web_dist/src/views/medical-insurance/inpatient/DiscSettlement.vue

<template>
  <el-container>
    <el-header height="35px">
      <el-button type="success" icon="el-icon-refresh-right" @click="rcvrcalcost"> 费用接收重算 </el-button>
      <el-button type="primary" icon="el-icon-refresh-left" @click="showConventions"> 撤销检验项目 </el-button>
      <el-button type="success" icon="el-icon-time" @click="fetchActOrders(false)">出院结算</el-button>
      <el-button type="info" icon="el-icon-video-pause" @click="selectZjdzTime">中间断账</el-button>
      <el-button type="warning" icon="el-icon-odometer" :disabled="!isAdmin" @click="cancelDismiss">取消出院结算</el-button>
      <el-button v-if="isKqk" type="danger" icon="el-icon-tickets" @click="makeDismissOrder">生成出院医嘱</el-button>
    </el-header>
    <el-main>
      <el-tag type="info">基本信息</el-tag>
      <el-descriptions :column="4" border>
        <el-descriptions-item>
          <template #label> 住院号 </template>
          {{ patient.inpatientNo }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 姓名 </template>
          {{ patient.name }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label>性别 </template>
          {{ cptSex(patient.sex) }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 病房 </template>
          {{ patient.admissWardName }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 床号 </template>
          {{ patient.bedNo }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 医保身份 </template>
          {{ patient.responceTypeName }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 医保类别 </template>
          {{ patient.ybTypeName }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 待遇类别 </template>
          {{ patient.treatTypeName }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 入院日期 </template>
          {{ patient.admissDate }}
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 总费用 </template>
          <span v-show="patient.inpatientNo">{{ patient.totalCharge }}</span>
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 余额 </template>
          <span v-html="getBalance(patient.balance)"></span>
        </el-descriptions-item>
        <el-descriptions-item>
          <template #label> 手术 </template>
          <span v-show="patient.inpatientNo">{{ cptOperation(patient.operation) }}</span>
        </el-descriptions-item>
      </el-descriptions>
      <div class="m-divider"></div>
      <div>
        <el-tag type="info">医保出院诊断</el-tag>
        <el-table :data="diags.yb" stripe :height="tableHeight">
          <el-table-column prop="disDiagNo" label="序号"></el-table-column>
          <el-table-column prop="disDiag" label="诊断编码"></el-table-column>
          <el-table-column prop="disDiagComment" label="诊断内容"></el-table-column>
          <el-table-column prop="disDiagStatus" label="出院转归"></el-table-column>
          <el-table-column prop="opName" label="录入人"></el-table-column>
        </el-table>
        <div style="height: 10px"></div>
        <el-tag type="info">病案首页诊断</el-tag>
        <el-table :data="diags.bl" stripe :height="tableHeight">
          <el-table-column prop="disDiagNo" label="序号"></el-table-column>
          <el-table-column prop="disDiag" label="诊断编码"></el-table-column>
          <el-table-column prop="disDiagComment" label="诊断内容"></el-table-column>
          <el-table-column prop="disDiagStatusName" label="出院转归"></el-table-column>
          <el-table-column prop="opName" label="录入人"></el-table-column>
        </el-table>
      </div>
      <el-dialog title="请选择中间断账的日期和时间" v-model="showZjdzDate" width="500px">
        <div style="height: 20px"></div>
        <el-date-picker v-model="patient.zjdzDatetime" type="datetime" placeholder="选择日期时间"></el-date-picker>
        <div style="height: 30px"></div>
        <div style="width: 450px; text-align: right">
          <el-button type="info" icon="el-icon-close" @click="cancelSelectZjdzDate">取消</el-button>
          <el-button type="success" icon="el-icon-check" @click="confirmSelectZjdzDate">确定</el-button>
        </div>
      </el-dialog>
      <el-dialog :title="dismissBtnText" v-model="showActOrders" fullscreen @close="closeActOrder">
        <el-table :data="actOrders" @row-click="switchActOrder" :height="actOrderHeight">
          <el-table-column label="医嘱号" fixed>
            <template #default="scope">
              <span v-html="getOrderStatus(scope.row)"></span>
            </template>
          </el-table-column>
          <el-table-column property="list[0].orderName" label="医嘱名称" fixed></el-table-column>
          <el-table-column property="list[0].frequCode" label="频率"></el-table-column>
          <el-table-column property="cxFlag" label="撤销">
