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Merge branch 'fix-diagnosis-20250505'

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long
2026-05-05 18:07:04 +08:00
parent cd51f55701 30b5a13f3a
commit 671c7f16bd
35 changed files with 3612 additions and 348 deletions
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.claude/settings.local.json
+5 -1
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@@ -11,7 +11,11 @@
"Bash(php think *)",
"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(awk '/<template>/,/<\\\\/template>/{print NR\": \"$0; if\\(/<\\\\/template>/\\) exit}' D:/web/zyt/admin/src/views/consumer/prescription/order_list.vue)",
"Bash(npx eslint *)",
"Bash(git *)",
"Bash(tail -c 100000 /Users/long/.claude/projects/-Users-long-Work-zyt/7be9f770-afc3-497d-87a3-2ffa1fbe3fd1.jsonl)",
"Read(//tmp/**)"
]
}
}
.gitignore
+3
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@@ -26,3 +26,6 @@ bin-release/
/.cursor
/.codex
/.agents
/.claude
/.claude
/.claude
admin/src/api/tcm.ts
+75 -7
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@@ -5,8 +5,39 @@ 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 + 未服务天数（不含跟踪记录） */
export function diagnosisReadonlyDetail(params: { id: number }) {
return request.get({ url: '/tcm.diagnosis/readonlyDetail', params })
}
/** 跟踪信息（血糖血压 / 饮食 / 运动）按日期区间 lazy load — 由 TrackingMatrix 调用 */
export function diagnosisTrackingWindow(params: {
id: number
start_date?: string
end_date?: string
}) {
return request.get({ url: '/tcm.diagnosis/trackingWindow', params })
}
/** 新增跟踪备注（按天合并追加，仅文字） */
export function diagnosisAddTrackingNote(params: {
diagnosis_id: number
tracking_content: string
}) {
return request.post({ url: '/tcm.diagnosis/addTrackingNote', params })
}
/** 拉取跟踪备注列表（note_date DESC） */
export function diagnosisTrackingNotes(params: { diagnosis_id: number }) {
return request.get({ url: '/tcm.diagnosis/trackingNotes', params })
}
// 医助理诊单统计（按部门、按人）
export function assistantDiagnosisStats(params?: { start_time?: string; end_time?: string; days?: number }) {
export function assistantDiagnosisStats(params?: {
start_time?: string
end_time?: string
days?: number
}) {
return request.get({ url: '/tcm.diagnosis/assistantDiagnosisStats', params })
}
@@ -298,7 +329,11 @@ export function prescriptionVoid(params: { id: number }) {
}
/** 处方审核：action approve | reject（驳回同时作废处方） */
export function prescriptionAudit(params: { id: number; action: 'approve' | 'reject'; remark?: string }) {
export function prescriptionAudit(params: {
id: number
action: 'approve' | 'reject'
remark?: string
}) {
return request.post({ url: '/tcm.prescription/audit', params })
}
@@ -401,10 +436,7 @@ export function prescriptionOrderAddPayOrder(params: {
}
/** 为「已发货」订单关联已有支付单并重置支付审核为待审核 */
export function prescriptionOrderLinkPayOrder(params: {
id: number
pay_order_id: number
}) {
export function prescriptionOrderLinkPayOrder(params: { id: number; pay_order_id: number }) {
return request.post({ url: '/tcm.prescriptionOrder/linkPayOrder', params })
}
@@ -419,7 +451,11 @@ export function prescriptionOrderSubmitGancaoRecipel(params: { id: number }) {
}
/** 甘草药管家：预下单测试（仅 CTM_PREVIEW，不提交订单） */
export function prescriptionOrderPreviewGancaoRecipel(params: { id: number; dose_count?: number; medication_days?: number }) {
export function prescriptionOrderPreviewGancaoRecipel(params: {
id: number
dose_count?: number
medication_days?: number
}) {
return request.post({ url: '/tcm.prescriptionOrder/previewGancaoRecipel', params })
}
@@ -454,3 +490,35 @@ export function prescriptionLibraryDelete(params: { id: number }) {
export function prescriptionLibraryDetail(params: { id: number }) {
return request.get({ url: '/tcm.prescriptionLibrary/detail', params })
}
// ========== 诊单待办事项（T5） ==========
/** 待办列表（按 diagnosis_id） */
export function diagnosisTodoLists(params: {
diagnosis_id: number
page_no?: number
page_size?: number
status?: number
creator_id?: number
}) {
return request.get({ url: '/tcm.diagnosisTodo/lists', params })
}
/** 新增待办（remind_time 为 unix 秒级时间戳） */
export function diagnosisTodoAdd(params: {
diagnosis_id: number
content: string
remind_time: number
}) {
return request.post({ url: '/tcm.diagnosisTodo/add', params })
}
/** 取消待办（仅 status=0 / 创建人或超管） */
export function diagnosisTodoCancel(params: { id: number }) {
return request.post({ url: '/tcm.diagnosisTodo/cancel', params })
}
/** 待办详情 */
export function diagnosisTodoDetail(params: { id: number }) {
return request.get({ url: '/tcm.diagnosisTodo/detail', params })
}
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
+22 -321
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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">
@@ -242,65 +126,19 @@
/>
</div>
<!-- 血糖血压记录 -->
<!-- 跟踪备注（只读时间轴；新增入口在「编辑诊单」内） -->
<!-- <div class="card tracking-note-card">
<div class="card-title">跟踪备注</div>
<TrackingNoteTimeline :notes="trackingNotes" readonly />
</div> -->
<!-- 跟踪信息（与只读病例页同口径，自治 lazy load） -->
<div class="card metric-card">
<div class="card-title">血糖血压记录</div>
<div class="metric-viewport">
<el-table
:data="bloodRecords"
size="small"
stripe
empty-text="暂无血糖血压记录"
class="metric-table"
max-height="360"
>
<el-table-column prop="record_date" label="记录日期" width="110" />
<el-table-column prop="record_time" label="记录时间" width="100">
<template #default="{ row }">{{ row.record_time || '—' }}</template>
</el-table-column>
<el-table-column label="空腹血糖(mmol/L)" width="150">
<template #default="{ row }">
<span class="metric-value" :class="{ high: isHighFastingBloodSugar(row.fasting_blood_sugar, diag.age) }">
{{ row.fasting_blood_sugar ?? '—' }}
<span v-if="isHighFastingBloodSugar(row.fasting_blood_sugar, diag.age)" class="metric-up">↑</span>
</span>
</template>
</el-table-column>
<el-table-column label="餐后2小时血糖(mmol/L)" width="180">
<template #default="{ row }">
<span class="metric-value" :class="{ high: isHighPostprandialBloodSugar(row.postprandial_blood_sugar, diag.age) }">
{{ row.postprandial_blood_sugar ?? '—' }}
<span v-if="isHighPostprandialBloodSugar(row.postprandial_blood_sugar, diag.age)" class="metric-up">↑</span>
</span>
</template>
</el-table-column>
<el-table-column label="其他血糖(mmol/L)" width="150">
<template #default="{ row }">
<span class="metric-value" :class="{ high: isHighOtherBloodSugar(row.other_blood_sugar, diag.age) }">
{{ row.other_blood_sugar ?? '—' }}
<span v-if="isHighOtherBloodSugar(row.other_blood_sugar, diag.age)" class="metric-up">↑</span>
</span>
</template>
</el-table-column>
<el-table-column label="血压(mmHg)" width="130">
<template #default="{ row }">
<span class="metric-value" :class="{ high: isHighBloodPressure(row) }">
{{ formatBp(row) }}
<span v-if="isHighBloodPressure(row)" class="metric-up">↑</span>
</span>
</template>
</el-table-column>
<el-table-column label="西药" width="120">
<template #default="{ row }">{{ row.western_medicine || '—' }}</template>
</el-table-column>
<el-table-column label="胰岛素" width="120">
<template #default="{ row }">{{ row.insulin || '—' }}</template>
</el-table-column>
<el-table-column label="备注" min-width="160">
<template #default="{ row }">{{ row.remark || '—' }}</template>
</el-table-column>
</el-table>
</div>
<div class="card-title">跟踪信息</div>
<TrackingMatrix
:diagnosis-id="Number(diag?.id ?? 0)"
:age="diag?.age ?? null"
/>
</div>
</template>
</section>
@@ -353,13 +191,18 @@
</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 TrackingMatrix from '@/views/tcm/diagnosis/components/TrackingMatrix.vue'
import TrackingNoteTimeline from '@/views/tcm/diagnosis/components/TrackingNoteTimeline.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 {
Phone,
Search,
@@ -370,55 +213,6 @@ 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}${props.unit || ''}`,
