fix: 音频文件

apps/web-antd/src/store/prescription.ts

@@ -0,0 +1,802 @@
+import { computed, nextTick, ref } from 'vue';
+
+import { message, notification } from 'ant-design-vue';
+import { debounce } from 'lodash-es';
+import { defineStore } from 'pinia';
+
+import { useChatStore } from '#/views/business/chat/stores/chat';
+import { useUserStore } from '#/views/business/chat/stores/user';
+import { sendMessage } from '#/views/business/chat/utils/request';
+import {
+  addWestPrescription,
+  checkChineseMedicineConflictApi,
+  getDrugUseList,
+  getMyStoreListApi,
+  getPatientItem,
+  getProcessRuleList,
+  getProductListDoctorReception,
+} from '#/views/doctor/doctor-reception/api';
+
+export const usePrescriptionStore = defineStore('prescription', () => {
+  // 基础数据
+  const patientInfo = ref<any | null>(null);
+  const userPatientHealthInquiry = ref<any | null>(null);
+  const prescriptionList = ref([]);
+  const currentRegisterId = ref<number | string>('');
+  const activePatient = ref<any | null>(null);
+
+  const userStore = useUserStore();
+  const chatStore = useChatStore();
+
+  // 药品使用相关数据
+  const drugUseNum = ref([]);
+  const drugUseFrequency = ref([]);
+  const drugUseType = ref([]);
+  const drugUnit = ref([]);
+  const drugTime = ref([]);
+  const drugUseWay = ref([]);
+  const myStoreList = ref([]);
+
+  // 处方状态
+  const myStoreId = ref(0);
+  const activeCategory = ref(2);
+  const diagnosis = ref('');
+  const medicalAdvice = ref('');
+  const treatmentPrice = ref(0);
+  const ruleType = ref(1);
+  const drugList = ref([]);
+  const currentDrugs = ref([]);
+  const category = ref(1);
+  const selectProductId = ref(0);
+
+  // 中药相关配置
+  const processRuleList = ref([]);
+  const childProcessRuleList = ref([]);
+  const processRuleNoteList = ref([]);
+  const processRuleId = ref();
+  const processRuleNoteId = ref();
+  const childProcessRuleId = ref();
+  const packageMethodId = ref(2);
+  const dosage = ref(7);
+  const dayDosage = ref(2);
+
+  // 新药品相关
+  const newDrugInfo = ref<any>({});
+  const selectChineseIndex = ref(-1);
+  const selectChineseId = ref(0);
+
+  // 二次签名相关
+  const doctorSecondSign = ref(0);
+  const checkData = ref<any>({});
+
+  // 初始化状态标记
+  const isInitialized = ref(false);
+  const isPatientInfoLoaded = ref(false);
+
+  // 获取localStorage key
+  const getStorageKey = () =>
+    `prescriptionData-chat-${currentRegisterId.value}`;
+
+  // 计算属性
+  const totalProductCost = computed(() => {
+    if (currentDrugs.value.length === 0) {
+      return 0;
+    }
+    if (activeCategory.value === 1) {
+      return currentDrugs.value.reduce(
+        (sum, drug) => sum + drug.price * (drug.number || 1) * dosage.value,
+        0,
+      );
+    }
+    return currentDrugs.value.reduce(
+      (sum, drug) => sum + drug.price * (drug.select_number || 1),
+      0,
+    );
+  });
+
+  const processRulePrice = ref(0);
+  const calcMethod = ref(0);
+
+  const processingFee = computed(() => {
+    if (ruleType.value === 1) return 0;
+    if (currentDrugs.value.length === 0) return 0;
+
+    const processRule = childProcessRuleList.value.find(
+      (item) => item.id === childProcessRuleId.value,
+    );
+    if (!processRule) return 0;
+
+    calcMethod.value = processRule.calc_method;
+    processRulePrice.value = processRule.price;
+
+    if (calcMethod.value === 1) return processRulePrice.value;
+    if (calcMethod.value === 2) return processRulePrice.value * dosage.value;
+    if (calcMethod.value === 3) {
+      const totalNumber = currentDrugs.value.reduce(
+        (sum, drug) => sum + drug.number,
+        0,
+      );
+      return processRulePrice.value * dosage.value * totalNumber;
+    }
+    return 0;
+  });
+
+  const totalCost = computed(() => {
+    return totalProductCost.value + processingFee.value;
+  });
+
+  // localStorage同步方法
+  const syncToLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey();
+      localStorage.setItem(storageKey, JSON.stringify(currentDrugs.value));
+      console.log('已同步到localStorage:', storageKey, currentDrugs.value);
+    } catch (error) {
+      console.error('保存到localStorage失败:', error);
+    }
+  };
+
+  const loadFromLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey();
+      const stored = localStorage.getItem(storageKey);
+      console.log('从localStorage加载:', storageKey, stored);
+
+      if (stored) {
+        const parsedData = JSON.parse(stored);
+        currentDrugs.value.splice(0, currentDrugs.value.length, ...parsedData);
+      } else {
+        currentDrugs.value.splice(0, currentDrugs.value.length);
+      }
+    } catch (error) {
+      console.error('从localStorage加载失败:', error);
+      currentDrugs.value.splice(0, currentDrugs.value.length);
+    }
+  };
+
+  // 更新currentDrugs并同步到localStorage
+  const updateCurrentDrugs = (newDrugs: any[]) => {
+    currentDrugs.value.splice(0, currentDrugs.value.length, ...newDrugs);
+    // 更新总价
+    syncToLocalStorage();
+  };
+
+  // 基础数据初始化（不包含患者信息）
+  const initializeBasicData = async () => {
+    if (isInitialized.value) {
+      console.log('基础数据已初始化，跳过重复请求');
+      return;
+    }
+
+    try {
