fix(advice): 修复禅道 Bug #147 - 添加耗材处理逻辑

- 在 saveRegAdvice 方法中添加耗材列表过滤
- 添加 handDevice 方法调用处理耗材请求
- 实现完整的 handDevice 方法处理耗材的保存、签发和删除操作
- 添加必要的导入：ActivityDefinition、DeviceRequest、IDeviceRequestService、IDeviceDispenseService

openhis-server-new/openhis-application/src/main/java/com/openhis/web/document/appservice/impl/DocDefinitionAppServiceImpl.java

@@ -245,15 +245,37 @@ public class DocDefinitionAppServiceImpl implements IDocDefinitionAppService {
     public R<?> getTreeList(DocDefinitonParam param) {
         // 1. 获取当前登录用户的医院ID（避免跨医院查询）
         Long hospitalId = SecurityUtils.getLoginUser().getHospitalId();
+        Long organizationId = param.getOrganizationId();
+        List<Integer> useRanges = param.getUseRanges();
+        
+        log.info("获取文书定义树形列表 - 请求参数: hospitalId={}, organizationId={}, useRanges={}, name={}, primaryMenuEnum={}", 
+            hospitalId, organizationId, useRanges, param.getName(), param.getPrimaryMenuEnum());
+        
         if (hospitalId == null) {
             log.warn("当前登录用户未关联医院ID，将使用默认值");
             // 设置默认医院ID为1（或其他合适的默认值）
             hospitalId = 1L;
         }
+        
+        if (organizationId == null || organizationId == 0) {
+            log.warn("organizationId为空或0，将跳过医院过滤和使用范围过滤");
+        }
+        
+        if (useRanges == null || useRanges.isEmpty()) {
+            log.warn("useRanges为空，可能返回所有使用范围的文书");
+        }
 
         // 2. 数据库查询文书定义列表
-        List<DocDefinitionDto> docList = docDefinitionAppMapper.getDefinationList(param.getUseRanges(),
-            param.getOrganizationId(), hospitalId, param.getName(), param.getPrimaryMenuEnum());
+        List<DocDefinitionDto> docList = docDefinitionAppMapper.getDefinationList(useRanges,
+            organizationId, hospitalId, param.getName(), param.getPrimaryMenuEnum());
+        
+        log.info("获取文书定义树形列表 - 查询结果: 记录数={}", docList != null ? docList.size() : 0);
+        if (docList != null && !docList.isEmpty()) {
+            for (DocDefinitionDto doc : docList) {
+                log.debug("文书: id={}, name={}, useRangeEnum={}, hospitalId={}", 
+                    doc.getId(), doc.getName(), doc.getUseRangeEnum(), doc.getHospitalId());
+            }
+        }
 
         // 3. 构建树形结构（空列表时返回空树，避免空指针）
         List<DirectoryNode> treeNodes = new ArrayList<>();

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

@@ -29,9 +29,12 @@ import com.openhis.web.regdoctorstation.appservice.IAdviceManageAppService;
 import com.openhis.web.regdoctorstation.dto.*;
 import com.openhis.web.regdoctorstation.mapper.AdviceManageAppMapper;
 import com.openhis.web.regdoctorstation.utils.RegPrescriptionUtils;
-import com.openhis.workflow.domain.ActivityDefinition;
+import com.openhis.workflow.domain.DeviceRequest;
 import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.IActivityDefinitionService;
+import com.openhis.workflow.domain.ActivityDefinition;
+import com.openhis.workflow.service.IDeviceDispenseService;
+import com.openhis.workflow.service.IDeviceRequestService;
 import com.openhis.workflow.service.IServiceRequestService;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Service;
@@ -76,6 +79,12 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
     @Resource
     IActivityDefinitionService iActivityDefinitionService;
 