props.high ? h('span', { class: 'metric-up' }, '↑') : null
]
)
]
)
}
const POLL_MS = 5_000
const PAGE_SIZE = 15
@@ -478,8 +272,8 @@ const noteSaving = ref(false)
const apt = computed<any>(() => detail.value?.appointment || {})
const diag = computed<any>(() => detail.value?.diagnosis || {})
const bloodRecords = computed<any[]>(() => detail.value?.blood_records || [])
const doctorNotes = computed<any[]>(() => detail.value?.doctor_notes || [])
const trackingNotes = computed<any[]>(() => detail.value?.tracking_notes || [])
const todayMeta = computed(() => {
const d = new Date()
@@ -489,38 +283,12 @@ const todayMeta = computed(() => {
})
const caseTypeLabel = computed(() => {
if (!diag.value) return '初诊'
return diag.value.consultation_type === 'follow_up' ? '复诊' : '初诊'
})
/**
* 诊单字典字段由后端 AppointmentLogic::enrichDiagnosisLabels 预翻译，
* 前端直接读 `<field>_text`；找不到时回退原值。
*/
const textOf = (field: string): string => {
const d: any = diag.value || {}
const t = d[field + '_text']
if (t !== undefined && t !== null && t !== '') return String(t)
const raw = d[field]
if (raw === undefined || raw === null || raw === '') return ''
return Array.isArray(raw) ? raw.join('、') : String(raw)
}
const todayStr = () => {
const d = new Date()
const pad = (n: number) => String(n).padStart(2, '0')
return `${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****$2')
}
const formatGender = (g?: number) => (g === 1 ? '男' : g === 0 ? '女' : '—')
const formatGenderAge = (row: QueueRow) => {
const parts = [formatGender(row.gender), row.age != null ? row.age + '岁' : '']
return parts.filter((p) => p && p !== '—').join(' ')
@@ -531,73 +299,6 @@ const formatTimeHM = (time?: string) => {
return time.replace(/^(\d{2}:\d{2})(:\d{2})?$/, '$1')
}
const formatPeriod = (period?: string) => {
if (period === 'morning') return '上午'
if (period === 'afternoon') return '下午'
return '全天'
}
const formatBp = (row: any) => {
const sys = row?.systolic_pressure
const dia = row?.diastolic_pressure
if (sys == null && dia == null) return '—'
return `${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/DiagnosisTodoList.vue
+313
View File
@@ -0,0 +1,313 @@
<template>
<div class="diagnosis-todo-list">
<div class="toolbar">
<el-button
type="primary"
:disabled="!props.diagnosisId"
@click="handleAdd"
v-perms="['tcm.diagnosisTodo/add']"
>
+ 新增待办
</el-button>
<el-radio-group v-model="filterStatus" class="ml-3" @change="handleFilterChange">
<el-radio-button :value="''">全部</el-radio-button>
<el-radio-button :value="0">待执行</el-radio-button>
<el-radio-button :value="1">已发送</el-radio-button>
<el-radio-button :value="3">失败</el-radio-button>
<el-radio-button :value="2">已取消</el-radio-button>
</el-radio-group>
<el-button class="ml-3" @click="fetchList">刷新</el-button>
</div>
<el-table
v-loading="pager.loading"
:data="pager.lists"
border
class="todo-table"
empty-text="暂无待办"
row-key="id"
>
<el-table-column label="提醒时间" prop="remind_time_text" width="160" />
<el-table-column label="内容" prop="content" min-width="240" show-overflow-tooltip />
<el-table-column label="状态" width="110" align="center">
<template #default="{ row }">
<el-tag :type="statusTagType(row.status)" effect="light" size="small">
{{ row.status_text }}
</el-tag>
</template>
</el-table-column>
<el-table-column label="创建人" prop="creator_name" width="120">
<template #default="{ row }">{{ row.creator_name || '-' }}</template>
</el-table-column>
<el-table-column label="推送时间" prop="notified_at_text" width="160">
<template #default="{ row }">{{ row.notified_at_text || '-' }}</template>
</el-table-column>
<el-table-column label="失败原因" prop="error" min-width="200" show-overflow-tooltip>
<template #default="{ row }">
<span v-if="row.status === 3" class="text-danger">{{ row.error || '未知错误' }}</span>
<span v-else>-</span>
</template>
</el-table-column>
<el-table-column label="操作" width="120" fixed="right" align="center">
<template #default="{ row }">
<el-button
v-if="row.status === 0 && row.can_cancel"
link
type="danger"
@click="handleCancel(row)"
v-perms="['tcm.diagnosisTodo/cancel']"
>
取消
</el-button>
<span v-else class="text-muted">-</span>
</template>
</el-table-column>
</el-table>
<div class="pagination-wrap">
<pagination v-model="pager" @change="fetchList" />
</div>
<!-- 新增弹框 -->
<el-dialog
v-model="addDialogVisible"
title="新增待办"
width="520px"
:close-on-click-modal="false"
>
<el-form ref="addFormRef" :model="addForm" :rules="addRules" label-width="100px">
<el-form-item label="提醒时间" prop="remindAt">
<el-date-picker
v-model="addForm.remindAt"
type="datetime"
placeholder="选择提醒时间"
format="YYYY-MM-DD HH:mm"
value-format="x"
:disabled-date="disablePastDate"
class="w-full"
/>
</el-form-item>
<el-form-item label="提醒内容" prop="content">
<el-input
v-model="addForm.content"
type="textarea"
:rows="4"
:maxlength="500"
show-word-limit
placeholder="例：3 天后回访患者复测餐后血糖"
/>
</el-form-item>
<el-form-item label="提醒人">
<span class="text-muted">企微推送给当前登录账号（创建人本人）</span>
</el-form-item>
</el-form>
<template #footer>
<el-button @click="addDialogVisible = false">取消</el-button>
<el-button type="primary" :loading="addSubmitting" @click="handleAddSubmit">
提交
</el-button>
</template>
</el-dialog>
</div>
</template>
<script setup lang="ts">
import type { FormInstance, FormRules } from 'element-plus'
import { diagnosisTodoLists, diagnosisTodoAdd, diagnosisTodoCancel } from '@/api/tcm'
import feedback from '@/utils/feedback'
interface Props {
diagnosisId: number | null | undefined
patientId?: number | null
patientName?: string
}
const props = defineProps<Props>()
// pager 与项目内 <pagination v-model="pager" /> 约定的字段保持一致
const pager = reactive({
page: 1,
size: 15,
count: 0,
loading: false,
lists: [] as any[]
})
const filterStatus = ref<number | ''>('')
const fetchList = async () => {
if (!props.diagnosisId || Number(props.diagnosisId) <= 0) {
pager.lists = []
pager.count = 0
return
}
pager.loading = true
try {
const params: {
page_no: number
page_size: number
diagnosis_id: number
status?: number
} = {
page_no: pager.page,
page_size: pager.size,
diagnosis_id: Number(props.diagnosisId)
}
if (filterStatus.value !== '' && filterStatus.value !== undefined) {
params.status = Number(filterStatus.value)
}
const res: any = await diagnosisTodoLists(params)
pager.count = Number(res?.count ?? 0)
pager.lists = Array.isArray(res?.lists) ? res.lists : []
} catch {
// request 拦截器已有错误 toast
pager.lists = []
pager.count = 0
} finally {
pager.loading = false
}
}
watch(
() => props.diagnosisId,
() => {
pager.page = 1
fetchList()
},
{ immediate: true }
)
const handleFilterChange = () => {
pager.page = 1
fetchList()
}
const statusTagType = (status: number): 'info' | 'success' | 'warning' | 'danger' => {
switch (Number(status)) {
case 0:
return 'info'
case 1:
return 'success'
case 2:
return 'warning'
case 3:
return 'danger'
default:
return 'info'
}
}
// ========== 新增 ==========
const addDialogVisible = ref(false)
const addSubmitting = ref(false)
const addFormRef = ref<FormInstance>()
const addForm = reactive({
remindAt: '' as string | number,
content: ''
})
const addRules: FormRules = {
remindAt: [{ required: true, message: '请选择提醒时间', trigger: 'change' }],
content: [
{ required: true, message: '请输入提醒内容', trigger: 'blur' },
{ max: 500, message: '内容最多 500 字', trigger: 'blur' }
]
}
const disablePastDate = (date: Date) => {
const today = new Date()
today.setHours(0, 0, 0, 0)
return date.getTime() < today.getTime()
}
const handleAdd = () => {
if (!props.diagnosisId) {
feedback.msgWarning('诊单未保存，无法添加待办')
return
}
addForm.remindAt = ''
addForm.content = ''
addDialogVisible.value = true
nextTick(() => addFormRef.value?.clearValidate())
}
const handleAddSubmit = async () => {
if (!addFormRef.value) return
const valid = await addFormRef.value.validate().catch(() => false)
if (!valid) return
