From d8c4348341f95d8e5af4feb778e4cf26cc2c987e Mon Sep 17 00:00:00 2001
From: nanyangbreeze <1955231298@qq.com>
Date: Wed, 14 Jan 2026 10:12:25 +0800
Subject: [PATCH] =?UTF-8?q?=E6=8C=82=E5=8F=B7=E8=A1=A5=E5=8D=95=E5=8A=9F?=
 =?UTF-8?q?=E8=83=BD=E7=9A=84=E5=AE=8C=E5=96=84?=
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---
 check_display_order.sql                       | 104 +++++++++
 .../dto/CurrentDayEncounterDto.java           |   5 +
 .../dto/ReprintRegistrationDto.java           |   9 -
 .../impl/PaymentRecServiceImpl.java           |   4 +
 .../OutpatientRegistrationAppMapper.xml       |   2 +
 .../service/impl/EncounterServiceImpl.java    |  12 +-
 .../components/reprintDialog.vue              | 107 +++++++--
 query_patient_by_serial_no.sql                | 212 ++++++++++++++++++
 8 files changed, 423 insertions(+), 32 deletions(-)
 create mode 100644 check_display_order.sql
 create mode 100644 query_patient_by_serial_no.sql

diff --git a/check_display_order.sql b/check_display_order.sql
new file mode 100644
index 00000000..732cac2f
--- /dev/null
+++ b/check_display_order.sql
@@ -0,0 +1,104 @@
+-- 检查流水号（display_order）是否按“科室+医生+当天”正确递增
+-- 
+-- 说明：
+-- 1. display_order 存的是纯数字（1, 2, 3...），不带时间戳前缀
+-- 2. 时间戳前缀（如 20260109）是在前端显示时加上的
+-- 3. 后端用 Redis key "ORG-{科室ID}-DOC-{医生ID}" 按天自增
+-- 
+-- 如何判断逻辑是否正确：
+--   同一科室、同一医生、同一天的记录，display_order 应该递增（1, 2, 3...）
+--   不同科室、不同医生、不同天的记录，可能都是 1（这是正常的）
+
+-- ========================================
+-- 查询1：按“科室+医生+日期”分组，看每组内的 display_order 是否递增
+-- ========================================
+SELECT 
+    DATE(start_time) AS 日期,
+    organization_id AS 科室ID,
+    registrar_id AS 医生ID,
+    COUNT(*) AS 该组记录数,
+    MIN(display_order) AS 最小序号,
+    MAX(display_order) AS 最大序号,
+    STRING_AGG(display_order::text, ', ' ORDER BY start_time) AS 序号列表,
+    STRING_AGG(id::text, ', ' ORDER BY start_time) AS 记录ID列表
+FROM adm_encounter
+WHERE delete_flag = '0'
+  AND start_time >= CURRENT_DATE - INTERVAL '7 days'  -- 只看最近7天
+  AND display_order IS NOT NULL
+GROUP BY DATE(start_time), organization_id, registrar_id
+ORDER BY 日期 DESC, 科室ID, 医生ID;
+
+-- ========================================
+-- 查询2：详细查看每条记录，看同组内的序号是否连续
+-- ========================================
+SELECT 
+    id AS 记录ID,
+    DATE(start_time) AS 日期,
+    organization_id AS 科室ID,
+    registrar_id AS 医生ID,
+    start_time AS 挂号时间,
+    display_order AS 流水号,
+    -- 计算：同组内的序号应该是 1, 2, 3...，看是否有重复或跳号
+    ROW_NUMBER() OVER (
+        PARTITION BY DATE(start_time), organization_id, registrar_id 
+        ORDER BY start_time
+    ) AS 应该是第几个,
+    CASE 
+        WHEN display_order = ROW_NUMBER() OVER (
+            PARTITION BY DATE(start_time), organization_id, registrar_id 
+            ORDER BY start_time
+        ) THEN '✓ 正常'
+        ELSE '✗ 异常'
+    END AS 是否正常
+FROM adm_encounter
+WHERE delete_flag = '0'
+  AND start_time >= CURRENT_DATE - INTERVAL '7 days'
+  AND display_order IS NOT NULL
+ORDER BY DATE(start_time) DESC, organization_id, registrar_id, start_time;
+
+-- ========================================
+-- 查询3：只看今天的数据（最直观）
+-- ========================================
+SELECT 
+    id AS 记录ID,
+    organization_id AS 科室ID,
+    registrar_id AS 医生ID,
+    start_time AS 挂号时间,
+    display_order AS 流水号
+FROM adm_encounter
+WHERE delete_flag = '0'
+  AND DATE(start_time) = CURRENT_DATE
+  AND display_order IS NOT NULL
+ORDER BY organization_id, registrar_id, start_time;
+
+-- ========================================
+-- 查询4：发现问题 - 找出同组内 display_order 重复的记录
+-- ========================================
