zhangfei
9c3e603b94
当手术计费弹窗中点击"签发"耗材时，因耗材的locationId（发放库房）为空导致后端异常。 在DoctorStationAdviceAppServiceImpl.handDevice方法中，当locationId为null时，使用登录用户的科室ID作为默认值， 与NurseBillingAppService中的处理方式保持一致。
570 lines
14 KiB
Vue
Executable File
570 lines
14 KiB
Vue
Executable File
<template>
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<el-dialog
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title="添加中医诊断"
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v-model="props.openAddDiagnosisDialog"
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width="1300px"
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append-to-body
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destroy-on-close
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@open="handleOpen"
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@close="close"
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>
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<div class="main-content">
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<!-- 左侧疾病选择区 -->
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<div class="disease-section">
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<div class="section-title">诊断</div>
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<div class="search-box">
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<el-input v-model="searchDisease" placeholder="搜索疾病名称或编码" clearable>
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<template #prefix>
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<el-icon><search /></el-icon>
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</template>
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</el-input>
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</div>
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<el-table
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:data="conditionList"
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max-height="460"
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@row-click="handleClickRow"
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highlight-current-row
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>
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<el-table-column label="疾病名称" align="center" prop="name"></el-table-column>
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<el-table-column label="医保编码" align="center" prop="ybNo"></el-table-column>
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</el-table>
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</div>
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<!-- 中间疾病-证型关系区 -->
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<div class="syndrome-section">
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<div class="section-title">证候</div>
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<div class="search-box">
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<el-input v-model="searchDisease" placeholder="搜索疾病名称或编码" clearable>
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<template #prefix>
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<el-icon><search /></el-icon>
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</template>
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</el-input>
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</div>
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<div v-if="selectedDisease">
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<el-table
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:data="syndromeList"
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max-height="460"
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@row-click="clickSyndromeRow"
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highlight-current-row
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>
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<el-table-column label="证候名称" align="center" prop="name"></el-table-column>
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<el-table-column label="医保编码" align="center" prop="ybNo"></el-table-column>
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</el-table>
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</div>
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<div class="empty-state" v-else>
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<el-empty description="请从左侧选择疾病" />
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</div>
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</div>
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<!-- 右侧诊断详情区 -->
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<div class="diagnosis-section">
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<div class="section-title">诊断详情</div>
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<div class="diagnosis-list">
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<div v-for="(item, index) in tcmDiagonsisList" :key="index" class="history-item">
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<div class="history-diagnosis">
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<div>
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<strong>{{ item.conditionName }}</strong> - {{ item.syndromeName }}
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</div>
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<el-button
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size="small"
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type="danger"
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plain
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icon="close"
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@click="removeDiagnosis(item, index)"
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/>
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</div>
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</div>
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</div>
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</div>
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</div>
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<template #footer>
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<div class="dialog-footer">
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<el-button type="primary" @click="submit">确 定</el-button>
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<el-button @click="close">取 消</el-button>
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</div>
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</template>
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</el-dialog>
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</template>
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<script setup>
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import {
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getTcmCondition,
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getTcmSyndrome,
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saveTcmDiagnosis,
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updateTcmDiagnosis,
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getTcmDiagnosis,
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} from '@/views/doctorstation/components/api';
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import { DIAG_TYPE } from '@/utils/medicalConstants';
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const props = defineProps({
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openAddDiagnosisDialog: {
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type: Boolean,
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default: false,
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},
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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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updateZy: {
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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 conditionList = ref([]);
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const syndromeList = ref([]);
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const tcmDiagonsisList = ref([]);
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const tcmDiagonsisSaveList = ref([]);
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const syndromeSelected = ref(false); // 当前诊断是否选择对应证候
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const timestamp = ref('');
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const selectedDisease = ref(false);
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const { proxy } = getCurrentInstance();
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const emit = defineEmits(['close']);
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// 获取诊断类型字典
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const { diag_type } = proxy.useDict('diag_type');
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function handleOpen() {
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// 获取诊断列表
