更新

WXL

2026-03-19 5aa165156994b1b8a601063fa0a1107d1893ea57

 src/views/business/assess/assessInfo.vue

@@ -76,19 +76,19 @@
      <el-form>
        <el-form-item label-width="100px" label="捐献决定">
          <el-checkbox-group
            v-model="organdecision"
            v-model="organdecisionValues"
            @change="handleOrganDecisionChange"
            :disabled="!isEdit"
          >
            <el-checkbox
              v-for="item in organselection"
              :key="item"
              :label="item"
              >{{ item }}
              v-for="dict in dict.type.sys_Organ"
              :key="dict.value"
              :label="dict.value"
              >{{ dict.label }}
            </el-checkbox>
          </el-checkbox-group>
          <el-input
            v-if="organdecision.includes('其他')"
            v-if="showOtherInput"
            v-model="organdecisionOther"
            placeholder="请输入其他捐献决定的具体内容"
            style="margin-top: 10px; width: 300px;"
@@ -113,23 +113,26 @@
          <template slot-scope="scope">
            <div class="organ-expand-content" v-if="scope.row.expanded">
              <el-tabs
                v-model="scope.row.activeAssessmentTab"
                v-model="scope.row.activeTab"
                type="card"
                class="organ-detail-tabs"
                @tab-click="handleTabClick(scope.row, $event)"
              >
                <!-- 动态生成评估Tab -->
                <el-tab-pane
                  v-for="(assessment, index) in scope.row.assessments"
                  :key="index"
                  v-for="(assessment, index) in getOrganAssessments(scope.row)"
                  :key="`${scope.row.organno}_${index}`"
                  :label="`第${index + 1}次评估`"
                  :name="`assessment_${index}`"
                  :name="index"
                >
                  <organ-assessment-form
                    :organ-data="scope.row"
                    :assessment-data="assessment"
                    :assessment-index="index"
                    :readonly="!canAssessOrgan(scope.row)"
                    @add-assessment="handleAddAssessment"
                    :current-user="currentUser"
                    @update-assessment="handleUpdateAssessment"
                    @delete-assessment="handleDeleteAssessment"
                    @save-assessment="handleSaveAssessment"
                  />
                </el-tab-pane>

@@ -154,86 +157,163 @@
                </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>
              <el-tab-pane label="评估汇总" name="summary">
  <div class="assessment-summary">
    <!-- 基本信息汇总 -->
    <el-descriptions title="基本信息汇总" :column="2" border>
      <el-descriptions-item label="器官类型">
        <span class="summary-item">{{ getOrganLabel(scope.row.organno) }}</span>
      </el-descriptions-item>
      <el-descriptions-item label="获取机构">
        <span class="summary-item">{{ scope.row.gainhospitalname }}</span>
      </el-descriptions-item>
      <el-descriptions-item label="评估次数" :span="2">
        <el-tag type="info" size="medium">
          {{ getAssessmentCount(scope.row) }}次
        </el-tag>
      </el-descriptions-item>
      <el-descriptions-item label="最新评估时间" :span="2">
        <span class="highlight-text">{{ getLatestAssessmentTime(scope.row) || "-" }}</span>
      </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>
    <!-- 评估详情汇总 -->
    <el-card header="评估详情列表" style="margin-top: 20px;" class="assessment-detail-card">
      <div v-if="getOrganAssessments(scope.row).length === 0" class="no-assessment">
        <el-empty description="暂无评估记录"></el-empty>
      </div>

      <div v-else>
        <!-- 每次评估详情 -->
        <div v-for="(assessment, index) in getOrganAssessments(scope.row)"
             :key="index"
             class="assessment-item">
          <el-card shadow="hover" class="assessment-card">
            <div slot="header" class="clearfix">
              <span class="assessment-title">第{{ index + 1 }}次评估</span>
              <el-tag
                :type="getAssessmentTagType(assessment.status)"
                size="small"
                class="status-tag"
              >
                {{ getAssessmentStatusText(assessment.status) }}
              </el-tag>
            </div>

