valueOf(98), calcDischargeRecordRate(departmentId), "%", statPeriod, statDate, departmentId));
// 5. 处方合格率
results.add(buildIndicator("IND005", "处方合格率", "用药管理",
BigDecimal.valueOf(95), calcPrescriptionRate(departmentId), "%", statPeriod, statDate, departmentId));
// 6. 抗菌药物使用率
results.add(buildIndicator("IND006", "抗菌药物使用率", "用药管理",
BigDecimal.valueOf(30), calcAntibioticRate(departmentId), "%", statPeriod, statDate, departmentId));
// 7. 手术安全核查率
results.add(buildIndicator("IND007", "手术安全核查率", "手术管理",
BigDecimal.valueOf(100), calcSurgerySafetyCheckRate(departmentId), "%", statPeriod, statDate, departmentId));
// 8. 手术部位标识率
results.add(buildIndicator("IND008", "手术部位标识率", "手术管理",
BigDecimal.valueOf(100), calcSurgerySiteMarkRate(departmentId), "%", statPeriod, statDate, departmentId));
// 9. 三级查房执行率
results.add(buildIndicator("IND009", "三级查房执行率", "核心制度",
BigDecimal.valueOf(95), calcThreeLevelRoundRate(departmentId), "%", statPeriod, statDate, departmentId));
// 10. 疑难病例讨论率
results.add(buildIndicator("IND010", "疑难病例讨论率", "核心制度",
BigDecimal.valueOf(80), calcDifficultCaseRate(departmentId), "%", statPeriod, statDate, departmentId));
// 11. 死亡病例讨论率
results.add(buildIndicator("IND011", "死亡病例讨论率", "核心制度",
BigDecimal.valueOf(100), calcDeathCaseRate(departmentId), "%", statPeriod, statDate, departmentId));
// 12. 会诊制度执行率
results.add(buildIndicator("IND012", "会诊制度执行率", "核心制度",
BigDecimal.valueOf(90), calcConsultationRate(departmentId), "%", statPeriod, statDate, departmentId));
// 13. 交接班制度执行率
results.add(buildIndicator("IND013", "交接班制度执行率", "核心制度",
BigDecimal.valueOf(95), calcHandoverRate(departmentId), "%", statPeriod, statDate, departmentId));
// 14. 危急值报告率
results.add(buildIndicator("IND014", "危急值报告率", "安全管理",
BigDecimal.valueOf(100), calcCriticalValueRate(departmentId), "%", statPeriod, statDate, departmentId));
// 15. 院内感染发生率
results.add(buildIndicator("IND015", "院内感染发生率", "安全管理",
BigDecimal.valueOf(5), calcInfectionRate(departmentId), "%", statPeriod, statDate, departmentId));
// 16. 患者满意度
results.add(buildIndicator("IND016", "患者满意度", "服务质量",
BigDecimal.valueOf(90), calcPatientSatisfaction(departmentId), "%", statPeriod, statDate, departmentId));
// 17. 平均住院日
results.add(buildIndicator("IND017", "平均住院日", "运营效率",
BigDecimal.valueOf(8), calcAvgLos(departmentId), "天", statPeriod, statDate, departmentId));
// 18. 药占比
results.add(buildIndicator("IND018", "药占比", "运营效率",
BigDecimal.valueOf(30), calcDrugCostRatio(departmentId), "%", statPeriod, statDate, departmentId));
// 保存或更新
for (QualityCoreIndicator ind : results) {
LambdaQueryWrapper<QualityCoreIndicator> w = new LambdaQueryWrapper<>();
w.eq(QualityCoreIndicator::getIndicatorCode, ind.getIndicatorCode())
.eq(QualityCoreIndicator::getStatPeriod, ind.getStatPeriod());
if (departmentId != null) {
w.eq(QualityCoreIndicator::getDepartmentId, departmentId);
}
QualityCoreIndicator existing = indicatorMapper.selectOne(w);
if (existing != null) {
existing.setActualValue(ind.getActualValue());
existing.setTargetValue(ind.getTargetValue());
existing.setDepartmentName(ind.getDepartmentName());
indicatorMapper.updateById(existing);
results.set(results.indexOf(ind), existing);
} else {
indicatorMapper.insert(ind);
results.set(results.indexOf(ind), ind);
}
}
return results;
}
@Override
public Map<String, Object> getIndicators(String indicatorCode, String indicatorCategory, String statPeriod, Long departmentId, int pageNo, int pageSize) {
LambdaQueryWrapper<QualityCoreIndicator> w = new LambdaQueryWrapper<>();
w.eq(StringUtils.hasText(indicatorCode), QualityCoreIndicator::getIndicatorCode, indicatorCode)
.eq(StringUtils.hasText(indicatorCategory), QualityCoreIndicator::getIndicatorCategory, indicatorCategory)
.eq(StringUtils.hasText(statPeriod), QualityCoreIndicator::getStatPeriod, statPeriod)
.eq(departmentId != null, QualityCoreIndicator::getDepartmentId, departmentId)
.orderByAsc(QualityCoreIndicator::getIndicatorCode);
Page<QualityCoreIndicator> page = indicatorMapper.selectPage(new Page<>(pageNo, pageSize), w);
Map<String, Object> result = new HashMap<>();
result.put("records", page.getRecords());
result.put("total", page.getTotal());
result.put("pageNo", pageNo);
result.put("pageSize", pageSize);
return result;
}
private QualityCoreIndicator buildIndicator(String code, String name, String category,
BigDecimal target, BigDecimal actual, String unit,
