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feat: 病历模块优化、AI辅助问诊

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This commit is contained in:
李琦
2026-08-06 10:07:49 +08:00
parent b2ad3088be
commit 87a0c02fb0
2 changed files with 224 additions and 107 deletions
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189
subPackages/sub_workbench/prescription_v2/components/MedicalRecordPanel.vue
View File

@@ -225,7 +225,12 @@
<view class="mr-btn-text" @click="onOpenCiteDrawer">引用历史</view>
</view>
<view class="flex-row flex-ali-center">
<view class="mr-ai-btn" @click="onOpenAiModal">
<!-- 无 VIP ai_medical_record 时隐藏入口 -->
<view
v-if="canUseAiMedicalRecord"
class="mr-ai-btn"
@click="onOpenAiModal"
>
<text class="mr-ai-btn__icon">✦</text>
<text class="mr-ai-btn__text">AI写病历</text>
</view>
@@ -322,11 +327,13 @@
border-radius="24"
:safe-area-inset-bottom="true"
:mask-close-able="true"
height="70%"
height="85%"
z-index="10090"
@close="closeEntryDrawer"
>
<!-- 词条抽屉：头固定 + 列表区可滑（与诊断弹窗同结构，避免 scroll-view 高度塌缩） -->
<view class="entry-drawer">
<view class="entry-drawer__hd">
<view class="drawer-handle" />
<view class="drawer-header">
<text class="drawer-header__title">选择词条</text>
@@ -334,11 +341,13 @@
</view>
<u-input
v-model="entryKeyword"
placeholder="搜索词条名称/内容/首拼"
placeholder="搜索名称/内容/首拼"
:custom-style="entrySearchStyle"
@input="onEntryKeywordInput"
/>
<scroll-view scroll-y class="entry-scroll">
</view>
<scroll-view scroll-y class="entry-scroll" enable-flex>
<view class="entry-scroll-inner">
<view
v-for="row in entryList"
:key="row.id"
@@ -346,30 +355,36 @@
@click="pickEntry(row)"
>
<view class="entry-row-top">
<view class="fs-28 font-bold entry-row-name">
<block v-for="(p, pi) in (row._titleParts || [])" :key="pi">
<view class="entry-row-name">
<block v-for="(p, pi) in (row._titleParts || [])" :key="'t' + pi">
<text v-if="p.hit" class="hit-text">{{ p.text }}</text>
<text v-else>{{ p.text }}</text>
</block>
</view>
<text v-if="entryKeyword" class="entry-score">{{ row.match_score || 0 }}%</text>
</view>
<view v-if="row.pinyin_initials" class="fs-22 color-sub m-t-4">
<text>首拼(全拼)：</text>
<block v-for="(p, pi) in (row._pyParts || [])" :key="pi">
<text v-if="p.hit" class="hit-text">{{ p.text }}</text>
<text v-else>{{ p.text }}</text>
</block>
</view>
<view class="fs-24 color-sub m-t-8">
<block v-for="(p, pi) in (row._contentParts || [])" :key="pi">
<!-- 正文多行展示，行高收紧以一屏多看几条 -->
<view v-if="row.content" class="entry-row-content">
<block v-for="(p, pi) in (row._contentParts || [])" :key="'c' + pi">
<text v-if="p.hit" class="hit-text">{{ p.text }}</text>
<text v-else>{{ p.text }}</text>
</block>
</view>
<view
v-if="row.remark || (entryKeyword && row.pinyin_initials)"
class="entry-row-meta"
>
<text v-if="row.remark" class="entry-remark-tag">{{ row.remark }}</text>
<text v-if="entryKeyword && row.pinyin_initials" class="entry-py-tag">
<block v-for="(p, pi) in (row._pyParts || [])" :key="'p' + pi">
<text v-if="p.hit" class="hit-text">{{ p.text }}</text>
<text v-else>{{ p.text }}</text>
</block>
</text>
</view>
</view>
<view v-if="!entryList.length" class="drawer-empty">暂无词条</view>
</view>
</scroll-view>
</view>
</u-popup>
@@ -487,12 +502,16 @@ export default {
diagnosisReadonly: { type: Boolean, default: false },
/** 是否处于病历 Tab（控制底部栏；probe 时必须为 false，否则 fixed 会穿透到处方） */
