269 lines
11 KiB
SQL
269 lines
11 KiB
SQL
-- ============================================
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-- 智能候选池查询SQL（智能分诊排队管理页面专用）
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-- 页面：智能分诊排队管理 - 心内科
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-- 用途：查询"已签到未入队"的患者（当日已挂号，但未加入队列）
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-- ============================================
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-- ============================================
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-- 方案一：完整查询（包含所有字段，排除已在队列中的患者）
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-- ============================================
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SELECT
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enc.id AS encounterId,
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enc.patient_id AS patientId,
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pt.name AS patientName,
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pt.birth_date AS birthDate,
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-- 计算年龄（前端会调用 parseAge 函数）
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CASE
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WHEN pt.birth_date IS NOT NULL THEN
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EXTRACT(YEAR FROM AGE(pt.birth_date))::TEXT || '岁'
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ELSE ''
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END AS age,
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org.id AS organizationId,
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org.name AS organizationName,
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hcs.name AS healthcareName,
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pr.name AS practitionerName,
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enc.create_time AS registerTime,
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enc.status_enum AS statusEnum,
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-- 其他字段（如果需要）
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pt.phone,
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pt.gender_enum AS genderEnum,
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pt.id_card AS idCard
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FROM adm_encounter enc
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-- 关联患者表
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INNER JOIN adm_patient pt
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ON enc.patient_id = pt.id
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AND pt.delete_flag = '0'
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-- 关联科室表
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LEFT JOIN adm_organization org
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ON enc.organization_id = org.id
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AND org.delete_flag = '0'
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-- 关联医疗服务类型表（号别）
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LEFT JOIN adm_healthcare_service hcs
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ON enc.service_type_id = hcs.id
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AND hcs.delete_flag = '0'
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-- 关联就诊参与者表（医生信息）
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LEFT JOIN (
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SELECT encounter_id, practitioner_id,
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ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
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FROM adm_encounter_participant
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WHERE delete_flag = '0'
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AND (
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-- 如果就诊状态为"进行中"，查找"接诊医生"（admitter）
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(type_code = 'admitter' AND EXISTS(SELECT 1
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FROM adm_encounter AS e
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WHERE e.status_enum = 2 -- IN_PROGRESS
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AND e.id = encounter_id))
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OR
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-- 如果就诊状态不是"进行中"，查找"挂号医生"（registration_doctor）
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(type_code = 'registration_doctor' AND NOT EXISTS(SELECT 1
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FROM adm_encounter AS e
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WHERE e.status_enum = 2 -- IN_PROGRESS
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AND e.id = encounter_id))
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)
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) ep ON enc.id = ep.encounter_id AND ep.rn = 1
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-- 关联医生表
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LEFT JOIN adm_practitioner pr
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ON ep.practitioner_id = pr.id
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AND pr.delete_flag = '0'
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-- 关联收费项目表（挂号费）
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INNER JOIN adm_charge_item ci
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ON enc.id = ci.encounter_id
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AND ci.delete_flag = '0'
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AND ci.context_enum = 1 -- REGISTER（挂号）
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-- 关联支付对账表（已支付）
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INNER JOIN fin_payment_reconciliation prc
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ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
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AND prc.delete_flag = '0'
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AND prc.status_enum = 1 -- SUCCESS（支付成功）
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-- 排除已在队列中的患者（关键：LEFT JOIN + WHERE IS NULL）
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LEFT JOIN hisdev.triage_queue_item tqi
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ON enc.id = tqi.encounter_id
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AND tqi.delete_flag = '0'
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AND tqi.queue_date = CURRENT_DATE
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AND tqi.status != 'COMPLETED' -- 排除已完成的状态
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WHERE enc.delete_flag = '0'
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AND enc.class_enum = 1 -- 门诊（AMB）
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AND enc.create_time::DATE = CURRENT_DATE -- 当日挂号（前端会过滤 registerTime）
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AND enc.status_enum != 6 -- 排除退号（statusEnum = -1 时）
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AND tqi.id IS NULL -- 关键：只查询不在队列中的患者
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ORDER BY enc.create_time DESC;
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-- ============================================
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-- 方案二：简化查询（仅核心字段，便于快速测试）
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-- ============================================
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SELECT
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enc.id AS encounterId,
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enc.patient_id AS patientId,
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pt.name AS patientName,
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org.id AS organizationId,
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org.name AS organizationName,
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hcs.name AS healthcareName,
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pr.name AS practitionerName,
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enc.create_time AS registerTime
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FROM adm_encounter enc
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INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
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LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
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LEFT JOIN adm_healthcare_service hcs ON enc.service_type_id = hcs.id AND hcs.delete_flag = '0'
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LEFT JOIN (
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SELECT encounter_id, practitioner_id,
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ROW_NUMBER() OVER (PARTITION BY encounter_id ORDER BY create_time ASC) AS rn
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FROM adm_encounter_participant
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WHERE delete_flag = '0' AND type_code IN ('admitter', 'registration_doctor')
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) ep ON enc.id = ep.encounter_id AND ep.rn = 1
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LEFT JOIN adm_practitioner pr ON ep.practitioner_id = pr.id AND pr.delete_flag = '0'
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INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
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INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
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AND prc.delete_flag = '0' AND prc.status_enum = 1
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-- 排除已在队列中的患者
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LEFT JOIN hisdev.triage_queue_item tqi
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ON enc.id = tqi.encounter_id
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AND tqi.delete_flag = '0'
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AND tqi.queue_date = CURRENT_DATE
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AND tqi.status != 'COMPLETED'
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WHERE enc.delete_flag = '0'
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AND enc.class_enum = 1
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AND enc.create_time::DATE = CURRENT_DATE
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AND enc.status_enum != 6
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AND tqi.id IS NULL -- 不在队列中
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ORDER BY enc.create_time DESC;
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-- ============================================
