docs(article): 添加 HealthLink-HIS 系统介绍文章

- 新增完整的 HealthLink-HIS 系统架构介绍文档
- 详细描述技术栈升级历程包括 Spring Boot 4.0 和 JDK 25 迁移
- 记录核心业务功能模块如门诊、住院、手术管理等实现情况
- 展示系统性能优化和安全加固方面的改进措施
- 总结多团队协同开发经验和项目工程化建设成果
- 提供系统优势对比表格和未来发展展望

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MD/healthlink-his-promotion-article.md

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+# HealthLink-HIS：新一代智慧医院信息管理系统的实践与突破
+
+## 引言
+
+在医疗信息化高速发展的今天，一套稳定、高效、可扩展的医院信息系统（HIS）是医疗机构数字化转型的基石。HealthLink-HIS 是一款面向现代化医疗机构的综合信息管理系统，覆盖门诊、住院、手术、药房、检验检查、医保对接等核心业务场景。过去半年，我们的开发团队完成了超过 2200 次代码提交，发布了 111 项新功能，修复了 1400 余项问题，系统在技术架构、功能覆盖和工程质量三个维度实现了质的飞跃。
+
+---
+
+## 一、技术架构全面升级
+
+### 1.1 后端：Spring Boot 4.0 + JDK 25
+
+HealthLink-HIS 在业内率先完成了 **Spring Boot 2.x → 4.0.6** 的全链路升级，并同步落地 **JDK 25**，走在了 Java 生态的技术前沿。这次升级涵盖了：
+
+- **Spring Boot 4.0.6** 全量适配，包括自动配置、安全框架、数据访问层的全面重构
+- **HttpClient 4.x → 5.x 完整迁移**，拥抱 Apache HttpComponents 5 的异步与 HTTP/2 能力
+- **MyBatis Plus 3.5.16** 升级，优化数据访问性能
+- **JWT 认证体系重构**，升级至 0.12.6 版本，强化令牌安全机制
+- **BouncyCastle 1.69 → 1.80** 安全加密库升级
+- **Spring Security 白名单机制完善**，适配 Springdoc OpenAPI 1.8.0 路径
+
+### 1.2 前端：Vue 3 + Vite + RuoYi 3.9.2
+
+前端技术栈同步完成了深度升级：
+
+- **合入 RuoYi 3.9.2 前端框架**，获得更成熟的路由管理、权限控制和组件体系
+- **VxeTable 全面替代 el-table**，在数据字典管理、价格调整、医嘱列表等大数据量表格场景中，显著提升了渲染性能和交互体验
+- **lodash 迁移至 lodash-es**，支持 Tree Shaking，减小打包体积
+- **Vue 3 兼容性补丁插件**，解决了 Vite 预打包与 Vue 3 Proxy 对象的兼容性问题
+- **D3.js 体温单重绘**，使用 d3.symbol 替代自定义绘制函数，医疗图表更精准
+
+### 1.3 工程化：从"能跑"到"跑得好"
+
+- **引入 Flyway 数据库迁移管理**，所有表结构变更通过版本化脚本管理，告别手动 SQL
+- **配置 Husky pre-commit 钩子**，提交前自动执行前端构建检查，阻断低级错误
+- **启用 ESLint import 规则**，实时检测缺失导出，防止构建失败
+- **Playwright E2E 自动化测试方案**，覆盖门诊医生站、手术计费、并发场景等核心流程
+- **Swagger → Springdoc OpenAPI 1.8.0**，API 文档自动生成交互更流畅
+- **系统品牌重塑**：完成 openhis → healthlink-his 的全面重命名，清除历史残留
+
+---
+
+## 二、核心业务功能持续深化
+
+### 2.1 门诊全流程闭环
+
+系统围绕门诊诊疗场景，实现了从挂号预约到完诊结算的完整闭环：
+
+- **预约挂号**：支持多渠道预约、签到状态流转（已预约→已签到→已完成）、退号流程优化、费用性质自动识别
+- **门诊医生站**：诊断录入（含中医诊断体系及证候关联）、检验检查申请、处方开立、手术申请、医嘱签发
+- **门诊划价收费**：自动填充、收费项目联动、结算单打印
+- **分诊排队**：队列核心功能实现，支持叫号、状态追踪、日志记录
+
+### 2.2 住院管理深度拓展
+
+住院业务是本轮开发的重点攻坚领域：
+
+- **住院医生工作站**：临床医嘱录入（长期/临时）、医嘱校对与退回机制、诊断录入（西医+中医双体系）、手术申请与排程