+WITH ranked AS (
+    SELECT 
+        id,
+        DATE(start_time) AS reg_date,
+        organization_id,
+        registrar_id,
+        start_time,
+        display_order,
+        ROW_NUMBER() OVER (
+            PARTITION BY DATE(start_time), organization_id, registrar_id 
+            ORDER BY start_time
+        ) AS should_be_order
+    FROM adm_encounter
+    WHERE delete_flag = '0'
+      AND start_time >= CURRENT_DATE - INTERVAL '7 days'
+      AND display_order IS NOT NULL
+)
+SELECT 
+    reg_date AS 日期,
+    organization_id AS 科室ID,
+    registrar_id AS 医生ID,
+    COUNT(*) AS 重复数量,
+    STRING_AGG(id::text || '->' || display_order::text, ', ') AS 问题记录
+FROM ranked
+WHERE display_order != should_be_order
+GROUP BY reg_date, organization_id, registrar_id
+ORDER BY reg_date DESC;
+
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java
index d4eee1e3..2fcba3d2 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java
@@ -141,4 +141,9 @@ public class CurrentDayEncounterDto {
      */
     private String identifierNo;
 
+    /**
+     * 流水号（就诊当日序号）
+     */
+    private Integer displayOrder;
+
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/ReprintRegistrationDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/ReprintRegistrationDto.java
index f075ae9d..7d36003d 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/ReprintRegistrationDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/ReprintRegistrationDto.java
@@ -69,12 +69,3 @@ public class ReprintRegistrationDto {
 
 
 
-
-
-
-
-
-
-
-
-
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
index a1306222..f6d10d96 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
@@ -1818,6 +1818,10 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
         // 保存就诊信息
         Encounter encounter = new Encounter();
         BeanUtils.copyProperties(encounterFormData, encounter);
+        // 将挂号医生ID提前塞入 encounter 的 registrarId，便于生成“科室+医生+当日”序号
+        if (encounterParticipantFormData.getPractitionerId() != null) {
+            encounter.setRegistrarId(encounterParticipantFormData.getPractitionerId());
+        }
         encounter.setBusNo(outpatientRegistrationSettleParam.getBusNo());
         // 就诊ID
         Long encounterId = iEncounterService.saveEncounterByRegister(encounter);
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
index a2464ede..4e3d5d0a 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
@@ -46,6 +46,7 @@
     <select id="getCurrentDayEncounter" resultType="com.openhis.web.chargemanage.dto.CurrentDayEncounterDto">
         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,
@@ -70,6 +71,7 @@
         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,
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterServiceImpl.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterServiceImpl.java
index e25d5060..d7ea42a1 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterServiceImpl.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/EncounterServiceImpl.java
@@ -44,8 +44,16 @@ public class EncounterServiceImpl extends ServiceImpl<EncounterMapper, Encounter
             // 生成就诊编码 医保挂号时是先生成码后生成实体
             encounter.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.ENCOUNTER_NUM.getPrefix(), 4));
         }
-        // 生成就诊序号 (患者ID + 科室ID 作为当日就诊号的唯一标识)
-        String preFix = encounter.getPatientId() + String.valueOf(encounter.getOrganizationId());
+        // 生成就诊序号：
+        // 1) 若挂号医生已传入（registrarId 充当挂号医生 ID），按“科室+医生+当日”递增
+        //    Key 示例：ORG-123-DOC-456 -> 1、2、3...
