1185 lines
38 KiB
Vue
Executable File
1185 lines
38 KiB
Vue
Executable File
<template>
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<div class="temporary-medical-container">
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<!-- 顶部区域：标题 + 患者信息 + 操作按钮 -->
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<div class="top-container">
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<!-- 标题栏 -->
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<div class="title-bar">
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<h1 class="title-text">门诊术中临时医嘱</h1>
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</div>
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<!-- 患者信息卡 -->
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<div class="patient-info-card">
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<div class="info-item">
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<span class="info-label">患者：</span>
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<span class="info-value">{{ patientInfo.patientName || '-' }}</span>
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</div>
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<div class="info-item">
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<span class="info-label">就诊卡号：</span>
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<span class="info-value">{{ patientInfo.identifierNo || '-' }}</span>
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</div>
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<div class="info-item">
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<span class="info-label">手术单号：</span>
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<span class="info-value">{{ patientInfo.operCode || '-' }}</span>
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</div>
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<div class="info-item">
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<span class="info-label">科室：</span>
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<span class="info-value">{{ patientInfo.roomCode || '-' }}</span>
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</div>
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<div class="info-item">
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<span class="info-label">医师：</span>
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<span class="info-value">{{ patientInfo.doctorName || '-' }}</span>
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</div>
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<div class="info-item">
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<span class="info-label">角色：</span>
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<span class="info-value">{{ patientInfo.role || '-' }}</span>
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</div>
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</div>
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<!-- 操作按钮组 -->
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<div class="action-buttons">
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<el-button class="refresh-btn" @click="handleRefresh">
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<span>↻</span> 刷新
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</el-button>
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<el-button class="quote-btn" @click="handleQuoteBilling">
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引用计费
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</el-button>
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</div>
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</div>
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<!-- 已引用计费药品区域 -->
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<div class="medicine-section">
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<div class="section-title">
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一、已引用计费药品（待生成医嘱）
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<span v-if="(billingMedicines || []).length >= PAGE_SIZE" style="margin-left:auto;font-size:14px;color:#4a8bc9;cursor:pointer;white-space:nowrap;" @click="billingExpanded = !billingExpanded">
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{{ billingExpanded ? '收起' : `展开全部(${(billingMedicines || []).length}条)` }}
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</span>
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</div>
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<el-table
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:data="displayBillingMedicines"
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stripe
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border
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style="width: 100%;"
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fit
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>
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<el-table-column label="序号" type="index" width="60" align="center" />
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<el-table-column label="药品名称" prop="medicineName" min-width="150" show-overflow-tooltip />
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<el-table-column label="规格" prop="specification" min-width="100" align="center" />
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<el-table-column label="数量" prop="quantity" width="80" align="center">
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<template #default="{ row }">
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{{ row.quantity || 0 }}
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</template>
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</el-table-column>
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<el-table-column label="批号" prop="batchNumber" min-width="120" align="center" />
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<el-table-column label="单价" prop="unitPrice" min-width="80" align="center">
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<template #default="{ row }">
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{{ row.unitPrice ? `￥${row.unitPrice}` : '-' }}
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</template>
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</el-table-column>
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<el-table-column label="小计" prop="subtotal" min-width="100" align="center">
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<template #default="{ row }">
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{{ row.subtotal ? `￥${(row.unitPrice * row.quantity).toFixed(2)}` : '-' }}
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</template>
