Merge remote-tracking branch 'origin/develop' into develop

删除NODE_ENV=spug

README.md

@@ -4,11 +4,11 @@
 
 ![天天开源](https://open.tntlinking.com/assets/logo-b-BzFUYaRU.png) 
 
-天天开源致⼒于打造中国应⽤管理软件开源⽣态，⾯向医疗、企业、教育三⼤⾏业信息化需求，提供优质的开源软件产品与解决⽅案。平台现已发布OpenHIS、OpenCOM、OpenEDU系列开源产品，并持续招募⽣态合作伙伴，期待共同构建开源创新的⾏业协作模式，加速⾏业的数字化进程。
+天天开源致⼒于打造中国应⽤管理 软件开源⽣态，⾯向医疗、企业、教育三⼤⾏业信息化需求，提供优质的开源软件产品与解决⽅案。平台现已发布OpenHIS、OpenCOM、OpenEDU系列开源产品，并持续招募⽣态合作伙伴，期待共同构建开源创新的⾏业协作模式，加速⾏业的数字化进程。
 
 天天开源的前⾝是新致开源，最早于2022年6⽉发布开源医疗软件平台OpenHIS.org.cn，于2023年6⽉发布开源企业软件平台OpenCOM.com.cn。2025年7⽉，新致开源品牌更新为天天开源，我们始终秉持开源、专业、协作的理念，致⼒于为医疗、教育、中⼩企业等⾏业提供优质的开源解决⽅案。
 
-了解我们：https://open.tntlinking.com/about?site=gitee
+了解我们a：https://open.tntlinking.com/about?site=gitee
 
 ## 💾【部署包下载】
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java

@@ -119,6 +119,12 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             // 初复诊
             e.setFirstEnum_enumText(patientIdList.contains(e.getId()) ? EncounterType.FOLLOW_UP.getInfo()
                 : EncounterType.INITIAL.getInfo());
+            // 患者标识
+            PatientIdentifier patientIdentifier = patientIdentifierService
+                    .getOne(new LambdaQueryWrapper<PatientIdentifier>().eq(PatientIdentifier::getPatientId, e.getId()));
+            if (patientIdentifier != null) {
+                e.setIdentifierNo(patientIdentifier.getIdentifierNo());
+            }
 
         });
         return patientMetadataPage;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/PatientMetadata.java

@@ -56,4 +56,8 @@ public class PatientMetadata {
      */
     private String firstEnum_enumText;
 
+    /**
+     * 就诊卡号
+     */
+   private String identifierNo;
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/PatientInfoDto.java

@@ -40,6 +40,11 @@ public class PatientInfoDto {
     @JsonSerialize(using = ToStringSerializer.class)
     private Long orgId;
 
+    /**
+     * 科室名称
+     */
+    private String organizationName;
+
     /**
      * 患者姓名
      */

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/IPatientInformationService.java

@@ -53,4 +53,13 @@ public interface IPatientInformationService {
      */
     R<?> addPatient(PatientInformationDto patientInformationDto);
 
+    /**
+     * 检查患者是否存在
+     *
+     * @param name 患者姓名
+     * @param idCardNo 身份证号
+     * @return 是否存在
+     */
+    boolean checkPatientExists(String name, String idCardNo);
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java

@@ -257,4 +257,14 @@ public class PatientInformationServiceImpl implements IPatientInformationService
             : R.fail(MessageUtils.createMessage(PromptMsgConstant.Common.M00003, new Object[] {"病人信息"}));
     }
 
+    @Override
+    public boolean checkPatientExists(String name, String idCardNo) {
+        QueryWrapper<Patient> queryWrapper = new QueryWrapper<>();
+        queryWrapper.eq("name", name)
+                .eq("id_card", idCardNo)
+                .eq("delete_flag", "0");
+        return patientService.count(queryWrapper) > 0;
+    }
+
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/controller/PatientInformationController.java

@@ -78,4 +78,16 @@ public class PatientInformationController {
             .ok(patientInformationService.getPatientInfo(patientInfoSearchParam, searchKey, pageNo, pageSize, request));
     }
 
+    /**
+     * 检查患者是否存在
+     *
+     * @param name 患者姓名
+     * @param idCardNo 身份证号
+     * @return 是否存在
+     */
+    @GetMapping("/check-exists")
+    public R<?> checkPatientExists(@RequestParam String name, @RequestParam String idCardNo) {
+        return R.ok(patientInformationService.checkPatientExists(name, idCardNo));
+    }
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/dto/PatientInformationDto.java

@@ -68,7 +68,7 @@ public class PatientInformationDto {
     /**
      * 死亡时间
      */
-    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
+    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy/MM/dd HH:mm:ss", timezone = "GMT+8")
     private Date deceasedDate;
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/IChargeBillServiceImpl.java

@@ -296,6 +296,7 @@ public class IChargeBillServiceImpl implements IChargeBillService {
 
             ChargeItemDefinition chargeItemDefinition = iChargeItemDefinitionService.getById(definitionId);
 
+
             YbMedChrgItmType medChrgItmType =
                 YbMedChrgItmType.getByCode(Integer.parseInt(chargeItemDefinition.getYbType()));
 

openhis-server-new/openhis-application/src/main/resources/application-local.yml

@@ -6,9 +6,9 @@ spring:
     druid:
       # 主库数据源
       master:
-        url: jdbc:postgresql://localhost:5432/openhis?currentSchema=public&characterEncoding=UTF-8&client_encoding=UTF-8
-        username: postgres
-        password: root
+        url: jdbc:postgresql://192.168.110.252:15432/postgresql?currentSchema=public&characterEncoding=UTF-8&client_encoding=UTF-8
+        username: postgresql
+        password: Jchl1528
       # 从库数据源
       slave:
         # 从数据源开关/默认关闭
@@ -62,13 +62,13 @@ spring:
   # redis 配置
   redis:
     # 地址
-    host: 172.0.0.0
+    host: 192.168.110.252
     # 端口，默认为6379
     port: 6379
     # 数据库索引
     database: 1
     # 密码
-    password: redis
+    password: Jchl1528
     # 连接超时时间
     timeout: 10s
     lettuce:

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationMainAppMapper.xml

@@ -19,6 +19,7 @@
         T10.type_code,
         T10.contract_name,
         T10.org_id,
+        T10.organization_name,
         T10.register_time,
         T10.reception_time,
         T10.practitioner_user_id,

openhis-server-new/openhis-einvoiceapp/pom.xml

@@ -85,33 +85,33 @@
 
     </dependencies>
 
-    <build>
-        <plugins>
-            <plugin>
-                <groupId>org.springframework.boot</groupId>
-                <artifactId>spring-boot-maven-plugin</artifactId>
-                <configuration>
-                    <fork>true</fork> <!-- 如果没有该配置，devtools不会生效 -->
-                </configuration>
-                <executions>
-                    <execution>
-                        <goals>
-                            <goal>repackage</goal>
-                        </goals>
-                    </execution>
-                </executions>
-            </plugin>
-            <plugin>
-                <groupId>org.apache.maven.plugins</groupId>
-                <artifactId>maven-war-plugin</artifactId>
-                <version>${maven-war-plugin.version}</version>
-                <configuration>
-                    <failOnMissingWebXml>false</failOnMissingWebXml>
-                    <warName>${project.artifactId}</warName>
-                </configuration>
-            </plugin>
-        </plugins>
-        <finalName>${project.artifactId}</finalName>
-    </build>
+<!--    <build>-->
+<!--        <plugins>-->
+<!--            <plugin>-->
+<!--                <groupId>org.springframework.boot</groupId>-->
+<!--                <artifactId>spring-boot-maven-plugin</artifactId>-->
+<!--                <configuration>-->
+<!--                    <fork>true</fork> &lt;!&ndash; 如果没有该配置，devtools不会生效 &ndash;&gt;-->
+<!--                </configuration>-->
+<!--                <executions>-->
+<!--                    <execution>-->
+<!--                        <goals>-->
+<!--                            <goal>repackage</goal>-->
+<!--                        </goals>-->
+<!--                    </execution>-->
+<!--                </executions>-->
+<!--            </plugin>-->
+<!--            <plugin>-->
+<!--                <groupId>org.apache.maven.plugins</groupId>-->
+<!--                <artifactId>maven-war-plugin</artifactId>-->
+<!--                <version>${maven-war-plugin.version}</version>-->
+<!--                <configuration>-->
+<!--                    <failOnMissingWebXml>false</failOnMissingWebXml>-->
+<!--                    <warName>${project.artifactId}</warName>-->
+<!--                </configuration>-->
+<!--            </plugin>-->
+<!--        </plugins>-->
+<!--        <finalName>${project.artifactId}</finalName>-->
+<!--    </build>-->
 
