新医保业务

src/api/medical-insurance/si-dict.js

@@ -11,7 +11,7 @@ export function getMedTypesByFlag(flag) {
   return request({
     url: '/siDict/getMedTypesByFlag',
     method: 'get',
-    params: { flag }
+    params: { flag },
   })
 }
 
@@ -76,4 +76,11 @@ export function getClrTypes() {
     url: '/siDict/getClrTypes',
     method: 'get',
   })
-}
+}
+
+export function getMatnTypes() {
+  return request({
+    url: '/siDict/getMatnTypes',
+    method: 'get',
+  })
+}

src/api/yibao/dictionary.js

@@ -14,3 +14,11 @@ export function searchData(data) {
     data,
   })
 }
+
+export function getAllSpecialDiags(medType) {
+  return request({
+    url: '/dictionary/getAllSpecialDiags',
+    method: 'get',
+    params: { medType },
+  })
+}

src/views/medical-insurance/allpatient/VisitInfo.vue

@@ -165,7 +165,7 @@ import { queryDiagnosisInfo, queryFeeDetails, querySettlementInfo, queryVisitInf
 import { formatDatetime } from '@/utils/date'
 export default {
   setup() {
-    const patNo = ref('0392822')
+    const patNo = ref('')
     const medTypes = ref([])
     const medType = ref(null)
     const dateRange = ref(null)

src/views/medical-insurance/inpatient/AdmRegistration.vue

@@ -182,7 +182,6 @@
             <el-button type="primary" icon="el-icon-check" size="mini" @click="pushSiZyInDiag">确定</el-button>
           </div>
         </el-dialog>
-
         <el-dialog title="个人参保信息" v-model="showInsuinfo" width="65%">
           <el-table :data="insuinfo" @row-click="doYbRegisterOrModify">
             <el-table-column label="余额" prop="balc"></el-table-column>
@@ -205,6 +204,63 @@
     <el-dialog v-model="openYiZhuTuiFei" title="医嘱退费" :fullscreen="true">
       <YiZhuTuiFei :initYiZhu="initYiZhu" @closeYiZhuTuiFei="openYiZhuTuiFei = false" />
     </el-dialog>
+    <el-dialog v-model="showSearchSpecialDiag" title="医保入院诊断录入" width="80%" :close-on-click-modal="false">
+      <div v-if="patient.medType === '2102'" style="margin-top: -30px; margin-bottom: 12px">
+        <el-radio-group v-model="singleDiseaseType" @change="singleDiseaseTypeChanged">
+          <el-radio label="2102">职工单病种</el-radio>
+          <el-radio label="2102-residents">居民单病种</el-radio>
+        </el-radio-group>
+      </div>
+      <el-row :gutter="5">
+        <el-col :span="18">
+          <el-tag size="mini">可选诊断</el-tag>&nbsp;&nbsp;
+          <el-input size="mini" placeholder="请输入诊断名称" v-model="specialDiagName" style="width: 260px" clearable></el-input>
+          <span v-if="patient.medType === '52'">
+            <el-select size="mini" v-model="patient.matnType" placeholder="请选择生育类别" style="width: 120px">
+              <el-option v-for="item in matnTypes" :value="item.code" :label="item.name" :key="item.code"></el-option>
+            </el-select>
+            &nbsp;&nbsp; 是否晚育：
+            <el-radio-group v-model="patient.latechbFlag">
+              <el-radio label="0">否</el-radio>
+              <el-radio label="1">是</el-radio>
+            </el-radio-group>
+            &nbsp;&nbsp; 是否早产：
+            <el-radio-group v-model="patient.pretFlag">
+              <el-radio label="0">否</el-radio>
+              <el-radio label="1">是</el-radio>
+            </el-radio-group>
+          </span>
+          <el-table size="mini" :data="cptSpecialDiags" stripe highlight-current-row height="400">
+            <el-table-column prop="oldCode" label="老系统编码"></el-table-column>
+            <el-table-column prop="oldName" label="老系统名称"></el-table-column>
+            <el-table-column prop="newCode" label="新系统编码"></el-table-column>
+            <el-table-column prop="newName" label="新系统名称"></el-table-column>
+            <el-table-column prop="limitWay" label="限额方式"></el-table-column>
+            <el-table-column prop="limitAmountCalculateWay" label="限额额度计算方式"></el-table-column>
+            <el-table-column prop="limitAmount" label="疾病限额"></el-table-column>
+            <el-table-column prop="reimbursementRate" label="报销比例"></el-table-column>
+            <el-table-column>
+              <template #default="scope">
+                <el-button size="mini" type="primary" @click="addSpecialDiag(scope.row)">{{ addDiagButtonText }}</el-button>
+              </template>
+            </el-table-column>
+          </el-table>
+        </el-col>
+        <el-col :span="6">
+          <el-tag size="mini">已选诊断</el-tag>&nbsp;&nbsp;
+          <el-button size="mini" type="success" icon="el-icon-check" :disabled="zyInYbDiags.length === 0" @click="saveYbDiags">保存入院诊断</el-button>
+          <el-table size="mini" stripe :data="zyInYbDiags" height="400">
+            <el-table-column prop="icdCode" label="诊断编码"></el-table-column>
+            <el-table-column prop="icdText" label="诊断名称"></el-table-column>
+            <el-table-column>
+              <template #default="scope">
+                <el-button size="mini" type="danger" icon="el-icon-delete" @click="deleteYbDiag(scope.$index)">删除</el-button>
+              </template>
+            </el-table-column>
+          </el-table>
+        </el-col>
+      </el-row>
+    </el-dialog>
   </el-container>
 </template>
 
