更新

admin/src/views/tcm/diagnosis/components/CaseRecordList.vue

@@ -1,5 +1,8 @@
 <template>
     <div class="case-record-list">
+        <div class="mb-3 flex justify-end">
+            <el-button type="primary" size="small" @click="handleOpenPrescription">开方</el-button>
+        </div>
         <el-table :data="caseList" border v-loading="loading">
             <el-table-column prop="prescription_date" label="就诊日期" width="120" />
             <el-table-column prop="visit_no" label="门诊号" width="120" />
@@ -46,7 +49,7 @@ const props = defineProps({
     }
 })
 
-const emit = defineEmits(['view'])
+const emit = defineEmits(['view', 'openPrescription'])
 
 const caseList = ref<any[]>([])
 const loading = ref(false)
@@ -75,6 +78,10 @@ const handleView = (row: any) => {
     emit('view', row)
 }
 
+const handleOpenPrescription = () => {
+    emit('openPrescription')
+}
+
 onMounted(() => {
     getCases()
 })

admin/src/views/tcm/diagnosis/edit.vue

@@ -225,7 +225,7 @@
                         </el-form-item>
                     </el-col>
                     <el-col :span="12">
-                        <el-form-item label="发现糖尿病病患病史" prop="diabetes_discovery_year">
+                        <el-form-item label="发现糖尿病患病史" prop="diabetes_discovery_year">
                             <el-input-number
                                 v-model="formData.diabetes_discovery_year"
                                 :min="0"
@@ -241,8 +241,8 @@
                 <el-form-item label="当地医院诊断结果" prop="local_hospital_diagnosis" class="checkbox-form-item">
                     <el-checkbox-group v-model="formData.local_hospital_diagnosis">
                         <el-checkbox-button label="糖尿病">糖尿病</el-checkbox-button>
-                        <el-checkbox-button label="高血压">高血压</el-checkbox-button>
-                        <el-checkbox-button label="糖尿病高血压">糖尿病高血压</el-checkbox-button>
+                        <el-checkbox-button label="消渴病">消渴病</el-checkbox-button>
+                        <el-checkbox-button label="糖尿病前期">糖尿病前期</el-checkbox-button>
                     </el-checkbox-group>
                 </el-form-item>
 
@@ -519,12 +519,12 @@
                     />
                 </el-form-item> -->
 
-                <el-form-item label="备注" prop="remark">
+                <el-form-item label="病史补充" prop="remark">
                     <el-input
                         v-model="formData.remark"
                         type="textarea"
                         :rows="2"
-                        placeholder="请输入备注"
+                        placeholder="请输入病史补充"
                     />
                 </el-form-item>
                     </el-form>
@@ -581,6 +581,7 @@
                             ref="caseRecordListRef"
                             :diagnosis-id="Number(formData.id)"
                             @view="handleViewCase"
+                            @openPrescription="handleOpenPrescription"
                         />
                     </div>
                     <el-empty v-else description="请先保存诊单，开方后病历将在此显示" />
@@ -715,6 +716,7 @@ const formRules = {
     phone: [{ required: true, validator: validatePhone, trigger: 'blur' }],
     gender: [{ required: true, message: '请选择性别', trigger: 'change' }],
     age: [{ required: true, message: '请输入年龄', trigger: 'blur' }],
+    fasting_blood_sugar: [{ required: true, message: '请输入空腹血糖', trigger: 'blur' }],
     diagnosis_date: [{ required: true, message: '请选择诊断日期', trigger: 'change' }],
     diagnosis_type: [{ required: true, message: '请选择诊断类型', trigger: 'change' }],
     diabetes_discovery_year: [{ required: true, message: '请输入发现糖尿病病患病史年数', trigger: 'blur' }],
@@ -914,6 +916,21 @@ const handleViewCase = (row: any) => {
     prescriptionRef.value?.openById(row.id)
 }
 
