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long
2026-05-05 15:02:04 +08:00
parent 0da27ed745
commit 19bfeef98f
19 changed files with 1771 additions and 272 deletions
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.claude/settings.local.json
+2 -1
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@@ -12,7 +12,8 @@
"Bash(python3 -c ' *)",
"Bash(python3 *)",
"Bash(awk '/<template>/,/<\\\\/template>/{print NR\": \"$0; if\\(/<\\\\/template>/\\) exit}' D:/web/zyt/admin/src/views/consumer/prescription/order_list.vue)",
"Bash(npx eslint *)"
"Bash(npx eslint *)",
"Bash(git *)"
]
}
}
admin/src/api/tcm.ts
+5
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@@ -5,6 +5,11 @@ export function tcmDiagnosisLists(params: any) {
return request.get({ url: '/tcm.diagnosis/lists', params })
}
/** 二诊只读病例详情（T1+T2）：返回 appointment + diagnosis + tracking + 未服务天数 */
export function diagnosisReadonlyDetail(params: { id: number }) {
return request.get({ url: '/tcm.diagnosis/readonlyDetail', params })
}
// 医助理诊单统计（按部门、按人）
export function assistantDiagnosisStats(params?: {
start_time?: string
admin/src/router/routes.ts
+18
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@@ -82,6 +82,24 @@ export const constantRoutes: Array<RouteRecordRaw> = [
{
path: '/tcm/diagnosis/h5',
component: () => import('@/views/tcm/diagnosis/index_h5.vue')
},
{
// T1+T2：患者信息详情页（隐藏路由 — 不在侧边栏出现，由诊单列表的「查看」/双击行驱动跳转）
path: '/tcm/diagnosis-readonly',
component: LAYOUT,
meta: { hidden: true },
children: [
{
path: '',
component: () => import('@/views/tcm/diagnosis/readonly.vue'),
name: 'tcmDiagnosisReadonly',
meta: {
title: '患者信息详情',
hidden: true,
activeMenu: '/tcm/diagnosis'
}
}
]
}
// {
// path: '/dev_tools',
admin/src/utils/blood-thresholds.ts
+86
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@@ -0,0 +1,86 @@
/**
* 血糖 / 血压 阈值与异常判定工具
*
* 阈值规则（与 reception/index.vue 抽离前一致）：
* - 年龄 < 50：空腹血糖 ≥ 7、餐后/其他血糖 ≥ 9 视为偏高
* - 年龄 ≥ 50：空腹血糖 ≥ 8、餐后/其他血糖 ≥ 10 视为偏高
* - 收缩压 > 140 / 舒张压 > 90 视为偏高
*
* 任何字段缺失或非数值 → 视为「不偏高」（避免误报红色 ↑）。
*/
/**
* 把任意值转成有限数字；空 / 非法 → null
*/
export function toNumeric(value: unknown): number | null {
if (value === null || value === undefined || value === '') return null
const num = Number(value as any)
return Number.isFinite(num) ? num : null
}
/**
* 根据年龄返回血糖阈值；年龄缺失/非法 → null（=不判定偏高）
*/
export function getBloodSugarThresholds(
ageValue: unknown
): { fasting: number; postprandial: number } | null {
const age = toNumeric(ageValue)
if (age === null) return null
if (age < 50) return { fasting: 7, postprandial: 9 }
return { fasting: 8, postprandial: 10 }
}
export function isHighFastingBloodSugar(value: unknown, ageValue: unknown): boolean {
const num = toNumeric(value)
const thresholds = getBloodSugarThresholds(ageValue)
return num !== null && thresholds !== null && num >= thresholds.fasting
}
export function isHighPostprandialBloodSugar(value: unknown, ageValue: unknown): boolean {
const num = toNumeric(value)
const thresholds = getBloodSugarThresholds(ageValue)
return num !== null && thresholds !== null && num >= thresholds.postprandial
}
/**
* 「其他血糖」按餐后阈值判定（与 reception 原实现一致）
*/
export function isHighOtherBloodSugar(value: unknown, ageValue: unknown): boolean {
const num = toNumeric(value)
const thresholds = getBloodSugarThresholds(ageValue)
return num !== null && thresholds !== null && num >= thresholds.postprandial
}
export function isHighSystolicPressure(value: unknown): boolean {
const num = toNumeric(value)
return num !== null && num > 140
}
export function isHighDiastolicPressure(value: unknown): boolean {
const num = toNumeric(value)
return num !== null && num > 90
}
/**
* 一行血糖血压记录是否有任一压偏高
*/
export function isHighBloodPressure(row: {
systolic_pressure?: unknown
diastolic_pressure?: unknown
} | null | undefined): boolean {
if (!row) return false
return isHighSystolicPressure(row.systolic_pressure) || isHighDiastolicPressure(row.diastolic_pressure)
}
/**
* 把一行记录的血压两值格式化为 `xxx / yyy`，缺值 → `—`
*/
export function formatBp(row: {
systolic_pressure?: unknown
diastolic_pressure?: unknown
} | null | undefined): string {
const sys = row?.systolic_pressure
const dia = row?.diastolic_pressure
if (sys == null && dia == null) return '—'
return `${sys ?? '—'} / ${dia ?? '—'}`
}
admin/src/utils/diag-display.ts
+63
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@@ -0,0 +1,63 @@
/**
* 病例 / 接诊页通用展示辅助
*
* - maskPhone：手机号脱敏 138****1234
* - formatGender：0/1 → 女/男
* - formatPeriod：morning/afternoon → 上午/下午
* - joinArray：数组 → 顿号拼接，非数组 → toString
* - makeTextOf：工厂，传入 diag ref/getter，返回闭包后的 textOf 函数
*
* 翻译规则（textOf）：诊单字典字段由后端 `AppointmentLogic::enrichDiagnosisLabels`
* 预翻译为 `<field>_text`，前端优先读 `*_text`；找不到时回退原值。
*/
import type { Ref } from 'vue'
export function maskPhone(phone?: string | null): string {
if (!phone) return '—'
if (phone.length < 11) return phone
return phone.replace(/(\d{3})\d{4}(\d{4})/, '$1****$2')
}
export function formatGender(g?: number | null): string {
if (g === 1) return '男'
if (g === 0) return '女'
return '—'
}
export function formatPeriod(period?: string | null): string {
if (period === 'morning') return '上午'
if (period === 'afternoon') return '下午'
return '全天'
}
export function joinArray(arr: unknown): string {
if (!arr) return ''
if (Array.isArray(arr)) return arr.filter(Boolean).join('、')
return String(arr)
}
/**
* 创建闭包了具体 diag 的 textOf 取值器。
* 同时支持 `Ref` / `() => any` / 普通对象，避免在调用方处反复样板。
*/
export function makeTextOf(diagSource: Ref<any> | (() => any) | Record<string, any>) {
const resolve = (): Record<string, any> => {
if (typeof diagSource === 'function') {
return (diagSource as () => any)() || {}
}
if (diagSource && typeof diagSource === 'object' && 'value' in diagSource) {
return ((diagSource as Ref<any>).value ?? {}) as Record<string, any>
}
return (diagSource as Record<string, any>) || {}
}
return function textOf(field: string): string {
const d = resolve()
const t = d[field + '_text']
if (t !== undefined && t !== null && t !== '') return String(t)
const raw = d[field]
if (raw === undefined || raw === null || raw === '') return ''
return Array.isArray(raw) ? raw.join('、') : String(raw)
}
}
admin/src/views/patient/reception/index.vue
+14 -262
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@@ -111,126 +111,10 @@
<template v-else-if="detail">
<!-- 患者信息 -->
<div class="card patient-card">
<div class="card-title">患者信息</div>
<div class="patient-hero">
<div class="patient-name">{{ apt.patient_name || '—' }}</div>
<div class="patient-meta">
<div>{{ maskPhone(apt.patient_phone) }} · {{ formatGender(diag.gender) }} · {{ diag.age != null ? diag.age + '岁' : '—' }}</div>
<div>{{ diag.height ? diag.height + 'cm' : '—' }} / {{ diag.weight ? diag.weight + 'kg' : '—' }} · {{ diag.region || '—' }}</div>
<div>预约：{{ apt.appointment_date }} {{ apt.appointment_time }} · {{ formatPeriod(apt.period) }}</div>
<div>医生：{{ apt.doctor_name || '—' }}　医助：{{ apt.assistant_name || '—' }}</div>
<div>状态：{{ apt.status_desc || '—' }} · {{ apt.has_prescription ? '已开方' : '未开方' }}</div>
<div v-if="apt.remark">备注：{{ apt.remark }}</div>
</div>
</div>
</div>
<PatientInfoCard :apt="apt" :diag="diag" />
<!-- 患者病例（完整、字段与 tcm/diagnosis/edit.vue 保持同步，只读展示） -->
<div class="card case-card">
<div class="card-title">
患者病例
<span class="case-sub">{{ caseTypeLabel }} · 诊断日期 {{ diag.diagnosis_date || apt.appointment_date || '—' }}</span>
</div>
<!-- 基本信息 -->
<div class="grid-block">
<div class="grid-title">基本信息</div>
<div class="kv-grid four">