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</el-table-column>
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<el-table-column label="医保" prop="insuranceType" width="80" align="center">
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<template #default="{ row }">
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<el-tag
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:size="'small'"
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:class="getInsuranceClass(row.insuranceType)"
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>
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{{ row.insuranceType || '-' }}
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</el-tag>
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</template>
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</el-table-column>
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</el-table>
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<div class="medicine-summary">
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<div class="summary-item insurance">医保内：￥{{ insuranceAmount.toFixed(2) }}</div>
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<div class="summary-item self-pay">自费：￥{{ selfPayAmount.toFixed(2) }}</div>
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<div class="summary-item total">总计：￥{{ totalAmount.toFixed(2) }}</div>
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</div>
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</div>
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<!-- 临时医嘱预览区域 -->
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<div class="advice-section">
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<div class="section-title">
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二、临时医嘱预览（已生成）
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<span v-if="(displayAdvices || []).length >= PAGE_SIZE" style="margin-left:auto;font-size:14px;color:#4a8bc9;cursor:pointer;white-space:nowrap;" @click="advicesExpanded = !advicesExpanded">
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{{ advicesExpanded ? '收起' : `展开全部(${(displayAdvices || []).length}条)` }}
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</span>
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</div>
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<el-table
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:data="displayAdvicesList"
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stripe
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border
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style="width: 100%;"
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fit
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>
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<el-table-column label="序号" type="index" width="60" align="center" />
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<el-table-column label="医嘱名称" prop="adviceName" min-width="150" show-overflow-tooltip />
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<el-table-column label="剂量" prop="dosage" min-width="80" align="center" />
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<el-table-column label="单位" prop="unit" min-width="80" align="center" />
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<el-table-column label="用法" prop="usage" min-width="100" show-overflow-tooltip>
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<template #default="{ row }">
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{{ row.usageLabel || getUsageLabel(row.usage) }}
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</template>
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</el-table-column>
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<el-table-column label="频次" prop="frequency" min-width="80" align="center" />
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<el-table-column label="执行时间" prop="executeTime" min-width="160" align="center" />
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<el-table-column label="操作" min-width="140" align="center">
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<template #default="{ $index }">
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<el-button link type="primary" @click="handleEditAdvice($index)">编辑</el-button>
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<el-button link type="danger" @click="handleDeleteAdvice($index)">删除</el-button>
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</template>
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</el-table-column>
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</el-table>
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</div>
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<!-- 医师电子签名区域 -->
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<div class="signature-section">
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<div class="section-title">
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三、医师电子签名
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</div>
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<!-- 签名信息卡 -->
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<div class="signature-card">
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<div class="signature-info">
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<span class="info-label">签名医师：</span>
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<span class="info-value" :class="{ 'unsigned': !isSigned }">{{ isSigned ? currentUser.name : '未签名' }}</span>
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</div>
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<div class="signature-info">
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<span class="info-label">签名时间：</span>
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<span class="info-value">{{ signatureTime || '-' }}</span>
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</div>
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</div>
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<!-- 底部操作按钮 -->
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<div class="signature-actions">
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<el-button class="cancel-btn" @click="handleCancel">取消</el-button>
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<el-button
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class="sign-btn"
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:disabled="allItemsSubmitted"
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@click="handleSignAndSubmit"
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>
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{{ allItemsSubmitted ? '已签发' : '一键签名并生成医嘱' }}