 </project>

openhis-ui-vue3/.env.spug

@@ -0,0 +1,37 @@
+# 开发环境：本地只启动前端项目，依赖开发环境（后端、APP）
+
+
+VITE_DEV=true
+
+# 请求路径
+VITE_BASE_URL='http://192.168.110.252'
+
+# 文件上传类型：server - 后端上传， client - 前端直连上传，仅支持S3服务
+VITE_UPLOAD_TYPE=server
+
+# 接口地址
+VITE_API_URL=/admin-api
+
+# 是否删除debugger
+VITE_DROP_DEBUGGER=false
+
+# 是否删除console.log
+VITE_DROP_CONSOLE=false
+
+# 是否sourcemap
+VITE_SOURCEMAP=true
+
+# 打包路径
+VITE_BASE_PATH=/
+
+# 输出路径
+VITE_OUT_DIR=dist-spug
+
+# 商城H5会员端域名
+VITE_MALL_H5_DOMAIN='http://mall.yudao.iocoder.cn'
+
+# 验证码的开关
+VITE_APP_CAPTCHA_ENABLE=false
+
+# GoView域名
+VITE_GOVIEW_URL='http://127.0.0.1:3000'

openhis-ui-vue3/package.json

@@ -9,7 +9,8 @@
     "dev": "vite",
     "build:prod": "vite build",
     "build:stage": "vite build --mode staging",
-    "preview": "vite preview"
+    "preview": "vite preview",
+    "build:spug": "node --max_old_space_size=4096 ./node_modules/vite/bin/vite.js build --mode spug"
   },
   "repository": {
     "type": "git",

openhis-ui-vue3/src/main.js

@@ -44,6 +44,9 @@ import TreeSelect from '@/components/TreeSelect'
 // 字典标签组件
 import DictTag from '@/components/DictTag'
 
+// 导入请求工具
+import request from './utils/request'
+
 import { ElDialog, ElMessage } from 'element-plus';
 
 import {registerComponents} from './template';
@@ -64,6 +67,9 @@ app.config.globalProperties.handleTree = handleTree
 app.config.globalProperties.addDateRange = addDateRange
 app.config.globalProperties.selectDictLabel = selectDictLabel
 app.config.globalProperties.selectDictLabels = selectDictLabels
+
+// 全局挂载请求实例
+app.config.globalProperties.$http = request
 // 全局组件挂载
 app.component('DictTag', DictTag)
 app.component('Pagination', Pagination)

openhis-ui-vue3/src/settings.js

@@ -3,6 +3,10 @@ export default {
    * 网页标题
    */
   title: import.meta.env.VITE_APP_TITLE,
+  /**
+   * 系统名称
+   */
+  systemName: import.meta.env.VITE_APP_SYSTEM_NAME || 'XXX医院信息管理系统',
   /**
    * 侧边栏主题 深色主题theme-dark，浅色主题theme-light
    */

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue

@@ -48,6 +48,11 @@
               />
             </el-form-item>
           </el-col>
+          <el-col :span="8">
+            <el-form-item label="项目编码" prop="busNo">
+              <el-input v-model="form.busNo" placeholder="请输入项目编码" />
+            </el-form-item>
+          </el-col>
         </el-row>
         <el-row :gutter="24">
           <el-col :span="8">
@@ -356,7 +361,7 @@ const diagnosisTreatmentList = ref([]);
 const data = reactive({
   form: {},
   rules: {
-    // busNo: [{ required: true, message: "编码不能为空", trigger: "blur" }],
+    busNo: [{ required: true, message: "编码不能为空", trigger: "blur" }],
     name: [{ required: true, message: '名称不能为空', trigger: 'blur' }],
     // statusEnum: [{ required: true, message: "状态不能为空", trigger: "blur" }],
     categoryCode: [{ required: true, message: '诊疗目录不能为空', trigger: 'blur' }],
@@ -450,6 +455,7 @@ function setValue(row) {
   form.value = {
     name: formatValue(row.medicalServiceName), //医疗服务项目名称
     ybNo: formatValue(row.medicalCatalogCode), // 医保编码
+    busNo: formatValue(row.medicalCatalogCode), // 项目编码使用医保编码
     categoryCode: props.currentCategoryEnum,
     // chrgitmLv: formatValue(
     //   row.insuranceClass == '甲' ? '1' : row.insuranceClass == '乙' ? '2' : '3'

openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue

@@ -80,6 +80,19 @@
             <el-input v-model="form.countryCode" clearable :disabled="isViewMode" />
           </el-form-item>
         </el-col>
+        <el-col :span="8">
+          <el-form-item label="出生日期" prop="birthDate">
+            <el-date-picker
+              v-model="form.birthDate"
+              type="date"
+              placeholder="请选择出生日期"
+              format="YYYY年MM月DD日"
+              :disabled="isViewMode"
+              value-format="YYYY-MM-DD"
+              @change="handleBirthDateChange"
+            />
+          </el-form-item>
+        </el-col>
       </el-row>
       <!-- <el-col :span="6">
 						<el-form-item label="年龄" prop="age">
@@ -109,8 +122,11 @@
             <el-input
               v-model="form.age"
               :disabled="isViewMode"
-              @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
-            />
+              @input="handleAgeInput"
+              placeholder="请输入年龄"
+            >
+              <template #suffix>岁</template>
+            </el-input>
           </el-form-item>
         </el-col>
       </el-row>
@@ -286,19 +302,95 @@ const title = ref('新增患者');
 const visible = ref(false);
 const emits = defineEmits(['submit']); // 声明自定义事件
 
+const validateUniquePatient = (rule, value, callback) => {
+  const { name, idCard } = form.value;
+  // 确保姓名和身份证都已填写且身份证为18位
+  if (!name || !idCard || idCard.length !== 18) {
+    return callback(); // 不满足条件，不校验
+  }
+
+  // 使用 axios 直接请求，避免依赖 proxy.$http
+  import('@/utils/request').then(({ default: request }) => {
+    request({
+      url: '/patient-manage/information/check-exists',
+      method: 'get',
+      params: {
+        name: name,
+        idCardNo: idCard
+      }
+    }).then(res => {
+      if (res.code === 200 && res.data === true) {
+        callback(new Error('该患者档案已存在！'));
+      } else {
+        callback();
+      }
+    }).catch(error => {
+      console.error('校验患者是否存在失败:', error);
+      callback(); // 出错时不阻塞表单
+    });
+  });
+};
+
+
+
+// 身份证号码校验函数
+const validateIdCard = (rule, value, callback) => {
+  if (!value) {
+    callback();
+    return;
+  }
+  
+  // 18位身份证正则
+  const reg = /^[1-9]\d{5}(19|20)\d{2}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])\d{3}[\dXx]$/;
+  if (!reg.test(value)) {
+    return callback(new Error('请输入正确的18位身份证号码'));
+  }
+  
+  // 校验码验证（第18位）
+  const factor = [7, 9, 10, 5, 8, 4, 2, 1, 6, 3, 7, 9, 10, 5, 8, 4, 2];
+  const parity = ['1', '0', 'X', '9', '8', '7', '6', '5', '4', '3', '2'];
+  let sum = 0;
+  for (let i = 0; i < 17; i++) {
+    sum += parseInt(value.charAt(i)) * factor[i];
+  }
+  const last = parity[sum % 11];
+  if (last !== value.charAt(17).toUpperCase()) {
+    return callback(new Error('身份证校验码错误'));
+  }
+
+  callback(); // 校验通过
+}
+
+
 const data = reactive({
   isViewMode: false,
   form: {
     typeCode: '08',
+    birthDate: undefined,
+    age: undefined,
   },
   rules: {
-    name: [{ required: true, message: '姓名不能为空', trigger: 'change' }],
+    name: [{ required: true, message: '姓名不能为空', trigger: 'change' },
+      { validator: validateUniquePatient, trigger: 'blur' }
+    ],
     genderEnum: [{ required: true, message: '请选择性别', trigger: 'change' }],
     age: [{ required: true, message: '年龄不能为空', trigger: 'change' }],
     phone: [{ required: true, message: '联系方式不能为空', trigger: 'change' }],
+    identifierNo: [{ required: true, message: '就诊卡号不能为空', trigger: 'change' }],
+    idCard: [
+        { required: true, message: '证件号码不能为空', trigger: 'change' },
+        { validator: validateIdCard, trigger: 'blur' },
+        { validator: validateUniquePatient, trigger: 'blur' }
+      ],
+       birthDate: [{ required: false, message: '请选择出生日期', trigger: 'change' }],
   },
 });
 