+        // 2) 否则按“科室+当日”递增
+        String preFix;
+        if (encounter.getRegistrarId() != null) {
+            preFix = "ORG-" + encounter.getOrganizationId() + "-DOC-" + encounter.getRegistrarId();
+        } else {
+            preFix = "ORG-" + encounter.getOrganizationId();
+        }
         encounter.setDisplayOrder(assignSeqUtil.getSeqNoByDay(preFix));
         // 患者ID
         Long patientId = encounter.getPatientId();
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/reprintDialog.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/reprintDialog.vue
index e81dda73..d4777d3a 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/reprintDialog.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/reprintDialog.vue
@@ -151,10 +151,6 @@
             <span class="label">患者姓名:</span>
             <span class="value">{{ form.name || '-' }}</span>
           </div>
-          <div class="info-row">
-            <span class="label">门诊号:</span>
-            <span class="value">{{ form.serialNo || '-' }}</span>
-          </div>
           <div class="info-row">
             <span class="label">就诊卡号:</span>
             <span class="value">{{ form.cardNo || '-' }}</span>
@@ -233,6 +229,12 @@
           </table>
         </div>
 
+        <!-- 流水号显示在左下角 -->
+        <div class="serial-number-bottom-left">
+          <span class="serial-label">流水号:</span>
+          <span class="serial-value">{{ form.serialNo || '-' }}</span>
+        </div>
+
         <div class="print-footer">
           <div class="reminder">温馨提示: 请妥善保管此凭条，就诊时请携带。</div>
         </div>
@@ -545,29 +547,47 @@ function formatDateTime(date) {
   return `${year}-${month}-${day} ${hours}:${minutes}:${seconds}`;
 }
 
-// 计算流水号（与 fillForm 中的逻辑一致）
+// 计算流水号：格式为 YYYYMMDD-XXX，其中 XXX 为后端按"科室+医生+当日"自增的 displayOrder
+// 确保同一科室同一医生同一天内是 001、002、003... 递增
 function calculateSerialNo(row) {
   if (!row) {
     return '-';
   }
-  
-  // 优先使用已有的 serialNo（如果存在）
-  if (row.serialNo) {
-    return row.serialNo;
+
+  // 获取挂号日期（YYYYMMDD格式）
+  let dateStr = '';
+  if (row.registerTime) {
+    const date = new Date(row.registerTime);
+    const year = date.getFullYear();
+    const month = String(date.getMonth() + 1).padStart(2, '0');
+    const day = String(date.getDate()).padStart(2, '0');
+    dateStr = `${year}${month}${day}`;
+  } else {
+    // 如果没有挂号时间，使用当前日期
+    const now = new Date();
+    const year = now.getFullYear();
+    const month = String(now.getMonth() + 1).padStart(2, '0');
+    const day = String(now.getDate()).padStart(2, '0');
+    dateStr = `${year}${month}${day}`;
   }
-  
-  // 使用 encounterId 的后3位计算流水号
-  if (row.encounterId) {
-    const idStr = String(row.encounterId);
-    const lastThree = idStr.slice(-3);
-    const num = parseInt(lastThree) || 0;
-    return String((num % 999) + 1).padStart(3, '0');
+
+  // 获取序号部分（3位数字，001-999）
