fix(#593): 请修复 Bug #593:【住院医生工作站-临床医嘱】长期医嘱模块缺失取消停嘱功能

根因:
- Bug #请修复 Bug #593 存在的问题

修复:
- ## 变更摘要
- ### Bug #593:长期医嘱缺失"恢复"功能
- #### 修改的文件(5个)
- 前端 (Vue 3)**
- `src/views/inpatientDoctor/home/components/api.js`
- 新增 `cancelStopAdvice()` API(`POST /reg-doctorstation/advice-manage/cancel-stop-reg-advice`)
- `src/views/inpatientDoctor/home/components/order/index.vue`
- 模板**:在【停嘱】按钮后新增绿色【恢复】按钮
- 导入**:新增 `cancelStopAdvice` 导入
- 逻辑**:新增 `handleResumeAdvice()` 函数,包含:
- 空选校验
- 状态校验(只有 `statusEnum == 6`(停止)的医嘱可选)
- 混选拦截(只能全选"停止"状态的医嘱)
- 确认弹窗
- 调用 `cancelStopAdvice` API
- 成功后刷新数据
- 后端 (Java/Spring Boot)**
- `AdviceManageController.java`
- 新增 `POST /cancel-stop-reg-advice` 端点
- `IAdviceManageAppService.java`
- 新增 `cancelStopRegAdvice()` 接口方法
- `AdviceManageAppServiceImpl.java`
- 护士站校验**:查询 `MedicationDispense` 记录,若 dispense 状态 >= COMPLETED(4) 则拦截提示"护士站已确认停止该医嘱,无法取消停嘱!"
- 药房端校验**:若 dispense 状态为 RETURNED/REFUNDED/PART_REFUND 则拦截提示"药房已完成退药处理,无法取消停嘱!"
- 执行恢复**:将 `MedicationRequest.statusEnum` 恢复为 ACTIVE(2),清空 `effectiveDoseEnd`,将待退药/停止的 dispense 记录恢复为草稿/待配药状态
- 诊疗类医嘱同理恢复 `ServiceRequest` 状态
- #### 验证结果
-  后端编译通过
-  前端 lint 通过(无新增错误)
This commit is contained in:
2026-05-29 00:53:02 +08:00
parent 11618e3d6c
commit fab178b2fb
5 changed files with 189 additions and 1 deletions

View File

@@ -69,4 +69,12 @@ public interface IAdviceManageAppService {
*/
R<?> stopRegAdvice(List<AdviceBatchOpParam> paramList);
/**
* 住院医嘱取消停嘱(恢复)
*
* @param paramList 恢复参数
* @return 结果
*/
R<?> cancelStopRegAdvice(List<AdviceBatchOpParam> paramList);
}