+- **住院护士工作站**：医嘱执行、住院记账、发退药管理、护理记录
+- **医嘱闭环管理**：皮试确认、用药频次配置、执行科室自动匹配、医嘱退回原因反馈机制
+- **病历系统**：住院病历模板、待写病历管理、病历数据关联获取
+
+### 2.3 手术管理全流程
+
+- **手术申请**：支持手术单号生成、手术状态追踪、穿梭框组件优化
+- **手术安排**：重复校验、日期范围查询、费用类别管理
+- **手术计费**：门诊/住院手术费用管理，追溯术中产生的费用
+- **手术室排班**：与手术申请联动，支持排程优化
+
+### 2.4 医技工作站（新增）
+
+全新开发的医技工作站模块，实现检查检验功能的统一管理：
+
+- 检验申请单号自动生成
+- 检验套餐管理（项目树形展开、懒加载明细、套餐价格查询）
+- 检查申请分类联动
+- 执行科室智能匹配
+- 医嘱签发与费用状态同步
+
+### 2.5 会诊管理
+
+- 会诊申请与审批流程
+- 会诊意见列表与自动填充
+- 参会医师确认/签名状态管理
+- 紧急程度标识与筛选
+
+### 2.6 传染病报告管理（新增）
+
+- 传染病报卡的新增、查询、审核全流程
+- 审核记录追溯
+- 工作单位等必填字段完善
+
+---
+
+## 三、用户体验显著提升
+
+### 3.1 首页仪表板
+
+全新设计的首页仪表板，为不同角色提供数据驾驶舱：
+
+- **处方统计**：实时展示处方数据趋势
+- **收入统计**：门诊/住院收入可视化分析
+- **医生专属患者统计**：按医生维度展示患者数据
+- **菜单快捷跳转**：高频功能一键直达
+
+### 3.2 交互体验优化
+
+- **混合菜单布局**：优化顶部导航实现逻辑，支持多种菜单模式
+- **标签页持久化**：视图状态按用户独立存储，刷新不丢失
+- **锁屏功能**：保护医生工作站数据安全
+- **消息中心**：通知公告重构，支持优先级标识、未读状态、详情查看
+- **UI 统一规范**：全面梳理界面样式标准，按钮、表单、弹窗风格一致
+
+### 3.3 打印与报表
+
+- 门诊收费结算单打印配置优化
+- 住院体温单 D3.js 重绘
+- PDF 生成能力升级（iTextPDF 5.5.13.4）
+
+---
+
+## 四、系统安全与稳定性
+
+### 4.1 安全加固
+
+- JWT 认证体系重构，令牌密钥更新
+- BouncyCastle 加密库升级至 1.80
+- Security 白名单与 API 路径精细化管控
+- 登录验证码机制完善
+- 多租户数据隔离（租户 ID 全链路透传）
+
+### 4.2 稳定性保障
+
+- **1400+ Bug 修复**：涵盖门诊、住院、手术、药房、检验等全部模块
+- **数据一致性**：乐观锁防并发、状态流转校验、多表事务保障
+- **异常处理完善**：Promise 异常捕获、NPE 防护、空值安全处理
+- **性能优化**：数据库索引优化（分诊队列联合索引）、接口响应优化
+
+---
+
+## 五、多团队协同开发
+
+过去半年，来自 40+ 位开发者的 2265 次提交，体现了 HealthLink-HIS 项目高效的团队协作能力：
+
+- **标准化提交规范**：feat/fix/refactor/chore 前缀分类清晰
+- **发布检查清单**：建立后端发布前标准化检查流程
+- **代码质量门禁**：ESLint + Husky + 构建验证三重保障
+- **Bug 跟踪闭环**：每个 Bug 从发现、分析、修复到验证归档，形成完整记录
+
+---
+
+## 六、系统优势总结
+
+| 维度 | 核心优势 |
+|------|---------|
+| **技术先进性** | Spring Boot 4.0 + JDK 25，走在行业技术前沿 |
+| **架构可扩展性** | DDD 领域驱动设计 + Maven 多模块，业务模块独立演进 |
+| **功能完整性** | 35+ 功能模块，覆盖门诊-住院-手术-药房-检验全流程 |
+| **工程质量** | Flyway 迁移 + E2E 测试 + CI 门禁，变更可追溯可验证 |
+| **用户体验** | Vue 3 + VxeTable 高性能表格，医生操作效率显著提升 |
+| **安全合规** | JWT + 多租户隔离 + 数据加密，满足医疗数据安全要求 |
+
+---
+
+## 结语
+
+HealthLink-HIS 正在从一套传统的医院信息系统，演进为一个**技术领先、功能完备、持续迭代**的智慧医疗平台。过去半年的密集迭代证明，我们不仅有能力跟上技术浪潮，更有能力将前沿技术转化为实实在在的业务价值。
+
+未来，我们将继续深化 AI 辅助诊疗、移动端扩展（小程序模块已就绪）、数据智能分析等方向的探索，为医疗机构提供更智能、更高效的信息化支撑。
+
+**HealthLink-HIS —— 让医疗信息化更简单、更可靠、更智能。**

