新增功能
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<template>
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<el-drawer
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v-model="visible"
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title="中医处方单"
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size="900px"
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:close-on-click-modal="false"
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@close="handleClose"
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>
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<div v-if="!savedPrescription" class="prescription-edit">
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<el-form ref="formRef" :model="formData" label-width="100px" class="prescription-form">
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<div class="info-section">
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<div class="section-title">患者信息</div>
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<el-row :gutter="16">
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<el-col :span="8">
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<el-form-item label="姓名">
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<span>{{ formData.patient_name }}</span>
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</el-form-item>
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</el-col>
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<el-col :span="8">
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<el-form-item label="性别">
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<span>{{ formData.gender_desc }}</span>
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</el-form-item>
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</el-col>
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<el-col :span="8">
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<el-form-item label="年龄">
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<span>{{ formData.age }}</span>
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="电话">
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<span>{{ formData.phone }}</span>
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="门诊号">
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<el-input v-model="formData.visit_no" placeholder="门诊号" />
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</el-form-item>
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</el-col>
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</el-row>
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</div>
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<div class="info-section">
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<div class="section-title">诊断信息</div>
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<el-row :gutter="16">
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<el-col :span="12">
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<el-form-item label="脉象" prop="pulse">
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<el-input v-model="formData.pulse" placeholder="脉象" />
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="舌象" prop="tongue">
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<el-input v-model="formData.tongue" placeholder="舌象" />
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</el-form-item>
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</el-col>
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<el-col :span="24">
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<el-form-item label="临床诊断" prop="clinical_diagnosis">
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<el-input
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v-model="formData.clinical_diagnosis"
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type="textarea"
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:rows="2"
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placeholder="请输入临床诊断"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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</div>
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<div class="info-section">
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<div class="section-title">
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中药处方 (RP)
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<el-button type="primary" size="small" @click="handleAddHerb">添加中药</el-button>
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</div>
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<div class="mb-3">
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<el-form-item label="处方价格" prop="amount" class="!mb-0">
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<el-input-number
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v-model="formData.amount"
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:min="0"
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:precision="2"
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placeholder="请输入处方总价（元）"
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class="!w-40"
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/>
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<span class="ml-2 text-gray-500">元</span>
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</el-form-item>
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</div>
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<div v-for="(herb, index) in formData.herbs" :key="index" class="herb-item">
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<el-form-item :label="`中药${index + 1}`">
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<div class="flex gap-2 items-center flex-wrap">
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<el-input
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v-model="herb.name"
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placeholder="药品名称"
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style="width: 160px"
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/>
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<el-input-number
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v-model="herb.dosage"
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:min="0.1"
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:step="1"
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:precision="1"
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placeholder="剂量(克)"
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style="width: 120px"
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/>
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<span class="text-gray-500">克</span>
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<el-button type="danger" size="small" link @click="handleRemoveHerb(index)">
