# EMR管理模块与门诊/住院病历打通 Implementation Plan

> **For agentic workers:** REQUIRED SUB-SKILL: Use compose:subagent (recommended) or compose:execute to implement this plan task-by-task. Steps use checkbox (`- [ ]`) syntax for tracking.

**Goal:** 打通电子病历管理（归档/修订/时效/检索/完整性检查）与门诊医生工作站、住院医生工作站的数据流，实现自动触发和关联查看。

**Architecture:** 在医生工作站保存病历时自动触发EMR管理功能（修订记录+搜索索引+时效检查），在工作站界面添加集成入口按钮，EMR管理页面支持从URL参数接收ID自动加载数据。

**Tech Stack:** Vue 3 + Element Plus + Spring Boot + MyBatis-Plus

---

## 问题清单

| # | 问题 | 影响 | 修复方式 |
|---|------|------|---------|
| 1 | `revision-history/api.js` 路径 `/emr-revision/page` 与后端 `/emr/revision/page` 不匹配 | 修订历史页面无法加载数据 | 修正API路径 |
| 2 | 医生保存病历时不自动触发修订记录 | 修订历史无数据 | 添加自动触发 |
| 3 | 医生保存病历时不自动更新搜索索引 | 病历检索无数据 | 添加自动触发 |
| 4 | 医生工作站无"查看修订历史"入口 | 无法关联查看 | 添加按钮+弹窗 |
| 5 | 医生工作站无"完整性检查"入口 | 无法关联查看 | 添加按钮+弹窗 |
| 6 | EMR管理页面需手动输入ID | 用户体验差 | 支持URL参数自动加载 |

---

## 文件清单

### 需修改的文件
| 文件 | 修改内容 |
|------|---------|
| `healthlink-his-ui/src/views/emr/revision-history/api.js` | 修正API路径 |
| `healthlink-his-server/.../emr/controller/EmrRevisionController.java` | 确认路径一致 |
| `healthlink-his-server/.../emr/controller/EmrSearchController.java` | 确认路径一致 |
| `healthlink-his-server/.../doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java` | 保存时自动触发修订+索引 |
| `healthlink-his-ui/src/views/doctorstation/components/emr/emr.vue` | 添加集成入口按钮 |
| `healthlink-his-ui/src/views/emr/revision-history/index.vue` | 支持URL参数 |
| `healthlink-his-ui/src/views/emr/archive/index.vue` | 支持URL参数 |
| `healthlink-his-ui/src/views/emr/timeliness/index.vue` | 支持URL参数 |
| `healthlink-his-ui/src/views/emr/completeness-check/index.vue` | 支持URL参数 |
| `healthlink-his-ui/src/views/emrsearch/index.vue` | 支持URL参数 |

---

## Task 1: 修复修订历史API路径

**Covers:** 问题#1

**Files:**
- Modify: `healthlink-his-ui/src/views/emr/revision-history/api.js`

- [ ] **Step 1: 读取当前文件确认问题**

```javascript
// 当前错误路径
export function getRevisionPage(p){return request({url:'/emr-revision/page',method:'get',params:p})}
export function getRevisionList(p){return request({url:'/emr-revision/list',method:'get',params:p})}
export function recordRevision(d){return request({url:'/emr-revision/record',method:'post',data:d})}
export function compareRevisions(id1,id2){return request({url:'/emr-revision/compare',method:'get',params:{revisionId1:id1,revisionId2:id2}})}
```

- [ ] **Step 2: 修正API路径**

```javascript
import request from '@/utils/request'
export function getRevisionPage(p){return request({url:'/emr/revision/page',method:'get',params:p})}
export function getRevisionList(emrId){return request({url:'/emr/revision/list/'+emrId,method:'get'})}
export function recordRevision(d){return request({url:'/emr/revision/record',method:'post',data:d})}
export function compareRevisions(id1,id2){return request({url:'/emr/revision/compare',method:'get',params:{revisionId1:id1,revisionId2:id2}})}
```

- [ ] **Step 3: 验证后端路径一致**

确认 `EmrRevisionController.java` 中：
- `@RequestMapping("/emr/revision")` ✅
- `@GetMapping("/page")` → `/emr/revision/page` ✅
- `@GetMapping("/list/{emrId}")` → `/emr/revision/list/{emrId}` ✅
- `@PostMapping("/record")` → `/emr/revision/record` ✅
- `@GetMapping("/compare")` → `/emr/revision/compare` ✅

- [ ] **Step 4: Commit**

```bash
git add healthlink-his-ui/src/views/emr/revision-history/api.js
git commit -m "fix(emr): 修正修订历史API路径与后端对齐"
```