@@ -212,7 +268,7 @@
 import { computed, onMounted, ref, watchEffect } from 'vue'
 import Cookies from 'js-cookie'
 import { getCancelRegisterRequests, submitCancelRegisterRequest, revokeYbsf, submitPatientYbInfo, getZyInYbDiags, saveZyInYbDiags } from '@/api/yibao/patient'
-import { searchData } from '@/api/yibao/dictionary'
+import { searchData, getAllSpecialDiags } from '@/api/yibao/dictionary'
 import store from '@/store'
 import { cptSex } from '@/utils/computed'
 import { sexes } from '@/data/index'
@@ -224,7 +280,7 @@ import { prepareReadCard } from '@/utils/readcard'
 import { formatDatetime, getDatetime } from '@/utils/date'
 import { getGreatestRole } from '@/utils/permission'
 import { clone } from '@/utils/clone'
-import { getDiagTypes, getMedTypesByFlag } from '@/api/medical-insurance/si-dict'
+import { getDiagTypes, getMedTypesByFlag, getMatnTypes } from '@/api/medical-insurance/si-dict'
 import { baseinfo } from '@/data/inpatient'
 import Xmlr from '@/components/inpatient/XiangMuLuRu.vue'
 import YiZhuTuiFei from '@/components/inpatient/YiZhuTuiFei.vue'
@@ -258,18 +314,60 @@ export default {
     const medTypes = ref([])
     const diagItem = ref({})
     const showSearchDiag = ref(false)
+    const showSearchSpecialDiag = ref(false)
     const insuinfo = ref([])
     const showInsuinfo = ref(false)
     const zyInYbDiags = ref([])
     const diagTypes = ref([])
+    const singleDiseaseType = ref('2102')
+    const addDiagButtonText = computed(() => {
+      return zyInYbDiags.value.length === 0 ? '添加为主诊断' : '添加为副诊断'
+    })
+    const specialDiags = ref([])
+    const specialDiagName = ref('')
+    const cptSpecialDiags = computed(() => {
+      return specialDiags.value.filter((item) => {
+        return (item.oldName + '' + item.newName).indexOf(specialDiagName.value) !== -1
+      })
+    })
+    const matnTypes = ref([])
+
+    const singleDiseaseTypeChanged = (val) => {
+      zyInYbDiags.value = []
+      diagItem.value = {}
+      getAllSpecialDiags(val).then((res) => {
+        specialDiags.value = res
+      })
+    }
 