            <el-descriptions :column="2" border class="detail-descriptions">
              <el-descriptions-item label="评估时间" :span="2">
                <span class="time-text">{{ assessment.assessmentTime || "-" }}</span>
              </el-descriptions-item>

              <el-descriptions-item label="评估人">
                <el-tag type="info" size="small">
                  {{ assessment.assessor || "未填写" }}
                </el-tag>
              </el-descriptions-item>

              <el-descriptions-item label="功能状态">
                <el-tag
                  :type="getFunctionStatusTagType(assessment.functionStatus)"
                  size="small"
                >
                  {{ getFunctionStatusText(assessment.functionStatus) }}
                </el-tag>
              </el-descriptions-item>

              <el-descriptions-item label="评估意见" :span="2">
                <div class="opinion-content">
                  {{ assessment.assessmentOpinion || "暂无评估意见" }}
                </div>
              </el-descriptions-item>

              <el-descriptions-item label="附件数量" :span="2" v-if="assessment.attachments && assessment.attachments.length > 0">
                <el-tag type="success" size="small">
                  {{ assessment.attachments.length }}个
                </el-tag>
                <el-button
                  type="text"
                  size="mini"
                  @click="showAttachmentList(assessment.attachments, index + 1)"
                  style="margin-left: 10px;"
                >
                  查看附件列表
                </el-button>
              </el-descriptions-item>
            </el-descriptions>
          </el-card>
        </div>
      </div>
    </el-card>

    <!-- 器官基本信息卡片 -->
    <el-card header="器官信息" style="margin-top: 20px;" class="organ-info-card">
      <el-descriptions :column="2" border>
        <el-descriptions-item label="获取前活检">
          <el-tag
            :type="
              scope.row.isbiopsybefore === '1'
                ? 'success'
                : 'info'
            "
            size="small"
          >
            {{ 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'
            "
            size="small"
          >
            {{ 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'
            "
            size="small"
          >
            {{
              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'
            "
            size="small"
          >
            {{
              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="器官类型" align="center" prop="organname">
          <template slot-scope="scope">
            {{ getOrganLabel(scope.row.organno) }}
          </template>
        </el-table-column>

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

@@ -246,19 +326,27 @@

        <!-- 动态显示评估状态列 -->
        <el-table-column
          v-for="(assessment, index) in getMaxAssessmentCount()"
          v-for="index in getMaxAssessmentCount()"
          :key="index"
          :label="`第${index + 1}次评估`"
          :label="`第${index}次评估`"
          align="center"
          width="120"
        >
          <template slot-scope="scope">
            <el-tag
              v-if="scope.row.assessments[index]"
              :type="getAssessmentTagType(scope.row.assessments[index].status)"
              v-if="getOrganAssessments(scope.row)[index - 1]"
              :type="
                getAssessmentTagType(
                  getOrganAssessments(scope.row)[index - 1].status
                )
              "
              size="small"
            >
              {{ getAssessmentStatusText(scope.row.assessments[index].status) }}
              {{
                getAssessmentStatusText(
                  getOrganAssessments(scope.row)[index - 1].status
                )
              }}
            </el-tag>
            <el-tag v-else type="info" size="small">未评估</el-tag>
          </template>
@@ -318,7 +406,9 @@

    <!-- 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 type="primary" @click="handleSaveAll" :loading="saveLoading"
        >保存评估表</el-button
      >
      <el-button @click="handleCancel">取消</el-button>
    </div>