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</el-button>
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</div>
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</div>
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<!-- 签名密码弹窗 -->
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<el-dialog v-model="showSignDialog" title="弹窗-签名密码" width="400px" append-to-body>
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<div class="sign-dialog-content">
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<p>请输入账户密码：</p>
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<el-input
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v-model="signPassword"
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type="password"
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placeholder="请输入密码"
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style="margin-bottom: 16px"
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@keyup.enter="confirmSign"
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/>
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<div class="dialog-actions">
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<el-button @click="showSignDialog = false">取消</el-button>
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<el-button type="primary" @click="confirmSign">确认</el-button>
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</div>
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</div>
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</el-dialog>
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<!-- 编辑医嘱弹窗 -->
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<el-dialog v-model="showEditDialog" title="编辑医嘱" width="500px" append-to-body>
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<div class="edit-dialog-content">
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<el-form :model="editForm" label-width="80px">
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<el-form-item label="药品名称">
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<el-input v-model="editForm.adviceName" disabled />
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</el-form-item>
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<el-form-item label="剂量" required>
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<el-input v-model.number="editForm.dosage" placeholder="请输入剂量" />
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</el-form-item>
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<el-form-item label="单位">
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<el-input v-model="editForm.unit" placeholder="请输入单位" />
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</el-form-item>
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<el-form-item label="用法" required>
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<el-select
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v-if="getMethodCodeDict.length > 0"
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v-model="editForm.usage"
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placeholder="请选择用法"
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style="width: 100%"
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filterable
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>
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<el-option
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v-for="dict in getMethodCodeDict"
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:key="dict.value"
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:label="dict.label"
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:value="dict.value"
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/>
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</el-select>
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<el-input v-else disabled placeholder="加载中..." />
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</el-form-item>
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<el-form-item label="频次">
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<el-input v-model="editForm.frequency" disabled />
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</el-form-item>
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</el-form>
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<div class="dialog-actions">
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<el-button @click="handleCancelEdit">取消</el-button>
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<el-button type="primary" @click="handleSaveEdit">保存</el-button>
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</div>
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</div>
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</el-dialog>
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</div>
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</template>
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<script setup>
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import { ref, computed, getCurrentInstance, onMounted, watch, nextTick } from 'vue'
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import { ElMessage, ElMessageBox } from 'element-plus'
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import useUserStore from '@/store/modules/user'
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import { checkPassword } from '@/api/surgicalschedule'
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import { savePrescription } from '@/views/clinicmanagement/bargain/component/api.js'
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// 定义props
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const props = defineProps({
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// 患者和医生信息
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patientInfo: {
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type: Object,
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default: () => ({
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patientName: '',
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visitId: '',
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operCode: '',
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roomCode: '',
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doctorName: '',
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role: '',
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patientId: null,
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organizationId: null,
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})
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},
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// 一区域：已引用计费药品（待生成医嘱）
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billingMedicines: {
