chenqi
2fe6d45ad4
- 修复诊断组件中el-popover模板语法错误，添加template标签 - 优化患者历史数据处理逻辑，确保数组类型安全并正确构建树形结构 - 完善住院办理流程中的组织机构数据获取和筛选逻辑 - 添加详细的控制台日志用于调试住院办理功能 - 修复办理住院按钮的禁用状态计算逻辑 - 优化患者卡片点击事件处理，确保就诊ID正确传递 - 添加诊断信息完整性检查并提供用户引导 - 修复检验申请组件中的监听器和暴露方法逻辑
651 lines
20 KiB
Vue
651 lines
20 KiB
Vue
<template>
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<div>
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<el-row :gutter="24">
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<el-col :span="4" :xs="24">
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<el-input v-model="diagnosis" placeholder="诊断名称" clearable style="width: 100%; margin-bottom: 10px"
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@keyup.enter="queryDiagnosisUse">
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<template #append>
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<el-button icon="Search" @click="queryDiagnosisUse" />
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</template>
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</el-input>
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<el-tree
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ref="treeRef"
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:data="tree"
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node-key="id"
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:props="{ label: 'name', children: 'children' }"
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highlight-current
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default-expand-all
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:filter-node-method="filterNode"
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class="tree-with-scrollbar"
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@node-click="handleNodeClick"
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max-height="650"
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>
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<template #default="{ node, data }">
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<div class="custom-tree-node">
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<span>{{ node.label }}</span>
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<span class="tree-node-actions">
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<template v-if="node.level === 1 && data.name != '常用' && data.name != '历史'">
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<el-button
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style="color: #000000"
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type="text"
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size="small"
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@click.stop="addChild(data)"
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>
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<el-icon>
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<Plus />
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</el-icon>
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</el-button>
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</template>
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<el-popconfirm width="200" :hide-after="10" title="确认删除此常用诊断吗" placement="top-start"
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@confirm="deleteChild(data)">
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<template #reference>
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<el-button
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style="color: #000000"
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v-if="
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node.level === 2 &&
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node.parent.data.name != '常用' &&
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node.parent.data.name != '历史'
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"
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type="text"
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size="small"
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@click.stop=""
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>
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<el-icon>
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<Minus />
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</el-icon>
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</el-button>
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</template>
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</el-popconfirm>
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</span>
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</div>
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</template>
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</el-tree>
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</el-col>
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<el-col :span="20" :xs="24">
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<div style="margin-bottom: 10px">
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<el-button type="primary" plain @click="handleAddDiagnosis()"> 新增诊断 </el-button>
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<el-button type="primary" plain @click="handleSaveDiagnosis()"> 保存诊断 </el-button>
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<el-button type="primary" plain @click="handleAddTcmDiagonsis()"> 中医诊断 </el-button>
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<el-button type="primary" plain @click="handleImport()"> 导入慢性病诊断 </el-button>
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<span style="font-size: 12px; margin-left: 10px"
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>注意 : 若使用电子处方，请不要导入慢性病诊断</span
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>
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</div>
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<el-form :model="form" :rules="rules" ref="formRef">
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<el-table ref="diagnosisTableRef" :data="form.diagnosisList" height="650">
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<el-table-column label="序号" type="index" width="50" />
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<el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="120">
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<template #default="scope">
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<el-form-item :prop="`diagnosisList.${scope.$index}.diagSrtNo`" :rules="rules.diagSrtNo">
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<el-input-number v-model="scope.row.diagSrtNo" controls-position="right" :controls="false"
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style="width: 80px" />
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</el-form-item>
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</template>
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</el-table-column>
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<el-table-column label="诊断类别" align="center" prop="diagSrtNo" width="180">
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<template #default="scope">
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<el-form-item :prop="`diagnosisList.${scope.$index}.medTypeCode`" :rules="rules.medTypeCode">
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<el-select v-model="scope.row.medTypeCode" placeholder=" " style="width: 150px">
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<el-option
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v-for="item in diag_type"
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:key="item.value"
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:label="item.label"
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:value="item.value"
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/>
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</el-select>
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</el-form-item>