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删除
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</el-button>
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</div>
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</el-form-item>
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</div>
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</div>
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<div class="info-section">
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<el-row :gutter="16">
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<el-col :span="8">
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<el-form-item label="剂数" prop="dose_count">
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<el-input-number v-model="formData.dose_count" :min="1" :max="30" />
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</el-form-item>
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</el-col>
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<el-col :span="16">
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<el-form-item label="用法" prop="usage_instruction">
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<el-input v-model="formData.usage_instruction" placeholder="如：水煎服一日二次" />
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="医师" prop="doctor_name">
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<el-input v-model="formData.doctor_name" placeholder="医师姓名" />
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</el-form-item>
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</el-col>
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<el-col :span="24">
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<el-form-item label="医师签名" prop="doctor_signature" required>
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<div class="signature-pad-wrap">
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<canvas
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ref="signatureCanvasRef"
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class="signature-canvas"
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width="280"
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height="120"
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@mousedown="onSignatureStart"
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@mousemove="onSignatureMove"
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@mouseup="onSignatureEnd"
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@mouseleave="onSignatureEnd"
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@touchstart.prevent="onSignatureStart"
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@touchmove.prevent="onSignatureMove"
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@touchend.prevent="onSignatureEnd"
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/>
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<div class="signature-actions">
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<el-button size="small" @click="clearSignature">清空签名</el-button>
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</div>
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</div>
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<div class="text-xs text-amber-600 mt-1">* 必填，请在框内手写医师签名</div>
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</el-form-item>
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</el-col>
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</el-row>
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</div>
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</el-form>
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</div>
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<div v-else class="prescription-preview">
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<div ref="prescriptionPrintRef" class="prescription-print">
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<div class="prescription-header">
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<h2 class="prescription-title">{{ templateConfig.stationName }}处方笺</h2>
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<div class="prescription-type">
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<div>普通处方</div>
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<div class="text-sm">当日有效</div>
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</div>
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</div>
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<div class="prescription-meta">
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<span>日期: {{ savedPrescription.prescription_date }}</span>
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<span class="ml-4">门诊号: {{ savedPrescription.visit_no }}</span>
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</div>
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<div class="prescription-patient">
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<span>姓名: {{ savedPrescription.patient_name }}</span>
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<span>性别: {{ savedPrescription.gender_desc }}</span>
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<span>年龄: {{ savedPrescription.age }}</span>
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<span>电话: {{ savedPrescription.phone }}</span>
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</div>
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<div class="prescription-patient">
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<span>脉象: {{ savedPrescription.pulse || '—' }}</span>
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<span>舌象: {{ savedPrescription.tongue || '—' }}</span>
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</div>
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<div class="prescription-patient">
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<span>临床诊断: {{ savedPrescription.clinical_diagnosis }}</span>
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</div>
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<div class="prescription-rp">
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<div class="rp-label">RP</div>
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<div class="herbs-grid">
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<div
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v-for="(h, i) in savedPrescription.herbs"
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:key="i"
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class="herb-cell"
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>
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{{ h.name }} {{ h.dosage }}克
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</div>
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</div>
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</div>
