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。
727 lines
22 KiB
Vue
Executable File
727 lines
22 KiB
Vue
Executable File
<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
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v-model="diagnosis"
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placeholder="诊断名称"
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clearable
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style="width: 100%; margin-bottom: 10px"
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@keyup.enter="queryDiagnosisUse"
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>
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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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@node-click="handleNodeClick"
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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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</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" width="50" >
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<template #default="scope">
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{{ scope.$index + 1 }}
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</template>
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</el-table-column>
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<el-table-column label="诊断排序" align="center" prop="diagSrtNo" width="120">
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<template #default="scope">
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<el-form-item :prop="`diagnosisList.${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.$index}.medTypeCode`" :rules="rules.medTypeCode">
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<el-select v-model="scope.row.medTypeCode" placeholder=" " style="width: 150px">
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<el-option v-for="item in med_type" :key="item.value" :label="item.label" :value="item.value" />
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</el-select>
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</el-form-item>
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</template>
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</el-table-column>
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<el-table-column label="诊断名称" align="center" prop="name">
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<template #default="scope">
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<el-form-item :prop="`diagnosisList.${scope.$index}.name`" :rules="rules.name">
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<el-popover :popper-style="{ padding: '0' }" placement="bottom-start" :visible="scope.row.showPopover"
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trigger="manual" :width="800">
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<diagnosislist :diagnosisSearchkey="diagnosisSearchkey" @selectDiagnosis="handleSelsectDiagnosis" />
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<template #reference>
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<el-input v-model="scope.row.name" placeholder="请选择诊断" @input="handleChange"
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@focus="handleFocus(scope.row, scope.$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="诊断医生" align="center" prop="diagnosisDoctor" width="120" />
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<el-table-column label="诊断时间" align="center" prop="diagnosisTime" width="150" />
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<el-table-column label="诊断代码" align="center" prop="ybNo" width="180" />
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<el-table-column label="诊断类型" align="center" prop="maindiseFlag" width="120">
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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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:trueLabel="1"
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:falseLabel="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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: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'; // 添加 nextTick 导入
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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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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 {deleteTcmDiagnosis} from '@/views/doctorstation/components/api.js';
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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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import {patientInfo} from '../../store/patient.js';
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import {ElMessage} from 'element-plus';
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// const diagnosisList = ref([]);
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const allowAdd = ref(false);
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const isSaving = ref(false);
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const tree = ref([]);
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const openDiagnosis = ref(false);
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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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});
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const props = defineProps({
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patientInfo: {
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type: Object,
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required: false,
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default: () => ({}),
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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 { med_type } = proxy.useDict('med_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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const diagnosisNetDatas = ref([]);
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watch(
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() => form.value.diagnosisList,
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() => {
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// 如果正在保存，则不触发更新事件
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if (!isSaving.value) {
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emits('diagnosisSave', false);
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}
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},
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{ deep: true }
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);
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// 监听患者信息变化，自动获取病历详情和诊断列表
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watch(
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() => props.patientInfo,
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(newVal) => {
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if (newVal?.encounterId) {
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getDetail(newVal.encounterId);
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getList();
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}
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},