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getTcmCondition().then((res) => {
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conditionList.value = res.data.records;
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});
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// 清空数据
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tcmDiagonsisSaveList.value = [];
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tcmDiagonsisList.value = [];
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syndromeSelected.value = true; // 设置为true，允许添加新的诊断
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// 如果是修改模式，加载传入的诊断数据
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if (props.updateZy.length > 0) {
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props.updateZy.forEach((item) => {
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let updateIds = item.updateId.split("-");
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let name = item.name.split("-");
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tcmDiagonsisSaveList.value.push(
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{
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conditionId: updateIds[0],
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definitionId: item.illnessDefinitionId,
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ybNo: item.ybNo,
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syndromeGroupNo: item.syndromeGroupNo,
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verificationStatusEnum: 4,
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medTypeCode: item.medTypeCode || undefined, // 使用已保存的值
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diagSrtNo: item.diagSrtNo,
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isExisting: true // 标记为已存在
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},
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{
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conditionId: updateIds[1],
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definitionId: item.symptomDefinitionId,
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ybNo: item.symptomYbNo,
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syndromeGroupNo: item.syndromeGroupNo,
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diagSrtNo: item.diagSrtNo,
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isExisting: true // 标记为已存在
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}
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);
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tcmDiagonsisList.value.push({
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conditionName: name[0],
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syndromeName: name[1],
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syndromeGroupNo: item.syndromeGroupNo,
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isExisting: true // 标记为已存在
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});
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syndromeSelected.value = true;
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});
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} else {
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// 不是修改模式，加载已保存的中医诊断
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if (props.patientInfo && props.patientInfo.encounterId) {
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getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
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if (res.code === 200 && res.data.illness && res.data.illness.length > 0) {
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res.data.illness.forEach((item, index) => {
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const symptom = res.data.symptom[index];
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if (symptom) {
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// 添加到显示列表
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tcmDiagonsisList.value.push({
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conditionName: item.name,
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syndromeName: symptom.name,
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syndromeGroupNo: item.syndromeGroupNo,
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isExisting: true // 标记为已存在
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});
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// 添加到保存列表
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tcmDiagonsisSaveList.value.push(
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{
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conditionId: item.conditionId,
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definitionId: item.definitionId,
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ybNo: item.ybNo,
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syndromeGroupNo: item.syndromeGroupNo,
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verificationStatusEnum: item.verificationStatusEnum || 4,
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medTypeCode: item.medTypeCode || undefined, // 使用已保存的值
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diagSrtNo: item.diagSrtNo,
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isExisting: true // 标记为已存在
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},
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{
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conditionId: symptom.conditionId,
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definitionId: symptom.definitionId,
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ybNo: symptom.ybNo,
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syndromeGroupNo: item.syndromeGroupNo,
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diagSrtNo: item.diagSrtNo,
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isExisting: true // 标记为已存在
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}
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);
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}
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});
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}
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}).catch(err => {
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console.error('加载已保存的中医诊断失败:', err);
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});
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}
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}
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}
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// 点击诊断列表处理，点击以后才显示证候列表
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function handleClickRow(row) {
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if (syndromeSelected.value || tcmDiagonsisList.value.length == 0) {
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syndromeSelected.value = false;
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selectedDisease.value = true;
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timestamp.value = Date.now();
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getTcmSyndrome().then((res) => {
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syndromeList.value = res.data.records;
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});
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// 添加新的诊断
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tcmDiagonsisSaveList.value.push({
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definitionId: row.id,
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ybNo: row.ybNo,
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syndromeGroupNo: timestamp.value,
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verificationStatusEnum: 4,
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medTypeCode: DIAG_TYPE.TCM_MAIN_DISEASE, // 诊断类型：中医主病诊断 (值：2)
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isExisting: false // 标记为新增
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});
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tcmDiagonsisList.value.push({
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conditionName: row.name,
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syndromeGroupNo: timestamp.value,
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isExisting: false // 标记为新增
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});
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}
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}
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function clickSyndromeRow(row) {
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// 检查是否已存在完全相同的诊断和证候
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let flag = true;
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const currentConditionName = tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].conditionName;
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tcmDiagonsisList.value.forEach(item => {
