Fix Bug #505: 【业务逻辑缺陷】药品医嘱已由药房发药，护士仍能在"医嘱校对"模块执行"退回"操作

前后端双重校验防止已发药医嘱被退回：
1. 后端 InpatientAdviceDto 新增 dispenseStatus 字段，Mapper SQL LEFT JOIN med_medication_dispense 获取发药状态
2. 后端 adviceReject 方法增加前置校验，已发药(COMPLETED)的医嘱直接拒绝退回
3. 前端 prescriptionList.vue handleCancel 方法增加 dispenseStatus 校验，已发药医嘱点击退回时弹窗提示

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java

@@ -206,6 +206,8 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
             e.setTherapyEnum_enumText(EnumUtils.getInfoByValue(TherapyTimeType.class, e.getTherapyEnum()));
             // 请求状态
             e.setRequestStatus_enumText(EnumUtils.getInfoByValue(RequestStatus.class, e.getRequestStatus()));
+            // 发药状态
+            e.setDispenseStatus_enumText(EnumUtils.getInfoByValue(DispenseStatus.class, e.getDispenseStatus()));
             // 性别枚举
             e.setGenderEnum_enumText(EnumUtils.getInfoByValue(AdministrativeGender.class, e.getGenderEnum()));
             // 计算年龄
@@ -356,6 +358,17 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 medRequestList.add(item);
             }
         }
+        // 校验药品医嘱是否已发药，已发药的医嘱不允许退回
+        if (!medRequestList.isEmpty()) {
+            List<Long> medReqIds = medRequestList.stream().map(PerformInfoDto::getRequestId).toList();
+            List<MedicationDispense> dispenseList = medicationDispenseService.list(
+                    new LambdaQueryWrapper<MedicationDispense>()
+                            .in(MedicationDispense::getMedReqId, medReqIds)
+                            .eq(MedicationDispense::getStatusEnum, DispenseStatus.COMPLETED.getValue()));
+            if (!dispenseList.isEmpty()) {
+                return R.fail("该医嘱已发药，无法退回");
+            }
+        }
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
         Date checkDate = new Date();
         if (!serviceRequestList.isEmpty()) {

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/dto/InpatientAdviceDto.java

@@ -255,4 +255,8 @@ public class InpatientAdviceDto {
 
     /** 总价 */
     private BigDecimal totalPrice;
+
+    /** 发药状态 */
+    private Integer dispenseStatus;
+    private String dispenseStatus_enumText;
 }

openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml

@@ -153,7 +153,8 @@
            ii.balance_amount AS balance_amount,
            ii.account_id AS account_id,
            ii.performer_check_id,
-           ii.category_code
+           ii.category_code,
+           ii.dispense_status
     FROM (( SELECT T1.encounter_id,
                    T1.tenant_id,
                    #{medMedicationRequest} AS advice_table,
@@ -197,7 +198,8 @@
                    pra."name" AS admitting_doctor_name,
                    personal_account.balance_amount,
                    personal_account.id AS account_id,
-                   T2.category_code
+                   T2.category_code,
+                   mmd.status_enum AS dispense_status
             FROM med_medication_request AS T1
                      LEFT JOIN med_medication_definition AS T2
                                ON T2.id = T1.medication_id
@@ -278,6 +280,9 @@
                                          aa.balance_amount
                            ) AS personal_account
                               ON personal_account.encounter_id = ae.id
+                     LEFT JOIN med_medication_dispense mmd
+                               ON mmd.med_req_id = T1.id
+                                   AND mmd.delete_flag = '0'
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}
@@ -331,7 +336,8 @@
                    pra."name" AS admitting_doctor_name,
                    personal_account.balance_amount,
                    personal_account.id AS account_id,
-                   T2.category_code
+                   T2.category_code,
+                   NULL AS dispense_status
             FROM wor_service_request AS T1
                      LEFT JOIN wor_activity_definition AS T2
                                ON T2.id = T1.activity_id

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

@@ -105,6 +105,8 @@
                          <if test="statusEnum == 4">
                              T4.status_enum = #{completed}
                          </if>
+                         AND T4.summary_no IS NOT NULL
+                         AND T4.summary_no != ''
         ) AS ii
         ${ew.customSqlSegment}
         GROUP BY ii.encounter_id,
@@ -263,6 +265,8 @@
         AND T15.delete_flag = '0'
         WHERE T1.delete_flag = '0'
         -- 因发药配药合并，前台只能看到待发药，已发药状态，但是后台配药发药状态都查
+        AND T1.summary_no IS NOT NULL
+        AND T1.summary_no != ''
         AND
         <if test="dispenseStatus == null">
             T1.status_enum IN (#{inProgress},#{completed},#{preparation},#{prepared})

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

@@ -67,6 +67,9 @@
         </el-button>
       </div>
     </div>
+  </div>
+</template>
+    </div>
     <div
       style="padding: 10px; background-color: #eef9fd; height: 100%; overflow-y: auto"
       v-loading="loading"

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

@@ -288,6 +288,12 @@ function handleCheck() {
 function handleCancel() {
   let list = getSelectRows();
   if (list.length > 0) {
+    // 校验已发药的医嘱不允许退回
+    let dispensedItems = list.filter(item => item.dispenseStatus === 4);
+    if (dispensedItems.length > 0) {
+      proxy.$message.error('该医嘱已发药，无法退回');
+      return;
+    }
     cancel(list).then((res) => {
       if (res.code == 200) {
         proxy.$modal.msgSuccess(res.msg);