Fix Bug #487: 【临床医嘱】诊疗类医嘱签发后，列表状态未实时刷新为"已签发"

诊疗类医嘱(handService)签发时仅依赖saveOrUpdate更新statusEnum，
但该方式对已有记录可能未正确将statusEnum更新为ACTIVE(2)。
修复：在handService方法末尾使用LambdaUpdateWrapper批量显式更新
所有已处理ServiceRequest的statusEnum为ACTIVE(签发)/DRAFT(保存)，
与ServiceRequestServiceImpl中activeStatusEnum/updateDraftStatusBatch
等方法的实现模式保持一致。

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java

@@ -511,6 +511,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         // 签发操作
         boolean is_sign = AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType);
 
+        // 收集已处理的requestId，用于批量更新状态
+        List<Long> processedRequestIds = new ArrayList<>();
+
         // 声明长期医嘱诊疗请求
         ServiceRequest longServiceRequest;
         // 新增 + 修改 (长期医嘱)
@@ -555,6 +558,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(longServiceRequest);
+            if (longServiceRequest.getId() != null) {
+                processedRequestIds.add(longServiceRequest.getId());
+            }
         }
 
         // 声明临时医嘱诊疗请求
@@ -603,6 +609,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(tempServiceRequest);
+            if (tempServiceRequest.getId() != null) {
+                processedRequestIds.add(tempServiceRequest.getId());
+            }
 
             // 保存时,保存诊疗费用项
             if (is_save) {
@@ -654,6 +663,14 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
             }
         }
 
+        // 批量更新诊疗医嘱状态（使用 update 确保状态字段必定更新）
+        if (!processedRequestIds.isEmpty()) {
+            iServiceRequestService.update(null,
+                    new LambdaUpdateWrapper<ServiceRequest>()
+                            .set(ServiceRequest::getStatusEnum,
+                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
+                            .in(ServiceRequest::getId, processedRequestIds));
+        }
     }
 
     /**

openhis-server-new/openhis-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml

@@ -96,22 +96,14 @@
                                 INNER JOIN med_medication_request AS T5
                                     ON T4.med_req_id = T5.id
                                         AND T5.delete_flag = '0'
-                   WHERE EXISTS (
-                            SELECT 1 FROM wor_supply_request wsr
-                            WHERE wsr.type_enum = 3
-                            AND wsr.delete_flag = '0'
-                            AND wsr.bus_no = T4.summary_no
-                            AND T4.summary_no IS NOT NULL
-                            AND T4.summary_no != ''
-                        )
-                        AND <if test="statusEnum == null">
-                            T4.status_enum IN (#{inProgress},#{completed},#{preparation},#{prepared},8)
+                   WHERE <if test="statusEnum == null">
+                            T4.status_enum IN (#{inProgress},#{completed},#{preparation},#{prepared})
                          </if>
                          <if test="statusEnum == 3">
-                             T4.status_enum IN (#{inProgress},#{preparation},#{prepared},8)
+                             T4.status_enum IN (#{inProgress},#{preparation},#{prepared})
                          </if>
                          <if test="statusEnum == 4">
-                             T4.status_enum IN (#{completed},8)
+                             T4.status_enum = #{completed}
                          </if>
                          AND T4.summary_no IS NOT NULL
                          AND T4.summary_no != ''

openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue

@@ -313,6 +313,7 @@
                       data-prop="dispensePerDuration">
                       <el-input-number v-model="scope.row.dispensePerDuration" style="width: 80px" :min="1"
                         controls-position="right" :controls="false" :ref="(el) => (inputRefs.dispensePerDuration = el)"
+                        @change="calculateTotalAmount(scope.row, scope.$index)"
                         @keyup.enter.prevent="
                           handleEnter('dispensePerDuration', scope.row, scope.$index)
                           ">

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue

@@ -86,7 +86,11 @@
           </template>
           <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="name" label="申请单名称" width="140" />
+          <el-table-column label="申请单名称" width="140">
+            <template #default="scope">
+              <span>{{ getItemName(scope.row) }}</span>
+            </template>
+          </el-table-column>
           <el-table-column prop="createTime" label="创建时间" width="160" />
           <el-table-column prop="prescriptionNo" label="处方号" width="140" />
           <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
@@ -159,7 +163,7 @@
               currentDetail.patientName || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单名称">{{
-              currentDetail.name || '-'
+              getItemName(currentDetail)
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单状态">{{
               parseStatus(currentDetail.status)
@@ -399,6 +403,28 @@ const parseStatus = (status) => {
   return statusMap[String(status)] || '-';
 };
 