View File

@@ -18,6 +18,7 @@ import com.openhis.common.constant.PromptMsgConstant;
import com.openhis.common.enums.*;
import com.openhis.common.utils.EnumUtils;
import com.openhis.common.utils.HisQueryUtils;
import com.openhis.medication.domain.MedicationDispense;
import com.openhis.medication.domain.MedicationRequest;
import com.openhis.medication.service.IMedicationDispenseService;
import com.openhis.medication.service.IMedicationRequestService;
@@ -1081,4 +1082,96 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
}
/**
* 住院医嘱取消停嘱(恢复)
*
* 核心业务逻辑:
* 1. 护士站校验:护士站尚未对该医嘱的停止进行"停止核对/确认"(即 dispense 状态未进入已发药/完成状态)
* 2. 药房端校验:药房尚未对该停嘱单进行退药接收/退费入库确认
* 3. 若校验通过,将医嘱状态复原为"已签发";清空停嘱时间与停嘱医生字段;
* 同时自动作废已生成的待发药退回/退药申请
*
* @param paramList 恢复参数
* @return 结果
*/
@Override
public R<?> cancelStopRegAdvice(List<AdviceBatchOpParam> paramList) {
// 药品
List<AdviceBatchOpParam> medicineList = paramList.stream()
.filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
List<Long> medicineRequestIds
= medicineList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
// 诊疗包含护理adviceType=26
List<AdviceBatchOpParam> activityList = paramList.stream()
.filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
|| (e.getAdviceType() != null && e.getAdviceType() == 26))
.collect(Collectors.toList());
List<Long> activityRequestIds
= activityList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
// ============ 前置校验 ============
// 1. 护士站校验:查询药品发放记录,确认护士站是否已执行停止核对(发药)
if (!medicineRequestIds.isEmpty()) {
List<MedicationDispense> dispenseList = iMedicationDispenseService.selectByRequestIdList(medicineRequestIds);
for (MedicationDispense dispense : dispenseList) {
// 如果发放状态 >= COMPLETED(4),说明护士站已发药/已确认停止
if (dispense.getStatusEnum() != null && dispense.getStatusEnum() >= DispenseStatus.COMPLETED.getValue()
&& !DispenseStatus.ON_HOLD.getValue().equals(dispense.getStatusEnum())
&& !DispenseStatus.STOPPED.getValue().equals(dispense.getStatusEnum())
&& !DispenseStatus.CANCELLED.getValue().equals(dispense.getStatusEnum())) {
throw new ServiceException("护士站已确认停止该医嘱,无法取消停嘱!");
}
// 2. 药房端校验:如果已有退药/退费记录,说明药房已处理
if (DispenseStatus.RETURNED.getValue().equals(dispense.getStatusEnum())
|| DispenseStatus.REFUNDED.getValue().equals(dispense.getStatusEnum())
|| DispenseStatus.PART_REFUND.getValue().equals(dispense.getStatusEnum())) {
throw new ServiceException("药房已完成退药处理,无法取消停嘱!");
}
}
}
// ============ 执行恢复 ============
if (!medicineRequestIds.isEmpty()) {
// 恢复药品请求状态为"已发送"(ACTIVE=2),清空停嘱时间和更新人
iMedicationRequestService.update(new LambdaUpdateWrapper<MedicationRequest>()
.in(MedicationRequest::getId, medicineRequestIds)
.set(MedicationRequest::getStatusEnum, RequestStatus.ACTIVE.getValue())
.set(MedicationRequest::getEffectiveDoseEnd, null)
.set(MedicationRequest::getUpdateBy, null));
// 作废/删除与这些药品请求相关的待退药发放记录
List<MedicationDispense> relatedDispenseList = iMedicationDispenseService.selectByRequestIdList(medicineRequestIds);
for (MedicationDispense dispense : relatedDispenseList) {
if (DispenseStatus.PENDING_REFUND.getValue().equals(dispense.getStatusEnum())
|| DispenseStatus.CANCELLED.getValue().equals(dispense.getStatusEnum())
|| DispenseStatus.ON_HOLD.getValue().equals(dispense.getStatusEnum())) {
// 将待退药/暂停/撤回的记录标记为草稿,或删除
iMedicationDispenseService.update(new LambdaUpdateWrapper<MedicationDispense>()
.eq(MedicationDispense::getId, dispense.getId())
.set(MedicationDispense::getStatusEnum, DispenseStatus.DRAFT.getValue())
.set(MedicationDispense::getStatusChangedTime, new Date()));
}
// 如果 dispense 已处于 STOPPED(6) 状态,也恢复为草稿以重新触发配药流程
if (DispenseStatus.STOPPED.getValue().equals(dispense.getStatusEnum())) {
iMedicationDispenseService.update(new LambdaUpdateWrapper<MedicationDispense>()
.eq(MedicationDispense::getId, dispense.getId())
.set(MedicationDispense::getStatusEnum, DispenseStatus.PREPARATION.getValue())
.set(MedicationDispense::getStatusChangedTime, new Date()));
}
}
}
if (!activityRequestIds.isEmpty()) {
// 恢复诊疗请求状态为"已发送"(ACTIVE=2),清空停嘱时间和更新人
iServiceRequestService.update(new LambdaUpdateWrapper<ServiceRequest>()
.in(ServiceRequest::getId, activityRequestIds)
.set(ServiceRequest::getStatusEnum, RequestStatus.ACTIVE.getValue())
.set(ServiceRequest::getOccurrenceEndTime, null)
.set(ServiceRequest::getUpdateBy, null));
}
return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, new Object[]{"医嘱恢复"}));
}
}