active: { type: Boolean, default: false },
/** 门店是否开通病历 VIP（medical_record）；无则不请求病历接口，避免弹错 */
canUseMedicalRecord: { type: Boolean, default: false },
/** 就诊人姓名（AI 确认步展示） */
patientName: { type: String, default: '' },
/** 就诊人性别 1男2女 */
patientSex: { type: [Number, String], default: 0 },
/** 就诊人年龄 */
patientAge: { type: [Number, String], default: 0 },
/** 门店是否开通 AI写病历 VIP（ai_medical_record） */
canUseAiMedicalRecord: { type: Boolean, default: false },
},
data() {
const tcmCaseSubFields = [
@@ -509,7 +528,12 @@ export default {
entryList: [],
entryKeyword: '',
entrySearchTimer: null,
entrySearchStyle: { background: '#f4f6f8', borderRadius: '14rpx', padding: '14rpx 20rpx', marginBottom: '20rpx', border: '1rpx solid #e8ecef' },
entrySearchStyle: {
background: '#f4f6f8',
borderRadius: '14rpx',
padding: '12rpx 20rpx',
border: '1rpx solid #e8ecef',
},
/** 引用历史抽屉 */
citeShow: false,
citeLoading: false,
@@ -599,10 +623,13 @@ export default {
watch: {
registerId: {
immediate: true,
handler(v) {
if (v) this.load()
handler() {
this.tryLoad()
},
},
canUseMedicalRecord() {
this.tryLoad()
},
diagnosis(v) {
this.localDiagnosis = v || ''
this.schedulePersistDraft()
@@ -629,6 +656,15 @@ export default {
},
},
methods: {
/**
* 仅在有病历 VIP 时拉病历；普通诊所静默跳过，不弹「未开通 VIP」
*/
tryLoad() {
if (!this.registerId || !this.canUseMedicalRecord) {
return
}
this.load()
},
/**
* 通知父页：病历侧是否有弹层打开（与处方弹层共用返回拦截）
*/
@@ -655,6 +691,10 @@ export default {
* 打开 AI 写病历：先进历史抽屉（无历史则自动弹出生成框）
*/
onOpenAiModal() {
if (!this.canUseAiMedicalRecord) {
uni.showToast({ title: '当前门店未开通AI写病历', icon: 'none' })
return
}
if (!this.registerId) {
uni.showToast({ title: '挂号无效', icon: 'none' })
return
@@ -723,11 +763,12 @@ export default {
async load() {
this.hydrating = true
try {
const res = await getMedicalRecordApi({
register_id: this.registerId,
store_id: this.storeId || undefined,
})
const data = (res && res.data) || res || {}
const mrParams = { register_id: this.registerId }
const mrStoreId = Number(this.storeId || 0)
if (mrStoreId > 0) mrParams.store_id = mrStoreId
const res = await getMedicalRecordApi(mrParams)
// Laravel jok 在 result；兼容 data / 已解包
const data = (res && (res.result != null ? res.result : res.data)) || res || {}
this.form = Object.assign(emptyForm(), data)
const draft = PrescriptionStorage.loadMedicalRecordDraft(this.registerId)
if (draft) {
@@ -744,17 +785,11 @@ export default {
}
if (this.diagnosis) this.localDiagnosis = this.diagnosis
if (this.medicalAdvice) this.localAdvice = this.medicalAdvice
this.$emit('vip-ok')
} catch (e) {
// 有 VIP 才请求；若仍失败（网络等）仅回填本地草稿，不再靠 VIP 文案探测
const draft = PrescriptionStorage.loadMedicalRecordDraft(this.registerId)
if (draft) {
this.applyDraft(draft)
this.$emit('vip-ok')
} else {
const msg = (e && e.message) || (e && e.msg) || ''
if (String(msg).indexOf('VIP') > -1 || String(msg).indexOf('vip') > -1 || String(msg).indexOf('病历') > -1) {
this.$emit('vip-denied')
}
}
} finally {
this.hydrating = false
@@ -827,10 +862,10 @@ export default {
uni.showToast({ title: '已导入，请核对后保存', icon: 'none' })
},
async onClear() {
await clearMedicalRecordApi({
register_id: this.registerId,
store_id: this.storeId || undefined,
})
const clearParams = { register_id: this.registerId }
const clearStoreId = Number(this.storeId || 0)
if (clearStoreId > 0) clearParams.store_id = clearStoreId