+
+
+  
+
+
 const { queryParams, form, rules, isViewMode } = toRefs(data);
 
 const props = defineProps({
@@ -308,6 +400,46 @@ const props = defineProps({
   },
 });
 
+// 处理出生日期变化，自动计算年龄
+function handleBirthDateChange() {
+  if (form.value.birthDate) {
+    const birthDate = new Date(form.value.birthDate);
+    const today = new Date();
+    
+    let age = today.getFullYear() - birthDate.getFullYear();
+    const monthDiff = today.getMonth() - birthDate.getMonth();
+    
+    // 计算精确年龄
+    if (monthDiff < 0 || (monthDiff === 0 && today.getDate() < birthDate.getDate())) {
+      age--;
+    }
+    
+    form.value.age = age;
+  }
+}
+
+// 处理年龄输入，自动计算出生日期
+function handleAgeInput() {
+  // 提取数字部分
+  const ageMatch = form.value.age.match(/\d+/);
+  if (ageMatch) {
+    const age = parseInt(ageMatch[0]);
+    // 移除非数字字符，保留数字和可能的单位
+    form.value.age = age ;
+    
+    // 计算出生日期
+    const today = new Date();
+    const birthYear = today.getFullYear() - age;
+    const birthMonth = today.getMonth();
+    const birthDay = today.getDate();
+    
+    const birthDate = new Date(birthYear, birthMonth, birthDay);
+    
+    // 格式化为YYYY-MM-DD
+    const formattedBirthDate = birthDate.toISOString().split('T')[0];
+    form.value.birthDate = formattedBirthDate;
+  }
+}
 watch(
   () => form.value.idCard,
   (newIdCard) => {
@@ -315,7 +447,8 @@ watch(
       const birthYear = parseInt(newIdCard.substring(6, 10));
       const birthMonth = parseInt(newIdCard.substring(10, 12));
       const birthDay = parseInt(newIdCard.substring(12, 14));
-      
+       // 设置出生日期
+      form.value.birthDate = `${birthYear}-${birthMonth.toString().padStart(2, '0')}-${birthDay.toString().padStart(2, '0')}`;
       const today = new Date();
       const currentYear = today.getFullYear();
       const currentMonth = today.getMonth() + 1;
@@ -331,7 +464,7 @@ watch(
         age--;
       }
       
-      form.value.age = age;
+      form.value.age = age ;
     }
   }
 );
@@ -424,6 +557,7 @@ function reset() {
     maritalStatusEnum: undefined,
     busNo: undefined,
     organizationId: undefined,
+    birthDate: undefined,
   };
   proxy.resetForm('patientRef');
 }

openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientInfoDialog.vue

@@ -49,9 +49,12 @@
           label="年龄"
           align="center"
           key="age"
-          prop="age"
           :show-overflow-tooltip="true"
-        />
+        >
+          <template #default="scope">
+            {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+          </template>
+        </el-table-column>
       </el-table>
       <pagination
         v-show="total > 0"

openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientList.vue

@@ -7,10 +7,15 @@
       @cell-click="clickRow"
     >
       <el-table-column label="姓名" align="center" prop="name" />
+      <el-table-column label="就诊卡号" align="center" prop="identifierNo" />
       <el-table-column label="性别" align="center" prop="genderEnum_enumText" />
       <el-table-column label="证件号" align="center" prop="idCard" />
       <el-table-column label="联系电话" align="center" prop="phone" />
-      <el-table-column label="年龄" align="center" prop="age" />
+      <el-table-column label="年龄" align="center">
+  <template #default="scope">
+    {{ scope.row.age ? `${scope.row.age}` : '-' }}
+  </template>
+</el-table-column>
     </el-table>
   </div>
 </template>

openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue

@@ -7,7 +7,7 @@
           <el-form :model="form" :rules="rules" ref="outpatientRegistrationRef" label-width="110px">
             <el-row :gutter="24">
               <el-col :span="5">
-                <el-form-item label="病历号/姓名：" prop="searchKey">
+                <el-form-item label="患者身份信息:" prop="searchKey">
                   <el-popover
                     :popper-style="{ padding: '0' }"
                     placement="bottom-start"
@@ -22,7 +22,7 @@
                         @blur="handleBlur"
                         @input="handleSearchPatient"
                         v-model="form.searchKey"
-                        placeholder="请输入姓名/拼音/身份证"
+                        placeholder="请输入姓名/身份证/就诊卡号"
                       />
                     </template>
                   </el-popover>
@@ -88,8 +88,8 @@
             </el-row>
             <el-row :gutter="24">
               <el-col :span="5">
-                <el-form-item label="卡号：" prop="card">
-                  <el-input v-model="form.card" placeholder="" :disabled="true" />
+                <el-form-item label="就诊卡号：" prop="card">
+                  <el-input v-model="form.identifierNo" placeholder="" :disabled="true" />
                 </el-form-item>
               </el-col>
               <el-col :span="6">
@@ -439,7 +439,11 @@
               prop="patientName"
               width="120"
             />
-            <el-table-column label="年龄" align="center" key="age" prop="age" width="120" />
+            <el-table-column label="年龄" align="center" key="age" prop="age" width="120">
+              <template #default="scope">
+                {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+              </template>
+            </el-table-column>
             <el-table-column
               label="患者性别"
               align="center"
@@ -1235,6 +1239,7 @@ function selsectPatient(row) {
   form.value.phone = row.phone;
   form.value.firstEnum_enumText = row.firstEnum_enumText;
   form.value.age = row.age;
+  form.value.identifierNo = row.identifierNo;
 }
 
 // 设置新增参数

openhis-ui-vue3/src/views/doctorstation/components/adviceBaseList.vue

@@ -67,7 +67,7 @@ import { throttle } from 'lodash-es';
 const props = defineProps({
   adviceQueryParams: {
     type: Object,
-    default: '',
+    required: true
   },
   patientInfo: {
     type: Object,
@@ -97,39 +97,25 @@ const throttledGetList = throttle(
 watch(
   () => props.adviceQueryParams,
   (newValue) => {
-    queryParams.value.searchKey = newValue.searchKey;
-    // queryParams.value.adviceType = newValue.adviceType;
+    console.log('adviceBaseList 接收到参数变化:', newValue);
+    
+    // 直接更新查询参数
+    queryParams.value.searchKey = newValue.searchKey || '';
+    
+    // 处理类型筛选
     if (newValue.adviceType) {
-      queryParams.value.adviceTypes = [newValue.adviceType].join(',');
+      // 单个类型
+      queryParams.value.adviceTypes = newValue.adviceType.toString();
     } else {
+      // 全部类型
       queryParams.value.adviceTypes = '1,2,3';
     }
-    throttledGetList();
-  },
-  { deep: true }
-);
     