            <template #default="scope">
              <span v-html="getCxFlag(scope.row.cxFlag)"></span>
            </template>
          </el-table-column>
          <el-table-column property="list[0].drugSpecification" label="规格"></el-table-column>
          <el-table-column property="list[0].startTime" label="开始时间"></el-table-column>
          <el-table-column property="list[0].endTime" label="结束时间"></el-table-column>
          <el-table-column property="list[0].chargeAmount" label="一次领量"></el-table-column>
          <el-table-column property="list[0].supplyCode" label="给药方式"></el-table-column>
          <el-table-column property="list[0].physician" label="医生"></el-table-column>
          <el-table-column property="list[0].enterOper" label="录入人"></el-table-column>
          <el-table-column property="list[0].orderCode" label="医嘱码"></el-table-column>
          <el-table-column property="list[0].wardCode" label="病房"></el-table-column>
        </el-table>
        <div style="height: 1px; background: lightgray; margin: 15px 0"></div>
        <el-table :data="actOrderDetail" :height="actOrderHeight">
          <el-table-column label="日期" fixed>
            <template #default="scope">
              <span v-html="getOrderDetailStatus(scope.row)"></span>
            </template>
          </el-table-column>
          <el-table-column property="chargeCode" label="收费码"></el-table-column>
          <el-table-column property="chargeName" label="项目名称"></el-table-column>
          <el-table-column property="drugSpecification" label="规格"></el-table-column>
          <el-table-column property="chargeStatus" label="状态">
            <template #default="scope">
              {{ scope.row.chargeStatus }}
            </template>
          </el-table-column>
          <el-table-column property="chargeAmount" label="数量"></el-table-column>
          <el-table-column property="chargeFee" label="金额"></el-table-column>
          <el-table-column property="pageNo" label="药品单号"></el-table-column>
          <el-table-column property="execUnit" label="执行科室"></el-table-column>
          <el-table-column property="wardName" label="病区"></el-table-column>
        </el-table>
        <div style="height: 5px"></div>
        <el-tag style="float: left; margin-top: 5px" v-cloak>
          <span style="background: orangered" class="color-span"></span>&nbsp;医技未确认 <span style="background: dodgerblue" class="color-span"></span>&nbsp;未确认药
          <span style="background: orange" class="color-span"></span>&nbsp;未接收
        </el-tag>
        <div style="float: right; margin-top: 5px" v-cloak>
          <el-dropdown trigger="click" style="margin-right: 10px" @command="beforeReadCard">
            <el-button type="info"> 读卡<i class="el-icon-arrow-down el-icon--right"></i> </el-button>
            <template #dropdown>
              <el-dropdown-menu>
                <el-dropdown-item icon="el-icon-bank-card" command="normal">普通IC卡</el-dropdown-item>
                <el-dropdown-item icon="el-icon-s-grid" command="qrcode">二维码</el-dropdown-item>
                <el-dropdown-item disabled icon="el-icon-user" command="face">刷脸</el-dropdown-item>
              </el-dropdown-menu>
            </template>
          </el-dropdown>
          <el-button type="primary" icon="el-icon-data-analysis" @click="doCalFee">费用计算</el-button>
          <el-button type="success" icon="el-icon-time" @click="excuteDismiss">{{ dismissBtnText }}</el-button>
          <el-button type="warning" icon="el-icon-close" @click="closeActOrder">关闭</el-button>
        </div>
      </el-dialog>
      <el-dialog title="此患者费用清单存在负数" v-model="showNegativeFee" width="800px">
        <div style="display: inline-block">
          <el-table :data="negativeFees.slice(0, negativeFees.length / 2 + 1)" empty-text=" " height="300">
            <el-table-column property="code" label="费用" width="80"></el-table-column>
            <el-table-column property="chargeCode" label="编码" width="80"></el-table-column>
            <el-table-column property="name" label="名称" width="180"></el-table-column>
          </el-table>
        </div>
        <div style="display: inline-block; margin-left: 8px">
          <el-table :data="negativeFees.slice(negativeFees.length / 2 + 1, negativeFees.length)" empty-text=" " height="300">
            <el-table-column property="code" label="费用" width="80"></el-table-column>
            <el-table-column property="chargeCode" label="编码" width="80"></el-table-column>
            <el-table-column property="name" label="名称" width="180"></el-table-column>
          </el-table>
        </div>
      </el-dialog>