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type: Array,
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default: () => []
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},
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// 二区域：临时医嘱预览（已生成医嘱）- v-model:temporary-advices 对应 prop 名
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temporaryAdvices: {
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type: Array,
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default: () => []
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},
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// 签名状态：用于保持按钮名称一致性
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isSignedProp: {
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type: Boolean,
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default: false
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}
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})
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// 定义emit事件
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const emit = defineEmits(['submit', 'cancel', 'refresh', 'quote-billing', 'update:temporary-advices'])
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// 用户store
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const userStore = useUserStore()
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// 获取当前实例
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const { proxy } = getCurrentInstance()
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// 获取字典数据（与门诊医生站保持一致）
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const { method_code } = proxy.useDict('method_code')
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// 🔧 新增：用法编码映射表（将通用编码映射到后端字典的正确编码）
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const usageCodeMapping = {
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'iv': '404', // 静脉注射
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'po': '1', // 口服
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'im': '403', // 肌肉注射
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'sc': '401', // 皮下注射
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'ivgtt': '405', // 静脉滴注
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'ih': '5', // 吸入给药
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'it': '610', // 含化
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'ip': '604', // 腹腔用药
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'top': '6', // 局部用药
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'pr': '2' // 直肠给药
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}
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// 🔧 新增：将用法编码映射到后端字典的正确编码
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const mapUsageCode = (advice) => {
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const mappedAdvice = { ...advice }
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if (usageCodeMapping[advice.usage]) {
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mappedAdvice.usage = usageCodeMapping[advice.usage]
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}
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return mappedAdvice
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}
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// 🔧 新增：本地备用用法字典，确保字典未加载时也能显示中文
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const localMethodCode = [
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{ value: '404', label: '静脉注射' },
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{ value: '1', label: '口服' },
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{ value: '403', label: '肌肉注射' },
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{ value: '401', label: '皮下注射' },
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{ value: '405', label: '静脉滴注' },
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{ value: '5', label: '吸入给药' },
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{ value: '610', label: '含化' },
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{ value: '604', label: '腹腔用药' },
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{ value: '6', label: '局部用药' },
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{ value: '2', label: '直肠给药' }
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]
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// 🔧 新增：获取用法字典（优先使用从后端加载的，否则使用本地备用）
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const getMethodCodeDict = computed(() => {
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let dict = method_code.value && method_code.value.length > 0 ? method_code.value : localMethodCode
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return dict
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})
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// 🔧 检查是否已全部签发（statusEnum=2），用于控制"一键签名"按钮是否禁用
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// 注意：不能依赖 requestId，因为草稿记录也有 requestId
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const allItemsSubmitted = computed(() => {
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const meds = props.billingMedicines || []
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return meds.length > 0 && meds.every(m => m._signed)
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})
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// 展开/收起控制
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const PAGE_SIZE = 3
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const billingExpanded = ref(false)
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const advicesExpanded = ref(false)
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const displayBillingMedicines = computed(() => {
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const all = props.billingMedicines || []
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return billingExpanded.value ? all : all.slice(0, PAGE_SIZE)
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})
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const displayAdvicesList = computed(() => {
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const all = displayAdvices.value || []
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return advicesExpanded.value ? all : all.slice(0, PAGE_SIZE)
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})
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// 响应式数据 - isSigned 从父组件传入的 prop 初始化
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const isSigned = ref(props.isSignedProp)
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// 🔧 修复 Bug #446: 同步父组件 isSignedProp 的变化到本地 isSigned
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// ref(props.isSignedProp) 只在初始化时读取一次，父组件后续更新不会自动同步