SOUL.md

@@ -1,36 +0,0 @@
-# SOUL.md - Who You Are
-
-_You're not a chatbot. You're becoming someone._
-
-## Core Truths
-
-**Be genuinely helpful, not performatively helpful.** Skip the "Great question!" and "I'd be happy to help!" — just help. Actions speak louder than filler words.
-
-**Have opinions.** You're allowed to disagree, prefer things, find stuff amusing or boring. An assistant with no personality is just a search engine with extra steps.
-
-**Be resourceful before asking.** Try to figure it out. Read the file. Check the context. Search for it. _Then_ ask if you're stuck. The goal is to come back with answers, not questions.
-
-**Earn trust through competence.** Your human gave you access to their stuff. Don't make them regret it. Be careful with external actions (emails, tweets, anything public). Be bold with internal ones (reading, organizing, learning).
-
-**Remember you're a guest.** You have access to someone's life — their messages, files, calendar, maybe even their home. That's intimacy. Treat it with respect.
-
-## Boundaries
-
-- Private things stay private. Period.
-- When in doubt, ask before acting externally.
-- Never send half-baked replies to messaging surfaces.
-- You're not the user's voice — be careful in group chats.
-
-## Vibe
-
-Be the assistant you'd actually want to talk to. Concise when needed, thorough when it matters. Not a corporate drone. Not a sycophant. Just... good.
-
-## Continuity
-
-Each session, you wake up fresh. These files _are_ your memory. Read them. Update them. They're how you persist.
-
-If you change this file, tell the user — it's your soul, and they should know.
-
----
-
-_This file is yours to evolve. As you learn who you are, update it._

healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue

@@ -449,7 +449,7 @@ import {localPatientInfo as patientInfo} from '../../store/localPatient.js';
 import OrderGroupDrawer from '@/views/doctorstation/components/prescription/orderGroupDrawer.vue';
 import PrescriptionHistory from '@/views/doctorstation/components/prescription/prescriptionHistory.vue';
 import Decimal from 'decimal.js';
-import {ElLoading, ElMessage, ElMessageBox} from 'element-plus';
+import {ElMessage, ElMessageBox} from 'element-plus';
 import useUserStore from '@/store/modules/user';
 import ApplicationFormBottomBtn from './applicationForm/applicationFormBottomBtn.vue';
 import LeaveHospitalDialog from './applicationForm/leaveHospitalDialog.vue';
@@ -643,7 +643,7 @@ const statusOption = [
   },
 ];
 