const remindMs = Number(addForm.remindAt)
if (!Number.isFinite(remindMs) || remindMs <= Date.now() + 30 * 1000) {
feedback.msgWarning('提醒时间必须晚于当前时间至少 30 秒')
return
}
addSubmitting.value = true
try {
await diagnosisTodoAdd({
diagnosis_id: Number(props.diagnosisId),
content: addForm.content.trim(),
remind_time: Math.floor(remindMs / 1000)
})
feedback.msgSuccess('已创建')
addDialogVisible.value = false
fetchList()
} catch {
// request 拦截器已有错误 toast
} finally {
addSubmitting.value = false
}
}
// ========== 取消 ==========
const handleCancel = async (row: any) => {
try {
await feedback.confirm(`确认取消「${row.remind_time_text} · ${truncate(row.content, 30)}」吗？`)
} catch {
return
}
try {
await diagnosisTodoCancel({ id: Number(row.id) })
feedback.msgSuccess('已取消')
fetchList()
} catch {
// request 拦截器已有错误 toast
}
}
const truncate = (text: string, len: number) => {
if (!text) return ''
return text.length > len ? text.slice(0, len) + '...' : text
}
defineExpose({ refresh: fetchList })
</script>
<style lang="scss" scoped>
.diagnosis-todo-list {
.toolbar {
display: flex;
align-items: center;
flex-wrap: wrap;
gap: 8px;
margin-bottom: 12px;
}
.todo-table {
width: 100%;
}
.pagination-wrap {
margin-top: 12px;
display: flex;
justify-content: flex-end;
}
.text-danger {
color: var(--el-color-danger);
}
.text-muted {
color: var(--el-text-color-placeholder);
}
}
</style>
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
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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
+482
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<template>
<div class="tracking-matrix" v-loading="loading">
<div class="toolbar">
<el-radio-group v-model="rangeMode" @change="onRangeModeChange">
<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-button value="custom">自定义</el-radio-button>
</el-radio-group>
<el-date-picker
v-if="rangeMode === 'custom'"
v-model="customRange"
type="daterange"
value-format="YYYY-MM-DD"
range-separator="至"
start-placeholder="开始日期"
end-placeholder="结束日期"
:clearable="false"
size="default"
:disabled-date="disabledFutureDate"
@change="onCustomRangeChange"
/>
<span class="hint">
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="!loading && visibleDates.length === 0"
description="所选区间内无任何打卡记录"
: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, onMounted, ref, watch } from 'vue'
import {
isHighFastingBloodSugar,
isHighPostprandialBloodSugar,
isHighOtherBloodSugar,
isHighBloodPressure,
formatBp
} from '@/utils/blood-thresholds'
import { diagnosisTrackingWindow } from '@/api/tcm'
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
breakfast?: string
lunch?: string
dinner?: string
[key: string]: any
}
interface ExerciseRecord {
record_date?: string
duration?: number
intensity?: number
intensity_text?: string
remark?: string
[key: string]: any
}
interface Props {
diagnosisId: number
age?: number | null
}
const props = withDefaults(defineProps<Props>(), {
age: null
})
type RangeMode = '7' | '30' | 'custom'
const rangeMode = ref<RangeMode>('30')
const customRange = ref<[string, string] | null>(null)
const loading = ref(false)
const bloodRecords = ref<BloodRecord[]>([])
const dietRecords = ref<DietRecord[]>([])
const exerciseRecords = ref<ExerciseRecord[]>([])
let requestSeq = 0
/** 把今天本地时间格式成 Y-m-d，避免 toISOString 的时区漂移 */
const formatDate = (d: Date): string =>
`${d.getFullYear()}-${String(d.getMonth() + 1).padStart(2, '0')}-${String(d.getDate()).padStart(2, '0')}`
const computeRange = (mode: RangeMode): { start: string; end: string } => {
if (mode === 'custom') {
const [s, e] = customRange.value || ['', '']
return { start: s || '', end: e || '' }
}
const days = mode === '7' ? 7 : 30
const end = new Date()
end.setHours(0, 0, 0, 0)
const start = new Date(end)
start.setDate(start.getDate() - (days - 1))
return { start: formatDate(start), end: formatDate(end) }
}
const disabledFutureDate = (date: Date) => date.getTime() > Date.now()
const fetchTracking = async () => {
if (!props.diagnosisId || props.diagnosisId <= 0) {
bloodRecords.value = []
dietRecords.value = []
exerciseRecords.value = []
return
}
const range = computeRange(rangeMode.value)
if (rangeMode.value === 'custom' && (!range.start || !range.end)) {
// 等待用户选完日期
return
}
const seq = ++requestSeq
loading.value = true
try {
const res: any = await diagnosisTrackingWindow({
id: props.diagnosisId,
start_date: range.start,
end_date: range.end
})
if (seq !== requestSeq) return
bloodRecords.value = res?.blood_records || []
dietRecords.value = res?.diet_records || []
exerciseRecords.value = res?.exercise_records || []
} catch {
if (seq === requestSeq) {
bloodRecords.value = []
dietRecords.value = []
exerciseRecords.value = []
}
} finally {
if (seq === requestSeq) loading.value = false
}
}
const onRangeModeChange = () => {
if (rangeMode.value === 'custom') {
// 默认填入「最近 30 天」作为初值，让用户在此基础上调整
if (!customRange.value) {
const r = computeRange('30')
customRange.value = [r.start, r.end]
}
}
fetchTracking()
}
const onCustomRangeChange = () => {
if (rangeMode.value === 'custom') fetchTracking()
}
watch(
() => props.diagnosisId,
(id) => {
if (id && id > 0) fetchTracking()
}
)
onMounted(() => {
if (props.diagnosisId && props.diagnosisId > 0) fetchTracking()
})
/**
* 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 bloodRecords.value) {
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 dietRecords.value) {
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 exerciseRecords.value) {
const d = String(r.record_date || '')
if (!d) continue
if (!map.has(d)) map.set(d, r)
}
return map
})
/**
* 已经由后端按区间过滤，前端只需取三类记录的日期并集 + desc 排序
*/
const visibleDates = computed<string[]>(() => {
const set = new Set<string>()
for (const r of bloodRecords.value) if (r.record_date) set.add(String(r.record_date))
for (const r of dietRecords.value) if (r.record_date) set.add(String(r.record_date))
for (const r of exerciseRecords.value) 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
})
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}`,
// 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
}
})
)
defineExpose({ refresh: fetchTracking })
</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/components/TrackingNoteTimeline.vue
+179
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@@ -0,0 +1,179 @@
<template>
<div class="tracking-timeline-wrap">
<!-- 编辑模式：输入新备注 -->
<div v-if="!readonly && diagnosisId" class="timeline-input">
<el-input
v-model="draft"
type="textarea"
:rows="2"
placeholder="输入跟踪备注，回车换行；保存后将以「[HH:MM] 内容」追加到当天记录"
maxlength="1000"
show-word-limit
resize="none"
:disabled="saving"
/>
<div class="input-actions">
<el-button
type="primary"
size="small"
:loading="saving"
:disabled="!draft.trim()"
@click="handleSave"
>
添加
</el-button>
</div>
</div>
<!-- 时间轴 -->
<div v-if="notes.length" class="tracking-timeline">
<div v-for="note in notes" :key="note.id" class="timeline-node">
<div class="timeline-dot"></div>
<div class="timeline-date">{{ note.note_date }}</div>
<div class="timeline-body">
<div v-if="note.content" class="timeline-content">
<div
v-for="(line, idx) in splitLines(note.content)"
:key="idx"
class="content-line"
>
{{ line }}
</div>
</div>
</div>
</div>
</div>
<el-empty v-if="!notes.length && readonly" description="暂无跟踪备注" :image-size="48" />
</div>
</template>
<script setup lang="ts">
import { ref } from 'vue'
import { diagnosisAddTrackingNote } from '@/api/tcm'
import feedback from '@/utils/feedback'
export interface TrackingNoteItem {
id: number
note_date: string
content: string | null
}
const props = defineProps<{
notes: TrackingNoteItem[]
diagnosisId?: number
readonly?: boolean
}>()
const emit = defineEmits<{ refresh: [] }>()
const draft = ref('')
const saving = ref(false)