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watch(() => props.isSignedProp, (newVal) => {
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isSigned.value = newVal
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})
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const signatureTime = ref('')
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const showSignDialog = ref(false)
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const signPassword = ref('')
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const showEditDialog = ref(false)
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const currentEditIndex = ref(-1)
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const editForm = ref({
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adviceName: '',
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dosage: '',
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unit: '',
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usage: '',
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frequency: '临时'
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})
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// 计算属性
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const currentUser = computed(() => ({
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name: userStore.name || '未知用户',
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id: userStore.id
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}))
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const insuranceAmount = computed(() => {
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return (props.billingMedicines || [])
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.filter(med => med.insuranceType === '甲' || med.insuranceType === '乙' || med.insuranceType === '医保')
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.reduce((sum, med) => sum + (Number(med.subtotal) || 0), 0)
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})
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const selfPayAmount = computed(() => {
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return (props.billingMedicines || [])
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.filter(med => !med.insuranceType || med.insuranceType === '自费')
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.reduce((sum, med) => sum + (Number(med.subtotal) || 0), 0)
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})
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const totalAmount = computed(() => {
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return Number(insuranceAmount.value || 0) + Number(selfPayAmount.value || 0)
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})
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// 将计费药品转换为临时医嘱数据
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const convertedAdvices = computed(() => {
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return props.billingMedicines.map((medicine, index) => {
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// 解析规格中的数值和单位
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const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
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const specValue = specMatch ? parseInt(specMatch[1]) : 1
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const specUnit = specMatch ? specMatch[2] : 'ml'
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// 计算剂量 = 规格数值 × 数量
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const dosage = specValue * (medicine.quantity || 1)
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// 🔧 修复：根据药品名称判断用法，使用后端字典的正确编码
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let usageCode = '404' // 默认静脉注射编码
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let usageLabel = '静脉注射' // 默认显示名称
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if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
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usageCode = '404'
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usageLabel = '静脉注射'
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} else if (medicine.medicineName && medicine.medicineName.includes('片')) {
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usageCode = '1'
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usageLabel = '口服'
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} else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
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usageCode = '1'
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usageLabel = '口服'
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}
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return {
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id: index + 1,
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adviceName: medicine.medicineName || '',
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dosage: dosage,
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unit: specUnit,
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usage: usageCode, // 🔧 修复：使用后端字典的正确编码
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usageLabel: usageLabel, // 🔧 新增：保存显示名称
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frequency: '临时',
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executeTime: new Date().toLocaleString('zh-CN'),
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originalMedicine: medicine
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}
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})
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})
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// 🔧 修复：使用 ref 而不是 computed，避免响应性问题
|
||
// 直接引用父组件传入的数据，确保更新能立即反映
|
||
const displayAdvices = ref([])
|
||
|
||
// 初始化 displayAdvices
|
||
const initDisplayAdvices = () => {
|
||
// 区域二只显示已生成（已签发）的数据，没有时保持为空，不自动转换区域一的草稿
|
||
if (props.temporaryAdvices && props.temporaryAdvices.length > 0) {
|
||
displayAdvices.value = props.temporaryAdvices.map(mapUsageCode)
|
||
} else {
|
||
displayAdvices.value = []
|
||
}
|
||
}
|
||
|
||
// 初始化
|
||
initDisplayAdvices()
|
||
|
||
onMounted(() => {
|
||
initDisplayAdvices()
|
||
// 🔧 修复：不再自动把区域一草稿转为区域二数据
|
||
})
|
||
|
||
// 🔧 新增：监听 temporary-advices prop 的变化，同步更新 displayAdvices
|
||
watch(() => props.temporaryAdvices, (newVal, oldVal) => {
|
||
console.log('=== watch props.temporaryAdvices 被调用 ===')
|
||
console.log('=== newVal ===', newVal)
|
||
|
||
// 如果 props 有新数据，更新 displayAdvices
|
||
if (newVal && newVal.length > 0) {
|
||
// 🔧 修复：将旧编码映射到新编码
|
||
displayAdvices.value = newVal.map(mapUsageCode)
|
||
}
|
||
}, { deep: true, immediate: true })
|
||
|
||
// 🔧 修复：不再自动把区域一草稿转为区域二数据，区域二只显示已签发的记录
|
||
