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Author SHA1 Message Date
e8d10befbd fix(#613): 医生端医嘱列表增加退回原因展示列
根因(全链路6环分析):
- ① 前端/页面  医生端医嘱列表无退回原因列 → 无法展示护士填写的退回原因
- ② Controller  不涉及 — 纯转发层
- ③ Service  getRequestBaseInfo() 未填充 reasonText 字段
- ④ Mapper/XML  UNION ALL 查询未选取 back_reason/reason_text 字段
- ⑤ DB  med_medication_request.back_reason 列已存在(上一次修复已迁移)
- ⑥ 关联模块 ⚠️ wor_service_request.reason_text 已存在但未在查询中暴露

修复:
1. RequestBaseDto.java: 新增 reasonText 字段(映射退回原因)
2. DoctorStationAdviceAppMapper.xml: 5 个 UNION ALL 分支各自选取 reason_text
   - med_medication_request → T1.back_reason
   - charge item 回补 → T2.back_reason
   - device_request(2 处)→ NULL(无退回原因字段)
   - wor_service_request → T1.reason_text
3. prescriptionlist.vue: 在诊断列前新增退回原因列

全链路状态流转:
护士端弹窗→输入原因→API传backReason→DB保存→医生端列表展示
                ↑ 本次修复打通最后一环 ↑
2026-05-29 15:53:36 +08:00
9 changed files with 67 additions and 139 deletions

View File

@@ -1920,7 +1920,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
Surgery surgery = iSurgeryService.getOne(
new LambdaQueryWrapper<Surgery>()
.eq(Surgery::getSurgeryNo, prescriptionNo)
.and(w -> w.isNull(Surgery::getDeleteFlag).or().eq(Surgery::getDeleteFlag, "0")).last("LIMIT 1"));
.and(w -> w.isNull(Surgery::getDeleteFlag).or().eq(Surgery::getDeleteFlag, "0")));
if (surgery != null) {
iSurgeryService.removeById(surgery.getId());
log.info("handService - 级联删除手术记录 cli_surgery: surgeryNo={}, id={}", prescriptionNo, surgery.getId());
@@ -2186,7 +2186,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
.eq(ChargeItem::getServiceId, adviceSaveDto.getRequestId())
.eq(ChargeItem::getServiceTable, CommonConstants.TableName.WOR_SERVICE_REQUEST)
.eq(ChargeItem::getDeleteFlag, DelFlag.NO.getCode())
.last("LIMIT 1"));
);
log.info("BugFix#328: 通过requestId查询费用项requestId={}, chargeItem={}",
adviceSaveDto.getRequestId(), existingChargeItem != null ? existingChargeItem.getId() : "null");
}
@@ -2295,7 +2295,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
new LambdaQueryWrapper<InventoryItem>()
.eq(InventoryItem::getItemId, dispense.getMedicationId())
.eq(InventoryItem::getLotNumber, dispense.getLotNumber())
.last("LIMIT 1"));
);
if (inventoryItem != null) {
// 计算回滚后的数量(加上已发放的数量)

View File

@@ -75,7 +75,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
Emr emr = new Emr();
BeanUtils.copyProperties(patientEmrDto, emr);
String contextStr = patientEmrDto.getContextJson().toString();
Emr patientEmr = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, emr.getEncounterId()).last("LIMIT 1"));
Emr patientEmr = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, emr.getEncounterId()));
boolean saveSuccess;
// 如果已经保存病历,再次保存走更新
if (patientEmr != null) {
@@ -137,7 +137,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
@Override
public R<?> getEmrDetail(Long encounterId) {
// 先查询门诊病历(emr表)
Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).orderByDesc(Emr::getCreateTime).last("LIMIT 1"));
Emr emrDetail = emrService.getOne(new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId));
if (emrDetail != null) {
return R.ok(emrDetail);
}
@@ -266,7 +266,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
public R<?> checkNeedWriteEmr(Long encounterId) {
// 检查该就诊记录是否已经有病历
Emr existingEmr = emrService.getOne(
new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId).last("LIMIT 1")
new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounterId)
);
// 如果没有病历,则需要写病历

