feat(critical-value): 危急值处理记录闭环

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/appservice/ICriticalValueAppService.java

@@ -1,5 +1,6 @@
 package com.healthlink.his.web.criticalvalue.appservice;
 import com.healthlink.his.criticalvalue.domain.CriticalValue;
+import com.healthlink.his.criticalvalue.domain.CriticalValueHandleRecord;
 import java.util.List;
 import java.util.Map;
 public interface ICriticalValueAppService {
@@ -10,4 +11,7 @@ public interface ICriticalValueAppService {
     List<CriticalValue> getPendingList();
     List<CriticalValue> getOverdueList();
     Map<String, Object> getStatistics(String startDate, String endDate);
+    List<CriticalValue> getPendingHandleList();
+    void handleCriticalValue(CriticalValueHandleRecord record);
+    List<CriticalValueHandleRecord> getHandleHistory(Long criticalValueId);
 }

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/appservice/impl/CriticalValueAppServiceImpl.java

@@ -1,14 +1,18 @@
 package com.healthlink.his.web.criticalvalue.appservice.impl;
 import com.healthlink.his.criticalvalue.domain.CriticalValue;
+import com.healthlink.his.criticalvalue.domain.CriticalValueHandleRecord;
+import com.healthlink.his.criticalvalue.service.ICriticalValueHandleRecordService;
 import com.healthlink.his.criticalvalue.service.ICriticalValueService;
 import com.healthlink.his.web.criticalvalue.appservice.ICriticalValueAppService;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
 import java.util.*;
 @Service
 public class CriticalValueAppServiceImpl implements ICriticalValueAppService {
     @Autowired private ICriticalValueService criticalValueService;
+    @Autowired private ICriticalValueHandleRecordService handleRecordService;
 
     @Override
     public CriticalValue reportCriticalValue(CriticalValue cv) {
@@ -72,4 +76,38 @@ public class CriticalValueAppServiceImpl implements ICriticalValueAppService {
         result.put("confirmRate", total > 0 ? Math.round(closed * 100.0 / total) : 0);
         return result;
     }
+    @Override
+    public List<CriticalValue> getPendingHandleList() {
+        return criticalValueService.list(new LambdaQueryWrapper<CriticalValue>()
+            .in(CriticalValue::getStatus, "PENDING", "RECEIVED")
+            .eq(CriticalValue::getDeleteFlag, "0")
+            .orderByDesc(CriticalValue::getReportTime));
+    }
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public void handleCriticalValue(CriticalValueHandleRecord record) {
+        record.setHandleTime(new Date());
+        handleRecordService.save(record);
+        if ("HANDLE".equals(record.getHandleType())) {
+            CriticalValue cv = criticalValueService.getById(record.getCriticalValueId());
+            cv.setHandlerId(record.getHandlerId());
+            cv.setHandlerName(record.getHandlerName());
+            cv.setHandleTime(new Date());
+            cv.setHandleResult(record.getHandleResult());
+            cv.setStatus("PROCESSING");
+            criticalValueService.updateById(cv);
+        } else if ("CONFIRM".equals(record.getHandleType())) {
+            CriticalValue cv = criticalValueService.getById(record.getCriticalValueId());
+            cv.setCloseTime(new Date());
+            cv.setStatus("CLOSED");
+            criticalValueService.updateById(cv);
+        }
+    }
+    @Override
+    public List<CriticalValueHandleRecord> getHandleHistory(Long criticalValueId) {
+        return handleRecordService.list(new LambdaQueryWrapper<CriticalValueHandleRecord>()
+            .eq(CriticalValueHandleRecord::getCriticalValueId, criticalValueId)
+            .eq(CriticalValueHandleRecord::getDeleteFlag, "0")
+            .orderByDesc(CriticalValueHandleRecord::getHandleTime));
+    }
 }

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/controller/CriticalValueController.java