<KVItem label="诊单ID" :value="diag.patient_id" />
<KVItem label="姓名" :value="diag.patient_name" />
<KVItem label="身份证号" :value="diag.id_card" />
<KVItem label="手机号" :value="maskPhone(diag.phone || apt.patient_phone)" />
<KVItem label="性别" :value="textOf('gender')" />
<KVItem label="年龄" :value="diag.age != null ? diag.age + '岁' : ''" />
<KVItem label="婚姻状态" :value="textOf('marital_status')" />
<KVItem label="地区" :value="diag.region" />
</div>
</div>
<!-- 生命体征 -->
<div class="grid-block">
<div class="grid-title">生命体征</div>
<div class="kv-grid four">
<KVItem label="身高" :value="diag.height ? diag.height + ' cm' : ''" />
<KVItem label="体重" :value="diag.weight ? diag.weight + ' kg' : ''" />
<MetricKVItem label="高压" :value="diag.systolic_pressure" unit=" mmHg" :high="isHighSystolicPressure(diag.systolic_pressure)" />
<MetricKVItem label="低压" :value="diag.diastolic_pressure" unit=" mmHg" :high="isHighDiastolicPressure(diag.diastolic_pressure)" />
<KVItem label="诊断类型" :value="textOf('diagnosis_type')" />
<MetricKVItem label="空腹血糖" :value="diag.fasting_blood_sugar" unit=" mmol/L" :high="isHighFastingBloodSugar(diag.fasting_blood_sugar, diag.age)" />
<KVItem label="在用药物" :value="diag.current_medications" multiline />
</div>
</div>
<!-- 主诉 -->
<div class="grid-block">
<div class="grid-title">主诉</div>
<div class="kv-grid four">
<KVItem label="当地医院诊断日期" :value="diag.diagnosis_date" />
<KVItem label="发现糖尿病病史" :value="formatDiabetesDiscoveryDisplay ? formatDiabetesDiscoveryDisplay(diag.diabetes_discovery_year) : diag.diabetes_discovery_year" />
<KVItem label="当地就诊医院" :value="diag.local_hospital_name" />
<KVItem label="当地医院诊断结果" :value="joinArray(diag.local_hospital_diagnosis)" />
</div>
</div>
<!-- 现病史（后端已翻译 *_text） -->
<div class="grid-block">
<div class="grid-title">现病史</div>
<div class="kv-grid three">
<KVItem label="口腔感觉" :value="textOf('appetite')" />
<KVItem label="每日饮水量" :value="textOf('water_intake')" />
<KVItem label="近月体重变化" :value="textOf('weight_change')" />
<KVItem label="脂肪肝程度" :value="textOf('fatty_liver_degree')" />
<KVItem label="饮食情况" :value="textOf('diet_condition')" span="2" />
<KVItem label="肢体感觉" :value="textOf('body_feeling')" />
<KVItem label="睡眠情况" :value="textOf('sleep_condition')" />
<KVItem label="眼睛情况" :value="textOf('eye_condition')" />
<KVItem label="头部感觉" :value="textOf('head_feeling')" />
<KVItem label="出汗情况" :value="textOf('sweat_condition')" />
<KVItem label="皮肤情况" :value="textOf('skin_condition')" />
<KVItem label="小便情况" :value="textOf('urine_condition')" />
<KVItem label="大便情况" :value="textOf('stool_condition')" />
<KVItem label="腰肾情况" :value="textOf('kidney_condition')" />
<KVItem label="其他补充" :value="diag.symptoms" span="3" multiline />
</div>
</div>
<!-- 既往史 -->
<div class="grid-block">
<div class="grid-title">既往史</div>
<div class="kv-grid three">
<KVItem label="既往病史" :value="textOf('past_history')" span="3" />
</div>
</div>
<!-- 其他病史 -->
<div class="grid-block">
<div class="grid-title">其他病史</div>
<div class="kv-grid three">
<KVItem label="外伤史" :value="textOf('trauma_history')" />
<KVItem label="手术史" :value="textOf('surgery_history')" />
<KVItem label="过敏史" :value="textOf('allergy_history')" />
<KVItem label="家族病史" :value="textOf('family_history')" />
<KVItem label="妊娠哺乳史" :value="textOf('pregnancy_history')" />
</div>
</div>
<!-- 病史补充 -->
<div class="grid-block" v-if="diag.remark">
<div class="grid-title">病史补充</div>
<div class="kv-grid one">
<KVItem label="" :value="diag.remark" multiline />
</div>
</div>
<!-- 处方意见 -->
<div class="grid-block">
<div class="grid-title">处方意见</div>
<div class="rx-note">
{{ apt.has_prescription ? '已开方。' : '当前未开方。' }}
</div>
</div>
</div>
<!-- 患者病例（与 tcm/diagnosis/readonly 共用同一组件，确保两处字段一致） -->
<PatientCaseCard :apt="apt" :diag="diag" />
<!-- 医生备注 & 舌苔照片 -->
<div class="card note-card">
@@ -353,13 +237,23 @@
</template>
<script setup lang="ts">
import { defineAsyncComponent, onMounted, onUnmounted, h } from 'vue'
import { defineAsyncComponent, onMounted, onUnmounted } from 'vue'
import { receptionQueue, receptionDetail, notifyAssistant, addDoctorNote } from '@/api/patient'
import NoteTimeline from './components/NoteTimeline.vue'
import PatientInfoCard from '@/views/tcm/diagnosis/components/PatientInfoCard.vue'
import PatientCaseCard from '@/views/tcm/diagnosis/components/PatientCaseCard.vue'
import { completeAppointment } from '@/api/doctor'
import { getCallSignature } from '@/api/tcm'
import feedback from '@/utils/feedback'
import { formatDiabetesDiscoveryDisplay } from '@/utils/diabetes-discovery-display'
import { formatGender } from '@/utils/diag-display'
import {
isHighFastingBloodSugar,
isHighPostprandialBloodSugar,
isHighOtherBloodSugar,
isHighBloodPressure,
formatBp
} from '@/utils/blood-thresholds'
import {
Phone,
Search,
@@ -370,55 +264,6 @@ import {
const ChatDialog = defineAsyncComponent(() => import('@/components/chat-dialog/index.vue'))
const DiagnosisEdit = defineAsyncComponent(() => import('@/views/tcm/diagnosis/edit.vue'))
/**
* 局部渲染组件：左侧 label + 右侧 value，支持 span / 换行
*/
const KVItem = (props: { label: string; value: any; span?: string | number; multiline?: boolean }) => {
const val = props.value
const empty = val === undefined || val === null || val === '' || (Array.isArray(val) && val.length === 0)
return h(
'div',
{
class: ['kv-item', props.multiline ? 'multiline' : '', empty ? 'empty' : ''],
style: props.span ? `grid-column: span ${props.span}` : ''
},
[
h('span', { class: 'kv-label' }, props.label),
h('span', { class: 'kv-value' }, empty ? '—' : String(val))
]
)
}
const MetricKVItem = (props: {
label: string
value: any
unit?: string
span?: string | number
high?: boolean
}) => {
const empty = props.value === undefined || props.value === null || props.value === ''
return h(
'div',
{
class: ['kv-item', 'metric-kv-item', empty ? 'empty' : ''],
style: props.span ? `grid-column: span ${props.span}` : ''
},
[
h('span', { class: 'kv-label' }, props.label),
h(
'span',
{ class: ['kv-value', 'metric-kv-value', props.high ? 'high' : ''] },
empty
? '—'
: [
`${props.value}${props.unit || ''}`,
props.high ? h('span', { class: 'metric-up' }, '↑') : null
]
)
]
)
}
const POLL_MS = 5_000
const PAGE_SIZE = 15
@@ -489,38 +334,12 @@ const todayMeta = computed(() => {
})
const caseTypeLabel = computed(() => {
if (!diag.value) return '初诊'
return diag.value.consultation_type === 'follow_up' ? '复诊' : '初诊'
})
/**
* 诊单字典字段由后端 AppointmentLogic::enrichDiagnosisLabels 预翻译，
* 前端直接读 `<field>_text`；找不到时回退原值。
*/
const textOf = (field: string): string => {
const d: any = diag.value || {}
const t = d[field + '_text']
if (t !== undefined && t !== null && t !== '') return String(t)
const raw = d[field]
if (raw === undefined || raw === null || raw === '') return ''
return Array.isArray(raw) ? raw.join('、') : String(raw)
}
const todayStr = () => {
const d = new Date()
const pad = (n: number) => String(n).padStart(2, '0')
return `${d.getFullYear()}-${pad(d.getMonth() + 1)}-${pad(d.getDate())}`
}
const maskPhone = (phone?: string) => {
if (!phone) return '—'
if (phone.length < 11) return phone
return phone.replace(/(\d{3})\d{4}(\d{4})/, '$1****$2')
}
const formatGender = (g?: number) => (g === 1 ? '男' : g === 0 ? '女' : '—')
const formatGenderAge = (row: QueueRow) => {
const parts = [formatGender(row.gender), row.age != null ? row.age + '岁' : '']
return parts.filter((p) => p && p !== '—').join(' ')
@@ -531,73 +350,6 @@ const formatTimeHM = (time?: string) => {