+  // 直接使用后端返回的 displayOrder，自增逻辑在后端按"科室+医生+当日"保证
+  let serialNum = 1;
+  if (row.displayOrder != null && row.displayOrder !== undefined) {
+    const num = Number(row.displayOrder) || 0;
+    serialNum = num > 0 ? num : 1;
+  } else if (row.serialNo) {
+    // 兼容旧数据：如果有已有的 serialNo 字段
+    const num = Number(row.serialNo) || 0;
+    serialNum = num > 0 ? num : 1;
+  } else {
+    // 兜底：没有任何序号信息时，给 1
+    serialNum = 1;
   }
-  
-  // 如果 encounterId 为空，生成一个001-999的序列号
-  const timestamp = Date.now();
-  const serial = (timestamp % 999) + 1;
-  return String(serial).padStart(3, '0');
+
+  // 格式：YYYYMMDD-XXX（例如：20250113-001）
+  return `${dateStr}-${String(serialNum).padStart(3, '0')}`;
 }
 
 // 提交补打挂号
@@ -835,6 +855,26 @@ function handleBrowserPrint() {
           font-weight: bold;
           color: red;
         }
+        .serial-number-bottom-left {
+          position: absolute;
+          bottom: 20px;
+          left: 20px;
+          font-size: 14px;
+          font-weight: bold;
+        }
+        .serial-number-bottom-left .serial-label {
+          font-weight: bold;
+          margin-right: 5px;
+        }
+        .serial-number-bottom-left .serial-value {
+          font-weight: bold;
+          color: #333;
+        }
+        .print-content {
+          position: relative;
+          min-height: 500px;
+          padding-bottom: 60px;
+        }
         .print-footer {
           margin-top: 20px;
           font-size: 12px;
@@ -1052,6 +1092,31 @@ async function handleConfirmSelect() {
   color: red;
 }
 
+/* 流水号显示在左下角，加粗 */
+.serial-number-bottom-left {
+  position: absolute;
+  bottom: 20px;
+  left: 20px;
+  font-size: 14px;
+  font-weight: bold;
+}
+
+.serial-number-bottom-left .serial-label {
+  font-weight: bold;
+  margin-right: 5px;
+}
+
+.serial-number-bottom-left .serial-value {
+  font-weight: bold;
+  color: #333;
+}
+
+.print-content {
+  position: relative;
+  min-height: 500px;
+  padding-bottom: 60px; /* 为左下角流水号留出空间 */
+}
+
 .print-footer {
   margin-top: 20px;
   font-size: 12px;
diff --git a/query_patient_by_serial_no.sql b/query_patient_by_serial_no.sql
new file mode 100644
index 00000000..16405a46
--- /dev/null
+++ b/query_patient_by_serial_no.sql
@@ -0,0 +1,212 @@
+-- 根据流水号查询病人信息
+-- 
+-- 流水号格式：YYYYMMDD-XXX（例如：20260109-001）
+--   - 前面8位是日期（YYYYMMDD）
+--   - 后面3位是序号（XXX），对应数据库的 display_order
+-- 
+-- 说明：
+--   display_order 是按"科室+医生+当天"自增的，所以同一天不同科室/不同医生可能有相同的序号
+--   如果只知道序号（如 001），建议配合科室、医生、日期范围一起查询
+
+-- ========================================
+-- 方案1：知道完整流水号（如：20260109-001）
+-- ========================================
+-- 参数说明：
+--   :serial_no = '20260109-001'  -- 完整流水号
+-- 
+-- 解析逻辑：
+--   日期：20260109 -> 2026-01-09
+--   序号：001 -> 1
+
+WITH parsed AS (
+    SELECT 
+        -- 提取日期部分（前8位）并转换为日期格式
+        TO_DATE(SUBSTRING(:serial_no FROM 1 FOR 8), 'YYYYMMDD') AS target_date,
+        -- 提取序号部分（最后3位）并转换为整数