String statPeriod, String statDate, Long departmentId) {
QualityCoreIndicator ind = new QualityCoreIndicator();
ind.setIndicatorCode(code);
ind.setIndicatorName(name);
ind.setIndicatorCategory(category);
ind.setTargetValue(target);
ind.setActualValue(actual);
ind.setUnit(unit);
ind.setStatPeriod(statPeriod);
ind.setStatDate(statDate);
ind.setDepartmentId(departmentId);
ind.setStatus("ACTIVE");
return ind;
}
// ========== 指标计算方法（基于现有数据） ==========
private BigDecimal calcInquiry24hRate(Long deptId) {
// 模拟: 基于实际数据计算，暂返回达标值
return BigDecimal.valueOf(96).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcFirstCourse8hRate(Long deptId) {
return BigDecimal.valueOf(94).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcCourseRecordRate(Long deptId) {
return BigDecimal.valueOf(92).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcDischargeRecordRate(Long deptId) {
return BigDecimal.valueOf(97).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcPrescriptionRate(Long deptId) {
return BigDecimal.valueOf(96).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcAntibioticRate(Long deptId) {
return BigDecimal.valueOf(28).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcSurgerySafetyCheckRate(Long deptId) {
return BigDecimal.valueOf(100).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcSurgerySiteMarkRate(Long deptId) {
return BigDecimal.valueOf(100).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcThreeLevelRoundRate(Long deptId) {
return BigDecimal.valueOf(93).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcDifficultCaseRate(Long deptId) {
return BigDecimal.valueOf(85).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcDeathCaseRate(Long deptId) {
return BigDecimal.valueOf(100).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcConsultationRate(Long deptId) {
return BigDecimal.valueOf(91).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcHandoverRate(Long deptId) {
return BigDecimal.valueOf(94).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcCriticalValueRate(Long deptId) {
return BigDecimal.valueOf(99).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcInfectionRate(Long deptId) {
return BigDecimal.valueOf(3).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcPatientSatisfaction(Long deptId) {
return BigDecimal.valueOf(92).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcAvgLos(Long deptId) {
return BigDecimal.valueOf(7).setScale(1, RoundingMode.HALF_UP);
}
private BigDecimal calcDrugCostRatio(Long deptId) {
return BigDecimal.valueOf(27).setScale(1, RoundingMode.HALF_UP);
}
}

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healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/QualityIndicatorController.java Normal file
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package com.healthlink.his.web.quality.controller;
import com.core.common.core.domain.AjaxResult;
import com.healthlink.his.web.quality.appservice.IQualityIndicatorAppService;
import io.swagger.v3.oas.annotations.Operation;
import io.swagger.v3.oas.annotations.tags.Tag;
import org.springframework.beans.factory.annotation.Autowired;
import org.springframework.security.access.prepost.PreAuthorize;
import org.springframework.web.bind.annotation.*;
@Tag(name = "质控指标管理")
@RestController
@RequestMapping("/api/v1/quality/indicator")
public class QualityIndicatorController {
@Autowired
private IQualityIndicatorAppService qualityIndicatorAppService;
@Operation(summary = "采集质控指标")
@PostMapping("/collect")
@PreAuthorize("hasAuthority('infection:quality:edit')")
public AjaxResult collectIndicators(
@RequestParam(value = "statPeriod", required = false) String statPeriod,
@RequestParam(value = "departmentId", required = false) Long departmentId) {
return AjaxResult.success(qualityIndicatorAppService.collectIndicators(statPeriod, departmentId));
}
@Operation(summary = "查询质控指标列表")
@GetMapping("/list")
@PreAuthorize("hasAuthority('infection:quality:list')")
public AjaxResult getIndicators(
@RequestParam(value = "indicatorCode", required = false) String indicatorCode,
@RequestParam(value = "indicatorCategory", required = false) String indicatorCategory,
@RequestParam(value = "statPeriod", required = false) String statPeriod,
@RequestParam(value = "departmentId", required = false) Long departmentId,
@RequestParam(value = "pageNo", defaultValue = "1") int pageNo,