+      await Promise.all([
+        getMyStoreList(),
+        getDrugUseListData(),
+        getProcessRuleListData(),
+      ]);
+      isInitialized.value = true;
+      console.log('基础数据初始化完成');
+    } catch (error) {
+      console.error('基础数据初始化失败:', error);
+    }
+  };
+
+  // 完整初始化（包含患者信息，仅用于 PrescriptionModal）
+  const initializePrescription = async (registerId: number | string) => {
+    console.log('初始化处方，registerId:', registerId);
+
+    // 设置当前注册ID
+    currentRegisterId.value = registerId;
+
+    // 加载localStorage数据
+    loadFromLocalStorage();
+
+    // 如果基础数据未初始化，先初始化基础数据
+    if (!isInitialized.value) {
+      await initializeBasicData();
+    }
+
+    // 获取患者信息（只在 PrescriptionModal 中调用）
+    if (
+      !isPatientInfoLoaded.value ||
+      patientInfo.value?.register_id !== registerId
+    ) {
+      await getPatientInfo();
+      isPatientInfoLoaded.value = true;
+    }
+  };
+
+  // 轻量级初始化（仅用于 WesternModal 等子组件）
+  const initializeForModal = async (registerId: number | string) => {
+    console.log('轻量级初始化，registerId:', registerId);
+
+    // 设置当前注册ID
+    currentRegisterId.value = registerId;
+
+    // 加载localStorage数据
+    loadFromLocalStorage();
+
+    // 如果基础数据未初始化，先初始化基础数据
+    if (!isInitialized.value) {
+      await initializeBasicData();
+    }
+  };
+
+  const getMyStoreList = async () => {
+    try {
+      const res = await getMyStoreListApi();
+      myStoreList.value = res;
+      if (res.length > 0) {
+        myStoreId.value = res[0].id;
+      }
+      console.log('获取诊所列表成功');
+    } catch (error) {
+      console.error('获取诊所列表失败:', error);
+    }
+  };
+
+  const getDrugUseListData = async () => {
+    try {
+      const res = await getDrugUseList();
+      drugUseNum.value = res.drug_use_num;
+      drugUseFrequency.value = res.drug_use_frequency;
+      drugUseType.value = res.drug_use_type;
+      drugUnit.value = res.drug_unit;
+      drugTime.value = res.drug_time;
+      drugUseWay.value = res.drug_use_way;
+      console.log('获取药品使用列表成功');
+    } catch (error) {
+      console.error('获取药品使用列表失败:', error);
+    }
+  };
+
+  const getProcessRuleListData = async (pid = 0, ruleId = 0) => {
+    try {
+      const data = ruleId === 0 ? { pid } : { rule_id: ruleId };
+      const res = await getProcessRuleList(data);
+
+      if (ruleId !== 0) {
+        processRuleNoteList.value = res;
+      } else if (pid === 0) {
+        processRuleList.value = res;
+      } else {
+        childProcessRuleList.value = res;
+      }
+      console.log('获取加工规则成功');
+    } catch (error) {
+      console.error('获取加工规则失败:', error);
+    }
+  };
+
+  const getPatientInfo = async () => {
+    try {
+      console.log('开始获取患者信息，registerId:', currentRegisterId.value);
+      const res = await getPatientItem(currentRegisterId.value);
+      patientInfo.value = res;
+      activePatient.value = res.user_patient;
+      userPatientHealthInquiry.value = res.user_patient_health_inquiry;
+      prescriptionList.value = res.prescription;
+      console.log('获取患者信息成功:', activePatient.value);
+    } catch (error) {
+      console.error('获取患者信息失败:', error);
+    }
+  };
+
+  // 药品搜索
+  const getDrugList = debounce(async (searchText = '') => {
+    if (searchText === '' && activeCategory.value === 1) {
+      drugList.value = [];
+      return;
+    }
+
+    try {
+      const res = await getProductListDoctorReception({
+        store_id: myStoreId.value,
+        type: activeCategory.value,
+        name: searchText,
+      });
+
+      drugList.value = res.map((item) => {
+        const matched = currentDrugs.value.find((v) => v.index_id === item.id);
+        return {
+          ...item,
+          select_number: matched?.select_number || 0,
+          drug: {
+            ...item.drug,
+            number: matched?.number || 1,
+          },
+        };
+      });
+    } catch (error) {
+      console.error('获取药品列表失败:', error);
+      message.error('获取药品列表失败');
+    }
+  }, 300);
+
+  // 药品操作
+  const addProducts = (data: any) => {
+    const existItem = currentDrugs.value.find(
+      (item) => item.index_id === data.id,
+    );
+    if (existItem) {
+      message.warn('已经存在了');
+      return false;
+    }
+
+    const newProduct = {
+      index_id: data.id,
+      id: data.drug.id,
+      drug_name: data.drug.drug_name,
+      number: data.drug.number,
+      use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+      use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+      use_frequency: drugUseFrequency.value.find(
+        (item) => item.id === data.drug.frequency_id,
+      ),
+      unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+      price: data.price,
+      way_id: data.drug?.way_id,
+      use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+      time_id: data.drug.time_id,
+      type_id: data.drug.type_id,
+      frequency_id: data.drug.frequency_id,
+      unit_id: data.drug.unit_id,
+      image: data.drug.image,
+      instruction: data.drug.instruction,
+      type: data.drug.type,
+      select_number: 1,
+    };
+
+    const newDrugs = [...currentDrugs.value, newProduct];
+    updateCurrentDrugs(newDrugs);