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<div class="prescription-disclaimer" v-if="templateConfig.showDisclaimer">
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{{ templateConfig.disclaimer }}
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</div>
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<div class="prescription-footer">
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<div class="footer-left">
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<div class="footer-dosage">
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共 {{ savedPrescription.dose_count }} 剂, {{ savedPrescription.usage_instruction }}
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</div>
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<div class="footer-amount">金额 {{ savedPrescription.amount }}</div>
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</div>
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<div class="footer-right footer-sign">
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<span class="signature-cell">
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医师
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<img
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v-if="savedPrescription.doctor_signature"
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:src="savedPrescription.doctor_signature"
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alt="医师签名"
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class="doctor-signature-img"
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/>
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<span v-else>{{ savedPrescription.doctor_name || '医师' }}</span>
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</span>
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<span>核对发药</span>
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</div>
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</div>
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</div>
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<div class="flex justify-end gap-2 mt-4">
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<el-button @click="handleDownloadImage">
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<el-icon><Download /></el-icon>
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下载图片
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</el-button>
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<el-button type="primary" @click="handleDownloadPdf">
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<el-icon><Document /></el-icon>
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下载PDF
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</el-button>
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<el-button @click="handleNewPrescription">新建处方</el-button>
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<el-button @click="handleClose">关闭</el-button>
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</div>
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</div>
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<template v-if="!savedPrescription" #footer>
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<div class="flex justify-end gap-2">
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<el-button @click="handleClose">取消</el-button>
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<el-button type="primary" @click="handleSave" :loading="saving">保存处方</el-button>
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</div>
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</template>
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</el-drawer>
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</template>
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<script setup lang="ts">
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import feedback from '@/utils/feedback'
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import { prescriptionAdd, prescriptionDetail, prescriptionGetByAppointment } from '@/api/tcm'
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import { getDictData } from '@/api/app'
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import html2canvas from 'html2canvas'
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import { jsPDF } from 'jspdf'
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import useUserStore from '@/stores/modules/user'
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import { Download, Document } from '@element-plus/icons-vue'
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interface Herb {
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name: string
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dosage: number
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}
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interface PrescriptionForm {
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diagnosis_id: number
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appointment_id: number
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patient_name: string
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gender: number
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gender_desc: string
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age: number
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phone: string
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visit_no: string
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prescription_date: string
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pulse: string
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tongue: string
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clinical_diagnosis: string
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herbs: Herb[]
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dose_count: number
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usage_instruction: string
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amount: number
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doctor_name: string
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doctor_signature: string
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}
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const emit = defineEmits(['success'])
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const visible = ref(false)
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const formRef = ref()
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const saving = ref(false)
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const prescriptionPrintRef = ref<HTMLElement>()
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const signatureCanvasRef = ref<HTMLCanvasElement>()
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const isDrawing = ref(false)