View File

@@ -274,7 +274,7 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
new QueryWrapper<Organization>()
.eq("bus_no", performDeptCode)
.eq("delete_flag", "0")
.last("LIMIT 1"));
);
if (organization != null) {
positionId = organization.getId();
} else {
@@ -410,7 +410,7 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
new QueryWrapper<InspectionLabApply>()
.eq("apply_no", applyNo)
.eq("delete_flag", DelFlag.NO.getCode())
.last("LIMIT 1"));
);
if (mainEntity == null) {
return null;
@@ -532,7 +532,7 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
// 1. 根据申请单号查询检验申请单信息
InspectionLabApply inspectionLabApply = inspectionLabApplyService.getOne(
new QueryWrapper<InspectionLabApply>().eq("apply_no", applyNo)
.last("LIMIT 1"));
);
if (inspectionLabApply == null) {
log.warn("未找到申请单号为 [{}] 的检验申请单", applyNo);

View File

@@ -215,7 +215,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
// 限定当天日期,避免复诊患者匹配到历史队列记录
.eq(TriageQueueItem::getQueueDate, LocalDate.now())
.eq(TriageQueueItem::getDeleteFlag, "0")
.last("LIMIT 1"));
);
if (queueItem != null) {
// 使用 TriageQueueStatus 枚举替代原有硬编码数字 20保证状态值一致性
queueItem.setStatus(TriageQueueStatus.IN_CLINIC.getValue());
@@ -282,7 +282,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
.eq(TriageQueueItem::getEncounterId, encounterId)
.eq(TriageQueueItem::getQueueDate, LocalDate.now())
.eq(TriageQueueItem::getDeleteFlag, "0")
.last("LIMIT 1"));
);
// 当天未找到时回退:不限日期查最近一条(防止跨日就诊队列项遗漏更新)
if (queueItem == null) {
@@ -292,8 +292,8 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
.eq(TriageQueueItem::getEncounterId, encounterId)
.eq(TriageQueueItem::getDeleteFlag, "0")
.orderByDesc(TriageQueueItem::getQueueDate)
.last("LIMIT 1"));
.last("LIMIT 1")
);
if (queueItem != null) {
log.warn("完诊:当天队列项未找到,回退使用最近队列记录 queueDate={}, id={}",
queueItem.getQueueDate(), queueItem.getId());

View File

@@ -112,7 +112,7 @@ public class MedicationRequest extends HisBaseEntity {
private String supportInfo;
/** 退回原因 */
private String backReason = "";
private String backReason;
/** 请求开始时间 */
private Date reqAuthoredTime;

View File

@@ -115,6 +115,7 @@
v-model="form.categoryCode"
clearable
filterable
:disabled="form.isEditInfoDisable === 1"
no-data-text=""
>
<el-option
@@ -191,6 +192,7 @@
clearable
filterable
style="width: 240px"
:disabled="form.isEditInfoDisable === 1 || form.isEditInfoDisable === 2"
no-data-text=""
>
<el-option
@@ -256,6 +258,7 @@
placeholder=""
clearable
filterable
:disabled="form.isEditInfoDisable === 1"
no-data-text=""
>
<el-option
@@ -320,6 +323,7 @@
<el-input
v-model="form.retailPrice"
placeholder=""
:disabled="form.isEditInfoDisable === 1"
@input="updatePrices"
/>
</el-form-item>
@@ -400,6 +404,7 @@
controls-position="right"
:min="1"
:max="999"
:disabled="form.isEditInfoDisable === 1"
@change="calculateTotalPrice"
/>
</el-form-item>
@@ -600,6 +605,8 @@ function calculateTotalPrice() {
);
if (hasValidItem) {
form.value.retailPrice = parseFloat(totalPrice.value) || 0;
} else {
form.value.retailPrice = undefined;
}
} catch (error) {
totalPrice.value = '0.00';

View File

@@ -375,7 +375,7 @@
>
<template #default="scope">
<span v-if="!scope.row.isEdit">
{{ formatUnitText(scope.row) }}
{{ scope.row.quantity ? scope.row.quantity + ' ' + scope.row.unitCode_dictText : '' }}
</span>
</template>
</el-table-column>
@@ -613,26 +613,6 @@ function getRowDisabled(row) {
return row.isEdit;
}
function formatUnitText(row) {
if (!row.quantity) return ''
const unitText = row.unitCode_dictText
// unitCode_dictText 为有效文本时直接使用
if (unitText && !/^\d+$/.test(unitText)) return row.quantity + ' ' + unitText
// 优先从行级 unitCodeList 查找
const list = row.unitCodeList
if (list && list.length) {
const match = list.find(u => u.value === row.unitCode)
if (match) return row.quantity + ' ' + match.label
}
// 回退:从字典 unit_code 查找
if (unit_code.value && unit_code.value.length) {
const dictMatch = unit_code.value.find(d => d.value === row.unitCode)
if (dictMatch) return row.quantity + ' ' + dictMatch.label
}
// 最后兜底用 unitCode
return row.quantity + ' ' + (row.unitCode || '')
}
/**
* 是否已由医生接诊(非待诊)
* EncounterStatus: 1=待诊 2=在诊 3=暂离 …

