feat: 病历模块优化、AI辅助问诊

subPackages/sub_workbench/prescription_v2/index.vue

@@ -237,6 +237,17 @@
                 :ripple="true">
               常用方
             </u-button>
+            <view v-if="!isSpecialPrescriptionCartLocked" class="m-l-16">
+              <u-button
+                  :throttle-time="0"
+                  shape="circle"
+                  size="mini"
+                  :custom-style="{backgroundColor: 'transparent !important',border:'1px solid #6ACDBB',color:'#6ACDBB'}"
+                  plain
+                  @click="handleOpenAiPrescriptionDrawer">
+                AI辅助出方
+              </u-button>
+            </view>
             <view v-if="!isSpecialPrescriptionCartLocked" class="m-l-16">
               <u-button
                   :throttle-time="0"
@@ -316,6 +327,17 @@
                 :ripple="true">
               常用方
             </u-button>
+            <view v-if="!isSpecialPrescriptionCartLocked" class="m-l-16">
+              <u-button
+                  :throttle-time="0"
+                  shape="circle"
+                  size="mini"
+                  :custom-style="{backgroundColor: 'transparent !important',border:'1px solid #6ACDBB',color:'#6ACDBB'}"
+                  plain
+                  @click="handleOpenAiPrescriptionDrawer">
+                AI辅助出方
+              </u-button>
+            </view>
             <view v-if="!isSpecialPrescriptionCartLocked" class="m-l-16">
               <u-button
                   :throttle-time="0"
@@ -385,6 +407,17 @@
             <text class="fs-28 text-gray m-l-8">{{ activeCategoryLabel }}</text>
           </view>
           <view class="flex-row m-l-163" style="height: 50rpx;">
+            <view v-if="!isSpecialPrescriptionCartLocked" class="m-l-16">
+              <u-button
+                  :throttle-time="0"
+                  shape="circle"
+                  size="mini"
+                  :custom-style="{backgroundColor: 'transparent !important',border:'1px solid #6ACDBB',color:'#6ACDBB'}"
+                  plain
+                  @click="handleOpenAiPrescriptionDrawer">
+                AI辅助出方
+              </u-button>
+            </view>
             <view v-if="!isSpecialPrescriptionCartLocked" class="m-l-16">
               <u-button
                   :throttle-time="0"
@@ -544,11 +577,18 @@
 
     <!-- 底部操作栏：fixed；病历 Tab 必须 v-if 卸载，微信 v-show 对 fixed 无效会串到病历 -->
     <view v-if="isRxMainVisible" class="bottom flex-jus-sp flex-ali-center safe-area-inset-bottom">
-      <view
-        v-if="!isSalespersonTransferMode && !isCommonPrescription && supportsCommonPrescriptionTemplate"
-        class="flex-row flex-ali-center"
-      >
-        <view @click="handleSaveAsCommonPrescription" class="btnText">另存常用方</view>
+      <view class="flex-row flex-ali-center bottom-left-actions">
+        <view
+          v-if="!isSalespersonTransferMode && !isCommonPrescription && supportsCommonPrescriptionTemplate"
+          @click="handleSaveAsCommonPrescription"
+          class="btnText"
+        >另存常用方</view>
+        <!-- AI入口放底部，避免顶部三按钮挤出屏幕 -->
+        <view
+          v-if="!isSpecialPrescriptionCartLocked && !isSalespersonTransferMode && !isCommonPrescription"
+          @click="handleOpenAiPrescriptionDrawer"
+          class="btnText"
+        >AI辅助出方</view>
       </view>
       <u-button
           :throttle-time="0"
@@ -584,6 +624,7 @@
           :medical-advice="medicalAdvice"
           :diagnosis-readonly="isOnlineRevisit"
           :active="isMrMainVisible"
+          :patient-name="(patientInfo && patientInfo.name) || ''"
           :patient-sex="(patientInfo && patientInfo.sex) || 0"
           :patient-age="(patientInfo && patientInfo.age) || 0"
           @update:diagnosis="onMrDiagnosisUpdate"
@@ -702,6 +743,23 @@
       @close="closePreSendPriceAdjust"
       @confirm="onPreSendPriceAdjustConfirm"
     />
+
+    <!-- AI 给处方：确认主诉 → 生成 → 预览对照 → 确认导入 -->
+    <AiPrescriptionDrawer
+      v-model="showAiPrescriptionDrawer"
+      :register-id="registerId"
+      :store-id="currentStoreId"
+      :prescription-type="activeCategory"
+      :patient-name="(patientInfo && patientInfo.name) || ''"
+      :patient-sex="(patientInfo && patientInfo.sex) || 0"
+      :patient-age="(patientInfo && patientInfo.age) || 0"
+      :chief-complaint="aiRxChiefComplaint"
+      :medical-record="aiRxMedicalRecord"
+      @overlay-change="onAiPrescriptionOverlayChange"
+      @import="handleImportAiPrescription"
+      @search-drug="handleAiSearchUnmatchedDrug"
+      @sync-medical-record="handleSyncAiMedicalRecord"
+    />