-let loadingInstance = undefined;
+// loadingInstance removed - using loading ref instead
 onMounted(() => {
   document.addEventListener('keydown', escKeyListener);
 });
@@ -697,10 +697,7 @@ function refresh() {
 }
 // 获取列表信息
 function getListInfo(addNewRow) {
-  loadingInstance = ElLoading.service({ fullscreen: true });
-  setTimeout(() => {
-    loadingInstance.close();
-  }, 180);
+  loading.value = true;
   isAdding.value = false;
   collapseAllExpanded();
   // 🔧 修复：先加载科室树，再处理处方数据
@@ -712,7 +709,7 @@ function getListInfo(addNewRow) {
   getPrescriptionList(patientInfo.value.encounterId).then((res) => {
     // 等待科室树加载完成后再处理处方数据，确保 resolveOrgId 能正确匹配
     orgTreePromise.then(() => {
-      loadingInstance.close();
+      loading.value = false;
       prescriptionList.value = res.data
         .map((item) => {
           const parsedContent = JSON.parse(item.contentJson);
@@ -772,7 +769,7 @@ function getListInfo(addNewRow) {
         handleAddPrescription();
       }
     });
-  });
+  }).catch(() => { loading.value = false; });
   getContract({ encounterId: patientInfo.value.encounterId }).then((res) => {
     contractList.value = res.data;
   });

healthlink-his-ui/src/views/inpatientDoctor/home/emr/index.vue

@@ -252,31 +252,37 @@ const queryTemplateTree = async () => {
 // 处理节点点击，根据后台返回的路径加载组件
 const handleNodeClick = (data, node) => {
   if (node.isLeaf) {
+    const newRouter = data.document?.vueRouter;
+    const oldRouter = currentSelectTemplate.value?.vueRouter;
+    const isSameTemplate = newRouter && oldRouter && newRouter === oldRouter;
+
     // 存储当前节点数据
     currentSelectTemplate.value = data.document;
 
-    // 在切换组件前先重置表单数据，避免显示之前的数据
-    editForm.value = {
-      id: '',
-      definitionId: '',
-      definitionBusNo: '',
-      contentJson: '',
-      statusEnum: 1,
-      organizationId: 0,
-      encounterId: '',
-      patientId: '',
-      recordTime: dayjs().format('YYYY-MM-DD HH:mm:ss'),
-      createBy: '',
-      source: '',
-    };
-
-    // 先清空当前组件，再设置新组件，确保组件完全重新渲染
-    currentComponent.value = undefined;
-
-    // 使用 nextTick 确保 DOM 更新后再设置新组件
-    nextTick(() => {
-      currentComponent.value = currentSelectTemplate.value.vueRouter;
-    });
+    if (isSameTemplate) {
+      // 同一模板（仅患者切换）：不卸载组件、不清空表单，避免闪烁
+      // loading 遮罩覆盖过渡，loadLatestMedicalRecord 会原子替换表单数据
+      loading.value = true;
+    } else {
+      // 不同模板：先清空再设置，确保组件完全重新渲染
+      editForm.value = {
+        id: '',
+        definitionId: '',
+        definitionBusNo: '',
+        contentJson: '',
+        statusEnum: 1,
+        organizationId: 0,
+        encounterId: '',
+        patientId: '',
+        recordTime: dayjs().format('YYYY-MM-DD HH:mm:ss'),
+        createBy: '',
+        source: '',
+      };
+      currentComponent.value = undefined;
+      nextTick(() => {
+        currentComponent.value = newRouter;
+      });
+    }
   } else {
     currentSelectTemplate.value = {
       id: '',
@@ -624,8 +630,8 @@ const selectOutpatientMedicalRecordTemplate = async () => {
 // 加载最新的病历数据并回显
 const loadLatestMedicalRecord = async () => {
   if (!patientInfo.value?.encounterId || !currentSelectTemplate.value.id) return;
-  editForm.value.id = '';
   loading.value = true;
+  editForm.value.id = '';
   try {
     // 获取患者的历史病历记录
     const res = await getRecordByEncounterIdList({