-getList();
-function getList() {
-  queryParams.value.organizationId = props.patientInfo.orgId;
-  getAdviceBaseInfo(queryParams.value).then((res) => {
-    console.log('ssssssssss', res.data.records);
-    if (res.data.records.length > 0) {
-      adviceBaseList.value = res.data.records.filter((item) => {
-        if (item.adviceType == 1 || item.adviceType == 2) {
-          return handleQuantity(item) != 0;
-        } else {
-          return true;
-        }
-      });
-      total.value = res.data.total;
-      nextTick(() => {
-        currentIndex.value = 0;
-        adviceBaseRef.value.setCurrentRow(adviceBaseList.value[0]);
-      });
-    }
-  });
-}
+    console.log('发送请求参数:', queryParams.value);
+    getList();
+  },
+  { deep: true, immediate: true }
+);
 // 从priceList列表中获取价格
 function getPriceFromInventory(row) {
   if (row.priceList && row.priceList.length > 0) {
@@ -138,6 +124,38 @@ function getPriceFromInventory(row) {
   }
   return '-';
 }
+function getList() {
+  queryParams.value.organizationId = props.patientInfo.orgId;
+  
+  console.log('发送API请求:', queryParams.value);
+  
+  getAdviceBaseInfo(queryParams.value).then((res) => {
+    if (res.data.records && res.data.records.length > 0) {
+      adviceBaseList.value = res.data.records.filter((item) => {
+        if (item.adviceType == 1 || item.adviceType == 2) {
+          return handleQuantity(item) != 0;
+        } else {
+          return true;
+        }
+      });
+      
+      console.log('过滤后数据显示:', adviceBaseList.value.length, '条');
+      
+      total.value = res.data.total;
+      nextTick(() => {
+        currentIndex.value = 0;
+        if (adviceBaseList.value.length > 0) {
+          adviceBaseRef.value.setCurrentRow(adviceBaseList.value[0]);
+        }
+      });
+    } else {
+      adviceBaseList.value = [];
+    }
+  }).catch(error => {
+    console.error('获取数据失败:', error);
+    adviceBaseList.value = [];
+  });
+}
 // 处理键盘事件
 const handleKeyDown = (event) => {
   const key = event.key;

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue

@@ -162,10 +162,17 @@ function removeDiagnosis(row, index) {
 }
 
 function save() {
+  // 为每个诊断项添加诊断医生和诊断时间
+  const diagnosisChildList = tcmDiagonsisSaveList.value.map(item => ({
+    ...item,
+    diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || '',
+    diagnosisTime: new Date().toLocaleString('zh-CN')
+  }));
+  
   saveTcmDiagnosis({
     patientId: props.patientInfo.patientId,
     encounterId: props.patientInfo.encounterId,
-    diagnosisChildList: tcmDiagonsisSaveList.value,
+    diagnosisChildList: diagnosisChildList,
   }).then((res) => {
     if (res.code == 200) {
       emit('close');

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue

@@ -76,7 +76,7 @@
         <el-form :model="form" :rules="rules" ref="formRef">
           <el-table ref="diagnosisTableRef" :data="form.diagnosisList" height="650">
             <el-table-column label="序号" type="index" width="50" />
-            <el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="180">
+            <el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="120">
               <template #default="scope">
                 <el-form-item
                   :prop="`diagnosisList.${scope.$index}.diagSrtNo`"
@@ -99,7 +99,7 @@
                 >
                   <el-select v-model="scope.row.medTypeCode" placeholder=" " style="width: 150px">
                     <el-option
-                      v-for="item in med_type"
+                      v-for="item in diag_type"
                       :key="item.value"
                       :label="item.label"
                       :value="item.value"
@@ -135,9 +135,13 @@
                 </el-form-item>
               </template>
             </el-table-column>
-            <el-table-column label="医保码" align="center" prop="ybNo" width="180" />
-            <el-table-column label="诊断类型" align="center" prop="maindiseFlag">
+            
+            <el-table-column label="诊断医生" align="center" prop="diagnosisDoctor" width="120" />
+            <el-table-column label="诊断时间" align="center" prop="diagnosisTime" width="150" />
+            <el-table-column label="诊断代码" align="center" prop="ybNo" width="180" />
+            <el-table-column label="诊断类型" align="center" prop="maindiseFlag" width="120">
               <template #default="scope">
+              <div style="display:flex;flex-direction:column;align-items:center;gap:5px;">
                 <el-checkbox
                   label="主诊断"
                   :trueLabel="1"
@@ -150,7 +154,7 @@
                 <el-select
                   v-model="scope.row.verificationStatusEnum"
                   placeholder=" "
-                  style="width: 40%; padding-bottom: 5px; padding-left: 10px"
+                  style="width: 100%; padding-bottom: 5px; padding-left: 10px"
                   size="small"
                 >
                   <el-option
@@ -160,6 +164,7 @@
                     :value="item.value"
                   />
                 </el-select>
+              </div>
               </template>
             </el-table-column>
             <el-table-column label="操作" align="center" width="130">
@@ -192,6 +197,7 @@
 
 <script setup>
 import { getCurrentInstance } from 'vue';
+import useUserStore from '@/store/modules/user';
 import {
   getConditionDefinitionInfo,
   saveDiagnosis,
@@ -228,7 +234,8 @@ const props = defineProps({
 });
 const emits = defineEmits(['diagnosisSave']);
 const { proxy } = getCurrentInstance();
-const { med_type } = proxy.useDict('med_type');
+const userStore = useUserStore();
+const { diag_type } = proxy.useDict('diag_type');
 const rules = ref({
   name: [{ required: true, message: '请选择诊断', trigger: 'change' }],
   medTypeCode: [{ required: true, message: '请选择诊断类型', trigger: 'change' }],
@@ -244,27 +251,45 @@ watch(
 );
 
 function getDetail(encounterId) {
+  if (!encounterId) {
+    console.warn('未提供有效的就诊ID，无法获取病历详情');
+    return;
+  }
+  
   getEmrDetail(encounterId).then((res) => {
     allowAdd.value = res.data ? true : false;
   });
 }
 
 function getList() {
+  if (!props.patientInfo || !props.patientInfo.encounterId) {
+    console.warn('患者就诊信息不完整，无法获取诊断数据');
+    return;
+  }
+  
   getEncounterDiagnosis(props.patientInfo.encounterId).then((res) => {
     if (res.code == 200) {
-      form.value.diagnosisList = res.data;
+      // 为每个诊断项添加默认的诊断医生和时间（如果不存在）
+      form.value.diagnosisList = res.data.map(item => ({
+        ...item,
+        diagnosisDoctor: item.diagnosisDoctor || props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+        diagnosisTime: item.diagnosisTime || new Date().toLocaleString('zh-CN')
+      }));
       emits('diagnosisSave', false);
       console.log(form.value.diagnosisList);
     }
   });
+  
   getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
     if (res.code == 200) {
-      if (res.data.illness.length > 0) {
+      if (res.data.illness && res.data.illness.length > 0 && res.data.symptom) {
         res.data.illness.forEach((item, index) => {
           form.value.diagnosisList.push({
-            name: item.name + '-' + res.data.symptom[index].name,
+            name: item.name + '-' + (res.data.symptom[index]?.name || ''),
             ybNo: item.ybNo,
             medTypeCode: item.medTypeCode,
+            diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+            diagnosisTime: new Date().toLocaleString('zh-CN')
           });
         });
       }
@@ -272,6 +297,7 @@ function getList() {
       console.log(form.value.diagnosisList);
     }
   });
+  
   getTree();
 }
 