      <el-dialog title="撤销检验项目" v-model="conventionsVisible" fullscreen @close="closeThreeConventions">
        <el-table :data="roughConventions" @row-click="clickConvention" highlight-current-row :height="actOrderHeight" @selection-change="handleSelectConvention">
          <el-table-column type="selection"></el-table-column>
          <el-table-column property="inpatientNo" label="住院号"></el-table-column>
          <el-table-column property="name" label="姓名"></el-table-column>
          <el-table-column property="bedNo" label="床号"></el-table-column>
          <el-table-column property="actOrderNo" label="医嘱号"></el-table-column>
          <el-table-column property="occTime" label="医嘱日期"></el-table-column>
          <el-table-column property="doctorName" label="医生"></el-table-column>
          <el-table-column property="orderName" label="医嘱名称"></el-table-column>
        </el-table>
        <div style="height: 1px; background: lightgray; margin: 15px 0"></div>
        <el-table :data="conventionDetails" :height="actOrderHeight">
          <el-table-column label="选择" width="70">
            <template #default="scope">
              <input type="checkbox" disabled :checked="scope.row.checked" />
            </template>
          </el-table-column>
          <el-table-column property="name" label="姓名"></el-table-column>
          <el-table-column property="actOrderNo" label="医嘱号"></el-table-column>
          <el-table-column property="orderName" label="医嘱名称"></el-table-column>
          <el-table-column property="doctorName" label="医生"></el-table-column>
          <el-table-column property="occTime" label="医嘱日期"></el-table-column>
          <el-table-column property="xmName" label="项目名称"></el-table-column>
          <el-table-column property="price" label="单价"></el-table-column>
          <el-table-column property="amount" label="数量"></el-table-column>
          <el-table-column property="fee" label="金额"></el-table-column>
        </el-table>
        <el-tag style="float: right; margin-top: 5px" v-cloak>
          <el-button type="success" @click="confirmRetractConventions">撤销检验项目</el-button>
          <el-button type="warning" @click="closeThreeConventions">关闭</el-button>
        </el-tag>
      </el-dialog>
      <el-dialog title="请选择出院医嘱的日期和时间" v-model="showDismissOrderDate" width="500px">
        <el-date-picker v-model="patient.dismissOrderDate" type="datetime" placeholder="选择日期时间"> </el-date-picker>
        <div style="height: 30px"></div>
        <div style="width: 450px; text-align: right">
          <el-button type="info" icon="el-icon-close" @click="cancelSelectDismissOrderDate">取消</el-button>
          <el-button type="success" icon="el-icon-check" @click="confirmSelectDismissOrderDate">确定</el-button>
        </div>
      </el-dialog>
    </el-main>
  </el-container>
</template>

<script>
import { computed, onActivated, onDeactivated, onMounted, reactive, ref, watchEffect } from 'vue'
import store from '@/store'
import { cptSex, cptOperation, cptDisDiagStatus } from '@/utils/computed'
import { genDismissActOrder, getDisDiag, receiveAndRecalculateCost } from '@/api/yibao/patient'
import { dismissCalculate, getActOrders, selfPayDismiss } from '@/api/yibao/dismiss'
import { getDatetime, formatDatetime } from '@/utils/date'
import { nullPatient } from '@/utils/validate'
import { ElMessage, ElMessageBox } from 'element-plus'
import { dischargeProcessing, revokeSettlement } from '@/api/medical-insurance/si-inpatient'
import { getSiPatInfo } from '@/api/medical-insurance/si-query'
import { getDetailConventions, getRoughConventions, retractConventions } from '@/api/yibao/conventions'
import { prepareReadCard } from '@/utils/readcard'
import { getGreatestRole } from '@/utils/permission'
import { injurySettlement, revokeInjurySettlement } from '@/api/medical-insurance/si-injury'
import { baseinfo } from '@/data/inpatient'
export default {
  setup() {
    const isAdmin = getGreatestRole() < 10
    const actOrderHeight = (store.state.app.windowSize.h - 160) / 2
    const patient = computed(() => {
      return baseinfo()
    })
    const injuryMode = computed(() => {
      return store.state.ptnt.injuryMode
    })
    const diags = initDiags()
    const fecthDisDiags = () => {
      getDisDiag(patient.value.inpatientNo, patient.value.admissTimes).then((res) => {
        diags.yb = res.yb
        diags.bl = res.bl
      })
    }
    const clearDiags = () => {
      diags.yb = []
      diags.bl = []
    }