return time.replace(/^(\d{2}:\d{2})(:\d{2})?$/, '$1')
}
const formatPeriod = (period?: string) => {
if (period === 'morning') return '上午'
if (period === 'afternoon') return '下午'
return '全天'
}
const formatBp = (row: any) => {
const sys = row?.systolic_pressure
const dia = row?.diastolic_pressure
if (sys == null && dia == null) return '—'
return `${sys ?? '—'} / ${dia ?? '—'}`
}
const toNumeric = (value: any) => {
if (value === null || value === undefined || value === '') return null
const num = Number(value)
return Number.isFinite(num) ? num : null
}
const getBloodSugarThresholds = (ageValue: any) => {
const age = toNumeric(ageValue)
if (age === null) return null
if (age < 50) return { fasting: 7, postprandial: 9 }
if (age >= 50) return { fasting: 8, postprandial: 10 }
return null
}
const isHighFastingBloodSugar = (value: any, ageValue: any) => {
const num = toNumeric(value)
const thresholds = getBloodSugarThresholds(ageValue)
return num !== null && thresholds !== null && num >= thresholds.fasting
}
const isHighPostprandialBloodSugar = (value: any, ageValue: any) => {
const num = toNumeric(value)
const thresholds = getBloodSugarThresholds(ageValue)
return num !== null && thresholds !== null && num >= thresholds.postprandial
}
const isHighOtherBloodSugar = (value: any, ageValue: any) => {
const num = toNumeric(value)
const thresholds = getBloodSugarThresholds(ageValue)
return num !== null && thresholds !== null && num >= thresholds.postprandial
}
const isHighBloodPressure = (row: any) => {
const sys = toNumeric(row?.systolic_pressure)
const dia = toNumeric(row?.diastolic_pressure)
return (sys !== null && sys > 140) || (dia !== null && dia > 90)
}
const isHighSystolicPressure = (value: any) => {
const num = toNumeric(value)
return num !== null && num > 140
}
const isHighDiastolicPressure = (value: any) => {
const num = toNumeric(value)
return num !== null && num > 90
}
const joinArray = (arr: any): string => {
if (!arr) return ''
if (Array.isArray(arr)) return arr.filter(Boolean).join('、')
return String(arr)
}
const fetchQueuePage = async (pageNo: number, status?: number, patientName?: string) => {
const today = todayStr()
const res: any = await receptionQueue({
admin/src/views/tcm/diagnosis/components/PatientCaseCard.vue
+369
View File
@@ -0,0 +1,369 @@
<template>
<div class="card case-card">
<div class="card-title">
患者病例
<span class="case-sub">{{ caseTypeLabel }} · 诊断日期 {{ diag?.diagnosis_date || apt?.appointment_date || '—' }}</span>
</div>
<!-- 基本信息 -->
<div class="grid-block">
<div class="grid-title">基本信息</div>
<div class="kv-grid four">
<KVItem label="诊单ID" :value="diag?.patient_id" />
<KVItem label="姓名" :value="diag?.patient_name" />
<KVItem label="身份证号" :value="diag?.id_card" />
<KVItem label="手机号" :value="maskPhone(diag?.phone || apt?.patient_phone)" />
<KVItem label="性别" :value="textOf('gender')" />
<KVItem label="年龄" :value="diag?.age != null ? diag.age + '岁' : ''" />
<KVItem label="婚姻状态" :value="textOf('marital_status')" />
<KVItem label="地区" :value="diag?.region" />
</div>
</div>
<!-- 生命体征 -->
<div class="grid-block">
<div class="grid-title">生命体征</div>
<div class="kv-grid four">
<KVItem label="身高" :value="diag?.height ? diag.height + ' cm' : ''" />
<KVItem label="体重" :value="diag?.weight ? diag.weight + ' kg' : ''" />
<MetricKVItem
label="高压"
:value="diag?.systolic_pressure"
unit=" mmHg"
:high="isHighSystolicPressure(diag?.systolic_pressure)"
/>
<MetricKVItem
label="低压"
:value="diag?.diastolic_pressure"
unit=" mmHg"
:high="isHighDiastolicPressure(diag?.diastolic_pressure)"
/>
<KVItem label="诊断类型" :value="textOf('diagnosis_type')" />
<MetricKVItem
label="空腹血糖"
:value="diag?.fasting_blood_sugar"
unit=" mmol/L"
:high="isHighFastingBloodSugar(diag?.fasting_blood_sugar, diag?.age)"
/>
<KVItem label="在用药物" :value="diag?.current_medications" multiline />
</div>
</div>
<!-- 主诉 -->
<div class="grid-block">
<div class="grid-title">主诉</div>
<div class="kv-grid four">
<KVItem label="当地医院诊断日期" :value="diag?.diagnosis_date" />
<KVItem
label="发现糖尿病病史"
:value="formatDiabetesDiscoveryDisplay
? formatDiabetesDiscoveryDisplay(diag?.diabetes_discovery_year)
: diag?.diabetes_discovery_year"
/>
<KVItem label="当地就诊医院" :value="diag?.local_hospital_name" />
<KVItem label="当地医院诊断结果" :value="joinArray(diag?.local_hospital_diagnosis)" />
</div>
</div>
<!-- 现病史（后端已翻译 *_text） -->
<div class="grid-block">
<div class="grid-title">现病史</div>
<div class="kv-grid three">
<KVItem label="口腔感觉" :value="textOf('appetite')" />
<KVItem label="每日饮水量" :value="textOf('water_intake')" />
<KVItem label="近月体重变化" :value="textOf('weight_change')" />
<KVItem label="脂肪肝程度" :value="textOf('fatty_liver_degree')" />
<KVItem label="饮食情况" :value="textOf('diet_condition')" span="2" />
<KVItem label="肢体感觉" :value="textOf('body_feeling')" />
<KVItem label="睡眠情况" :value="textOf('sleep_condition')" />
<KVItem label="眼睛情况" :value="textOf('eye_condition')" />
<KVItem label="头部感觉" :value="textOf('head_feeling')" />
<KVItem label="出汗情况" :value="textOf('sweat_condition')" />
<KVItem label="皮肤情况" :value="textOf('skin_condition')" />
<KVItem label="小便情况" :value="textOf('urine_condition')" />
<KVItem label="大便情况" :value="textOf('stool_condition')" />
<KVItem label="腰肾情况" :value="textOf('kidney_condition')" />
<KVItem label="其他补充" :value="diag?.symptoms" span="3" multiline />
</div>
</div>
<!-- 既往史 -->
<div class="grid-block">
<div class="grid-title">既往史</div>
<div class="kv-grid three">
<KVItem label="既往病史" :value="textOf('past_history')" span="3" />
</div>
</div>
<!-- 其他病史 -->
<div class="grid-block">
<div class="grid-title">其他病史</div>
<div class="kv-grid three">
<KVItem label="外伤史" :value="textOf('trauma_history')" />
<KVItem label="手术史" :value="textOf('surgery_history')" />
<KVItem label="过敏史" :value="textOf('allergy_history')" />
<KVItem label="家族病史" :value="textOf('family_history')" />
<KVItem label="妊娠哺乳史" :value="textOf('pregnancy_history')" />
</div>
</div>
<!-- 病史补充 -->
<div class="grid-block" v-if="diag?.remark">
<div class="grid-title">病史补充</div>
<div class="kv-grid one">
<KVItem label="" :value="diag.remark" multiline />
</div>
</div>
<!-- 处方意见 -->
<div class="grid-block">
<div class="grid-title">处方意见</div>
<div class="rx-note">
{{ apt?.has_prescription ? '已开方。' : '当前未开方。' }}
</div>
</div>
</div>
</template>
<script setup lang="ts">
import { computed, h } from 'vue'
import {
isHighSystolicPressure,
isHighDiastolicPressure,
isHighFastingBloodSugar
} from '@/utils/blood-thresholds'
import { maskPhone, joinArray, makeTextOf } from '@/utils/diag-display'
import { formatDiabetesDiscoveryDisplay } from '@/utils/diabetes-discovery-display'
interface Props {
apt?: Record<string, any> | null
diag?: Record<string, any> | null
}
const props = withDefaults(defineProps<Props>(), {
apt: () => ({}),
diag: () => ({})
})
const caseTypeLabel = computed(() => {
const d: any = props.diag || {}
return d.consultation_type === 'follow_up' ? '复诊' : '初诊'
})
const textOf = makeTextOf(() => props.diag || {})
// ========== 本地函数式子组件 ==========
/**
* 局部渲染组件：左侧 label + 右侧 value，支持 span / 换行（与抽离前 reception 内联实现一致）
*/
const KVItem = (kvProps: { label: string; value: any; span?: string | number; multiline?: boolean }) => {
const val = kvProps.value
const empty =
val === undefined || val === null || val === '' || (Array.isArray(val) && val.length === 0)
return h(
'div',
{
class: ['kv-item', kvProps.multiline ? 'multiline' : '', empty ? 'empty' : ''],