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if (item.conditionName === currentConditionName && item.syndromeName === row.name) {
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proxy.$modal.msgWarning('不能存在完全相同的诊断和证候');
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flag = false;
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}
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});
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if (flag) {
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tcmDiagonsisSaveList.value.push({
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definitionId: row.id,
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ybNo: row.ybNo,
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syndromeGroupNo: timestamp.value,
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medTypeCode: DIAG_TYPE.TCM_MAIN_SYNDROME, // 诊断类型：中医主证诊断 (值：3)
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isExisting: false // 标记为新增
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});
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tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
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syndromeSelected.value = true;
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}
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}
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// 删除诊断
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function removeDiagnosis(row, index) {
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tcmDiagonsisList.value.splice(index, 1);
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tcmDiagonsisSaveList.value = tcmDiagonsisSaveList.value.filter((item) => {
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return item.syndromeGroupNo !== row.syndromeGroupNo;
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});
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}
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function save() {
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// 只保存新增的诊断，过滤掉已存在的
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const newDiagnosisList = tcmDiagonsisSaveList.value.filter(item => !item.isExisting);
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if (newDiagnosisList.length === 0) {
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proxy.$modal.msgWarning('没有新增的诊断需要保存');
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return;
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}
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if (props.updateZy.length > 0) {
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// 修改模式
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updateTcmDiagnosis({
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patientId: props.patientInfo.patientId,
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encounterId: props.patientInfo.encounterId,
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diagnosisChildList: newDiagnosisList,
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}).then((res) => {
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if (res.code == 200) {
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emit('close');
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proxy.$modal.msgSuccess('诊断已保存');
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}
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});
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} else {
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// 新增模式
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saveTcmDiagnosis({
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patientId: props.patientInfo.patientId,
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encounterId: props.patientInfo.encounterId,
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diagnosisChildList: newDiagnosisList,
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}).then((res) => {
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if (res.code == 200) {
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emit('close');
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proxy.$modal.msgSuccess('诊断已保存');
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}
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});
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}
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}
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function submit() {
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// 检查是否有新增的诊断
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const hasNewDiagnosis = tcmDiagonsisSaveList.value.some(item => !item.isExisting);
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if (!hasNewDiagnosis) {
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// 如果没有新增诊断，直接关闭
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emit('close');
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return;
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}
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if (syndromeSelected.value || tcmDiagonsisSaveList.value.length % 2 == 0) {
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save();
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} else {
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proxy.$modal.msgWarning('请选择证候');
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}
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}
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function close() {
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emit('close');
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}
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</script>
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<style scoped>
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:deep(.pagination-container .el-pagination) {
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right: 20px !important;
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}
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.app-container {
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max-width: 1400px;
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margin: 20px auto;
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padding: 20px;
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background: white;
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border-radius: 12px;
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box-shadow: 0 2px 20px rgba(0, 0, 0, 0.08);
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}
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.header {
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display: flex;
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justify-content: space-between;
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align-items: center;
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padding-bottom: 15px;
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border-bottom: 1px solid var(--el-border-color);
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margin-bottom: 20px;
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}
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.header h1 {
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color: var(--el-color-primary);
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font-size: 24px;
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font-weight: 600;
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}
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.patient-info {
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background: var(--el-color-primary-light-9);
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padding: 15px;
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border-radius: 8px;
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margin-bottom: 20px;
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}
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.patient-info .info-row {
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display: flex;
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margin-bottom: 8px;
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}
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.patient-info .info-label {
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width: 100px;
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color: var(--el-text-color-secondary);
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font-weight: 500;
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}
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.main-content {
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display: grid;
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grid-template-columns: 1fr 1fr 1.2fr;
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gap: 20px;
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margin-bottom: 25px;
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}