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const savedPrescription = ref<any>(null)
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const templateConfig = reactive({
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stationName: '卫生服务站',
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showDisclaimer: true,
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disclaimer: ''
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})
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const formData = reactive<PrescriptionForm>({
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diagnosis_id: 0,
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appointment_id: 0,
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patient_name: '',
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gender: 0,
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gender_desc: '女',
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age: 0,
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phone: '',
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visit_no: '',
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prescription_date: '',
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pulse: '',
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tongue: '',
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clinical_diagnosis: '',
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herbs: [],
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dose_count: 1,
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usage_instruction: '水煎服一日二次',
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amount: 0,
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doctor_name: '',
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doctor_signature: ''
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})
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const userStore = useUserStore()
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const diagnosisTypeOptions = ref<any[]>([])
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const syndromeTypeOptions = ref<any[]>([])
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const getDictLabel = (options: any[], value: string) => {
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if (!value) return ''
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const item = options.find((opt: any) => opt.value === value)
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return item ? item.name : value
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}
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const loadDictOptions = async () => {
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try {
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const [dt, st] = await Promise.all([
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getDictData({ type: 'diagnosis_type' }),
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getDictData({ type: 'syndrome_type' })
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])
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diagnosisTypeOptions.value = dt?.diagnosis_type || []
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syndromeTypeOptions.value = st?.syndrome_type || []
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} catch (_) {}
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}
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const buildClinicalDiagnosis = (diagnosis: any) => {
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if (diagnosis?.symptoms?.trim()) return diagnosis.symptoms.trim()
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const dtLabel = getDictLabel(diagnosisTypeOptions.value, diagnosis?.diagnosis_type)
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const stLabel = getDictLabel(syndromeTypeOptions.value, diagnosis?.syndrome_type)
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const parts = [dtLabel, stLabel].filter(Boolean)
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return parts.length ? parts.join(' ') : ''
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}
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const open = async (data: any, options?: { templateId?: number; stationName?: string }) => {
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if (options?.stationName) templateConfig.stationName = options.stationName
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const diagnosis = data.diagnosis || data
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const diagnosisId = data.diagnosis_id ?? diagnosis?.id ?? data.id
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if (!diagnosisId) {
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feedback.msgWarning('缺少诊单信息')
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return
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}
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await loadDictOptions()
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const appointmentId = Number(data.id ?? data.appointment_id ?? 0)
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if (appointmentId) {
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try {
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const existing = await prescriptionGetByAppointment({ appointment_id: appointmentId })
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if (existing?.id) {
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const detail = await prescriptionDetail({ id: existing.id })
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savedPrescription.value = detail
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visible.value = true
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return
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}
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} catch (_) {}
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}
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formData.diagnosis_id = Number(diagnosisId)
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formData.appointment_id = appointmentId
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formData.patient_name = data.patient_name || diagnosis.patient_name || ''
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formData.gender = data.patient_gender ?? diagnosis.gender ?? 0
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formData.gender_desc = formData.gender === 1 ? '男' : '女'
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formData.age = data.patient_age ?? diagnosis.age ?? 0
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formData.phone = data.patient_phone || diagnosis.phone || ''
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formData.visit_no = data.id ? `1K${String(data.id).padStart(8, '0')}` : ''