@@ -1,10 +1,12 @@
 package com.healthlink.his.web.criticalvalue.controller;
 import com.core.common.core.domain.AjaxResult;
 import com.healthlink.his.criticalvalue.domain.CriticalValue;
+import com.healthlink.his.criticalvalue.domain.CriticalValueHandleRecord;
 import com.healthlink.his.web.criticalvalue.appservice.ICriticalValueAppService;
 import io.swagger.v3.oas.annotations.Operation;
 import io.swagger.v3.oas.annotations.tags.Tag;
 import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.security.access.prepost.PreAuthorize;
 import org.springframework.web.bind.annotation.*;
 @Tag(name = "危急值管理")
 @RestController
@@ -42,4 +44,21 @@ public class CriticalValueController {
     @GetMapping("/statistics")
     public AjaxResult statistics(@RequestParam(required = false) String startDate, @RequestParam(required = false) String endDate) {
         return AjaxResult.success(criticalValueAppService.getStatistics(startDate, endDate)); }
+
+    @Operation(summary = "待处理危急值列表")
+    @PreAuthorize("@ss.hasPermi('inpatient:criticalvalue:list')")
+    @GetMapping("/pending-handle")
+    public AjaxResult pendingHandle() { return AjaxResult.success(criticalValueAppService.getPendingHandleList()); }
+
+    @Operation(summary = "处理危急值")
+    @PreAuthorize("@ss.hasPermi('inpatient:criticalvalue:edit')")
+    @PostMapping("/handle")
+    public AjaxResult handle(@RequestBody CriticalValueHandleRecord record) {
+        criticalValueAppService.handleCriticalValue(record); return AjaxResult.success(); }
+
+    @Operation(summary = "处理历史")
+    @PreAuthorize("@ss.hasPermi('inpatient:criticalvalue:list')")
+    @GetMapping("/history")
+    public AjaxResult history(@RequestParam Long criticalValueId) {
+        return AjaxResult.success(criticalValueAppService.getHandleHistory(criticalValueId)); }
 }

healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V60__critical_value_handle_record.sql

@@ -0,0 +1,23 @@
+CREATE TABLE critical_value_handle_record (
+  id BIGSERIAL PRIMARY KEY,
+  critical_value_id BIGINT NOT NULL,
+  encounter_id BIGINT NOT NULL,
+  patient_id BIGINT NOT NULL,
+  handle_type VARCHAR(20) NOT NULL,
+  handler_id BIGINT NOT NULL,
+  handler_name VARCHAR(50),
+  handle_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+  handle_result TEXT,
+  review_result TEXT,
+  doctor_id BIGINT,
+  doctor_name VARCHAR(50),
+  confirm_time TIMESTAMP,
+  tenant_id BIGINT DEFAULT 0,
+  delete_flag CHAR(1) DEFAULT '0',
+  create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+  create_by VARCHAR(64)
+);
+COMMENT ON TABLE critical_value_handle_record IS '危急值处理记录';
+COMMENT ON COLUMN critical_value_handle_record.handle_type IS '处理类型: HANDLE-处理 REVIEW-复查 CONFIRM-确认';
+CREATE INDEX idx_cv_handle_cv_id ON critical_value_handle_record(critical_value_id);
+CREATE INDEX idx_cv_handle_patient ON critical_value_handle_record(patient_id);

healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/criticalvalue/domain/CriticalValueHandleRecord.java

@@ -0,0 +1,29 @@
+package com.healthlink.his.criticalvalue.domain;
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+import java.util.Date;
+@Data
+@TableName("critical_value_handle_record")
+@Accessors(chain = true)
+@EqualsAndHashCode(callSuper = false)
+public class CriticalValueHandleRecord extends HisBaseEntity {
+    @TableId(type = IdType.ASSIGN_ID)
+    private Long id;
+    private Long criticalValueId;
+    private Long encounterId;
+    private Long patientId;
+    private String handleType;
+    private Long handlerId;
+    private String handlerName;
+    private Date handleTime;
+    private String handleResult;
+    private String reviewResult;
+    private Long doctorId;
+    private String doctorName;
+    private Date confirmTime;
+}

healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/criticalvalue/mapper/CriticalValueHandleRecordMapper.java

@@ -0,0 +1,6 @@
+package com.healthlink.his.criticalvalue.mapper;
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.criticalvalue.domain.CriticalValueHandleRecord;
+import org.apache.ibatis.annotations.Mapper;
+@Mapper
+public interface CriticalValueHandleRecordMapper extends BaseMapper<CriticalValueHandleRecord> {}

healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/criticalvalue/service/ICriticalValueHandleRecordService.java

@@ -0,0 +1,4 @@
+package com.healthlink.his.criticalvalue.service;
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.criticalvalue.domain.CriticalValueHandleRecord;
+public interface ICriticalValueHandleRecordService extends IService<CriticalValueHandleRecord> {}

healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/criticalvalue/service/impl/CriticalValueHandleRecordServiceImpl.java