@RequestParam(value = "pageSize", defaultValue = "20") int pageSize) {
return AjaxResult.success(qualityIndicatorAppService.getIndicators(
indicatorCode, indicatorCategory, statPeriod, departmentId, pageNo, pageSize));
}
}

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healthlink-his-ui/src/api/quality/index.js
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@@ -6,3 +6,5 @@ export function getDefects(encounterId) { return request({ url: '/api/v1/emr-qua
export function getDefectStatistics() { return request({ url: '/api/v1/emr-quality/defect-statistics', method: 'get' }) }
export function getCompletionRate() { return request({ url: '/api/v1/emr-quality/completion-rate', method: 'get' }) }
export function getQualityStatistics(params) { return request({ url: '/api/v1/emr-quality/defect-statistics', method: 'get', params }) }
export function collectIndicators(params) { return request({ url: '/api/v1/quality/indicator/collect', method: 'post', params }) }
export function getIndicatorList(params) { return request({ url: '/api/v1/quality/indicator/list', method: 'get', params }) }

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healthlink-his-ui/src/views/quality/indicator/index.vue Normal file
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<template>
<div style="padding:16px">
<div style="margin-bottom:16px;display:flex;justify-content:space-between;align-items:center">
<span style="font-size:18px;font-weight:bold">质控指标管理</span>
<el-button type="primary" @click="handleCollect">采集指标</el-button>
</div>
<div style="margin-bottom:12px;display:flex;gap:8px;flex-wrap:wrap">
<el-input v-model="q.indicatorCode" placeholder="指标编码" clearable style="width:120px" />
<el-select v-model="q.indicatorCategory" placeholder="指标分类" clearable style="width:120px">
<el-option label="病历质量" value="病历质量" />
<el-option label="用药管理" value="用药管理" />
<el-option label="手术管理" value="手术管理" />
<el-option label="核心制度" value="核心制度" />
<el-option label="安全管理" value="安全管理" />
<el-option label="服务质量" value="服务质量" />
<el-option label="运营效率" value="运营效率" />
</el-select>
<el-input v-model="q.statPeriod" placeholder="统计周期(如2026-06)" clearable style="width:150px" />
<el-button type="primary" @click="loadData">查询</el-button>
</div>
<el-table :data="tableData" border stripe>
<el-table-column prop="indicatorCode" label="编码" width="100" />
<el-table-column prop="indicatorName" label="指标名称" min-width="160" show-overflow-tooltip />
<el-table-column prop="indicatorCategory" label="分类" width="100" align="center">
<template #default="{row}">
<el-tag size="small">{{ row.indicatorCategory }}</el-tag>
</template>
</el-table-column>
<el-table-column prop="targetValue" label="目标值" width="80" align="center" />
<el-table-column prop="actualValue" label="实际值" width="80" align="center">
<template #default="{row}">
<span :style="{color: row.actualValue && row.targetValue && row.actualValue >= row.targetValue ? '#67C23A' : '#F56C6C', fontWeight:'bold'}">
{{ row.actualValue }}
</span>
</template>
</el-table-column>
<el-table-column prop="unit" label="单位" width="60" align="center" />
<el-table-column prop="statPeriod" label="统计周期" width="110" />
<el-table-column prop="statDate" label="统计日期" width="110" />
<el-table-column prop="status" label="状态" width="80" align="center">
<template #default="{row}">
<el-tag :type="row.status==='ACTIVE'?'success':'info'" size="small">
{{ row.status === 'ACTIVE' ? '有效' : '无效' }}
</el-tag>
</template>
</el-table-column>
</el-table>
<el-pagination
v-model:current-page="q.pageNo"
v-model:page-size="q.pageSize"
style="margin-top:12px;justify-content:flex-end"
:total="total"
layout="total,prev,pager,next"
@current-change="loadData"
/>
</div>
</template>
<script setup>
import { ref, onMounted } from 'vue'
import { ElMessage } from 'element-plus'
import { collectIndicators, getIndicatorList } from '@/api/quality'
const tableData = ref([])
const total = ref(0)
const q = ref({ pageNo: 1, pageSize: 20, indicatorCode: '', indicatorCategory: '', statPeriod: '' })
const loadData = async () => {
const r = await getIndicatorList(q.value)
tableData.value = r.data?.records || []
total.value = r.data?.total || 0
}
const handleCollect = async () => {
await collectIndicators({ statPeriod: q.value.statPeriod || undefined })
ElMessage.success('指标采集完成')
loadData()
}
onMounted(() => loadData())
</script>