@@ -285,21 +311,28 @@ function init() {
 }
 
 function handleImport() {
+  if (!props.patientInfo || !props.patientInfo.encounterId) {
+    console.warn('患者就诊信息不完整，无法导入慢性病信息');
+    return;
+  }
+  
   if (props.patientInfo.contractName != '自费') {
     // 获取患者慢性病信息
     getChronicDisease({ encounterId: props.patientInfo.encounterId }).then((res) => {
-      if (res.data.length > 0) {
+      if (res.data && res.data.length > 0) {
         res.data.forEach((item, index) => {
           form.value.diagnosisList.push({
-            ...item,
-            ...{
-              medTypeCode: '140104',
-              verificationStatusEnum: 4,
-              definitionId: item.id,
-              diagSrtNo: form.value.diagnosisList.length + 1,
-              iptDiseTypeCode: 2,
-              diagnosisDesc: '',
-            },
+        ...item,
+        ...{
+          medTypeCode: '140104',
+          verificationStatusEnum: 4,
+          definitionId: item.id,
+          diagSrtNo: form.value.diagnosisList.length + 1,
+          iptDiseTypeCode: 2,
+          diagnosisDesc: '',
+              diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+              diagnosisTime: new Date().toLocaleString('zh-CN')
+        },
           });
         });
       }
@@ -342,7 +375,8 @@ const filterNode = (value, data) => {
  * 获取诊断树列表
  */
 function getTree() {
-  getConditionDefinitionInfo(props.patientInfo ? props.patientInfo.patientId : '').then((res) => {
+  const patientId = props.patientInfo?.patientId || '';
+  getConditionDefinitionInfo(patientId).then((res) => {
     if (res.code == 200) {
       let list = [];
       list = res.data.patientHistoryList;
@@ -391,6 +425,8 @@ function handleAddDiagnosis() {
         diagSrtNo: form.value.diagnosisList.length + 1,
         iptDiseTypeCode: 2,
         diagnosisDesc: '',
+        diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+        diagnosisTime: new Date().toLocaleString('zh-CN')
       });
       if (form.value.diagnosisList.length == 1) {
         form.value.diagnosisList[0].maindiseFlag = 1;
@@ -537,6 +573,8 @@ function handleNodeClick(data) {
     medTypeCode: '11',
     diagSrtNo: form.value.diagnosisList.length + 1,
     definitionId: data.definitionId,
+    diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+    diagnosisTime: new Date().toLocaleString('zh-CN')
   });
   if (form.value.diagnosisList.length == 1) {
     form.value.diagnosisList[0].maindiseFlag = 1;

openhis-ui-vue3/src/views/doctorstation/components/emr/emr.vue

@@ -15,7 +15,42 @@
     </el-button> -->
   </div>
   <div style="max-height: 650px; overflow-y: auto; overflow-x: hidden">
+        <div style="text-align: center; font-size: 18px; font-weight: bold; margin-bottom: 10px;">
+      {{ visitType === 'FIRST' ? '门诊初诊病历' : '门诊复诊病历' }}
+    </div>
     <el-form ref="emrRef" :model="form" :rules="rules" label-width="80px">
+      <el-row :gutter="4">
+        <el-col :span="4">
+          <el-form-item label="就诊卡号" prop="patientId" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.patientId" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="姓名" prop="patientName" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.patientName" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="性别" prop="genderEnum_enumText" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.genderEnum_enumText" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="年龄" prop="age" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.age" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="就诊日期" prop="currentVisitDate" style="width: 100%">
+            <el-input placeholder="" v-model="currentVisitDate" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+        <el-col :span="4">
+          <el-form-item label="就诊科室" prop="organizationName" style="width: 100%">
+            <el-input placeholder="" v-model="patientInfo.organizationName" class="input-with-bottom-border"/>
+          </el-form-item>
+        </el-col>
+      </el-row>
       <el-row :gutter="24">
         <el-col :span="6">
           <el-form-item label="身高" prop="height" style="width: 100%">
@@ -168,6 +203,20 @@ import { saveEmr, getEmrDetail, saveEmrTemplate } from '../api';
 import emrTemplate from '../emr/emrtemplate.vue';
 import emrhistory from '../emr/emrhistory.vue';
 
+import { ref, computed } from 'vue';
+
+// 2. 当前就诊日期（默认为当前时间）
+const currentVisitDate = computed(() => {
+  return new Date().toLocaleString('zh-CN', {
+    year: 'numeric',
+    month: '2-digit',
+    day: '2-digit',
+    hour: '2-digit',
+    minute: '2-digit',
+    second: '2-digit',
+  });
+});
+
 const form = ref({});
 const emrTitle = ref('');
 const radio = ref(1);
@@ -184,6 +233,10 @@ const props = defineProps({
     type: Object,
     required: true,
   },
+  visitType: {  // ✅ 接收父组件传来的值
+    type: String,
+    default: '',
+  },
 });
 
 watch(

openhis-ui-vue3/src/views/doctorstation/components/emr/emrhistory.vue

@@ -10,23 +10,15 @@
     <el-table
       ref="emrHistoryRef"
       :data="emrHistory"
-      row-key="patientId"
-      highlight-current-row
+      row-key="id"
       @selection-change="handleSelectionChange"
     >
-      <!-- @cell-click="clickRow" -->
       <el-table-column type="selection" width="55" />
-      <el-table-column label="主诉" align="left" prop="name"  :show-overflow-tooltip="true"/>
-      <el-table-column label="时间" align="center" prop="createTime" width="180"  :show-overflow-tooltip="true"/>
+      <el-table-column label="主诉" align="left" prop="name" :show-overflow-tooltip="true"/>
+      <el-table-column label="时间" align="center" prop="createTime" width="180" :show-overflow-tooltip="true"/>
       <el-table-column label="操作" align="center" width="80">
         <template #default="scope">
-          <!-- <el-button
-            link
-            type="primary"
-            @click.stop="handelDetail(scope.row)"
-            >详情
-          </el-button> -->
-          <el-button link type="primary" @click.stop="clickRow(scope.row)">复用 </el-button>
+          <el-button link type="primary" @click.stop="clickRow(scope.row)">复用</el-button>
         </template>
       </el-table-column>
     </el-table>
@@ -43,6 +35,7 @@
 <script setup>
 import { formatDate, formatDateymd } from '@/utils/index';
 import { getEmrHistoryList } from '../api';
+
 const queryParams = ref({
   pageNum: 1,
   pageSize: 10,
@@ -51,13 +44,19 @@ const queryParams = ref({
 const selectRow = ref({});
 const emrHistory = ref([]);
 const emits = defineEmits(['selectRow']);
+const emrHistoryRef = ref(null);
+const selectedRows = ref([]);
+
+const total = ref(0);
 
 getList();
+
 function getList() {
   if (sessionStorage.getItem('patientId')) {
     queryParams.value.patientId = sessionStorage.getItem('patientId');
     getEmrHistoryList(queryParams.value).then((res) => {
       emrHistory.value = res.data.records;
+      total.value = res.data.total;
       emrHistory.value.map((k) => {
         k.name = JSON.parse(k.contextJson).chiefComplaint;
         k.createTime = formatDate(k.createTime);
@@ -66,6 +65,20 @@ function getList() {
   }
 }
 
+function handleSelectionChange(selection) {
+  selectedRows.value = selection;
+  
+  // 如果选择的行数大于1，只保留最后一行
+  if (selection.length > 1) {
+    // 清除所有选择
+    emrHistoryRef.value?.clearSelection();
+    // 只选择最后一行
+    const lastSelected = selection[selection.length - 1];
+    emrHistoryRef.value?.toggleRowSelection(lastSelected, true);
+    selectedRows.value = [lastSelected];
+  }
+}
+
 function clickRow(row) {
   selectRow.value = JSON.parse(row.contextJson);
   emits('selectRow', selectRow.value);

openhis-ui-vue3/src/views/doctorstation/components/emr/emrtemplate.vue

@@ -43,7 +43,7 @@ const props = defineProps({
     required: true,
   },
 });
-// getList();
+getList(); 
 function getList() {
   queryParams.value.useScopeCode = 1;
   getEmrTemplateList(queryParams.value).then((res) => {

openhis-ui-vue3/src/views/doctorstation/components/hospitalizationDialog.vue

@@ -200,6 +200,11 @@ const props = defineProps({
   },
   patientInfo: {
     type: Object,
+    default: () => ({}),
+  },
+  encounterId: {
+    type: String,
+    default: '',
   },
 });
 const emit = defineEmits(['close']);
@@ -284,14 +289,22 @@ function submit() {
         ...submitForm,
         diagnosisYbNo: diagnosisYbNo,
         diagnosisDefinitionId: diagnosisDefinitionId,
-        ambEncounterId: props.patientInfo.encounterId,
+        // 优先使用props.encounterId，确保就诊ID正确传递
+        ambEncounterId: props.encounterId || props.patientInfo.encounterId,
         patientId: props.patientInfo.patientId,
       };
+      console.log('提交住院数据:', saveData);
       handleHospitalization(saveData).then((res) => {
         if (res.code == 200) {
           proxy.$modal.msgSuccess('办理成功');
           close();
+        } else {
+          console.error('办理失败:', res.msg);
+          proxy.$modal.msgError(res.msg || '办理失败，请检查数据后重试');
         }
+      }).catch(error => {
+        console.error('提交出错:', error);
+        proxy.$modal.msgError('提交请求失败');
       });
     }
   });