const splitLines = (content: string | null): string[] => {
if (!content) return []
return content.split('\n').filter(Boolean)
}
const handleSave = async () => {
if (!props.diagnosisId) return
const content = draft.value.trim()
if (!content) return
saving.value = true
try {
await diagnosisAddTrackingNote({
diagnosis_id: props.diagnosisId,
tracking_content: content,
})
feedback.msgSuccess('已添加')
draft.value = ''
emit('refresh')
} finally {
saving.value = false
}
}
</script>
<style scoped lang="scss">
.tracking-timeline-wrap {
display: flex;
flex-direction: column;
gap: 14px;
}
.timeline-input {
display: flex;
flex-direction: column;
gap: 8px;
padding-bottom: 12px;
border-bottom: 1px dashed #ebeef5;
}
.input-actions {
display: flex;
justify-content: flex-end;
}
.tracking-timeline {
position: relative;
padding-left: 22px;
}
.tracking-timeline::before {
content: '';
position: absolute;
left: 6px;
top: 4px;
bottom: 4px;
width: 2px;
background: #ebeef5;
border-radius: 1px;
}
.timeline-node {
position: relative;
padding-bottom: 16px;
}
.timeline-node:last-child {
padding-bottom: 0;
}
.timeline-dot {
position: absolute;
left: -19px;
top: 5px;
width: 10px;
height: 10px;
border-radius: 50%;
background: #16a34a;
border: 2px solid #dcfce7;
}
.timeline-date {
font-size: 13px;
font-weight: 600;
color: #303133;
margin-bottom: 6px;
font-family: 'IBM Plex Mono', Consolas, monospace;
}
.timeline-body {
display: flex;
flex-direction: column;
gap: 6px;
}
.timeline-content {
display: flex;
flex-direction: column;
gap: 2px;
}
.content-line {
font-size: 12.5px;
color: #606266;
line-height: 1.6;
word-break: break-word;
}
</style>
admin/src/views/tcm/diagnosis/edit.vue
+44 -2
View File
@@ -562,6 +562,17 @@
</div>
<el-empty v-else description="请先保存诊单后查看" />
</el-tab-pane>
<el-tab-pane label="跟踪备注" name="trackingNote" :disabled="!formData.id" lazy>
<div v-if="formData.id" class="p-4">
<TrackingNoteTimeline
:notes="trackingNotes"
:diagnosis-id="Number(formData.id)"
:readonly="viewOnly"
@refresh="fetchTrackingNotes"
/>
</div>
<el-empty v-else description="请先保存诊单后查看" />
</el-tab-pane>
<!-- 血糖血压记录标签页 -->
<el-tab-pane label="血糖血压记录" name="blood" :disabled="!formData.id">
<blood-record-list
@@ -594,7 +605,24 @@
/>
<el-empty v-else description="请先保存诊单后再添加运动打卡记录" />
</el-tab-pane>
<!-- 待办事项标签页（T5：企微推送给创建人本人） -->
<el-tab-pane
label="待办事项"
name="todo"
:disabled="!formData.id"
lazy
v-if="hasPermission(['tcm.diagnosisTodo/lists'])"
>
<diagnosis-todo-list
v-if="formData.id"
:diagnosis-id="Number(formData.id)"
:patient-id="Number(formData.patient_id)"
:patient-name="formData.patient_name"
/>
<el-empty v-else description="请先保存诊单后再添加待办事项" />
</el-tab-pane>
<!-- 病历记录标签页（开方后自动显示） -->
<el-tab-pane label="处方" name="bingli" :disabled="!formData.id" v-if="hasPermission(['tcm.diagnosis/chufang'])">
<div v-if="formData.id" class="bingli-tab-content">
@@ -694,7 +722,7 @@
</template>
<script setup lang="ts">
import { tcmDiagnosisAdd, tcmDiagnosisEdit, tcmDiagnosisDetail, checkPhone, checkIdCard } from '@/api/tcm'
import { tcmDiagnosisAdd, tcmDiagnosisEdit, tcmDiagnosisDetail, checkPhone, checkIdCard, diagnosisTrackingNotes } from '@/api/tcm'
import { getDictData } from '@/api/app'
import feedback from '@/utils/feedback'
import { hasPermission } from '@/utils/perm'
@@ -705,12 +733,14 @@ import { QuestionFilled } from '@element-plus/icons-vue'
import BloodRecordList from './components/BloodRecordList.vue'
import DietRecordList from './components/DietRecordList.vue'
import ExerciseRecordList from './components/ExerciseRecordList.vue'
import DiagnosisTodoList from './components/DiagnosisTodoList.vue'
import CaseRecordList from './components/CaseRecordList.vue'
import CallRecordPanel from './components/CallRecordPanel.vue'
import ImChatRecordPanel from './components/ImChatRecordPanel.vue'
import AssignLogPanel from './components/AssignLogPanel.vue'
import AppointmentRecordPanel from './components/AppointmentRecordPanel.vue'
import NoteTimeline from '@/views/patient/reception/components/NoteTimeline.vue'
import TrackingNoteTimeline from './components/TrackingNoteTimeline.vue'
import TcmPrescription from '@/components/tcm-prescription/index.vue'
import { getDoctorNotes } from '@/api/patient'
@@ -748,10 +778,22 @@ const fetchDiagNotes = async () => {
} catch { diagNotes.value = [] }
}
const trackingNotes = ref<any[]>([])
const fetchTrackingNotes = async () => {
if (!formData.value.id) return
try {
trackingNotes.value = await diagnosisTrackingNotes({ diagnosis_id: Number(formData.value.id) }) || []
} catch { trackingNotes.value = [] }
}
watch(() => activeTab.value, async (tab) => {
if (tab === 'doctorNote' && formData.value.id) {
await fetchDiagNotes()
}
if (tab === 'trackingNote' && formData.value.id) {
await fetchTrackingNotes()
}
})
watch([visible, activeTab], () => {
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
+283
View File
@@ -0,0 +1,283 @@
<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</div>
<TrackingMatrix
:diagnosis-id="Number(diagnosisIdNum)"
:age="diag?.age ?? null"
/>
</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>
<!-- 跟踪备注（只读时间轴） -->
<div class="card tracking-note-card">
<div class="card-title">跟踪备注</div>
<TrackingNoteTimeline :notes="trackingNotes" readonly />
</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 TrackingNoteTimeline from './components/TrackingNoteTimeline.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 doctorNotes = computed<any[]>(() => detail.value?.doctor_notes || [])
const trackingNotes = computed<any[]>(() => detail.value?.tracking_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>
server/app/adminapi/controller/tcm/DiagnosisController.php
+76 -1
View File
@@ -18,6 +18,7 @@ use app\adminapi\controller\BaseAdminController;
use app\adminapi\lists\tcm\DiagnosisLists;
use app\adminapi\logic\order\OrderActionLogLogic;
use app\adminapi\logic\tcm\DiagnosisLogic;
use app\adminapi\logic\tcm\TrackingNoteLogic;
use app\adminapi\validate\tcm\DiagnosisValidate;
use app\common\model\Order;
use app\common\model\WechatChatRecord;
@@ -113,12 +114,86 @@ 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 跟踪信息（血糖血压 / 饮食 / 运动）—— 按日期区间 lazy load
*
* 路由：GET /tcm.diagnosis/trackingWindow?id=:diagnosisId&start_date=&end_date=
* 权限：tcm.diagnosis/readonlyDetail（与只读病例页同档；接诊台亦复用）
*
* @return \think\response\Json
*/
public function trackingWindow()
{
$params = (new DiagnosisValidate())->goCheck('trackingWindow');
$result = DiagnosisLogic::fetchTrackingWindow(
(int) $params['id'],
(string) ($params['start_date'] ?? ''),
(string) ($params['end_date'] ?? '')
);
return $this->data($result);
}
/**
* @notes 新增跟踪备注（按天合并追加，仅文字）
*
* 路由：POST /tcm.diagnosis/addTrackingNote
* 权限：tcm.diagnosis/addTrackingNote
*
* @return \think\response\Json
*/
public function addTrackingNote()
{
$params = (new DiagnosisValidate())->post()->goCheck('addTrackingNote');
$ok = TrackingNoteLogic::addOrAppend([
'diagnosis_id' => (int) $params['diagnosis_id'],
'admin_id' => (int) $this->adminId,
'content' => (string) $params['tracking_content'],
]);
if ($ok === false) {
return $this->fail(TrackingNoteLogic::getError() ?: '保存失败');
}
return $this->success('保存成功');
}
/**
* @notes 拉取跟踪备注列表（note_date DESC）
*
* 路由：GET /tcm.diagnosis/trackingNotes?diagnosis_id=:diagnosisId
* 权限：tcm.diagnosis/trackingNotes
*
* @return \think\response\Json
*/
public function trackingNotes()
{
$params = (new DiagnosisValidate())->goCheck('trackingNotes');
return $this->data(TrackingNoteLogic::getByDiagnosis((int) $params['diagnosis_id']));
}
/**
* @notes 诊单挂号 / 取消挂号 操作日志（谁在何时操作）
*/
server/app/adminapi/controller/tcm/DiagnosisTodoController.php
+81
View File
@@ -0,0 +1,81 @@
<?php
// +----------------------------------------------------------------------
// | likeadmin快速开发前后端分离管理后台（PHP版）
