feat(nursing): 护理文书+质量指标+交接班增强

- 护理文书: 已有完整实现(NursingRecordController+前端),无需新增
- 护理质量指标: 新增 /nursing-quality/collect 采集指标, /nursing-quality/indicators 查询指标
- 交接班: 新增 /nursing-execution/handoff/key-patients 重点患者列表
- 前端: nursingquality 新增采集按钮, nursingexecution 交接班tab增加重点患者提示

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingExecutionController.java

@@ -78,6 +78,31 @@ public class NursingExecutionController {
         return R.ok();
     }
 
+    @GetMapping("/handoff/key-patients")
+    public R<?> getKeyPatients(
+            @RequestParam(value = "ward", required = false) String ward) {
+        LambdaQueryWrapper<NursingHandoffRecord> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(ward), NursingHandoffRecord::getWard, ward)
+         .isNotNull(NursingHandoffRecord::getKeyPatients)
+         .ne(NursingHandoffRecord::getKeyPatients, "")
+         .orderByDesc(NursingHandoffRecord::getHandoffDate)
+         .last("LIMIT 20");
+        List<NursingHandoffRecord> records = handoffService.list(w);
+        List<Map<String, Object>> result = new ArrayList<>();
+        for (NursingHandoffRecord r : records) {
+            Map<String, Object> item = new HashMap<>();
+            item.put("ward", r.getWard());
+            item.put("shift", r.getShift());
+            item.put("handoffDate", r.getHandoffDate());
+            item.put("handoffNurseName", r.getHandoffNurseName());
+            item.put("keyPatients", r.getKeyPatients());
+            item.put("pendingMatters", r.getPendingMatters());
+            item.put("specialNotes", r.getSpecialNotes());
+            result.add(item);
+        }
+        return R.ok(result);
+    }
+
     // ==================== 输液巡视 ====================
     @GetMapping("/infusion/page")
     public R<?> getInfusionPage(

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/NursingQualityController.java

@@ -41,6 +41,61 @@ public class NursingQualityController {
         return R.ok(indicator);
     }
 
+    @GetMapping("/indicators")
+    public R<?> getIndicators(
+            @RequestParam(value = "indicatorCategory", required = false) String category,
+            @RequestParam(value = "departmentName", required = false) String departmentName,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<NursingQualityIndicator> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(category), NursingQualityIndicator::getIndicatorCategory, category)
+         .eq(StringUtils.hasText(departmentName), NursingQualityIndicator::getDepartmentName, departmentName)
+         .orderByDesc(NursingQualityIndicator::getStatDate);
+        return R.ok(indicatorService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @PostMapping("/collect")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> collectIndicators(@RequestBody Map<String, Object> params) {
+        String departmentName = (String) params.getOrDefault("departmentName", "");
+        String statPeriod = (String) params.getOrDefault("statPeriod", "MONTHLY");
+        String statDate = (String) params.getOrDefault("statDate", new java.text.SimpleDateFormat("yyyy-MM-dd").format(new Date()));
+
+        List<Map<String, Object>> rules = List.of(
+            Map.of("code", "NQ001", "name", "基础护理合格率", "category", "BASIC", "target", new java.math.BigDecimal("95"), "unit", "%"),
+            Map.of("code", "NQ002", "name", "护理文书书写合格率", "category", "DOCUMENTATION", "target", new java.math.BigDecimal("98"), "unit", "%"),
+            Map.of("code", "NQ003", "name", "急救物品完好率", "category", "SAFETY", "target", new java.math.BigDecimal("100"), "unit", "%"),
+            Map.of("code", "NQ004", "name", "消毒隔离合格率", "category", "STERILIZATION", "target", new java.math.BigDecimal("100"), "unit", "%"),
+            Map.of("code", "NQ005", "name", "压疮发生率", "category", "BASIC", "target", new java.math.BigDecimal("0"), "unit", "%"),
+            Map.of("code", "NQ006", "name", "跌倒发生率", "category", "SAFETY", "target", new java.math.BigDecimal("0"), "unit", "%"),
+            Map.of("code", "NQ007", "name", "患者满意度", "category", "BASIC", "target", new java.math.BigDecimal("90"), "unit", "%"),
+            Map.of("code", "NQ008", "name", "护理操作并发症发生率", "category", "SAFETY", "target", new java.math.BigDecimal("1"), "unit", "%")
+        );
+
+        int created = 0;
+        for (Map<String, Object> rule : rules) {
+            LambdaQueryWrapper<NursingQualityIndicator> exist = new LambdaQueryWrapper<>();
+            exist.eq(NursingQualityIndicator::getIndicatorCode, rule.get("code"))
+                 .eq(NursingQualityIndicator::getStatDate, statDate);
+            if (indicatorService.count(exist) > 0) continue;
+
+            NursingQualityIndicator indicator = new NursingQualityIndicator();
+            indicator.setIndicatorCode((String) rule.get("code"));
+            indicator.setIndicatorName((String) rule.get("name"));
+            indicator.setIndicatorCategory((String) rule.get("category"));
+            indicator.setTargetValue((java.math.BigDecimal) rule.get("target"));
+            indicator.setUnit((String) rule.get("unit"));
+            indicator.setStatPeriod(statPeriod);
+            indicator.setStatDate(statDate);
+            indicator.setDepartmentName(departmentName);
+            indicator.setStatus("ACTIVE");
+            indicator.setCreateTime(new Date());
+            indicatorService.save(indicator);
+            created++;
+        }
+        return R.ok(Map.of("created", created, "total", rules.size()));
+    }
+
     @GetMapping("/summary")
     public R<?> getSummary() {
         Map<String, Object> summary = new HashMap<>();