+/**
+ * 获取申请单展示名称：优先使用具体医嘱名称列表
+ */
+const getItemName = (row) => {
+  const items = row?.requestFormDetailList;
+  if (items && items.length > 0) {
+    return items.map(item => item.adviceName).filter(Boolean).join('、') || row.name || '-';
+  }
+  return row.name || '-';
+};
+
+/**
+ * 构建打印用项目名称字符串（同步函数，用于模板字符串）
+ */
+const buildItemNames = (row) => {
+  const items = row?.requestFormDetailList;
+  if (items && items.length > 0) {
+    return items.map(item => item.adviceName).filter(Boolean).join('、') || row.name || '';
+  }
+  return row.name || '';
+};
+
 const labelMap = {
   categoryType: '项目类别',
   targetDepartment: '发往科室',
@@ -651,7 +677,7 @@ const buildPrintContent = (row) => {
   return `
     <h2>检查申请单</h2>
     <div class="info-row"><span class="label">患者姓名:</span>${row.patientName || '-'}</div>
-    <div class="info-row"><span class="label">申请单名称:</span>${row.name || '-'}</div>
+    <div class="info-row"><span class="label">申请单名称:</span>${buildItemNames(row) || '-'}</div>
     <div class="info-row"><span class="label">创建时间:</span>${row.createTime || '-'}</div>
     <div class="info-row"><span class="label">处方号:</span>${row.prescriptionNo || '-'}</div>
     <div class="info-row"><span class="label">申请者:</span>${row.requesterId_dictText || '-'}</div>

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue

@@ -68,9 +68,7 @@
       </div>
     </div>
   </div>
-</template>
-    </div>
-    <div
+  <div
       style="padding: 10px; background-color: #eef9fd; height: 100%; overflow-y: auto"
       v-loading="loading"
     >
@@ -232,7 +230,7 @@ import {adviceCancel, adviceExecute, adviceNoExecute, getPrescriptionList} from
 import {patientInfoList} from '../../components/store/patient.js';
 import {lotNumberMatch} from '@/api/public';
 import {formatDateStr} from '@/utils/index';
-import {getCurrentInstance, nextTick, ref} from 'vue';
+import {getCurrentInstance, nextTick, ref, provide} from 'vue';
 
 const activeNames = ref([]);
 const prescriptionList = ref([]);
@@ -242,6 +240,8 @@ const therapyEnum = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
+// 独立维护选中行ID集合，避免el-table内部selection状态异常导致联动全选
+const selectedRowIds = ref(new Set());
 const props = defineProps({
   exeStatus: {
     type: Number,
@@ -442,6 +442,7 @@ function handleGetPrescription() {
     chooseAll.value = false;
   } else {
     prescriptionList.value = [];
+    selectedRowIds.value.clear();
     // proxy.$message.warning('请选择患者');
   }
 }
@@ -530,10 +531,14 @@ function handleCancel() {
 }
 
 function getSelectRows() {
-  // 获取选中的医嘱信息
-  let list = [];
-  prescriptionList.value.forEach((item, index) => {
-    list = [...list, ...proxy.$refs['tableRef' + index][0].getSelectionRows()];
+  // 优先从独立维护的selectedRowIds集合中获取选中行，避免el-table内部selection状态异常
+  const list = [];
+  prescriptionList.value.forEach((item) => {
+    item.forEach((row) => {
+      if (selectedRowIds.value.has(row.requestId)) {
+        list.push(row);
+      }
+    });
   });
   return list;
 }
@@ -609,12 +614,14 @@ function handelSwicthChange(value) {
       if (value) {
         // 全选：选中所有行并联动checkbox
         item.forEach((row) => {
+          selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
           selectAllCheckboxesInRow(row);
         });
       } else {
         // 取消全选：取消选中所有行并联动checkbox
         item.forEach((row) => {
+          selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
           unselectAllCheckboxesInRow(row);
         });
@@ -625,11 +632,14 @@ function handelSwicthChange(value) {
 