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</template>
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</el-table-column>
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<el-table-column label="诊断名称" align="center" prop="name">
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<template #default="scope">
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<el-form-item :prop="`diagnosisList.${scope.$index}.name`" :rules="rules.name">
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<el-popover
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:popper-style="{ padding: '0' }"
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placement="bottom-start"
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:visible="scope.row.showPopover"
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trigger="manual"
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:width="800"
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>
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<template #default>
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<diagnosislist
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:diagnosisSearchkey="diagnosisSearchkey"
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@selectDiagnosis="handleSelsectDiagnosis"
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/>
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</template>
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<template #reference>
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<el-input v-model="scope.row.name" placeholder="请选择诊断" @input="handleChange"
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@focus="handleFocus(scope.row, scope.$index)" @blur="handleBlur(scope.row)" />
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</template>
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</el-popover>
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</el-form-item>
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</template>
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</el-table-column>
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<el-table-column label="医保码" align="center" prop="ybNo" width="180" />
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<el-table-column label="类别" align="center" prop="typeName" width="100" />
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<el-table-column label="诊断类型" align="center" prop="maindiseFlag">
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<template #default="scope">
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<div style="display:flex;flex-direction:column;align-items:center;gap:5px;">
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<el-checkbox
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label="主诊断"
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:true-value="1"
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:false-value="0"
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v-model="scope.row.maindiseFlag"
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border
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size="small"
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@change="(value) => handleMaindise(value, scope.$index)"
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/>
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<el-select
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v-model="scope.row.verificationStatusEnum"
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placeholder=" "
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style="width: 100%; padding-bottom: 5px; padding-left: 10px"
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size="small"
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>
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<el-option
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v-for="item in diagnosisOptions"
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:key="item.value"
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:label="item.label"
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:value="item.value"
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/>
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</el-select>
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</div>
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</template>
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</el-table-column>
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<el-table-column label="操作" align="center" width="130">
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<template #default="scope">
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<el-button link type="primary" @click="handleDeleteDiagnosis(scope.row, scope.$index)">
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删除
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</el-button>
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</template>
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</el-table-column>
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</el-table>
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</el-form>
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</el-col>
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</el-row>
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<diagnosisdialog
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:openDiagnosis="openDiagnosis"
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@close="closeDiagnosisDialog"
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:radio="orgOrUser"
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/>
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<AddDiagnosisDialog
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:openAddDiagnosisDialog="openAddDiagnosisDialog"
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:updateZy="updateZy"
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:patientInfo="props.patientInfo"
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@close="closeDiagnosisDialog"
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/>
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</div>
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</template>
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<script setup>
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import {getCurrentInstance} from 'vue';
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import useUserStore from '@/store/modules/user';
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import {
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delEncounterDiagnosis,
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deleteDiagnosisBind,
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deleteTcmDiagnosis,
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diagnosisInit,
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getChronicDisease,
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getConditionDefinitionInfo,
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getEmrDetail,
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getEncounterDiagnosis,
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getTcmDiagnosis,
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isFoodDiseasesNew,
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saveDiagnosis,
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} from '../api';
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import diagnosisdialog from '../diagnosis/diagnosisdialog.vue';
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import AddDiagnosisDialog from './addDiagnosisDialog.vue';
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import diagnosislist from '../diagnosis/diagnosislist.vue';
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// const diagnosisList = ref([]);
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const allowAdd = ref(false);
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const tree = ref([]);