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{ immediate: true, 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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allowAdd.value = false;
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return;
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}
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console.log('正在获取病历详情，encounterId:', encounterId);
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getEmrDetail(encounterId)
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.then((res) => {
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console.log('病历详情API返回:', res);
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if (res.code === 200) {
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allowAdd.value = res.data ? true : false;
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console.log('设置 allowAdd =', allowAdd.value, ', 病历数据:', res.data);
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} else {
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allowAdd.value = false;
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console.warn('获取病历详情失败:', res.msg);
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}
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})
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.catch((error) => {
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console.error('获取病历详情异常:', error);
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allowAdd.value = false;
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});
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}
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function getList() {
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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，无法获取诊断数据');
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return;
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}
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// 初始化中医诊断列表
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const newList = [];
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getEncounterDiagnosis(props.patientInfo.encounterId).then((res) => {
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if (res.code == 200) {
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const datas = (res.data || []).map((item) => {
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let obj = {
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...item,
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};
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if (obj.diagSrtNo == null) {
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obj.diagSrtNo = '1';
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}
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return obj;
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});
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form.value.diagnosisList = datas;
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// form.value.diagnosisList = res.data;
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emits('diagnosisSave', false);
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}
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});
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getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
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console.log('getTcmDiagnosis=======>', JSON.stringify(res.data.illness));
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if (res.code == 200) {
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if (res.data.illness.length > 0) {
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diagnosisNetDatas.value = res.data.illness;
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res.data.illness.forEach((item, index) => {
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newList.push({
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name: item.name + '-' + (res.data.symptom[index]?.name || ''),
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ybNo: item.ybNo,
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medTypeCode: item.medTypeCode,
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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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// 将新数据添加到现有列表中
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form.value.diagnosisList.push(...newList);
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// 重新排序整个列表
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form.value.diagnosisList.sort((a, b) => {
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const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999;
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const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
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return aNo - bNo;
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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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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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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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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: form.value.diagnosisList.length + 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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//添加 patientId
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patientId: props.patientInfo.patientId
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},
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});
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});
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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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let list = [];
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list = res.data.patientHistoryList;
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list.children = [];
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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: list,
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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: res.data.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: res.data.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: res.data.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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console.log('点击新增诊断按钮，allowAdd:', allowAdd.value);
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// 检查表单ref是否存在
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if (!proxy.$refs.formRef) {
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console.error('表单ref不存在');
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// 直接添加诊断，不经过表单验证
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addDiagnosisItem();
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return;
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}
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proxy.$refs.formRef.validate((valid, fields) => {
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console.log('表单验证结果:', valid, '错误字段:', fields);
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if (valid) {