style: kvProps.span ? `grid-column: span ${kvProps.span}` : ''
},
[
h('span', { class: 'kv-label' }, kvProps.label),
h('span', { class: 'kv-value' }, empty ? '—' : String(val))
]
)
}
/**
* 数值型 KV：偏高时红色 + ↑ 箭头（与抽离前 reception 内联实现一致）
*/
const MetricKVItem = (mkvProps: {
label: string
value: any
unit?: string
span?: string | number
high?: boolean
}) => {
const empty = mkvProps.value === undefined || mkvProps.value === null || mkvProps.value === ''
return h(
'div',
{
class: ['kv-item', 'metric-kv-item', empty ? 'empty' : ''],
style: mkvProps.span ? `grid-column: span ${mkvProps.span}` : ''
},
[
h('span', { class: 'kv-label' }, mkvProps.label),
h(
'span',
{ class: ['kv-value', 'metric-kv-value', mkvProps.high ? 'high' : ''] },
empty
? '—'
: [
`${mkvProps.value}${mkvProps.unit || ''}`,
mkvProps.high ? h('span', { class: 'metric-up' }, '↑') : null
]
)
]
)
}
</script>
<style lang="scss" scoped>
.card {
background: var(--rx-surface);
border: 1px solid var(--rx-line);
border-radius: 14px;
padding: 18px;
display: flex;
flex-direction: column;
gap: 14px;
box-shadow: var(--rx-shadow-sm);
transition: box-shadow 0.2s ease;
&:hover {
box-shadow: var(--rx-shadow);
}
}
.card-title {
font-size: 15px;
font-weight: 700;
color: var(--rx-ink);
display: flex;
align-items: center;
gap: 10px;
padding-left: 10px;
position: relative;
&::before {
content: '';
position: absolute;
left: 0;
top: 50%;
transform: translateY(-50%);
width: 3px;
height: 16px;
border-radius: 2px;
background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
}
}
.case-sub {
font-size: 12px;
font-weight: 400;
color: var(--rx-soft);
font-family: var(--rx-font-data);
}
.grid-block {
display: flex;
flex-direction: column;
gap: 10px;
padding-top: 12px;
border-top: 1px dashed var(--rx-line);
&:first-of-type {
border-top: none;
padding-top: 0;
}
}
.grid-title {
font-size: 13px;
font-weight: 600;
color: var(--rx-accent-strong);
letter-spacing: 0.02em;
display: flex;
align-items: center;
gap: 6px;
&::before {
content: '';
width: 4px;
height: 4px;
border-radius: 50%;
background: var(--rx-accent);
}
}
.kv-grid {
display: grid;
gap: 8px 16px;
&.one {
grid-template-columns: 1fr;
}
&.two {
grid-template-columns: repeat(2, 1fr);
}
&.three {
grid-template-columns: repeat(3, 1fr);
}
&.four {
grid-template-columns: repeat(4, 1fr);
}
}
:deep(.kv-item) {
display: flex;
gap: 6px;
font-size: 12.5px;
line-height: 1.55;
min-width: 0;
&.multiline {
flex-direction: column;
gap: 2px;
}
.kv-label {
color: var(--rx-soft);
flex-shrink: 0;
min-width: 58px;
}
.kv-value {
color: var(--rx-ink);
word-break: break-word;
flex: 1;
font-weight: 500;
}
&.empty .kv-value {
color: #c0c4cc;
font-weight: 400;
}
&.multiline .kv-value {
white-space: pre-wrap;
font-weight: 400;
}
}
:deep(.metric-kv-item .metric-kv-value) {
display: inline-flex;
align-items: center;
gap: 4px;
&.high {
color: #dc2626;
font-weight: 700;
}
}
:deep(.metric-up) {
font-size: 14px;
line-height: 1;
color: #dc2626;
}
.rx-note {
font-size: 13px;
color: var(--rx-muted);
line-height: 1.6;
padding: 12px 14px;
background: linear-gradient(135deg, #fafbfd 0%, #f5f7fb 100%);
border-radius: 8px;
border-left: 3px solid var(--rx-accent);
}
</style>
admin/src/views/tcm/diagnosis/components/PatientInfoCard.vue
+124
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<template>
<div class="card patient-card">
<div class="card-title">患者信息</div>
<div class="patient-hero">
<div class="patient-name">{{ apt?.patient_name || '—' }}</div>
<div class="patient-meta">
<div>
{{ maskPhone(apt?.patient_phone) }} · {{ formatGender(diag?.gender) }} ·
{{ diag?.age != null ? diag.age + '岁' : '—' }}
</div>
<div>
{{ diag?.height ? diag.height + 'cm' : '—' }} /
{{ diag?.weight ? diag.weight + 'kg' : '—' }} · {{ diag?.region || '—' }}
</div>
<div>
预约：{{ apt?.appointment_date }} {{ apt?.appointment_time }} ·
{{ formatPeriod(apt?.period) }}
</div>
<div>医生：{{ apt?.doctor_name || '—' }}　医助：{{ apt?.assistant_name || '—' }}</div>
<div>
状态：{{ apt?.status_desc || '—' }} ·
{{ apt?.has_prescription ? '已开方' : '未开方' }}
</div>
<div v-if="apt?.remark">备注：{{ apt.remark }}</div>
</div>
</div>
</div>
</template>
<script setup lang="ts">
import { maskPhone, formatGender, formatPeriod } from '@/utils/diag-display'
interface Props {
apt?: Record<string, any> | null
diag?: Record<string, any> | null
}
withDefaults(defineProps<Props>(), {
apt: () => ({}),
diag: () => ({})
})
</script>
<style lang="scss" scoped>
.card {
background: var(--rx-surface);
border: 1px solid var(--rx-line);
border-radius: 14px;
padding: 18px;
display: flex;
flex-direction: column;
gap: 14px;
box-shadow: var(--rx-shadow-sm);
transition: box-shadow 0.2s ease;
&:hover {
box-shadow: var(--rx-shadow);
}
}
.card-title {
font-size: 15px;
font-weight: 700;
color: var(--rx-ink);
display: flex;
align-items: center;
gap: 10px;
padding-left: 10px;
position: relative;
&::before {
content: '';
position: absolute;
left: 0;
top: 50%;
transform: translateY(-50%);
width: 3px;
height: 16px;
border-radius: 2px;
background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
}
}
.patient-hero {
background: linear-gradient(135deg, #f5f8ff 0%, #eef3ff 100%);
border: 1px solid #dde7ff;
border-radius: 12px;
padding: 16px 18px;
display: flex;
flex-direction: column;
gap: 6px;
position: relative;
overflow: hidden;
&::after {
content: '';
position: absolute;
right: -20px;
top: -20px;
width: 100px;
height: 100px;
border-radius: 50%;
background: radial-gradient(circle, rgba(79, 140, 255, 0.08) 0%, transparent 70%);
}
}
.patient-name {
font-size: 22px;
font-weight: 700;
color: var(--rx-ink);
letter-spacing: -0.01em;
}
.patient-meta {
color: var(--rx-muted);
font-size: 13px;
line-height: 1.7;
display: flex;
flex-direction: column;
gap: 2px;
position: relative;
z-index: 1;
}
</style>
admin/src/views/tcm/diagnosis/components/TrackingMatrix.vue
+387
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@@ -0,0 +1,387 @@
<template>
<div class="tracking-matrix">
<div class="toolbar">
<el-radio-group v-model="windowDays" @change="onWindowChange">
<el-radio-button :value="7">最近 7 天</el-radio-button>
<el-radio-button :value="30">最近 30 天</el-radio-button>
</el-radio-group>
<span class="hint">同一天血糖三段挤一格；超阈值红字↑（年龄分段：&lt;50：空7/餐9，≥50：空8/餐10）</span>
</div>
<el-empty
v-if="visibleDates.length === 0"
description="近期无任何打卡记录"
:image-size="80"
/>
<el-table
v-else
:data="rows"
border
stripe
class="matrix-table"
empty-text="暂无数据"
row-key="date"
max-height="640"
>
<el-table-column prop="dateLabel" label="日期" width="120" fixed="left" />
<el-table-column label="血糖 (mmol/L)" min-width="180">
<template #default="{ row }">
<div v-if="row.bloodAny" class="cell-blood">
<span :class="{ 'cell-high': row.fastingHigh }">
空
<span class="value">{{ row.fasting ?? '—' }}</span>
<span v-if="row.fastingHigh" class="cell-up">↑</span>
</span>
<span :class="{ 'cell-high': row.postprandialHigh }">
餐
<span class="value">{{ row.postprandial ?? '—' }}</span>
<span v-if="row.postprandialHigh" class="cell-up">↑</span>
</span>
<span :class="{ 'cell-high': row.otherHigh }">
其他
<span class="value">{{ row.other ?? '—' }}</span>
<span v-if="row.otherHigh" class="cell-up">↑</span>
</span>
</div>
<span v-else class="cell-empty">—</span>
</template>
</el-table-column>
<el-table-column label="血压 (mmHg)" width="120" align="center">
<template #default="{ row }">
<span v-if="row.bp" :class="{ 'cell-high': row.bpHigh }">
{{ row.bp }}
<span v-if="row.bpHigh" class="cell-up">↑</span>
</span>