+
+    message.success(`已将${newProduct.drug_name}添加到清单中！`);
+    return true;
+  };
+
+  const removeDrug = (index: number) => {
+    const newDrugs = currentDrugs.value.filter((_, i) => i !== index);
+    updateCurrentDrugs(newDrugs);
+  };
+
+  const updateDrugQuantity = (index: number, quantity: number) => {
+    if (quantity > 0) {
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[index].select_number = quantity;
+      updateCurrentDrugs(newDrugs);
+    }
+  };
+
+  const increment = (index: number) => {
+    const newDrugs = [...currentDrugs.value];
+    newDrugs[index].select_number++;
+    updateCurrentDrugs(newDrugs);
+  };
+
+  const decrement = (index: number) => {
+    if (currentDrugs.value[index].select_number > 1) {
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[index].select_number--;
+      updateCurrentDrugs(newDrugs);
+    }
+  };
+
+  // 新药品操作
+  const selectNewDrugInfo = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id);
+    if (check) {
+      newDrugInfo.value.id = '';
+      message.error('该药品已经在处方中了！');
+      return;
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id);
+    if (data) {
+      newDrugInfo.value.price = data.price;
+      newDrugInfo.value.name = data.drug.drug_name;
+      nextTick(() => {
+        const input = document.querySelector(
+          '.new-number-input input',
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  const selectOldDrugInfo = (id: number) => {
+    const check = currentDrugs.value.find((v) => v.id === id);
+
+    if (check) {
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[selectChineseIndex.value].id = selectChineseId.value;
+      updateCurrentDrugs(newDrugs);
+      drugList.value = [];
+      message.error('该药品已经在处方中了！');
+      return;
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === id);
+    if (data) {
+      const newProduct = {
+        index_id: data.id,
+        id: data.drug.id,
+        drug_name: data.drug.drug_name,
+        number: data.drug.number,
+        use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+        use_type: drugUseType.value.find(
+          (item) => item.id === data.drug.type_id,
+        ),
+        use_frequency: drugUseFrequency.value.find(
+          (item) => item.id === data.drug.frequency_id,
+        ),
+        unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+        price: data.price,
+        way_id: data.drug?.way_id,
+        use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+        time_id: data.drug.time_id,
+        type_id: data.drug.type_id,
+        frequency_id: data.drug.frequency_id,
+        unit_id: data.drug.unit_id,
+        image: data.drug.image,
+        instruction: data.drug.instruction,
+        type: data.drug.type,
+      };
+
+      const newDrugs = [...currentDrugs.value];
+      newDrugs[selectChineseIndex.value] = newProduct;
+      updateCurrentDrugs(newDrugs);
+
+      nextTick(() => {
+        const input = document.querySelector(
+          `.old-number-input-${selectChineseIndex.value} input`,
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  const setSelectChineseIndex = (index: number, id: number) => {
+    selectChineseIndex.value = index;
+    selectChineseId.value = id;
+  };
+
+  const addDrugByChinese = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id);
+    if (check) {
+      message.error('该药品已经在处方中了！');
+      return false;
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id);
+    if (!data) {
+      message.error('请选择药品');
+      return false;
+    }
+
+    data.drug.number = newDrugInfo.value.number;
+    data.drug.way_id = newDrugInfo.value.way_id;
+    const success = addProducts(data);
+    if (success) {
+      newDrugInfo.value = {};
+    }
+    return success;
+  };
+
+  const selectDrugByNewDrugInfo = (
+    event: KeyboardEvent,
+    isNewDrug: boolean,
+  ) => {
+    if (event.key === 'Enter') {
+      event.preventDefault();
+      if (isNewDrug) {
+        addDrugByChinese();
+      } else {
+        syncToLocalStorage();
+      }
+      nextTick(() => {
+        const input = document.querySelector(
+          '.new-select-drug-name input',
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  const updateChineseNumber = () => {
+    syncToLocalStorage();
+  };
+
+  const updateChineseNumberGoNewDrug = (event: KeyboardEvent) => {
+    if (event.key === 'Enter') {
+      syncToLocalStorage();
+      nextTick(() => {
+        const input = document.querySelector(
+          '.new-select-drug-name input',
+        ) as HTMLElement;
+        input?.focus();
+      });
+    }
+  };
+
+  // 药品用法选择
+  const selectProductChange = (id: number) => {
+    selectProductId.value = id;
+  };
+
+  const selectDrugUseWayChange = (id: number) => {
+    const newDrugs = currentDrugs.value.map((item) =>
+      item.index_id === selectProductId.value
+        ? {
+            ...item,
+            way_id: id,
+            use_ways: drugUseWay.value.find((value) => value.id === id),
+          }
+        : item,
+    );
+    updateCurrentDrugs(newDrugs);
+  };
+
+  // 加工规则操作
+  const selectProcessRule = (id: number) => {