---

## Task 2: EMR管理页面支持URL参数自动加载

**Covers:** 问题#6

**Files:**
- Modify: `healthlink-his-ui/src/views/emr/revision-history/index.vue`
- Modify: `healthlink-his-ui/src/views/emr/archive/index.vue`
- Modify: `healthlink-his-ui/src/views/emr/timeliness/index.vue`
- Modify: `healthlink-his-ui/src/views/emr/completeness-check/index.vue`
- Modify: `healthlink-his-ui/src/views/emrsearch/index.vue`

- [ ] **Step 1: 修改 revision-history/index.vue 支持URL参数**

在 `<script setup>` 中添加：

```javascript
import { ref, onMounted } from 'vue'
import { useRoute } from 'vue-router'
import { getRevisionPage } from './api'

const route = useRoute()
const tableData = ref([])
const total = ref(0)
const q = ref({pageNo:1, pageSize:20, emrId:'', operatorName:''})

const loadData = async () => {
  const r = await getRevisionPage(q.value)
  tableData.value = r.data?.records || []
  total.value = r.data?.total || 0
}

onMounted(() => {
  // 支持URL参数自动加载
  if (route.query.emrId) {
    q.value.emrId = route.query.emrId
  }
  loadData()
})
```

- [ ] **Step 2: 修改 archive/index.vue 支持URL参数**

```javascript
import { useRoute } from 'vue-router'
const route = useRoute()

onMounted(() => {
  if (route.query.encounterId) {
    q.value.encounterId = route.query.encounterId
  }
  if (route.query.patientName) {
    q.value.patientName = route.query.patientName
  }
  loadData()
  loadStats()
})
```

- [ ] **Step 3: 修改 timeliness/index.vue 支持URL参数**

```javascript
import { useRoute } from 'vue-router'
const route = useRoute()

onMounted(() => {
  if (route.query.encounterId) {
    queryParams.encounterId = route.query.encounterId
  }
  if (route.query.departmentName) {
    queryParams.departmentName = route.query.departmentName
  }
  getList()
})
```

- [ ] **Step 4: 修改 completeness-check/index.vue 支持URL参数**

```javascript
import { useRoute } from 'vue-router'
const route = useRoute()

onMounted(() => {
  if (route.query.emrId) {
    checkForm.emrId = route.query.emrId
  }
  if (route.query.encounterId) {
    checkForm.encounterId = route.query.encounterId
  }
  // 如果有参数自动执行检查
  if (checkForm.emrId && checkForm.encounterId) {
    handleCheck()
  }
})
```

- [ ] **Step 5: 修改 emrsearch/index.vue 支持URL参数**

```javascript
import { useRoute } from 'vue-router'
const route = useRoute()

onMounted(() => {
  if (route.query.patientName) {
    queryParams.patientName = route.query.patientName
  }
  if (route.query.emrType) {
    queryParams.emrType = route.query.emrType
  }
  handleSearch()
})
```

- [ ] **Step 6: Commit**

```bash
git add healthlink-his-ui/src/views/emr/revision-history/index.vue \
        healthlink-his-ui/src/views/emr/archive/index.vue \
        healthlink-his-ui/src/views/emr/timeliness/index.vue \
        healthlink-his-ui/src/views/emr/completeness-check/index.vue \
        healthlink-his-ui/src/views/emrsearch/index.vue
git commit -m "feat(emr): EMR管理页面支持URL参数自动加载"
```