@@ -338,7 +428,7 @@
  assessAdd
} from "@/api/businessApi/index";
import FilePreviewDialog from "@/components/FilePreviewDialog";
import OrganAssessmentForm from "./components/OrganAssessmentForm.vue";
import OrganAssessmentForm from "@/components/assessInfoComponents/OrganAssessmentForm.vue";

export default {
  name: "AssessmentDetail",
@@ -363,42 +453,44 @@
      currentPreviewFile: null,
      attachmentVisible: false,
      // 捐献决定相关
      organdecision: [],
      organdecisionValues: [], // 存储字典value
      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"
      ],
      // 记录捐献决定变化前的值
      prevOrgandecisionValues: [],
      // 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
        C38: ["C38"], // 心脏 -> 心脏
        C22: ["C22"], // 全肝 -> 全肝
        C22L: ["C22L"], // 左半肝 -> 左半肝
        C22L0: ["C22L0"], // 左外叶 -> 左外叶
        C22R: ["C22R"], // 右半肝 -> 右半肝
        C22R0: ["C22R0"], // 右三叶 -> 右三叶
        C64: ["C64L", "C64R"], // 双肾 -> 左肾, 右肾
        C64L: ["C64L"], // 左肾 -> 左肾
        C64R: ["C64R"], // 右肾 -> 右肾
        C34: ["C34L", "C34R"], // 全肺 -> 左肺, 右肺
        C34L: ["C34L"], // 左肺 -> 左肺
        C34R: ["C34R"], // 右肺 -> 右肺
        C17: ["C17"], // 小肠 -> 小肠
        C25: ["C25"], // 胰腺 -> 胰腺
        C00: [], // 遗体 -> 不映射具体器官（遗体是整体）
        C69L: ["C69L"], // 左眼角膜 -> 左眼角膜
        C69R: ["C69R"], // 右眼角膜 -> 右眼角膜
        C01: [] // 其他 -> 不映射具体器官
      },
      // 用户信息
      currentUser: {
        id: "001",
        name: "张医生",
        department: "心脏科",
        role: "doctor" // coordinator, doctor
      }
        role: "coordinator"
      },
      // 记录被删除的器官评估
      deletedOrganAssessments: [],
      // 用于追踪tab激活状态
      activeTabMap: new Map(),
      // 刷新key
      refreshKey: 0
    };
  },
  computed: {
@@ -410,37 +502,46 @@
    },
    // 根据捐献决定过滤后的器官列表
    filteredOrganAssessmentList() {
      if (!this.organdecision || this.organdecision.length === 0) {
      if (!this.organdecisionValues || this.organdecisionValues.length === 0) {
        return [];
      }

      // 获取所有选中的器官类型
      const selectedOrgans = new Set();
      this.organdecision.forEach(decision => {
      this.organdecisionValues.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)
      return this.organAssessmentList.filter(
        organ =>
          selectedOrgans.has(organ.organno) &&
          organ.delFlag !== "1" &&
          !this.deletedOrganAssessments.includes(organ.organno)
      );
    },
    // 检查所有过滤后的器官是否都已评估
    allOrgansAssessed() {
      return this.filteredOrganAssessmentList.every(
        organ =>
          organ.assessments &&
          organ.assessments.length > 0 &&
          organ.assessments.every(
            assessment => assessment.status === "assessed"
          )
      );
      return this.filteredOrganAssessmentList.every(organ => {
        const assessments = this.getOrganAssessments(organ);
        return (
          assessments &&
          assessments.length > 0 &&
          assessments.every(assessment => assessment.status === "assessed")
        );
      });
    },
    // 获取器官字典
    organDict() {
      return this.dict.type.sys_Organ || [];
    },
    // 判断是否需要显示其他输入框
    showOtherInput() {
      return this.organdecisionValues.includes("C01");
    }
  },
  watch: {
    // 监听捐献决定变化，用于复杂逻辑处理
    organdecision: {
    organdecisionValues: {
      handler(newVal, oldVal) {
        this.handleComplexDecisionChange(newVal, oldVal);
      },
@@ -454,13 +555,124 @@
    this.getAssessmentDetail();
  },
  methods: {
    // 根据字典value获取label
    getOrganLabel(organValue) {
      const dictItem = this.organDict.find(item => item.value === organValue);
      return dictItem ? dictItem.label : organValue;
    },

    // Tab点击事件
    handleTabClick(organ, tab) {
      if (tab.name !== "add") {
        this.activeTabMap.set(organ.organno, tab.name);
      }
    },
// 获取功能状态标签类型
  getFunctionStatusTagType(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"
    };
    return textMap[status] || "未评估";
  },