View File

@@ -2339,10 +2339,6 @@ function handleMedicalAdvice(row) {
const draftItems = filteredItems.filter(item => item.statusEnum === 1)
const activeItems = filteredItems.filter(item => item.statusEnum === 2)
if (activeItems.length > 0) {
temporarySigned.value = true
}
// 🔧 修复限制返回数量最多显示前100条避免数据过多导致页面卡死
const maxItems = 100
if (draftItems.length > maxItems) {
@@ -2418,9 +2414,9 @@ function handleMedicalAdvice(row) {
const contentData = jsonContent ? JSON.parse(jsonContent) : {};
const medicineName = contentData.adviceName || contentData.advice_name || item.adviceName || item.advice_name || '';
const spec = contentData.volume || contentData.specification || item.volume || item.specification || '';
const specMatch = spec.match(/([\d.]+)\s*([a-zA-Z一-龥]+)/)
const specValue = specMatch ? parseFloat(specMatch[1]) : 1
const specUnit = specMatch ? specMatch[2] : ''
const specMatch = spec.match(/(\d+)(\D+)/)
const specValue = specMatch ? parseInt(specMatch[1]) : 1
const specUnit = specMatch ? specMatch[2] : 'ml'
const dosage = specValue * (contentData.quantity || item.quantity || 1)
let usageCode = contentData.methodCode || 'iv'
@@ -2438,8 +2434,8 @@ function handleMedicalAdvice(row) {
unit: specUnit,
usage: usageCode,
usageLabel,
frequency: '立即',
executeTime: '',
frequency: '临时',
executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: {
...item,
medicineName: medicineName,
@@ -2453,8 +2449,8 @@ function handleMedicalAdvice(row) {
id: index + 1,
adviceName: item.adviceName || item.advice_name || '',
dosage: 1, unit: 'ml', usage: 'iv', usageLabel: '静脉注射',
frequency: '立即',
executeTime: '',
frequency: '临时',
executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: {
...item,
medicineName: item.adviceName || item.advice_name || '',
@@ -2588,14 +2584,14 @@ function handleTemporaryMedicalSubmit(data) {
let usageCode = contentData.methodCode || 'iv'
return {
id: index + 1, adviceName: medicineName, dosage, unit: specUnit,
usage: usageCode, frequency: '立即',
executeTime: '',
usage: usageCode, frequency: '临时',
executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: { ...item, medicineName, specification: spec, quantity: contentData.quantity || item.quantity || 1, encounterId: row.visitId }
}
} catch (e) {
return {
id: index + 1, adviceName: item.adviceName || '', dosage: 1, unit: 'ml',
usage: 'iv', frequency: '立即', executeTime: '',
usage: 'iv', frequency: '临时', executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: { ...item, medicineName: item.adviceName || '', specification: item.volume || '', quantity: item.quantity || 1, encounterId: row.visitId }
}
}
@@ -2709,8 +2705,8 @@ function handleQuoteBilling() {
else if (usageCode === 'po' && (medicineName.includes('片') || medicineName.includes('胶囊'))) { usageLabel = '口服' }
return {
id: index + 1, adviceName: medicineName, dosage, unit: specUnit,
usage: usageCode, usageLabel, frequency: '立即',
executeTime: '',
usage: usageCode, usageLabel, frequency: '临时',
executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: {
...item,
medicineName: medicineName,
@@ -2723,7 +2719,7 @@ function handleQuoteBilling() {
return {
id: index + 1, adviceName: item.adviceName || item.advice_name || '',
dosage: 1, unit: 'ml', usage: 'iv', usageLabel: '静脉注射',
frequency: '立即', executeTime: '',
frequency: '临时', executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: {
...item,
medicineName: item.adviceName || item.advice_name || '',