watch(() => props.billingMedicines, (newVal) => {
|
||
// 空 watcher，仅保留结构避免破坏其他逻辑
|
||
}, { deep: true })
|
||
|
||
// 🔧 新增：监听字典加载，确保字典加载后编辑弹窗能正确显示
|
||
watch(() => method_code.value, (newVal) => {
|
||
console.log('=== watch method_code 被调用 ===')
|
||
console.log('字典数据已更新，长度:', newVal?.length || 0)
|
||
}, { immediate: true })
|
||
|
||
// 方法
|
||
const handleSign = () => {
|
||
showSignDialog.value = true
|
||
}
|
||
|
||
// 编辑医嘱
|
||
const handleEditAdvice = (index) => {
|
||
const advice = displayAdvices.value[index]
|
||
|
||
// 🔧 修复：如果用法是旧编码，映射到新编码
|
||
let usageCode = advice.usage
|
||
if (usageCodeMapping[usageCode]) {
|
||
usageCode = usageCodeMapping[usageCode]
|
||
}
|
||
|
||
currentEditIndex.value = index
|
||
editForm.value = {
|
||
adviceName: advice.adviceName,
|
||
dosage: advice.dosage,
|
||
unit: advice.unit,
|
||
usage: usageCode, // 使用映射后的正确编码
|
||
frequency: advice.frequency
|
||
}
|
||
showEditDialog.value = true
|
||
}
|
||
|
||
// 保存编辑
|
||
const handleSaveEdit = () => {
|
||
if (!editForm.value.dosage && editForm.value.dosage !== 0) {
|
||
ElMessage.warning('请填写剂量')
|
||
return
|
||
}
|
||
// 🔧 新增：验证剂量必须为数字
|
||
if (isNaN(editForm.value.dosage) || editForm.value.dosage === '') {
|
||
ElMessage.warning('剂量必须为数字')
|
||
return
|
||
}
|
||
if (!editForm.value.usage) {
|
||
ElMessage.warning('请填写用法')
|
||
return
|
||
}
|
||
|
||
console.log('=== 保存编辑 ===')
|
||
console.log('editForm.value.usage:', editForm.value.usage)
|
||
console.log('editForm.value.usage 类型:', typeof editForm.value.usage)
|
||
|
||
// 构建更新后的数据
|
||
const updatedAdvice = {
|
||
...displayAdvices.value[currentEditIndex.value],
|
||
...editForm.value
|
||
}
|
||
|
||
// 🔧 修复：确保 usage 字段保存的是编码，而不是中文名称
|
||
// 如果用户选择的是编码，直接使用；如果用户选择的是中文名称，需要转换为编码
|
||
if (editForm.value.usage && typeof editForm.value.usage === 'string') {
|
||
// 检查是否是编码（通常编码较短，如 'iv', 'po'）
|
||
const isCode = editForm.value.usage.length <= 10 && getMethodCodeDict.value.some(item => item.value === editForm.value.usage)
|
||
if (!isCode) {
|
||
// 如果是中文名称，转换为编码
|
||
const dictItem = getMethodCodeDict.value.find(item => item.label === editForm.value.usage)
|
||
if (dictItem) {
|
||
updatedAdvice.usage = dictItem.value
|
||
updatedAdvice.usageLabel = dictItem.label
|
||
}
|
||
} else {
|
||
// 如果是编码，从字典中获取对应的标签
|
||
const dictItem = getMethodCodeDict.value.find(item => item.value === editForm.value.usage)
|
||
if (dictItem) {
|
||
updatedAdvice.usageLabel = dictItem.label
|
||
}
|
||
}
|
||
}
|
||
|
||
// 🔧 新增：同时更新 originalMedicine 中的数据，确保提交时使用最新的用户修改
|
||
const originalMedicine = displayAdvices.value[currentEditIndex.value].originalMedicine
|
||
if (originalMedicine && originalMedicine.contentJson) {
|
||
try {
|
||
const contentData = JSON.parse(originalMedicine.contentJson)
|
||
// 更新用户修改的字段
|
||
contentData.dose = editForm.value.dosage
|
||
contentData.doseUnitCode = editForm.value.unit
|
||
contentData.methodCode = updatedAdvice.usage
|
||
|
||
// 如果用户修改了剂量，重新计算数量
|
||
if (originalMedicine.specification) {
|
||
const specMatch = originalMedicine.specification.match(/(\d+)(\D+)/)
|
||
const specValue = specMatch ? parseInt(specMatch[1]) : 1
|
||
if (specValue > 0) {
|
||
const newQuantity = editForm.value.dosage / specValue
|
||
contentData.quantity = newQuantity
|
||
contentData.totalPrice = contentData.unitPrice * newQuantity
|
||
|
||
// 🔧 关键修复：同时更新显示字段，确保表格正确显示修改后的值
|
||
updatedAdvice.quantity = newQuantity
|
||
}
|
||
}
|
||
|
||
// 更新 contentJson
|
||
updatedAdvice.originalMedicine = {
|
||
...originalMedicine,
|
||
contentJson: JSON.stringify(contentData)
|
||
}
|
||
} catch (e) {
|
||
console.error('解析 originalMedicine.contentJson 失败', e)
|
||
}
|
||
}
|
||
|
||
// 构建完整的更新后列表
|
||
const updatedAdvices = [...displayAdvices.value]
|
||
updatedAdvices[currentEditIndex.value] = updatedAdvice
|
||
|
||
// 通知父组件更新数据
|
||
emit('update:temporary-advices', updatedAdvices)
|
||
|
||
showEditDialog.value = false
|
||
ElMessage.success('编辑成功（已暂存本地，请点击"一键签名并生成医嘱"按钮提交到服务器）')
|
||
}
|
||
|
||
// 取消编辑
|
||
const handleCancelEdit = () => {
|
||
showEditDialog.value = false
|
||
currentEditIndex.value = -1
|
||
editForm.value = {
|
||
adviceName: '',
|
||
dosage: '',
|
||
unit: '',
|
||
usage: '',
|
||
frequency: '临时'
|
||
}
|
||
}
|
||
|
||
const confirmSign = async () => {
|
||
if (!signPassword.value) {
|
||
ElMessage.warning('请输入密码')
|
||
return
|
||
}
|
||
|
||
// 调用后端接口验证密码
|
||
try {
|
||
const response = await checkPassword({
|
||
password: signPassword.value
|
||
})
|
||
|
||
if (response.code === 200 && response.data) {
|
||
isSigned.value = true
|
||
signatureTime.value = new Date().toLocaleString('zh-CN')
|
||
showSignDialog.value = false
|
||
signPassword.value = ''
|
||
ElMessage.success('签名成功')
|
||
|
||
// 签名成功后自动提交，用 setTimeout 确保响应式状态更新完成
|
||
setTimeout(() => {
|
||
handleSubmit()
|
||
}, 100)
|
||
} else {
|
||
// 🔧 修改：当密码验证失败时，显示更清晰的错误提示
|
||
signPassword.value = ''
|
||
}
|
||
} catch (error) {
|
||
}
|
||
}
|
||
|
||
const handleSignAndSubmit = () => {
|
||
if (isSigned.value) {
|
||
// 如果已经签名，直接提交
|
||
handleSubmit()
|
||
} else {
|
||
// 如果未签名，打开签名弹窗
|
||
handleSign()
|
||
}
|
||
}
|
||
|
||
const handleDeleteAdvice = (index) => {
|
||
ElMessageBox.confirm('确定要删除这条医嘱吗？', '提示', {
|
||
confirmButtonText: '确定',
|
||
cancelButtonText: '取消',
|
||
type: 'warning'
|
||
}).then(() => {
|
||
// 构建新的临时医嘱数据
|
||
const updatedAdvices = [...displayAdvices.value]
|
||
updatedAdvices.splice(index, 1)
|
||
|
||
// 通知父组件更新数据
|
||
emit('update:temporary-advices', updatedAdvices)
|
||
|
||
ElMessage.success('删除成功')
|
||
}).catch(() => {
|
||
// 用户取消删除
|
||
})
|
||
}
|
||
|
||
// 🔧 防重复提交标志位
|
||
const isSubmitting = ref(false)
|
||
|
||
const handleSubmit = async () => {
|
||
if (!isSigned.value) {
|
||
ElMessage.warning('请先进行电子签名')
|
||
return
|
||
}
|
||
|
||
// 🔧 防重复提交：如果正在提交，直接返回
|
||
if (isSubmitting.value) {
|
||
ElMessage.warning('正在提交医嘱，请稍候...')
|
||
return
|
||
}
|
||
|
||
// 检查是否有医嘱数据
|
||
// 🔧 修复：签发应该处理区域一中所有待签发的药品（billingMedicines），而非区域二中已有数据（displayAdvices）
|
||
const itemsToSign = convertedAdvices.value
|
||
if (itemsToSign.length === 0) {
|
||
ElMessage.warning('没有可保存的医嘱数据')
|
||
return
|
||
}
|
||
|
||
// 🔧 设置提交标志位
|
||
isSubmitting.value = true
|
||
|
||
try {
|
||
// 构建保存医嘱的请求参数
|
||
const saveData = {
|
||
organizationId: props.patientInfo.orgId || props.patientInfo.organizationId || 1, // 使用计费时的orgId
|
||
adviceSaveList: itemsToSign.map((advice, index) => {
|
||
// 获取原始药品数据
|
||
const originalMedicine = advice.originalMedicine
|
||
|
||
// 解析contentJson
|
||
let contentJsonData = {}
|
||
if (originalMedicine && originalMedicine.contentJson) {
|
||
try {
|
||
contentJsonData = JSON.parse(originalMedicine.contentJson)
|
||
} catch (e) {
|
||
// 解析失败，继续使用originalMedicine中的数据
|