<span v-else class="cell-empty">—</span>
</template>
</el-table-column>
<el-table-column label="西药" min-width="120" show-overflow-tooltip>
<template #default="{ row }">
<span v-if="row.westernMedicine">{{ row.westernMedicine }}</span>
<span v-else class="cell-empty">—</span>
</template>
</el-table-column>
<el-table-column label="胰岛素" min-width="120" show-overflow-tooltip>
<template #default="{ row }">
<span v-if="row.insulin">{{ row.insulin }}</span>
<span v-else class="cell-empty">—</span>
</template>
</el-table-column>
<el-table-column label="饮食打卡" width="110" align="center">
<template #default="{ row }">
<el-tooltip
v-if="row.diet"
placement="top"
:disabled="!row.diet"
effect="light"
>
<template #content>
<div class="diet-tip">
<div>早：{{ row.diet.breakfast || '—' }}</div>
<div>午：{{ row.diet.lunch || '—' }}</div>
<div>晚：{{ row.diet.dinner || '—' }}</div>
</div>
</template>
<span class="cell-checked">已打卡</span>
</el-tooltip>
<span v-else class="cell-empty">—</span>
</template>
</el-table-column>
<el-table-column label="运动打卡" min-width="160" align="center">
<template #default="{ row }">
<el-tooltip v-if="row.exercise" placement="top" effect="light">
<template #content>
<div class="exercise-tip">
<div>强度：{{ row.exercise.intensityText || '—' }}</div>
<div>时长：{{ row.exercise.duration ? row.exercise.duration + ' min' : '—' }}</div>
<div v-if="row.exercise.remark">备注：{{ row.exercise.remark }}</div>
</div>
</template>
<span class="cell-checked">
已打卡
<span v-if="row.exercise.duration" class="meta">· {{ row.exercise.duration }}min</span>
<span v-if="row.exercise.intensityText" class="meta">· {{ row.exercise.intensityText }}</span>
</span>
</el-tooltip>
<span v-else class="cell-empty">—</span>
</template>
</el-table-column>
</el-table>
</div>
</template>
<script setup lang="ts">
import { computed, ref } from 'vue'
import {
isHighFastingBloodSugar,
isHighPostprandialBloodSugar,
isHighOtherBloodSugar,
isHighBloodPressure,
formatBp
} from '@/utils/blood-thresholds'
interface BloodRecord {
record_date?: string
record_date_ts?: number
fasting_blood_sugar?: any
postprandial_blood_sugar?: any
other_blood_sugar?: any
systolic_pressure?: any
diastolic_pressure?: any
western_medicine?: string
insulin?: string
[key: string]: any
}
interface DietRecord {
record_date?: string
record_date_ts?: number
breakfast?: string
lunch?: string
dinner?: string
[key: string]: any
}
interface ExerciseRecord {
record_date?: string
record_date_ts?: number
duration?: number
intensity?: number
intensity_text?: string
remark?: string
[key: string]: any
}
interface Props {
diagnosisId?: number
patientId?: number | null
age?: number | null
bloodRecords: BloodRecord[]
dietRecords: DietRecord[]
exerciseRecords: ExerciseRecord[]
}
const props = withDefaults(defineProps<Props>(), {
diagnosisId: 0,
patientId: null,
age: null,
bloodRecords: () => [],
dietRecords: () => [],
exerciseRecords: () => []
})
const windowDays = ref<7 | 30>(30)
const onWindowChange = () => {
// 触发 computed 重算；预留扩展点：未来可在此处通知父组件重拉
}
/**
* 把同一天可能多条的血糖记录聚合：每段取第一条非空值（与 BloodRecordLogic 趋势图一致）
*/
const bloodByDate = computed(() => {
const map = new Map<string, BloodRecord>()
for (const r of props.bloodRecords || []) {
const d = String(r.record_date || '')
if (!d) continue
if (!map.has(d)) {
map.set(d, {
record_date: d,
record_date_ts: r.record_date_ts
})
}
const acc = map.get(d)!
const fields: Array<keyof BloodRecord> = [
'fasting_blood_sugar',
'postprandial_blood_sugar',
'other_blood_sugar',
'systolic_pressure',
'diastolic_pressure',
'western_medicine',
'insulin'
]
for (const f of fields) {
if ((acc[f] === undefined || acc[f] === null || acc[f] === '') && r[f] !== undefined && r[f] !== null && r[f] !== '') {
;(acc as any)[f] = r[f]
}
}
}
return map
})
const dietByDate = computed(() => {
const map = new Map<string, DietRecord>()
for (const r of props.dietRecords || []) {
const d = String(r.record_date || '')
if (!d) continue
if (!map.has(d)) map.set(d, r)
}
return map
})
const exerciseByDate = computed(() => {
const map = new Map<string, ExerciseRecord>()
for (const r of props.exerciseRecords || []) {
const d = String(r.record_date || '')
if (!d) continue
if (!map.has(d)) map.set(d, r)
}
return map
})
/**
* 取三类记录的日期并集，按 desc 排序并去重，限制最大 windowDays 条
*/
const visibleDates = computed<string[]>(() => {
const set = new Set<string>()
for (const r of props.bloodRecords || []) if (r.record_date) set.add(String(r.record_date))
for (const r of props.dietRecords || []) if (r.record_date) set.add(String(r.record_date))
for (const r of props.exerciseRecords || []) if (r.record_date) set.add(String(r.record_date))
const list = Array.from(set).filter((d) => d.length === 10)
list.sort((a, b) => (a < b ? 1 : a > b ? -1 : 0))
return list.slice(0, windowDays.value)
})
const weekText = (d: string) => {
const ts = Date.parse(d + 'T00:00:00')
if (!Number.isFinite(ts)) return ''
const w = new Date(ts).getDay()
return ['日', '一', '二', '三', '四', '五', '六'][w]
}
const rows = computed(() =>
visibleDates.value.map((date) => {
const blood = bloodByDate.value.get(date)
const diet = dietByDate.value.get(date)
const exercise = exerciseByDate.value.get(date)
const fasting = blood?.fasting_blood_sugar ?? null
const postprandial = blood?.postprandial_blood_sugar ?? null
const other = blood?.other_blood_sugar ?? null
const sys = blood?.systolic_pressure ?? null
const dia = blood?.diastolic_pressure ?? null
const bloodAny =
fasting !== null && fasting !== '' ||
postprandial !== null && postprandial !== '' ||
other !== null && other !== ''
const bp = sys || dia ? formatBp({ systolic_pressure: sys, diastolic_pressure: dia }) : ''
return {
date,
dateLabel: `${date.slice(5)}（周${weekText(date)}）`,
// 血糖
bloodAny,
fasting: fasting ?? '—',
postprandial: postprandial ?? '—',
other: other ?? '—',
fastingHigh: isHighFastingBloodSugar(fasting, props.age),
postprandialHigh: isHighPostprandialBloodSugar(postprandial, props.age),
otherHigh: isHighOtherBloodSugar(other, props.age),
// 血压
bp,
bpHigh: isHighBloodPressure({ systolic_pressure: sys, diastolic_pressure: dia }),
// 用药
westernMedicine: blood?.western_medicine || '',
insulin: blood?.insulin || '',
// 饮食
diet: diet
? {
breakfast: diet.breakfast || '',
lunch: diet.lunch || '',
dinner: diet.dinner || ''
}
: null,
// 运动
exercise: exercise
? {
duration: exercise.duration || 0,
intensityText: exercise.intensity_text || '',
remark: exercise.remark || ''
}
: null
}
})
)
</script>
<style lang="scss" scoped>
.tracking-matrix {
.toolbar {
display: flex;
align-items: center;
gap: 12px;
margin-bottom: 12px;
flex-wrap: wrap;
.hint {
font-size: 12px;
color: var(--el-text-color-secondary);
}
}
.matrix-table {
width: 100%;
}
.cell-blood {
display: flex;
flex-direction: column;
gap: 2px;
font-size: 12.5px;
line-height: 1.55;
> span {
display: inline-flex;
align-items: center;
gap: 4px;
.value {
font-variant-numeric: tabular-nums;
font-weight: 600;
}
}
}
.cell-high {
color: #dc2626;
font-weight: 700;
}
.cell-up {
font-size: 13px;
color: #dc2626;
}
.cell-empty {
color: var(--el-text-color-placeholder);
}
.cell-checked {
color: #2563eb;
font-weight: 500;
.meta {
color: var(--el-text-color-secondary);
font-weight: 400;
margin-left: 2px;
}
}
}
.diet-tip,
.exercise-tip {
font-size: 12.5px;
line-height: 1.55;
> div {
margin-bottom: 2px;
&:last-child {
margin-bottom: 0;
}
}
}
</style>
admin/src/views/tcm/diagnosis/index.vue
+80 -5
View File
@@ -116,11 +116,12 @@