await clearMedicalRecordApi(clearParams)
const keepPatient = this.effectivePatientId
this.form = emptyForm()
this.form.user_patient_id = keepPatient
@@ -855,11 +890,13 @@ export default {
this.citeList = []
this.citeActiveId = 0
try {
const res = await listMedicalRecordByPatientApi({
const citeParams = {
user_patient_id: patientId,
store_id: this.storeId || undefined,
limit: 50,
})
}
const citeStoreId = Number(this.storeId || 0)
if (citeStoreId > 0) citeParams.store_id = citeStoreId
const res = await listMedicalRecordByPatientApi(citeParams)
const list = this.unwrapCiteList(res)
const exclude = Number(this.registerId || 0)
this.citeList = list.map((row) => {
@@ -991,11 +1028,12 @@ export default {
if (this.entryTcmType) {
list = await this.fetchTcmDictList(this.entryTcmType, kw)
} else {
const res = await searchMedicalRecordEntryApi({
field_code: this.entryField,
keyword: kw || undefined,
store_id: this.storeId || undefined,
})
// uni 会把 undefined 序列化成字符串 "undefined"，无值时不要塞进 params
const params = { field_code: this.entryField }
if (kw) params.keyword = kw
const sid = Number(this.storeId || 0)
if (sid > 0) params.store_id = sid
const res = await searchMedicalRecordEntryApi(params)
list = this.unwrapEntryList(res)
if (list[0] && list[0].rank_mode) {
mode = String(list[0].rank_mode)
@@ -1521,51 +1559,96 @@ export default {
padding: 20rpx 0 28rpx;
}
/* ─── 词条选择抽屉 ─── */
/* ─── 词条选择抽屉（紧凑列表 + 可滑） ─── */
.entry-drawer {
height: 100%;
min-height: 0;
background: #fff;
padding: 28rpx 28rpx 0;
display: flex;
flex-direction: column;
box-sizing: border-box;
overflow: hidden;
}
.entry-drawer__hd {
flex-shrink: 0;
padding: 20rpx 28rpx 12rpx;
}
.entry-drawer__hd .drawer-handle {
margin-bottom: 16rpx;
}
.entry-drawer__hd .drawer-header {
margin-bottom: 16rpx;
}
.entry-scroll {
flex: 1;
height: 0;
min-height: 200rpx;
min-height: 0;
overflow: hidden;
}
.entry-scroll-inner {
padding: 0 28rpx;
padding-bottom: calc(40rpx + env(safe-area-inset-bottom));
box-sizing: border-box;
}
.entry-row {
padding: 22rpx 0;
padding: 16rpx 0;
border-bottom: 1rpx solid #f0f2f4;
}
.entry-row-top {
display: flex;
align-items: flex-start;
flex-direction: row;
align-items: center;
justify-content: space-between;
gap: 16rpx;
gap: 12rpx;
}
.entry-row-name {
flex: 1;
min-width: 0;
font-size: 28rpx;
font-weight: 700;
color: #1a2530;
overflow: hidden;
text-overflow: ellipsis;
white-space: nowrap;
}
.entry-score {
flex-shrink: 0;
font-size: 22rpx;
font-size: 20rpx;
font-weight: 700;
color: #ff7043;
background: rgba(255, 112, 67, 0.1);
padding: 4rpx 14rpx;
padding: 2rpx 12rpx;
border-radius: 10rpx;
}
.entry-remark-tag {
display: inline-block;
.entry-row-content {
margin-top: 6rpx;
font-size: 26rpx;
color: #4a5560;
line-height: 1.45;
/* 约 3 行高度；用 max-height 兼容高亮多 text 节点 */
max-height: 114rpx;
overflow: hidden;
word-break: break-all;
}
.entry-row-meta {
margin-top: 8rpx;
display: flex;
flex-direction: row;
flex-wrap: wrap;
align-items: center;
gap: 8rpx;
}
.entry-remark-tag,
.entry-py-tag {
font-size: 20rpx;
color: #8a9399;
background: #f0f2f4;
padding: 4rpx 14rpx;
padding: 2rpx 12rpx;
border-radius: 8rpx;
max-width: 100%;
overflow: hidden;
text-overflow: ellipsis;
white-space: nowrap;
}
.hit-text {
color: #e64e1f;

96
subPackages/sub_workbench/prescription_v2/index.vue
View File

