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				@@ -657,11 +657,8 @@ 
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				     </el-dialog> 
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				     <el-dialog v-model="showYbDiag" title="医保出院诊断" width="70%" top="30px"> 
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				-      <div> 
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				-        <span style="font-weight: bold; color: red">患者治疗方式:</span> 
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				-        <el-select v-model="patient.hasSurgery" @change="hasSurgeryChanged"> 
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				-          <el-option v-for="itm in operations" :key="itm.code" :label="itm.name" :value="itm.code"></el-option> 
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				-        </el-select> 
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				+      <div style="width: 100%; height: 30px; line-height: 30px; background: rgb(252, 160, 23); margin-bottom: 8px; border-radius: 8px; padding-left: 8px; color: white"> 
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				+        <strong>主要诊断病种分值:{{ diseFamilyGrade }}</strong> 
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				       </div> 
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				       <el-tag type="info">医保诊断录入</el-tag> 
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				       <div style="height: 5px"></div> 
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				@@ -676,15 +673,13 @@ 
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				       <el-select v-model="ybDiag.cyzg" style="width: 120px" placeholder="出院转归"> 
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				         <el-option v-for="item in cyzgs" :key="item.code" :value="item.code" :label="item.name"></el-option> 
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				       </el-select> 
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				-         (非手术/手术)分值: 
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				-      <span>{{ ssfz.code }} / {{ ssfz.name }}</span> 
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				       <el-divider direction="vertical"></el-divider> 
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				       <el-button type="primary" icon="el-icon-plus" @click="addToYbDiags">添加</el-button> 
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				       <el-button type="success" icon="el-icon-upload" @click="saveYbDiags">保存</el-button> 
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				       <el-table :data="ybDiags" stripe :height="200"> 
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				         <el-table-column type="index" label="序号" width="45"></el-table-column> 
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				         <el-table-column prop="code" label="诊断编码"></el-table-column> 
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				-        <el-table-column prop="name" label="诊断名称"></el-table-column> 
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				+        <el-table-column prop="name" label="诊断名称"> </el-table-column> 
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				         <el-table-column prop="siDiagType" label="诊断类别" width="80"></el-table-column> 
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				         <el-table-column prop="admissCond" label="入院病情" width="80"></el-table-column> 
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				         <el-table-column prop="cyzg" label="出院转归" width="80"></el-table-column> 
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				@@ -837,7 +832,7 @@ 
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				 <script> 
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				 import { yesOrNo, haveOrNot, searchMethods, autopsies, initShowDel, filterDismissStatus, clone } from './common' 
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				-import { computed, onActivated, onMounted, reactive, ref, unref, watchEffect } from 'vue' 
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				+import { computed, onMounted, reactive, ref, unref, watchEffect } from 'vue' 
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				 import store from '@/store' 
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				 import { operations } from '@/data/index' 
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				 import { initLodop, getLodop } from '@/utils/c-lodop' 
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				@@ -1163,11 +1158,11 @@ export default { 
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				       showSearch.value = true 
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				     } 
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				+    const diseFamilyGrade = ref(null) 
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				     const ybDiag = reactive({}) 
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				     const cyzgs = initCyzgs() 
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				     const admissConds = initAdmissConds() 
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				     const diagTypes = initDiagTypes() 
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				-    const ssfz = reactive({}) 
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				     const handleSelectSearch = (item) => { 
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				       if (searchTargetCode.value.startsWith('surgery')) { 
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				         let no = searchTargetCode.value.charAt(searchTargetCode.value.length - 1) 
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				@@ -1215,10 +1210,11 @@ export default { 
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				         ybDiag.code = item.code 
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				         ybDiag.name = item.name 
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				         ybDiag.cyzg = 0 
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				-        fetchSsfz(item.code).then((res) => { 
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				-          ssfz.code = res.code 
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				-          ssfz.name = res.name 
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				-        }) 
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				+        if (!ybDiags.value || ybDiags.value.length === 0) { 
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				+          fetchSsfz(item.code, patient.value.bah, patient.value.admissTimes).then((res) => { 
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				+            diseFamilyGrade.value = res 
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				+          }) 
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				+        } 
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				       } else if (searchTargetCode.value === 'clinicDiagCode') { 
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				         patient.value.clinicDiagCode = item.code 
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				         patient.value.clinicDiagStr = item.name 
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				@@ -1266,19 +1262,9 @@ export default { 
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				       ybDiags.value.splice(index, 1) 
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				     } 
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				     const saveYbDiags = () => { 
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				-      if (!patient.value.hasSurgery) { 
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				-        ElMessage({ 
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				-          message: '请选择患者治疗方式!', 
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				-          type: 'warning', 
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				-          duration: 2500, 
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				-          showClose: true, 
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				-        }) 
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				-        return 
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				-      } 
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				       const param = { 
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				         bah: patient.value.bah, 
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				         times: patient.value.admissTimes, 
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				-        operation: patient.value.hasSurgery, 
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				         ybDiags: ybDiags.value, 
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				       } 
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				       doSaveYbDiags(param).then(() => { 
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				@@ -1709,11 +1695,11 @@ export default { 
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				       confirmDateRange, 
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				       showYbDiag, 
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				       openYbDiag, 
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				+      diseFamilyGrade, 
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				       ybDiag, 
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				       cyzgs, 
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				       admissConds, 
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				       diagTypes, 
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				-      ssfz, 
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				       ybDiags, 
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				       addToYbDiags, 
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				       deleteYbDiag, 
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				@@ -1802,6 +1788,12 @@ function hzTypeName(val) { 
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				 </script> 
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				 <style scoped> 
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				+:deep(.el-dialog__body) { 
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				+  padding-top: 8px; 
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				+} 
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				+:deep(.el-dialog__header) { 
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				+  padding-bottom: 4px; 
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				+} 
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				 select, 
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				 input { 
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				   outline: none; 
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