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const openDiagnosis = ref(false);
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const updateZy = ref([]);
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const openAddDiagnosisDialog = ref(false);
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const diagnosisSearchkey = ref('');
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const diagnosisOptions = ref([]);
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const rowIndex = ref();
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const diagnosis = ref();
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const orgOrUser = ref();
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const form = ref({
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diagnosisList: [],
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isDataLoaded: false,
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});
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const props = defineProps({
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patientInfo: {
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type: Object,
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required: true,
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},
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});
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const emits = defineEmits(['diagnosisSave']);
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const { proxy } = getCurrentInstance();
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const userStore = useUserStore();
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const { diag_type } = proxy.useDict('diag_type');
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const rules = ref({
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name: [{ required: true, message: '请选择诊断', trigger: 'change' }],
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medTypeCode: [{ required: true, message: '请选择诊断类型', trigger: 'change' }],
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diagSrtNo: [{ required: true, message: '请输入诊断序号', trigger: 'change' }],
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});
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watch(
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() => form.value.diagnosisList,
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() => {
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emits('diagnosisSave', false);
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},
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{ deep: true }
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);
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function getDetail(encounterId) {
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if (!encounterId) {
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console.warn('未提供有效的就诊ID，无法获取病历详情');
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return;
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}
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getEmrDetail(encounterId).then((res) => {
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allowAdd.value = res.data ? true : false;
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});
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}
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function refreshData() {
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getList();
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}
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let maxNo = 99;
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function getList() {
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getEncounterDiagnosis(props.patientInfo.encounterId)
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.then((res) => {
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if (res.code == 200) {
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// 过滤掉中医诊断，只保留西医诊断
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form.value.diagnosisList = res.data.filter(item => item.typeName !== '中医诊断');
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emits('diagnosisSave', false);
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}
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maxNo = form.value.diagnosisList.length;
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})
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.then(() => {
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getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
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if (res.code == 200) {
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if (res.data.illness.length > 0) {
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res.data.illness.forEach((item, index) => {
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if (item.diagSrtNo <= maxNo) {
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return;
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}
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form.value.diagnosisList.push({
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name: item.name + '-' + res.data.symptom[index].name,
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diagSrtNo: item.diagSrtNo,
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ybNo: item.ybNo,
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medTypeCode: item.medTypeCode,
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syndromeGroupNo: item.syndromeGroupNo,
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typeName: '中医诊断',
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updateId:item.encounterDiagnosisId+'-'+res.data.symptom[index].encounterDiagnosisId,
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illnessDefinitionId : item.definitionId,
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symptomDefinitionId : res.data.symptom[index].definitionId,
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symptomYbNo: res.data.symptom[index].ybNo,
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});
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maxNo = item.diagSrtNo;
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});
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}
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emits('diagnosisSave', false);
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}
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});
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});
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getTree();
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}
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init();
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function init() {
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diagnosisInit().then((res) => {
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if (res.code == 200) {
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diagnosisOptions.value = res.data.verificationStatusOptions;
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}
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});
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}
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function handleImport() {
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if (!props.patientInfo || !props.patientInfo.encounterId) {
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console.warn('患者就诊信息不完整，无法导入慢性病信息');
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return;
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}
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if (props.patientInfo.contractName != '自费') {
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// 获取患者慢性病信息
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getChronicDisease({ encounterId: props.patientInfo.encounterId }).then((res) => {
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if (res.data && res.data.length > 0) {