+    processRuleId.value = id;
+    getProcessRuleListData(id);
+  };
+
+  const selectProcessRuleNot = (id: number) => {
+    childProcessRuleId.value = id;
+    getProcessRuleListData(0, id);
+  };
+
+  const selectProcessRuleNotCommit = (id: number) => {
+    processRuleNoteId.value = id;
+  };
+
+  const selectPackageMethod = (id: number) => {
+    packageMethodId.value = id;
+  };
+
+  // 中药相冲检查
+  const checkChineseMedicineConflict = async () => {
+    if (activeCategory.value === 2) {
+      return { hasConflict: false };
+    }
+
+    notification.info({
+      message: '正在检查药物相冲',
+      duration: 1,
+      description: '正在检查药物相冲，请稍等...',
+    });
+
+    try {
+      const names = currentDrugs.value.map((item) => item.drug_name);
+      const res = await checkChineseMedicineConflictApi({ names });
+
+      if (res.is_exist === true) {
+        checkData.value = { message: res.message };
+        return { hasConflict: true, message: res.message };
+      } else {
+        notification.success({
+          message: '检查成功',
+          duration: 3,
+          description: '暂无相冲药品',
+        });
+        return { hasConflict: false };
+      }
+    } catch (error) {
+      console.error('检查药物相冲失败:', error);
+      return { hasConflict: false };
+    }
+  };
+
+  // 发送处方
+  const sendPrescription = async (doctorSecondSignValue = 0) => {
+    if (currentDrugs.value.length === 0) {
+      message.error('请选择药品');
+      return false;
+    }
+
+    if (activeCategory.value === 1) {
+      if (ruleType.value === 1 && packageMethodId.value == null) {
+        message.error('请选择包法');
+        return false;
+      }
+      if (ruleType.value === 2) {
+        if (processRuleId.value == null) {
+          message.error('请选择制剂');
+          return false;
+        }
+        if (processRuleNoteId.value == null) {
+          message.error('请选择规格');
+          return false;
+        }
+        if (childProcessRuleId.value == null) {
+          message.error('请选择备注');
+          return false;
+        }
+      }
+    }
+
+    if (!diagnosis.value) {
+      message.error('诊断结果不能为空');
+      return false;
+    }
+
+    if (!medicalAdvice.value) {
+      message.error('医嘱不能为空');
+      return false;
+    }
+
+    try {
+      await addWestPrescription({
+        patient: activePatient.value,
+        drugs: currentDrugs.value,
+        diagnosis: diagnosis.value,
+        medicalAdvice: medicalAdvice.value,
+        total: totalCost.value,
+        category: category.value,
+        drug_type: 2,
+        register_id: patientInfo.value.id,
+        treatment_price: treatmentPrice.value,
+        package_method_id: packageMethodId.value,
+        process_rule_id: processRuleId.value,
+        process_rule_note_id: processRuleNoteId.value,
+        child_process_rule_id: childProcessRuleId.value,
+        process_rule_type: ruleType.value,
+        prescription_type: activeCategory.value,
+        processing_fee: processRulePrice.value,
+        dosage: dosage.value,
+        day_dosage: dayDosage.value,
+        doctor_second_sign: doctorSecondSignValue,
+      }).then((res) => {
+        message.success('处方已发送');
+        sendMessage({
+          roomId: chatStore.currentFriend.room_id,
+          senderId: userStore.currentUser.id,
+          receiverId: chatStore.currentFriend.id,
+          type: 'prescription',
+          content: JSON.stringify(res),
+        });
+        chatStore.addMessage(
+          {
+            roomId: chatStore.currentFriend.room_id,
+            senderId: userStore.currentUser.id,
+            receiverId: chatStore.currentFriend.id,
+            type: 'prescription',
+            content: JSON.stringify(res),
+            isSent: true,
+            time: new Date().toLocaleTimeString().slice(0, 5),
+          },
+          userStore.currentUser.id,
+        );
+        resetForm();
+      });
+      return true;
+    } catch (error) {
+      console.error('发送处方失败:', error);
+      message.error('发送处方失败');
+      return false;
+    }
+  };
+
+  const resetForm = () => {
+    updateCurrentDrugs([]);
+    diagnosis.value = '';
+    medicalAdvice.value = '';
+    packageMethodId.value = 2;
+    processRulePrice.value = 0;
+    dosage.value = 7;
+    dayDosage.value = 2;
+    newDrugInfo.value = {};
+    doctorSecondSign.value = 0;
+  };
+
+  const changeCategory = (categoryValue: number) => {
+    activeCategory.value = categoryValue;
+    updateCurrentDrugs([]);
+    localStorage.setItem(
+      `activeCategory-chat-${currentRegisterId.value}`,
+      categoryValue.toString(),
+    );
+  };
+
+  // 工具函数
+  const splitString = (str: string) => {
+    if (!str) return [];
+    return str.split(',');
+  };
+
+  const refreshCurrentDrugs = () => {
+    loadFromLocalStorage();
+  };
+
+  // 重置初始化状态（用于切换患者时）
+  const resetInitializationState = () => {
+    isInitialized.value = false;
+    isPatientInfoLoaded.value = false;
+    patientInfo.value = null;
+    activePatient.value = null;
+    userPatientHealthInquiry.value = null;
+    prescriptionList.value = [];
+    console.log('重置初始化状态');
+  };
+
+  return {
+    // 状态
+    patientInfo,