// +----------------------------------------------------------------------
// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
// | 开源版本可自由商用，可去除界面版权logo
// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
// | github下载：https://github.com/likeshop-github/likeadmin
// | 访问官网：https://www.likeadmin.cn
// | likeadmin团队 版权所有 拥有最终解释权
// +----------------------------------------------------------------------
// | author: likeadminTeam
// +----------------------------------------------------------------------
declare(strict_types=1);
namespace app\adminapi\controller\tcm;
use app\adminapi\controller\BaseAdminController;
use app\adminapi\lists\tcm\DiagnosisTodoLists;
use app\adminapi\logic\tcm\DiagnosisTodoLogic;
use app\adminapi\validate\tcm\DiagnosisTodoValidate;
/**
* 诊单待办事项控制器
*
* 职责：仅 lists / add / cancel / detail；编辑能力故意不开放（要改 = 取消重建）
*
* @package app\adminapi\controller\tcm
*/
class DiagnosisTodoController extends BaseAdminController
{
/**
* @notes 待办列表（按 diagnosis_id）
*/
public function lists()
{
(new DiagnosisTodoValidate())->goCheck('list');
return $this->dataLists(new DiagnosisTodoLists());
}
/**
* @notes 新增待办
*/
public function add()
{
$params = (new DiagnosisTodoValidate())->post()->goCheck('add');
$result = DiagnosisTodoLogic::add($params, $this->adminId, $this->adminInfo);
if (!$result) {
return $this->fail(DiagnosisTodoLogic::getError() ?: '创建失败');
}
return $this->success('创建成功', [], 1, 1);
}
/**
* @notes 取消待办（仅 status=0 可取消，仅创建人/超管）
*/
public function cancel()
{
$params = (new DiagnosisTodoValidate())->post()->goCheck('cancel');
$result = DiagnosisTodoLogic::cancel((int) $params['id'], $this->adminId);
if (!$result) {
return $this->fail(DiagnosisTodoLogic::getError() ?: '取消失败');
}
return $this->success('已取消', [], 1, 1);
}
/**
* @notes 待办详情
*/
public function detail()
{
$params = (new DiagnosisTodoValidate())->goCheck('detail');
$result = DiagnosisTodoLogic::detail((int) $params['id'], $this->adminId);
return $this->data($result);
}
}
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/lists/tcm/DiagnosisTodoLists.php
+73
View File
@@ -0,0 +1,73 @@
<?php
// +----------------------------------------------------------------------
// | likeadmin快速开发前后端分离管理后台（PHP版）
// +----------------------------------------------------------------------
// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
// | 开源版本可自由商用，可去除界面版权logo
// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
// | github下载：https://github.com/likeshop-github/likeadmin
// | 访问官网：https://www.likeadmin.cn
// | likeadmin团队 版权所有 拥有最终解释权
// +----------------------------------------------------------------------
// | author: likeadminTeam
// +----------------------------------------------------------------------
declare(strict_types=1);
namespace app\adminapi\lists\tcm;
use app\adminapi\lists\BaseAdminDataLists;
use app\adminapi\logic\tcm\DiagnosisTodoLogic;
use app\common\lists\ListsSearchInterface;
use app\common\model\tcm\DiagnosisTodo;
/**
* 诊单待办事项列表
*
* 默认按 remind_time desc 排序；按 diagnosis_id 过滤。
*
* @package app\adminapi\lists\tcm
*/
class DiagnosisTodoLists extends BaseAdminDataLists implements ListsSearchInterface
{
public function setSearch(): array
{
return [
'=' => ['diagnosis_id', 'status', 'creator_id'],
];
}
public function lists(): array
{
$lists = DiagnosisTodo::where($this->searchWhere)
->field([
'id', 'diagnosis_id', 'patient_id', 'content', 'remind_time',
'status', 'creator_id', 'creator_name', 'notified_at', 'error',
'cancelled_at', 'cancelled_by', 'create_time', 'update_time',
])
->append([
'status_text',
'remind_time_text',
'notified_at_text',
'cancelled_at_text',
])
->order('remind_time', 'desc')
->order('id', 'desc')
->limit($this->limitOffset, $this->limitLength)
->select()
->toArray();
// 业务态：是否能被「我」取消（前端按钮显隐用）
$adminId = (int) $this->adminId;
foreach ($lists as &$item) {
$item['can_cancel'] = DiagnosisTodoLogic::canCancel($item, $adminId);
}
return $lists;
}
public function count(): int
{
return DiagnosisTodo::where($this->searchWhere)->count();
}
}
server/app/adminapi/logic/doctor/AppointmentLogic.php
+14 -10
View File
@@ -13,6 +13,7 @@ use app\api\logic\ChatNotifyLogic;
use app\adminapi\logic\tcm\PrescriptionLogic;
use app\adminapi\logic\tcm\DiagnosisLogic;
use app\adminapi\logic\tcm\BloodRecordLogic;
use app\adminapi\logic\tcm\TrackingNoteLogic;
use app\adminapi\logic\doctor\DoctorNoteLogic;
use app\common\model\tcm\Prescription;
use app\common\service\wechat\WechatWorkAppMessageService;
@@ -516,10 +517,8 @@ class AppointmentLogic extends BaseLogic
? DiagnosisLogic::detail(['id' => $diagnosisId])
: [];
// 3) 血糖血压记录
$bloodRecords = $diagnosisId > 0
? BloodRecordLogic::getRecordsByPatient(['diagnosis_id' => $diagnosisId])
: [];
// 3) 跟踪信息（血糖血压 / 饮食 / 运动）改为前端按窗口 lazy load，
// 详见 DiagnosisController::trackingWindow。此处不再一次性返回。
// 4) 补全医助姓名（detail() 未关联 admin 助理表）
$assistantName = '';
@@ -551,23 +550,28 @@ class AppointmentLogic extends BaseLogic
? DoctorNoteLogic::getByDiagnosis($diagnosisId)
: [];
// 7.1) 跟踪备注
$trackingNotes = $diagnosisId > 0
? TrackingNoteLogic::getByDiagnosis($diagnosisId)
: [];
return [
'appointment' => $appointment,
'diagnosis' => $diagnosis,
'blood_records' => $bloodRecords,
'doctor_notes' => $doctorNotes,
'appointment' => $appointment,
'diagnosis' => $diagnosis,
'doctor_notes' => $doctorNotes,
'tracking_notes' => $trackingNotes,
];
}
/**
* 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
+275
View File
@@ -19,9 +19,18 @@ 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\adminapi\logic\tcm\TrackingNoteLogic;
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 +3333,270 @@ 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) 跟踪信息（血糖血压 / 饮食 / 运动）改为前端按窗口 lazy load，
// 详见 DiagnosisController::trackingWindow。此处不再一次性返回。
// 5) 医生备注
$doctorNotes = DoctorNoteLogic::getByDiagnosis($diagnosisId);
// 5.1) 跟踪备注（只读展示，按 note_date DESC）
$trackingNotes = TrackingNoteLogic::getByDiagnosis($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,
'doctor_notes' => $doctorNotes,
'tracking_notes' => $trackingNotes,
'unserved_days' => $unservedDays,
'last_blood_record_at' => $lastBloodRecordAt,
];
}
/**
* 取指定日期区间内的三类跟踪记录（血糖血压 / 饮食 / 运动），供 readonlyDetail 与
* 医生接诊台 reception 通过独立接口 lazy load。
*
* 区间语义：闭区间 [startDate, endDate]（Y-m-d），均不传则不限。
*
* @return array{
* blood_records: array<int,array<string,mixed>>,
* diet_records: array<int,array<string,mixed>>,
* exercise_records: array<int,array<string,mixed>>,
* start_date: string,
* end_date: string,
* }
*/
public static function fetchTrackingWindow(int $diagnosisId, string $startDate = '', string $endDate = ''): array
{
$sinceTs = $startDate !== '' ? (int) strtotime($startDate . ' 00:00:00') : 0;
$untilTs = $endDate !== '' ? (int) strtotime($endDate . ' 23:59:59') : 0;
$sinceTs = $sinceTs > 0 ? $sinceTs : 0;
$untilTs = $untilTs > 0 ? $untilTs : 0;
return [
'blood_records' => self::fetchBloodRecordsForReadonly($diagnosisId, $sinceTs, $untilTs),
'diet_records' => self::fetchDietRecordsForReadonly($diagnosisId, $sinceTs, $untilTs),
'exercise_records' => self::fetchExerciseRecordsForReadonly($diagnosisId, $sinceTs, $untilTs),
'start_date' => $startDate,
'end_date' => $endDate,
];
}
/**
* 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, int $untilTs = 0): array
{
$query = BloodRecord::where('diagnosis_id', $diagnosisId);
if ($sinceTs > 0) {
$query->where('record_date', '>=', $sinceTs);
}
if ($untilTs > 0) {
$query->where('record_date', '<=', $untilTs);
}
$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, int $untilTs = 0): array
{
$query = DietRecord::where('diagnosis_id', $diagnosisId);
if ($sinceTs > 0) {
$query->where('record_date', '>=', $sinceTs);
}
if ($untilTs > 0) {
$query->where('record_date', '<=', $untilTs);
}