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// 计算现有最大排序号
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const maxSortNo = form.value.diagnosisList.length > 0
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? Math.max(...form.value.diagnosisList.map(item => item.diagSrtNo || 0))
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: 0;
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res.data.forEach((item, index) => {
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form.value.diagnosisList.push({
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...item,
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...{
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medTypeCode: '140104',
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verificationStatusEnum: 4,
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definitionId: item.id,
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diagSrtNo: maxSortNo + index + 1,
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iptDiseTypeCode: 2,
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diagnosisDesc: '',
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diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
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diagnosisTime: new Date().toLocaleString('zh-CN')
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},
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});
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});
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// 导入完成后按排序号排序
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form.value.diagnosisList.sort((a, b) => (a.diagSrtNo || 0) - (b.diagSrtNo || 0));
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emits('diagnosisSave', false);
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}
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});
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}
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}
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/**
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* 添加子节点
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*/
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function addChild(data) {
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orgOrUser.value = data.name;
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openDiagnosis.value = true;
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}
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/**
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* 删除子节点
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*/
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function deleteChild(data) {
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deleteDiagnosisBind(data.id).then((res) => {
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if (res.code == 200) {
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proxy.$modal.msgSuccess('删除成功');
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getTree();
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}
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});
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}
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watch(diagnosis, (val) => {
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proxy.$refs['treeRef'].filter(val);
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});
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/** 通过条件过滤节点 */
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const filterNode = (value, data) => {
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console.log('filterNode', value, data);
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if (!value) return true;
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return data.name.indexOf(value) !== -1;
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};
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/**
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* 获取诊断树列表
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*/
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function getTree() {
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const patientId = props.patientInfo?.patientId || '';
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getConditionDefinitionInfo(patientId).then((res) => {
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if (res.code == 200) {
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// 确保数据结构正确，避免直接修改数组对象
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const patientHistoryList = Array.isArray(res.data.patientHistoryList) ? res.data.patientHistoryList : [];
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const doctorCommonUseList = Array.isArray(res.data.doctorCommonUseList) ? res.data.doctorCommonUseList : [];
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const userPersonalList = Array.isArray(res.data.userPersonalList) ? res.data.userPersonalList : [];
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const organizationList = Array.isArray(res.data.organizationList) ? res.data.organizationList : [];
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// 手动构造树列表;
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tree.value[0] = {
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id: '1',
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name: '历史',
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children: patientHistoryList,
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};
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tree.value[1] = {
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id: '2',
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name: '常用',
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children: doctorCommonUseList,
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};
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tree.value[2] = {
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id: '3',
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name: '个人',
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children: userPersonalList,
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};
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tree.value[3] = {
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id: '4',
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name: '科室',
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children: organizationList,
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};
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console.log(tree.value);
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}
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});
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}
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/**
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* 添加西医诊断
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*/
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function handleAddDiagnosis() {
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proxy.$refs.formRef.validate((valid) => {
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if (valid) {
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const maxSortNo = form.value.diagnosisList.length > 0
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? Math.max(...form.value.diagnosisList.map(item => item.diagSrtNo || 0))
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: 0;
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form.value.diagnosisList.push({
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showPopover: false,
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name: undefined,
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verificationStatusEnum: 4,
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medTypeCode: '初诊诊断',
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diagSrtNo: maxSortNo + 1,
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iptDiseTypeCode: 2,