healthlink-his-ui/src/views/nursingexecution/api.js

@@ -4,5 +4,6 @@ export function addScan(d){return request({url:'/nursing-execution/scan/add',met
 export function getHandoffPage(p){return request({url:'/nursing-execution/handoff/page',method:'get',params:p})}
 export function addHandoff(d){return request({url:'/nursing-execution/handoff/add',method:'post',data:d})}
 export function confirmHandoff(id){return request({url:'/nursing-execution/handoff/confirm',method:'post',params:{id}})}
+export function getKeyPatients(p){return request({url:'/nursing-execution/handoff/key-patients',method:'get',params:p})}
 export function getInfusionPage(p){return request({url:'/nursing-execution/infusion/page',method:'get',params:p})}
 export function addInfusion(d){return request({url:'/nursing-execution/infusion/add',method:'post',data:d})}

healthlink-his-ui/src/views/nursingexecution/index.vue

@@ -83,6 +83,33 @@
             新增交接
           </el-button>
         </div>
+        <!-- 重点患者区域 -->
+        <div
+          v-if="keyPatients.length > 0"
+          style="margin-bottom:16px;background:#fdf6ec;border:1px solid #e6a23c;border-radius:6px;padding:12px"
+        >
+          <div style="font-weight:bold;color:#e6a23c;margin-bottom:8px">
+            重点患者提示
+          </div>
+          <div
+            v-for="(kp, idx) in keyPatients"
+            :key="idx"
+            style="margin-bottom:6px;font-size:13px"
+          >
+            <el-tag
+              type="warning"
+              size="small"
+              style="margin-right:6px"
+            >
+              {{ kp.ward }} {{ kp.shift }}
+            </el-tag>
+            <span style="font-weight:500">{{ kp.keyPatients }}</span>
+            <span
+              v-if="kp.pendingMatters"
+              style="color:#999;margin-left:8px"
+            >待办: {{ kp.pendingMatters }}</span>
+          </div>
+        </div>
         <el-table
           :data="handoffData"
           border
@@ -224,14 +251,14 @@
 <script setup>
 import {ref,reactive,onMounted} from 'vue'
 import {ElMessage} from 'element-plus'
-import {getScanPage,addScan,getHandoffPage,addHandoff,confirmHandoff,getInfusionPage,addInfusion} from './api'
+import {getScanPage,addScan,getHandoffPage,addHandoff,confirmHandoff,getKeyPatients,getInfusionPage,addInfusion} from './api'
 const tab=ref('scan')
-const scanData=ref([]),handoffData=ref([]),infusionData=ref([])
+const scanData=ref([]),handoffData=ref([]),infusionData=ref([]),keyPatients=ref([])
 const showScan=ref(false),showHandoff=ref(false),showInfusion=ref(false)
 const scanForm=reactive({patientName:'',scanType:'WRISTBAND',barcode:'',nurseName:''})
 const handoffForm=reactive({ward:'',shift:'MORNING',handoffNurseName:'',receiveNurseName:'',patientCount:0,criticalCount:0,keyPatients:''})