  // 显示附件列表
  showAttachmentList(attachments, assessmentNumber) {
    if (!attachments || attachments.length === 0) {
      this.$message.info(`第${assessmentNumber}次评估暂无附件`);
      return;
    }

    this.$alert(
      `<div>
        <h4>第${assessmentNumber}次评估附件列表</h4>
        <ul style="list-style: none; padding-left: 0;">
          ${attachments.map((item, index) => `
            <li style="margin: 5px 0; padding: 5px; background: #f5f7fa; border-radius: 4px;">
              <i class="el-icon-document"></i>
              <span style="margin-left: 8px;">${item.fileName}</span>
              <el-button
                type="text"
                size="mini"
                onclick="window.open('${item.path || item.fileUrl}')"
                style="margin-left: 10px;"
              >
                下载
              </el-button>
            </li>
          `).join('')}
        </ul>
      </div>`,
      '附件列表',
      {
        dangerouslyUseHTMLString: true,
        showConfirmButton: false,
        showCancelButton: true,
        cancelButtonText: '关闭'
      }
    );
  },
    // 获取器官的评估列表
    getOrganAssessments(organ) {
      if (!organ.assesscontent) return [];
      try {
        const assessData =
          typeof organ.assesscontent === "string"
            ? JSON.parse(organ.assesscontent)
            : organ.assesscontent;

        if (Array.isArray(assessData)) {
          return assessData.filter(item => item.delFlag !== "1");
        }
        return [];
      } catch (error) {
        console.warn("解析评估内容失败:", error);
        return [];
      }
    },

    // 获取评估数量
    getAssessmentCount(organ) {
      return this.getOrganAssessments(organ).length;
    },

    // 处理评估更新
    handleUpdateAssessment(data) {
      const { organData, assessmentData, assessmentIndex } = data;
      const assessments = this.getOrganAssessments(organData);

      if (assessments[assessmentIndex]) {
        // 创建新的评估数组
        const newAssessments = [...assessments];
        newAssessments[assessmentIndex] = {
          ...assessments[assessmentIndex],
          ...assessmentData
        };

        // 更新 assesscontent
        this.$set(organData, "assesscontent", JSON.stringify(newAssessments));
        this.$forceUpdate();
      }
    },

    // 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,
@@ -473,49 +685,49 @@
          idcardno: this.assessmentData.idcardno,
          diagnosisname: this.assessmentData.diagnosisname,
          coordinatorName: this.assessmentData.coordinatorName,
          assessTime: this.assessmentData.assessTime || new Date().toISOString(),
          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(','),
          organdecision: this.organdecisionValues.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)
          }))
          serviceMedicalevaluationorganList: this.organAssessmentList.map(
            organ => ({
              id: organ.id,
              infoid: organ.infoid,
              donorno: organ.donorno,
              organno: organ.organno,
              organname: this.getOrganLabel(organ.organno),
              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,
              delFlag: organ.delFlag || "0",
              assesscontent: organ.assesscontent || "[]"
            })
          )
        };

        // 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.$message.success('评估表保存成功！');
          // 保存成功后，更新本地的 assessmentData.id（对于新增情况）
          this.$message.success("评估表保存成功！");
          if (!this.assessmentData.id && response.data && response.data.id) {
            this.assessmentData.id = response.data.id;
          }
          this.refreshKey += 1; // 触发重新渲染
        } else {
          this.$message.error('保存失败：' + (response.msg || '未知错误'));
          this.$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.$message.error('保存失败，请重试');
        console.error("保存评估表失败:", error);
        this.$message.error("保存失败，请重试");
      } finally {
        this.saveLoading = false;
      }
@@ -527,12 +739,21 @@
    },

    // 捐献决定变更处理
    handleOrganDecisionChange(newDecision) {
      // 自动处理相关逻辑
    async handleOrganDecisionChange(newDecision) {
      const oldDecision = [...this.prevOrgandecisionValues];
      this.autoHandleDecisionChange(newDecision);
      // 强制重新渲染

      const removedDecisions = oldDecision.filter(
        item => !newDecision.includes(item)
      );

      for (const decision of removedDecisions) {
        await this.handleRemovedDecision(decision);
      }

      this.prevOrgandecisionValues = [...newDecision];
      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 = [];
      }
@@ -545,25 +766,36 @@