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formData.prescription_date = new Date().toISOString().slice(0, 10)
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formData.pulse = diagnosis.pulse || ''
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formData.tongue = diagnosis.tongue_coating || diagnosis.tongue || ''
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formData.clinical_diagnosis = buildClinicalDiagnosis(diagnosis)
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formData.herbs = []
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formData.dose_count = 1
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formData.usage_instruction = '水煎服一日二次'
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formData.amount = 0
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formData.doctor_name = userStore.userInfo?.name || ''
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formData.doctor_signature = ''
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savedPrescription.value = null
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visible.value = true
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setTimeout(() => initSignatureCanvas(), 100)
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}
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const openById = async (prescriptionId: number) => {
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try {
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const res = await prescriptionDetail({ id: prescriptionId })
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savedPrescription.value = res
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visible.value = true
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} catch (e) {
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feedback.msgError('加载处方失败')
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}
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}
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const handleClose = () => {
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visible.value = false
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savedPrescription.value = null
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}
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const getSignatureCoords = (e: MouseEvent | TouchEvent) => {
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const canvas = signatureCanvasRef.value
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if (!canvas) return { x: 0, y: 0 }
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const rect = canvas.getBoundingClientRect()
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const scaleX = canvas.width / rect.width
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const scaleY = canvas.height / rect.height
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if (e instanceof TouchEvent) {
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const touch = e.touches[0] || e.changedTouches[0]
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return {
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x: (touch.clientX - rect.left) * scaleX,
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y: (touch.clientY - rect.top) * scaleY
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}
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}
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return {
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x: (e.clientX - rect.left) * scaleX,
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y: (e.clientY - rect.top) * scaleY
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}
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}
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const onSignatureStart = (e: MouseEvent | TouchEvent) => {
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isDrawing.value = true
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const ctx = signatureCanvasRef.value?.getContext('2d')
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if (!ctx) return
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const { x, y } = getSignatureCoords(e)
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ctx.beginPath()
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ctx.moveTo(x, y)
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}
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const onSignatureMove = (e: MouseEvent | TouchEvent) => {
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if (!isDrawing.value) return
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const ctx = signatureCanvasRef.value?.getContext('2d')
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if (!ctx) return
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const { x, y } = getSignatureCoords(e)
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ctx.lineTo(x, y)
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ctx.stroke()
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}
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const onSignatureEnd = () => {
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isDrawing.value = false
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const canvas = signatureCanvasRef.value
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if (canvas) {
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formData.doctor_signature = canvas.toDataURL('image/png')
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}
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}
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const clearSignature = () => {
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const canvas = signatureCanvasRef.value
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if (canvas) {
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const ctx = canvas.getContext('2d')
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if (ctx) {
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ctx.fillStyle = '#fff'
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ctx.fillRect(0, 0, canvas.width, canvas.height)
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}
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formData.doctor_signature = ''
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}
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}
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|
||||
const initSignatureCanvas = () => {
|
||||
const canvas = signatureCanvasRef.value
|
||||
if (canvas) {
|
||||
const ctx = canvas.getContext('2d')
|
||||
if (ctx) {
|
||||
ctx.fillStyle = '#fff'
|
||||
ctx.fillRect(0, 0, canvas.width, canvas.height)
|
||||
ctx.strokeStyle = '#333'
|
||||
ctx.lineWidth = 2
|
||||
ctx.lineCap = 'round'
|
||||
ctx.lineJoin = 'round'
|
||||
}
|
||||
}
|
||||
}
|
||||
|
||||
const handleAddHerb = () => {