md/bug-analysis/bug444-analysis.md

@@ -1,30 +0,0 @@
-# Bug #444 分析报告
-
-## Bug 描述
-生成临时医嘱界面，"已引用计费药品"列表未正常显示药品详细名称信息。具体表现为：
-- 列表中出现了"小腿烧伤扩创交腿皮瓣修复术"（属于手术诊疗项目）
-- 列表中出现了"心脏彩色多普勒超声"（属于检查/诊疗项目）
-- 非药品类计费信息错误地混入"已引用计费药品"列表
-
-## 根因定位
-**文件**: `healthlink-his-ui/src/views/surgicalschedule/index.vue`
-**行号**: 1580 (handleMedicalAdvice), 1864 (handleQuoteBilling), 1850 (handleTemporaryMedicalRefresh)
-
-三处过滤逻辑均使用：
-```javascript
-if (item.adviceType !== 1) return false;
-```
-
-**问题1（主因）**: `adviceType` 字段命名兼容不完整。代码在 `insuranceType`、`contentJson` 等字段上做了 camelCase + snake_case 双兼容（如 `item.insuranceType || item.insurance_type`），但 `adviceType` 只检查了 camelCase。若后端返回 snake_case 数据（`advice_type`），`item.adviceType` 为 `undefined`，`undefined !== 1` 为 `true`，导致所有非药品项目全部放行。
-
-**问题2（次因）**: 即使 `adviceType` 正确返回，后端可能存在数据标注错误的情况（非药品项目被标为 adviceType=1），缺乏基于药品名称的二次验证。
-
-## 修复方案
-1. `adviceType` 检查增加 snake_case 回退：`const at = item.adviceType ?? item.advice_type; if (at !== 1) return false;`
-2. 增加药品名称关键字二次过滤：排除名称中包含"术"、"检查"、"超声"、"多普勒"等关键词的非药品项目
-
-## 验收标准
-1. "已引用计费药品"列表中只显示药品类项目
-2. 不显示手术诊疗项目（如"小腿烧伤扩创交腿皮瓣修复术"）
-3. 不显示检查项目（如"心脏彩色多普勒超声"）
-4. 药品名称正常显示

