fix(prescription): 解决处方列表患者信息不完整导致保存失败的问题 BUG#220

- 在前端处方组件中添加患者信息完整性校验
- 当患者信息缺失时显示错误提示并阻止保存操作
- 确保处方项目正确携带patientId和encounterId信息
- 在后端服务中验证并自动补全缺失的patientId信息
- 当encounterId为空时返回相应错误提示
- 添加详细的日志记录以便问题追踪

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -16,9 +16,11 @@ import com.core.common.utils.SecurityUtils;
 import com.core.common.utils.StringUtils;
 import com.core.web.util.TenantOptionUtil;
 import com.openhis.administration.domain.Account;
-import com.openhis.administration.service.IAccountService;
 import com.openhis.administration.domain.ChargeItem;
+import com.openhis.administration.domain.Encounter;
+import com.openhis.administration.service.IAccountService;
 import com.openhis.administration.service.IChargeItemService;
+import com.openhis.administration.service.IEncounterService;
 import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
@@ -106,6 +108,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     @Resource
     RedisCache redisCache;
 
+    @Resource
+    IEncounterService iEncounterService;
+
     // 缓存 key 前缀
     private static final String ADVICE_BASE_INFO_CACHE_PREFIX = "advice:base:info:";
     // 缓存过期时间（小时）
@@ -480,6 +485,30 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             Long organizationId = adviceSaveParam.getOrganizationId();
             // 医嘱分类信息
             List<AdviceSaveDto> adviceSaveList = adviceSaveParam.getAdviceSaveList();
+            
+            // 🔧 Bug Fix: 校验并补全patientId（如果为null，从encounter查询获取）
+            for (AdviceSaveDto adviceSaveDto : adviceSaveList) {
+                // 首先检查encounterId是否为null
+                if (adviceSaveDto.getEncounterId() == null) {
+                    log.error("encounterId为null，无法保存医嘱");
+                    return R.fail(null, "就诊信息不完整，请重新选择患者后再试");
+                }
+                
+                // 如果patientId为null，尝试从encounter获取
+                if (adviceSaveDto.getPatientId() == null) {
+                    // 从就诊记录中获取patientId
+                    Encounter encounter = iEncounterService.getById(adviceSaveDto.getEncounterId());
+                    if (encounter != null && encounter.getPatientId() != null) {
+                        adviceSaveDto.setPatientId(encounter.getPatientId());
+                        log.info("自动补全patientId: encounterId={}, patientId={}", 
+                                adviceSaveDto.getEncounterId(), encounter.getPatientId());
+                    } else {
+                        log.error("无法获取patientId: encounterId={}", adviceSaveDto.getEncounterId());
+                        return R.fail(null, "无法获取患者信息，请重新选择患者");
+                    }
+                }
+            }
+            
             // 药品
             List<AdviceSaveDto> medicineList = adviceSaveList.stream()
                     .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());