    // 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"双肾"(value: C64)，自动取消单独的"左肾"(value: C64L)和"右肾"(value: C64R)选择
      if (newDecision.includes("C64")) {
        this.organdecisionValues = newDecision.filter(
          item => item !== "C64L" && item !== "C64R"
        );
      }
      // 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");
      else if (newDecision.includes("C64L") || newDecision.includes("C64R")) {
        this.organdecisionValues = newDecision.filter(item => item !== "C64");
      }

      // 处理互斥逻辑
      // 如果选择了"全肺"(value: C34)，自动取消单独的"左肺"(value: C34L)和"右肺"(value: C34R)选择
      if (newDecision.includes("C34")) {
        this.organdecisionValues = newDecision.filter(
          item => item !== "C34L" && item !== "C34R"
        );
      }
      // 如果选择了"左肺"或"右肺"，取消"全肺"选择
      else if (newDecision.includes("C34L") || newDecision.includes("C34R")) {
        this.organdecisionValues = newDecision.filter(item => item !== "C34");
      }

      // 处理其他互斥逻辑
      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")) {
      // 遗体捐献(value: 10)与其他器官捐献互斥（根据业务需求调整）
      if (this.organdecisionValues.includes("10")) {
        // 可以设置只保留遗体捐献，或者根据业务需求处理
      }
    },
@@ -596,52 +828,91 @@
      const organsToCreate = this.organDecisionMapping[decision];

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

        // 显示创建提示
        if (organsToCreate.length > 0) {
          this.$message.success(
            `已为【${decision}】创建${organsToCreate.length}个评估项`
            `已为【${this.getOrganLabel(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`);
        console.warn(
          `捐献决定【${this.getOrganLabel(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
    async handleRemovedDecision(decision) {
      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
      });

      for (const organValue of relatedOrgans) {
        const organIndex = this.organAssessmentList.findIndex(
          organ => organ.organno === organValue && organ.delFlag !== "1"
        );

        if (organIndex !== -1) {
          const organ = this.organAssessmentList[organIndex];
          const organLabel = this.getOrganLabel(organValue);

          try {
            await this.$confirm(
              `捐献决定"${this.getOrganLabel(
                decision
              )}"已取消，是否删除对应的${organLabel}评估记录？`,
              "确认删除",
              {
                confirmButtonText: "确定",
                cancelButtonText: "取消",
                type: "warning"
              }
            );

            this.$set(this.organAssessmentList[organIndex], "delFlag", "1");
            this.deletedOrganAssessments.push(organValue);

            const keyIndex = this.expandedRowKeys.indexOf(organValue);
            if (keyIndex > -1) {
              this.expandedRowKeys.splice(keyIndex, 1);
            }

            this.$message.success(`${organLabel}评估记录已标记删除`);
          } catch (cancelError) {
            if (!this.organdecisionValues.includes(decision)) {
              this.organdecisionValues.push(decision);
            }
            this.$message.info(`已取消删除${organLabel}评估记录`);
          }
        }
      }
    },

    // 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
    // 确保器官存在
    ensureOrganExists(organValue) {
      const exists = this.organAssessmentList.some(
        organ => organ.organname === organName
        organ => organ.organno === organValue && organ.delFlag !== "1"
      );

      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,
          id: null,
          organno: organValue,
          organname: this.getOrganLabel(organValue),
          gainhospitalname: "待分配机构",
          isbiopsybefore: "0",
          isbiopsyafter: "0",
          ismarginalorgan: "0",
          ispathogenpositive: "0",
          assessments: [this.getDefaultAssessment(0)],
          activeAssessmentTab: "assessment_0",
          assesscontent: JSON.stringify([this.getDefaultAssessment(0)]),
          activeTab: 0,
          expanded: false,
          createTime: new Date().toISOString()
          createTime: new Date().toISOString(),
          delFlag: "0"
        };

        this.organAssessmentList = [...this.organAssessmentList, newOrgan];
@@ -673,7 +944,6 @@
    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] || {};
@@ -688,7 +958,6 @@
        detailData = response;
      }