+    userPatientHealthInquiry,
+    prescriptionList,
+    currentRegisterId,
+    activePatient,
+    drugUseNum,
+    drugUseFrequency,
+    drugUseType,
+    drugUnit,
+    drugTime,
+    drugUseWay,
+    myStoreList,
+    myStoreId,
+    activeCategory,
+    diagnosis,
+    medicalAdvice,
+    treatmentPrice,
+    ruleType,
+    drugList,
+    currentDrugs,
+    category,
+    selectProductId,
+    processRuleList,
+    childProcessRuleList,
+    processRuleNoteList,
+    processRuleId,
+    processRuleNoteId,
+    childProcessRuleId,
+    packageMethodId,
+    dosage,
+    dayDosage,
+    newDrugInfo,
+    selectChineseIndex,
+    selectChineseId,
+    doctorSecondSign,
+    checkData,
+
+    // 计算属性
+    totalProductCost,
+    processingFee,
+    totalCost,
+
+    // 方法
+    initializePrescription,
+    initializeForModal,
+    initializeBasicData,
+    resetInitializationState,
+    getDrugList,
+    addProducts,
+    removeDrug,
+    updateDrugQuantity,
+    increment,
+    decrement,
+    selectNewDrugInfo,
+    selectOldDrugInfo,
+    setSelectChineseIndex,
+    addDrugByChinese,
+    selectDrugByNewDrugInfo,
+    updateChineseNumber,
+    updateChineseNumberGoNewDrug,
+    selectProductChange,
+    selectDrugUseWayChange,
+    selectProcessRule,
+    selectProcessRuleNot,
+    selectProcessRuleNotCommit,
+    selectPackageMethod,
+    checkChineseMedicineConflict,
+    sendPrescription,
+    resetForm,
+    changeCategory,
+    getProcessRuleListData,
+    splitString,
+    refreshCurrentDrugs,
+    syncToLocalStorage,
+    loadFromLocalStorage,
+    updateCurrentDrugs,
+  };
+});

apps/web-antd/src/store/usePrescription.ts

@@ -0,0 +1,674 @@
+import { computed, ref, nextTick } from "vue"
+import { message, notification } from "ant-design-vue"
+import { debounce } from "lodash-es"
+
+import {
+  addWestPrescription,
+  checkChineseMedicineConflictApi,
+  getDrugUseList,
+  getMyStoreListApi,
+  getPatientItem,
+  getProcessRuleList,
+  getProductListDoctorReception,
+} from "#/views/doctor/doctor-reception/api"
+
+export const usePrescriptionStore = () => {
+  // 基础数据
+  const patientInfo = ref<any | null>(null)
+  const userPatientHealthInquiry = ref<any | null>(null)
+  const prescriptionList = ref([])
+  const currentRegisterId = ref<number | string>("")
+  const activePatient = ref<any | null>(null)
+
+  // 药品使用相关数据
+  const drugUseNum = ref([])
+  const drugUseFrequency = ref([])
+  const drugUseType = ref([])
+  const drugUnit = ref([])
+  const drugTime = ref([])
+  const drugUseWay = ref([])
+  const myStoreList = ref([])
+
+  // 处方状态
+  const myStoreId = ref(0)
+  const activeCategory = ref(2)
+  const diagnosis = ref("")
+  const medicalAdvice = ref("")
+  const treatmentPrice = ref(0)
+  const ruleType = ref(1)
+  const drugList = ref([])
+  const currentDrugs = ref([])
+  const category = ref(1)
+  const selectProductId = ref(0)
+
+  // 中药相关配置
+  const processRuleList = ref([])
+  const childProcessRuleList = ref([])
+  const processRuleNoteList = ref([])
+  const processRuleId = ref()
+  const processRuleNoteId = ref()
+  const childProcessRuleId = ref()
+  const packageMethodId = ref(2)
+  const dosage = ref(7)
+  const dayDosage = ref(2)
+
+  // 新药品相关
+  const newDrugInfo = ref<any>({})
+  const selectChineseIndex = ref(-1)
+  const selectChineseId = ref(0)
+
+  // 二次签名相关
+  const doctorSecondSign = ref(0)
+  const checkData = ref<any>({})
+
+  // 获取localStorage key
+  const getStorageKey = () => `prescriptionData-chat-${currentRegisterId.value}`
+
+  // 计算属性
+  const totalProductCost = computed(() => {
+    if (currentDrugs.value.length === 0) {
+      return 0
+    }
+    if (activeCategory.value === 1) {
+      return currentDrugs.value.reduce((sum, drug) => sum + drug.price * (drug.number || 1) * dosage.value, 0)
+    }
+    return currentDrugs.value.reduce((sum, drug) => sum + drug.price * (drug.select_number || 1), 0)
+  })
+
+  const processRulePrice = ref(0)
+  const calcMethod = ref(0)
+
+  const processingFee = computed(() => {
+    if (ruleType.value === 1) return 0
+    if (currentDrugs.value.length === 0) return 0
+
+    const processRule = childProcessRuleList.value.find((item) => item.id === childProcessRuleId.value)
+    if (!processRule) return 0
+
+    calcMethod.value = processRule.calc_method
+    processRulePrice.value = processRule.price
+
+    if (calcMethod.value === 1) return processRulePrice.value
+    if (calcMethod.value === 2) return processRulePrice.value * dosage.value
+    if (calcMethod.value === 3) {
+      const totalNumber = currentDrugs.value.reduce((sum, drug) => sum + drug.number, 0)
+      return processRulePrice.value * dosage.value * totalNumber
+    }
+    return 0
+  })
+
+  const totalCost = computed(() => {
+    return totalProductCost.value + processingFee.value
+  })
+
+  // 重新设计的localStorage同步方法
+  const syncToLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey()
+      localStorage.setItem(storageKey, JSON.stringify(currentDrugs.value))
+      console.log("已同步到localStorage:", storageKey, currentDrugs.value)
+    } catch (error) {
+      console.error("保存到localStorage失败:", error)