---

## Task 3: 医生工作站添加EMR集成入口

**Covers:** 问题#4, #5

**Files:**
- Modify: `healthlink-his-ui/src/views/doctorstation/components/emr/emr.vue`

- [ ] **Step 1: 读取 emr.vue 确认现有结构**

找到病历详情展示区域，在操作按钮区域添加集成入口。

- [ ] **Step 2: 添加集成按钮**

在病历详情弹窗或操作区域添加：

```vue
<template>
  <!-- 在现有病历操作按钮区域添加 -->
  <el-button type="info" link @click="viewRevisionHistory">
    <el-icon><Document /></el-icon> 修订历史
  </el-button>
  <el-button type="info" link @click="viewArchiveStatus">
    <el-icon><Folder /></el-icon> 归档状态
  </el-button>
  <el-button type="info" link @click="checkCompleteness">
    <el-icon><Checked /></el-icon> 完整性检查
  </el-button>
</template>

<script setup>
import { useRouter } from 'vue-router'
import { checkCompleteness as checkEmrCompleteness } from '@/api/emr'
import { ElMessage } from 'element-plus'

const router = useRouter()

// 当前病历数据（从父组件传入或从store获取）
const currentEmr = defineModel('emr', { type: Object, default: () => ({}) })

const viewRevisionHistory = () => {
  if (!currentEmr.value?.id) {
    ElMessage.warning('请先选择病历')
    return
  }
  router.push({
    path: '/emr/revision-history',
    query: { emrId: currentEmr.value.id }
  })
}

const viewArchiveStatus = () => {
  if (!currentEmr.value?.encounterId) {
    ElMessage.warning('请先选择病历')
    return
  }
  router.push({
    path: '/emr/archive',
    query: {
      encounterId: currentEmr.value.encounterId,
      patientName: currentEmr.value.patientName
    }
  })
}

const checkCompleteness = async () => {
  if (!currentEmr.value?.id || !currentEmr.value?.encounterId) {
    ElMessage.warning('请先选择病历')
    return
  }
  try {
    const res = await checkEmrCompleteness(currentEmr.value.id, currentEmr.value.encounterId)
    const data = res.data || res
    if (data.isComplete) {
      ElMessage.success('病历完整性检查通过')
    } else {
      ElMessage.warning(`病历完整性检查未通过，${data.requiredFailed}项必填项未填写`)
    }
  } catch (e) {
    ElMessage.error('检查失败')
  }
}
</script>
```

- [ ] **Step 3: 验证编译**

```bash
cd healthlink-his-ui && npm run build:dev
```

- [ ] **Step 4: Commit**

```bash
git add healthlink-his-ui/src/views/doctorstation/components/emr/emr.vue
git commit -m "feat(emr): 医生工作站添加修订历史/归档/完整性检查入口"
```

---

## Task 4: 住院医生工作站添加EMR集成入口

**Covers:** 问题#4, #5

**Files:**
- Modify: `healthlink-his-ui/src/views/inpatientDoctor/home/emr/index.vue`

- [ ] **Step 1: 读取住院EMR页面确认结构**

- [ ] **Step 2: 添加集成按钮**

```vue
<template>
  <!-- 在现有病历操作按钮区域添加 -->
  <el-button type="info" link @click="viewRevisionHistory">
    修订历史
  </el-button>
  <el-button type="info" link @click="viewTimeliness">
    时效监控
  </el-button>
  <el-button type="info" link @click="checkCompleteness">
    完整性检查
  </el-button>
</template>

<script setup>
import { useRouter } from 'vue-router'
import { checkCompleteness as checkEmrCompleteness } from '@/api/emr'
import { ElMessage } from 'element-plus'

const router = useRouter()
const currentEmr = defineModel('emr', { type: Object, default: () => ({}) })

const viewRevisionHistory = () => {
  if (!currentEmr.value?.id) {
    ElMessage.warning('请先选择病历')
    return
  }
  router.push({
    path: '/emr/revision-history',
    query: { emrId: currentEmr.value.id }
  })
}

const viewTimeliness = () => {
  if (!currentEmr.value?.encounterId) {
    ElMessage.warning('请先选择病历')
    return
  }
  router.push({
    path: '/emr/timeliness',
    query: { encounterId: currentEmr.value.encounterId }
  })
}

const checkCompleteness = async () => {
  if (!currentEmr.value?.id || !currentEmr.value?.encounterId) {
    ElMessage.warning('请先选择病历')
    return
  }
  try {
    const res = await checkEmrCompleteness(currentEmr.value.id, currentEmr.value.encounterId)
    const data = res.data || res
    if (data.isComplete) {
      ElMessage.success('病历完整性检查通过')
    } else {
      ElMessage.warning(`病历完整性检查未通过，${data.requiredFailed}项必填项未填写`)
    }
  } catch (e) {
    ElMessage.error('检查失败')
  }
}
</script>
```

- [ ] **Step 3: 验证编译**

```bash
cd healthlink-his-ui && npm run build:dev
```

- [ ] **Step 4: Commit**

```bash
git add healthlink-his-ui/src/views/inpatientDoctor/home/emr/index.vue
git commit -m "feat(emr): 住院医生工作站添加修订历史/时效/完整性检查入口"
```