@@ -127,9 +127,9 @@
<u-button size="mini" class="m-l-16" :type="feeCategory === 2 ? 'success' : 'default'" @click="feeCategory = 2">医保</u-button>
</view>
<view v-if="isRxMainVisible && !isSalespersonTransferMode && activeCategory === 1 && hasSalespersonTransfer" class="mx-32 m-t-12 rx-flex-fixed">
<u-button size="mini" type="primary" plain @click="openSalespersonTransfer">查看传方</u-button>
</view>
<!-- <view v-if="isRxMainVisible && !isSalespersonTransferMode && activeCategory === 1 && hasSalespersonTransfer" class="mx-32 m-t-12 rx-flex-fixed">-->
<!-- <u-button size="mini" type="primary" plain @click="openSalespersonTransfer">查看传方</u-button>-->
<!-- </view>-->
<!-- 诊断：病历 Tab 必须卸载（微信 v-show 藏不住 fixed/flex 固定块） -->
<view v-if="isRxMainVisible && !isSalespersonTransferMode" class="top white p-32 flex-col m-t-16 radius-12 mx-32 rx-flex-fixed">
@@ -552,9 +552,8 @@
>另存常用方</view>
</view>
<view class="flex-row flex-ali-center">
<!-- AI 胶囊与病历「AI写病历」同款；功能暂不可用时仍保留入口样式 -->
<view
v-if="!isSpecialPrescriptionCartLocked && !isSalespersonTransferMode && !isCommonPrescription"
v-if="!isSpecialPrescriptionCartLocked && !isSalespersonTransferMode && !isCommonPrescription && canUseAiPrescription"
class="rx-ai-btn"
@click="handleOpenAiPrescriptionDrawer"
>
@@ -578,8 +577,9 @@
</view>
<!--
病历：常挂载保草稿 / 探测 VIP。
处方 Tab：fixed 离屏探测，绝不参与 page-flex 占高。
病历：常挂载保草稿。
是否有 VIP 由门店 permissions 判断；无 VIP 不请求病历接口、不展示 Tab。
处方 Tab：fixed 离屏，绝不参与 page-flex 占高。
病历 Tab：flex:1 吃满剩余高度。
-->
<view
@@ -596,15 +596,15 @@
:medical-advice="medicalAdvice"
:diagnosis-readonly="isOnlineRevisit"
:active="isMrMainVisible"
:can-use-medical-record="canUseMedicalRecord"
:patient-name="(patientInfo && patientInfo.name) || ''"
:patient-sex="(patientInfo && patientInfo.sex) || 0"
:patient-age="(patientInfo && patientInfo.age) || 0"
:can-use-ai-medical-record="canUseAiMedicalRecord"
@update:diagnosis="onMrDiagnosisUpdate"
@update:medicalAdvice="onMrAdviceUpdate"
@open-diagnosis="handleOpenDiagnosisModal"
@open-doctor-order="handleOpenDoctorOrderModal"
@vip-ok="onMedicalRecordVipOk"
@vip-denied="onMedicalRecordVipDenied"
@overlay-change="onMedicalRecordOverlayChange"
/>
</view>
@@ -841,6 +841,8 @@ export default {
mainTab: 'rx',
/** 是否开通病历 VIP（拉取病历成功后为 true） */
canUseMedicalRecord: false,
/** 当前诊所 VIP permissions（来自 get-current-store-type.vip） */
storeVipPermissions: [],
pendingReusePrescriptionId: '',
patientInfo: null,
prescriptionCategories: [
@@ -1159,12 +1161,20 @@ export default {
if (this.isSalespersonTransferMode || this.isCommonPrescription) {
return '686rpx';
}
// 右侧 AI 胶囊 + 发送，主按钮与病历「保存病历」同量级
if (!this.isSpecialPrescriptionCartLocked) {
// 右侧 AI 胶囊 + 发送
if (!this.isSpecialPrescriptionCartLocked && this.canUseAiPrescription) {
return '240rpx';
}
return '480rpx';
},
/** 门店 VIP：AI辅助出方 */
canUseAiPrescription() {
return this.hasStoreVipPermission('ai_prescription');
},
/** 门店 VIP：AI写病历 */
canUseAiMedicalRecord() {
return this.hasStoreVipPermission('ai_medical_record');
},
navbarTitle() {
if (this.isSalespersonTransferMode) {
return '传方';
@@ -1710,6 +1720,30 @@ export default {
this.applyPreSendPriceDiscount(payload.priceDiscount);
this.closePreSendPriceAdjust();
},
/**
* 判断当前诊所 VIP 是否含指定权益码
*/
hasStoreVipPermission(code) {
const list = this.storeVipPermissions;
return Array.isArray(list) && list.indexOf(code) >= 0;
