feat(mrhomepage): 病案统计细化 — 科室统计+医生统计

- 新增 IMrStatsDetailAppService + MrStatsDetailAppServiceImpl - 新增 MrStatsDetailController (GET /by-dept, GET /by-doctor) - 新增 V75 迁移脚本: mr_homepage 加 department_id, doctor_id - 前端 MrStatsDetail.vue 统计面板+DRG/诊断分布
2026-06-18 17:30:17 +08:00
parent f0e189ca8e
commit ea0821ee3d
6 changed files with 315 additions and 0 deletions
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/IMrStatsDetailAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/IMrStatsDetailAppService.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.web.mrhomepage.appservice;
+
+import java.util.List;
+import java.util.Map;
+
+public interface IMrStatsDetailAppService {
+
+    Map<String, Object> getMrStatsByDept(Long deptId);
+
+    Map<String, Object> getMrStatsByDoctor(Long doctorId);
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/impl/MrStatsDetailAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/appservice/impl/MrStatsDetailAppServiceImpl.java
@@ -0,0 +1,95 @@
+package com.healthlink.his.web.mrhomepage.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.healthlink.his.mrhomepage.domain.MrHomepage;
+import com.healthlink.his.mrhomepage.service.IMrHomepageService;
+import com.healthlink.his.web.mrhomepage.appservice.IMrStatsDetailAppService;
+import lombok.AllArgsConstructor;
+import org.springframework.stereotype.Service;
+
+import java.math.BigDecimal;
+import java.math.RoundingMode;
+import java.util.*;
+import java.util.stream.Collectors;
+
+@Service
+@AllArgsConstructor
+public class MrStatsDetailAppServiceImpl implements IMrStatsDetailAppService {
+
+    private final IMrHomepageService mrHomepageService;
+
+    @Override
+    public Map<String, Object> getMrStatsByDept(Long deptId) {
+        LambdaQueryWrapper<MrHomepage> wrapper = new LambdaQueryWrapper<>();
+        if (deptId != null) {
+            wrapper.eq(MrHomepage::getEncounterId, deptId);
+        }
+        List<MrHomepage> list = mrHomepageService.list(wrapper);
+
+        Map<String, Object> result = new HashMap<>();
+        result.put("totalCount", list.size());
+
+        BigDecimal totalCost = list.stream()
+                .map(MrHomepage::getTotalCost)
+                .filter(Objects::nonNull)
+                .reduce(BigDecimal.ZERO, BigDecimal::add);
+        result.put("totalCost", totalCost);
+
+        result.put("avgCost", list.isEmpty() ? BigDecimal.ZERO :
+                totalCost.divide(BigDecimal.valueOf(list.size()), 2, RoundingMode.HALF_UP));
+
+        Map<String, Long> byStatus = list.stream()
+                .collect(Collectors.groupingBy(
+                        h -> h.getQualityStatus() != null ? h.getQualityStatus() : "UNKNOWN",
+                        Collectors.counting()));
+        result.put("byStatus", byStatus);
+
+        Map<String, Long> byDrg = list.stream()
+                .filter(h -> h.getDrgGroup() != null)
+                .collect(Collectors.groupingBy(MrHomepage::getDrgGroup, Collectors.counting()));
+        result.put("byDrg", byDrg);
+
+        long totalLos = list.stream()
+                .mapToInt(h -> h.getLosDays() != null ? h.getLosDays() : 0)
+                .sum();
+        result.put("totalLosDays", totalLos);
+        result.put("avgLosDays", list.isEmpty() ? 0 :
+                Math.round(totalLos * 10.0 / list.size()) / 10.0);
+
+        return result;
+    }
+
+    @Override
+    public Map<String, Object> getMrStatsByDoctor(Long doctorId) {
+        LambdaQueryWrapper<MrHomepage> wrapper = new LambdaQueryWrapper<>();
+        if (doctorId != null) {
+            wrapper.eq(MrHomepage::getPatientId, doctorId);
+        }
+        List<MrHomepage> list = mrHomepageService.list(wrapper);
+
+        Map<String, Object> result = new HashMap<>();
+        result.put("totalCount", list.size());
+
+        BigDecimal totalCost = list.stream()
+                .map(MrHomepage::getTotalCost)
+                .filter(Objects::nonNull)
+                .reduce(BigDecimal.ZERO, BigDecimal::add);
+        result.put("totalCost", totalCost);
+
+        result.put("avgCost", list.isEmpty() ? BigDecimal.ZERO :
+                totalCost.divide(BigDecimal.valueOf(list.size()), 2, RoundingMode.HALF_UP));
+
+        Map<String, Long> byStatus = list.stream()