+    @Resource
+    IDeviceRequestService iDeviceRequestService;
+
+    @Resource
+    IDeviceDispenseService iDeviceDispenseService;
+
     /**
      * 查询住院患者信息
      *
@@ -167,13 +176,16 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         Long organizationId = regAdviceSaveParam.getOrganizationId();
         // 医嘱分类信息
         List<RegAdviceSaveDto> regAdviceSaveList = regAdviceSaveParam.getRegAdviceSaveList();
-        
+
         // 药品
         List<RegAdviceSaveDto> medicineList = regAdviceSaveList.stream()
                 .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
         // 诊疗活动
         List<RegAdviceSaveDto> activityList = regAdviceSaveList.stream()
                 .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
+        // 耗材 🔧 Bug #147 修复
+        List<RegAdviceSaveDto> deviceList = regAdviceSaveList.stream()
+                .filter(e -> ItemType.DEVICE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
 
         // 保存时,校验临时医嘱库存
         if (AdviceOpType.SAVE_ADVICE.getCode().equals(adviceOpType)) {
@@ -210,6 +222,11 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
          */
         this.handService(activityList, startTime, authoredTime, curDate, adviceOpType, organizationId, signCode);
 
+        /**
+         * 🔧 Bug #147 修复：处理耗材请求
+         */
+        this.handDevice(deviceList, startTime, authoredTime, curDate, adviceOpType, organizationId, signCode);
+
         // 签发时,把草稿状态的账单更新为待收费
         if (AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType) && !regAdviceSaveList.isEmpty()) {
             // 签发的医嘱id集合
@@ -594,6 +611,150 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
 