$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, int $untilTs = 0): array
{
$query = ExerciseRecord::where('diagnosis_id', $diagnosisId);
if ($sinceTs > 0) {
$query->where('record_date', '>=', $sinceTs);
}
if ($untilTs > 0) {
$query->where('record_date', '<=', $untilTs);
}
$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/logic/tcm/DiagnosisTodoLogic.php
+187
View File
@@ -0,0 +1,187 @@
<?php
// +----------------------------------------------------------------------
// | likeadmin快速开发前后端分离管理后台（PHP版）
// +----------------------------------------------------------------------
// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
// | 开源版本可自由商用，可去除界面版权logo
// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
// | github下载：https://github.com/likeshop-github/likeadmin
// | 访问官网：https://www.likeadmin.cn
// | likeadmin团队 版权所有 拥有最终解释权
// +----------------------------------------------------------------------
// | author: likeadminTeam
// +----------------------------------------------------------------------
declare(strict_types=1);
namespace app\adminapi\logic\tcm;
use app\common\logic\BaseLogic;
use app\common\model\auth\Admin;
use app\common\model\auth\AdminRole;
use app\common\model\tcm\Diagnosis;
use app\common\model\tcm\DiagnosisTodo;
/**
* 诊单待办事项逻辑
*
* 状态机：
* add() → status=0 (待执行)
* cron → status=1 (已发送) / status=3 (失败)
* cancel() → status=2 (已取消，仅 status=0 可取消)
*
* 鉴权：
* add：诊单需存在；数据权限交由路由层「tcm.diagnosisTodo/add」节点 + 前端 tab disabled 控制。
* cancel：仅创建人本人或超级管理员 (role_id=1) 可取消，且仅 status=0 时。
*
* @package app\adminapi\logic\tcm
*/
class DiagnosisTodoLogic extends BaseLogic
{
/**
* @notes 新增待办
*
* @param array<string,mixed> $params 已通过 sceneAdd 验证
* @param int $adminId 当前 admin id
* @param array<string,mixed> $adminInfo request->adminInfo
*/
public static function add(array $params, int $adminId, array $adminInfo): bool
{
try {
$diagnosisId = (int) ($params['diagnosis_id'] ?? 0);
$diagnosis = Diagnosis::findOrEmpty($diagnosisId);
if ($diagnosis->isEmpty()) {
self::setError('诊单不存在');
return false;
}
$remindTime = (int) ($params['remind_time'] ?? 0);
if ($remindTime <= time()) {
self::setError('提醒时间必须晚于当前时间');
return false;
}
$creatorName = trim((string) ($adminInfo['name'] ?? ''));
if ($creatorName === '' && $adminId > 0) {
$creatorName = (string) Admin::where('id', $adminId)->value('name');
}
DiagnosisTodo::create([
'diagnosis_id' => $diagnosisId,
'patient_id' => (int) ($diagnosis->getAttr('patient_id') ?? 0),
'content' => trim((string) ($params['content'] ?? '')),
'remind_time' => $remindTime,
'status' => DiagnosisTodo::STATUS_PENDING,
'creator_id' => $adminId,
'creator_name' => $creatorName,
]);
return true;
} catch (\Throwable $e) {
self::setError($e->getMessage());
return false;
}
}
/**
* @notes 取消待办（人工）
*/
public static function cancel(int $id, int $adminId): bool
{
try {
$todo = DiagnosisTodo::findOrEmpty($id);
if ($todo->isEmpty()) {
self::setError('待办不存在');
return false;
}
$status = (int) $todo->getAttr('status');
if ($status !== DiagnosisTodo::STATUS_PENDING) {
self::setError('该待办已不是「待执行」状态，无法取消');
return false;
}
$creatorId = (int) $todo->getAttr('creator_id');
$isSuper = self::isSuperAdmin($adminId);
if ($creatorId !== $adminId && !$isSuper) {
self::setError('仅创建人或超级管理员可取消');
return false;
}
$todo->save([
'status' => DiagnosisTodo::STATUS_CANCELLED,
'cancelled_at' => time(),
'cancelled_by' => $adminId,
]);
return true;
} catch (\Throwable $e) {
self::setError($e->getMessage());
return false;
}
}
/**
* @notes 详情
*
* @return array<string,mixed>
*/
public static function detail(int $id, int $adminId = 0): array
{
$todo = DiagnosisTodo::findOrEmpty($id);
if ($todo->isEmpty()) {
return [];
}
$arr = $todo->append([
'status_text',
'remind_time_text',
'notified_at_text',
'cancelled_at_text',
])->toArray();
// 业务态：是否能被「我」取消（前端按钮显隐用）
$arr['can_cancel'] = self::canCancel($todo->toArray(), $adminId);
return $arr;
}
/**
* 是否超管：role_id=1
*/
public static function isSuperAdmin(int $adminId): bool
{
if ($adminId <= 0) {
return false;
}
$roleIds = AdminRole::where('admin_id', $adminId)->column('role_id');
return in_array(1, array_map('intval', $roleIds), true);
}
/**
* 业务判定：当前 admin 能否取消该待办
*
* @param array<string,mixed> $todoRow
*/
public static function canCancel(array $todoRow, int $adminId): bool
{
if ((int) ($todoRow['status'] ?? -1) !== DiagnosisTodo::STATUS_PENDING) {
return false;
}
if ($adminId <= 0) {
return false;
}
if ((int) ($todoRow['creator_id'] ?? 0) === $adminId) {
return true;
}
return self::isSuperAdmin($adminId);
}
}
server/app/adminapi/logic/tcm/TrackingNoteLogic.php
+95
View File
@@ -0,0 +1,95 @@
<?php
namespace app\adminapi\logic\tcm;
use app\common\logic\BaseLogic;
use app\common\model\tcm\TrackingNote;
/**
* 诊单跟踪备注 Logic
*
* - 按 diagnosis_id + 当天 find-or-create
* - 多次追加 content（换行分隔，带 [HH:MM] 前缀）
* - 不涉及附件（与医生备注 DoctorNoteLogic 不同）
*/
class TrackingNoteLogic extends BaseLogic
{
/**
* 追加跟踪备注（按天合并）
*
* @param array $params diagnosis_id (int)、admin_id (int)、content (string)
* @return bool
*/
public static function addOrAppend(array $params): bool
{
try {
$diagnosisId = (int) ($params['diagnosis_id'] ?? 0);
$adminId = (int) ($params['admin_id'] ?? 0);
$newContent = trim((string) ($params['content'] ?? ''));
if ($diagnosisId <= 0) {
self::setError('诊单ID缺失');
return false;
}
if ($newContent === '') {
self::setError('备注内容不能为空');
return false;
}
$today = date('Y-m-d');
$time = date('H:i');
$line = "[{$time}] {$newContent}";
$existing = TrackingNote::where('diagnosis_id', $diagnosisId)
->where('note_date', $today)
->whereNull('delete_time')
->find();
if ($existing) {
$prev = trim((string) ($existing->content ?? ''));
$existing->content = $prev !== '' ? ($prev . "\n" . $line) : $line;
$existing->save();
} else {
TrackingNote::create([
'diagnosis_id' => $diagnosisId,
'admin_id' => $adminId,
'note_date' => $today,
'content' => $line,
]);
}
return true;
} catch (\Exception $e) {
self::setError($e->getMessage());
return false;
}
}
/**
* 按 diagnosis_id 获取跟踪备注列表（note_date DESC）
*
* @param int $diagnosisId
* @param int $limit 最近 N 天
* @return array
*/
public static function getByDiagnosis(int $diagnosisId, int $limit = 60): array
{
try {
if ($diagnosisId <= 0) {
return [];
}
$records = TrackingNote::where('diagnosis_id', $diagnosisId)
->whereNull('delete_time')
->order('note_date', 'desc')
->limit($limit)
->select()
->toArray();
return $records;
} catch (\Exception $e) {
self::setError($e->getMessage());
return [];
}
}
}
server/app/adminapi/validate/tcm/DiagnosisTodoValidate.php
+93
View File
@@ -0,0 +1,93 @@
<?php
// +----------------------------------------------------------------------
// | likeadmin快速开发前后端分离管理后台（PHP版）
// +----------------------------------------------------------------------
// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
// | 开源版本可自由商用，可去除界面版权logo
// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
// | github下载：https://github.com/likeshop-github/likeadmin
// | 访问官网：https://www.likeadmin.cn
// | likeadmin团队 版权所有 拥有最终解释权
// +----------------------------------------------------------------------
// | author: likeadminTeam
// +----------------------------------------------------------------------
declare(strict_types=1);
namespace app\adminapi\validate\tcm;
use app\common\model\tcm\Diagnosis;
use app\common\model\tcm\DiagnosisTodo;
use app\common\validate\BaseValidate;
/**
* 诊单待办事项验证
* Class DiagnosisTodoValidate
* @package app\adminapi\validate\tcm
*/
class DiagnosisTodoValidate extends BaseValidate
{
protected $rule = [
'id' => 'require|number',
'diagnosis_id' => 'require|number|gt:0|checkDiagnosis',
'content' => 'require|length:1,500',
'remind_time' => 'require|number|checkRemindFuture',
];
protected $message = [
'id.require' => '参数缺失',