     </block>
   </view>
 </template>
@@ -737,6 +795,7 @@ import { PrescriptionValidator } from './utils/prescriptionValidator.js';
 import DiagnosisModal from './components/modals/DiagnosisModal.vue';
 import DoctorOrderModal from './components/modals/DoctorOrderModal.vue';
 import MedicalRecordPanel from './components/MedicalRecordPanel.vue';
+import AiPrescriptionDrawer from './components/AiPrescriptionDrawer.vue';
 import { saveMedicalRecordApi } from '@/api/reception.js';
 import CommonPrescriptionModal from './components/modals/CommonPrescriptionModal.vue';
 import WesternMedicineModal from './components/modals/WesternMedicineModal.vue';
@@ -781,6 +840,7 @@ const PRESCRIPTION_OVERLAY_KEYS = [
   'showTransferPatientDrawer',
   'showWarehouseSelectDrawer',
   'showMedicalRecordOverlay',
+  'showAiPrescriptionDrawer',
 ];
 
 export default {
@@ -789,6 +849,7 @@ export default {
     DiagnosisModal,
     DoctorOrderModal,
     MedicalRecordPanel,
+    AiPrescriptionDrawer,
     CommonPrescriptionModal,
     WesternMedicineModal,
     ChineseMedicineModal,
@@ -860,6 +921,11 @@ export default {
       showDiagnosisModal: false,
       showDoctorOrderModal: false,
       showCommonPrescriptionModal: false,
+      showAiPrescriptionDrawer: false,
+      /** 打开 AI 出方时带入的主诉（可在抽屉内再编辑） */
+      aiRxChiefComplaint: '',
+      /** 打开 AI 出方时带入的完整病历快照 */
+      aiRxMedicalRecord: {},
       showWesternMedicineModal: false,
       westernModalInitialKeyword: '',
       showChineseMedicineModal: false,
@@ -1113,15 +1179,16 @@ export default {
     isSpecialPrescriptionCartLocked() {
       return isSpecialPrescriptionCartLocked(this);
     },
-    /** 底部发送按钮宽度（左侧仅「另存常用方」时需留出空间） */
+    /** 底部发送按钮宽度（左侧有「另存常用方 / AI辅助出方」时收窄） */
     bottomSendBtnWidth() {
       if (this.isSalespersonTransferMode || this.isCommonPrescription) {
         return '686rpx';
       }
+      // 左侧至少有 AI辅助出方；有常用方模板时再多一个入口
       if (this.supportsCommonPrescriptionTemplate) {
-        return '400rpx';
+        return '320rpx';
       }
-      return '686rpx';
+      return '480rpx';
     },
     navbarTitle() {
       if (this.isSalespersonTransferMode) {
@@ -1975,6 +2042,175 @@ export default {
       this.saveToLocalStorage();
     },
     handleOpenCommonPrescriptionModal() { this.showCommonPrescriptionModal = true; },
+    /**
+     * 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 (guardSpecialPrescriptionCartEdit(this)) return;
+      if (!this.registerId) {
+        this.$toast('挂号无效');
+        return;
+      }
+      if (!this.activeCategory) {
+        this.$toast('请先选择处方类型');
+        return;
+      }
+      const panel = this.$refs.medicalRecordPanel;
+      const payload = panel && panel.getPayload ? panel.getPayload() : {};
+      this.aiRxChiefComplaint = String((payload && payload.chief_complaint) || '');
+      this.aiRxMedicalRecord = Object.assign({}, payload || {});
+      this.showAiPrescriptionDrawer = true;
+    },
+    onAiPrescriptionOverlayChange(open) {
+      this.showAiPrescriptionDrawer = !!open;
+    },
+    /**
+     * AI 出方预览改病历字段时回写病历面板
+     */
+    handleSyncAiMedicalRecord(partial) {
+      const panel = this.$refs.medicalRecordPanel;
+      if (panel && panel.patchFields) {
+        panel.patchFields(partial || {});
+      }
+      // 本地快照也更新，避免再次打开仍是旧值
+      this.aiRxMedicalRecord = Object.assign({}, this.aiRxMedicalRecord || {}, partial || {});
+      if (partial && partial.chief_complaint != null) {
+        this.aiRxChiefComplaint = String(partial.chief_complaint || '');
+      }
+    },
+    /**
+     * 未对照药名：打开对应选药弹窗并带入关键词
+     */
+    handleAiSearchUnmatchedDrug(keyword) {
+      const key = String(keyword || '');
+      if (this.activeCategory === 1) {
+        this.chineseModalInitialKeyword = key;
+        this.showChineseMedicineModal = true;
+        return;
+      }
+      if (this.activeCategory === 2) {
+        this.westernModalInitialKeyword = key;
+        this.showWesternMedicineModal = true;
+        return;
+      }
+      this.showSimpleProductModal = true;
+    },
+    /**
+     * 将 AI 对照结果覆盖导入当前处方（非追加）
+     * 中药同步剂数/每日次数，usage 映射先煎后下 way_id
+     * @param {Object} payload { rows, dosage, day_dosage }
+     */
+    handleImportAiPrescription(payload) {
+      if (guardSpecialPrescriptionCartEdit(this)) return;
+      const list = Array.isArray(payload && payload.rows) ? payload.rows : (Array.isArray(payload) ? payload : []);
+      if (!list.length) {
+        this.$toast('没有可导入的药品');
+        return;
+      }
+      const wayList = (this.drugUseList && this.drugUseList.drug_use_way) || [];