@@ -0,0 +1,8 @@
+package com.healthlink.his.criticalvalue.service.impl;
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.criticalvalue.domain.CriticalValueHandleRecord;
+import com.healthlink.his.criticalvalue.mapper.CriticalValueHandleRecordMapper;
+import com.healthlink.his.criticalvalue.service.ICriticalValueHandleRecordService;
+import org.springframework.stereotype.Service;
+@Service
+public class CriticalValueHandleRecordServiceImpl extends ServiceImpl<CriticalValueHandleRecordMapper, CriticalValueHandleRecord> implements ICriticalValueHandleRecordService {}

healthlink-his-ui/src/api/criticalvalue/index.js

@@ -4,3 +4,6 @@ export function confirmValue(id, params) { return request({ url: '/api/v1/critic
 export function closeValue(id) { return request({ url: '/api/v1/critical-value/close/' + id, method: 'put' }) }
 export function getStatistics() { return request({ url: '/api/v1/critical-value/statistics', method: 'get' }) }
 export function getOverdueList() { return request({ url: '/api/v1/critical-value/overdue', method: 'get' }) }
+export function getPendingHandleList() { return request({ url: '/api/v1/critical-value/pending-handle', method: 'get' }) }
+export function handleCriticalValue(data) { return request({ url: '/api/v1/critical-value/handle', method: 'post', data: data }) }
+export function getHandleHistory(criticalValueId) { return request({ url: '/api/v1/critical-value/history', method: 'get', params: { criticalValueId } }) }