      // 映射字段到评估数据
      this.assessmentData = {
        id: detailData.id || this.assessmentId,
        infoid: detailData.infoid || this.infoid,
@@ -706,15 +975,16 @@
        assessannex: detailData.assessannex || ""
      };

      // 处理捐献决定数据
      if (detailData.organdecision) {
        this.organdecision = Array.isArray(detailData.organdecision)
        const decisionArray = Array.isArray(detailData.organdecision)
          ? detailData.organdecision
          : (detailData.organdecision || "").split(",");
          : (detailData.organdecision || "").split(",").filter(item => item);

        this.organdecisionValues = decisionArray;
        this.prevOrgandecisionValues = [...decisionArray];
        this.organdecisionOther = detailData.organdecisionOther || "";
      }

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

@@ -722,46 +992,43 @@
    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;
      if (detailData.serviceMedicalevaluationorganList) {
        if (Array.isArray(detailData.serviceMedicalevaluationorganList)) {
          organList = detailData.serviceMedicalevaluationorganList;
        }
      }

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

        // 解析assesscontent字段中的多次评估数据
        if (organ.assesscontent) {
        // 如果 assesscontent 是字符串，确保它是有效的 JSON
        if (organ.assesscontent && typeof organ.assesscontent === "string") {
          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"
                }))
              );
            }
            JSON.parse(organ.assesscontent);
          } catch (error) {
            console.warn("解析评估内容失败:", error);
            assessments.push(this.getDefaultAssessment(0));
            console.warn(
              "无效的 assesscontent，重置为空数组:",
              organ.assesscontent
            );
            organ.assesscontent = "[]";
          }
        } else {
          assessments.push(this.getDefaultAssessment(0));
        } else if (!organ.assesscontent) {
          organ.assesscontent = "[]";
        }

        const assessments = this.getOrganAssessments(organ);
        const activeTab = this.activeTabMap.has(organno)
          ? this.activeTabMap.get(organno)
          : assessments.length > 0
          ? 0
          : "summary";

        return {
          ...organ,
          assessments: assessments,
          activeAssessmentTab: assessments.length > 0 ? "assessment_0" : "summary",
          expanded: false
          organname: this.getOrganLabel(organ.organno) || organ.organname,
          activeTab: activeTab,
          expanded: false,
          delFlag: organ.delFlag || "0"
        };
      });
    },
@@ -777,30 +1044,37 @@
        assessmentOpinion: "",
        clinicalData: {},
        labResults: {},
        createTime: new Date().toISOString()
        createTime: new Date().toISOString(),
        delFlag: "0"
      };
    },

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

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

      const allAssessed = organ.assessments.every(
      const validAssessments = assessments.filter(a => a.delFlag !== "1");
      if (validAssessments.length === 0) {
        return "pending";
      }

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

@@ -845,28 +1119,130 @@

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

      organ.assessments.push(newAssessment);
      organ.activeAssessmentTab = `assessment_${organ.assessments.length - 1}`;
      const newAssessments = [...assessments, newAssessment];
      this.$set(organ, "assesscontent", JSON.stringify(newAssessments));

      organ.activeTab = assessments.length;
      this.activeTabMap.set(organ.organno, assessments.length);

      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);
    // 处理删除评估事件
    handleDeleteAssessment(data) {
      const { organData, assessmentIndex } = data;
      this.deleteOrganAssessment(organData, assessmentIndex);
    },
    // 处理评估保存
    handleSaveAssessment(data) {
      const { organData, assessmentData, assessmentIndex } = data;
      const assessments = this.getOrganAssessments(organData);

      console.log("保存评估数据:", data);

      if (assessments[assessmentIndex]) {
        // 创建新的评估数组
        const newAssessments = [...assessments];
        newAssessments[assessmentIndex] = {
          ...assessments[assessmentIndex],
          ...assessmentData,
          status: "assessed", // 标记为已评估
          assessmentTime: new Date().toISOString(), // 设置评估时间
          delFlag: "0" // 确保删除标志
        };