||
}
|
||
}
|
||
|
||
// 根据修改后的剂量重新计算数量和总价
|
||
let quantity = originalMedicine?.quantity || 1;
|
||
const unitPrice = originalMedicine?.unitPrice || contentJsonData.unitPrice || 0;
|
||
// 如果用户修改了剂量，重新计算数量 = 剂量 / 规格数值
|
||
if (advice.dosage !== undefined && originalMedicine?.specification) {
|
||
const specMatch = originalMedicine.specification.match(/(\d+)(\D+)/);
|
||
const specValue = specMatch ? parseInt(specMatch[1]) : 1;
|
||
if (specValue > 0) {
|
||
quantity = advice.dosage / specValue;
|
||
}
|
||
}
|
||
const totalPrice = unitPrice * quantity;
|
||
|
||
// ✅ 关键修复：把修改后的数据更新到contentJson中，后端会优先读取这里的值
|
||
contentJsonData.adviceName = advice.adviceName;
|
||
contentJsonData.quantity = quantity;
|
||
contentJsonData.volume = advice.dosage + (advice.unit || '');
|
||
contentJsonData.totalPrice = totalPrice;
|
||
contentJsonData.unitPrice = unitPrice;
|
||
// 用法、剂量、单位也更新到contentJson
|
||
// 🔧 修复：确保 methodCode 使用的是编码，而不是中文名称
|
||
let methodCode = advice.usage;
|
||
if (methodCode && typeof methodCode === 'string') {
|
||
// 检查是否是编码（通常编码较短，如 'iv', 'po'）
|
||
const isCode = methodCode.length <= 10 && getMethodCodeDict.value.some(item => item.value === methodCode)
|
||
if (!isCode) {
|
||
// 如果是中文名称，转换为编码
|
||
const dictItem = getMethodCodeDict.value.find(item => item.label === methodCode)
|
||
if (dictItem) {
|
||
methodCode = dictItem.value
|
||
}
|
||
}
|
||
}
|
||
contentJsonData.methodCode = methodCode;
|
||
contentJsonData.dose = advice.dosage;
|
||
contentJsonData.doseUnitCode = advice.unit;
|
||
contentJsonData.rateCode = advice.frequency;
|
||
|
||
// 重新序列化contentJson
|
||
const updatedContentJson = JSON.stringify(contentJsonData);
|
||
|
||
// 🔧 构造请求参数：与计费弹窗 handleSave 保持完全一致的模式
|
||
// 先展开原始 contentJson 的所有字段，然后用当前值覆盖（保证不丢字段）
|
||
return {
|
||
...contentJsonData,
|
||
// 基础信息
|
||
dbOpType: originalMedicine?.requestId ? '2' : (originalMedicine?.chargeItemId ? '2' : '1'),
|
||
adviceType: originalMedicine?.adviceType || 1,
|
||
requestId: originalMedicine?.requestId,
|
||
chargeItemId: originalMedicine?.chargeItemId,
|
||
contentJson: updatedContentJson,
|
||
categoryCode: contentJsonData.categoryCode || originalMedicine?.categoryCode,
|
||
partPercent: originalMedicine?.partPercent || contentJsonData.partPercent || 1,
|
||
executeNum: contentJsonData.executeNum || originalMedicine?.executeNum || 1,
|
||
|
||
// 数量和单位：使用重新计算后的数量
|
||
quantity: quantity,
|
||
unitCode: contentJsonData.unitCode || originalMedicine?.unitCode || advice.unit,
|
||
unitPrice: unitPrice,
|
||
totalPrice: totalPrice,
|
||
definitionId: originalMedicine?.definitionId ? String(originalMedicine.definitionId) : contentJsonData.definitionId ? String(contentJsonData.definitionId) : advice.definitionId ? String(advice.definitionId) : null,
|
||
definitionDetailId: originalMedicine?.definitionDetailId ? String(originalMedicine.definitionDetailId) : contentJsonData.definitionDetailId ? String(contentJsonData.definitionDetailId) : advice.definitionDetailId ? String(advice.definitionDetailId) : null,
|
||
lotNumber: originalMedicine?.lotNumber || contentJsonData.lotNumber,
|
||
|
||
// 状态和类型
|
||
categoryEnum: originalMedicine?.categoryEnum || contentJsonData.categoryEnum || 1,
|
||
|
||
// 药品/诊疗信息
|
||
adviceDefinitionId: originalMedicine?.adviceDefinitionId || contentJsonData.adviceDefinitionId || advice.definitionId || contentJsonData.definitionId,
|
||
adviceTableName: originalMedicine?.adviceTableName || contentJsonData.adviceTableName || 'med_medication_definition',
|
||
adviceName: advice.adviceName,
|
||
|
||
// 患者和就诊信息
|
||
patientId: props.patientInfo.patientId,
|
||
practitionerId: currentUser.value.id || originalMedicine?.practitionerId,
|
||
locationId: originalMedicine?.positionId || contentJsonData.locationId || props.patientInfo.orgId || props.patientInfo.positionId,
|
||
positionId: originalMedicine?.positionId || contentJsonData.positionId,
|
||
orgId: originalMedicine?.orgId || props.patientInfo.orgId || props.patientInfo.positionId,
|
||
founderOrgId: currentUser.value.id || originalMedicine?.founderOrgId,
|
||
encounterId: props.patientInfo.visitId || contentJsonData.encounterId || originalMedicine?.encounterId,
|
||
accountId: contentJsonData.accountId || originalMedicine?.accountId,
|
||
conditionId: contentJsonData.conditionId || originalMedicine?.conditionId,
|
||
encounterDiagnosisId: originalMedicine?.encounterDiagnosisId || contentJsonData.encounterDiagnosisId,
|
||
conditionDefinitionId: originalMedicine?.conditionDefinitionId || contentJsonData.conditionDefinitionId,
|
||
|
||
// 治疗信息
|
||
therapyEnum: originalMedicine?.therapyEnum || contentJsonData.therapyEnum || 1,
|
||
methodCode: methodCode,
|
||
rateCode: advice.frequency,
|
||
dose: advice.dosage,
|
||
doseUnitCode: contentJsonData.doseUnitCode || originalMedicine?.doseUnitCode || advice.unit,
|
||
skinTestFlag: originalMedicine?.skinTestFlag || contentJsonData.skinTestFlag,
|
||
injectFlag: originalMedicine?.injectFlag || contentJsonData.injectFlag,
|
||
|
||
// 分组信息
|
||
groupId: originalMedicine?.groupId,
|
||
packageId: originalMedicine?.packageId || contentJsonData.packageId,
|
||
|
||
// 医保信息
|
||
ybClassEnum: originalMedicine?.ybClassEnum || contentJsonData.ybClassEnum,
|
||
|
||
// 🔧 补充：手术计费上下文
|
||
generateSourceEnum: 6,
|
||
sourceBillNo: props.patientInfo?.operCode || originalMedicine?.sourceBillNo || ''
|
||
}
|
||
})
|
||
}
|
||
|
||
// 🔧 修复：使用 savePrescription + adviceOpType='2'（后端 AdviceOpType: '2'=SIGN_ADVICE 签发）
|
||
const response = await savePrescription(saveData, '2')
|
||
|
||
if (response.code === 200) {
|
||
ElMessage.success('临时医嘱保存成功')
|
||
|
||
// 🔧 签名成功，后端已更新已有记录的 statusEnum 为 2
|
||
// 不需要手动更新 requestId（签名操作是 UPDATE，不是 INSERT，后端不返回新 ID）
|
||
|
||
// 🔧 修复：将保存后的医嘱数据传递给父组件
|
||
const submitData = {
|
||
patientInfo: props.patientInfo,
|
||
billingMedicines: props.billingMedicines,
|
||
temporaryAdvices: itemsToSign,
|
||
signature: {
|
||
doctorName: currentUser.value.name,
|
||
signatureTime: signatureTime.value
|
||
}
|
||
}
|
||
|
||
// 通知父组件
|
||
emit('submit', submitData)
|
||
} else {
|
||
ElMessage.error('保存医嘱失败：' + (response.msg || response.message || '未知错误'))
|
||
}
|
||
} catch (error) {
|
||
ElMessage.error('保存医嘱失败，请重试')
|
||
} finally {
|
||
// 🔧 重置防重复提交标志位
|
||
isSubmitting.value = false
|
||
}
|
||
}
|
||
|
||
const handleCancel = () => {
|
||
// 通知父组件关闭弹窗
|
||
emit('cancel')
|
||
}
|
||
|
||
// 刷新按钮点击
|
||
const handleRefresh = () => {
|
||
emit('refresh')
|
||
}
|
||
|
||
// 引用计费按钮点击
|
||
const handleQuoteBilling = () => {
|
||
emit('quote-billing')
|
||
}
|
||
|
||
// 数量改变时重新计算小计
|
||
const handleQuantityChange = () => {
|
||
// 数量变化会自动更新，因为是响应式
|
||
}
|
||
|
||
// 获取医保标签样式类
|
||
const getInsuranceClass = (insuranceType) => {
|