healthlink-his-ui/src/views/inpatientDoctor/CriticalValueHandle.vue

@@ -0,0 +1,207 @@
+<template>
+  <div class="critical-value-handle-container">
+    <el-card v-loading="loading">
+      <template #header>
+        <div class="card-header">
+          <span>危急值处理</span>
+          <el-button type="primary" size="small" @click="handleQuery">刷新</el-button>
+        </div>
+      </template>
+      <el-table :data="tableData" border style="width: 100%">
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="patientName" label="患者姓名" width="120" />
+        <el-table-column prop="itemName" label="危急项目" min-width="160" show-overflow-tooltip />
+        <el-table-column prop="resultValue" label="结果" width="100" align="center" />
+        <el-table-column prop="referenceRange" label="参考范围" width="120" />
+        <el-table-column prop="labDepartment" label="检验科室" width="120" />
+        <el-table-column prop="reportTime" label="报告时间" width="170" />
+        <el-table-column prop="status" label="状态" width="100" align="center">
+          <template #default="scope">
+            <el-tag v-if="scope.row.status === 'PENDING'" type="danger">待处理</el-tag>
+            <el-tag v-else-if="scope.row.status === 'RECEIVED'" type="warning">已接收</el-tag>
+            <el-tag v-else-if="scope.row.status === 'PROCESSING'" type="primary">处理中</el-tag>
+            <el-tag v-else-if="scope.row.status === 'CLOSED'" type="success">已关闭</el-tag>
+            <el-tag v-else type="info">{{ scope.row.status }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column label="操作" width="200" align="center" fixed="right">
+          <template #default="scope">
+            <el-button v-if="scope.row.status !== 'CLOSED'" link type="primary" @click="handleProcess(scope.row)">处理</el-button>
+            <el-button link type="info" @click="handleHistory(scope.row)">历史</el-button>
+          </template>
+        </el-table-column>
+      </el-table>
+      <el-empty v-if="!loading && tableData.length === 0" description="暂无待处理危急值" />
+    </el-card>
+
+    <el-dialog v-model="processDialogVisible" title="危急值处理" width="600px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="processFormRef" :model="processForm" :rules="processRules" label-width="100px">
+        <el-form-item label="患者">
+          <el-input :model-value="currentRow?.patientName" disabled />
+        </el-form-item>
+        <el-form-item label="危急项目">
+          <el-input :model-value="currentRow?.itemName" disabled />
+        </el-form-item>
+        <el-form-item label="结果">
+          <el-input :model-value="currentRow?.resultValue" disabled />
+        </el-form-item>
+        <el-form-item label="处理类型" prop="handleType">
+          <el-select v-model="processForm.handleType" placeholder="请选择" style="width: 100%">
+            <el-option label="处理" value="HANDLE" />
+            <el-option label="复查" value="REVIEW" />
+            <el-option label="确认关闭" value="CONFIRM" />
+          </el-select>
+        </el-form-item>
+        <el-form-item label="处理人" prop="handlerName">
+          <el-input v-model="processForm.handlerName" placeholder="请输入处理人姓名" />
+        </el-form-item>
+        <el-form-item v-if="processForm.handleType === 'HANDLE'" label="处理结果" prop="handleResult">
+          <el-input v-model="processForm.handleResult" type="textarea" :rows="3" placeholder="请输入处理结果" />
+        </el-form-item>
+        <el-form-item v-if="processForm.handleType === 'REVIEW'" label="复查结果" prop="reviewResult">
+          <el-input v-model="processForm.reviewResult" type="textarea" :rows="3" placeholder="请输入复查结果" />
+        </el-form-item>
+        <el-form-item v-if="processForm.handleType === 'CONFIRM'" label="审核医生" prop="doctorName">
+          <el-input v-model="processForm.doctorName" placeholder="请输入审核医生姓名" />
+        </el-form-item>
+      </el-form>
+      <template #footer>
+        <el-button @click="processDialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="submitProcess">确认</el-button>
+      </template>
+    </el-dialog>
+
+    <el-dialog v-model="historyDialogVisible" title="处理历史" width="700px" destroy-on-close>
+      <el-table :data="historyData" border style="width: 100%" size="small">
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="handleType" label="类型" width="100" align="center">
+          <template #default="scope">
+            <el-tag v-if="scope.row.handleType === 'HANDLE'" type="primary">处理</el-tag>
+            <el-tag v-else-if="scope.row.handleType === 'REVIEW'" type="warning">复查</el-tag>
+            <el-tag v-else-if="scope.row.handleType === 'CONFIRM'" type="success">确认</el-tag>
+            <el-tag v-else type="info">{{ scope.row.handleType }}</el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="handlerName" label="处理人" width="100" />
+        <el-table-column prop="handleResult" label="处理结果" min-width="150" show-overflow-tooltip />
+        <el-table-column prop="reviewResult" label="复查结果" min-width="150" show-overflow-tooltip />
+        <el-table-column prop="doctorName" label="审核医生" width="100" />
+        <el-table-column prop="handleTime" label="处理时间" width="170" />
+      </el-table>
+      <el-empty v-if="historyData.length === 0" description="暂无处理记录" />
+      <template #footer>
+        <el-button @click="historyDialogVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, onMounted } from 'vue'
+import { ElMessage } from 'element-plus'
+import { getPendingHandleList, handleCriticalValue, getHandleHistory } from '@/api/criticalvalue'
+
+const loading = ref(false)
+const submitLoading = ref(false)
+const tableData = ref([])
+
+const processDialogVisible = ref(false)
+const historyDialogVisible = ref(false)
+
+const processFormRef = ref(null)
+const currentRow = ref(null)
+
+const processForm = reactive({
+  handleType: 'HANDLE',
+  handlerName: '',
+  handleResult: '',
+  reviewResult: '',
+  doctorName: ''
+})
+const processRules = {
+  handleType: [{ required: true, message: '请选择处理类型', trigger: 'change' }],
+  handlerName: [{ required: true, message: '请输入处理人', trigger: 'blur' }],
+  handleResult: [{ required: true, message: '请输入处理结果', trigger: 'blur' }],
+  reviewResult: [{ required: true, message: '请输入复查结果', trigger: 'blur' }],
+  doctorName: [{ required: true, message: '请输入审核医生', trigger: 'blur' }]
+}
+
+const historyData = ref([])
+
+function handleQuery() {
+  loading.value = true
+  getPendingHandleList().then(res => {
+    tableData.value = res.data || []
+  }).catch(() => {
+    ElMessage.error('查询失败')
+  }).finally(() => {
+    loading.value = false
+  })
+}
+
+function handleProcess(row) {
+  currentRow.value = row
+  processForm.handleType = 'HANDLE'
+  processForm.handlerName = ''
+  processForm.handleResult = ''
+  processForm.reviewResult = ''
+  processForm.doctorName = ''
+  processDialogVisible.value = true
+}
+
+function submitProcess() {
+  processFormRef.value?.validate(valid => {
+    if (!valid) return
+    submitLoading.value = true
+    const payload = {
+      criticalValueId: currentRow.value.id,
+      encounterId: currentRow.value.encounterId,
+      patientId: currentRow.value.patientId,
+      handleType: processForm.handleType,
+      handlerId: null,
+      handlerName: processForm.handlerName,
+      handleResult: processForm.handleResult,
+      reviewResult: processForm.reviewResult,
+      doctorId: null,
+      doctorName: processForm.doctorName
+    }
+    handleCriticalValue(payload).then(res => {
+      if (res.code === 200) {
+        ElMessage.success('处理成功')
+        processDialogVisible.value = false
+        handleQuery()
+      } else {
+        ElMessage.error(res.msg || '处理失败')
+      }
+    }).catch(() => {
+      ElMessage.error('处理失败')
+    }).finally(() => {
+      submitLoading.value = false
+    })
+  })
+}
+
+function handleHistory(row) {
+  getHandleHistory(row.id).then(res => {
+    historyData.value = res.data || []
+    historyDialogVisible.value = true
+  }).catch(() => {
+    ElMessage.error('查询历史失败')
+  })
+}
+
+onMounted(() => {
+  handleQuery()
+})
+</script>
+
+<style scoped>
+.critical-value-handle-container {
+  padding: 12px;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+</style>