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.disease-section,
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.syndrome-section,
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.diagnosis-section {
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border: 1px solid var(--el-border-color);
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border-radius: 8px;
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padding: 20px;
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background: white;
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box-shadow: 0 2px 8px rgba(0, 0, 0, 0.05);
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}
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.section-title {
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font-size: 18px;
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font-weight: 600;
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color: var(--el-color-primary);
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margin-bottom: 15px;
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padding-bottom: 10px;
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border-bottom: 1px solid var(--el-border-color);
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}
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.disease-list {
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max-height: 400px;
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overflow-y: auto;
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}
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.disease-item {
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padding: 12px 15px;
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border-bottom: 1px solid var(--el-border-color-lighter);
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cursor: pointer;
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transition: all 0.3s;
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border-radius: 4px;
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}
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.disease-item:hover {
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background-color: var(--el-color-primary-light-9);
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}
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.disease-item.active {
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background-color: var(--el-color-primary-light-8);
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border-left: 3px solid var(--el-color-primary);
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}
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.disease-name {
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font-weight: 500;
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margin-bottom: 5px;
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}
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.disease-code {
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font-size: 12px;
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color: var(--el-text-color-secondary);
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}
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.search-box {
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margin-bottom: 15px;
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}
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.disease-categories {
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display: flex;
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flex-wrap: wrap;
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gap: 10px;
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margin-bottom: 15px;
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}
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.category-tag {
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cursor: pointer;
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padding: 5px 12px;
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border-radius: 15px;
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background: var(--el-fill-color-light);
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font-size: 13px;
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transition: all 0.3s;
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}
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.category-tag.active {
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background: var(--el-color-primary);
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color: white;
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}
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.relation-container {
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text-align: center;
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padding: 30px 0;
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border: 2px dashed var(--el-border-color);
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border-radius: 8px;
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margin: 20px 0;
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background: var(--el-fill-color-lighter);
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}
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.relation-icon {
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margin-bottom: 15px;
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color: var(--el-color-primary);
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}
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.relation-text {
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font-size: 18px;
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font-weight: 500;
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color: var(--el-text-color-primary);
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}
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.syndrome-details {
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padding: 15px;
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background: var(--el-color-primary-light-9);
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border-radius: 8px;
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border: 1px solid var(--el-color-primary-light-5);
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}
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.detail-item {
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margin-bottom: 12px;
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}
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.detail-label {
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font-weight: 500;
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color: var(--el-text-color-secondary);
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margin-bottom: 3px;
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}
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.actions {
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display: flex;
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justify-content: flex-end;
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gap: 15px;
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padding-top: 20px;
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border-top: 1px solid var(--el-border-color);
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}
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.empty-state {
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text-align: center;
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padding: 40px 0;
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color: var(--el-text-color-secondary);
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}
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.diagnosis-history {
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margin-top: 20px;
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border-top: 1px solid var(--el-border-color);
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||
padding-top: 20px;
|
||
}
|
||
|
||
.history-title {
|
||
font-size: 16px;
|
||
font-weight: 500;
|
||
margin-bottom: 12px;
|
||
color: var(--el-text-color-primary);
|
||
}
|
||
|
||
.history-item {
|
||
padding: 12px;
|
||
border-left: 3px solid var(--el-border-color);
|
||
margin-bottom: 10px;
|
||
background: var(--el-fill-color-lighter);
|
||
border-radius: 0 4px 4px 0;
|
||
}
|
||
|
||
.diagnosis-list {
|
||
max-height: 520px;
|
||
overflow-y: auto;
|
||
}
|
||
|
||
.history-date {
|
||
font-size: 12px;
|
||
color: var(--el-text-color-secondary);
|
||
margin-bottom: 5px;
|
||
}
|
||
|
||
.history-diagnosis {
|
||
display: flex;
|
||
justify-content: space-between;
|
||
font-size: 14px;
|
||
margin-bottom: 5px;
|
||
}
|
||
|
||
.history-note {
|
||
font-size: 13px;
|
||
color: var(--el-text-color-secondary);
|
||
padding-top: 5px;
|
||
border-top: 1px dashed var(--el-border-color);
|
||
margin-top: 5px;
|
||
}
|
||
|
||
.empty-list {
|
||
padding: 20px 0;
|
||
text-align: center;
|
||
}
|
||
</style>
|