+    }
+  }
+
+  const loadFromLocalStorage = () => {
+    try {
+      const storageKey = getStorageKey()
+      const stored = localStorage.getItem(storageKey)
+      console.log("从localStorage加载:", storageKey, stored)
+
+      if (stored) {
+        const parsedData = JSON.parse(stored)
+        // 直接替换整个数组以确保响应式更新
+        currentDrugs.value.splice(0, currentDrugs.value.length, ...parsedData)
+      } else {
+        // 清空数组
+        currentDrugs.value.splice(0, currentDrugs.value.length)
+      }
+    } catch (error) {
+      console.error("从localStorage加载失败:", error)
+      currentDrugs.value.splice(0, currentDrugs.value.length)
+    }
+  }
+
+  // 更新currentDrugs并同步到localStorage
+  const updateCurrentDrugs = (newDrugs: any[]) => {
+    // 使用splice确保响应式更新
+    currentDrugs.value.splice(0, currentDrugs.value.length, ...newDrugs)
+    syncToLocalStorage()
+  }
+
+  // 方法
+  const initializePrescription = async (registerId: number | string) => {
+    currentRegisterId.value = registerId
+
+    // 先加载localStorage数据
+    loadFromLocalStorage()
+
+    await Promise.all([getMyStoreList(), getDrugUseListData(), getProcessRuleListData(), getPatientInfo()])
+  }
+
+  const getMyStoreList = async () => {
+    try {
+      const res = await getMyStoreListApi()
+      myStoreList.value = res
+      if (res.length > 0) {
+        myStoreId.value = res[0].id
+      }
+    } catch (error) {
+      console.error("获取诊所列表失败:", error)
+    }
+  }
+
+  const getDrugUseListData = async () => {
+    try {
+      const res = await getDrugUseList()
+      drugUseNum.value = res.drug_use_num
+      drugUseFrequency.value = res.drug_use_frequency
+      drugUseType.value = res.drug_use_type
+      drugUnit.value = res.drug_unit
+      drugTime.value = res.drug_time
+      drugUseWay.value = res.drug_use_way
+    } catch (error) {
+      console.error("获取药品使用列表失败:", error)
+    }
+  }
+
+  const getProcessRuleListData = async (pid = 0, ruleId = 0) => {
+    try {
+      const data = ruleId === 0 ? { pid } : { rule_id: ruleId }
+      const res = await getProcessRuleList(data)
+
+      if (ruleId !== 0) {
+        processRuleNoteList.value = res
+      } else if (pid === 0) {
+        processRuleList.value = res
+      } else {
+        childProcessRuleList.value = res
+      }
+    } catch (error) {
+      console.error("获取加工规则失败:", error)
+    }
+  }
+
+  const getPatientInfo = async () => {
+    try {
+      const res = await getPatientItem(currentRegisterId.value)
+      patientInfo.value = res
+      activePatient.value = res.user_patient
+      userPatientHealthInquiry.value = res.user_patient_health_inquiry
+      prescriptionList.value = res.prescription
+    } catch (error) {
+      console.error("获取患者信息失败:", error)
+    }
+  }
+
+  // 药品搜索
+  const getDrugList = debounce(async (searchText = "") => {
+    if (searchText === "" && activeCategory.value === 1) {
+      drugList.value = []
+      return
+    }
+
+    try {
+      const res = await getProductListDoctorReception({
+        store_id: myStoreId.value,
+        type: activeCategory.value,
+        name: searchText,
+      })
+
+      drugList.value = res.map((item) => {
+        const matched = currentDrugs.value.find((v) => v.index_id === item.id)
+        return {
+          ...item,
+          select_number: matched?.select_number || 0,
+          drug: {
+            ...item.drug,
+            number: matched?.number || 1,
+          },
+        }
+      })
+    } catch (error) {
+      console.error("获取药品列表失败:", error)
+      message.error("获取药品列表失败")
+    }
+  }, 300)
+
+  // 药品操作
+  const addProducts = (data: any) => {
+    const existItem = currentDrugs.value.find((item) => item.index_id === data.id)
+    if (existItem) {
+      message.warn("已经存在了")
+      return false
+    }
+
+    const newProduct = {
+      index_id: data.id,
+      id: data.drug.id,
+      drug_name: data.drug.drug_name,
+      number: data.drug.number,
+      use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+      use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+      use_frequency: drugUseFrequency.value.find((item) => item.id === data.drug.frequency_id),
+      unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+      price: data.price,
+      way_id: data.drug?.way_id,
+      use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+      time_id: data.drug.time_id,
+      type_id: data.drug.type_id,
+      frequency_id: data.drug.frequency_id,
+      unit_id: data.drug.unit_id,
+      image: data.drug.image,
+      instruction: data.drug.instruction,
+      type: data.drug.type,
+      select_number: 1,
+    }
+
+    // 使用新的更新方法
+    const newDrugs = [...currentDrugs.value, newProduct]
+    updateCurrentDrugs(newDrugs)
+
+    message.success(`已将${newProduct.drug_name}添加到清单中！`)
+    return true
+  }
+
+  const removeDrug = (index: number) => {
+    const newDrugs = currentDrugs.value.filter((_, i) => i !== index)
+    updateCurrentDrugs(newDrugs)
+  }
+
+  const updateDrugQuantity = (index: number, quantity: number) => {
+    if (quantity > 0) {
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[index].select_number = quantity