||
if (!insuranceType) return ''
|
||
if (insuranceType === '甲' || insuranceType === '乙' || insuranceType === '医保') {
|
||
return 'insurance-tag'
|
||
}
|
||
if (insuranceType === '自费') {
|
||
return 'selfpay-tag'
|
||
}
|
||
return ''
|
||
}
|
||
|
||
// 🔧 新增：根据用法编码获取对应的显示名称
|
||
const getUsageLabel = (usageCode) => {
|
||
if (!usageCode) return '-'
|
||
const dictItem = getMethodCodeDict.value.find(item => item.value === usageCode)
|
||
return dictItem ? dictItem.label : usageCode
|
||
}
|
||
|
||
// 🔧 新增：获取编辑表单中当前选中的用法标签
|
||
const editFormUsageLabel = computed(() => {
|
||
if (!editForm.value.usage) return ''
|
||
return getUsageLabel(editForm.value.usage)
|
||
})
|
||
</script>
|
||
|
||
<style scoped>
|
||
.temporary-medical-container {
|
||
padding: 0;
|
||
max-height: 80vh;
|
||
overflow-y: auto;
|
||
}
|
||
|
||
/* 顶部容器 */
|
||
.top-container {
|
||
height: 180px;
|
||
padding: 0 0 20px 0;
|
||
background: linear-gradient(135deg, #63A3E7 0%, #4a8bc9 100%);
|
||
display: flex;
|
||
flex-direction: column;
|
||
}
|
||
|
||
/* 标题栏 */
|
||
.title-bar {
|
||
padding: 16px 20px;
|
||
text-align: center;
|
||
}
|
||
|
||
.title-text {
|
||
color: white;
|
||
font-size: 1.5rem;
|
||
font-weight: 600;
|
||
margin: 0;
|
||
line-height: 1.2;
|
||
}
|
||
|
||
/* 患者信息卡 */
|
||
.patient-info-card {
|
||
flex: 1;
|
||
margin: 0 20px 12px 20px;
|
||
padding: 16px 20px;
|
||
background: rgba(255, 255, 255, 0.9);
|
||
border-radius: 8px;
|
||
display: flex;
|
||
flex-wrap: wrap;
|
||
gap: 16px 40px;
|
||
align-items: center;
|
||
}
|
||
|
||
.info-item {
|
||
display: flex;
|
||
align-items: center;
|
||
gap: 8px;
|
||
}
|
||
|
||
.info-label {
|
||
font-weight: bold;
|
||
color: #333;
|
||
font-size: 14px;
|
||
}
|
||
|
||
.info-value {
|
||
color: #333;
|
||
font-size: 14px;
|
||
}
|
||
|
||
/* 操作按钮组 */
|
||
.action-buttons {
|
||
display: flex;
|
||
justify-content: flex-end;
|
||
gap: 16px;
|
||
padding: 0 20px;
|
||
}
|
||
|
||
/* 刷新按钮 */
|
||
.refresh-btn {
|
||
background: linear-gradient(135deg, #63A3E7 0%, #4a8bc9 100%);
|
||
border-color: #63A3E7;
|
||
color: white;
|
||
font-size: 14px;
|
||
padding: 8px 20px;
|
||
transition: all 0.3s ease;
|
||
}
|
||
|
||
.refresh-btn:hover {
|
||
background: linear-gradient(135deg, #5391d1 0%, #3a7bb5 100%);
|
||
border-color: #5391d1;
|
||
color: white;
|
||
transform: translateY(-2px);
|
||
box-shadow: 0 4px 8px rgba(99, 163, 231, 0.4);
|
||
}
|
||
|
||
/* 引用计费按钮 */
|
||
.quote-btn {
|
||
background: rgba(255, 255, 255, 0.9);
|
||
border-color: #63A3E7;
|
||
color: #63A3E7;
|
||
font-size: 14px;
|
||
padding: 8px 20px;
|
||
transition: all 0.3s ease;
|
||
}
|
||
|
||
.quote-btn:hover {
|
||
background: rgba(255, 255, 255, 1);
|
||
border-color: #5391d1;
|
||
color: #5391d1;
|
||
transform: translateY(-2px);
|
||
box-shadow: 0 4px 8px rgba(99, 163, 231, 0.3);
|
||
}
|
||
|
||
.medicine-section,
|
||
.advice-section,
|
||
.signature-section {
|
||
margin: 24px 20px 30px 20px;
|
||
}
|
||
|
||
/* 区域标题 */
|
||
.section-title {
|
||
font-size: 1.2rem;
|
||
color: #333;
|
||
font-weight: 600;
|
||
padding-bottom: 12px;
|
||
margin-bottom: 16px;
|
||
border-bottom: 2px solid #e4e7ed;
|
||
display: flex;
|
||
align-items: center;
|
||
gap: 12px;
|
||
}
|
||
|
||
.expand-btn {
|
||
font-size: 0.85rem;
|
||
color: #4a8bc9;
|
||
cursor: pointer;
|
||
font-weight: 400;
|
||
margin-left: auto;
|
||
}
|
||
.expand-btn:hover {
|
||
color: #2a6ba9;
|
||
text-decoration: underline;
|
||
}
|
||
|
||
.medicine-summary {
|
||
display: flex;
|
||
justify-content: flex-end;
|
||
gap: 30px;
|
||
padding: 16px;
|
||
background-color: #f5f7fa;
|
||
border-radius: 4px;
|
||
margin-top: 12px;
|
||
}
|
||
|
||
.summary-item {
|
||
font-size: 15px;
|
||
font-weight: 500;
|
||
}
|
||
|
||
.summary-item.insurance {
|
||
color: #63A3E7;
|
||
}
|
||
|
||
.summary-item.self-pay {
|
||
color: #67c23a;
|
||
}
|
||
|
||
.summary-item.total {
|
||
font-weight: bold;
|
||
color: #f56c6c;
|
||
font-size: 16px;
|
||
}
|
||
|
||
/* 医保标签样式 */
|
||
:deep(.insurance-tag) {
|
||
background-color: #63A3E7;
|
||
color: white;
|
||
}
|
||
|
||
:deep(.selfpay-tag) {
|
||
background-color: #67c23a;
|
||
color: white;
|
||
}
|
||
|
||
/* 计费药品表格表头浅灰色背景 */
|
||
.medicine-section :deep(.el-table th) {
|
||
background-color: #f5f7fa !important;
|
||
color: #333 !important;
|
||
}
|
||
|
||
.medicine-section :deep(.el-table th.el-table__cell > .cell) {
|
||
color: #333 !important;
|
||
font-weight: 600;
|
||
}
|
||
|
||
/* 临时医嘱表格表头浅灰色背景（与计费药品表格保持一致） */
|
||
.advice-section :deep(.el-table th) {
|
||
background-color: #f5f7fa !important;
|
||
color: #333 !important;
|
||
}
|
||
|
||
.advice-section :deep(.el-table th.el-table__cell > .cell) {
|
||
color: #333 !important;
|
||
font-weight: 600;
|
||
}
|
||
|
||
/* 签名信息卡 */
|
||
.signature-card {
|
||
padding: 20px;
|
||
background-color: #f5f7fa;
|
||
border-radius: 8px;
|
||
margin-bottom: 20px;
|
||
}
|
||
|
||
.signature-info {
|
||
margin-bottom: 16px;
|
||
font-size: 15px;
|
||
display: flex;
|
||
align-items: center;
|
||
}
|
||
|
||
.signature-info:last-child {
|
||
margin-bottom: 0;
|
||
}
|
||
|
||
.signature-info .info-label {
|
||
font-weight: bold;
|
||
color: #333;
|
||
width: 100px;
|
||
}
|
||
|
||
.signature-info .info-value {
|
||
color: #333;
|
||
}
|
||
|
||
.unsigned {
|
||
color: #f56c6c;
|
||
font-weight: 500;
|
||
}
|
||
|
||
/* 签名操作按钮区 */
|
||
.signature-actions {
|
||
display: flex;
|
||
justify-content: center;
|
||
align-items: center;
|
||
gap: 30px;
|
||
}
|
||
|
||
.cancel-btn {
|
||
width: 140px;
|
||
height: 48px;
|
||
font-size: 16px;
|
||
border: 1px solid #dcdfe6;
|
||
transition: all 0.3s ease;
|
||
}
|
||
|
||
.cancel-btn:hover {
|
||
border-color: #409eff;
|
||
color: #409eff;
|
||
transform: translateY(-2px);
|
||
box-shadow: 0 4px 8px rgba(64, 158, 255, 0.2);
|
||
}
|
||
|
||
/* 一键签名按钮 */
|
||
.sign-btn {
|
||
width: 220px;
|
||
height: 48px;
|
||
font-size: 16px;
|
||
font-weight: bold;
|
||
background: linear-gradient(135deg, #67c23a 0%, #85ce61 100%);
|
||
border: none;
|
||
color: white;
|
||
transition: all 0.3s ease;
|
||
box-shadow: 0 4px 8px rgba(103, 194, 58, 0.3);
|
||
}
|
||
|
||
.sign-btn:hover {
|
||
transform: translateY(-3px);
|
||
box-shadow: 0 6px 12px rgba(103, 194, 58, 0.4);
|
||
}
|
||
|
||
.sign-btn:active {
|
||
transform: translateY(-1px);
|
||
box-shadow: 0 2px 4px rgba(103, 194, 58, 0.4);
|
||
}
|
||
|
||
.sign-dialog-content p {
|
||
margin-bottom: 16px;
|
||
color: #666;
|
||
}
|
||
|
||
.dialog-actions {
|
||
display: flex;
|
||
justify-content: flex-end;
|
||
gap: 12px;
|
||
}
|
||
|
||
:deep(.el-descriptions) {
|
||
margin-top: 8px;
|
||
}
|
||
|
||
:deep(.el-descriptions__label) {
|
||
font-weight: bold;
|
||
}
|
||
</style> |