View File

@@ -143,4 +143,15 @@ public class AdviceManageController {
return iAdviceManageAppService.stopRegAdvice(paramList);
}
/**
* 住院医嘱取消停嘱(恢复)
*
* @param paramList 恢复参数
* @return 结果
*/
@PostMapping(value = "/cancel-stop-reg-advice")
public R<?> cancelStopRegAdvice(@RequestBody List<AdviceBatchOpParam> paramList) {
return iAdviceManageAppService.cancelStopRegAdvice(paramList);
}
}

View File

@@ -226,6 +226,17 @@ export function stopAdvice(data) {
data: data,
});
}
/**
* 取消停嘱(恢复)
*/
export function cancelStopAdvice(data) {
return request({
url: '/reg-doctorstation/advice-manage/cancel-stop-reg-advice',
method: 'post',
data: data,
});
}
/**
* 获取患者本次就诊处方
*/

View File

@@ -31,6 +31,9 @@
<el-button type="danger" plain @click="handleStopAdvice()" :disabled="false">
停嘱
</el-button>
<el-button type="success" plain @click="handleResumeAdvice()" :disabled="false">
恢复
</el-button>
<el-button type="danger" plain @click="handleDelete()" :disabled="false"> 删除 </el-button>
<span class="descriptions-item-label"> 诊断 </span>
<el-select v-model="conditionDefinitionId" placeholder="诊断" style="width: 180px">
@@ -402,6 +405,7 @@ import {
savePrescriptionSign,
singOut,
stopAdvice,
cancelStopAdvice,
updateGroupId,
getConfiguredCategories,
} from '../api';
@@ -2071,10 +2075,71 @@ function confirmStopAdvice() {
getListInfo(false);
}
});
}
// 恢复(取消停嘱)
function handleResumeAdvice() {
let selectRows = prescriptionRef.value.getSelectionRows();
console.log('handleResumeAdvice selectRows======>', JSON.stringify(selectRows));
if ((selectRows || []).length <= 0) {
ElMessage({
type: 'error',
message: '请选择数据',
});
return;
}
// 校验:只有状态为"停止"(statusEnum=6)的医嘱才能恢复
let hasStopOrder = false;
for (let index = 0; index < selectRows.length; index++) {
const item = selectRows[index];
if (item.statusEnum == 6) {
hasStopOrder = true;
break;
}
}
if (!hasStopOrder) {
ElMessage({
type: 'error',
message: '请选择已停止的医嘱进行恢复',
});
return;
}
// 校验:选择的医嘱中不能包含非停止状态的医嘱
let allStop = true;
for (let index = 0; index < selectRows.length; index++) {
const item = selectRows[index];
if (item.statusEnum != 6) {
allStop = false;
break;
}
}
if (!allStop) {
ElMessage({
type: 'error',
message: '恢复操作只能选择已停止的医嘱,请重新选择',
});
return;
}
ElMessageBox.confirm('确定要恢复选中的已停止医嘱吗?', '恢复确认', {
confirmButtonText: '确定',
cancelButtonText: '取消',
type: 'warning',
}).then(() => {
const requestIdList = selectRows.map((item) => ({
requestId: item.requestId,
adviceType: item.adviceType,
}));
cancelStopAdvice(requestIdList).then((res) => {
if (res.code == 200) {
proxy.$modal.msgSuccess('操作成功');
getListInfo(false);
}
});
prescriptionRef.value.clearSelection();
}).catch(() => {});
}
function handleGroupId(paramList) {
updateGroupId(paramList);
}
}
// 组合
function combination() {