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if (!allowAdd.value) {
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proxy.$modal.msgWarning('请先填写病历');
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return;
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}
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addDiagnosisItem();
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} else {
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console.warn('表单验证失败:', fields);
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// 验证失败时也允许添加（因为是新增空行）
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if (allowAdd.value) {
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console.log('验证失败但允许添加，强制添加诊断');
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addDiagnosisItem();
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}
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}
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});
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}
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/**
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* 添加诊断项
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*/
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function addDiagnosisItem() {
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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: undefined,
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diagSrtNo: form.value.diagnosisList.length + 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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// 新增这一行：为每个诊断项添加 patientId
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patientId: props.patientInfo.patientId
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||
});
|
||
|
||
if (form.value.diagnosisList.length == 1) {
|
||
form.value.diagnosisList[0].maindiseFlag = 1;
|
||
}
|
||
}
|
||
|
||
// 添加中医诊断
|
||
function handleAddTcmDiagonsis() {
|
||
openAddDiagnosisDialog.value = true;
|
||
}
|
||
|
||
/**
|
||
* 删除诊断
|
||
*/
|
||
/**
|
||
* 删除诊断
|
||
*/
|
||
function handleDeleteDiagnosis(row, index) {
|
||
//中医诊断用-拼接 例如：疳气-表里俱实证
|
||
const nameArr = row.name?.split('-') || [];
|
||
if (row.conditionId) {
|
||
if (nameArr.length > 1) {
|
||
deleteTcmDiagnosis(row.syndromeGroupNo).then(() => {
|
||
getList();
|
||
getTree();
|
||
});
|
||
} else {
|
||
delEncounterDiagnosis(row.conditionId).then(() => {
|
||
getList();
|
||
getTree();
|
||
});
|
||
}
|
||
} else {
|
||
console.log('row============>', JSON.stringify(row));
|
||
console.log('item============>', index);
|
||
if (nameArr.length > 1) {
|
||
let obj = null;
|
||
for (let index = 0; index < diagnosisNetDatas.value.length; index++) {
|
||
const item = diagnosisNetDatas.value[index];
|
||
console.log('item.name============>', item.name);
|
||
console.log('row.name============>', row.name);
|
||
if (item.ybNo == row.ybNo) {
|
||
obj = item;
|
||
}
|
||
}
|
||
deleteTcmDiagnosis(obj.syndromeGroupNo).then(() => {
|
||
getList();
|
||
getTree();
|
||
});
|
||
} else {
|
||
form.value.diagnosisList.splice(index, 1);
|
||
}
|
||
}
|
||
}
|
||
|
||
function handleMaindise(value, index) {
|
||
if (value == 1) {
|
||
let flag = 0;
|
||
form.value.diagnosisList.forEach((item) => {
|
||
console.log(item);
|
||
if (item.maindiseFlag == 1) {
|
||
flag++;
|
||
}
|
||
});
|
||
if (flag > 1) {
|
||
form.value.diagnosisList[index].maindiseFlag = 0;
|
||
proxy.$modal.msgWarning('只能有一条主诊断');
|
||
}
|
||
}
|
||
}
|
||
|
||
/**
|
||
* 保存诊断
|
||
*/
|
||
/**
|
||
* 保存诊断
|
||
*/
|
||
/**
|
||
* 保存诊断
|
||
*/
|
||
/**
|
||
* 保存诊断
|
||
*/
|
||
function handleSaveDiagnosis() {
|
||
for (let index = 0; index < (form.value.diagnosisList || []).length; index++) {
|
||
const item = form.value.diagnosisList[index];
|
||
if (!item.diagSrtNo) {
|
||
ElMessage({
|
||
type: 'error',
|
||
message: '请录入诊断序号',
|
||
});
|
||
break;
|
||
}
|
||
}
|
||
proxy.$refs.formRef.validate((valid) => {
|
||
if (valid) {
|
||
if (form.value.diagnosisList.length === 0) {
|
||
proxy.$modal.msgWarning('诊断不能为空');
|
||
return;
|
||
} else if (!form.value.diagnosisList.some((diagnosis) => diagnosis.maindiseFlag === 1)) {
|
||
proxy.$modal.msgWarning('至少添加一条主诊断');
|
||
return;
|
||
}
|
||
|
||
// 设置保存标志，避免触发watch监听器
|
||
isSaving.value = true;
|
||
|
||
// 步骤1：深拷贝并按 diagSrtNo 排序
|
||
const sortedList = [...form.value.diagnosisList].sort((a, b) => {
|
||
const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999;
|
||
const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
|
||
return aNo - bNo;
|
||
});
|
||
|
||
// 步骤2：重新分配连续的序号（从1开始）
|
||
sortedList.forEach((item, index) => {
|
||
item.diagSrtNo = index + 1; // 这里是关键！把“诊断排序”改成新顺序
|
||
});
|
||
|
||
// 步骤3：提交排序后的数据
|
||
saveDiagnosis({
|
||
patientId: props.patientInfo.patientId,
|
||
encounterId: props.patientInfo.encounterId,
|
||
diagnosisChildList: sortedList,
|
||
}).then((res) => {
|
||
if (res.code === 200) {
|
||
// 步骤4：更新本地数据，使用全新对象防止响应式问题
|
||
form.value.diagnosisList = sortedList.map(item => ({ ...item }));
|
||
|
||
emits('diagnosisSave', false);
|
||
proxy.$modal.msgSuccess('诊断已保存');
|
||
|
||
// 食源性疾病逻辑
|
||
isFoodDiseasesNew({ encounterId: props.patientInfo.encounterId }).then((res2) => {
|
||
if (res2.code === 20 && res2.data) {
|
||
window.open(res2.data, '_blank');
|
||
}
|
||
});
|
||
}
|
||
}).finally(() => {
|
||
setTimeout(() => {
|
||
isSaving.value = false;
|
||
}, 100);
|
||
});
|
||
}
|
||
});
|
||
}
|
||
/**
|
||
* 关闭诊断弹窗
|
||
*/
|
||
function closeDiagnosisDialog(str) {
|
||
if (str === 'success') {
|
||
proxy.$modal.msgSuccess('操作成功');
|
||
}
|
||
|
||
openAddDiagnosisDialog.value = false;
|
||
openDiagnosis.value = false;
|
||
getTree();
|
||
getList();
|
||
}
|
||
|
||
function queryDiagnosisUse(value) { }
|
||
|
||
function handleChange(value) {
|
||
diagnosisSearchkey.value = value;
|
||
}
|
||
/**
|
||
* 选择诊断并赋值到列表
|
||
*/
|
||
function handleSelsectDiagnosis(row) {
|
||
console.log(row);
|
||
form.value.diagnosisList[rowIndex.value].ybNo = row.ybNo;
|
||
form.value.diagnosisList[rowIndex.value].name = row.name;
|
||
form.value.diagnosisList[rowIndex.value].definitionId = row.id;
|
||
}
|
||
/**获取焦点时 打开列表 */
|
||
function handleFocus(row, index) {
|
||
rowIndex.value = index;
|
||
row.showPopover = true;
|
||
}
|
||
/**失去焦点时 关闭列表 */
|
||
function handleBlur(row) {
|
||
row.showPopover = false;
|
||
}
|
||
|
||
function handleNodeClick(data) {
|
||
console.log(data.children);
|
||
// 检查节点是否为根节点
|
||
if (data.children != undefined) {
|
||
// 如果是根节点，不执行任何操作
|
||
return;
|
||
}
|
||
// if (!allowAdd.value) {
|
||
// proxy.$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;
|
||
}
|
||
form.value.diagnosisList.push({
|
||
ybNo: data.ybNo,
|
||
name: data.name,
|
||
verificationStatusEnum: 4,
|
||
medTypeCode: undefined,
|
||
diagSrtNo: form.value.diagnosisList.length + 1,
|
||
definitionId: data.definitionId,
|
||
diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
|
||
diagnosisTime: new Date().toLocaleString('zh-CN'),
|
||
// 添加 patientId
|
||
patientId: props.patientInfo.patientId
|
||
});
|
||
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;
|
||
}
|
||
|
||
.custom-tree-node {
|
||
display: flex;
|
||
align-items: center;
|
||
justify-content: space-between;
|
||
width: 100%;
|
||
}
|
||
|
||
.tree-node-actions {
|
||
display: flex;
|
||
align-items: center;
|
||
}
|
||
</style>
|