     const openDiagDialog = () => {
       if (nullPatient()) {
         return
       }
+      if (!patient.value.medType) {
+        ElMessage({
+          message: '请先选择医疗类别！',
+          type: 'warning',
+          duration: 2500,
+          showClose: true,
+        })
+        return
+      }
       diagItem.value.icdCode = null
       diagItem.value.icdText = null
-      showSearchDiag.value = true
+      if (patient.value.medType === '52' || patient.value.medType === '2102') {
+        if (patient.value.medType === '52') {
+          getMatnTypes().then((res) => {
+            matnTypes.value = res
+          })
+        }
+        getAllSpecialDiags(patient.value.medType).then((res) => {
+          specialDiags.value = res
+          showSearchSpecialDiag.value = true
+        })
+      } else {
+        showSearchDiag.value = true
+      }
     }
 
     const pushSiZyInDiag = () => {
@@ -298,6 +396,28 @@ export default {
       showSearchDiag.value = false
     }
 
+    const addSpecialDiag = (row) => {
+      for (let i = 0; i < zyInYbDiags.value.length; i++) {
+        if (zyInYbDiags.value[i].id === row.id) {
+          ElMessage({
+            message: '请勿添加重复诊断！',
+            type: 'warning',
+            duration: 2000,
+            showClose: true,
+          })
+          return
+        }
+      }
+      diagItem.value.id = row.id
+      diagItem.value.diagType = '1'
+      diagItem.value.icdCode = row.newCode ? row.newCode : row.oldCode
+      diagItem.value.icdText = row.newName ? row.newName : row.oldName
+      diagItem.value.property = zyInYbDiags.value.length === 0 ? '主要诊断' : '次要诊断'
+      diagItem.value.diagNo = zyInYbDiags.value.length + 1
+      diagItem.value.opDate = getDatetime()
+      zyInYbDiags.value.push(clone(diagItem.value))
+    }
+
     const getDiagTypeName = (val) => {
       for (let i = 0; i < diagTypes.value.length; i++) {
         if (diagTypes.value[i].code === val) {
@@ -318,6 +438,15 @@ export default {
     }
 
     const saveYbDiags = () => {
+      if (patient.value.medType === '52' && !patient.value.matnType) {
+        ElMessage({
+          message: '请选择生育类别！',
+          type: 'warning',
+          duration: 2500,
+          showClose: true,
+        })
+        return
+      }
       const param = {
         inpatientNo: patient.value.inpatientNo,
         admissTimes: patient.value.admissTimes,
@@ -330,6 +459,7 @@ export default {
           duration: 2500,
           showClose: true,
         })
+        showSearchSpecialDiag.value = false
       })
     }
 
@@ -340,6 +470,8 @@ export default {
         message = '请输入科室备注信息！'
       } else if (zyInYbDiags.value.length === 0) {
         message = '医保入院诊断不能为空！'
+      } else if (!patient.value.medType) {
+        message = '请选择医疗类别！'
       }
       if (message) {
         ElMessage({
@@ -475,6 +607,7 @@ export default {
       patient.value.psnType = row.psnType
       patient.value.insuplcAdmdvs = row.insuplcAdmdvs
       patient.value.empName = row.empName
+      showInsuinfo.value = false
       if (admOrModfy.value === 1) {
         admissRegister(patient.value).then(() => {
           showInsuinfo.value = false
@@ -590,6 +723,7 @@ export default {
       showInsuinfo,
       zyInYbDiags,
       showSearchDiag,
+      showSearchSpecialDiag,
       diagItem,
       cptSex,
       openXmlr,
@@ -616,6 +750,14 @@ export default {
       yiZhuTuiFeiClick,
       openYiZhuTuiFei,
       initYiZhu,
+      specialDiags,
+      singleDiseaseType,
+      singleDiseaseTypeChanged,
+      addDiagButtonText,
+      addSpecialDiag,
+      specialDiagName,
+      cptSpecialDiags,
+      matnTypes,
     }
   },
 }