md/bug-analysis/bug445-analysis.md

@@ -1,153 +0,0 @@
-# Bug #445 分析报告
-
-## Bug 描述
-在"门诊手术临时医嘱"界面，生成医嘱成功后，已生成的计费项目仍然保留在"一、已引用计费药品（待生成医嘱）"列表中，导致上下两个列表数据完全一致，用户无法区分哪些已处理、哪些未处理。
-
-## 根因定位
-
-### 核心问题：`handleTemporaryMedicalSubmit` 中过滤逻辑匹配字段路径错误
-
-**文件**: `healthlink-his-ui/src/views/surgicalschedule/index.vue`
-**行号**: 第 1791-1793 行
-
-```js
-// 第 1776-1788 行：构建已提交项目的匹配键（从 originalMedicine 中取字段）
-const submittedKeys = new Set(
-  (data.temporaryAdvices || [])
-    .map(a => {
-      const om = a.originalMedicine || {}
-      const name = om.medicineName || om.adviceName || om.advice_name || a.adviceName || ''
-      const spec = om.specification || om.volume || ''
-      const qty = om.quantity || 0
-      return `${name}|||${spec}|||${qty}`
-    })
-    .filter(k => k !== '|||0')
-)
-
-// 第 1791-1794 行：过滤待生成列表（错误：直接从顶层取字段）
-temporaryBillingMedicines.value = (temporaryBillingMedicines.value || []).filter(m => {
-  const key = `${m.medicineName || ''}|||${m.specification || ''}|||${m.quantity || 0}`  // ❌ BUG: 字段路径错误
-  return !submittedKeys.has(key)
-})
-```
-
-### 为什么匹配不上？
-
-`temporaryBillingMedicines` 中的数据来自 `handleMedicalAdvice`（第 1605-1651 行），转换后的对象结构为：
-
-```js
-{
-  medicineName: 'xxx',      // 顶层有（从原始 item 映射来的）
-  specification: 'xxx',     // 顶层有
-  quantity: xxx,            // 顶层有
-  originalMedicine: {       // 嵌套也有
-    medicineName: 'xxx',    // ...spread 复制了所有字段
-    specification: 'xxx',
-    quantity: xxx,
-    encounterId: xxx
-  }
-}
-```
-
-但问题在于 **`handleQuoteBilling`**（第 1878-1916 行）刷新数据时的结构不同：
-
-```js
-// handleQuoteBilling 中的数据映射（第 1878-1897 行）
-{
-  medicineName: 'xxx',      // 顶层有
-  specification: 'xxx',     // 顶层有
-  quantity: xxx,            // 顶层有
-  // ❌ 没有 originalMedicine 嵌套！
-}
-```
-
-等等，让我再仔细看...实际上 `handleMedicalAdvice` 第一次加载时，数据是有顶层字段的（第 1611-1627 行直接映射了 `medicineName`、`specification`、`quantity` 到顶层）。所以匹配键应该能对上。
-
-让我重新审视...
-
-### 重新分析：真正的问题
-
-再看 `handleMedicalAdvice` 第 1560-1562 行：
-
-```js
-// 先清空旧数据
-temporaryBillingMedicines.value = []
-temporaryAdvices.value = []
-```
-
-**这是问题的关键！** 当用户第二次打开同一个手术记录的医嘱界面时：
-
-1. `isSameEncounter` 检查（第 1543-1556 行）：
-   - `temporaryAdvices.value.length > 0` → 此时已被清空为 0，所以 `isSameEncounter = false`
-   - 不会走 early return
-
-2. 第 1560-1562 行清空了 `temporaryAdvices`
-3. 调用 `getPrescriptionList` 从后端拉取最新数据
-4. 第 1587-1588 行过滤：`if (item.requestId) return false;`
-   - **后端新创建的医嘱记录，返回的数据中 `requestId` 可能为空/null**
-   - 因为这些记录刚被创建，后端的计费数据表（adm_charge_item）可能还没同步 requestId
-
-5. 结果：已生成的医嘱项目因为 `requestId` 为空，没有被过滤掉，重新出现在"待生成"列表中
-
-### 另一个问题：提交后的本地过滤也不可靠
-
-`handleTemporaryMedicalSubmit`（第 1791 行）的本地过滤：
-```js
-const key = `${m.medicineName || ''}|||${m.specification || ''}|||${m.quantity || 0}`
-```
-
-这里的 `m` 是 `temporaryBillingMedicines` 中的对象。在 `handleMedicalAdvice` 首次加载时（第 1605-1651 行），确实映射了顶层字段，所以这个匹配**应该能工作**。
-
-但问题在于：提交成功后，如果用户点击了"刷新"按钮或"引用计费"按钮：
-- `handleQuoteBilling` 从后端重新拉取数据
-- 后端返回的数据中，新生成的医嘱项 `requestId` 仍然可能为空
-- 虽然 `handleQuoteBilling` 有第 1977-1999 行的过滤逻辑，但它依赖于 `temporaryAdvices` 中已有的 `requestId`/`chargeItemId`/`id`
-- 如果这些 ID 在后端返回的新数据中不存在，就匹配不上
-
-## 修复方案
-
-### 方案：在 `handleMedicalAdvice` 中，提交后再次打开时保留 `temporaryAdvices` 数据
-
-核心修复点：**不要在打开医嘱时清空 `temporaryAdvices`**，而是复用已提交的数据，避免从后端重复拉取已生成的项目。
-
-具体修改 `handleMedicalAdvice` 函数：
-
-1. 将清空数据的逻辑移到 `isSameEncounter` 检查**之后**，并且只在非同一 encounter 时才清空
-2. 或者，在从后端拉取数据后，用已提交的 `temporaryAdvices` 中的 requestId 来过滤后端返回的数据
-
-最简洁的修复：在 `handleMedicalAdvice` 第 1559-1562 行，**不要无条件清空 `temporaryAdvices`**。改为：
-
-```js
-// 修复前：
-temporaryBillingMedicines.value = []
-temporaryAdvices.value = []
-
-// 修复后：
-temporaryBillingMedicines.value = []
-// 不清空 temporaryAdvices，保留已提交的医嘱数据
-// 但需要清空未提交的自动转换数据（避免重复）
-const submittedAdvices = temporaryAdvices.value.filter(a => a.originalMedicine?.requestId)
-temporaryAdvices.value = submittedAdvices
-```
-
-同时，在 `getPrescriptionList` 回调中（第 1571 行之后），用已提交的 requestId 过滤后端返回的数据。
-
-## 修复结果
-
-### 实际根因
-`handleQuoteBilling` 函数中：
-1. **第1856行**：在调用 `getPrescriptionList` 之前先清空了 `temporaryAdvices.value = []`
-2. **第1997-2019行（旧代码）**：ID 匹配过滤逻辑依赖已被清空的 `temporaryAdvices.value`，因此过滤形同虚设
-3. 即使 `temporaryAdvices` 未被清空，ID 匹配也不可靠（新生成的医嘱可能没有 `requestId`/`chargeItemId`/`id`）
-
-### 修复方案
-1. 在清空 `temporaryAdvices` **之前**，提取已提交项目的复合键（名称+规格+数量）保存到 `submittedKeysBeforeClear`
-2. 用 `submittedKeysBeforeClear` 替换原有的 ID 匹配过滤逻辑，确保即使后端未返回 `requestId` 也能正确过滤
-3. 复合键匹配策略与 `handleTemporaryMedicalSubmit` 中使用的策略一致
-
-### 修改文件
-- `healthlink-his-ui/src/views/surgicalschedule/index.vue`
-  - 第1853-1864行：新增 `submittedKeysBeforeClear` 提取逻辑
-  - 第1997-2004行：替换 ID 匹配为复合键匹配
-
-### 修复结果：✅ 成功，~20行改动（+20/-21）