|
||||
formData.herbs.push({ name: '', dosage: 6 })
|
||||
}
|
||||
|
||||
const handleRemoveHerb = (index: number) => {
|
||||
formData.herbs.splice(index, 1)
|
||||
}
|
||||
|
||||
const handleSave = async () => {
|
||||
if (!formData.clinical_diagnosis?.trim()) {
|
||||
feedback.msgWarning('请输入临床诊断')
|
||||
return
|
||||
}
|
||||
if (formData.herbs.length === 0) {
|
||||
feedback.msgWarning('请至少添加一味中药')
|
||||
return
|
||||
}
|
||||
for (const h of formData.herbs) {
|
||||
if (!h.name?.trim()) {
|
||||
feedback.msgWarning('请填写中药名称')
|
||||
return
|
||||
}
|
||||
if (!h.dosage || h.dosage <= 0) {
|
||||
feedback.msgWarning(`请填写「${h.name}」的剂量`)
|
||||
return
|
||||
}
|
||||
}
|
||||
|
||||
if (!formData.doctor_signature?.trim()) {
|
||||
feedback.msgWarning('请使用电子签名板手写医师签名')
|
||||
return
|
||||
}
|
||||
|
||||
saving.value = true
|
||||
try {
|
||||
const res = await prescriptionAdd({
|
||||
diagnosis_id: formData.diagnosis_id,
|
||||
appointment_id: formData.appointment_id,
|
||||
patient_name: formData.patient_name,
|
||||
gender: formData.gender,
|
||||
age: formData.age,
|
||||
phone: formData.phone,
|
||||
visit_no: formData.visit_no,
|
||||
prescription_date: formData.prescription_date,
|
||||
pulse: formData.pulse,
|
||||
tongue: formData.tongue,
|
||||
clinical_diagnosis: formData.clinical_diagnosis,
|
||||
herbs: formData.herbs,
|
||||
dose_count: formData.dose_count,
|
||||
usage_instruction: formData.usage_instruction,
|
||||
amount: formData.amount,
|
||||
doctor_name: formData.doctor_name,
|
||||
doctor_signature: formData.doctor_signature
|
||||
})
|
||||
const id = res?.id
|
||||
if (id) {
|
||||
const detail = await prescriptionDetail({ id })
|
||||
savedPrescription.value = detail
|
||||
emit('success')
|
||||
} else {
|
||||
feedback.msgError('保存失败')
|
||||
}
|
||||
} catch (e: any) {
|
||||
feedback.msgError(e?.msg || '保存失败')
|
||||
} finally {
|
||||
saving.value = false
|
||||
}
|
||||
}
|
||||
|
||||
const handleNewPrescription = () => {
|
||||
savedPrescription.value = null
|
||||
}
|
||||
|
||||
const captureElement = async (): Promise<HTMLCanvasElement> => {
|
||||
const el = prescriptionPrintRef.value
|
||||
if (!el) throw new Error('未找到处方内容')
|
||||
return html2canvas(el, {
|
||||
scale: 2,
|
||||
useCORS: true,
|
||||
logging: false,
|
||||
backgroundColor: '#ffffff'
|
||||
})
|
||||
}
|
||||
|
||||
const handleDownloadImage = async () => {
|
||||
try {
|
||||
const canvas = await captureElement()
|
||||
const link = document.createElement('a')
|
||||
link.download = `处方_${savedPrescription.value?.patient_name || '未命名'}_${Date.now()}.png`
|
||||
link.href = canvas.toDataURL('image/png')
|
||||
link.click()
|
||||
feedback.msgSuccess('图片已下载')
|
||||
} catch (e) {
|
||||
feedback.msgError('下载图片失败')
|
||||
}
|
||||
}
|
||||
|
||||
const handleDownloadPdf = async () => {
|
||||
try {
|
||||
const canvas = await captureElement()
|
||||
const imgData = canvas.toDataURL('image/png')
|
||||
const pdf = new jsPDF({
|
||||
orientation: 'portrait',
|
||||
unit: 'mm',
|
||||
format: 'a5'
|
||||
})
|
||||
const pageW = pdf.internal.pageSize.getWidth()
|
||||
const pageH = pdf.internal.pageSize.getHeight()
|
||||
const scale = Math.min(pageW / canvas.width, pageH / canvas.height)
|
||||
const imgW = canvas.width * scale
|
||||
const imgH = canvas.height * scale
|
||||
pdf.addImage(imgData, 'PNG', 0, 0, imgW, imgH)
|
||||
pdf.save(`处方_${savedPrescription.value?.patient_name || '未命名'}_${Date.now()}.pdf`)
|
||||
feedback.msgSuccess('PDF已下载')
|
||||
} catch (e) {
|
||||
feedback.msgError('下载PDF失败')
|
||||
}
|
||||
}
|
||||
|
||||
defineExpose({
|
||||
open,
|
||||
openById
|
||||
})
|
||||
</script>
|
||||
|
||||
<style scoped lang="scss">
|
||||
.prescription-form {
|
||||
.info-section {
|
||||
margin-bottom: 20px;
|
||||
padding: 16px;
|
||||
background: #f5f7fa;
|
||||
border-radius: 6px;
|
||||
|
||||
.section-title {
|
||||
font-size: 15px;
|
||||
font-weight: 600;
|
||||
margin-bottom: 12px;
|
||||
color: #303133;
|
||||
display: flex;
|
||||
justify-content: space-between;
|
||||
align-items: center;
|
||||
}
|
||||
|
||||
.herb-item {
|
||||
margin-bottom: 8px;
|
||||
}
|
||||
}
|
||||
}
|
||||
|
||||
.signature-pad-wrap {
|
||||
border: 1px solid #dcdfe6;
|
||||
border-radius: 4px;
|
||||
overflow: hidden;
|
||||
background: #fff;
|
||||
|
||||
.signature-canvas {
|
||||
display: block;
|
||||
cursor: crosshair;
|
||||
touch-action: none;
|
||||
}
|
||||
|
||||
.signature-actions {
|
||||
padding: 8px;
|
||||
border-top: 1px solid #ebeef5;
|
||||
}
|
||||
}
|
||||
|
||||
.prescription-print {
|
||||
width: 148mm;
|
||||
min-height: 210mm;
|
||||
padding: 20px;
|
||||
background: #fff;
|
||||
font-size: 14px;
|
||||
color: #333;
|
||||
margin: 0 auto;
|
||||
box-sizing: border-box;
|
||||
|
||||
.prescription-header {
|
||||
display: flex;
|
||||
justify-content: space-between;
|
||||
align-items: flex-start;
|
||||
margin-bottom: 16px;
|
||||
padding-bottom: 12px;
|
||||
border-bottom: 1px solid #ddd;
|
||||
|
||||
.prescription-title {
|
||||
font-size: 20px;
|
||||
font-weight: 600;
|
||||
margin: 0;
|
||||
}
|
||||
|
||||
.prescription-type {
|
||||
text-align: right;
|
||||
font-size: 14px;
|
||||
}
|
||||
}
|
||||
|
||||
.prescription-meta {
|
||||
margin-bottom: 8px;
|
||||
}
|
||||
|
||||
.prescription-patient {
|
||||
margin-bottom: 6px;
|
||||
|
||||
span {
|
||||
margin-right: 16px;
|
||||
}
|
||||
}
|
||||
|
||||
.prescription-rp {
|
||||
margin: 16px 0;
|
||||
padding: 12px;
|
||||
border: 1px solid #eee;
|
||||
|
||||
.rp-label {
|
||||
font-weight: 600;
|
||||
margin-bottom: 8px;
|
||||
}
|
||||
|
||||
.herbs-grid {
|
||||
display: grid;
|
||||
grid-template-columns: repeat(3, 1fr);
|
||||
gap: 8px 16px;
|
||||
}
|
||||
|
||||
.herb-cell {
|
||||
white-space: nowrap;
|
||||
}
|
||||
}
|
||||
|
||||
.prescription-disclaimer {
|
||||
text-align: center;
|
||||
color: #e6a23c;
|
||||
font-size: 12px;
|
||||
margin: 12px 0;
|
||||
height: 300px;
|
||||
}
|
||||
|
||||
.prescription-footer {
|
||||
margin-top: 16px;
|
||||
padding-top: 12px;
|
||||
border-top: 1px dashed #ddd;
|
||||
display: flex;
|
||||
justify-content: space-between;
|
||||
align-items: flex-start;
|
||||
gap: 24px;
|
||||
|
||||
.footer-left {
|
||||
.footer-dosage,
|
||||
.footer-amount {
|
||||
margin-bottom: 4px;
|
||||
}
|
||||
}
|
||||
|
||||
.footer-right.footer-sign {
|
||||
text-align: right;
|
||||
display: flex;
|
||||
align-items: center;
|
||||
gap: 24px;
|
||||
}
|
||||
|
||||
.signature-cell {
|
||||
display: inline-flex;
|
||||
align-items: center;
|
||||
gap: 8px;
|
||||
}
|
||||
|
||||
.doctor-signature-img {
|
||||
height: 28px;
|
||||
max-width: 100px;
|
||||
object-fit: contain;
|
||||
vertical-align: middle;
|
||||
}
|
||||
}
|
||||
}
|
||||
</style>
|
||||
Reference in New Issue
Block a user