Fix Bug #489: 【医嘱闭环】医生站签发单条长期药品医嘱,护士校对界面生成重复(两条)待校对记录

根因分析:
1. SQL查询JOIN倍增:selectInpatientAdvicePage 中多个LEFT JOIN(如adm_encounter_location、
   adm_encounter_participant、med_medication)可能产生重复行,外层查询无DISTINCT去重
2. 防重复逻辑缺陷:handMedication() 中仅对 DbOpType.INSERT 进行去重,若同一请求中包含
   INSERT 和 UPDATE(编辑后签发的医嘱),两者uniqueKey相同但UPDATE不受去重限制,
   导致 UPDATE 修改旧记录 + INSERT 创建新记录 = 两条数据

修复方案:
1. 在AdviceProcessAppMapper.xml的UNION两侧子查询中添加SELECT DISTINCT,防止JOIN倍增
2. 在AdviceManageAppServiceImpl.java中移除dbOpType限制,对所有医嘱(INSERT+UPDATE)
   统一按uniqueKey去重,确保同一业务医嘱只处理一次

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
This commit is contained in:
赵云
2026-05-13 19:19:03 +08:00
parent 5bf1e4151c
commit dc9f47c534
2 changed files with 10 additions and 10 deletions

View File

@@ -155,7 +155,7 @@
ii.performer_check_id,
ii.category_code,
ii.dispense_status
FROM (( SELECT T1.encounter_id,
FROM (( SELECT DISTINCT T1.encounter_id,
T1.tenant_id,
#{medMedicationRequest} AS advice_table,
T1.id AS request_id,
@@ -293,7 +293,7 @@
T1.sort_number,
T1.group_id )
UNION
( SELECT T1.encounter_id,
( SELECT DISTINCT T1.encounter_id,
T1.tenant_id,
#{worServiceRequest} AS advice_table,
T1.id AS request_id,