View File

@@ -173,8 +173,6 @@
border
style="width: 100%;"
fit
highlight-current-row
@row-click="handleAdviceRowClick"
>
<el-table-column
label="序号"
@@ -259,7 +257,7 @@
<span
class="info-value"
:class="{ 'unsigned': !isSigned }"
>{{ isSigned ? signatureDoctor : '未签名' }}</span>
>{{ isSigned ? currentUser.name : '未签名' }}</span>
</div>
<div class="signature-info">
<span class="info-label">签名时间</span>
@@ -400,7 +398,6 @@ import { ElMessage, ElMessageBox } from 'element-plus'
import useUserStore from '@/store/modules/user'
import { checkPassword } from '@/api/surgicalschedule'
import { savePrescription } from '@/views/clinicmanagement/bargain/component/api.js'
import { parseTime } from '@/utils/openhis'
// 定义props
const props = defineProps({
@@ -510,11 +507,16 @@ const displayAdvicesList = computed(() => {
return advicesExpanded.value ? all : all.slice(0, PAGE_SIZE)
})
const isSigned = ref(false)
// 响应式数据 - isSigned 从父组件传入的 prop 初始化
const isSigned = ref(props.isSignedProp)
// 🔧 修复 Bug #446: 同步父组件 isSignedProp 的变化到本地 isSigned
// ref(props.isSignedProp) 只在初始化时读取一次,父组件后续更新不会自动同步
watch(() => props.isSignedProp, (newVal) => {
isSigned.value = newVal
})
const signatureDoctor = ref(userStore.nickName || userStore.name || '未知用户')
const signatureTime = ref('')
const showSignDialog = ref(false)
const signPassword = ref('')
const showEditDialog = ref(false)
@@ -529,7 +531,7 @@ const editForm = ref({
// 计算属性
const currentUser = computed(() => ({
name: userStore.nickName || userStore.name || '未知用户',
name: userStore.name || '未知用户',
id: userStore.id
}))
@@ -552,10 +554,10 @@ const totalAmount = computed(() => {
// 将计费药品转换为临时医嘱数据
const convertedAdvices = computed(() => {
return props.billingMedicines.map((medicine, index) => {
// 解析规格中的数值和单位(支持小数,去除 ×、:、/、* 等多余字符)
const specMatch = medicine.specification ? medicine.specification.match(/([\d.]+)\s*([a-zA-Z一-龥]+)/) : null
const specValue = specMatch ? parseFloat(specMatch[1]) : 1
const specUnit = specMatch ? specMatch[2] : ''
// 解析规格中的数值和单位
const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
const specValue = specMatch ? parseInt(specMatch[1]) : 1
const specUnit = specMatch ? specMatch[2] : 'ml'
// 计算剂量 = 规格数值 × 数量
const dosage = specValue * (medicine.quantity || 1)
@@ -581,8 +583,8 @@ const convertedAdvices = computed(() => {
unit: specUnit,
usage: usageCode, // 🔧 修复:使用后端字典的正确编码
usageLabel: usageLabel, // 🔧 新增:保存显示名称
frequency: '立即',
executeTime: '',
frequency: '临时',
executeTime: new Date().toLocaleString('zh-CN'),
originalMedicine: medicine
}
})
@@ -638,24 +640,6 @@ const handleSign = () => {
showSignDialog.value = true
}
// 点击已生成列表行 → 回显该行的签名信息
const handleAdviceRowClick = (row) => {
const om = row?.originalMedicine
if (!om) return
const contentJson = om.contentJson || om.content_json
if (!contentJson) return
try {
const cd = typeof contentJson === 'string' ? JSON.parse(contentJson) : contentJson
if (cd.signDoctorName) {
signatureDoctor.value = cd.signDoctorName
}
if (cd.signDate) {
signatureTime.value = cd.signDate
}
isSigned.value = true
} catch (e) {}
}
// 编辑医嘱
const handleEditAdvice = (index) => {
const advice = displayAdvices.value[index]
@@ -678,7 +662,7 @@ const handleEditAdvice = (index) => {
}
// 保存编辑
const handleSaveEdit = async () => {
const handleSaveEdit = () => {
if (!editForm.value.dosage && editForm.value.dosage !== 0) {
ElMessage.warning('请填写剂量')
return
@@ -736,8 +720,8 @@ const handleSaveEdit = async () => {
// 如果用户修改了剂量,重新计算数量
if (originalMedicine.specification) {
const specMatch = originalMedicine.specification.match(/([\d.]+)\s*([a-zA-Z一-龥]+)/)
const specValue = specMatch ? parseFloat(specMatch[1]) : 1