<div v-if="selectedIds.length > 0" class="list-selected">已选 {{ selectedIds.length }} 条</div>
</div>
<div class="table-wrap px-4">
<el-table
:data="pager.lists"
<el-table
:data="pager.lists"
size="default"
v-loading="pager.loading"
@selection-change="handleSelectionChange"
@row-dblclick="goReadonly"
:row-class-name="getRowClassName"
class="diagnosis-table"
stripe
@@ -215,6 +216,20 @@
<span v-else class="status-unprescribed">未开方</span>
</template>
</el-table-column>
<el-table-column label="未服务天数" width="110" align="center">
<template #default="{ row }">
<el-tooltip
v-if="row.last_blood_record_at"
:content="`最近一次血糖打卡：${row.last_blood_record_at}`"
placement="top"
>
<span class="unserved-days" :class="unservedDaysClass(row.unserved_days)">
{{ row.unserved_days ?? '—' }}
</span>
</el-tooltip>
<span v-else class="unserved-days unserved-muted">—</span>
</template>
</el-table-column>
<el-table-column label="视频旁观" width="120" fixed="right" align="center">
<template #default="{ row }">
<div class="video-watch-col">
@@ -239,9 +254,18 @@
</div>
</template>
</el-table-column>
<el-table-column label="操作" width="300" fixed="right" align="left">
<el-table-column label="操作" width="340" fixed="right" align="left">
<template #default="{ row }">
<div class="action-cell">
<div class="action-cell" @click.stop @dblclick.stop>
<el-button
type="primary"
link
size="small"
@click="goReadonly(row)"
v-perms="['tcm.diagnosis/readonlyDetail']"
>
查看
</el-button>
<el-button type="primary" link size="small" @click="handleEdit(row.id)" v-perms="['tcm.diagnosis/edit']">诊单</el-button>
<el-button
v-perms="['tcm.diagnosis/kaifang']"
@@ -616,7 +640,7 @@ import feedback from '@/utils/feedback'
import { hasPermission } from '@/utils/perm'
import { Loading, Warning, List, CircleCheck, Clock, ArrowDown, Picture, User, Document, Delete, CircleClose, Remove } from '@element-plus/icons-vue'
import useUserStore from '@/stores/modules/user'
import { useRoute } from 'vue-router'
import { useRoute, useRouter } from 'vue-router'
import { computed, defineAsyncComponent, onMounted, onUnmounted, watch } from 'vue'
import dayjs from 'dayjs'
@@ -944,6 +968,19 @@ const isDiagnosisConfirmed = (row: any) => {
return records.length > 0 && records.some((r: any) => r.is_confirmed == 1)
}
/**
* 「未服务天数」着色规则（计划 T3）：
* null/undefined → 灰；>=7 → 红；3-6 → 橙；<=2 → 绿
*/
const unservedDaysClass = (n: unknown) => {
if (n === null || n === undefined) return 'unserved-muted'
const num = Number(n)
if (!Number.isFinite(num)) return 'unserved-muted'
if (num >= 7) return 'unserved-red'
if (num >= 3) return 'unserved-orange'
return 'unserved-green'
}
// 行高亮：未确认诊单优先，其次未挂号
const getRowClassName = ({ row }: { row: any }) => {
if (!isDiagnosisConfirmed(row)) return 'row-unconfirmed'
@@ -1706,6 +1743,17 @@ const handleDeleteRecord = async (id: number) => {
}
const route = useRoute()
const router = useRouter()
/** 跳到只读病例页（T1+T2）：双击行 / 点「查看」按钮均触发 */
const goReadonly = (row: any) => {
// 没分配 readonlyDetail 权限的管理员：双击行也不跳转（按钮已用 v-perms 隐藏）
if (!hasPermission(['tcm.diagnosis/readonlyDetail'])) return
const id = Number(row?.id)
if (!id || id <= 0) return
router.push({ path: '/tcm/diagnosis-readonly', query: { id: String(id) } })
}
onMounted(() => {
// 默认展示当天挂号，突出重点
formData.appointment_date = todayStr.value
@@ -2091,6 +2139,33 @@ onUnmounted(() => {
color: var(--el-text-color-placeholder);
}
/* 未服务天数（T3）：null=灰；>=7=红；3-6=橙；<=2=绿 */
.unserved-days {
display: inline-block;
min-width: 28px;
font-weight: 600;
font-size: 13px;
font-variant-numeric: tabular-nums;
cursor: default;
}
.unserved-muted {
color: var(--el-text-color-placeholder);
font-weight: 400;
}
.unserved-green {
color: #16a34a;
}
.unserved-orange {
color: #ea580c;
}
.unserved-red {
color: #dc2626;
}
.diagnosis-cell {
display: flex;
flex-direction: column;
admin/src/views/tcm/diagnosis/readonly.vue
+282
View File
@@ -0,0 +1,282 @@
<template>
<div class="readonly-page" v-loading="loading">
<!-- 顶部 hero -->
<div class="readonly-hero">
<div class="hero-left">
<el-button link size="default" @click="goBack" class="back-btn">
<el-icon><ArrowLeft /></el-icon>
<span>返回</span>
</el-button>
<span class="title">患者信息详情</span>
</div>
<div v-if="diag?.patient_name" class="hero-right">
<span class="patient-name">{{ diag.patient_name }}</span>
<span class="patient-meta">
{{ formatGender(diag.gender) }}
<template v-if="diag.age != null"> · {{ diag.age }}岁</template>
</span>
<el-tooltip
v-if="lastBloodAt"
:content="`最近一次血糖打卡：${lastBloodAt}`"
placement="bottom"
>
<span :class="['unserved-badge', unservedDaysClass(unservedDays)]">
未服务 {{ unservedDays ?? '—' }} 天
</span>
</el-tooltip>
<span v-else class="unserved-badge unserved-muted">从未打卡血糖</span>
</div>
</div>
<!-- 加载失败 / 越权 -->
<el-empty
v-if="!loading && !detail"
:description="errorMsg || '诊单不存在或无权访问'"
class="empty-state"
/>
<template v-else-if="detail">
<PatientInfoCard :apt="apt" :diag="diag" />
<PatientCaseCard :apt="apt" :diag="diag" />
<!-- 跟踪信息 -->
<div class="card tracking-card">
<div class="card-title">跟踪信息（最近 30 天）</div>
<TrackingMatrix
:diagnosis-id="Number(diagnosisIdNum)"
:patient-id="Number(diag?.patient_id ?? 0)"
:age="diag?.age ?? null"
:blood-records="bloodRecords"
:diet-records="dietRecords"
:exercise-records="exerciseRecords"
/>
</div>
<!-- 医生备注（复用 reception 的 NoteTimeline，但只读） -->
<div v-if="doctorNotes.length" class="card note-card">
<div class="card-title">医生备注 & 舌苔照片 & 检查报告</div>
<NoteTimeline :notes="doctorNotes" :diagnosis-id="diag?.id" />
</div>
</template>
</div>
</template>
<script setup lang="ts">
import { computed, onMounted, ref } from 'vue'
import { useRoute, useRouter } from 'vue-router'
import { ArrowLeft } from '@element-plus/icons-vue'
import { diagnosisReadonlyDetail } from '@/api/tcm'
import { formatGender } from '@/utils/diag-display'
import PatientInfoCard from './components/PatientInfoCard.vue'
import PatientCaseCard from './components/PatientCaseCard.vue'
import TrackingMatrix from './components/TrackingMatrix.vue'
import NoteTimeline from '@/views/patient/reception/components/NoteTimeline.vue'
const route = useRoute()
const router = useRouter()
const diagnosisIdNum = computed(() => Number(route.query.id || 0))
const loading = ref(false)
const errorMsg = ref('')
const detail = ref<any>(null)
const apt = computed<any>(() => detail.value?.appointment || {})
const diag = computed<any>(() => detail.value?.diagnosis || {})
const bloodRecords = computed<any[]>(() => detail.value?.blood_records || [])
const dietRecords = computed<any[]>(() => detail.value?.diet_records || [])
const exerciseRecords = computed<any[]>(() => detail.value?.exercise_records || [])
const doctorNotes = computed<any[]>(() => detail.value?.doctor_notes || [])
const unservedDays = computed<number | null>(() => {
const v = detail.value?.unserved_days
return v === null || v === undefined ? null : Number(v)
})
const lastBloodAt = computed<string>(() => detail.value?.last_blood_record_at || '')
/**
* 「未服务天数」着色规则（与 T3 列表一致）：
* null/undefined → 灰；>=7 → 红；3-6 → 橙；<=2 → 绿
*/
const unservedDaysClass = (n: unknown) => {
if (n === null || n === undefined) return 'unserved-muted'
const num = Number(n)
if (!Number.isFinite(num)) return 'unserved-muted'
if (num >= 7) return 'unserved-red'
if (num >= 3) return 'unserved-orange'
return 'unserved-green'
}
const fetchDetail = async () => {
const id = diagnosisIdNum.value
if (!id || id <= 0) {
errorMsg.value = '诊单 id 缺失'
detail.value = null
return
}
loading.value = true
errorMsg.value = ''
try {