'diagnosis_id.require' => '诊单 id 不能为空',
'diagnosis_id.gt' => '诊单 id 非法',
'content.require' => '请输入提醒内容',
'content.length' => '提醒内容长度需在 1-500 字',
'remind_time.require' => '请选择提醒时间',
'remind_time.number' => '提醒时间格式错误',
];
public function sceneAdd()
{
return $this->only(['diagnosis_id', 'content', 'remind_time']);
}
public function sceneCancel()
{
return $this->only(['id']);
}
public function sceneDetail()
{
return $this->only(['id']);
}
public function sceneList()
{
return $this->only(['diagnosis_id'])
->append('diagnosis_id', 'require|number|gt:0');
}
/**
* 诊单存在校验
*/
protected function checkDiagnosis($value): bool|string
{
$diagnosis = Diagnosis::findOrEmpty((int) $value);
if ($diagnosis->isEmpty()) {
return '诊单不存在';
}
return true;
}
/**
* 提醒时间必须在当前时间之后（至少 30 秒），避免立刻就过期
*/
protected function checkRemindFuture($value): bool|string
{
$ts = (int) $value;
if ($ts <= time() + 30) {
return '提醒时间必须晚于当前时间';
}
return true;
}
}
server/app/adminapi/validate/tcm/DiagnosisValidate.php
+52 -1
View File
@@ -37,6 +37,10 @@ class DiagnosisValidate extends BaseValidate
'tongue_images' => 'array',
'report_files' => 'array',
'diabetes_discovery_year' => 'max:50',
'start_date' => 'date',
'end_date' => 'date|checkDateRange',
'diagnosis_id' => 'require|integer|checkDiagnosisId',
'tracking_content' => 'require|length:1,1000',
];
protected $message = [
@@ -55,6 +59,11 @@ class DiagnosisValidate extends BaseValidate
'status.in' => '状态参数错误',
'current_medications.max' => '在用药物最多2000个字符',
'diabetes_discovery_year.max' => '发现糖尿病患病史最多50个字符',
'start_date.date' => '开始日期格式不正确',
'end_date.date' => '结束日期格式不正确',
'diagnosis_id.require' => '诊单ID不能为空',
'tracking_content.require' => '跟踪备注内容不能为空',
'tracking_content.length' => '跟踪备注最多1000个字符',
];
public function sceneAdd()
@@ -71,7 +80,29 @@ class DiagnosisValidate extends BaseValidate
{
return $this->only(['id']);
}
public function sceneReadonlyDetail()
{
return $this->only(['id']);
}
public function sceneTrackingWindow()
{
return $this->only(['id', 'start_date', 'end_date']);
}
/** 新增跟踪备注：诊单ID + 备注内容 */
public function sceneAddTrackingNote()
{
return $this->only(['diagnosis_id', 'tracking_content']);
}
/** 拉取跟踪备注列表：诊单ID */
public function sceneTrackingNotes()
{
return $this->only(['diagnosis_id']);
}
public function sceneGenerateQrcode()
{
return $this->only(['diagnosis_id', 'doctor_id', 'patient_id', 'share_user_id', 'mini_program_path'])
@@ -107,6 +138,26 @@ class DiagnosisValidate extends BaseValidate
return true;
}
/** 校验 diagnosis_id 字段（addTrackingNote 等场景使用，避开 id 字段） */
protected function checkDiagnosisId($value)
{
$diagnosis = Diagnosis::findOrEmpty($value);
if ($diagnosis->isEmpty()) {
return '诊单不存在';
}
return true;
}
/** end_date 不能早于 start_date */
protected function checkDateRange($value, $rule, $data = [])
{
$start = $data['start_date'] ?? '';
if ($start && $value && strtotime($value) < strtotime($start)) {
return '结束日期不能早于开始日期';
}
return true;
}
/** 视频场景需 doctor_id，确认诊单需 diagnosis_id */
protected function checkQrcodeIds($value, $rule, $data = [])
{
server/app/command/DiagnosisTodoNotify.php
+207
View File
@@ -0,0 +1,207 @@
<?php
declare(strict_types=1);
namespace app\command;
use app\common\model\auth\Admin;
use app\common\model\tcm\Diagnosis;
use app\common\model\tcm\DiagnosisTodo;
use app\common\service\wechat\WechatWorkAppMessageService;
use think\console\Command;
use think\console\Input;
use think\console\Output;
use think\facade\Db;
use think\facade\Log;
/**
* 诊单待办事项 - 企业微信定时推送
*
* 使用方法：
* php think tcm:diagnosis-todo-notify
*
* 推荐 cron（每分钟执行）：
* * * * * * cd /path/to/server && php think tcm:diagnosis-todo-notify >> /var/log/zyt-todo.log 2>&1
*
* 行为：
* 1. 取出 status=0 且 remind_time<=now 的待办，按 remind_time asc，限 200 条
* 2. 每条用乐观锁 (update set status=1 where id=? and status=0) 抢占，避免并发重复推送
* 3. 找创建人 admin.work_wechat_userid，未绑定 → status=3 + error
* 4. 调 WechatWorkAppMessageService::sendTextToUser，失败 → status=3 + error（终态，不重试）
* 5. 整批不中断；输出 处理 N / 成功 X / 失败 Y / 跳过未绑定 Z
*/
class DiagnosisTodoNotify extends Command
{
/** 单次扫描最大条数 */
private const BATCH_LIMIT = 200;
protected function configure()
{
$this->setName('tcm:diagnosis-todo-notify')
->setDescription('诊单待办事项：扫描到点的待执行项并向创建人发送企业微信消息');
}
protected function execute(Input $input, Output $output): int
{
$startTs = microtime(true);
$now = time();
$output->writeln('[' . date('Y-m-d H:i:s', $now) . '] 开始扫描诊单待办事项...');
$totalProcessed = 0;
$totalSent = 0;
$totalFailed = 0;
$totalSkipped = 0; // 被并发抢占
$totalUnbound = 0; // 创建人未绑定企微（计入 failed）
try {
$todoTable = (new DiagnosisTodo())->getTable();
$rows = Db::name(self::stripTablePrefix($todoTable))
->where('status', DiagnosisTodo::STATUS_PENDING)
->where('remind_time', '<=', $now)
->whereNull('delete_time')
->order('remind_time', 'asc')
->limit(self::BATCH_LIMIT)
->select()
->toArray();
$output->writeln('待处理数量：' . count($rows));
foreach ($rows as $row) {
$totalProcessed++;
$todoId = (int) ($row['id'] ?? 0);
if ($todoId <= 0) {
continue;
}
try {
// 乐观锁：抢占成功时影响 1 行；并发场景下另一个进程已抢走则影响 0 行 → 跳过
$affected = Db::name(self::stripTablePrefix($todoTable))
->where('id', $todoId)
->where('status', DiagnosisTodo::STATUS_PENDING)
->update([
'status' => DiagnosisTodo::STATUS_SENT,
'notified_at' => $now,
'update_time' => $now,
]);
if ($affected <= 0) {
$totalSkipped++;
continue;
}
// 取创建人 work_wechat_userid
$creatorId = (int) ($row['creator_id'] ?? 0);
$wxId = '';
if ($creatorId > 0) {
$wxId = (string) Admin::where('id', $creatorId)->value('work_wechat_userid');
}
if ($wxId === '') {
$this->markFailed($todoTable, $todoId, '创建人未绑定企业微信 userid');
$totalUnbound++;
$totalFailed++;
continue;
}
// 拼推送文本
$text = $this->buildText($row);
$res = WechatWorkAppMessageService::sendTextToUser($wxId, $text);
if (!($res['ok'] ?? false)) {
$errMsg = (string) ($res['message'] ?? '企业微信推送失败');
$this->markFailed($todoTable, $todoId, $errMsg);
$totalFailed++;
continue;
}
$totalSent++;
} catch (\Throwable $e) {
Log::error('诊单待办推送异常 todo_id=' . $todoId . ' msg=' . $e->getMessage());
try {
$this->markFailed($todoTable, $todoId, '系统异常: ' . $e->getMessage());
} catch (\Throwable $ee) {
Log::error('回写失败状态出错 todo_id=' . $todoId . ' msg=' . $ee->getMessage());
}
$totalFailed++;
}
}
} catch (\Throwable $e) {
Log::error('诊单待办批处理异常: ' . $e->getMessage());
$output->error('批处理异常: ' . $e->getMessage());
return 1;
}
$duration = round(microtime(true) - $startTs, 3);
$output->writeln(sprintf(
'处理完成。总数: %d, 成功: %d, 失败: %d (其中未绑定企微: %d), 并发跳过: %d, 耗时: %ss',
$totalProcessed,
$totalSent,
$totalFailed,
$totalUnbound,
$totalSkipped,
$duration
));
return 0;
}
/**
* 拼接推送文本
*
* @param array<string,mixed> $row 待办记录原始行
*/
private function buildText(array $row): string
{
$patientName = '';
$diagnosisId = (int) ($row['diagnosis_id'] ?? 0);
if ($diagnosisId > 0) {
$patientName = (string) Diagnosis::where('id', $diagnosisId)->value('patient_name');
}
$remindAt = (int) ($row['remind_time'] ?? 0);
$content = trim((string) ($row['content'] ?? ''));
$lines = [
'【患者跟踪提醒】',
'患者：' . ($patientName !== '' ? $patientName : '-'),
'时间：' . ($remindAt > 0 ? date('Y-m-d H:i', $remindAt) : '-'),
'内容：' . ($content !== '' ? $content : '-'),
'— 二中心跟踪系统',
];
return implode("\n", $lines);
}
/**
* 标记一条待办为「发送失败」，写入 error 字段
*/
private function markFailed(string $todoTable, int $todoId, string $errMsg): void
{
$errMsg = mb_substr($errMsg, 0, 500);
Db::name(self::stripTablePrefix($todoTable))
->where('id', $todoId)
->update([
'status' => DiagnosisTodo::STATUS_FAILED,
'error' => $errMsg,
'update_time' => time(),
]);
}
/**
* Db::name() 接收的是不带前缀的表名，BloodRecord 等 Model::getTable() 返回的是带前缀的全名。
* 这里去掉首段 `<prefix>_`。注意：项目实际前缀是 `zyt_`，但 think-orm 的 Db::name()
* 内部会用 config('database.prefix') 自动拼回，所以这里只需剥离一次即可。
*/
private static function stripTablePrefix(string $tableWithPrefix): string