        // 更新 assesscontent
        this.$set(organData, "assesscontent", JSON.stringify(newAssessments));

        // 强制重新渲染
        this.$forceUpdate();

        this.$message.success("评估保存成功");

        // 检查是否需要自动切换到下一个评估
        this.checkAndSwitchTab(organData, assessmentIndex);
      }
    },

    // 检查并自动切换tab
    checkAndSwitchTab(organData, currentIndex) {
      const assessments = this.getOrganAssessments(organData);
      if (currentIndex < assessments.length - 1) {
        // 如果还有下一个评估，自动切换到下一个
        organData.activeTab = currentIndex + 1;
        this.activeTabMap.set(organData.organno, currentIndex + 1);
      } else {
        // 如果没有下一个评估，切换到汇总页
        organData.activeTab = "summary";
        this.activeTabMap.set(organData.organno, "summary");
      }
    },

    // 删除器官评估
    async deleteOrganAssessment(organ, assessmentIndex) {
      try {
        await this.$confirm(
          `确认删除第${assessmentIndex + 1}次评估记录吗？`,
          "确认删除",
          {
            confirmButtonText: "确定",
            cancelButtonText: "取消",
            type: "warning"
          }
        );

        const assessments = this.getOrganAssessments(organ);
        if (assessments[assessmentIndex]) {
          // 标记为删除
          assessments[assessmentIndex].delFlag = "1";

          // 过滤掉已删除的评估
          const newAssessments = assessments.filter(
            item => item.delFlag !== "1"
          );

          // 重新计算评估索引
          newAssessments.forEach((assessment, index) => {
            assessment.index = index;
          });

          // 更新 assesscontent
          this.$set(organ, "assesscontent", JSON.stringify(newAssessments));

          // 处理tab切换
          if (newAssessments.length === 0) {
            organ.activeTab = "summary";
            this.activeTabMap.set(organ.organno, "summary");
          } else if (organ.activeTab === assessmentIndex) {
            const newIndex = Math.max(0, assessmentIndex - 1);
            organ.activeTab = newIndex;
            this.activeTabMap.set(organ.organno, newIndex);
          } else if (organ.activeTab === "summary") {
            this.activeTabMap.set(organ.organno, "summary");
          }

          this.$message.success("评估记录已删除");
          this.$forceUpdate();
        }
      } catch (cancelError) {
        this.$message.info("已取消删除");
      }
    },

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

      const assessed = organ.assessments.filter(a => a.assessmentTime);
      const assessed = assessments.filter(
        a => a.assessmentTime && a.delFlag !== "1"
      );
      if (assessed.length === 0) return null;

      return assessed.sort(
@@ -896,8 +1272,6 @@

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

      if (this.isCoordinator) return true;
      if (!this.isEdit) return false;
      return (
@@ -934,9 +1308,10 @@
    handleAttachmentPreview() {
      if (this.assessmentData.assessannex) {
        try {
          const annexData = typeof this.assessmentData.assessannex === "string"
            ? JSON.parse(this.assessmentData.assessannex)
            : this.assessmentData.assessannex;
          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];
@@ -965,7 +1340,6 @@
          }
        );

        // 更新评估状态为已完成
        const updateData = {
          ...this.assessmentData,
          assessState: "3",
@@ -1082,17 +1456,210 @@
.fixed-width .el-button {
  margin: 0 2px;
}

/* 捐献决定样式优化 */
.organ-decision-info {
  margin: 10px 0;
/* 汇总页面样式 */
.assessment-summary {
  padding: 10px;
  background-color: #f8f9fa;
  border-radius: 4px;
  border-left: 4px solid #409eff;
}

.decision-tag {
  margin: 2px 5px;
.summary-item {
  font-weight: 500;
  color: #303133;
}

