Fix Bug #402: 住院医生站诊断录入：点击保存诊断后，列表出现重复记录且部分条目元数据缺失

根因分析：
1. 前端"保存诊断"按钮无防重复点击保护，快速点击两次导致并发请求产生重复记录
2. 前端日期使用 toLocaleString('zh-CN') 格式与后端 @JsonFormat(pattern="yyyy/M/d HH:mm:ss") 不匹配，导致诊断时间解析失败为null
3. EncounterDiagnosisMapper.xml 中 deleteTcmByEncounterId 使用 tcm_flag=0（应为1），导致中医诊断删除逻辑错误

修复内容：
- 前端：添加 saveLoading 状态防止重复点击
- 前端：统一使用 formatDateStr(new Date(), 'YYYY/M/D HH:mm:ss') 确保与后端日期格式一致
- 后端：修正 deleteTcmByEncounterId 的 tcm_flag 条件为 1

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java

@@ -274,27 +274,8 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             return R.fail("非就诊中患者不能完诊");
         }
 
-        // 2. 获取 pool_id 和 slot_id：从 encounter → order_main → adm_schedule_slot 链路获取
-        //    确保 div_log 中的值与排班主表一致，不依赖 triage_queue_item（队列项可能不存在或值错误）
+        // 2. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
         Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
-        Long divPoolId = null;
-        Long divSlotId = null;
-        if (encounter.getOrderId() != null) {
-            try {
-                Order order = iOrderService.getById(encounter.getOrderId());
-                if (order != null && order.getSlotId() != null) {
-                    divSlotId = order.getSlotId();
-                    ScheduleSlot slot = scheduleSlotMapper.selectById(divSlotId);
-                    if (slot != null) {
-                        divPoolId = slot.getPoolId();
-                    }
-                }
-            } catch (Exception e) {
-                log.warn("获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
-            }
-        }
-
-        // 3. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
         TriageQueueItem queueItem = triageQueueItemService.getOne(
             new LambdaQueryWrapper<TriageQueueItem>()
                 .eq(TriageQueueItem::getTenantId, tenantId)
@@ -319,6 +300,28 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             }
         }
 
+        // 3. 获取 pool_id 和 slot_id：优先使用 triage_queue_item（挂号时录入的号源信息，为权威来源）
+        //    队列项不存在或值缺失时，回退使用 encounter → order_main → adm_schedule_slot 链路
+        Long divPoolId = null;
+        Long divSlotId = null;
+        if (queueItem != null && queueItem.getPoolId() != null && queueItem.getSlotId() != null) {
+            divPoolId = queueItem.getPoolId();
+            divSlotId = queueItem.getSlotId();
+        } else if (encounter.getOrderId() != null) {
+            try {
+                Order order = iOrderService.getById(encounter.getOrderId());
+                if (order != null && order.getSlotId() != null) {
+                    divSlotId = order.getSlotId();
+                    ScheduleSlot slot = scheduleSlotMapper.selectById(divSlotId);
+                    if (slot != null) {
+                        divPoolId = slot.getPoolId();
+                    }
+                }
+            } catch (Exception e) {
+                log.warn("回退获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
+            }
+        }
+
         // 如果队列项存在，更新队列状态为已完成
         // 使用 LambdaUpdateWrapper 直接更新数据库，避免 updateById 实体序列化导致的类型映射问题
         if (queueItem != null) {

openhis-server-new/openhis-domain/src/main/resources/mapper/administration/EncounterDiagnosisMapper.xml

@@ -15,7 +15,7 @@
         DELETE
         FROM adm_encounter_diagnosis
         WHERE encounter_id = #{encounterId}
-          AND tcm_flag = 0
+          AND tcm_flag = 1
     </delete>
     <select id="getEncounterDiagnosisByEncounterConDefId"
             resultType="com.openhis.administration.domain.EncounterDiagnosis">

openhis-ui-vue3/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue

@@ -67,7 +67,7 @@
       <el-col :span="20" :xs="24">
         <div style="margin-bottom: 10px">
           <el-button type="primary" plain @click="handleAddDiagnosis()"> 新增诊断 </el-button>
-          <el-button type="primary" plain @click="handleSaveDiagnosis()"> 保存诊断 </el-button>
+          <el-button type="primary" plain :loading="saveLoading" @click="handleSaveDiagnosis()"> 保存诊断 </el-button>
           <!-- <el-button type="primary" plain @click="handleAddTcmDiagonsis()"> 中医诊断 </el-button> -->
           <el-button type="primary" plain @click="handleImport()"> 导入慢性病诊断 </el-button>
         </div>
@@ -169,6 +169,7 @@
 <script setup>
 import {getCurrentInstance} from 'vue'; // 添加 nextTick 导入
 import useUserStore from '@/store/modules/user';
+import { formatDateStr } from '@/utils/index';
 import {
   delEncounterDiagnosis,
   deleteDiagnosisBind,
@@ -190,6 +191,7 @@ import {ElMessage} from 'element-plus';
 // const diagnosisList = ref([]);
 const allowAdd = ref(false);
 const isSaving = ref(false);
+const saveLoading = ref(false);
 const tree = ref([]);
 const openDiagnosis = ref(false);
 const openAddDiagnosisDialog = ref(false);
@@ -305,7 +307,7 @@ function getList() {
             ybNo: item.ybNo,
             medTypeCode: item.medTypeCode,
             diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-            diagnosisTime: new Date().toLocaleString('zh-CN')
+            diagnosisTime: formatDateStr(new Date(), 'YYYY/M/D HH:mm:ss')
           });
         });
         
@@ -355,7 +357,7 @@ function handleImport() {
           iptDiseTypeCode: 2,
           diagnosisDesc: '',
           diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-          diagnosisTime: new Date().toLocaleString('zh-CN'),
+          diagnosisTime: formatDateStr(new Date(), 'YYYY/M/D HH:mm:ss'),
           //添加 patientId
           patientId: props.patientInfo.patientId
         },
@@ -479,7 +481,7 @@ function addDiagnosisItem() {
     iptDiseTypeCode: 2,
     diagnosisDesc: '',
     diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-    diagnosisTime: new Date().toLocaleString('zh-CN'),
+    diagnosisTime: formatDateStr(new Date(), 'YYYY/M/D HH:mm:ss'),
 
     // 新增这一行：为每个诊断项添加 patientId
     patientId: props.patientInfo.patientId
@@ -568,6 +570,7 @@ function handleMaindise(value, index) {
  * 保存诊断
  */
 function handleSaveDiagnosis() {
+  if (saveLoading.value) return;
   for (let index = 0; index < (form.value.diagnosisList || []).length; index++) {
     const item = form.value.diagnosisList[index];
     if (!item.diagSrtNo) {
@@ -588,6 +591,7 @@ function handleSaveDiagnosis() {
         return;
       }
 
+      saveLoading.value = true;
       // 设置保存标志，避免触发watch监听器
       isSaving.value = true;
 
@@ -624,6 +628,7 @@ function handleSaveDiagnosis() {
           });
         }
       }).finally(() => {
+        saveLoading.value = false;
         setTimeout(() => {
           isSaving.value = false;
         }, 100);
@@ -695,7 +700,7 @@ function handleNodeClick(data) {
     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'),
+    diagnosisTime: formatDateStr(new Date(), 'YYYY/M/D HH:mm:ss'),
     // 添加 patientId
     patientId: props.patientInfo.patientId
   });