{
$prefix = (string) config('database.connections.mysql.prefix', '');
if ($prefix !== '' && str_starts_with($tableWithPrefix, $prefix)) {
return substr($tableWithPrefix, strlen($prefix));
}
return $tableWithPrefix;
}
}
server/app/common/model/tcm/DiagnosisTodo.php
+99
View File
@@ -0,0 +1,99 @@
<?php
// +----------------------------------------------------------------------
// | likeadmin快速开发前后端分离管理后台（PHP版）
// +----------------------------------------------------------------------
// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
// | 开源版本可自由商用，可去除界面版权logo
// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
// | github下载：https://github.com/likeshop-github/likeadmin
// | 访问官网：https://www.likeadmin.cn
// | likeadmin团队 版权所有 拥有最终解释权
// +----------------------------------------------------------------------
// | author: likeadminTeam
// +----------------------------------------------------------------------
namespace app\common\model\tcm;
use app\common\model\BaseModel;
/**
* 诊单待办事项模型
*
* 状态机：0=待执行 → 1=已发送 / 2=已取消 / 3=发送失败（终态，不重试）
*
* @package app\common\model\tcm
*/
class DiagnosisTodo extends BaseModel
{
protected $name = 'tcm_diagnosis_todo';
// 自动时间戳类型设置为整型
protected $autoWriteTimestamp = true;
protected $createTime = 'create_time';
protected $updateTime = 'update_time';
protected $deleteTime = 'delete_time';
// 取出字段保持整型，前端按需要再格式化
protected $dateFormat = false;
/** 状态：待执行 */
public const STATUS_PENDING = 0;
/** 状态：已发送（成功） */
public const STATUS_SENT = 1;
/** 状态：已取消（人工） */
public const STATUS_CANCELLED = 2;
/** 状态：发送失败（终态，不重试） */
public const STATUS_FAILED = 3;
/**
* 状态文本映射
*
* @var array<int,string>
*/
public const STATUS_TEXT_MAP = [
self::STATUS_PENDING => '待执行',
self::STATUS_SENT => '已发送',
self::STATUS_CANCELLED => '已取消',
self::STATUS_FAILED => '发送失败',
];
/**
* @notes 状态文本访问器
*/
public function getStatusTextAttr($value, $data): string
{
$status = (int) ($data['status'] ?? 0);
return self::STATUS_TEXT_MAP[$status] ?? '未知';
}
/**
* @notes 提醒时间格式化（Y-m-d H:i）
*/
public function getRemindTimeTextAttr($value, $data): string
{
$ts = (int) ($data['remind_time'] ?? 0);
return $ts > 0 ? date('Y-m-d H:i', $ts) : '';
}
/**
* @notes 推送时间格式化
*/
public function getNotifiedAtTextAttr($value, $data): string
{
$ts = (int) ($data['notified_at'] ?? 0);
return $ts > 0 ? date('Y-m-d H:i', $ts) : '';
}
/**
* @notes 取消时间格式化
*/
public function getCancelledAtTextAttr($value, $data): string
{
$ts = (int) ($data['cancelled_at'] ?? 0);
return $ts > 0 ? date('Y-m-d H:i', $ts) : '';
}
}
server/app/common/model/tcm/TrackingNote.php
+21
View File
@@ -0,0 +1,21 @@
<?php
namespace app\common\model\tcm;
use app\common\model\BaseModel;
/**
* 诊单跟踪备注模型
* 表 zyt_tracking_note：按天一条，多次追加更新；只存文字。
*/
class TrackingNote extends BaseModel
{
protected $name = 'tracking_note';
protected $autoWriteTimestamp = true;
protected $createTime = 'create_time';
protected $updateTime = 'update_time';
protected $deleteTime = 'delete_time';
protected $dateFormat = false;
}
server/config/console.php
+2
View File
@@ -34,5 +34,7 @@ return [
'gancao:sync-logistics' => 'app\\command\\GancaoSyncLogisticsRoute',
// 迁移诊单图片到医生备注表
'migrate:images-to-doctor-note' => 'app\\command\\MigrateImagesToDoctorNote',
// 诊单待办事项：扫描到点的待执行项并向创建人发送企业微信消息
'tcm:diagnosis-todo-notify' => 'app\\command\\DiagnosisTodoNotify',
],
];
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';
server/sql/1.9.20260505/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', '患者信息详情', '', 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/1.9.20260505/add_diagnosis_todo_menu.sql
+44
View File
@@ -0,0 +1,44 @@
# 诊单待办事项：菜单按钮权限注册（T5 - 2026-05-05）
# 挂在「中医诊单」(perms=tcm.diagnosis/lists) 菜单下，按钮型权限节点：
# tcm.diagnosisTodo/lists 待办列表
# tcm.diagnosisTodo/add 新增待办
# tcm.diagnosisTodo/cancel 取消待办
# detail 不单独注册（前端不主动调，由列表/详情接口已覆盖）
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', '待办列表', '', 60,
'tcm.diagnosisTodo/lists', '', '',
'', '', 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.diagnosisTodo/lists');
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', '新增待办', '', 61,
'tcm.diagnosisTodo/add', '', '',
'', '', 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.diagnosisTodo/add');
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', '取消待办', '', 62,
'tcm.diagnosisTodo/cancel', '', '',
'', '', 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.diagnosisTodo/cancel');
server/sql/1.9.20260505/add_tcm_diagnosis_todo.sql
+29
View File
@@ -0,0 +1,29 @@
-- 诊单待办事项（T5 - 2026-05-05）
-- 用途：医助在诊单上挂「将来要提醒自己的事」，到点由企微推送给创建人本人。
-- 设计：状态机 0=待执行 → 1=已发送（成功）/ 2=已取消（人工） / 3=发送失败（终态，不重试）
-- 索引说明：
-- idx_diagnosis_id —— 编辑页/列表按诊单查询
-- idx_creator_id —— 反查某 admin 创建过的待办（取消权限校验等）
-- idx_status_remind_time —— 复合索引，cron 扫表「status=0 AND remind_time<=now」核心索引
CREATE TABLE IF NOT EXISTS `zyt_tcm_diagnosis_todo` (
`id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键',
`diagnosis_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '所属诊单 id（zyt_tcm_diagnosis.id）',
`patient_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '冗余患者 id，便于反查',
`content` varchar(500) NOT NULL DEFAULT '' COMMENT '提醒内容（企微推送正文）',
`remind_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '提醒时间戳（秒）；cron 扫描 remind_time<=now',
`status` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '状态：0=待执行 1=已发送 2=已取消 3=发送失败',
`creator_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建人 admin.id（推送目标）',
`creator_name` varchar(64) NOT NULL DEFAULT '' COMMENT '创建人姓名快照',
`notified_at` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '实际推送时间（成功时写入）',
`error` varchar(500) NOT NULL DEFAULT '' COMMENT '失败原因（status=3 时写入）',
`cancelled_at` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '取消时间',
`cancelled_by` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '取消人 admin.id',
`create_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
`update_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
`delete_time` int(11) unsigned NULL DEFAULT NULL COMMENT '软删除时间',
PRIMARY KEY (`id`),
KEY `idx_diagnosis_id` (`diagnosis_id`),
KEY `idx_creator_id` (`creator_id`),
KEY `idx_status_remind_time` (`status`, `remind_time`)
) ENGINE = InnoDB DEFAULT CHARSET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '诊单待办事项（企微定时推送给创建人）';
server/sql/1.9.20260505/add_tracking_note_menu.sql
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# 诊单跟踪备注接口权限注册（2026-05-05）
# 挂在「中医诊单」(perms=tcm.diagnosis/lists) 菜单下
# tcm.diagnosis/addTrackingNote 新增跟踪备注
# tcm.diagnosis/trackingNotes 拉取跟踪备注列表
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', '新增跟踪备注', '', 80,
'tcm.diagnosis/addTrackingNote', '', '',
'', '', 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/addTrackingNote');
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', '跟踪备注列表', '', 81,
'tcm.diagnosis/trackingNotes', '', '',
'', '', 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/trackingNotes');
server/sql/1.9.20260505/add_tracking_note_table.sql
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-- 诊单跟踪备注表（按天一条，多次追加更新；只存文字，不含附件）
CREATE TABLE IF NOT EXISTS `zyt_tracking_note` (
`id` int(11) unsigned NOT NULL AUTO_INCREMENT,
`diagnosis_id` int(11) unsigned NOT NULL COMMENT '诊单ID (tcm_diagnosis.id)',
`admin_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '记录人ID (system_admin.id)',
`note_date` date NOT NULL COMMENT '记录日期',
`content` text DEFAULT NULL COMMENT '跟踪备注文字（多次追加以换行分隔，带 [HH:MM] 前缀）',
`create_time` int(10) unsigned NOT NULL DEFAULT 0,
`update_time` int(10) unsigned NOT NULL DEFAULT 0,
`delete_time` int(10) unsigned DEFAULT NULL,
PRIMARY KEY (`id`),
UNIQUE KEY `uk_diagnosis_date` (`diagnosis_id`, `note_date`),
KEY `idx_admin` (`admin_id`),
KEY `idx_diagnosis_date` (`diagnosis_id`, `note_date`)
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='诊单跟踪备注';