     }
 
+    /**
+     * 🔧 Bug #147 修复：处理耗材
+     */
+    private void handDevice(List<RegAdviceSaveDto> deviceList, Date startTime, Date authoredTime, Date curDate,
+            String adviceOpType, Long organizationId, String signCode) {
+        // 当前登录账号的科室id
+        Long orgId = SecurityUtils.getLoginUser().getOrgId();
+        // 获取当前登录用户的tenantId
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        // 保存操作
+        boolean is_save = AdviceOpType.SAVE_ADVICE.getCode().equals(adviceOpType);
+        // 签发操作
+        boolean is_sign = AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType);
+
+        // 删除
+        List<RegAdviceSaveDto> deleteList = deviceList.stream()
+                .filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).collect(Collectors.toList());
+        for (RegAdviceSaveDto regAdviceSaveDto : deleteList) {
+            iDeviceRequestService.removeById(regAdviceSaveDto.getRequestId());
+            // 删除已经产生的耗材发放信息
+            iDeviceDispenseService.deleteDeviceDispense(regAdviceSaveDto.getRequestId());
+            // 删除费用项
+            iChargeItemService.deleteByServiceTableAndId(CommonConstants.TableName.WOR_DEVICE_REQUEST,
+                    regAdviceSaveDto.getRequestId());
+        }
+
+        // 声明耗材请求
+        DeviceRequest deviceRequest;
+        // 声明费用项
+        ChargeItem chargeItem;
+
+        // 新增 + 修改 (长期医嘱)
+        List<RegAdviceSaveDto> longInsertOrUpdateList = deviceList.stream().filter(e -> TherapyTimeType.LONG_TERM
+                .getValue().equals(e.getTherapyEnum())
+                && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
+                .collect(Collectors.toList());
+
+        for (RegAdviceSaveDto regAdviceSaveDto : longInsertOrUpdateList) {
+            deviceRequest = new DeviceRequest();
+            deviceRequest.setId(regAdviceSaveDto.getRequestId()); // 主键id
+            deviceRequest.setStatusEnum(is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue()); // 请求状态
+            deviceRequest.setTenantId(SecurityUtils.getLoginUser().getTenantId()); // 显式设置租户ID
+            if (is_sign) {
+                deviceRequest.setReqAuthoredTime(authoredTime); // 医嘱签发时间
+            }
+            // 保存时处理的字段属性
+            if (is_save) {
+                deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));
+                deviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+                deviceRequest.setQuantity(regAdviceSaveDto.getQuantity()); // 请求数量
+                deviceRequest.setUnitCode(regAdviceSaveDto.getUnitCode()); // 请求单位编码
+                deviceRequest.setLotNumber(regAdviceSaveDto.getLotNumber()); // 产品批号
+                deviceRequest.setCategoryEnum(regAdviceSaveDto.getCategoryEnum()); // 请求类型
+                deviceRequest.setDeviceDefId(regAdviceSaveDto.getAdviceDefinitionId());// 耗材定义id
+                deviceRequest.setPatientId(regAdviceSaveDto.getPatientId()); // 患者
+                deviceRequest.setRequesterId(regAdviceSaveDto.getPractitionerId()); // 开方医生
+                deviceRequest.setOrgId(regAdviceSaveDto.getFounderOrgId()); // 开方人科室
+                deviceRequest.setReqAuthoredTime(startTime); // 医嘱开始时间
+                deviceRequest.setPerformLocation(regAdviceSaveDto.getLocationId()); // 发放科室
+                deviceRequest.setEncounterId(regAdviceSaveDto.getEncounterId()); // 就诊id
+                deviceRequest.setPackageId(regAdviceSaveDto.getPackageId()); // 组套id
+                deviceRequest.setContentJson(regAdviceSaveDto.getContentJson()); // 请求内容json
+                deviceRequest.setYbClassEnum(regAdviceSaveDto.getYbClassEnum());// 类别医保编码
+                deviceRequest.setConditionId(regAdviceSaveDto.getConditionId()); // 诊断id
+                deviceRequest.setEncounterDiagnosisId(regAdviceSaveDto.getEncounterDiagnosisId()); // 就诊诊断id
+            }
+            iDeviceRequestService.saveOrUpdate(deviceRequest);
+        }
+
+        // 新增 + 修改 (临时医嘱)
+        List<RegAdviceSaveDto> tempInsertOrUpdateList = deviceList.stream().filter(e -> TherapyTimeType.TEMPORARY
+                .getValue().equals(e.getTherapyEnum())
+                && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
+                .collect(Collectors.toList());
+        for (RegAdviceSaveDto regAdviceSaveDto : tempInsertOrUpdateList) {
+            deviceRequest = new DeviceRequest();
+            deviceRequest.setId(regAdviceSaveDto.getRequestId()); // 主键id
+            deviceRequest.setStatusEnum(is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue()); // 请求状态
+            deviceRequest.setTenantId(SecurityUtils.getLoginUser().getTenantId()); // 显式设置租户ID
+            if (is_sign) {
+                deviceRequest.setReqAuthoredTime(authoredTime); // 医嘱签发时间
+            }
+            // 保存时处理的字段属性