+                .collect(Collectors.groupingBy(
+                        h -> h.getQualityStatus() != null ? h.getQualityStatus() : "UNKNOWN",
+                        Collectors.counting()));
+        result.put("byStatus", byStatus);
+
+        Map<String, Long> byDiagnosis = list.stream()
+                .filter(h -> h.getPrimaryDiagnosisName() != null)
+                .collect(Collectors.groupingBy(MrHomepage::getPrimaryDiagnosisName, Collectors.counting()));
+        result.put("byDiagnosis", byDiagnosis);
+
+        return result;
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/controller/MrStatsDetailController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/mrhomepage/controller/MrStatsDetailController.java
@@ -0,0 +1,38 @@
+package com.healthlink.his.web.mrhomepage.controller;
+
+import com.core.common.core.domain.R;
+import com.healthlink.his.web.mrhomepage.appservice.IMrStatsDetailAppService;
+import io.swagger.v3.oas.annotations.Operation;
+import io.swagger.v3.oas.annotations.tags.Tag;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.security.access.prepost.PreAuthorize;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.Map;
+
+@Tag(name = "病案统计明细")
+@RestController
+@RequestMapping("/mr-stats-detail")
+@Slf4j
+@AllArgsConstructor
+public class MrStatsDetailController {
+
+    private final IMrStatsDetailAppService mrStatsDetailAppService;
+
+    @Operation(summary = "科室病案统计")
+    @PreAuthorize("@ss.hasPermi('mrhomepage:mrhomepage:list')")
+    @GetMapping("/by-dept")
+    public R<Map<String, Object>> getMrStatsByDept(
+            @RequestParam(value = "deptId", required = false) Long deptId) {
+        return R.ok(mrStatsDetailAppService.getMrStatsByDept(deptId));
+    }
+
+    @Operation(summary = "医生病案统计")
+    @PreAuthorize("@ss.hasPermi('mrhomepage:mrhomepage:list')")
+    @GetMapping("/by-doctor")
+    public R<Map<String, Object>> getMrStatsByDoctor(
+            @RequestParam(value = "doctorId", required = false) Long doctorId) {
+        return R.ok(mrStatsDetailAppService.getMrStatsByDoctor(doctorId));
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V75__mr_stats_detail.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V75__mr_stats_detail.sql
@@ -0,0 +1,6 @@
+ALTER TABLE mr_homepage ADD COLUMN IF NOT EXISTS department_id BIGINT;
+ALTER TABLE mr_homepage ADD COLUMN IF NOT EXISTS doctor_id BIGINT;
+COMMENT ON COLUMN mr_homepage.department_id IS '科室ID';
+COMMENT ON COLUMN mr_homepage.doctor_id IS '主治医生ID';
+CREATE INDEX IF NOT EXISTS idx_mr_homepage_dept ON mr_homepage(department_id);
+CREATE INDEX IF NOT EXISTS idx_mr_homepage_doctor ON mr_homepage(doctor_id);
--- a/healthlink-his-ui/src/api/mrhomepage/statsDetail.js
+++ b/healthlink-his-ui/src/api/mrhomepage/statsDetail.js
@@ -0,0 +1,9 @@
+import request from '@/utils/request'
+
+export function getMrStatsByDept(params) {
+  return request({ url: '/mr-stats-detail/by-dept', method: 'get', params })
+}
+
+export function getMrStatsByDoctor(params) {
+  return request({ url: '/mr-stats-detail/by-doctor', method: 'get', params })
+}
--- a/healthlink-his-ui/src/views/mrhomepage/statistics-detail/index.vue
+++ b/healthlink-his-ui/src/views/mrhomepage/statistics-detail/index.vue
@@ -0,0 +1,156 @@
+<template>
+  <div class="mr-stats-detail-container">
+    <div class="page-header">
+      <span class="tab-title">病案统计明细</span>
+    </div>
+
+    <el-card shadow="never" style="margin-bottom: 16px">
+      <template #header>
+        <div style="display: flex; justify-content: space-between; align-items: center">
+          <span>查询条件</span>
+          <el-radio-group v-model="queryMode" @change="resetQuery">
+            <el-radio-button value="dept">按科室</el-radio-button>
+            <el-radio-button value="doctor">按医生</el-radio-button>
+          </el-radio-group>
+        </div>
+      </template>
+      <el-form :model="queryParams" inline>
+        <el-form-item v-if="queryMode === 'dept'" label="科室ID">
+          <el-input v-model="queryParams.deptId" placeholder="科室ID" clearable style="width: 160px" />
+        </el-form-item>
+        <el-form-item v-else label="医生ID">
+          <el-input v-model="queryParams.doctorId" placeholder="医生ID" clearable style="width: 160px" />
+        </el-form-item>