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

@@ -561,9 +561,20 @@
                 (value) => {
                   expandOrder = [];
                   prescriptionList[scope.$index].adviceName = undefined;
-                  adviceQueryParams.adviceType = value;
-                }
-              "
+    
+                   // 直接更新查询参数
+                  adviceQueryParams.value.adviceType = value;
+                  adviceQueryParams.value.searchKey = '';
+    
+                  console.log('医嘱类型改变为:', value, '查询参数:', adviceQueryParams.value);
+    
+                 // 确保弹窗重新打开
+                  nextTick(() => {
+                    row.showPopover = true;
+                    handleFocus(scope.row, scope.$index);
+                  });
+                 }
+                "
             >
               <el-option
                 v-for="item in adviceTypeList"
@@ -735,7 +746,7 @@ import {
   getAdviceBaseInfo,
   getActivityBindDevice,
 } from '../api';
-import adviceBaseList from '../advicebaselist';
+import adviceBaseList from '../adviceBaseList.vue';
 import { computed, getCurrentInstance, nextTick, watch } from 'vue';
 import { calculateQuantityByDays, formatNumber } from '@/utils/his';
 import OrderGroupDrawer from './orderGroupDrawer';
@@ -751,7 +762,10 @@ const prescriptionList = ref([]);
 const form = ref({
   prescriptionList: prescriptionList.value,
 });
-const adviceQueryParams = ref({});
+const adviceQueryParams = ref({
+  searchKey: '',
+  adviceType: ''
+});
 const rowIndex = ref(-1);
 const groupIndex = ref(1);
 const groupIndexList = ref([]);
@@ -933,6 +947,9 @@ function handleAddPrescription() {
     return;
   }
   isAdding.value = true;
+  // 重置查询参数
+  adviceQueryParams.value = {};
+
   // 在数组最前方添加一行，让新增行显示在最上边
   prescriptionList.value.unshift({
     uniqueKey: nextId.value++,
@@ -979,10 +996,17 @@ function handleDiagnosisChange(item) {
 function handleFocus(row, index) {
   rowIndex.value = index;
   row.showPopover = true;
+  // 确保查询参数与当前行类型一致
+  adviceQueryParams.value = {
+    adviceType: row.adviceType || '',
+    searchKey: adviceQueryParams.value.searchKey || ''
+  };
 }
 
 function handleBlur(row) {
-  row.showPopover = false;
+   setTimeout(() => {
+    row.showPopover = false;
+  }, 200);
 }
 
 function handleChange(value) {
@@ -993,6 +1017,8 @@ function handleChange(value) {
  * 选择药品回调
  */
 function selectAdviceBase(key, row) {
+// 立即关闭当前弹窗
+  prescriptionList.value[rowIndex.value].showPopover = false;
   if (row.adviceType == 3) {
     getActivityBindDevice({ activityId: row.adviceDefinitionId }).then((res) => {
       if (res.data.activityBindDeviceInfos?.length > 0) {
@@ -1096,7 +1122,7 @@ function selectAdviceBase(key, row) {
     prescriptionList.value[rowIndex.value].orgId = JSON.parse(JSON.stringify(row)).positionId;
     prescriptionList.value[rowIndex.value].unitPrice = row.priceList[0].price;
   }
-  expandOrder.value = [key];
+ expandOrder.value = [key];
   nextTick(() => {
     if (row.adviceType == 1) {
       if (row.injectFlag == 1) {
@@ -1108,6 +1134,7 @@ function selectAdviceBase(key, row) {
       inputRefs.value['quantity']?.focus();
     }
   });
+ 
 }
 
 function getOrgList() {

openhis-ui-vue3/src/views/doctorstation/index.vue

@@ -98,35 +98,36 @@
           <el-descriptions-item label="医生：" width="150">{{
             userStore.name
           }}</el-descriptions-item>
-          <el-descriptions-item label="" width="300">
-            <el-button type="primary" plain @click.stop="handleFinish(patientInfo.encounterId)">
-              完诊
-            </el-button>
-            <el-button type="primary" plain @click.stop="handleLeave(patientInfo.encounterId)">
-              暂离
-            </el-button>
-            <el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
-              退费
-            </el-button>
-            <el-button
-              type="primary"
-              plain
-              @click.stop="getEnPrescription(patientInfo.encounterId)"
-            >
-              处方单
-            </el-button>
-            <el-button
-              type="primary"
-              plain
-              @click.stop="
-                () => {
-                  openDialog = true;
-                }
-              "
-            >
-              办理住院
-            </el-button>
-          </el-descriptions-item>
+          <el-descriptions-item label="" width="350">
+  <!-- 初诊 / 复诊 按钮 -->
+<el-radio v-model="visitType" label="FIRST">初诊</el-radio>
+<el-radio v-model="visitType" label="FOLLOW_UP">复诊</el-radio>
+
+  <!-- 原有按钮 -->
+  <el-button type="primary" plain @click.stop="handleFinish(patientInfo.encounterId)">
+    完诊
+  </el-button>
+  <el-button type="primary" plain @click.stop="handleLeave(patientInfo.encounterId)">
+    暂离
+  </el-button>
+  <el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
+    退费
+  </el-button>
+  <el-button
+    type="primary"
+    plain
+    @click.stop="getEnPrescription(patientInfo.encounterId)"
+  >
+    处方单
+  </el-button>
+  <el-button
+    type="primary"
+    plain
+    @click.stop="openDialog = true"
+  >
+    办理住院
+  </el-button>
+</el-descriptions-item>
         </el-descriptions>
       </div>
       <div style="padding: 10px">
@@ -146,6 +147,7 @@
                   saveStatus = value;
                 }
               "
+              :visitType="visitType" 
             />
           </el-tab-pane>
           <el-tab-pane label="诊断" name="diagnosis">
@@ -204,6 +206,7 @@ import {
   leaveEncounter,
   completeEncounter,
   getEnPrescriptionInfo,
+  getEmrHistoryList
 } from './components/api.js';
 import prescriptionlist from './components/prescription/prescriptionlist.vue';
 import RefundListDialog from './components/prescription/refundListDialog.vue';
@@ -260,6 +263,7 @@ const diagnosisRef = ref();
 const waitCount = ref(0);
 const loading = ref(false);
 const { proxy } = getCurrentInstance();
+const visitType = ref('');
 const disabled = computed(() => {
   return Object.keys(patientInfo.value).length === 0;
 });
@@ -282,7 +286,41 @@ function getPatientList() {
     });
   });
 }
+function setVisitType(type) {
+  visitType.value = type;
+}
+function checkPatientHistory(patient) {
+  // 如果患者没有身份证号，无法判断是否为初诊
+  if (!patient.idCard) {
+    // 默认设置为初诊
+    visitType.value = 'FIRST';
+    return;
+  }
   
+  // 查询患者历史就诊记录
+  const params = {
+    patientId: patient.patientId,
+    idCard: patient.idCard
+  };
+  
+  getEmrHistoryList(params).then(res => {
+    if (res.code === 200) {
+      // 如果有历史记录，则为复诊
+      if (res.data && res.data.total > 0) {
+        visitType.value = 'FOLLOW_UP';
+      } else {
+        // 如果没有历史记录，则为初诊
+        visitType.value = 'FIRST';
+      }
+    } else {
+      // 请求失败，默认设置为初诊
+      visitType.value = 'FIRST';
+    }
+  }).catch(() => {
+    // 异常情况，默认设置为初诊
+    visitType.value = 'FIRST';
+  });
+}
 function getWaitPatient() {
   queryParams.value.registerTimeSTime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 00:00:00';
   queryParams.value.registerTimeETime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59';
@@ -341,7 +379,7 @@ function handleOpen() {
 }
 
 function handleCardClick(item, index) {
-  currentEncounterId.value = '';
+ currentEncounterId.value = '';
   // if (item.active) {
   //   patientList.value[index].active = false;
   //   return;
@@ -351,6 +389,10 @@ function handleCardClick(item, index) {
     patient.active = patient.encounterId === item.encounterId;
   });
   patientInfo.value = item;
+  
+  // 检查患者历史记录以确定初诊/复诊
+  checkPatientHistory(item);
+  
   activeTab.value = 'emr';
   nextTick(() => {
     prescriptionRef.value.getListInfo();