+      updateCurrentDrugs(newDrugs)
+    }
+  }
+
+  const increment = (index: number) => {
+    const newDrugs = [...currentDrugs.value]
+    newDrugs[index].select_number++
+    updateCurrentDrugs(newDrugs)
+  }
+
+  const decrement = (index: number) => {
+    if (currentDrugs.value[index].select_number > 1) {
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[index].select_number--
+      updateCurrentDrugs(newDrugs)
+    }
+  }
+
+  // 新药品操作
+  const selectNewDrugInfo = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id)
+    if (check) {
+      newDrugInfo.value.id = ""
+      message.error("该药品已经在处方中了！")
+      return
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id)
+    if (data) {
+      newDrugInfo.value.price = data.price
+      newDrugInfo.value.name = data.drug.drug_name
+      nextTick(() => {
+        const input = document.querySelector(".new-number-input input") as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  const selectOldDrugInfo = (id: number) => {
+    const check = currentDrugs.value.find((v) => v.id === id)
+
+    if (check) {
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[selectChineseIndex.value].id = selectChineseId.value
+      updateCurrentDrugs(newDrugs)
+      drugList.value = []
+      message.error("该药品已经在处方中了！")
+      return
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === id)
+    if (data) {
+      const newProduct = {
+        index_id: data.id,
+        id: data.drug.id,
+        drug_name: data.drug.drug_name,
+        number: data.drug.number,
+        use_num: drugTime.value.find((item) => item.id === data.drug.time_id),
+        use_type: drugUseType.value.find((item) => item.id === data.drug.type_id),
+        use_frequency: drugUseFrequency.value.find((item) => item.id === data.drug.frequency_id),
+        unit: drugUnit.value.find((item) => item.id === data.drug.unit_id),
+        price: data.price,
+        way_id: data.drug?.way_id,
+        use_ways: drugUseWay.value.find((item) => item.id === data.drug.way_id),
+        time_id: data.drug.time_id,
+        type_id: data.drug.type_id,
+        frequency_id: data.drug.frequency_id,
+        unit_id: data.drug.unit_id,
+        image: data.drug.image,
+        instruction: data.drug.instruction,
+        type: data.drug.type,
+      }
+
+      const newDrugs = [...currentDrugs.value]
+      newDrugs[selectChineseIndex.value] = newProduct
+      updateCurrentDrugs(newDrugs)
+
+      nextTick(() => {
+        const input = document.querySelector(`.old-number-input-${selectChineseIndex.value} input`) as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  const setSelectChineseIndex = (index: number, id: number) => {
+    selectChineseIndex.value = index
+    selectChineseId.value = id
+  }
+
+  const addDrugByChinese = () => {
+    const check = currentDrugs.value.find((v) => v.id === newDrugInfo.value.id)
+    if (check) {
+      message.error("该药品已经在处方中了！")
+      return false
+    }
+
+    const data = drugList.value.find((v) => v.drug_id === newDrugInfo.value.id)
+    if (!data) {
+      message.error("请选择药品")
+      return false
+    }
+
+    data.drug.number = newDrugInfo.value.number
+    data.drug.way_id = newDrugInfo.value.way_id
+    const success = addProducts(data)
+    if (success) {
+      newDrugInfo.value = {}
+    }
+    return success
+  }
+
+  const selectDrugByNewDrugInfo = (event: KeyboardEvent, isNewDrug: boolean) => {
+    if (event.key === "Enter") {
+      event.preventDefault()
+      if (isNewDrug) {
+        addDrugByChinese()
+      } else {
+        syncToLocalStorage()
+      }
+      nextTick(() => {
+        const input = document.querySelector(".new-select-drug-name input") as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  const updateChineseNumber = () => {
+    syncToLocalStorage()
+  }
+
+  const updateChineseNumberGoNewDrug = (event: KeyboardEvent) => {
+    if (event.key === "Enter") {
+      syncToLocalStorage()
+      nextTick(() => {
+        const input = document.querySelector(".new-select-drug-name input") as HTMLElement
+        input?.focus()
+      })
+    }
+  }
+
+  // 药品用法选择
+  const selectProductChange = (id: number) => {
+    selectProductId.value = id
+  }
+
+  const selectDrugUseWayChange = (id: number) => {
+    const newDrugs = currentDrugs.value.map((item) =>
+      item.index_id === selectProductId.value
+        ? {
+          ...item,
+          way_id: id,
+          use_ways: drugUseWay.value.find((value) => value.id === id),
+        }
+        : item,
+    )
+    updateCurrentDrugs(newDrugs)
+  }
+
+  // 加工规则操作
+  const selectProcessRule = (id: number) => {
+    processRuleId.value = id
+    getProcessRuleListData(id)
+  }
+
+  const selectProcessRuleNot = (id: number) => {
+    childProcessRuleId.value = id
+    getProcessRuleListData(0, id)
+  }
+
+  const selectProcessRuleNotCommit = (id: number) => {
+    processRuleNoteId.value = id
+  }
+
+  const selectPackageMethod = (id: number) => {
+    packageMethodId.value = id
+  }
+
+  // 中药相冲检查
+  const checkChineseMedicineConflict = async () => {
+    if (activeCategory.value === 2) {