},
/**
* 从门店类型接口结果写入 VIP permissions
* 有 medical_record 才显示病历 Tab；无则静默留在处方（不打 get-medical-record 避免弹 VIP 错）
*/
applyStoreVipFromRes(res) {
const data = (res && (res.result != null ? res.result : res.data != null ? res.data : res)) || {};
const vip = data.vip || {};
const perms = vip.permissions;
this.storeVipPermissions = Array.isArray(perms) ? perms.slice() : [];
const allowMr = this.hasStoreVipPermission('medical_record');
this.canUseMedicalRecord = allowMr;
if (allowMr) {
this.restoreMainTab();
} else if (this.mainTab === 'mr') {
this.mainTab = 'rx';
}
},
async fetchStoreSeeRate() {
try {
const storeId = uni.getStorageSync('store_id');
@@ -1725,8 +1759,10 @@ export default {
}
const res = await getCurrentStoreTypeApi(params);
if (res) {
this.seeRate = Number(res.see_rate ?? 0);
this.enableOrderPricePercentAdjust = Number(res.enable_order_price_percent_adjust ?? 0);
this.applyStoreVipFromRes(res);
const data = (res.result != null ? res.result : res.data != null ? res.data : res) || res;
this.seeRate = Number(data.see_rate ?? 0);
this.enableOrderPricePercentAdjust = Number(data.enable_order_price_percent_adjust ?? 0);
await this.loadPriceAdjustConfigForStore(params.store_id || storeId);
}
} catch (error) {
@@ -1745,21 +1781,23 @@ export default {
...(storeId ? { store_id: storeId } : {})
});
if (res) {
this.registerStoreInfo = res;
this.seeRate = Number(res.see_rate ?? 0);
if (Number(res.allow_insurance_category ?? 0) !== 1) {
this.applyStoreVipFromRes(res);
const data = (res.result != null ? res.result : res.data != null ? res.data : res) || res;
this.registerStoreInfo = data;
this.seeRate = Number(data.see_rate ?? 0);
if (Number(data.allow_insurance_category ?? 0) !== 1) {
this.feeCategory = 1;
}
this.checkSalespersonTransfer();
if (res.is_from_transfer === 1 && res.delegate_store_id) {
this.selectedStoreId = res.delegate_store_id;
if (data.is_from_transfer === 1 && data.delegate_store_id) {
this.selectedStoreId = data.delegate_store_id;
this.sendMode = 1;
} else if (res.store_id) {
this.selectedStoreId = res.store_id;
this.sendMode = res.can_change ? 1 : 0;
} else if (data.store_id) {
this.selectedStoreId = data.store_id;
this.sendMode = data.can_change ? 1 : 0;
}
const priceStoreId = this.selectedStoreId || res.store_id || storeId;
this.enableOrderPricePercentAdjust = Number(res.enable_order_price_percent_adjust ?? 0);
const priceStoreId = this.selectedStoreId || data.store_id || storeId;
this.enableOrderPricePercentAdjust = Number(data.enable_order_price_percent_adjust ?? 0);
await this.loadPriceAdjustConfigForStore(priceStoreId);
}
} catch (error) {
@@ -1924,14 +1962,6 @@ export default {
onMrAdviceUpdate(v) {
this.medicalAdvice = v || '';
},
onMedicalRecordVipDenied() {
this.canUseMedicalRecord = false;
if (this.mainTab === 'mr') this.mainTab = 'rx';
},
onMedicalRecordVipOk() {
this.canUseMedicalRecord = true;
this.restoreMainTab();
},
/** 发送处方成功后同步病历（有 VIP 时） */
async syncMedicalRecordAfterSend() {
if (!this.canUseMedicalRecord) return;
@@ -2021,6 +2051,10 @@ export default {
* 打开 AI 给处方抽屉：带入完整病历（含未保存），先确认再生成
*/
handleOpenAiPrescriptionDrawer() {
if (!this.canUseAiPrescription) {
this.$toast('当前门店未开通AI辅助出方VIP功能');
return;
}
if (guardSpecialPrescriptionCartEdit(this)) return;
if (!this.registerId) {
this.$toast('挂号无效');