src/views/medical-insurance/inpatient/Home.vue

@@ -47,7 +47,7 @@
       <el-button style="margin-left: 10px" size="mini" type="danger" icon="el-icon-magic-stick" @click="toEmpiView">患者360视图 </el-button>
     </el-header>
     <el-container>
-      <el-aside width="300px" style="background-color: white">
+      <el-aside width="260px" style="background-color: white">
         <el-table
           :data="cptOverviews.slice((currentPage - 1) * 15, currentPage * 15)"
           stripe
@@ -57,16 +57,25 @@
           @row-click="handleClickOverview"
           @selection-change="handleSelectionChange"
         >
-          <el-table-column type="selection" width="20"></el-table-column>
-          <el-table-column prop="bedNo" label="床位" width="40" align="center"></el-table-column>
-          <el-table-column label="姓名" width="75" align="center">
+          <el-table-column v-if="isUploadPage" type="selection" width="20"></el-table-column>
+          <el-table-column prop="bedNo" label="床" width="30"></el-table-column>
+          <el-table-column label="姓名" width="70">
             <template #default="scope">
-              <img style="width: 15px" :src="scope.row.sex === 1 ? maleIcon : femaleIcon" />
-              {{ scope.row.name }}
+              <div style="display: flex; align-items: center">
+                <img class="sex-icon" :src="scope.row.sex === 1 ? maleIcon : femaleIcon" />
+                {{ scope.row.name }}
+              </div>
+            </template>
+          </el-table-column>
+          <el-table-column prop="inpatientNo" label="住院号" width="65"></el-table-column>
+          <el-table-column label="次数" width="45">
+            <template #default="scope">
+              <div style="display: flex; align-items: center">
+                {{ scope.row.admissTimes }}&nbsp;
+                <img v-if="scope.row.dismissOrder > 0" class="sex-icon" :src="dismissIcon" />
+              </div>
             </template>
           </el-table-column>
-          <el-table-column prop="inpatientNo" label="住院号" width="70" align="center"></el-table-column>
-          <el-table-column prop="admissTimes" label="次数" width="35" align="center"></el-table-column>
           <el-table-column label="状态" width="45" align="center">
             <template #default="scope">
               <span v-html="getStatusFlag(scope.row.status)"></span>
@@ -264,10 +273,10 @@ export default {
     const getRegInfo = () => {
       if (nullPatient()) return
       const param = {
-        patNo: patient.inpatientNo,
-        times: patient.admissTimes,
-        ledgerSn: patient.ledgerSn,
-        begntime: patient.admissDate,
+        patNo: patient.value.inpatientNo,
+        times: patient.value.admissTimes,
+        ledgerSn: patient.value.ledgerSn,
+        begntime: patient.value.admissDate,
       }
       queryInHospitalPatientsInfo(param).then((res) => {
         registerInfo.value = res[0]
@@ -283,8 +292,8 @@ export default {
     const identityFiles = initIdentityFiles()
 
     const checkIdInfo = () => {
-      if (patient.inpatientNo) {
-        getIdCardInfo(patient.inpatientNo, patient.admissTimes).then((res) => {
+      if (patient.value.inpatientNo) {
+        getIdCardInfo(patient.value.inpatientNo, patient.value.admissTimes).then((res) => {
           identityFiles.idCard = res.idCard
           identityFiles.scanFile = res.scanFile
         })
@@ -299,7 +308,7 @@ export default {
 
     const toEmpiView = () => {
       if (nullPatient()) return
-      getEmpiViewUrl(patient.inpatientNo).then((res) => {
+      getEmpiViewUrl(patient.value.inpatientNo).then((res) => {
         window.open(res, '_blank')
       })
     }
@@ -359,7 +368,7 @@ function initSearchParam() {
       { code: 'code', name: '编码' },
       { code: 'name', name: '名称' },
     ],
-    zyh: '0392822',
+    zyh: '',
   })
   return search
 }
@@ -409,4 +418,8 @@ function downloadReadCard() {
 .router-parent {
   width: calc(100% - 8px);
 }
+.sex-icon {
+  width: 15px;
+  height: 15px;
+}
 </style>