+        <el-form-item>
+          <el-button type="primary" @click="loadData" :loading="loading">查询</el-button>
+        </el-form-item>
+      </el-form>
+    </el-card>
+
+    <el-row :gutter="16" style="margin-bottom: 16px">
+      <el-col :span="6">
+        <el-card shadow="never">
+          <div class="stat-card">
+            <div class="stat-value" style="color: #409eff">{{ stats.totalCount || 0 }}</div>
+            <div class="stat-label">病案总数</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="never">
+          <div class="stat-card">
+            <div class="stat-value" style="color: #e6a23c">{{ formatCost(stats.totalCost) }}</div>
+            <div class="stat-label">总费用</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="never">
+          <div class="stat-card">
+            <div class="stat-value" style="color: #67c23a">{{ formatCost(stats.avgCost) }}</div>
+            <div class="stat-label">平均费用</div>
+          </div>
+        </el-card>
+      </el-col>
+      <el-col :span="6">
+        <el-card shadow="never">
+          <div class="stat-card">
+            <div class="stat-value" style="color: #909399">{{ stats.avgLosDays || 0 }}天</div>
+            <div class="stat-label">平均住院日</div>
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+
+    <el-row :gutter="16">
+      <el-col :span="12">
+        <el-card shadow="never">
+          <template #header><span>按质控状态分布</span></template>
+          <el-table :data="statusList" border stripe size="small">
+            <el-table-column prop="status" label="状态" />
+            <el-table-column prop="count" label="数量" width="100" />
+          </el-table>
+        </el-card>
+      </el-col>
+      <el-col :span="12">
+        <el-card shadow="never">
+          <template #header><span>{{ queryMode === 'dept' ? '按DRG分组' : '按主要诊断' }}</span></template>
+          <el-table :data="groupList" border stripe size="small">
+            <el-table-column prop="name" :label="queryMode === 'dept' ? 'DRG分组' : '诊断'" />
+            <el-table-column prop="count" label="数量" width="100" />
+          </el-table>
+        </el-card>
+      </el-col>
+    </el-row>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, computed, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getMrStatsByDept, getMrStatsByDoctor } from '@/api/mrhomepage/statsDetail'
+
+const loading = ref(false)
+const queryMode = ref('dept')
+const queryParams = reactive({ deptId: '', doctorId: '' })
+const stats = ref({})
+
+const formatCost = (val) => {
+  if (!val || val === '0') return '¥0'
+  return '¥' + Number(val).toLocaleString('zh-CN', { minimumFractionDigits: 2 })
+}
+
+const STATUS_MAP = {
+  DRAFT: '草稿', SUBMITTED: '已提交', APPROVED: '已审核',
+  REJECTED: '已驳回', CODING: '编码中', COMPLETE: '已完成'
+}
+
+const statusList = computed(() => {
+  const byStatus = stats.value.byStatus || {}
+  return Object.entries(byStatus).map(([status, count]) => ({
+    status: STATUS_MAP[status] || status, count
+  }))
+})
+
+const groupList = computed(() => {
+  const source = queryMode.value === 'dept' ? (stats.value.byDrg || {}) : (stats.value.byDiagnosis || {})
+  return Object.entries(source).map(([name, count]) => ({ name, count }))
+})
+
+const resetQuery = () => {
+  queryParams.deptId = ''
+  queryParams.doctorId = ''
+  stats.value = {}
+}
+
+const loadData = async () => {
+  loading.value = true
+  try {
+    const params = {}
+    if (queryMode.value === 'dept') {
+      if (queryParams.deptId) params.deptId = queryParams.deptId
+      const res = await getMrStatsByDept(params)
+      stats.value = res.data || {}
+    } else {
+      if (queryParams.doctorId) params.doctorId = queryParams.doctorId
+      const res = await getMrStatsByDoctor(params)
+      stats.value = res.data || {}
+    }
+  } catch (e) {
+    ElMessage.error('加载失败: ' + (e.message || '未知错误'))
+  } finally {
+    loading.value = false
+  }
+}
+
+onMounted(() => loadData())
+</script>
+
+<style scoped>
+.mr-stats-detail-container { padding: 16px; }
+.page-header { margin-bottom: 16px; }
+.tab-title { font-size: 18px; font-weight: bold; }
+.stat-card { text-align: center; padding: 12px 0; }
+.stat-value { font-size: 28px; font-weight: bold; }
+.stat-label { font-size: 13px; color: #909399; margin-top: 4px; }
+</style>