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-- 方案三：分步查询（便于调试和理解）
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-- ============================================
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-- 步骤1：查询当日已挂号的患者（不排除队列）
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SELECT
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enc.id AS encounterId,
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pt.name AS patientName,
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org.name AS organizationName,
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enc.create_time AS registerTime
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FROM adm_encounter enc
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INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
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LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
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INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
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INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
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AND prc.delete_flag = '0' AND prc.status_enum = 1
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WHERE enc.delete_flag = '0'
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AND enc.class_enum = 1
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AND enc.create_time::DATE = CURRENT_DATE
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AND enc.status_enum != 6;
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-- 步骤2：查询已在队列中的患者
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SELECT DISTINCT encounter_id
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FROM hisdev.triage_queue_item
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WHERE delete_flag = '0'
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AND queue_date = CURRENT_DATE
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AND status != 'COMPLETED';
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-- 步骤3：合并查询（使用 NOT EXISTS 或 NOT IN）
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SELECT
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enc.id AS encounterId,
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pt.name AS patientName,
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org.name AS organizationName,
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enc.create_time AS registerTime
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FROM adm_encounter enc
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INNER JOIN adm_patient pt ON enc.patient_id = pt.id AND pt.delete_flag = '0'
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LEFT JOIN adm_organization org ON enc.organization_id = org.id AND org.delete_flag = '0'
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INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
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INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
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AND prc.delete_flag = '0' AND prc.status_enum = 1
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WHERE enc.delete_flag = '0'
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AND enc.class_enum = 1
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AND enc.create_time::DATE = CURRENT_DATE
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AND enc.status_enum != 6
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-- 排除已在队列中的患者
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AND NOT EXISTS (
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SELECT 1
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FROM hisdev.triage_queue_item tqi
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WHERE tqi.encounter_id = enc.id
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AND tqi.delete_flag = '0'
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AND tqi.queue_date = CURRENT_DATE
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AND tqi.status != 'COMPLETED'
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)
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ORDER BY enc.create_time DESC;
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-- ============================================
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-- 查询条件说明
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-- ============================================
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-- 1. 基础条件：
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-- - enc.delete_flag = '0' -- 未删除
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-- - enc.class_enum = 1 -- 门诊（AMB）
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-- - ci.context_enum = 1 -- 挂号（REGISTER）
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-- - prc.status_enum = 1 -- 支付成功（SUCCESS）
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--
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-- 2. 日期过滤：
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-- - enc.create_time::DATE = CURRENT_DATE -- 当日挂号
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-- 注意：前端还会基于 registerTime 字段再次过滤今天的数据
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--
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-- 3. 状态过滤：
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-- - enc.status_enum != 6 -- 排除退号（对应前端 statusEnum = -1）
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--
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-- 4. 队列去重：
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-- - LEFT JOIN hisdev.triage_queue_item ... WHERE tqi.id IS NULL
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-- 或者
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-- - NOT EXISTS (SELECT 1 FROM hisdev.triage_queue_item ...)
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-- 排除已在队列中且状态不是 COMPLETED 的患者
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--
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-- 5. 租户过滤（如果需要）：
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-- - enc.tenant_id = ? -- 当前登录用户的租户ID
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--
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-- 6. 模糊搜索（如果需要）：
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-- - pt.name LIKE '%关键词%' -- 患者姓名
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-- - org.name LIKE '%关键词%' -- 科室名称
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-- - pr.name LIKE '%关键词%' -- 医生姓名
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-- - hcs.name LIKE '%关键词%' -- 号别名称
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-- ============================================
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-- 调试查询（检查数据是否正确）
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-- ============================================
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-- 1. 检查当日已挂号患者总数
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SELECT COUNT(*) AS total_registered
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FROM adm_encounter enc
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INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
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INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
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AND prc.delete_flag = '0' AND prc.status_enum = 1
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WHERE enc.delete_flag = '0'
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AND enc.class_enum = 1
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AND enc.create_time::DATE = CURRENT_DATE
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AND enc.status_enum != 6;
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-- 2. 检查已在队列中的患者数量
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SELECT COUNT(DISTINCT encounter_id) AS in_queue_count
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FROM hisdev.triage_queue_item
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WHERE delete_flag = '0'
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AND queue_date = CURRENT_DATE
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AND status != 'COMPLETED';
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-- 3. 检查候选池应该显示的患者数量（已挂号 - 已在队列）
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SELECT
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(SELECT COUNT(*)
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FROM adm_encounter enc
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INNER JOIN adm_charge_item ci ON enc.id = ci.encounter_id AND ci.delete_flag = '0' AND ci.context_enum = 1
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INNER JOIN fin_payment_reconciliation prc ON ci.id::TEXT = ANY(string_to_array(prc.charge_item_ids,','))
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AND prc.delete_flag = '0' AND prc.status_enum = 1
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WHERE enc.delete_flag = '0'
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AND enc.class_enum = 1
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AND enc.create_time::DATE = CURRENT_DATE
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AND enc.status_enum != 6)
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-
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(SELECT COUNT(DISTINCT encounter_id)
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FROM hisdev.triage_queue_item
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WHERE delete_flag = '0'
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AND queue_date = CURRENT_DATE
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AND status != 'COMPLETED')
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AS candidate_pool_count;
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-- 4. 查看队列中的患者详情（用于对比）
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SELECT
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tqi.encounter_id,
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tqi.patient_name,
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tqi.status,
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tqi.queue_order
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FROM hisdev.triage_queue_item tqi
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WHERE tqi.delete_flag = '0'
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AND tqi.queue_date = CURRENT_DATE
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AND tqi.status != 'COMPLETED'
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ORDER BY tqi.queue_order;
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