    const actived = ref(false)

    watchEffect(() => {
      if (actived.value) {
        if (patient.value.inpatientNo) {
          fecthDisDiags()
        } else {
          clearDiags()
        }
      }
    })

    onActivated(() => {
      actived.value = true
    })

    onDeactivated(() => {
      actived.value = false
    })

    const tableHeight = (store.state.app.windowSize.h - 256) / 2
    const showZjdzDate = ref(false)
    const selectZjdzTime = () => {
      if (nullPatient()) return
      patient.value.zjdzDatetime = getDatetime()
      showZjdzDate.value = true
    }
    const cancelSelectZjdzDate = () => {
      patient.value.zjdzDatetime = getDatetime()
      showZjdzDate.value = false
    }

    const confirmSelectZjdzDate = () => {
      patient.value.zjdzDatetime = formatDatetime(patient.value.zjdzDatetime)
      ElMessageBox.confirm('您选择的中间断账时间为【' + patient.value.zjdzDatetime + '】，是否确认？', '提示', {
        type: 'warning',
        confirmButtonText: '确定',
        cancelButtonText: '取消',
      })
        .then(() => {
          showZjdzDate.value = false
          fetchActOrders(true)
        })
        .catch(() => {})
    }

    const dismissBtnText = computed(() => {
      return patient.value.midSetl ? '中间断账' : '出院结算'
    })
    const dismissCalMsg = ref('')
    const actOrders = ref([])
    const actOrderDetail = ref([])
    const showActOrders = ref(false)
    const closeActOrder = () => {
      actOrders.value = actOrderDetail.value = []
      dismissCalMsg.value = ''
      showActOrders.value = false
    }
    const fetchActOrders = (midSetl) => {
      if (nullPatient()) return
      patient.value.midSetl = midSetl
      getActOrders(patient.value.inpatientNo, patient.value.admissTimes).then((res) => {
        actOrders.value = res
        if (res.length > 0) {
          actOrderDetail.value = res[0].list
        }
        showActOrders.value = true
      })
    }
    const switchActOrder = (row) => {
      actOrderDetail.value = row.list
    }

    const showNegativeFee = ref(false)
    const negativeFees = ref([])

    const doCalFee = () => {
      patient.value.sid = store.getters['user/sid']
      dismissCalculate(patient.value)
        .then((res) => {
          dismissCalMsg.value = 'done'
          ElMessageBox.alert('计算成功。', '提示', {
            type: 'success',
          })
        })
        .catch((res) => {
          if (res.code && res.code === 1004) {
            negativeFees.value = res.data
            showNegativeFee.value = true
            dismissCalMsg.value = res.message
          } else {
            dismissCalMsg.value = res.toString()
          }
        })
    }
    const excuteDismiss = () => {
      if (dismissCalMsg.value !== 'done') {
        const message = dismissCalMsg.value === '' ? '请先进行费用计算！' : dismissCalMsg.value
        ElMessage({
          message: message,
          type: 'error',
          duration: 2500,
          showClose: true,
        })
      } else {
        if (injuryMode.value) {
          injurySettlement(patient.value).then((res) => {
            ElMessageBox.alert(dismissBtnText.value + '成功。', '提示', {
              type: 'success',
            })
          })
        } else {
          const param = {
            patNo: patient.value.inpatientNo,
            times: patient.value.admissTimes,
            ledgerSn: patient.value.ledgerSn,
          }
          getSiPatInfo(param).then((res) => {
            patient.value.medType = res.medType
            if (res.mdtrtId) {
              yibaoDismiss()
            } else {
              ziFeiDismiss()
            }
          })
        }
      }
    }
    const ziFeiDismiss = () => {
      const param = {
        inpatientNo: patient.value.inpatientNo,
        admissTimes: patient.value.admissTimes,
        bedNo: patient.value.bedNo,
        deptCode: patient.value.admissDept,
        wardCode: patient.value.admissWard,
        midSetl: patient.value.midSetl,
        zjdzDatetime: patient.value.zjdzDatetime,
      }
      selfPayDismiss(param).then(() => {
        ElMessageBox.alert(dismissBtnText.value + '成功。', '提示', {
          type: 'success',
        })
      })
    }
    const yibaoDismiss = () => {
      dischargeProcessing(patient.value).then(() => {
        ElMessageBox.alert(dismissBtnText.value + '成功。', '提示', {
          type: 'success',
        })
      })
    }

    const conventionsVisible = ref(false)
    const roughConventions = ref([])
    const conventionDetails = ref([])
    const selectedConventions = ref([])
    const showConventions = () => {
      if (nullPatient()) return
      conventionDetails.value = []
      getRoughConventions(patient.value.inpatientNo, patient.value.admissTimes).then((res) => {
        roughConventions.value = res
        if (res.length > 0) {
          clickConvention(res[0])
        }
        conventionsVisible.value = true
      })
    }
    const clickConvention = (row) => {
      getDetailConventions(row.inpatientNo, row.actOrderNo).then((res) => {
        conventionDetails.value = res
        if (selectedConventions.value.indexOf(row) > -1) {
          conventionDetails.value.forEach((item) => (item.checked = true))
        }
      })
    }
    const handleSelectConvention = (val) => {
      selectedConventions.value = val
    }
    const confirmRetractConventions = () => {
      if (selectedConventions.value.length === 0) {
        ElMessage({
          message: '没有选中的条目。',
          type: 'warning',
          duration: 2500,
          showClose: true,
        })
      } else {
        ElMessageBox.confirm('确定撤销选中的常规项目吗？', '提示', {
          type: 'warning',
          confirmButtonText: '确定',
          cancelButtonText: '放弃',
        })
          .then(() => {
            let orders = []
            selectedConventions.value.forEach((item) => {
              orders.push(item.actOrderNo)
            })
            retractConventions(orders).then(() => {
              ElMessage({
                message: '撤销成功。',
                type: 'success',
                duration: 2500,
                showClose: true,
              })
              showConventions()
            })
          })
          .catch(() => {})
      }
    }
    const closeThreeConventions = () => {
      roughConventions.value = conventionDetails.value = []
      conventionsVisible.value = false
    }

    const beforeReadCard = (val) => {
      if (nullPatient()) return
      prepareReadCard(val, patient.value.responceType, patient.value.inpatientNo)
    }

    const cancelDismiss = () => {
      ElMessageBox.confirm('确定取消此患者的医保结算？', '提示', {
        confirmButtonText: '确定',
        cancelButtonText: '放弃',
        type: 'warning',
      })
        .then(() => {
          if (injuryMode.value) {
            revokeInjurySettlement(patient.value).then(() => {
              ElMessage({
                message: '取消医保结算成功。',
                type: 'success',
                duration: 2500,
                showClose: true,
              })
            })
          } else {
            revokeSettlement(patient.value).then(() => {
              ElMessage({
                message: '取消医保结算成功。',
                type: 'success',
                duration: 2500,
                showClose: true,
              })
            })
          }
        })
        .catch(() => {})
    }

    const showDismissOrderDate = ref(false)

    const cancelSelectDismissOrderDate = () => {
      patient.value.dismissOrderDate = new Date()
      showDismissOrderDate.value = false
    }

    const confirmSelectDismissOrderDate = () => {
      ElMessageBox.confirm('您选择的出院医嘱时间为：' + formatDatetime(patient.value.dismissOrderDate) + '，是否确认？', '提示', {
        type: 'warning',
        confirmButtonText: '确定',
        cancelButtonText: '取消',
      })
        .then(() => {
          patient.value.dismissOrderDate = formatDatetime(patient.value.dismissOrderDate)
          genDismissActOrder(patient.value)
            .then((res) => {
              showZjdzDate.value = false
              ElMessageBox.alert('生成出院医嘱成功！医嘱号为：' + res, '提示', {
                type: 'success',
                confirmButtonText: '确定',
              })
            })
            .then(() => {
              showDismissOrderDate.value = false
              fecthDisDiags()
            })
        })
        .catch(() => {})
    }

    const makeDismissOrder = () => {
      if (nullPatient()) return
      patient.value.dismissOrderDate = new Date()
      showDismissOrderDate.value = true
    }
    const isKqk = computed(() => {
      return store.state.user.info.deptCode === '8000201' || store.state.user.info.deptCode === '1090000'
    })
    const rcvrcalcost = () => {
      if (nullPatient()) return
      receiveAndRecalculateCost(patient.value).then((res) => {
        ElMessage({
          type: 'success',
          message: res,
          duration: 2000,
          showClose: true,
        })
      })
    }
    onMounted(() => {
      if (patient.value.inpatientNo) {
        fecthDisDiags()
      }
    })
    return {
      isAdmin,
      patient,
      actOrderHeight,
      getBalance,
      cptSex,
      cptOperation,
      diags,
      tableHeight,
      cptDisDiagStatus,
      selectZjdzTime,
      showZjdzDate,
      cancelSelectZjdzDate,
      confirmSelectZjdzDate,
      dismissBtnText,
      fetchActOrders,
      dismissCalMsg,
      actOrders,
      actOrderDetail,
      showActOrders,
      switchActOrder,
      closeActOrder,
      showNegativeFee,
      negativeFees,
      getOrderStatus,
      getOrderDetailStatus,
      getCxFlag,
      doCalFee,
      excuteDismiss,
      conventionsVisible,
      showConventions,
      roughConventions,
      conventionDetails,
      selectedConventions,
      clickConvention,
      handleSelectConvention,
      confirmRetractConventions,
      closeThreeConventions,
      beforeReadCard,
      cancelDismiss,
      showDismissOrderDate,
      cancelSelectDismissOrderDate,
      confirmSelectDismissOrderDate,
      makeDismissOrder,
      isKqk,
      rcvrcalcost,
    }
  },
}

function getBalance(val) {
  return val > 0 ? '<span style="color: green">' + val + '</span>' : val
}

function initDiags() {
  const diags = reactive({
    yb: [],
    bl: [],
  })
  return diags
}

function getOrderStatus(val) {
  switch (val.chargeStatus) {
    case 5: // 未确认药
      return '<p style="background: dodgerblue; color: white;">' + val.actOrderNo + '</p>'
    case 6: // 未接收
      return '<p style="background: orange; color: white;">' + val.actOrderNo + '</p>'
    case 8: // 医技未确认
      return '<p style="background: orangered; color: white;">' + val.actOrderNo + '</p>'
    default:
      return '<p>' + val.actOrderNo + '</p>'
  }
}

function getOrderDetailStatus(val) {
  switch (val.chargeStatus) {
    case 5: // 未确认药
      return '<p style="background: dodgerblue; color: white;">' + val.chargeDate + '</p>'
    case 6: // 未接收
      return '<p style="background: orange; color: white;">' + val.chargeDate + '</p>'
    case 8: // 医技未确认
      return '<p style="background: orangered; color: white;">' + val.chargeDate + '</p>'
    default:
      return '<p>' + val.chargeDate + '</p>'
  }
}

function getCxFlag(val) {
  return val === '1' ? '<p style="color: orangered;">是</p>' : '<p style="color:green">否</p>'
}
</script>

<style scoped>
.m-divider {
  height: 1px;
  background-color: white;
  width: 100%;
  margin: 5px 0;
}
.color-span {
  display: inline-block;
  width: 30px;
  height: 10px;
  margin-left: 15px;
}
</style>