.highlight-text {
  color: #409EFF;
  font-weight: 500;
}

.assessment-detail-card {
  border: 1px solid #e6ebf5;
}

.organ-info-card {
  border: 1px solid #e6ebf5;
  background-color: #fafafa;
}

.no-assessment {
  text-align: center;
  padding: 40px 0;
  color: #909399;
}

.assessment-item {
  margin-bottom: 20px;
}

.assessment-item:last-child {
  margin-bottom: 0;
}

.assessment-card {
  border: 1px solid #dcdfe6;
  border-radius: 8px;
  transition: all 0.3s;
}

.assessment-card:hover {
  box-shadow: 0 2px 12px 0 rgba(0, 0, 0, 0.1);
  border-color: #409EFF;
}

.assessment-title {
  font-size: 16px;
  font-weight: 600;
  color: #303133;
}

.status-tag {
  float: right;
  margin-right: 0;
}

.time-text {
  color: #67C23A;
  font-weight: 500;
}

.opinion-content {
  padding: 8px 12px;
  background: #f5f7fa;
  border-radius: 4px;
  line-height: 1.5;
  color: #606266;
  white-space: pre-wrap;
  word-break: break-word;
}

.detail-descriptions {
  background: #fff;
}

/* 优化表格样式 */
::v-deep .el-table {
  color: #303133;
  font-size: 14px;
}

::v-deep .el-table th {
  background-color: #f5f7fa;
  color: #303133;
  font-weight: 600;
  padding: 12px 0;
}

::v-deep .el-table tr {
  background-color: #fff;
}

::v-deep .el-table tr:hover {
  background-color: #f5f7fa;
}

::v-deep .el-table .cell {
  padding: 12px 10px;
  line-height: 1.5;
}

::v-deep .el-table--striped .el-table__body tr.el-table__row--striped td {
  background-color: #fafafa;
}

::v-deep .el-table--enable-row-hover .el-table__body tr:hover>td {
  background-color: #ecf5ff;
}

/* 可评估行样式 */
::v-deep .assessable-row {
  background-color: #f0f9ff !important;
}

::v-deep .assessable-row:hover {
  background-color: #d9ecff !important;
}

::v-deep .non-assessable-row {
  background-color: #fafafa !important;
}

/* 描述列表样式优化 */
::v-deep .el-descriptions__label {
  width: 120px;
  background-color: #f5f7fa;
  font-weight: 600;
  color: #303133;
}

::v-deep .el-descriptions__content {
  background-color: #fff;
  color: #606266;
}

::v-deep .el-descriptions__body {
  background-color: #fff;
}

/* 卡片样式优化 */
::v-deep .el-card__header {
  background-color: #f5f7fa;
  border-bottom: 1px solid #e6ebf5;
  padding: 12px 20px;
  font-weight: 600;
  color: #303133;
}

::v-deep .el-card__body {
  padding: 20px;
}

/* 标签样式优化 */
::v-deep .el-tag {
  font-weight: 500;
  border-radius: 12px;
  padding: 0 10px;
  height: 24px;
  line-height: 22px;
}

/* 按钮样式优化 */
::v-deep .el-button--mini {
  padding: 7px 12px;
  font-size: 12px;
  border-radius: 4px;
}

/* Tab样式优化 */
::v-deep .el-tabs__item {
  font-weight: 500;
  color: #606266;
}

::v-deep .el-tabs__item.is-active {
  color: #409EFF;
  font-weight: 600;
}

::v-deep .el-tabs__nav-wrap::after {
  background-color: #e4e7ed;
}

::v-deep .el-tabs--card>.el-tabs__header .el-tabs__item.is-active {
  background-color: #fff;
  border-bottom-color: #fff;
}

/* 响应式设计 */
@media (max-width: 768px) {
  .assessment-summary {
    padding: 5px;
  }

  ::v-deep .el-table .cell {
    padding: 8px 5px;
  }

  .assessment-card {
    margin-bottom: 10px;
  }
}
</style>