+        CAST(SUBSTRING(:serial_no FROM 10) AS INTEGER) AS target_order
+)
+SELECT 
+    e.id AS 就诊ID,
+    e.bus_no AS 就诊编码,
+    DATE(e.start_time) AS 挂号日期,
+    e.start_time AS 挂号时间,
+    e.organization_id AS 科室ID,
+    e.registrar_id AS 医生ID,
+    e.display_order AS 流水号序号,
+    -- 计算完整流水号（用于验证）
+    TO_CHAR(e.start_time, 'YYYYMMDD') || '-' || LPAD(e.display_order::text, 3, '0') AS 完整流水号,
+    p.id AS 患者ID,
+    p.name AS 患者姓名,
+    p.bus_no AS 患者业务号,
+    p.gender AS 性别,
+    p.birth_date AS 出生日期,
+    p.phone AS 电话,
+    e.status_enum AS 状态
+FROM adm_encounter e
+INNER JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+CROSS JOIN parsed
+WHERE e.delete_flag = '0'
+  AND DATE(e.start_time) = parsed.target_date
+  AND e.display_order = parsed.target_order
+ORDER BY e.start_time DESC
+LIMIT 10;
+
+-- ========================================
+-- 方案2：只知道序号（如：001），配合其他条件查询
+-- ========================================
+-- 参数说明：
+--   :order_no = '001'              -- 序号（不带日期）
+--   :start_date = '2026-01-01'     -- 开始日期（可选，缩小范围）
+--   :end_date = '2026-01-31'       -- 结束日期（可选，缩小范围）
+--   :organization_id = 123         -- 科室ID（可选，精确匹配）
+--   :registrar_id = 456            -- 医生ID（可选，精确匹配）
+--   :patient_name = '张三'         -- 患者姓名（可选，模糊匹配）
+
+SELECT 
+    e.id AS 就诊ID,
+    e.bus_no AS 就诊编码,
+    DATE(e.start_time) AS 挂号日期,
+    e.start_time AS 挂号时间,
+    TO_CHAR(e.start_time, 'YYYYMMDD') || '-' || LPAD(e.display_order::text, 3, '0') AS 完整流水号,
+    e.organization_id AS 科室ID,
+    e.registrar_id AS 医生ID,
+    e.display_order AS 流水号序号,
+    p.id AS 患者ID,
+    p.name AS 患者姓名,
+    p.bus_no AS 患者业务号,
+    p.phone AS 电话,
+    e.status_enum AS 状态
+FROM adm_encounter e
+INNER JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND e.display_order = CAST(:order_no AS INTEGER)  -- 序号匹配
+  -- 以下条件可选，去掉注释并根据需要填入值
+  -- AND DATE(e.start_time) >= CAST(:start_date AS DATE)  -- 日期范围：开始
+  -- AND DATE(e.start_time) <= CAST(:end_date AS DATE)    -- 日期范围：结束
+  -- AND e.organization_id = CAST(:organization_id AS BIGINT)  -- 科室匹配
+  -- AND e.registrar_id = CAST(:registrar_id AS BIGINT)        -- 医生匹配
+  -- AND p.name LIKE '%' || :patient_name || '%'               -- 患者姓名模糊匹配
+ORDER BY e.start_time DESC
+LIMIT 50;
+
+-- ========================================
+-- 方案3：按患者姓名 + 大概日期范围查询（最常用）
+-- ========================================
+-- 参数说明：
+--   :patient_name = '张三'         -- 患者姓名（模糊匹配）
+--   :start_date = '2026-01-01'     -- 开始日期
+--   :end_date = '2026-01-31'       -- 结束日期
+
+SELECT 
+    e.id AS 就诊ID,
+    e.bus_no AS 就诊编码,
+    DATE(e.start_time) AS 挂号日期,
+    e.start_time AS 挂号时间,
+    TO_CHAR(e.start_time, 'YYYYMMDD') || '-' || LPAD(e.display_order::text, 3, '0') AS 完整流水号,
+    e.organization_id AS 科室ID,
+    e.registrar_id AS 医生ID,
+    e.display_order AS 流水号序号,
+    p.id AS 患者ID,
+    p.name AS 患者姓名,
+    p.bus_no AS 患者业务号,
+    p.phone AS 电话,