const specMatch = originalMedicine.specification.match(/(\d+)(\D+)/)
const specValue = specMatch ? parseInt(specMatch[1]) : 1
if (specValue > 0) {
const newQuantity = editForm.value.dosage / specValue
contentData.quantity = newQuantity
@@ -747,9 +731,12 @@ const handleSaveEdit = async () => {
updatedAdvice.quantity = newQuantity
}
}
// 🔧 修复:原地修改 contentJson,保存使用最新数据
originalMedicine.contentJson = JSON.stringify(contentData)
// 更新 contentJson
updatedAdvice.originalMedicine = {
...originalMedicine,
contentJson: JSON.stringify(contentData)
}
} catch (e) {
console.error('解析 originalMedicine.contentJson 失败', e)
}
@@ -763,49 +750,7 @@ const handleSaveEdit = async () => {
emit('update:temporary-advices', updatedAdvices)
showEditDialog.value = false
// 🔧 修复 Bug #604: 编辑保存后直接提交到服务器
const editMedicine = updatedAdvice.originalMedicine
if (editMedicine) {
let contentJsonData = {}
try { contentJsonData = JSON.parse(editMedicine.contentJson || '{}') } catch (e) {}
const quantity = editMedicine.quantity || contentJsonData.quantity || 1
const unitPrice = editMedicine.unitPrice || contentJsonData.unitPrice || 0
contentJsonData.dose = editForm.value.dosage
contentJsonData.doseUnitCode = editForm.value.unit
contentJsonData.methodCode = updatedAdvice.usage
contentJsonData.quantity = quantity
contentJsonData.totalPrice = unitPrice * quantity
contentJsonData.adviceName = updatedAdvice.adviceName
const saveItem = {
...contentJsonData,
dbOpType: editMedicine.requestId ? '2' : '1',
adviceType: editMedicine.adviceType || 1,
requestId: editMedicine.requestId,
chargeItemId: editMedicine.chargeItemId,
contentJson: JSON.stringify(contentJsonData),
quantity,
unitCode: editMedicine.unitCode || editForm.value.unit,
unitPrice,
totalPrice: unitPrice * quantity,
adviceName: updatedAdvice.adviceName,
patientId: props.patientInfo.patientId,
encounterId: props.patientInfo.visitId,
orgId: props.patientInfo.orgId,
methodCode: updatedAdvice.usage,
dose: editForm.value.dosage,
doseUnitCode: editForm.value.unit,
generateSourceEnum: 6,
sourceBillNo: props.patientInfo?.operCode || ''
}
try {
await savePrescription({ organizationId: props.patientInfo.orgId || 1, adviceSaveList: [saveItem] }, '2')
ElMessage.success('医嘱修改已保存到服务器')
} catch (e) {
ElMessage.error('保存失败,请重试')
}
}
ElMessage.success('编辑成功(已暂存本地,请点击"一键签名并生成医嘱"按钮提交到服务器)')
}
// 取消编辑
@@ -817,7 +762,7 @@ const handleCancelEdit = () => {
dosage: '',
unit: '',
usage: '',
frequency: '立即'
frequency: '临时'
}
}
@@ -832,10 +777,10 @@ const confirmSign = async () => {
const response = await checkPassword({
password: signPassword.value
})
if (response.code === 200 && response.data) {
isSigned.value = true
signatureDoctor.value = userStore.nickName || userStore.name
signatureTime.value = parseTime(new Date())
signatureTime.value = new Date().toLocaleString('zh-CN')
showSignDialog.value = false
signPassword.value = ''
ElMessage.success('签名成功')
@@ -854,8 +799,10 @@ const confirmSign = async () => {
const handleSignAndSubmit = () => {
if (isSigned.value) {
// 如果已经签名,直接提交
handleSubmit()
} else {
// 如果未签名,打开签名弹窗
handleSign()
}
}
@@ -960,8 +907,6 @@ const handleSubmit = async () => {
contentJsonData.dose = advice.dosage;
contentJsonData.doseUnitCode = advice.unit;
contentJsonData.rateCode = advice.frequency;
contentJsonData.signDoctorName = signatureDoctor.value
contentJsonData.signDate = signatureTime.value
// 重新序列化contentJson
const updatedContentJson = JSON.stringify(contentJsonData);
@@ -1048,7 +993,7 @@ const handleSubmit = async () => {
billingMedicines: props.billingMedicines,
temporaryAdvices: itemsToSign,
signature: {
doctorName: signatureDoctor.value,
doctorName: currentUser.value.name,
signatureTime: signatureTime.value
}
}