const res: any = await diagnosisReadonlyDetail({ id })
detail.value = res || null
} catch (e: any) {
errorMsg.value = e?.message || ''
detail.value = null
} finally {
loading.value = false
}
}
const goBack = () => {
if (window.history.length > 1) {
router.back()
} else {
router.push({ path: '/tcm/diagnosis' })
}
}
onMounted(fetchDetail)
</script>
<style lang="scss" scoped>
/* 沿用接诊台的设计变量；该文件挂在管理后台，--rx-* 已在 reception/index.vue 全局可见的同款值 */
.readonly-page {
--rx-surface: #ffffff;
--rx-line: #e6ebf2;
--rx-ink: #1f2937;
--rx-muted: #4b5563;
--rx-soft: #6b7280;
--rx-accent: #2563eb;
--rx-accent-strong: #1d4ed8;
--rx-shadow-sm: 0 1px 2px rgba(15, 23, 42, 0.04);
--rx-shadow: 0 4px 12px rgba(15, 23, 42, 0.06);
--rx-font-data: ui-monospace, SFMono-Regular, Menlo, Consolas, monospace;
display: flex;
flex-direction: column;
gap: 16px;
padding: 16px;
}
.readonly-hero {
display: flex;
justify-content: space-between;
align-items: center;
flex-wrap: wrap;
gap: 12px;
background: linear-gradient(135deg, #f5f8ff 0%, #eef3ff 100%);
border: 1px solid #dde7ff;
border-radius: 12px;
padding: 12px 16px;
.hero-left {
display: flex;
align-items: center;
gap: 12px;
.back-btn {
display: inline-flex;
align-items: center;
gap: 4px;
font-weight: 500;
}
.title {
font-size: 16px;
font-weight: 700;
color: var(--rx-ink);
}
}
.hero-right {
display: flex;
align-items: center;
gap: 12px;
.patient-name {
font-size: 18px;
font-weight: 700;
color: var(--rx-ink);
}
.patient-meta {
font-size: 13px;
color: var(--rx-muted);
}
}
}
.unserved-badge {
display: inline-block;
padding: 4px 10px;
border-radius: 999px;
font-size: 12px;
font-weight: 600;
background: rgba(255, 255, 255, 0.7);
border: 1px solid #dde7ff;
cursor: default;
&.unserved-muted {
color: var(--el-text-color-placeholder);
font-weight: 400;
}
&.unserved-green {
color: #16a34a;
border-color: #bbf7d0;
background: rgba(22, 163, 74, 0.06);
}
&.unserved-orange {
color: #ea580c;
border-color: #fed7aa;
background: rgba(234, 88, 12, 0.06);
}
&.unserved-red {
color: #dc2626;
border-color: #fecaca;
background: rgba(220, 38, 38, 0.08);
}
}
.empty-state {
background: var(--rx-surface);
border: 1px solid var(--rx-line);
border-radius: 14px;
padding: 40px 0;
}
.card {
background: var(--rx-surface);
border: 1px solid var(--rx-line);
border-radius: 14px;
padding: 18px;
display: flex;
flex-direction: column;
gap: 14px;
box-shadow: var(--rx-shadow-sm);
}
.card-title {
font-size: 15px;
font-weight: 700;
color: var(--rx-ink);
display: flex;
align-items: center;
gap: 10px;
padding-left: 10px;
position: relative;
&::before {
content: '';
position: absolute;
left: 0;
top: 50%;
transform: translateY(-50%);
width: 3px;
height: 16px;
border-radius: 2px;
background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
}
}
</style>
admin/tsconfig.tsbuildinfo
+1 -1
View File
File diff suppressed because one or more lines are too long
server/app/adminapi/controller/tcm/DiagnosisController.php
+20 -1
View File
@@ -113,12 +113,31 @@ class DiagnosisController extends BaseAdminController
*/
public function detail()
{
$params = (new DiagnosisValidate())->goCheck('id');
$result = DiagnosisLogic::detail($params);
return $this->data($result);
}
/**
* @notes 二诊只读病例详情（患者信息 + 病例 + 跟踪记录）
*
* 路由：GET /tcm.diagnosis/readonlyDetail?id=:diagnosisId
* 权限：tcm.diagnosis/readonlyDetail
*
* @return \think\response\Json
*/
public function readonlyDetail()
{
$params = (new DiagnosisValidate())->goCheck('readonlyDetail');
$result = DiagnosisLogic::readonlyDetail($params, $this->adminId, $this->adminInfo);
if (empty($result)) {
return $this->fail(DiagnosisLogic::getError() ?: '诊单不存在或无权访问');
}
return $this->data($result);
}
/**
* @notes 诊单挂号 / 取消挂号 操作日志（谁在何时操作）
*/
server/app/adminapi/lists/tcm/DiagnosisLists.php
+20
View File
@@ -17,6 +17,7 @@ namespace app\adminapi\lists\tcm;
use app\adminapi\lists\BaseAdminDataLists;
use app\adminapi\logic\dept\DeptLogic;
use app\common\model\tcm\Diagnosis;
use app\common\model\tcm\BloodRecord;
use app\common\model\DiagnosisViewRecord;
use app\common\model\doctor\Appointment;
use app\common\model\tcm\Prescription;
@@ -381,6 +382,25 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
foreach ($lists as &$item) {
$item['video_call_hint'] = $this->buildVideoCallHint($latestCallByDiag[$item['id']] ?? null);
}
unset($item);
// 未服务天数：以血糖记录最近一条 record_date 为锚点（口径见 prd T3）
// 单次 GROUP BY 聚合，不会成 N+1；走 idx_diagnosis_id 索引。
$diagIdsForUnserved = array_values(array_filter(array_unique(array_column($lists, 'id'))));
$maxBloodByDiag = [];
if (!empty($diagIdsForUnserved)) {
$maxBloodByDiag = BloodRecord::whereIn('diagnosis_id', $diagIdsForUnserved)
->whereNull('delete_time')
->group('diagnosis_id')
->column('MAX(record_date)', 'diagnosis_id');
}
$nowTs = time();
foreach ($lists as &$item) {
$last = (int) ($maxBloodByDiag[(int) $item['id']] ?? 0);
$item['last_blood_record_at'] = $last > 0 ? date('Y-m-d', $last) : null;
$item['unserved_days'] = $last > 0 ? max(0, (int) floor(($nowTs - $last) / 86400)) : null;
}
unset($item);
return $lists;
}
server/app/adminapi/logic/doctor/AppointmentLogic.php
+2 -2
View File
@@ -561,13 +561,13 @@ class AppointmentLogic extends BaseLogic
/**
* 字典翻译：把诊单中以 code 存储的字段（字典/枚举）补一份中文 label 字段，
* 便于前端（接诊台等只读场景）直接渲染，无需加载字典。
* 便于前端（接诊台 / 只读病例页等只读场景）直接渲染，无需加载字典。
* 原始 code 字段保留不动，edit 场景仍可使用。
*
* @param array $diagnosis
* @return array
*/
private static function enrichDiagnosisLabels(array $diagnosis): array
public static function enrichDiagnosisLabels(array $diagnosis): array
{
if (empty($diagnosis)) {
return $diagnosis;
server/app/adminapi/logic/tcm/DiagnosisLogic.php
+241
View File
@@ -19,9 +19,17 @@ use app\common\model\tcm\Diagnosis;
use app\common\model\tcm\DiagnosisGuahaoLog;
use app\common\model\tcm\DiagnosisAssignLog;
use app\common\model\tcm\ImChatMessage;
use app\common\model\tcm\BloodRecord;
use app\common\model\tcm\DietRecord;
use app\common\model\tcm\ExerciseRecord;
use app\common\model\DiagnosisViewRecord;
use app\common\model\doctor\Appointment;
use app\common\model\auth\Admin;
use app\common\model\auth\AdminRole;
use app\adminapi\logic\doctor\DoctorNoteLogic;
use app\adminapi\logic\doctor\AppointmentLogic;
use app\common\service\FileService;
use app\common\service\DataScope\DataScopeService;
use think\facade\Db;
/**
* 中医辨房病因诊单逻辑
@@ -3324,4 +3332,237 @@ class DiagnosisLogic extends BaseLogic
return $logs;
}
/**
* @notes 二诊只读病例详情
*
* 用途：医助从诊单列表「查看 / 双击」进入只读页（T1+T2），返回与接诊台同结构的
* 三块内容（appointment + diagnosis + 跟踪记录）。
*
* 数据权限（与列表 lists 接口一致）：
* - 医助 (role_id=2)：仅能访问 assistant_id == self 的诊单
* - DataScope 启用：assistant_id 须落在 visibleAdminIds
* - 越权 → setError + 返回 []
*
* @param array $params 至少含 id
* @param int $adminId
* @param array<string,mixed> $adminInfo request->adminInfo
* @return array
*/
public static function readonlyDetail(array $params, int $adminId, array $adminInfo): array
{
$diagnosisId = (int) ($params['id'] ?? 0);
if ($diagnosisId <= 0) {
self::setError('诊单 id 不能为空');
return [];
}
// 1) 数据权限闸 — 不通过则返回「不存在或无权访问」
$accessQuery = Diagnosis::where('id', $diagnosisId)->whereNull('delete_time');
$roleIds = array_map('intval', AdminRole::where('admin_id', $adminId)->column('role_id'));
if (in_array(2, $roleIds, true)) {
// 医助仅看自己被指派的
$accessQuery->where('assistant_id', $adminId);
}
if (DataScopeService::isEnabled()) {
$visibleIds = DataScopeService::getVisibleAdminIds($adminId, $adminInfo);
if ($visibleIds === []) {
self::setError('诊单不存在或无权访问');
return [];
}