+// 开方：传入当前诊单数据，包含详细病历（深拷贝避免响应式引用）
+const handleOpenPrescription = () => {
+    const data = {
+        id: formData.value.id,
+        diagnosis_id: formData.value.id,
+        appointment_id: 0,
+        patient_name: formData.value.patient_name,
+        patient_phone: formData.value.phone,
+        patient_gender: formData.value.gender,
+        patient_age: formData.value.age,
+        case_record: JSON.parse(JSON.stringify(formData.value))
+    }
+    prescriptionRef.value?.open(data)
+}
+
 const handleClose = () => {
     formRef.value?.resetFields()
     formData.value = {

admin/src/views/tcm/diagnosis/index.vue

@@ -161,6 +161,7 @@
                                         <el-dropdown-item v-if="hasPermission(['tcm.diagnosis/assign'])" command="assign"><el-icon><User /></el-icon>指派</el-dropdown-item>
                                         <el-dropdown-item v-if="row.has_appointment && hasPermission(['tcm.diagnosis/videoQr'])" command="videoQr"><el-icon><Picture /></el-icon>视频二维码</el-dropdown-item>
                                         <el-dropdown-item v-if="hasPermission(['tcm.diagnosis/guahao'])" command="confirmQr"><el-icon><Picture /></el-icon>二维码</el-dropdown-item>
+                                        <el-dropdown-item v-if="row.has_appointment && hasPermission(['tcm.diagnosis/guahao'])" command="cancelApt"><el-icon><CircleClose /></el-icon>取消挂号</el-dropdown-item>
                                         <el-dropdown-item command="order" v-if="hasPermission(['tcm.diagnosis/order'])"><el-icon><Document /></el-icon>创建订单</el-dropdown-item>
                                         <el-dropdown-item v-if="hasPermission(['tcm.diagnosis/delete'])" command="delete" divided><el-icon><Delete /></el-icon><span class="text-danger">删除</span></el-dropdown-item>
                                     </el-dropdown-menu>
@@ -454,12 +455,13 @@
 <script setup lang="ts" name="tcmDiagnosis">
 import { tcmDiagnosisLists, tcmDiagnosisDelete, tcmDiagnosisAssign, getAssistants, generateMiniProgramQrcode, generateOrderQrcode, getWechatChatRecords, addWechatChatRecord, deleteWechatChatRecord, getWechatExternalContact, fillIdCard } from '@/api/tcm'
 import { orderCreate } from '@/api/order'
+import { cancelAppointment } from '@/api/doctor'
 import { usePaging } from '@/hooks/usePaging'
 import { getDictData } from '@/api/app'
 import { getWeappConfig } from '@/api/channel/weapp'
 import feedback from '@/utils/feedback'
 import { hasPermission } from '@/utils/perm'
-import { Loading, Warning, List, CircleCheck, Clock, ArrowDown, RefreshRight, Picture, User, Document, Delete } from '@element-plus/icons-vue'
+import { Loading, Warning, List, CircleCheck, Clock, ArrowDown, RefreshRight, Picture, User, Document, Delete, CircleClose } from '@element-plus/icons-vue'
 import EditPopup from './edit.vue'
 import DetailPopup from './detail.vue'
 import AppointmentPopup from './appointment.vue'
@@ -862,11 +864,29 @@ const handleRowAction = (cmd: string, row: any) => {
             handleVideoQRCode(row)
             break
         case 'confirmQr': handleMiniProgramQRCode(row); break
+        case 'cancelApt': handleCancelAppointment(row); break
         case 'order': handleCreateOrder(row); break
         case 'delete': handleDelete(row.id); break
     }
 }
 
+// 取消挂号
+const handleCancelAppointment = async (row: any) => {
+    if (!row.has_appointment || !row.appointment_id) {
+        feedback.msgWarning('该诊单未挂号或挂号信息异常')
+        return
+    }
+    try {
+        await feedback.confirm(`确定要取消患者「${row.patient_name}」的挂号吗？`)
+        await cancelAppointment({ id: row.appointment_id })
+        feedback.msgSuccess('取消挂号成功')
+        getLists()
+        fetchDateCounts()
+    } catch (e: any) {
+        if (e !== 'cancel') feedback.msgError(e?.msg || '取消挂号失败')
+    }
+}
+
 // 患者挂号
 const handleAppointment = (row: any) => {
     if (!row.patient_id) {