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diagnosisDesc: '',
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diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
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diagnosisTime: new Date().toLocaleString('zh-CN')
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});
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// 添加后按排序号排序
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form.value.diagnosisList.sort((a, b) => (a.diagSrtNo || 0) - (b.diagSrtNo || 0));
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if (form.value.diagnosisList.length == 1) {
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form.value.diagnosisList[0].maindiseFlag = 1;
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}
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}
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});
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}
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// 添加中医诊断
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function handleAddTcmDiagonsis() {
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updateZy.value = [];
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openAddDiagnosisDialog.value = true;
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}
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/**
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* 删除诊断
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*/
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function handleDeleteDiagnosis(row, index) {
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if (row.conditionId) {
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delEncounterDiagnosis(row.conditionId).then((res) => {
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if (res.code == 200) {
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proxy.$modal.msgSuccess('删除成功');
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getList();
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getTree();
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}
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});
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} else if (row.syndromeGroupNo) {
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deleteTcmDiagnosis(row.syndromeGroupNo).then(() => {
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getList();
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getTree();
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});
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} else {
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form.value.diagnosisList.splice(index, 1);
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// 删除后不重新计算排序号，保持用户设置的排序不变
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emits('diagnosisSave', false);
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}
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}
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function handleMaindise(value, index) {
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if (value == 1) {
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let flag = 0;
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form.value.diagnosisList.forEach((item) => {
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if (item.maindiseFlag == 1) {
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flag++;
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}
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});
|
||
if (flag > 1) {
|
||
form.value.diagnosisList[index].maindiseFlag = 0;
|
||
proxy.$modal.msgWarning('只能有一条主诊断');
|
||
}
|
||
}
|
||
}
|
||
|
||
/**
|
||
* 保存诊断
|
||
*/
|
||
function handleSaveDiagnosis() {
|
||
proxy.$refs.formRef.validate((valid) => {
|
||
if (valid) {
|
||
if (form.value.diagnosisList.length == 0) {
|
||
proxy.$modal.msgWarning('诊断不能为空');
|
||
return false;
|
||
} else if (!form.value.diagnosisList.some((diagnosis) => diagnosis.maindiseFlag === 1)) {
|
||
proxy.$modal.msgWarning('至少添加一条主诊断');
|
||
return false;
|
||
} else {
|
||
// 保存前按排序号排序
|
||
form.value.diagnosisList.sort((a, b) => (a.diagSrtNo || 0) - (b.diagSrtNo || 0));
|
||
|
||
saveDiagnosis({
|
||
patientId: props.patientInfo.patientId,
|
||
encounterId: props.patientInfo.encounterId,
|
||
diagnosisChildList: form.value.diagnosisList,
|
||
}).then((res) => {
|
||
if (res.code == 200) {
|
||
getTree();
|
||
getList();
|
||
emits('diagnosisSave', false);
|
||
proxy.$modal.msgSuccess('诊断已保存并按排序号排序');
|
||
//食源性疾病病例数据智能采集 ---START---
|
||
isFoodDiseasesNew({
|
||
encounterId: props.patientInfo.encounterId,
|
||
}).then((res) => {
|
||
if (res.code == 200) {
|
||
let jumpUrl = res.data;
|
||
if (jumpUrl) {
|
||
window.open(jumpUrl, '_blank');
|
||
}
|
||
}
|
||
});
|
||
//食源性疾病病例数据智能采集 ---END---
|
||
}
|
||
});
|
||
}
|
||
}
|
||
});
|
||
}
|
||
|
||
/**
|
||
* 关闭诊断弹窗
|
||
*/
|
||
function closeDiagnosisDialog(str) {
|
||
if (str === 'success') {
|
||
proxy.$modal.msgSuccess('操作成功');
|
||
}
|
||
openAddDiagnosisDialog.value = false;
|
||
openDiagnosis.value = false;
|
||
getList();
|
||
getTree();
|
||
}
|
||
|
||
function queryDiagnosisUse(value) { }
|
||
|
||
function handleChange(value) {
|
||
diagnosisSearchkey.value = value;
|
||
}
|
||
/**
|
||
* 选择诊断并赋值到列表
|
||
*/
|
||
function handleSelsectDiagnosis(row) {
|
||
console.log(row);
|
||
form.value.diagnosisList[rowIndex.value].ybNo = row.ybNo;
|
||
form.value.diagnosisList[rowIndex.value].name = row.name;
|
||
form.value.diagnosisList[rowIndex.value].definitionId = row.id;
|
||
}
|
||
/**获取焦点时 打开列表 */
|
||
function handleFocus(row, index) {
|
||
if(row.typeName==='中医诊断'){
|
||
updateZy.value = [];
|
||
updateZy.value.push({
|
||
illnessDefinitionId: row.illnessDefinitionId,
|
||
symptomDefinitionId: row.symptomDefinitionId,
|
||
syndromeGroupNo: row.syndromeGroupNo,
|
||
symptomYbNo:row.symptomYbNo,
|
||
ybNo:row.ybNo,
|
||
updateId: row.updateId,
|
||
diagSrtNo: row.diagSrtNo,
|
||
name:row.name,
|
||
});
|
||
openAddDiagnosisDialog.value = true;
|
||
}else{
|
||
rowIndex.value = index;
|
||
row.showPopover = true;
|
||
}
|
||
|
||
}
|
||
/**失去焦点时 关闭列表 */
|
||
function handleBlur(row) {
|
||
row.showPopover = false;
|
||
}
|
||
|
||
function handleNodeClick(data) {
|
||
console.log(data.children);
|
||
// 检查节点是否为根节点
|
||
if (data.children != undefined) {
|
||
// 如果是根节点，不执行任何操作
|
||
return;
|
||
}
|
||
// if (!allowAdd.value) {
|
||
// proxy.$modal.msgWarning('请先填写病历');
|
||
// return;
|
||
// }
|
||
const isDuplicate = form.value.diagnosisList.some(
|
||
(diagnosis) => diagnosis.ybNo === data.ybNo || diagnosis.name === data.name
|
||
);
|
||
if (isDuplicate) {
|
||
proxy.$modal.msgWarning('该诊断项已存在');
|
||
return;
|
||
}
|
||
|
||
// 计算现有最大排序号
|
||
const maxSortNo = form.value.diagnosisList.length > 0
|
||
? Math.max(...form.value.diagnosisList.map(item => item.diagSrtNo || 0))
|
||
: 0;
|
||
|
||
form.value.diagnosisList.push({
|
||
ybNo: data.ybNo,
|
||
name: data.name,
|
||
verificationStatusEnum: 4,
|
||
medTypeCode: '11',
|
||
diagSrtNo: maxSortNo + 1,
|
||
definitionId: data.definitionId,
|
||
diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
|
||
diagnosisTime: new Date().toLocaleString('zh-CN')
|
||
});
|
||
|
||
// 添加后按排序号排序
|
||
form.value.diagnosisList.sort((a, b) => (a.diagSrtNo || 0) - (b.diagSrtNo || 0));
|
||
|
||
if (form.value.diagnosisList.length == 1) {
|
||
form.value.diagnosisList[0].maindiseFlag = 1;
|
||
}
|
||
}
|
||
|
||
defineExpose({ getList, getDetail, handleSaveDiagnosis });
|
||
</script>
|
||
|
||
<style lang="scss" scoped>
|
||
.el-checkbox.is-bordered.el-checkbox--small {
|
||
background-color: #ffffff;
|
||
}
|
||
.tree-with-scrollbar {
|
||
max-height: 650px;
|
||
overflow-y: auto;
|
||
}
|
||
.custom-tree-node {
|
||
display: flex;
|
||
align-items: center;
|
||
justify-content: space-between;
|
||
width: 100%;
|
||
}
|
||
|
||
.tree-node-actions {
|
||
display: flex;
|
||
align-items: center;
|
||
}
|
||
</style>
|