if (is_array($visibleIds)) {
$accessQuery->whereIn('assistant_id', $visibleIds);
}
}
if (!$accessQuery->find()) {
self::setError('诊单不存在或无权访问');
return [];
}
// 2) 诊单详情（含图片聚合等）+ 字典翻译
$diagnosis = self::detail(['id' => $diagnosisId]);
if (empty($diagnosis)) {
self::setError('诊单数据为空');
return [];
}
$diagnosis = AppointmentLogic::enrichDiagnosisLabels($diagnosis);
// 3) 最近一条挂号（PatientInfoCard 显示用，无挂号则给默认空对象）
$appointment = self::buildLatestAppointmentForReadonly((int) ($diagnosis['id'] ?? $diagnosisId), $diagnosis);
// 4) 最近 30 天的跟踪记录（一次性 join 出三类，前端透视为矩阵）
$windowDays = 30;
$sinceTs = strtotime('-' . $windowDays . ' days');
$sinceTs = $sinceTs > 0 ? $sinceTs : 0;
$bloodRecords = self::fetchBloodRecordsForReadonly($diagnosisId, $sinceTs);
$dietRecords = self::fetchDietRecordsForReadonly($diagnosisId, $sinceTs);
$exerciseRecords = self::fetchExerciseRecordsForReadonly($diagnosisId, $sinceTs);
// 5) 医生备注
$doctorNotes = DoctorNoteLogic::getByDiagnosis($diagnosisId);
// 6) 未服务天数（与 T3 列同口径）
$maxBloodTs = BloodRecord::where('diagnosis_id', $diagnosisId)
->max('record_date');
$maxBloodTs = (int) $maxBloodTs;
$unservedDays = $maxBloodTs > 0 ? max(0, (int) floor((time() - $maxBloodTs) / 86400)) : null;
$lastBloodRecordAt = $maxBloodTs > 0 ? date('Y-m-d', $maxBloodTs) : null;
return [
'appointment' => $appointment,
'diagnosis' => $diagnosis,
'blood_records' => $bloodRecords,
'diet_records' => $dietRecords,
'exercise_records' => $exerciseRecords,
'doctor_notes' => $doctorNotes,
'unserved_days' => $unservedDays,
'last_blood_record_at' => $lastBloodRecordAt,
'window_days' => $windowDays,
];
}
/**
* 拼一份「最近一条挂号」给只读页 PatientInfoCard 用；没有挂号则给默认空骨架。
*
* @param int $diagnosisId
* @param array<string,mixed> $diagnosis 已字典翻译过的诊单数据
* @return array<string,mixed>
*/
private static function buildLatestAppointmentForReadonly(int $diagnosisId, array $diagnosis): array
{
$apt = Appointment::where('patient_id', $diagnosisId)
->order('id', 'desc')
->find();
$patientName = (string) ($diagnosis['patient_name'] ?? '');
$patientPhone = (string) ($diagnosis['phone'] ?? '');
if (!$apt) {
return [
'id' => 0,
'patient_id' => $diagnosisId,
'patient_name' => $patientName,
'patient_phone' => $patientPhone,
'doctor_id' => 0,
'doctor_name' => '',
'assistant_id' => (int) ($diagnosis['assistant_id'] ?? 0),
'assistant_name' => self::resolveAssistantName((int) ($diagnosis['assistant_id'] ?? 0)),
'appointment_date' => '',
'appointment_time' => '',
'period' => '',
'status' => 0,
'status_desc' => '无挂号',
'has_prescription' => 0,
'remark' => '',
];
}
$aptArr = $apt->toArray();
$aptArr['patient_name'] = $patientName;
$aptArr['patient_phone'] = $patientPhone;
// 医生姓名
$aptArr['doctor_name'] = '';
$docId = (int) ($aptArr['doctor_id'] ?? 0);
if ($docId > 0) {
$aptArr['doctor_name'] = (string) Admin::where('id', $docId)->value('name');
}
$aptArr['assistant_id'] = (int) ($diagnosis['assistant_id'] ?? 0);
$aptArr['assistant_name'] = self::resolveAssistantName((int) ($diagnosis['assistant_id'] ?? 0));
// status_desc 与现有列表口径保持简单映射
$statusMap = [
0 => '未挂号',
1 => '已预约',
2 => '已取消',
3 => '已完成',
4 => '已过号',
];
$aptArr['status_desc'] = $statusMap[(int) ($aptArr['status'] ?? 0)] ?? '';
$aptArr['has_prescription'] = (int) ($diagnosis['has_prescription'] ?? 0);
return $aptArr;
}
private static function resolveAssistantName(int $assistantId): string
{
if ($assistantId <= 0) {
return '';
}
return (string) Admin::where('id', $assistantId)->value('name');
}
/**
* @return array<int,array<string,mixed>>
*/
private static function fetchBloodRecordsForReadonly(int $diagnosisId, int $sinceTs): array
{
$query = BloodRecord::where('diagnosis_id', $diagnosisId);
if ($sinceTs > 0) {
$query->where('record_date', '>=', $sinceTs);
}
$rows = $query->order('record_date', 'desc')
->order('record_time', 'desc')
->select()
->toArray();
// 给前端一个 Y-m-d 字符串方便按日期透视；保留原 record_date 整数戳作日期窗口比较
foreach ($rows as &$row) {
$ts = (int) ($row['record_date'] ?? 0);
$row['record_date_ts'] = $ts;
$row['record_date'] = $ts > 0 ? date('Y-m-d', $ts) : '';
}
return $rows;
}
/**
* @return array<int,array<string,mixed>>
*/
private static function fetchDietRecordsForReadonly(int $diagnosisId, int $sinceTs): array
{
$query = DietRecord::where('diagnosis_id', $diagnosisId);
if ($sinceTs > 0) {
$query->where('record_date', '>=', $sinceTs);
}
$rows = $query->order('record_date', 'desc')->select()->toArray();
foreach ($rows as &$row) {
$ts = (int) ($row['record_date'] ?? 0);
$row['record_date_ts'] = $ts;
$row['record_date'] = $ts > 0 ? date('Y-m-d', $ts) : '';
}
return $rows;
}
/**
* @return array<int,array<string,mixed>>
*/
private static function fetchExerciseRecordsForReadonly(int $diagnosisId, int $sinceTs): array
{
$query = ExerciseRecord::where('diagnosis_id', $diagnosisId);
if ($sinceTs > 0) {
$query->where('record_date', '>=', $sinceTs);
}
$rows = $query->order('record_date', 'desc')
->append(['intensity_text'])
->select()
->toArray();
foreach ($rows as &$row) {
$ts = (int) ($row['record_date'] ?? 0);
$row['record_date_ts'] = $ts;
$row['record_date'] = $ts > 0 ? date('Y-m-d', $ts) : '';
}
return $rows;
}
}
server/app/adminapi/validate/tcm/DiagnosisValidate.php
+5
View File
@@ -71,6 +71,11 @@ class DiagnosisValidate extends BaseValidate
{
return $this->only(['id']);
}
public function sceneReadonlyDetail()
{
return $this->only(['id']);
}
public function sceneGenerateQrcode()
{
server/sql/1.9.20260420/add_diagnosis_readonly_menu.sql
+17
View File
@@ -0,0 +1,17 @@
# 二诊只读病例详情接口权限注册（T1+T2 - 2026-05-05）
# 挂在「中医诊单」(perms=tcm.diagnosis/lists) 菜单下
# tcm.diagnosis/readonlyDetail 二诊只读病例详情接口
SET @diag_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.diagnosis/lists' LIMIT 1);
INSERT INTO zyt_system_menu (
pid, type, name, icon, sort, perms, paths, component,
selected, params, is_cache, is_show, is_disable, create_time, update_time
)
SELECT
@diag_menu_id, 'A', '只读病例', '', 70,
'tcm.diagnosis/readonlyDetail', '', '',
'', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
FROM DUAL
WHERE @diag_menu_id IS NOT NULL
AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.diagnosis/readonlyDetail');
server/sql/1.9.20260420/cleanup_orphan_menus.sql
+35
View File
@@ -0,0 +1,35 @@
-- 清理菜单表中的孤儿记录（可选 · 跟 T1+T2 无关）
--
-- 背景：admin 启动时会按菜单表的 component 字段去 import.meta.glob 出来的 vue 文件里找匹配，
-- 找不到就 console.error("找不到组件 xxx")。前端 admin/src/views/stats/ 下没有 doctor-daily 目录，
-- 但菜单表里仍残留 component='stats/doctor-daily/index' 的记录 → 每次刷页面都会有这条警告。
--
-- 安全提示：
-- 1. **先跑下面的 SELECT**，确认要删的记录确实是孤儿（前端 views 下不存在）。
-- 2. 如果想保留菜单数据但不再触发 console.error，可以改 component 为空字符串而不是删除。
-- 3. 如果以后该功能要回归，可以从 git 历史里恢复或重新写 menu SQL。
--
-- 步骤 1：探测
-- =============================================================
-- SELECT id, pid, type, name, perms, paths, component, is_show, create_time
-- FROM zyt_system_menu
-- WHERE component LIKE '%doctor-daily%'
-- OR perms LIKE '%doctor.daily%'
-- OR paths LIKE '%doctor-daily%';
-- 步骤 2（可选 A）：把这条菜单及其子按钮全部删掉
-- =============================================================
-- 先把它的子节点（按钮权限）一并清理
-- DELETE FROM zyt_system_menu
-- WHERE pid IN (
-- SELECT id FROM (
-- SELECT id FROM zyt_system_menu WHERE component = 'stats/doctor-daily/index'
-- ) t
-- );
-- DELETE FROM zyt_system_menu WHERE component = 'stats/doctor-daily/index';
-- 步骤 2（可选 B）：仅置空 component，保留菜单与按钮权限不动（最稳妥）
-- =============================================================
-- UPDATE zyt_system_menu
-- SET component = ''
-- WHERE component = 'stats/doctor-daily/index';