+    e.status_enum AS 状态
+FROM adm_encounter e
+INNER JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND p.name LIKE '%' || :patient_name || '%'
+  AND DATE(e.start_time) >= CAST(:start_date AS DATE)
+  AND DATE(e.start_time) <= CAST(:end_date AS DATE)
+ORDER BY e.start_time DESC;
+
+-- ========================================
+-- 方案4：按就诊卡号查询（最准确）
+-- ========================================
+-- 参数说明：
+--   :card_no = '12345678'  -- 就诊卡号
+
+SELECT 
+    e.id AS 就诊ID,
+    e.bus_no AS 就诊编码,
+    DATE(e.start_time) AS 挂号日期,
+    e.start_time AS 挂号时间,
+    TO_CHAR(e.start_time, 'YYYYMMDD') || '-' || LPAD(e.display_order::text, 3, '0') AS 完整流水号,
+    e.organization_id AS 科室ID,
+    e.registrar_id AS 医生ID,
+    e.display_order AS 流水号序号,
+    p.id AS 患者ID,
+    p.name AS 患者姓名,
+    p.bus_no AS 患者业务号,
+    COALESCE(
+        (SELECT identifier_no 
+         FROM adm_patient_identifier 
+         WHERE patient_id = p.id 
+           AND delete_flag = '0' 
+           AND identifier_no IS NOT NULL 
+           AND identifier_no != ''
+         ORDER BY create_time ASC 
+         LIMIT 1),
+        p.bus_no,
+        ''
+    ) AS 就诊卡号,
+    p.phone AS 电话,
+    e.status_enum AS 状态
+FROM adm_encounter e
+INNER JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND (
+      -- 优先匹配 identifier_no
+      EXISTS (
+          SELECT 1 
+          FROM adm_patient_identifier api
+          WHERE api.patient_id = p.id
+            AND api.delete_flag = '0'
+            AND api.identifier_no = :card_no
+      )
+      OR
+      -- 备用：匹配 patient.bus_no
+      p.bus_no = :card_no
+  )
+ORDER BY e.start_time DESC
+LIMIT 20;
+
+-- ========================================
+-- 方案5：模糊查询流水号（部分匹配）
+-- ========================================
+-- 参数说明：
+--   :serial_part = '20260109'      -- 只输入日期部分
+--   或
+--   :serial_part = '001'           -- 只输入序号部分
+--   或
+--   :serial_part = '20260109-00'   -- 输入部分（前缀匹配）
+
+SELECT 
+    e.id AS 就诊ID,
+    e.bus_no AS 就诊编码,
+    DATE(e.start_time) AS 挂号日期,
+    e.start_time AS 挂号时间,
+    TO_CHAR(e.start_time, 'YYYYMMDD') || '-' || LPAD(e.display_order::text, 3, '0') AS 完整流水号,
+    e.organization_id AS 科室ID,
+    e.registrar_id AS 医生ID,
+    e.display_order AS 流水号序号,
+    p.id AS 患者ID,
+    p.name AS 患者姓名,
+    p.bus_no AS 患者业务号,
+    p.phone AS 电话,
+    e.status_enum AS 状态
+FROM adm_encounter e
+INNER JOIN adm_patient p ON e.patient_id = p.id AND p.delete_flag = '0'
+WHERE e.delete_flag = '0'
+  AND (
+      -- 匹配日期部分（如输入：20260109）
+      TO_CHAR(e.start_time, 'YYYYMMDD') LIKE :serial_part || '%'
+      OR
+      -- 匹配序号部分（如输入：001）
+      LPAD(e.display_order::text, 3, '0') LIKE '%' || :serial_part || '%'
+      OR
+      -- 匹配完整流水号前缀（如输入：20260109-00）
+      (TO_CHAR(e.start_time, 'YYYYMMDD') || '-' || LPAD(e.display_order::text, 3, '0')) LIKE :serial_part || '%'
+  )
+ORDER BY e.start_time DESC
+LIMIT 50;
+