+      const resolveWayId = (usage) => {
+        const u = String(usage || '').trim();
+        if (!u) return 0;
+        const found = wayList.find((w) => String(w.name || '') === u || String(w.name || '').indexOf(u) >= 0);
+        return found ? Number(found.id || 0) : 0;
+      };
+      const doOverwrite = () => {
+        clearAppliedSpecialPrescription(this);
+        const next = [];
+        for (let i = 0; i < list.length; i++) {
+          const row = list[i] || {};
+          const c = row.candidate || {};
+          const drugId = Number(c.drug_id || 0);
+          if (!drugId) continue;
+          if (next.find((item) => Number(item.id) === drugId || Number(item.drug_id) === drugId)) {
+            continue;
+          }
+          const doseNum = parseFloat(row.dose);
+          const qty = !isNaN(doseNum) && doseNum > 0 ? doseNum : (c.number || 1);
+          if (this.activeCategory === 1) {
+            const wayId = resolveWayId(row.usage || '');
+            const newDrug = {
+              index_id: c.id || drugId,
+              id: drugId,
+              drug_id: drugId,
+              drug_name: c.drug_name || row.ai_name,
+              name: c.drug_name || row.ai_name,
+              number: qty,
+              price: parseFloat(c.price) || 0,
+              specification: c.specification || '',
+              image: c.image || '',
+              unit: c.unit || { id: 0, name: row.unit || 'g' },
+              way_id: wayId,
+              use_ways: wayList.find((item) => item.id === wayId),
+            };
+            next.push(this.prepareDrugForCart(newDrug));
+            continue;
+          }
+          if (this.activeCategory === 2) {
+            const d = c.drug || {};
+            const newDrug = {
+              index_id: c.id || drugId,
+              id: drugId,
+              drug_id: drugId,
+              drug_name: c.drug_name || d.drug_name || row.ai_name,
+              number: qty,
+              select_number: qty,
+              price: parseFloat(c.price) || 0,
+              specification: c.specification || d.specification || '',
+              image: c.image || d.image || '',
+              time_id: c.time_id || d.time_id || 0,
+              type_id: c.type_id || d.type_id || 0,
+              frequency_id: c.frequency_id || d.frequency_id || 0,
+              unit_id: c.unit_id || d.unit_id || 0,
+              use_num: this.drugUseList.drug_time && this.drugUseList.drug_time.find((item) => item.id === (c.time_id || d.time_id || 0)),
+              use_type: this.drugUseList.drug_use_type && this.drugUseList.drug_use_type.find((item) => item.id === (c.type_id || d.type_id || 0)),
+              use_frequency: this.drugUseList.drug_use_frequency && this.drugUseList.drug_use_frequency.find((item) => item.id === (c.frequency_id || d.frequency_id || 0)),
+              unit: this.drugUseList.drug_unit && this.drugUseList.drug_unit.find((item) => item.id === (c.unit_id || d.unit_id || 0)),
+            };
+            next.push(this.prepareDrugForCart(newDrug));
+            continue;
+          }
+          const newProduct = {
+            index_id: c.id || drugId,
+            id: drugId,
+            drug_id: drugId,
+            drug_name: c.drug_name || row.ai_name,
+            number: 1,
+            select_number: 1,
+            price: parseFloat(c.price) || 0,
+            image: c.image || '',
+            type: this.activeCategory,
+          };
+          next.push(this.prepareDrugForCart(newProduct));
+        }
+        if (!next.length) {
+          this.$toast('没有可导入的药品');
+          return;
+        }
+        this.currentDrugs = next;
+        if (this.activeCategory === 1) {
+          if (payload && Number(payload.dosage) > 0) {
+            this.chineseConfig.dosage = Number(payload.dosage);
+          }
+          if (payload && Number(payload.day_dosage) > 0) {
+            this.chineseConfig.dayDosage = Number(payload.day_dosage);
+          }
+        }
+        this.saveToLocalStorage();
+        this.$toast(`已覆盖导入 ${next.length} 个药品`);
+      };
+      if (this.currentDrugs && this.currentDrugs.length > 0) {
+        uni.showModal({
+          title: '覆盖当前处方',
+          content: '导入将清空并覆盖现有处方药品，是否继续？',
+          success: ({ confirm }) => {
+            if (confirm) doOverwrite();
+          },
+        });
+        return;
+      }
+      doOverwrite();
+    },
     async handleApplySpecialPrescription() {
       if (!this.registerId || this.applyingSpecialPrescription) return;
       this.applyingSpecialPrescription = true;