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/accomplishList.vue

@@ -27,7 +27,11 @@
         <el-table-column type="index" width="54" align="center" label="序号" />
         <el-table-column prop="patientName" align="center" label="申请患者" />
         <el-table-column prop="genderEnum_enumText" label="性别" align="center" />
-        <el-table-column prop="age" label="年龄" align="center" />
+        <el-table-column label="年龄" align="center">
+  <template #default="scope">
+    {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+  </template>
+</el-table-column>
         <el-table-column prop="sourceName" align="center" label="申请来源">
           <template #default="scope">
             {{ scope.row.sourceName || '-' }}

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/awaitList.vue

@@ -28,7 +28,11 @@
         <el-table-column type="index" width="54" align="center" label="序号" />
         <el-table-column prop="patientName" align="center" label="患者姓名" />
         <el-table-column prop="genderEnum_enumText" label="性别" align="center" />
-        <el-table-column prop="age" label="年龄" align="center" />
+        <el-table-column label="年龄" align="center">
+  <template #default="scope">
+    {{ scope.row.age ? `${scope.row.age}岁` : '-' }}
+  </template>
+</el-table-column>
         <el-table-column prop="requestTime" align="center" label="申请时间" />
         <el-table-column prop="sourceName" align="center" label="申请来源" />
         <el-table-column prop="wardName" align="center" label="入院病区" />

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/patientInfoForm.vue

@@ -35,12 +35,14 @@
       </el-col>
       <el-col :span="6">
         <el-form-item label="年龄" prop="age">
-          <el-input
-            v-model="form.age"
-            :disabled="isViewMode"
-            @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
-          />
-        </el-form-item>
+            <el-input
+              v-model="form.age"
+              :disabled="isViewMode"
+              @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
+            >
+              <template #suffix>岁</template>
+            </el-input>
+          </el-form-item>
       </el-col>
       <el-col :span="6">
         <el-form-item label="卡类别" prop="typeCode">
@@ -79,7 +81,9 @@
     </el-row>
     <!-- <el-col :span="6">
 						<el-form-item label="年龄" prop="age">
-						   <el-input v-model="form.age" clearable :disabled="isViewMode"/>
+						   <el-input v-model="form.age" clearable :disabled="isViewMode">
+						     <template #suffix>岁</template>
+						   </el-input>
 						</el-form-item>
 				</el-col> -->
     <el-row>

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue

@@ -55,10 +55,10 @@
 </template>
 <script setup>
 import { getCurrentInstance, onBeforeMount, onMounted, reactive, ref, computed } from 'vue';
-import BloodTransfusion from './bloodTransfusion.vue';
+import BloodTransfusion from './bloodTransfusion';
 import { patientInfo } from '../../../store/patient.js';
 import Surgery from './surgery.vue';
-import LaboratoryTests from './LaboratoryTests.vue';
+import laboratoryTests from './laboratoryTests.vue';
 import MedicalExaminations from './medicalExaminations.vue';
 const { proxy } = getCurrentInstance();
 const emits = defineEmits([]);

openhis-ui-vue3/src/views/login.vue

@@ -1,12 +1,14 @@
 <template>
   <div class="login">
     <!--  顶部  -->
-    <!-- <div class="el-login-top">
-      <el-image :src="logoNew"></el-image>
-    </div> -->
     <el-form ref="loginRef" :model="loginForm" :rules="loginRules" class="login-form">
-      <h1 class="title">医院信息管理系统</h1>
+    <div class="el-login-top">
+      <el-image :src="logoNew"></el-image>
+    </div>
+      <h1 class="title">{{ currentTenantName || settings.systemName }}</h1>
+      <p class="login-subtitle">请使用您的账号密码安全登录系统</p>
       <el-form-item prop="username">
+        <p class="label">用户名</p>
         <el-input
           v-model="loginForm.username"
           type="text"
@@ -21,25 +23,35 @@
         </el-input>
       </el-form-item>
       <el-form-item prop="password">
+        <p class="label">密码</p>
         <el-input
           v-model="loginForm.password"
-          type="password"
+          :type="passwordVisible ? 'text' : 'password'"
           size="large"
           auto-complete="off"
           placeholder="密码"
           @keyup.enter="handleLogin"
-          show-password
         >
           <template #prefix
             ><svg-icon icon-class="password" class="el-input__icon input-icon"
           /></template>
+          <template #suffix>
+            <span 
+              class="password-toggle"
+              @click="togglePasswordVisibility"
+              style="cursor: pointer; color: #606266; font-size: 14px; padding: 0 10px;"
+            >
+              {{ passwordVisible ? '隐藏' : '显示' }}
+            </span>
+          </template>
         </el-input>
       </el-form-item>
       <el-form-item prop="tenantId">
+        <p class="label">医疗机构</p>
         <el-select
           v-model="loginForm.tenantId"
           size="large"
-          placeholder="所属医院"
+          placeholder="请选择医疗机构"
           clearable
           filterable
         >
@@ -51,6 +63,11 @@
           />
         </el-select>
       </el-form-item>
+      <el-form-item class="login-options">
+        <el-checkbox v-model="loginForm.rememberMe" class="remember-me">记住我</el-checkbox>
+        <el-link type="primary" class="forgot-password" @click="handleForgotPassword">忘记密码？</el-link>
+      </el-form-item>
+      
       <!-- <el-form-item prop="tenantId"> -->
         <!-- <span class="descriptions-item-label" style="margin: 0 10px 0 0">连接医保</span> -->
         <!-- <el-switch v-model="loginForm.invokeYb" @change="topNavChange" size="large"/> -->
@@ -87,8 +104,17 @@
           <router-link class="link-type" :to="'/register'">立即注册</router-link>
         </div>
       </el-form-item>
+      <div class="footer">
+            © 2025 XXX医院信息系统 | 版本 v2.5.1
+            <!-- 公司版权信息（新增） -->
+            <div class="company-copyright">
+                技术支持：上海经创贺联信息技术有限公司
+            </div>
+        </div>
     </el-form>
+    
     <!--  底部  -->
+    
     <div class="el-login-footer">
       <div class="el-login-footer-link">
         <span><el-link :underline="false">his账号用户协议</el-link></span>
@@ -109,12 +135,15 @@
 </template>
 
 <script setup>
+import { getCurrentInstance, ref, reactive, computed, onMounted, watch } from 'vue';
+import settings from '@/settings';
 import { getCodeImg, sign, getUserBindTenantList } from '@/api/login';
 import { invokeYbPlugin } from '@/api/public';
 import Cookies from 'js-cookie';
 import { encrypt, decrypt } from '@/utils/jsencrypt';
 import useUserStore from '@/store/modules/user';
-import logoNew from '@/assets/logo/logoBlack.png';
+import { ElMessage } from 'element-plus';
+import logoNew from '@/assets/logo/LOGO.jpg';
 const userStore = useUserStore();
 const route = useRoute();
 const router = useRouter();
@@ -131,6 +160,7 @@ const loginForm = ref({
 });
 
 const tenantOptions = ref([]);
+const currentTenantName = ref('');
 
 const loginRules = {
   username: [{ required: true, trigger: 'blur', message: '请输入您的账号' }],
@@ -146,6 +176,21 @@ const captchaEnabled = ref(true);
 // 注册开关
 const register = ref(false);
 const redirect = ref(undefined);
+const passwordVisible = ref(false);
+
+function togglePasswordVisibility() {
+  passwordVisible.value = !passwordVisible.value;
+}
+
+// 处理忘记密码功能
+function handleForgotPassword() {
+  // 这里可以添加忘记密码的逻辑，例如跳转到忘记密码页面或显示忘记密码弹窗
+  // 目前先显示一个提示
+  ElMessage({
+    message: '忘记密码功能正在开发中',
+    type: 'info'
+  });
+}
 
 watch(
   route,
@@ -155,7 +200,7 @@ watch(
   { immediate: true }
 );
 
