更新

app/src/doctor_workstation/ui/pages/appointments.py

@@ -228,10 +228,19 @@ def _status_value(row: Any) -> int:
     return _as_int(first_value(row, "status", default=0))
 
 
-def prescription_action_label(row: Any) -> str:
-    audit = _as_int(first_value(row, "prescription_audit_status", "audit_status"), -1)
-    voided = _as_int(first_value(row, "prescription_void_status", "void_status"), 0)
-    return "查看" if audit == 1 and voided != 1 else "开方"
+def prescription_action_label(row: Any) -> str:
+    audit = _as_int(first_value(row, "prescription_audit_status", "audit_status"), -1)
+    voided = _as_int(first_value(row, "prescription_void_status", "void_status"), 0)
+    explicit = first_value(row, "has_prescription", default=None)
+    has_prescription = (
+        _as_bool(explicit)
+        if explicit is not None
+        else _as_int(first_value(row, "prescription_id", default=0), 0) > 0
+        or audit in {0, 1, 2}
+    )
+    if not has_prescription:
+        return "开方"
+    return "查看" if audit == 1 and voided != 1 else "编辑处方"
 
 
 def _patient_cell(_value: Any, row: Any, *, can_plain: bool) -> str:
@@ -1177,31 +1186,64 @@ class AppointmentsPage(QWidget):
     def _prescription_loaded(self, existing: Any, row: Any, generation: int) -> None:
         if generation != self._prescription_generation:
             return
-        self.banner.clear()
-        if existing is not None and _as_int(first_value(existing, "id", default=0)) > 0:
-            dialog = PrescriptionDetailDialog(
-                existing,
-                can_open_diagnosis=_canonical_allowed(
-                    self.permissions, "tcm.diagnosis/readonlyDetail", default=False
-                ),
-                parent=self,
-            )
-            dialog.diagnosis_requested.connect(self._open_diagnosis_id)
-            dialog.exec()
-            approved = _as_int(first_value(existing, "audit_status", "status"), -1) == 1
-            voided = _as_int(first_value(existing, "void_status", "is_void"), 0) == 1
-            if approved and not voided:
-                return
-            answer = QMessageBox.question(
-                self,
-                "新建处方",
-                "已展示当前挂号的处方。是否继续新建一张处方？",
-                QMessageBox.StandardButton.Yes | QMessageBox.StandardButton.No,
-                QMessageBox.StandardButton.No,
-            )
-            if answer != QMessageBox.StandardButton.Yes:
-                return
-        self._begin_case_record_load(row)
+        self.banner.clear()
+        if existing is not None and _as_int(first_value(existing, "id", default=0)) > 0:
+            approved = _as_int(first_value(existing, "audit_status", "status"), -1) == 1
+            voided = _as_int(first_value(existing, "void_status", "is_void"), 0) == 1
+            if not approved or voided:
+                self._open_existing_prescription_editor(existing)
+            else:
+                dialog = PrescriptionDetailDialog(
+                    existing,
+                    can_open_diagnosis=_canonical_allowed(
+                        self.permissions, "tcm.diagnosis/readonlyDetail", default=False
+                    ),
+                    parent=self,
+                )
+                dialog.diagnosis_requested.connect(self._open_diagnosis_id)
+                dialog.exec()
+            return
+        self._begin_case_record_load(row)
+
+    def _open_existing_prescription_editor(self, prescription: Any) -> None:
+        prescription_id = _as_int(first_value(prescription, "id", "prescription_id", default=0))
+        if prescription_id <= 0:
+            self.banner.show_message("处方编号不完整，无法编辑。", "danger")
+            return
+        dialog = PrescriptionEditorDialog(
+            self.repository,
+            prescription,
+            mode="edit",
+            current_user=self.current_user,
+            parent=self,
+        )
+        diagnosis_signal = getattr(dialog, "diagnosis_requested", None)
+        if diagnosis_signal is not None:
+            diagnosis_signal.connect(self._open_diagnosis_id)
+        if dialog.exec() != QDialog.DialogCode.Accepted:
+            return
+        frozen_payload = MappingProxyType(dialog.payload())
+        self._mutation_pending = True
+        self._action_generation += 1
+        generation = self._action_generation
+        self.banner.show_message("正在保存处方…", "info")
+        run_async(
+            lambda: invoke(
+                self.repository,
+                "update_prescription",
+                prescription=prescription_id,
+                changes=frozen_payload,
+            ),
+            on_success=lambda _result: self._prescription_updated(generation),
+            on_error=lambda error: self._action_error(error, generation),
+            on_finished=lambda: self._mutation_finished(generation),
+        )
+
+    def _prescription_updated(self, generation: int) -> None:
+        if generation != self._action_generation:
+            return
+        self.banner.show_message("处方已保存并重新进入待审核。", "success")
+        self.refresh(silent=True)
 
     def _begin_case_record_load(self, row: Any) -> None:
         snapshot = deepcopy(row)
@@ -1262,8 +1304,10 @@ class AppointmentsPage(QWidget):
             "visit_no": build_prescription_visit_no(
                 diagnosis_id=diagnosis_id, appointment_id=appointment_id
             ),
-            "tongue": authoritative("tongue", "tongue_coating", default=""),
-            "pulse": authoritative("pulse", default=""),
+            "tongue": authoritative("tongue", "tongue_coating", default=""),
+            "tongue_image": authoritative("tongue_image", default=""),
+            "pulse": authoritative("pulse", default=""),
+            "pulse_condition": authoritative("pulse_condition", default=""),
             "clinical_diagnosis": build_prescription_clinical_diagnosis(
                 diagnosis, patient, record, case_record
             ),
@@ -1278,14 +1322,17 @@ class AppointmentsPage(QWidget):
 
     def _open_prescription_editor(self, record: Any, case_record: Any) -> None:
         seed = self._prescription_seed(record, case_record)
-        dialog = PrescriptionEditorDialog(
+        dialog = PrescriptionEditorDialog(
             self.repository,
             seed,
             mode="add",
             current_user=self.current_user,
-            parent=self,
-        )
-        if dialog.exec() != QDialog.DialogCode.Accepted:
+            parent=self,
+        )
+        diagnosis_signal = getattr(dialog, "diagnosis_requested", None)
+        if diagnosis_signal is not None:
+            diagnosis_signal.connect(self._open_diagnosis_id)
+        if dialog.exec() != QDialog.DialogCode.Accepted:
             return
         payload = dialog.payload()
         payload["diagnosis_id"] = seed["diagnosis_id"]