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跟踪备注

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long
2026-05-05 17:52:35 +08:00
parent 919d0f856e
commit c830008dfc
14 changed files with 475 additions and 5 deletions
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admin/src/api/tcm.ts
+13
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@@ -19,6 +19,19 @@ export function diagnosisTrackingWindow(params: {
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
admin/src/views/patient/reception/index.vue
+8
View File
@@ -126,6 +126,12 @@
/>
</div>
<!-- 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">跟踪信息</div>
@@ -191,6 +197,7 @@ 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'
@@ -266,6 +273,7 @@ const noteSaving = ref(false)
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 todayMeta = computed(() => {
const d = new Date()
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
+25 -1
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@@ -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
@@ -711,7 +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'
@@ -729,6 +740,7 @@ 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'
@@ -766,10 +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/readonly.vue
+8
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@@ -53,6 +53,12 @@
<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>
@@ -66,6 +72,7 @@ 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()
@@ -80,6 +87,7 @@ 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)
admin/tsconfig.tsbuildinfo
+1 -1
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File diff suppressed because one or more lines are too long
server/app/adminapi/controller/tcm/DiagnosisController.php
+37
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@@ -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;
@@ -157,6 +158,42 @@ class DiagnosisController extends BaseAdminController
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) $params['diagnosis_id']));
}
/**
* @notes 诊单挂号 / 取消挂号 操作日志（谁在何时操作）
*/
server/app/adminapi/logic/doctor/AppointmentLogic.php
+10 -3
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@@ -13,6 +13,7 @@ use app\api\logic\ChatNotifyLogic;
use app\adminapi\logic\tcm\PrescriptionLogic;
use app\adminapi\logic\tcm\DiagnosisLogic;
use app\adminapi\logic\tcm\BloodRecordLogic;
use app\adminapi\logic\tcm\TrackingNoteLogic;
use app\adminapi\logic\doctor\DoctorNoteLogic;
use app\common\model\tcm\Prescription;
use app\common\service\wechat\WechatWorkAppMessageService;
@@ -549,10 +550,16 @@ class AppointmentLogic extends BaseLogic
? DoctorNoteLogic::getByDiagnosis($diagnosisId)
: [];
// 7.1) 跟踪备注
$trackingNotes = $diagnosisId > 0
? TrackingNoteLogic::getByDiagnosis($diagnosisId)
: [];
return [
'appointment' => $appointment,
'diagnosis' => $diagnosis,
'doctor_notes' => $doctorNotes,
'appointment' => $appointment,
'diagnosis' => $diagnosis,
'doctor_notes' => $doctorNotes,
'tracking_notes' => $trackingNotes,
];
}
server/app/adminapi/logic/tcm/DiagnosisLogic.php
+5
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@@ -28,6 +28,7 @@ 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;
@@ -3403,6 +3404,9 @@ class DiagnosisLogic extends BaseLogic
// 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');
@@ -3414,6 +3418,7 @@ class DiagnosisLogic extends BaseLogic
'appointment' => $appointment,
'diagnosis' => $diagnosis,
'doctor_notes' => $doctorNotes,
'tracking_notes' => $trackingNotes,
'unserved_days' => $unservedDays,
'last_blood_record_at' => $lastBloodRecordAt,
];
server/app/adminapi/logic/tcm/TrackingNoteLogic.php
+95
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@@ -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/DiagnosisValidate.php
+27
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@@ -39,6 +39,8 @@ class DiagnosisValidate extends BaseValidate
'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 = [
@@ -59,6 +61,9 @@ class DiagnosisValidate extends BaseValidate
'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()
@@ -86,6 +91,18 @@ class DiagnosisValidate extends BaseValidate
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 $this->only(['diagnosis_id', 'doctor_id', 'patient_id', 'share_user_id', 'mini_program_path'])
@@ -121,6 +138,16 @@ class DiagnosisValidate extends BaseValidate
return true;
}
/** 校验 diagnosis_id 字段（addTrackingNote 等场景使用，避开 id 字段） */
protected function checkDiagnosisId($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 = [])
{
server/app/common/model/tcm/TrackingNote.php
+21
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@@ -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/sql/1.9.20260505/add_tracking_note_menu.sql
+30
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@@ -0,0 +1,30 @@
# 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
+16
View File
@@ -0,0 +1,16 @@
-- 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';