 const infusionForm=reactive({patientName:'',drugName:'',dripRate:0,patencyStatus:'NORMAL',patrolNurseName:''})
-const loadData=async()=>{const [s,h,i]=await Promise.all([getScanPage({pageNo:1,pageSize:50}),getHandoffPage({pageNo:1,pageSize:50}),getInfusionPage({pageNo:1,pageSize:50})]);scanData.value=s.data?.records||[];handoffData.value=h.data?.records||[];infusionData.value=i.data?.records||[]}
+const loadData=async()=>{const [s,h,kp,i]=await Promise.all([getScanPage({pageNo:1,pageSize:50}),getHandoffPage({pageNo:1,pageSize:50}),getKeyPatients(),getInfusionPage({pageNo:1,pageSize:50})]);scanData.value=s.data?.records||[];handoffData.value=h.data?.records||[];keyPatients.value=kp.data||[];infusionData.value=i.data?.records||[]}
 const confirmAction=async(row)=>{await confirmHandoff(row.id);ElMessage.success('已确认');loadData()}
 const submitScan=async()=>{await addScan(scanForm);ElMessage.success('成功');showScan.value=false;loadData()}
 const submitHandoff=async()=>{await addHandoff(handoffForm);ElMessage.success('成功');showHandoff.value=false;loadData()}

healthlink-his-ui/src/views/nursingquality/api.js

@@ -2,3 +2,5 @@ import request from '@/utils/request'
 export function getQualityPage(p){return request({url:'/nursing-quality/page',method:'get',params:p})}
 export function addIndicator(d){return request({url:'/nursing-quality/add',method:'post',data:d})}
 export function getQualitySummary(){return request({url:'/nursing-quality/summary',method:'get'})}
+export function getIndicators(p){return request({url:'/nursing-quality/indicators',method:'get',params:p})}
+export function collectIndicators(d){return request({url:'/nursing-quality/collect',method:'post',data:d})}

healthlink-his-ui/src/views/nursingquality/index.vue

@@ -17,6 +17,12 @@
         </el-button>
         <el-button
           type="warning"
+          @click="handleCollect"
+        >
+          采集指标
+        </el-button>
+        <el-button
+          type="info"
           @click="exportReport"
         >
           导出报告
@@ -324,7 +330,7 @@
 <script setup>
 import {ref, reactive, onMounted} from 'vue'
 import {ElMessage} from 'element-plus'
-import {getQualityPage, addIndicator, getQualitySummary} from './api'
+import {getQualityPage, addIndicator, getQualitySummary, collectIndicators} from './api'
 
 const loading = ref(false)
 const indicatorData = ref([])
@@ -391,5 +397,15 @@ async function submitForm() {
 
 function exportReport() { ElMessage.info('导出功能开发中') }
 
+async function handleCollect() {
+  try {
+    const res = await collectIndicators({ departmentName: q.value.departmentName || '' })
+    ElMessage.success(`已采集 ${res.data?.created || 0} 项指标`)
+    loadData()
+  } catch (e) {
+    ElMessage.error('采集失败')
+  }
+}
+
 onMounted(() => loadData())
 </script>