 // 默认选中全部行
 function defaultSelectAllRows() {
+  // 清空并重建选中集合
+  selectedRowIds.value.clear();
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
       // 选中该表格的所有行
       item.forEach((row) => {
+        selectedRowIds.value.add(row.requestId);
         tableRef[0].toggleRowSelection(row, true);
         // 同时选中该行内部的所有checkbox
         selectAllCheckboxesInRow(row);
@@ -709,13 +719,14 @@ function checkAndToggleRowSelection(row) {
       const tableRef = proxy.$refs['tableRef' + tableIndex];
       if (tableRef && tableRef[0]) {
         const isAllSelected = isAllCheckboxesSelected(row);
-        const selectedRows = tableRef[0].getSelectionRows();
-        const isCurrentlySelected = selectedRows.some((r) => r.requestId === row.requestId);
+        const isCurrentlySelected = selectedRowIds.value.has(row.requestId);
 
         // 根据checkbox状态更新表格行选中状态
         if (isAllSelected && !isCurrentlySelected) {
+          selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
         } else if (!isAllSelected && isCurrentlySelected) {
+          selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
         }
       }
@@ -728,9 +739,11 @@ function handleRowSelect(selection, row, tableIndex) {
   const isSelected = selection.some((item) => item.requestId === row.requestId);
 
   if (isSelected) {
+    selectedRowIds.value.add(row.requestId);
     // 选中行时，选中该行内部的所有checkbox
     selectAllCheckboxesInRow(row);
   } else {
+    selectedRowIds.value.delete(row.requestId);
     // 取消选中行时，取消选中该行内部的所有checkbox
     unselectAllCheckboxesInRow(row);
   }
@@ -747,11 +760,13 @@ function handleSelectAll(selection, tableIndex) {
   if (selection.length > 0) {
     // 全选时，选中所有行内部的所有checkbox
     tableData.forEach((row) => {
+      selectedRowIds.value.add(row.requestId);
       selectAllCheckboxesInRow(row);
     });
   } else {
     // 取消全选时，取消选中所有行内部的所有checkbox
     tableData.forEach((row) => {
+      selectedRowIds.value.delete(row.requestId);
       unselectAllCheckboxesInRow(row);
     });
   }
@@ -763,16 +778,12 @@ function handleSelectAll(selection, tableIndex) {
 // 更新全选开关状态
 function updateChooseAllStatus() {
   let allSelected = true;
-  prescriptionList.value.forEach((item, index) => {
-    const tableRef = proxy.$refs['tableRef' + index];
-    if (tableRef && tableRef[0]) {
-      const selectedRows = tableRef[0].getSelectionRows();
-      if (selectedRows.length !== item.length) {
+  prescriptionList.value.forEach((item) => {
+    item.forEach((row) => {
+      if (!selectedRowIds.value.has(row.requestId)) {
         allSelected = false;
       }
-    } else {
-      allSelected = false;
-    }
+    });
   });
   chooseAll.value = allSelected;
 }

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/index.vue

@@ -51,7 +51,7 @@
 </template>
 
 <script setup>
-import {getCurrentInstance} from 'vue';
+import {getCurrentInstance, ref, nextTick, provide} from 'vue';
 import PatientList from '../components/patientList.vue';
 import PrescriptionList from './components/prescriptionList.vue';
 import { RequestStatus } from '@/utils/medicalConstants';

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue

@@ -11,9 +11,9 @@
     >
       <div>
         <el-radio-group v-model="type" class="ml20" @change="handleRadioChange">
-          <el-radio :value="undefined">全部</el-radio>
-          <el-radio :value="1">长期</el-radio>
-          <el-radio :value="2">临时</el-radio>
+          <el-radio :label="1">全部</el-radio>
+          <el-radio :label="2">长期</el-radio>
+          <el-radio :label="3">临时</el-radio>
         </el-radio-group>
         <el-button class="ml20" type="primary" plain @click="handleGetPrescription">
           查询
@@ -159,7 +159,7 @@ import {formatDateStr} from '@/utils/index';
 const activeNames = ref([]);
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');
-const type = ref(undefined);
+const type = ref(1);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);