-// 页面加载时从 localStorage 获取 invokeYb 的值
+// 页面加载时从 localStorage 获取 invokeYb 的值和从 Cookies 获取记住的登录信息
 onMounted(() => {
   const storedInvokeYb = localStorage.getItem('invokeYb');
   if (storedInvokeYb !== null) {
@@ -164,6 +209,38 @@ onMounted(() => {
     // 如果 localStorage 中没有值，则设置默认值并保存
     localStorage.setItem('invokeYb', 'true');
   }
+  
+  // 从 Cookies 中恢复记住的登录信息
+  const rememberMe = Cookies.get('rememberMe');
+  if (rememberMe && rememberMe === 'true') {
+    const username = Cookies.get('username');
+    const password = Cookies.get('password');
+    if (username) {
+      loginForm.value.username = username;
+      loginForm.value.rememberMe = true;
+      // 解密密码
+      if (password) {
+        try {
+          loginForm.value.password = decrypt(password);
+        } catch (e) {
+          console.error('密码解密失败:', e);
+        }
+      }
+    }
+  }
+  
+  // 获取医疗机构列表
+  getUserBindTenantList().then((res) => {
+    tenantOptions.value = res.data.map(item => ({
+      label: item.tenantName,
+      value: item.id
+    }));
+    // 如果只有一个医疗机构，自动选中
+    if (tenantOptions.value.length === 1) {
+      loginForm.value.tenantId = tenantOptions.value[0].value;
+      currentTenantName.value = tenantOptions.value[0].label;
+    }
+  });
 });
 
 function handleLogin() {
@@ -279,6 +356,14 @@ function getCode() {
   });
 }
 
+// 监听租户选择变化
+watch(() => loginForm.value.tenantId, (newTenantId) => {
+  const selectedTenant = tenantOptions.value.find(item => item.value === newTenantId);
+  if (selectedTenant) {
+    currentTenantName.value = selectedTenant.label;
+  }
+});
+
 // 切换医保连接开关时更新 localStorage
 function topNavChange(value) {
   localStorage.setItem('invokeYb', value.toString());
@@ -303,6 +388,7 @@ function getTenantList(username) {
           label: item.tenantName,
         }));
         loginForm.value.tenantId = tenantOptions.value[0].value; //默认选中第一个
+        currentTenantName.value = tenantOptions.value[0].label;
       }
     }
   });
@@ -389,27 +475,81 @@ getCookie();
 getTenantList(loginForm.value.username);
 </script>
 
+<style>
+html, body {
+  height: auto;
+  min-height: 100vh;
+  overflow-y: auto;
+  margin: 0;
+  padding: 0;
+}
+</style>
+
 <style lang="scss" scoped>
 .login {
   display: flex;
   justify-content: center;
-  align-items: center;
-  height: 100%;
+  background: #f8f9fa; 
+  min-height: 100vh;
+  padding-bottom: 100px; /* 为底部固定footer留出空间 */
   //background-image: url("../assets/images/login-background.jpg");
   background-size: cover;
 }
 .title {
-  margin: 0px auto 30px auto;
+  margin: 10px auto 15px auto;
   text-align: center;
   color: #000;
   font-family: 'Microsoft Yahei,STHeiti,Simsun,STSong,Helvetica Neue,Helvetica,Arial,sans-serif';
 }
+.label{
+  display: block;
+  margin-bottom: 6px;
+  font-size: 14px;
+  font-weight: 500;
+  color: var(--text);
+}
 
+.login-options {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin: 8px 0 10px 0;
+  width: 100%; /* 确保容器占满宽度 */
+}
+
+.remember-me {
+  margin: 0;
+  color: var(--text);
+}
+
+.forgot-password {
+  font-size: 14px;
+  color: var(--primary);
+  cursor: pointer;
+  text-align: right; /* 确保文本右对齐 */
+  margin-left: auto; /* 确保元素右对齐 */
+}
+ .footer {
+            margin-top: 32px;
+            font-size: 12px;
+            color: var(--text-secondary);
+        }
+
+.login-subtitle {
+  font-size: 14px;
+  color: var(--text-secondary);
+  margin-bottom: 20px;
+}
 .login-form {
-  border-radius: 6px;
+  border-radius: 16px;
+  box-shadow: 0 4px 12px var(--shadow);
+  border: 1px solid var(--border);
   background: #ffffff;
-  width: 400px;
+  width: 100%;
+  max-width: 400px;
+  padding: 40px;
   padding: 25px 25px 5px 25px;
+  text-align: center;
   .el-input {
     height: 50px; // 修改输入框高度
     input {
@@ -438,24 +578,20 @@ getTenantList(loginForm.value.username);
   }
 }
 .el-login-top {
-  height: 80px;
-  line-height: 40px;
-  position: fixed;
-  top: 0;
-  width: 100%;
-  text-align: left;
-  color: #000;
-  font-family: Arial;
-  font-size: 12px;
-  letter-spacing: 1px;
-  background-color: #f1f1f1;
-  padding: 20px;
+  text-align: center;
+  margin: 0 auto 10px;
+  .el-image {
+    max-width: 120px;
+    max-height: 120px;
+  }
 }
 .el-login-footer {
-  height: 100px;
-  line-height: 40px;
+  height: 80px;
+  line-height: 30px;
   position: fixed;
   bottom: 0;
+  left: 0;
+  right: 0;
   width: 100%;
   text-align: center;
   color: #000;
@@ -463,8 +599,7 @@ getTenantList(loginForm.value.username);
   font-size: 12px;
   letter-spacing: 1px;
   background-color: #f1f1f1;
-
-  color: #000;
+  z-index: 100; /* 确保footer在最上层 */
   span {
     margin: 0 10px;
   }
@@ -490,6 +625,13 @@ getTenantList(loginForm.value.username);
   width: 24px !important; // 调整图标的宽度
   height: 24px !important; // 调整图标的高度
   font-size: 24px !important; // 调整图标的字体大小
+  color: #606266 !important; // 确保图标颜色可见
+  cursor: pointer !important; // 确保鼠标悬停时显示指针
+}
+
+:deep(.password-toggle) {
+  line-height: 50px !important; // 确保文字垂直居中
+  user-select: none; // 禁止选中文字
 }
 :deep(.el-select__wrapper) {
   background-color: #f5f7fa !important;
@@ -498,4 +640,8 @@ getTenantList(loginForm.value.username);
   font-size: 18px !important;
   height: 50px !important; // 修改输入框高度
 }
+
+:deep(.el-form-item) {
+  margin-bottom: 15px !important; // 减小输入框之间的距离
+}
 </style>

openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue

@@ -183,7 +183,9 @@
               v-model="form.age"
               :disabled="isViewMode"
               @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
-            />
+            >
+              <template #suffix>岁</template>
+            </el-input>
           </el-form-item>
         </el-col>
           <el-col :span="6">

openhis-ui-vue3/src/views/system/tenant/setUser.vue

@@ -69,7 +69,11 @@ import bindUser from "./bindUser";
 import { getTenantUserPage, unbindTenantUser } from "@/api/system/tenant";
 // 在 <script setup> 顶部添加导入
 import { ref, reactive, onMounted } from "vue"; // 补充 onMounted 导入
+import { useRoute, useRouter } from "vue-router"; // 添加 useRouter 导入
+
 const route = useRoute();
+const router = useRouter(); // 创建 router 实例
+
 const { proxy } = getCurrentInstance();
 const { sys_normal_disable } = proxy.useDict("sys_normal_disable");
 
@@ -100,8 +104,14 @@ function getList() {
 }
 // 返回按钮
 function handleClose() {
-   const obj = { path: "/system/basicmanage/tenant" };
-   proxy.$tab.closeOpenPage(obj);
+   /* const obj = { path: "/system/basicmanage/tenant" };
+   proxy.$tab.closeOpenPage(obj); 目前先注释掉改成返回上一级页面*/
+   // 先关闭当前标签页
+   const obj={ path: "/system/basicmanage/tenant" };
+   proxy.$tab.closeOpenPage(route).then(() => {
+      // 然后返回上一个页面 
+      router.go(-1);
+   });
 }
 /** 搜索按钮操作 */
 function handleQuery() {

说明.txt

@@ -3,7 +3,7 @@
 	
 jdk17 (必须)
 node.js-v16.15 (推荐)
-PostgreSQL-v16.2 (必须)
+PostgreSQL-v16.2 (必须)1
 redis (常用稳定版本即可)
 
 需要修改数据库和redis的连接信息,详见: