青岛维护提交

WXL

4 天以前 475a352a4bfd7ac3a81e8c7c92d3bb64e2e01037

 src/views/business/assess/assessInfo.vue

@@ -17,44 +17,38 @@
          assessmentData.caseNo
        }}</el-descriptions-item>
        <el-descriptions-item label="潜在捐献者姓名">{{
          assessmentData.donorName
          assessmentData.name || assessmentData.donorName
        }}</el-descriptions-item>
        <el-descriptions-item label="性别">
          <dict-tag :options="genderOptions" :value="assessmentData.gender" />
          <dict-tag
            :options="dict.type.sys_user_sex"
            :value="assessmentData.sex"
          />
        </el-descriptions-item>
        <el-descriptions-item label="年龄"
          >{{ assessmentData.age }}岁</el-descriptions-item
        >
        <el-descriptions-item label="血型">
          <dict-tag
            :options="bloodTypeOptions"
            :value="assessmentData.bloodType"
          />
          {{ assessmentData.bloodtype }}
        </el-descriptions-item>
        <el-descriptions-item label="证件号码">{{
          assessmentData.idCardNo
          assessmentData.idcardno
        }}</el-descriptions-item>
        <el-descriptions-item label="疾病诊断">{{
          assessmentData.diagnosis
          assessmentData.diagnosisname
        }}</el-descriptions-item>
        <el-descriptions-item label="所在医疗机构">{{
          assessmentData.hospitalName
          assessmentData.treatmenthospitalname
        }}</el-descriptions-item>
        <el-descriptions-item label="主治医生">{{
          assessmentData.doctorName
        <el-descriptions-item label="协调员">{{
          assessmentData.coordinatorName
        }}</el-descriptions-item>
        <el-descriptions-item label="申请评估时间">{{
          assessmentData.applyTime
        <el-descriptions-item label="评估时间">{{
          assessmentData.assessTime
        }}</el-descriptions-item>
        <el-descriptions-item label="评估类型">
          <dict-tag
            :options="assessmentTypeOptions"
            :value="assessmentData.assessmentType"
          />
        </el-descriptions-item>
        <el-descriptions-item label="评估状态">
          <el-tag :type="statusFilter(assessmentData.assessmentStatus)">
            {{ statusTextFilter(assessmentData.assessmentStatus) }}
          <el-tag :type="statusFilter(assessmentData.assessState)">
            {{ statusTextFilter(assessmentData.assessState) }}
          </el-tag>
        </el-descriptions-item>
      </el-descriptions>
@@ -69,6 +63,7 @@
          type="primary"
          size="mini"
          @click="handleCompleteAssessment"
          :loading="saveLoading"
        >
          确认完成评估
        </el-button>
@@ -77,266 +72,333 @@
        </span>
      </div>

      <!-- 捐献决定表单 -->
      <el-form>
        <el-form-item label-width="100px" label="捐献决定">
          <el-checkbox-group
            v-model="organdecision"
            @change="handleOrganDecisionChange"
            :disabled="!isEdit"
          >
            <el-checkbox
              v-for="item in organselection"
              :key="item"
              :label="item"
              >{{ item }}
            </el-checkbox>
          </el-checkbox-group>
          <el-input
            v-if="organdecision.includes('其他')"
            v-model="organdecisionOther"
            placeholder="请输入其他捐献决定的具体内容"
            style="margin-top: 10px; width: 300px;"
            :readonly="!isEdit"
            @input="handleOtherDecisionInput"
          ></el-input>
        </el-form-item>
      </el-form>

      <!-- 器官评估表格 -->
      <el-table
        :data="organAssessmentList"
        :data="filteredOrganAssessmentList"
        v-loading="assessmentLoading"
        style="width: 100%"
        :row-class-name="getRowClassName"
        :expand-row-keys="expandedRowKeys"
        @expand-change="handleExpandChange"
        row-key="organno"
        empty-text="当前捐献决定下暂无需要评估的器官"
      >
        <el-table-column type="expand">
          <template slot-scope="scope">
            <div class="organ-expand-content" v-if="scope.row.expanded">
              <el-tabs
                v-model="scope.row.activeAssessmentTab"
                type="card"
                class="organ-detail-tabs"
              >
                <!-- 动态生成评估Tab -->
                <el-tab-pane
                  v-for="(assessment, index) in scope.row.assessments"
                  :key="index"
                  :label="`第${index + 1}次评估`"
                  :name="`assessment_${index}`"
                >
                  <organ-assessment-form
                    :organ-data="scope.row"
                    :assessment-data="assessment"
                    :assessment-index="index"
                    :readonly="!canAssessOrgan(scope.row)"
                    @add-assessment="handleAddAssessment"
                  />
                </el-tab-pane>

                <!-- 添加评估按钮 -->
                <el-tab-pane
                  name="add"
                  v-if="canAssessOrgan(scope.row) && isEdit"
                >
                  <template slot="label">
                    <el-button
                      type="text"
                      icon="el-icon-plus"
                      @click.stop="handleAddNewAssessment(scope.row)"
                      size="mini"
                    >
                      新增评估
                    </el-button>
                  </template>
                  <div class="add-assessment-prompt">
                    <el-empty description="点击上方按钮添加新的评估"></el-empty>
                  </div>
                </el-tab-pane>

                <!-- 评估汇总Tab -->
                <el-tab-pane label="评估汇总" name="summary">
                  <div class="assessment-summary">
                    <el-descriptions title="评估结果汇总" :column="2" border>
                      <el-descriptions-item label="器官类型">{{
                        scope.row.organname
                      }}</el-descriptions-item>
                      <el-descriptions-item label="获取机构">{{
                        scope.row.gainhospitalname
                      }}</el-descriptions-item>
                      <el-descriptions-item label="评估次数" :span="2">
                        <el-tag type="info"
                          >{{ scope.row.assessments.length }}次</el-tag
                        >
                      </el-descriptions-item>
                      <el-descriptions-item label="最新评估时间" :span="2">
                        {{ getLatestAssessmentTime(scope.row) || "-" }}
                      </el-descriptions-item>
                    </el-descriptions>

                    <!-- 评估详情汇总 -->
                    <el-card header="评估详情" style="margin-top: 20px;">
                      <el-descriptions :column="1" border>
                        <el-descriptions-item label="获取前活检">
                          <el-tag
                            :type="
                              scope.row.isbiopsybefore === '1'
                                ? 'success'
                                : 'info'
                            "
                          >
                            {{ scope.row.isbiopsybefore === "1" ? "是" : "否" }}
                          </el-tag>
                        </el-descriptions-item>
                        <el-descriptions-item label="获取后活检">
                          <el-tag
                            :type="
                              scope.row.isbiopsyafter === '1'
                                ? 'success'
                                : 'info'
                            "
                          >
                            {{ scope.row.isbiopsyafter === "1" ? "是" : "否" }}
                          </el-tag>
                        </el-descriptions-item>
                        <el-descriptions-item label="边缘器官">
                          <el-tag
                            :type="
                              scope.row.ismarginalorgan === '1'
                                ? 'warning'
                                : 'info'
                            "
                          >
                            {{
                              scope.row.ismarginalorgan === "1" ? "是" : "否"
                            }}
                          </el-tag>
                        </el-descriptions-item>
                        <el-descriptions-item label="病原菌阳性">
                          <el-tag
                            :type="
                              scope.row.ispathogenpositive === '1'
                                ? 'danger'
                                : 'info'
                            "
                          >
                            {{
                              scope.row.ispathogenpositive === "1" ? "是" : "否"
                            }}
                          </el-tag>
                        </el-descriptions-item>
                      </el-descriptions>
                    </el-card>
                  </div>
                </el-tab-pane>
              </el-tabs>
            </div>
          </template>
        </el-table-column>

        <el-table-column label="器官类型" align="center" prop="organname" />

        <el-table-column label="器官编号" align="center" prop="organnumber" />

        <el-table-column
          label="器官类型"
          label="获取机构"
          align="center"
          prop="organType"
          prop="gainhospitalname"
          show-overflow-tooltip
        />

        <!-- 动态显示评估状态列 -->
        <el-table-column
          v-for="(assessment, index) in getMaxAssessmentCount()"
          :key="index"
          :label="`第${index + 1}次评估`"
          align="center"
          width="120"
        >
          <template slot-scope="scope">
            <dict-tag
              :options="organTypeOptions"
              :value="scope.row.organType"
            />
            <el-tag
              v-if="scope.row.assessments[index]"
              :type="getAssessmentTagType(scope.row.assessments[index].status)"
              size="small"
            >
              {{ getAssessmentStatusText(scope.row.assessments[index].status) }}
            </el-tag>
            <el-tag v-else type="info" size="small">未评估</el-tag>
          </template>
        </el-table-column>
        <el-table-column
          label="评估科室"
          align="center"
          prop="department"
          width="120"
        />
        <el-table-column
          label="评估人员"
          align="center"
          prop="assessor"

        />
        <!-- 新增：第一次评估状态 -->
        <el-table-column label="第一次评估" align="center" >
        <el-table-column label="整体状态" align="center" width="100">
          <template slot-scope="scope">
            <el-tag
              :type="getAssessmentTagType(scope.row.firstAssessment.status)"
              :type="
                getOrganOverallStatus(scope.row) === 'completed'
                  ? 'success'
                  : getOrganOverallStatus(scope.row) === 'assessing'
                  ? 'primary'
                  : 'warning'
              "
              size="small"
            >
              {{ getAssessmentStatusText(scope.row.firstAssessment.status) }}
              {{ getOrganOverallStatusText(scope.row) }}
            </el-tag>
          </template>
        </el-table-column>
        <!-- 新增：第二次评估状态 -->
        <el-table-column label="第二次评估" align="center" >
          <template slot-scope="scope">
            <el-tag
              :type="getAssessmentTagType(scope.row.secondAssessment.status)"
              size="small"
            >
              {{ getAssessmentStatusText(scope.row.secondAssessment.status) }}
            </el-tag>
          </template>
        </el-table-column>
        <el-table-column label="整体状态" align="center" >
          <template slot-scope="scope">
            <el-tag
              :type="scope.row.assessmentStatus === '1' ? 'success' : 'warning'"
              size="small"
            >
              {{ scope.row.assessmentStatus === "1" ? "已评估" : "待评估" }}
            </el-tag>
          </template>
        </el-table-column>

        <el-table-column
          label="操作"
          align="center"
          width="180"
          width="150"
          class-name="small-padding fixed-width"
        >
          <template slot-scope="scope">
            <el-button
              v-if="canAssessOrgan(scope.row)"
              v-if="canAssessOrgan(scope.row) && isEdit"
              size="mini"
              type="text"
              @click="handleOrganAssess(scope.row)"
              @click="handleToggleExpand(scope.row)"
            >
              评估
              {{
                expandedRowKeys.includes(scope.row.organno) ? "收起" : "详情"
              }}
            </el-button>
            <el-button
              v-else-if="!isEdit"
              size="mini"
              type="text"
              @click="handleToggleExpand(scope.row)"
            >
              {{
                expandedRowKeys.includes(scope.row.organno) ? "收起" : "查看"
              }}
            </el-button>
            <el-button v-else size="mini" type="text" disabled
              >无权限</el-button
            >
            <el-button
              size="mini"
              type="text"
              @click="handleViewOrganDetail(scope.row)"
            >
              详情
            </el-button>
          </template>
        </el-table-column>
      </el-table>

      <!-- 器官评估详情 - 改为Tab页形式 -->
      <el-dialog
        :title="`${currentOrgan.organName}评估详情`"
        :visible.sync="organDetailVisible"
        width="90%"
        top="5vh"
        class="organ-detail-dialog"
      >
        <el-tabs v-model="activeAssessmentTab" type="card">
          <!-- 第一次评估Tab -->
          <el-tab-pane label="第一次评估" name="first">
            <organ-assessment-form
              :organ-data="currentOrgan"
              :assessment-data="currentOrgan.firstAssessment"
              assessment-type="first"
              :readonly="!canAssessOrgan(currentOrgan)"
              @save="handleSaveOrganAssessment"
            />
          </el-tab-pane>

          <!-- 第二次评估Tab -->
          <el-tab-pane label="第二次评估" name="second">
            <organ-assessment-form
              :organ-data="currentOrgan"
              :assessment-data="currentOrgan.secondAssessment"
              assessment-type="second"
              :readonly="!canAssessOrgan(currentOrgan)"
              @save="handleSaveOrganAssessment"
            />
          </el-tab-pane>

          <!-- 评估汇总Tab -->
          <el-tab-pane label="评估汇总" name="summary">
            <div class="assessment-summary">
              <el-descriptions title="评估结果汇总" :column="2" border>
                <el-descriptions-item label="器官类型">
                  {{ currentOrgan.organName }}
                </el-descriptions-item>
                <el-descriptions-item label="评估科室">
                  {{ currentOrgan.department }}
                </el-descriptions-item>
                <el-descriptions-item label="第一次评估状态">
                  <el-tag :type="getAssessmentTagType(currentOrgan.firstAssessment.status)">
                    {{ getAssessmentStatusText(currentOrgan.firstAssessment.status) }}
                  </el-tag>
                </el-descriptions-item>
                <el-descriptions-item label="第二次评估状态">
                  <el-tag :type="getAssessmentTagType(currentOrgan.secondAssessment.status)">
                    {{ getAssessmentStatusText(currentOrgan.secondAssessment.status) }}
                  </el-tag>
                </el-descriptions-item>
                <el-descriptions-item label="第一次评估时间" :span="2">
                  {{ currentOrgan.firstAssessment.assessmentTime || '-' }}
                </el-descriptions-item>
                <el-descriptions-item label="第二次评估时间" :span="2">
                  {{ currentOrgan.secondAssessment.assessmentTime || '-' }}
                </el-descriptions-item>
              </el-descriptions>

              <!-- 附件汇总 -->
              <el-card header="评估附件" style="margin-top: 20px;">
                <el-table :data="getAllAttachments(currentOrgan)" size="small">
                  <el-table-column label="附件名称" prop="fileName" />
                  <el-table-column label="评估阶段" >
                    <template slot-scope="{row}">
                      {{ row.assessmentType === 'first' ? '第一次评估' : '第二次评估' }}
                    </template>
                  </el-table-column>
                  <el-table-column label="上传时间" prop="uploadTime" width="180" />
                  <el-table-column label="操作" width="120">
                    <template slot-scope="{row}">
                      <el-button type="text" @click="handlePreviewAttachment(row)">预览</el-button>
                    </template>
                  </el-table-column>
                </el-table>
              </el-card>
            </div>
          </el-tab-pane>
        </el-tabs>

        <div slot="footer" class="dialog-footer">
          <el-button @click="organDetailVisible = false">关闭</el-button>
          <el-button
            v-if="canAssessOrgan(currentOrgan)"
            type="primary"
            @click="handleSaveAllAssessments"
          >
            保存所有评估
          </el-button>
        </div>
      </el-dialog>
    </el-card>

    <!-- 附件预览弹窗 -->
    <!-- <attachment-preview
      :visible="attachmentVisible"
      :attachment-list="attachmentList"
      @close="attachmentVisible = false"
    /> -->
    <!-- 整体保存按钮 -->
    <div class="footer-actions" v-if="isEdit">
      <el-button type="primary" @click="handleSaveAll" :loading="saveLoading">保存评估表</el-button>
      <el-button @click="handleCancel">取消</el-button>
    </div>

    <!-- 文件预览弹窗 -->
    <FilePreviewDialog
      :visible="attachmentVisible"
      :file="attachmentList"
      :file="currentPreviewFile"
      @close="attachmentVisible = false"
    />
  </div>
</template>

<script>
import { getAssessment, updateOrganAssessment, completeAssessment } from "./mockAssessmentApi";
import {
  evaluateBaseInfolist,
  assessedit,
  assessAdd
} from "@/api/businessApi/index";
import FilePreviewDialog from "@/components/FilePreviewDialog";
import OrganAssessmentForm from "./components/OrganAssessmentForm.vue";

export default {
  name: "AssessmentDetail",
  components: { OrganAssessmentForm, FilePreviewDialog },
  dicts: ["sys_user_sex", "sys_Organ", "sys_0_1"],
  data() {
    return {
      assessmentId: undefined,
      assessmentData: {},
      organAssessmentList: [],
      attachmentList: [],
      // 是否编辑模式
      isEdit: false,
      // 加载状态
      assessmentLoading: false,

      // 器官详情相关数据
      organDetailVisible: false,
      currentOrgan: {
        organType: '',
        organName: '',
        department: '',
        firstAssessment: this.getDefaultAssessment(),
        secondAssessment: this.getDefaultAssessment()
      saveLoading: false,
      // 数据ID
      infoid: undefined,
      assessmentId: undefined,
      // 主要数据
      assessmentData: {},
      organAssessmentList: [], // 所有器官数据
      // 展开行相关
      expandedRowKeys: [],
      // 附件相关
      currentPreviewFile: null,
      attachmentVisible: false,
      // 捐献决定相关
      organdecision: [],
      organdecisionOther: "",
      organselection: [
        "肝脏",
        "双肾",
        "左肾",
        "右肾",
        "心脏",
        "肺脏",
        "胰腺",
        "小肠",
        "双眼组织",
        "遗体",
        "其他"
      ],
      // 器官类型映射关系
      organDecisionMapping: {
        肝脏: ["肝脏"],
        双肾: ["左肾", "右肾"],
        左肾: ["左肾"],
        右肾: ["右肾"],
        心脏: ["心脏"],
        肺脏: ["肺脏"],
        胰腺: ["胰腺"],
        小肠: ["小肠"],
        双眼组织: ["角膜"],
        遗体: ["皮肤", "骨骼", "其他组织"],
        其他: [] // 其他类型不映射具体器官
      },
      activeAssessmentTab: 'first',

      // 用户信息
      currentUser: {
        id: "001",
        name: "张医生",
        department: "心脏外科",
        role: "department"
      },

      attachmentVisible: false,

      // 字典选项
      genderOptions: [
        { value: "0", label: "男" },
        { value: "1", label: "女" }
      ],
      bloodTypeOptions: [
        { value: "A", label: "A型" },
        { value: "B", label: "B型" },
        { value: "O", label: "O型" },
        { value: "AB", label: "AB型" }
      ],
      assessmentTypeOptions: [
        { value: "1", label: "初次评估" },
        { value: "2", label: "最终评估" }
      ],
      organTypeOptions: [
        { value: "heart", label: "心脏" },
        { value: "liver", label: "肝脏" },
        { value: "kidney", label: "肾脏" },
        { value: "lung", label: "肺脏" },
        { value: "pancreas", label: "胰腺" },
        { value: "intestine", label: "肠道" },
        { value: "cornea", label: "角膜" },
        { value: "skin", label: "皮肤" }
      ]
        department: "心脏科",
        role: "doctor" // coordinator, doctor
      }
    };
  },
  computed: {
@@ -346,134 +408,502 @@
    currentDepartment() {
      return this.currentUser.department;
    },
    // 根据捐献决定过滤后的器官列表
    filteredOrganAssessmentList() {
      if (!this.organdecision || this.organdecision.length === 0) {
        return [];
      }

      // 获取所有选中的器官类型
      const selectedOrgans = new Set();
      this.organdecision.forEach(decision => {
        const organs = this.organDecisionMapping[decision] || [];
        organs.forEach(organ => selectedOrgans.add(organ));
      });

      // 过滤器官评估列表
      return this.organAssessmentList.filter(organ =>
        selectedOrgans.has(organ.organname)
      );
    },
    // 检查所有过滤后的器官是否都已评估
    allOrgansAssessed() {
      return this.organAssessmentList.every(organ =>
        organ.firstAssessment.status === 'assessed' &&
        organ.secondAssessment.status === 'assessed'
      return this.filteredOrganAssessmentList.every(
        organ =>
          organ.assessments &&
          organ.assessments.length > 0 &&
          organ.assessments.every(
            assessment => assessment.status === "assessed"
          )
      );
    }
  },
  watch: {
    // 监听捐献决定变化，用于复杂逻辑处理
    organdecision: {
      handler(newVal, oldVal) {
        this.handleComplexDecisionChange(newVal, oldVal);
      },
      deep: true
    }
  },
  created() {
    this.infoid = this.$route.query.infoid;
    this.assessmentId = this.$route.query.id;
    this.isEdit = this.$route.query.assess === "true";
    this.getAssessmentDetail();
  },
  methods: {
    // 获取默认评估数据结构
    getDefaultAssessment() {
      return {
        status: 'pending', // pending, assessing, assessed
        assessmentTime: '',
        assessor: '',
        functionStatus: '',
        assessmentOpinion: '',
        attachments: [],
        clinicalData: {},
        labResults: {}
      };
    },
    // 整体保存方法
    async handleSaveAll() {
      this.saveLoading = true;
      try {
        // 1. 准备主评估表数据
        const saveData = {
          // 根据 id 是否存在决定是更新还是新增
          id: this.assessmentData.id || undefined,
          infoid: this.infoid,
          caseNo: this.assessmentData.caseNo,
          donorno: this.assessmentData.donorno,
          treatmenthospitalname: this.assessmentData.treatmenthospitalname,
          treatmenthospitalno: this.assessmentData.treatmenthospitalno,
          sex: this.assessmentData.sex,
          age: this.assessmentData.age,
          bloodtype: this.assessmentData.bloodtype,
          idcardno: this.assessmentData.idcardno,
          diagnosisname: this.assessmentData.diagnosisname,
          coordinatorName: this.assessmentData.coordinatorName,
          assessTime: this.assessmentData.assessTime || new Date().toISOString(),
          assessState: this.assessmentData.assessState,
          assessannex: this.assessmentData.assessannex,
          // 捐献决定信息
          organdecision: this.organdecision.join(','),
          organdecisionOther: this.organdecisionOther,
          // 器官评估列表
          serviceMedicalevaluationorgans: this.organAssessmentList.map(organ => ({
            id: organ.id,
            infoid: organ.infoid,
            donorno: organ.donorno,
            organno: organ.organno,
            organname: organ.organname,
            organnumber: organ.organnumber,
            gainhospitalno: organ.gainhospitalno,
            gainhospitalname: organ.gainhospitalname,
            isbiopsybefore: organ.isbiopsybefore,
            isbiopsyafter: organ.isbiopsyafter,
            ismarginalorgan: organ.ismarginalorgan,
            ispathogenpositive: organ.ispathogenpositive,
            ispnf: organ.ispnf,
            isdgf: organ.isdgf,
            // 将 assessments 数组序列化到 assesscontent 字段
            assesscontent: JSON.stringify(organ.assessments)
          }))
        };

    // 获取评估详情
    getAssessmentDetail() {
      this.assessmentLoading = true;
      getAssessment(this.assessmentId)
        .then(response => {
          if (response.code === 200) {
            this.assessmentData = response.data.caseInfo;
            this.organAssessmentList = this.transformOrganData(response.data.organAssessments || []);
        // 2. 根据 id 判断调用哪个 API
        const saveMethod = this.assessmentData.id ? assessedit : assessAdd;
        const response = await saveMethod(saveData);

        if (response.code === 200) {
          this.$message.success('评估表保存成功！');
          // 保存成功后，更新本地的 assessmentData.id（对于新增情况）
          if (!this.assessmentData.id && response.data && response.data.id) {
            this.assessmentData.id = response.data.id;
          }
          this.assessmentLoading = false;
        })
        .catch(error => {
          console.error("获取评估详情失败:", error);
          this.assessmentLoading = false;
        });
        } else {
          this.$message.error('保存失败：' + (response.msg || '未知错误'));
        }
      } catch (error) {
        console.error('保存评估表失败:', error);
        this.$message.error('保存失败，请重试');
      } finally {
        this.saveLoading = false;
      }
    },

    // 转换器官数据格式，支持两次评估
    transformOrganData(organList) {
      return organList.map(organ => {
        const organName = this.getOrganName(organ.organType);
    // 取消按钮事件
    handleCancel() {
      this.$router.go(-1);
    },

        // 确保有两次评估的数据结构
        if (!organ.firstAssessment) {
          organ.firstAssessment = this.getDefaultAssessment();
        }
        if (!organ.secondAssessment) {
          organ.secondAssessment = this.getDefaultAssessment();
        }
    // 捐献决定变更处理
    handleOrganDecisionChange(newDecision) {
      // 自动处理相关逻辑
      this.autoHandleDecisionChange(newDecision);
      // 强制重新渲染
      this.$forceUpdate();
      // 如果从有选择变为无选择，清空展开状态
      if (newDecision.length === 0) {
        this.expandedRowKeys = [];
      }
    },

        // 设置器官名称
        organ.organName = organName;
    // 其他捐献决定输入处理
    handleOtherDecisionInput(value) {
      // 输入时不做单独保存，等待整体保存
    },

        // 计算整体评估状态
        organ.assessmentStatus = this.calculateOverallStatus(organ);
    // 自动处理决定变更逻辑
    autoHandleDecisionChange(newDecision) {
      // 如果选择了"双肾"，自动取消单独的"左肾"和"右肾"选择
      if (newDecision.includes("双肾")) {
        this.organdecision = newDecision.filter(
          item => item !== "左肾" && item !== "右肾"
        );
      }
      // 如果选择了"左肾"或"右肾"，取消"双肾"选择
      else if (newDecision.includes("左肾") || newDecision.includes("右肾")) {
        this.organdecision = newDecision.filter(item => item !== "双肾");
      }

        return organ;
      // 处理互斥逻辑
      this.handleExclusiveDecisions();
    },

    // 处理互斥的捐献决定
    handleExclusiveDecisions() {
      // 遗体捐献与其他器官捐献互斥（根据业务需求调整）
      if (this.organdecision.includes("遗体")) {
        // 可以设置只保留遗体捐献，或者根据业务需求处理
      }
    },

    // 复杂决策变化处理
    handleComplexDecisionChange(newVal, oldVal) {
      // 处理新增的选择
      const addedDecisions = newVal.filter(item => !oldVal.includes(item));
      const removedDecisions = oldVal.filter(item => !newVal.includes(item));

      // 对新增加的选择进行特殊处理
      addedDecisions.forEach(decision => {
        this.handleNewDecision(decision);
      });

      // 对移除的选择进行清理
      removedDecisions.forEach(decision => {
        this.handleRemovedDecision(decision);
      });
    },

    // 计算整体评估状态
    calculateOverallStatus(organ) {
      const firstDone = organ.firstAssessment.status === 'assessed';
      const secondDone = organ.secondAssessment.status === 'assessed';
    // 处理新增的捐献决定
    handleNewDecision(decision) {
      // 根据映射关系自动创建对应的器官评估项
      this.autoCreateOrganAssessments(decision);
    },

      if (firstDone && secondDone) return '1'; // 已完成
      if (firstDone || secondDone) return '2'; // 部分完成
      return '0'; // 未开始
    // 自动创建器官评估项
    autoCreateOrganAssessments(decision) {
      const organsToCreate = this.organDecisionMapping[decision];

      if (organsToCreate && organsToCreate.length > 0) {
        organsToCreate.forEach(organName => {
          this.ensureOrganExists(organName);
        });

        // 显示创建提示
        if (organsToCreate.length > 0) {
          this.$message.success(
            `已为【${decision}】创建${organsToCreate.length}个评估项`
          );
        }
      } else {
        console.warn(`捐献决定【${decision}】没有配置器官映射关系`);
      }
    },

    // 处理移除的捐献决定
    handleRemovedDecision(decision) {
      // 根据业务需求添加清理逻辑
      const relatedOrgans = this.organDecisionMapping[decision] || [];
      relatedOrgans.forEach(organ => {
        // 可以在这里添加清理相关器官评估的逻辑
      });
    },

    // 确保器官存在（带重复检查）
    ensureOrganExists(organName) {
      // 检查是否已存在同名器官评估项
      const exists = this.organAssessmentList.some(
        organ => organ.organname === organName
      );

      if (!exists) {
        // 创建新的器官评估项
        const newOrgan = {
          id: `organ_${Date.now()}_${Math.random().toString(36).substr(2, 9)}`,
          organno: `ORG${Date.now()}`,
          organname: organName,
          gainhospitalname: "待分配机构",
          isbiopsybefore: "0",
          isbiopsyafter: "0",
          ismarginalorgan: "0",
          ispathogenpositive: "0",
          assessments: [this.getDefaultAssessment(0)],
          activeAssessmentTab: "assessment_0",
          expanded: false,
          createTime: new Date().toISOString()
        };

        this.organAssessmentList = [...this.organAssessmentList, newOrgan];
        return true;
      }
      return false;
    },

    // 获取评估详情
    async getAssessmentDetail() {
      this.assessmentLoading = true;
      try {
        const response = await evaluateBaseInfolist({ infoid: this.infoid });

        if (response.code === 200) {
          this.handleResponseData(response);
        } else {
          this.$message.error("获取详情失败：" + (response.msg || "未知错误"));
        }
      } catch (error) {
        console.error("获取评估详情失败:", error);
        this.$message.error("获取详情失败");
      } finally {
        this.assessmentLoading = false;
      }
    },

    // 处理接口响应数据
    handleResponseData(response) {
      let detailData = null;

      // 根据接口实际返回的数据结构进行调整
      if (response.data) {
        if (Array.isArray(response.data)) {
          detailData = response.data[0] || {};
        } else if (response.data.rows && Array.isArray(response.data.rows)) {
          detailData = response.data.rows[0] || {};
        } else if (Array.isArray(response.data.list)) {
          detailData = response.data.list[0] || {};
        } else {
          detailData = response.data;
        }
      } else {
        detailData = response;
      }

      // 映射字段到评估数据
      this.assessmentData = {
        id: detailData.id || this.assessmentId,
        infoid: detailData.infoid || this.infoid,
        caseNo: detailData.caseNo || "",
        name: detailData.name || detailData.donorName || "",
        sex: detailData.sex || "",
        age: detailData.age || "",
        bloodtype: detailData.bloodtype || "",
        idcardno: detailData.idcardno || "",
        diagnosisname: detailData.diagnosisname || "",
        treatmenthospitalname: detailData.treatmenthospitalname || "",
        coordinatorName: detailData.coordinatorName || "",
        assessTime: detailData.assessTime || "",
        assessState: detailData.assessState || "1",
        assessannex: detailData.assessannex || ""
      };

      // 处理捐献决定数据
      if (detailData.organdecision) {
        this.organdecision = Array.isArray(detailData.organdecision)
          ? detailData.organdecision
          : (detailData.organdecision || "").split(",");
        this.organdecisionOther = detailData.organdecisionOther || "";
      }

      // 处理器官评估数据
      this.processOrganAssessmentData(detailData);
    },

    // 处理器官评估数据
    processOrganAssessmentData(detailData) {
      let organList = [];

      // 从接口数据中获取器官评估列表
      if (detailData.serviceMedicalevaluationorgans) {
        if (Array.isArray(detailData.serviceMedicalevaluationorgans)) {
          organList = detailData.serviceMedicalevaluationorgans;
        }
      }

      // 转换器官数据格式，支持多次评估
      this.organAssessmentList = organList.map(organ => {
        const assessments = [];

        // 解析assesscontent字段中的多次评估数据
        if (organ.assesscontent) {
          try {
            const assessData = typeof organ.assesscontent === "string"
              ? JSON.parse(organ.assesscontent)
              : organ.assesscontent;

            if (Array.isArray(assessData)) {
              assessments.push(
                ...assessData.map((item, index) => ({
                  ...item,
                  index: index,
                  status: item.status || "assessed"
                }))
              );
            }
          } catch (error) {
            console.warn("解析评估内容失败:", error);
            assessments.push(this.getDefaultAssessment(0));
          }
        } else {
          assessments.push(this.getDefaultAssessment(0));
        }

        return {
          ...organ,
          assessments: assessments,
          activeAssessmentTab: assessments.length > 0 ? "assessment_0" : "summary",
          expanded: false
        };
      });
    },

    // 获取默认评估数据结构
    getDefaultAssessment(index) {
      return {
        index: index,
        status: "pending",
        assessmentTime: "",
        assessor: "",
        functionStatus: "",
        assessmentOpinion: "",
        clinicalData: {},
        labResults: {},
        createTime: new Date().toISOString()
      };
    },

    // 计算最大评估次数
    getMaxAssessmentCount() {
      const maxCount = Math.max(
        ...this.organAssessmentList.map(organ =>
          organ.assessments ? organ.assessments.length : 0
        )
      );
      return Math.max(maxCount, 1);
    },

    // 获取器官整体状态
    getOrganOverallStatus(organ) {
      if (!organ.assessments || organ.assessments.length === 0) {
        return "pending";
      }

      const allAssessed = organ.assessments.every(
        assessment => assessment.status === "assessed"
      );
      const someAssessed = organ.assessments.some(
        assessment => assessment.status === "assessed"
      );

      if (allAssessed) return "completed";
      if (someAssessed) return "assessing";
      return "pending";
    },

    getOrganOverallStatusText(organ) {
      const status = this.getOrganOverallStatus(organ);
      const statusMap = {
        pending: "待评估",
        assessing: "评估中",
        completed: "已完成"
      };
      return statusMap[status] || "未知";
    },

    // 切换展开行
    handleToggleExpand(row) {
      const key = row.organno;
      const index = this.expandedRowKeys.indexOf(key);

      if (index > -1) {
        this.expandedRowKeys.splice(index, 1);
        row.expanded = false;
      } else {
        this.expandedRowKeys = [key];
        this.organAssessmentList.forEach(item => {
          item.expanded = item.organno === key;
        });
      }
    },

    // 展开行变化
    handleExpandChange(row, expandedRows) {
      this.expandedRowKeys = expandedRows.map(item => item.organno);
      this.organAssessmentList.forEach(item => {
        item.expanded = this.expandedRowKeys.includes(item.organno);
      });
    },

    // 添加新评估
    handleAddNewAssessment(organ) {
      const newAssessment = {
        ...this.getDefaultAssessment(organ.assessments.length),
        assessor: this.currentUser.name
      };

      organ.assessments.push(newAssessment);
      organ.activeAssessmentTab = `assessment_${organ.assessments.length - 1}`;

      this.$message.success("已添加新的评估");
    },

    // 处理添加评估事件
    handleAddAssessment(data) {
      const { organData } = data;
      this.handleAddNewAssessment(organData);
    },

    // 获取最新评估时间
    getLatestAssessmentTime(organ) {
      if (!organ.assessments || organ.assessments.length === 0) return null;

      const assessed = organ.assessments.filter(a => a.assessmentTime);
      if (assessed.length === 0) return null;

      return assessed.sort(
        (a, b) => new Date(b.assessmentTime) - new Date(a.assessmentTime)
      )[0].assessmentTime;
    },

    // 获取评估状态标签类型
    getAssessmentTagType(status) {
      const typeMap = {
        'pending': 'info',
        'assessing': 'warning',
        'assessed': 'success'
        pending: "warning",
        assessing: "primary",
        assessed: "success"
      };
      return typeMap[status] || 'info';
      return typeMap[status] || "info";
    },

    // 获取评估状态文本
    getAssessmentStatusText(status) {
      const textMap = {
        'pending': '待评估',
        'assessing': '评估中',
        'assessed': '已评估'
      };
      return textMap[status] || '未知';
    },

    // 获取功能状态类型
    getFunctionStatusType(status) {
      const typeMap = {
        "1": "success", // 正常
        "2": "warning", // 轻度异常
        "3": "danger", // 重度异常
        "4": "info" // 无法评估
      };
      return typeMap[status] || "info";
    },

    // 获取功能状态文本
    getFunctionStatusText(status) {
      const textMap = {
        "1": "正常",
        "2": "轻度异常",
        "3": "重度异常",
        "4": "无法评估"
        pending: "待评估",
        assessing: "评估中",
        assessed: "已评估"
      };
      return textMap[status] || "未知";
    },

    // 获取器官名称
    getOrganName(organType) {
      const organ = this.organTypeOptions.find(opt => opt.value === organType);
      return organ ? organ.label : organType;
    },

    // 检查评估权限
    canAssessOrgan(organ) {
      console.log(organ,'organ');

      if (this.isCoordinator) return true;
      return organ.department === this.currentDepartment;
      if (!this.isEdit) return false;
      return (
        organ.gainhospitalname &&
        organ.gainhospitalname.includes(this.currentDepartment)
      );
    },

    // 获取行类名
@@ -481,168 +911,82 @@
      return this.canAssessOrgan(row) ? "assessable-row" : "non-assessable-row";
    },

    // 格式化时间
    formatTime(time) {
      if (!time) return '';
      return new Date(time).toLocaleString();
    },

    // 查看器官详情
    handleViewOrganDetail(organ) {
      this.currentOrgan = JSON.parse(JSON.stringify(organ));
      this.activeAssessmentTab = 'first';
      this.organDetailVisible = true;
    },

    // 器官评估
    handleOrganAssess(organ) {
      this.currentOrgan = JSON.parse(JSON.stringify(organ));
      this.activeAssessmentTab = 'first';
      this.organDetailVisible = true;
    },

    // 保存单个评估
    handleSaveOrganAssessment(assessmentData, assessmentType) {
      const organToUpdate = {
        ...this.currentOrgan,
        [assessmentType === 'first' ? 'firstAssessment' : 'secondAssessment']: {
          ...assessmentData,
          status: 'assessed',
          assessmentTime: new Date().toISOString(),
          assessor: this.currentUser.name
        }
      };

      // 更新整体状态
      organToUpdate.assessmentStatus = this.calculateOverallStatus(organToUpdate);

      updateOrganAssessment(organToUpdate)
        .then(response => {
          if (response.code === 200) {
            this.$message.success(`${assessmentType === 'first' ? '第一次' : '第二次'}评估保存成功`);
            this.getAssessmentDetail();
            // 自动切换到下一个未完成的评估或汇总页
            this.autoSwitchTab(assessmentType);
          }
        })
        .catch(error => {
          console.error("保存评估失败:", error);
          this.$message.error("保存失败");
        });
    },

    // 自动切换Tab页
    autoSwitchTab(currentType) {
      if (currentType === 'first' && this.currentOrgan.secondAssessment.status === 'pending') {
        this.activeAssessmentTab = 'second';
      } else if (currentType === 'second' ||
                (currentType === 'first' && this.currentOrgan.secondAssessment.status === 'assessed')) {
        this.activeAssessmentTab = 'summary';
      }
    },

    // 保存所有评估
    handleSaveAllAssessments() {
      this.$confirm("确认保存所有评估数据吗？", "确认保存", {
        confirmButtonText: "确定",
        cancelButtonText: "取消",
        type: "warning"
      }).then(() => {
        const organToUpdate = JSON.parse(JSON.stringify(this.currentOrgan));

        // 更新整体状态
        organToUpdate.assessmentStatus = this.calculateOverallStatus(organToUpdate);

        updateOrganAssessment(organToUpdate)
          .then(response => {
            if (response.code === 200) {
              this.$message.success("所有评估数据保存成功");
              this.getAssessmentDetail();
              this.organDetailVisible = false;
            }
          })
          .catch(error => {
            console.error("保存评估失败:", error);
            this.$message.error("保存失败");
          });
      });
    },

    // 获取所有附件
    getAllAttachments(organ) {
      const attachments = [];

      if (organ.firstAssessment.attachments) {
        organ.firstAssessment.attachments.forEach(att => {
          attachments.push({
            ...att,
            assessmentType: 'first'
          });
        });
      }

      if (organ.secondAssessment.attachments) {
        organ.secondAssessment.attachments.forEach(att => {
          attachments.push({
            ...att,
            assessmentType: 'second'
          });
        });
      }

      return attachments;
    },

    // 预览附件
    handlePreviewAttachment(attachment) {
      // 实现附件预览逻辑
      console.log('预览附件:', attachment);
      this.$message.info('附件预览功能待实现');
    },

    // 状态过滤器
    statusFilter(status) {
      const statusMap = {
        "0": "warning",
        "1": "primary",
        "2": "success",
        "3": "danger"
        "1": "warning",
        "2": "primary",
        "3": "success"
      };
      return statusMap[status] || "info";
    },

    statusTextFilter(status) {
      const statusMap = {
        "0": "待评估",
        "1": "评估中",
        "2": "已完成",
        "3": "已关闭"
        "1": "待评估",
        "2": "评估中",
        "3": "已完成"
      };
      return statusMap[status] || "未知";
    },

    // 查看附件
    handleAttachmentPreview() {
      this.attachmentVisible = true;
      if (this.assessmentData.assessannex) {
        try {
          const annexData = typeof this.assessmentData.assessannex === "string"
            ? JSON.parse(this.assessmentData.assessannex)
            : this.assessmentData.assessannex;

          if (Array.isArray(annexData) && annexData.length > 0) {
            this.currentPreviewFile = annexData[0];
            this.attachmentVisible = true;
          } else {
            this.$message.info("暂无附件可预览");
          }
        } catch (error) {
          this.$message.info("附件数据格式错误");
        }
      } else {
        this.$message.info("暂无附件");
      }
    },

    handleCompleteAssessment() {
      this.$confirm("确认完成所有器官评估吗？完成后将无法修改", "确认操作", {
        confirmButtonText: "确定",
        cancelButtonText: "取消",
        type: "warning"
      }).then(() => {
        completeAssessment(this.assessmentId)
          .then(response => {
            if (response.code === 200) {
              this.$message.success("评估完成确认成功");
              this.getAssessmentDetail();
            }
          })
          .catch(error => {
            console.error("完成评估失败:", error);
            this.$message.error("操作失败");
          });
      });
    // 完成评估
    async handleCompleteAssessment() {
      try {
        await this.$confirm(
          "确认完成所有器官评估吗？完成后将无法修改",
          "确认操作",
          {
            confirmButtonText: "确定",
            cancelButtonText: "取消",
            type: "warning"
          }
        );

        // 更新评估状态为已完成
        const updateData = {
          ...this.assessmentData,
          assessState: "3",
          assessTime: new Date().toISOString()
        };

        const response = await assessedit(updateData);

        if (response.code === 200) {
          this.$message.success("评估完成确认成功");
          this.assessmentData.assessState = "3";
          this.isEdit = false;
        } else {
          this.$message.error("操作失败：" + (response.msg || "未知错误"));
        }
      } catch (error) {
        if (error !== "cancel") {
          console.error("完成评估失败:", error);
          this.$message.error("操作失败");
        }
      }
    }
  }
};
@@ -661,41 +1005,44 @@
  margin-bottom: 20px;
}

.assessment-time {
  font-size: 12px;
  color: #909399;
  margin-top: 4px;
}

/* Tab页样式优化 */
.organ-detail-dialog ::v-deep .el-dialog__body {
/* 展开行样式 */
.organ-expand-content {
  padding: 20px;
  max-height: 70vh;
  overflow-y: auto;
  background: #fafafa;
  border-radius: 4px;
  margin: 10px 0;
}

.organ-detail-dialog ::v-deep .el-tabs__content {
  padding: 20px 0;
  min-height: 400px;
.organ-detail-tabs {
  background: white;
  border-radius: 4px;
  padding: 20px;
}

.add-assessment-prompt {
  text-align: center;
  padding: 40px 0;
}

.assessment-summary {
  padding: 10px;
}

.dialog-footer {
  text-align: right;
  padding-top: 20px;
  border-top: 1px solid #ebeef5;
/* 底部保存按钮样式 */
.footer-actions {
  margin-top: 20px;
  text-align: center;
  padding: 20px;
  border-top: 1px solid #eaeaea;
}

/* 响应式设计 */
@media (max-width: 768px) {
  .organ-detail-dialog {
    width: 95% !important;
  .assessment-detail {
    padding: 10px;
  }

  .assessment-detail {
  .organ-expand-content {
    padding: 10px;
  }
}
@@ -708,6 +1055,24 @@
  background-color: #fafafa;
}

.jstitle {
  float: right;
  font-size: 18px !important;
  font-weight: 600;
  color: #2645f7;
  font-size: 12px;
}

/* 表格展开图标样式 */
::v-deep .el-table__expand-icon {
  cursor: pointer;
}

::v-deep .el-table__expanded-cell {
  padding: 0 !important;
}

/* 确保描述列表标签宽度一致 */
::v-deep .el-descriptions__label {
  width: 120px;
  background-color: #f5f7fa;
@@ -718,29 +1083,16 @@
  margin: 0 2px;
}

.jstitle {
  float: right;
  font-size: 18px !important;
  font-weight: 600;
  color: #2645f7;
  font-size: 12px;
/* 捐献决定样式优化 */
.organ-decision-info {
  margin: 10px 0;
  padding: 10px;
  background-color: #f8f9fa;
  border-radius: 4px;
  border-left: 4px solid #409eff;
}

/* Tab页激活状态样式 */
::v-deep .el-tabs__item.is-active {
  color: #409EFF;
  font-weight: bold;
}

/* 评估表单样式 */
.assessment-form-section {
  margin-bottom: 20px;
}

.assessment-form-section h3 {
  margin-bottom: 15px;
  color: #303133;
  border-left: 4px solid #409EFF;
  padding-left: 10px;
.decision-tag {
  margin: 2px 5px;
}
</style>