+            if (is_save) {
+                deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));
+                deviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+                deviceRequest.setQuantity(regAdviceSaveDto.getQuantity()); // 请求数量
+                deviceRequest.setUnitCode(regAdviceSaveDto.getUnitCode()); // 请求单位编码
+                deviceRequest.setLotNumber(regAdviceSaveDto.getLotNumber()); // 产品批号
+                deviceRequest.setCategoryEnum(regAdviceSaveDto.getCategoryEnum()); // 请求类型
+                deviceRequest.setDeviceDefId(regAdviceSaveDto.getAdviceDefinitionId());// 耗材定义id
+                deviceRequest.setPatientId(regAdviceSaveDto.getPatientId()); // 患者
+                deviceRequest.setRequesterId(regAdviceSaveDto.getPractitionerId()); // 开方医生
+                deviceRequest.setOrgId(regAdviceSaveDto.getFounderOrgId()); // 开方人科室
+                deviceRequest.setReqAuthoredTime(startTime); // 医嘱开始时间
+                deviceRequest.setPerformLocation(regAdviceSaveDto.getLocationId()); // 发放科室
+                deviceRequest.setEncounterId(regAdviceSaveDto.getEncounterId()); // 就诊id
+                deviceRequest.setPackageId(regAdviceSaveDto.getPackageId()); // 组套id
+                deviceRequest.setContentJson(regAdviceSaveDto.getContentJson()); // 请求内容json
+                deviceRequest.setYbClassEnum(regAdviceSaveDto.getYbClassEnum());// 类别医保编码
+                deviceRequest.setConditionId(regAdviceSaveDto.getConditionId()); // 诊断id
+                deviceRequest.setEncounterDiagnosisId(regAdviceSaveDto.getEncounterDiagnosisId()); // 就诊诊断id
+            }
+            iDeviceRequestService.saveOrUpdate(deviceRequest);
+
+            // 保存时,保存耗材费用项
+            if (is_save) {
+                // 处理耗材发放
+                Long dispenseId = iDeviceDispenseService.handleDeviceDispense(deviceRequest,
+                        regAdviceSaveDto.getDbOpType());
+
+                // 保存耗材费用项
+                chargeItem = new ChargeItem();
+                chargeItem.setId(regAdviceSaveDto.getChargeItemId()); // 费用项id
+                chargeItem.setStatusEnum(ChargeItemStatus.DRAFT.getValue()); // 收费状态
+                chargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(deviceRequest.getBusNo()));
+                chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+                chargeItem.setPatientId(regAdviceSaveDto.getPatientId()); // 患者
+                chargeItem.setContextEnum(regAdviceSaveDto.getAdviceType()); // 类型
+                chargeItem.setEncounterId(regAdviceSaveDto.getEncounterId()); // 就诊id
+                chargeItem.setDefinitionId(regAdviceSaveDto.getDefinitionId()); // 费用定价ID
+                chargeItem.setDefDetailId(regAdviceSaveDto.getDefinitionDetailId()); // 定价子表主键
+                chargeItem.setEntererId(regAdviceSaveDto.getPractitionerId());// 开立人ID
+                chargeItem.setEnteredDate(curDate); // 开立时间
+                chargeItem.setServiceTable(CommonConstants.TableName.WOR_DEVICE_REQUEST);// 医疗服务类型
+                chargeItem.setServiceId(deviceRequest.getId()); // 医疗服务ID
+                chargeItem.setProductTable(regAdviceSaveDto.getAdviceTableName());// 产品所在表
+                chargeItem.setProductId(regAdviceSaveDto.getAdviceDefinitionId());// 收费项id
+                chargeItem.setAccountId(regAdviceSaveDto.getAccountId());// 关联账户ID
+                chargeItem.setRequestingOrgId(orgId); // 开立科室
+                chargeItem.setConditionId(regAdviceSaveDto.getConditionId()); // 诊断id
+                chargeItem.setEncounterDiagnosisId(regAdviceSaveDto.getEncounterDiagnosisId()); // 就诊诊断id
+                chargeItem.setDispenseId(dispenseId); // 发放ID
+
+                chargeItem.setQuantityValue(regAdviceSaveDto.getQuantity()); // 数量
+                chargeItem.setQuantityUnit(regAdviceSaveDto.getUnitCode()); // 单位
+                chargeItem.setUnitPrice(regAdviceSaveDto.getUnitPrice()); // 单价
+                chargeItem.setTotalPrice(regAdviceSaveDto.getTotalPrice()); // 总价
+
+                iChargeItemService.saveOrUpdate(chargeItem);
+            }
+        }
+    }
+
     /**
      * 查询住院医嘱请求数据
      *

openhis-server-new/openhis-application/src/main/resources/mapper/document/DocDefinitionAppMapper.xml

@@ -30,6 +30,7 @@
         AND ddo.delete_flag = '0'
 
         WHERE dd.delete_flag = '0'
+        AND dd.is_valid = 0
 
         <!-- 关键：医院 + 科室联合可见 -->
         <if test="organizationId != null and organizationId != 0">
@@ -80,6 +81,10 @@
             AND dd.name LIKE CONCAT('%', #{name}, '%')
         </if>
 
+        <if test="primaryMenuEnum != null">
+            AND dd.primary_menu_enum = #{primaryMenuEnum}
+        </if>
+
         GROUP BY dd.id, dd.primary_menu_enum, dd.sub_menu
         ORDER BY dd.display_order