---

## Task 5: 保存病历时自动触发修订记录

**Covers:** 问题#2

**Files:**
- Modify: `healthlink-his-server/.../doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java`

- [ ] **Step 1: 读取现有保存逻辑**

找到 `saveEmr` 或类似方法，确认保存流程。

- [ ] **Step 2: 添加自动触发修订记录**

在保存EMR成功后添加：

```java
@Resource
private IEmrRevisionService emrRevisionService;

// 在saveEmr方法中，保存成功后添加：
// 自动记录修订历史
EmrRevision revision = new EmrRevision();
revision.setEmrId(savedEmr.getId());
revision.setEncounterId(savedEmr.getEncounterId());
revision.setOperatorName(operatorName); // 从SecurityUtils获取
revision.setOperationType("SAVE");
revision.setSnapshotContent(savedEmr.getContextJson());
revision.setCreateTime(new Date());
emrRevisionService.save(revision);
```

- [ ] **Step 3: 验证编译**

```bash
mvn clean compile -DskipTests -pl healthlink-his-application
```

- [ ] **Step 4: Commit**

```bash
git add healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java
git commit -m "feat(emr): 保存病历时自动创建修订记录"
```

---

## Task 6: 保存病历时自动更新搜索索引

**Covers:** 问题#3

**Files:**
- Modify: `healthlink-his-server/.../doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java`

- [ ] **Step 1: 添加搜索索引服务注入**

```java
@Resource
private IEmrSearchIndexService emrSearchIndexService;
```

- [ ] **Step 2: 保存成功后自动更新索引**

```java
// 在saveEmr方法中，保存成功后添加：
// 自动更新搜索索引
EmrSearchIndex searchIndex = new EmrSearchIndex();
searchIndex.setEmrId(savedEmr.getId());
searchIndex.setEncounterId(savedEmr.getEncounterId());
searchIndex.setPatientName(patientName);
searchIndex.setEmrType(emrType);
searchIndex.setEmrTitle(title);
searchIndex.setDiagnosisText(diagnosis);
searchIndex.setDoctorName(doctorName);
searchIndex.setDepartmentName(departmentName);
searchIndex.setCreateTime(new Date());

// 检查是否已存在索引
LambdaQueryWrapper<EmrSearchIndex> wrapper = new LambdaQueryWrapper<>();
wrapper.eq(EmrSearchIndex::getEmrId, savedEmr.getId());
EmrSearchIndex existing = emrSearchIndexService.getOne(wrapper);
if (existing != null) {
    existing.setPatientName(patientName);
    existing.setEmrType(emrType);
    existing.setEmrTitle(title);
    existing.setDiagnosisText(diagnosis);
    existing.setDoctorName(doctorName);
    existing.setDepartmentName(departmentName);
    existing.setUpdateTime(new Date());
    emrSearchIndexService.updateById(existing);
} else {
    emrSearchIndexService.save(searchIndex);
}
```

- [ ] **Step 3: 验证编译**

```bash
mvn clean compile -DskipTests -pl healthlink-his-application
```

- [ ] **Step 4: Commit**

```bash
git add healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java
git commit -m "feat(emr): 保存病历时自动更新搜索索引"
```

---

## Task 7: 全量验证

**Covers:** 全部问题

- [ ] **Step 1: 后端编译验证**

```bash
mvn clean compile -DskipTests
```
Expected: BUILD SUCCESS

- [ ] **Step 2: 前端编译验证**

```bash
cd healthlink-his-ui && npm run build:dev
```
Expected: Build successful

- [ ] **Step 3: 接口测试**

```bash
# 测试修订历史接口
curl http://localhost:18082/emr/revision/page?pageNo=1&pageSize=10

# 测试搜索接口
curl http://localhost:18082/emr-search/search?keyword=test

# 测试归档接口
curl http://localhost:18082/emr-archive/page?pageNo=1&pageSize=10
```
Expected: 返回 `{code:200, data:...}`

- [ ] **Step 4: 提交代码**

```bash
git add -A
git commit -m "feat(emr): 打通EMR管理模块与门诊/住院病历集成"
git push origin develop
```

---

## 验证检查清单

| 检查项 | 验证方式 | 预期结果 |
|--------|---------|---------|
| 修订历史API路径 | 访问 `/emr/revision/page` | 返回数据 |
| URL参数支持 | 访问 `/emr/revision-history?emrId=1` | 自动加载该病历修订记录 |
| 医生工作站入口 | 打开病历详情 | 显示修订历史/归档/完整性检查按钮 |
| 保存自动触发 | 保存病历后查询 `emr_revision` 表 | 有新记录 |
| 搜索索引更新 | 保存病历后查询 `emr_search_index` 表 | 有新记录 |
| 完整性检查 | 点击完整性检查按钮 | 显示检查结果 |

---

> **Plan Version:** v1.0
> **Created:** 2026-06-21
> **Estimated Effort:** 2-3小时