+      return { hasConflict: false }
+    }
+
+    notification.info({
+      message: "正在检查药物相冲",
+      duration: 1,
+      description: "正在检查药物相冲，请稍等...",
+    })
+
+    try {
+      const names = currentDrugs.value.map((item) => item.drug_name)
+      const res = await checkChineseMedicineConflictApi({ names })
+
+      if (res.is_exist === true) {
+        checkData.value = { message: res.message }
+        return { hasConflict: true, message: res.message }
+      } else {
+        notification.success({
+          message: "检查成功",
+          duration: 3,
+          description: "暂无相冲药品",
+        })
+        return { hasConflict: false }
+      }
+    } catch (error) {
+      console.error("检查药物相冲失败:", error)
+      return { hasConflict: false }
+    }
+  }
+
+  // 发送处方
+  const sendPrescription = async (doctorSecondSignValue = 0) => {
+    // 验证表单
+    if (currentDrugs.value.length === 0) {
+      message.error("请选择药品")
+      return false
+    }
+
+    if (activeCategory.value === 1) {
+      if (ruleType.value === 1 && packageMethodId.value == null) {
+        message.error("请选择包法")
+        return false
+      }
+      if (ruleType.value === 2) {
+        if (processRuleId.value == null) {
+          message.error("请选择制剂")
+          return false
+        }
+        if (processRuleNoteId.value == null) {
+          message.error("请选择规格")
+          return false
+        }
+        if (childProcessRuleId.value == null) {
+          message.error("请选择备注")
+          return false
+        }
+      }
+    }
+
+    if (!diagnosis.value) {
+      message.error("诊断结果不能为空")
+      return false
+    }
+
+    if (!medicalAdvice.value) {
+      message.error("医嘱不能为空")
+      return false
+    }
+
+    try {
+      await addWestPrescription({
+        patient: activePatient.value,
+        drugs: currentDrugs.value,
+        diagnosis: diagnosis.value,
+        medicalAdvice: medicalAdvice.value,
+        total: totalCost.value,
+        category: category.value,
+        drug_type: 2,
+        register_id: currentRegisterId.value,
+        treatment_price: treatmentPrice.value,
+        package_method_id: packageMethodId.value,
+        process_rule_id: processRuleId.value,
+        process_rule_note_id: processRuleNoteId.value,
+        child_process_rule_id: childProcessRuleId.value,
+        process_rule_type: ruleType.value,
+        prescription_type: activeCategory.value,
+        processing_fee: processRulePrice.value,
+        dosage: dosage.value,
+        day_dosage: dayDosage.value,
+        doctor_second_sign: doctorSecondSignValue,
+      })
+
+      message.success("处方已发送")
+      resetForm()
+      return true
+    } catch (error) {
+      console.error("发送处方失败:", error)
+      message.error("发送处方失败")
+      return false
+    }
+  }
+
+  const resetForm = () => {
+    updateCurrentDrugs([])
+    diagnosis.value = ""
+    medicalAdvice.value = ""
+    packageMethodId.value = 2
+    processRulePrice.value = 0
+    dosage.value = 7
+    dayDosage.value = 2
+    newDrugInfo.value = {}
+    doctorSecondSign.value = 0
+  }
+
+  const changeCategory = (categoryValue: number) => {
+    activeCategory.value = categoryValue
+    updateCurrentDrugs([])
+    localStorage.setItem(`activeCategory-chat-${currentRegisterId.value}`, categoryValue.toString())
+  }
+
+  // 工具函数
+  const splitString = (str: string) => {
+    if (!str) return []
+    return str.split(",")
+  }
+
+  // 强制刷新currentDrugs（用于调试或特殊情况）
+  const refreshCurrentDrugs = () => {
+    loadFromLocalStorage()
+  }
+
+  return {
+    // 状态
+    patientInfo,
+    userPatientHealthInquiry,
+    prescriptionList,
+    currentRegisterId,
+    activePatient,
+    drugUseNum,
+    drugUseFrequency,
+    drugUseType,
+    drugUnit,
+    drugTime,
+    drugUseWay,
+    myStoreList,
+    myStoreId,
+    activeCategory,
+    diagnosis,
+    medicalAdvice,
+    treatmentPrice,
+    ruleType,
+    drugList,
+    currentDrugs,
+    category,
+    selectProductId,
+    processRuleList,
+    childProcessRuleList,
+    processRuleNoteList,
+    processRuleId,
+    processRuleNoteId,
+    childProcessRuleId,
+    packageMethodId,
+    dosage,
+    dayDosage,
+    newDrugInfo,
+    selectChineseIndex,
+    selectChineseId,
+    doctorSecondSign,
+    checkData,
+
+    // 计算属性
+    totalProductCost,
+    processingFee,
+    totalCost,
+
+    // 方法
+    initializePrescription,
+    getDrugList,
+    addProducts,
+    removeDrug,
+    updateDrugQuantity,
+    increment,
+    decrement,
+    selectNewDrugInfo,
+    selectOldDrugInfo,
+    setSelectChineseIndex,
+    addDrugByChinese,
+    selectDrugByNewDrugInfo,
+    updateChineseNumber,
+    updateChineseNumberGoNewDrug,
+    selectProductChange,
+    selectDrugUseWayChange,
+    selectProcessRule,
+    selectProcessRuleNot,
+    selectProcessRuleNotCommit,
+    selectPackageMethod,
+    checkChineseMedicineConflict,
+    sendPrescription,
+    resetForm,
+    changeCategory,
+    getProcessRuleListData,
+    splitString,
+    refreshCurrentDrugs,
+
+    // 新增的方法
+    syncToLocalStorage,
+    loadFromLocalStorage,
+    updateCurrentDrugs,
+  }
+}