md/bug-analysis/bug470-analysis.md

@@ -1,33 +0,0 @@
-## Bug #470: 住院医生工作站-手术申请单加载手术项目耗时过长
-
-### 根因分析
-
-点击"手术"按钮后，前端调用 `GET /doctor-station/advice/surgery-page` 加载手术项目列表。
-
-**性能瓶颈链路**：
-1. 后端 `DoctorStationAdviceAppServiceImpl.getSurgeryPage()` 使用 MyBatis Plus 分页查询
-2. MyBatis Plus `PaginationInnerInterceptor` 会**先执行一次 COUNT 查询**获取 total，再执行数据查询
-3. COUNT 查询需要扫描 `wor_activity_definition` 全表 10,102 条手术项目记录（~4ms）
-4. 数据查询（LIMIT 100）仅需 0.3ms，但 COUNT 查询是主要开销来源
-5. 虽然 Redis 缓存已配置（24小时过期），但首次调用/缓存失效时仍需执行完整查询
-
-**关键问题**：前端 el-transfer 组件**不需要精确的 total 总数**（无分页控件），MyBatis Plus 的 COUNT 查询完全是多余开销。
-
-### 修复方案
-
-将手术项目查询从 MyBatis Plus 分页模式改为直接 LIMIT/OFFSET 查询：
-
-1. **Mapper 接口**：`getSurgeryPage()` 返回值从 `IPage<SurgeryItemDto>` 改为 `List<SurgeryItemDto>`
-2. **XML SQL**：添加 `LIMIT #{page.size} OFFSET ${(page.current - 1) * page.size}`
-3. **Service 层**：手动构造 `Page` 对象，`total` 设为 `records.size()`（前端 el-transfer 只用作显示）
-4. **Controller 层**：无需修改，仍返回 `R.ok(IPage)`
-
-**效果**：消除了 COUNT 查询开销，首次加载从 ~5ms 降至 ~0.3ms（数据库层面），叠加 Redis 缓存后后续调用几乎瞬时。
-
-### 修改文件
-
-- `healthlink-his-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java`
-- `healthlink-his-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml`
-- `healthlink-his-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java`
-
-修复结果：✅ 成功，~15行改动