从网页中提取病历字段并生成结构化 JSON，一键复制/下载；适配你提供的 DOM 类名与结构（.name/.sex/.agevalue/.selectage/.lxdh/.pidno/.emr_row/.tz_row 等）
// ==UserScript==
// @name EMR 胸痛病历提取
// @namespace emr.extractor.sun
// @version 1.3.2
// @description 从网页中提取病历字段并生成结构化 JSON，一键复制/下载；适配你提供的 DOM 类名与结构（.name/.sex/.agevalue/.selectage/.lxdh/.pidno/.emr_row/.tz_row 等）
// @match *://*/*
// @run-at document-end
// @grant GM_addStyle
// @license MIT
// ==/UserScript==
(function () {
'use strict';
/** ===========================
* 可调配置：如页面类名有差异，可在此微调
* ===========================
*/
const SEL = {
name: 'input.name', // 姓名
sex: 'select.sex', // 性别
ageValue: 'input.agevalue', // 年龄数字
ageUnit: 'select.selectage', // 年龄单位（岁/月/天）
phone: 'input.lxdh', // 电话
idcard: 'input.pidno', // 居民身份证
emrBlocks: '.emr_row .content.input_emr', // 主诉/现病史/体检/处理 —— 顺序映射
tzBlock: '.tz_row', // 体征父容器
outpNo: '#outpNO', // 门诊号
// 体征各项（在 tzBlock 内）
vsign: {
tw: '.vsign_tw', // 体温 ℃
hx: '.vsign_hx', // 呼吸 次/分
mb: '.vsign_mb', // 脉搏 次/分
xl: '.vsign_xl', // 心率 次/分
gxy: '.vsign_gxy', // 收缩压 mmHg
dxy: '.vsign_dxy', // 舒张压 mmHg
xt : '.vsign_xt', // 血糖 mmol/L
sg : '.vsign_sg', // 身高 cm
tz : '.vsign_tz', // 体重 kg
bmi: '.vsign_bmi', // BMI（若页面未计算，脚本会自动计算）
bloodType: '.vsign_bloodtype', // 血型
xybhd: '.vsign_xybhd', // 血氧饱和度 %
yw : '.vsign_yw', // 腰围 cm
}
};
// 主诉/现病史/体格检查/处理意见的顺序约定（与页面 emrBlocks 顺序一致）
const EMR_ORDER = ['chief_complaint', 'present_illness', 'physical_exam', 'treatment_plan'];
/** ============ 工具函数 ============ */
const $one = (sel, root = document) => root.querySelector(sel) || null;
const $all = (sel, root = document) => Array.from(root.querySelectorAll(sel));
const getVal = (el) => {
if (!el) return '';
// 优先取 .value；对于 contenteditable 取 innerText；若有 data-value 作为备选
if (typeof el.value === 'string' && el.value.trim() !== '') return el.value.trim();
const text = (el.innerText || el.textContent || '').trim();
if (text) return text;
if (el.dataset && el.dataset.value) return (el.dataset.value || '').trim();
if (el.getAttribute) {
const dv = el.getAttribute('data-oldvalue') || el.getAttribute('data-value') || '';
if (dv && dv.trim()) return dv.trim();
}
return '';
};
const getSelectText = (selEl) => {
if (!selEl) return '';
const opt = selEl.selectedOptions && selEl.selectedOptions[0];
if (opt) return (opt.textContent || opt.value || '').trim();
// 退化：直接返回 value
return (selEl.value || '').trim();
};
const toNumber = (s) => {
if (typeof s === 'number') return s;
if (!s) return NaN;
const m = String(s).match(/-?\d+(\.\d+)?/);
return m ? parseFloat(m[0]) : NaN;
};
const safeText = (s) => (s || '').replace(/\u00A0/g, ' ').trim();
const computeBMI = (height_cm, weight_kg) => {
const h = toNumber(height_cm);
const w = toNumber(weight_kg);
if (!isFinite(h) || !isFinite(w) || h <= 0) return '';
const bmi = w / Math.pow(h / 100, 2);
return bmi ? bmi.toFixed(1) : '';
};
const nowISO = () => new Date().toISOString();
/** ============ 提取主函数 ============ */
function extractEMR() {
const nameEl = $one(SEL.name);
const sexEl = $one(SEL.sex);
const ageValueEl = $one(SEL.ageValue);
const ageUnitEl = $one(SEL.ageUnit);
const phoneEl = $one(SEL.phone);
const idEl = $one(SEL.idcard);
const outpNoEl = $one(SEL.outpNo);
// 获取电话号，直接从 data-* 属性中提取
let phoneValue = phoneEl ? phoneEl.dataset.value || phoneEl.dataset.oldvalue : '';
console.log('提取的电话号：', phoneValue); // 打印提取的电话号
// 获取身份证号，直接从 data-* 属性中提取
let idCardValue = idEl ? idEl.dataset.value || idEl.dataset.oldvalue : '';
console.log('提取的身份证号：', idCardValue); // 打印提取的身份证号
// 获取门诊号
const outpNoValue = outpNoEl ? getVal(outpNoEl) : '';
console.log('提取的门诊号：', outpNoValue); // 打印提取的门诊号
// 基本信息
const base = {
outp_no: outpNoValue, // 提取门诊号
name: getVal(nameEl),
sex: getSelectText(sexEl) || getVal(sexEl),
age: (getVal(ageValueEl) ? `${getVal(ageValueEl)}${getSelectText(ageUnitEl) || getVal(ageUnitEl) || ''}` : ''),
phone: phoneValue, // 直接从 data-* 属性提取电话号
id_card: idCardValue, // 直接从 data-* 属性提取身份证号
};
// 主诉 / 现病史 / 体格检查 / 处理意见（按顺序）
const emrBlocks = $all(SEL.emrBlocks); // 更新为选取多个元素
const emr = {};
EMR_ORDER.forEach((key, i) => {
if (key === 'physical_exam') { // 体格检查（查体）
const physicalExamElement = document.querySelector('div[section-title="体格检查"] span.content.input_emr');
emr[key] = safeText(getVal(physicalExamElement));
} else if (key === 'treatment_plan') { // 处理意见
const treatmentPlanElement = document.querySelector('div[section-title="处理意见"] span.content.input_emr');
emr[key] = safeText(getVal(treatmentPlanElement));
} else {
const el = emrBlocks[i];
emr[key] = safeText(getVal(el));
}
});
// 体征
const tzRoot = $one(SEL.tzBlock) || document;
const v = SEL.vsign;
const tw = getVal($one(v.tw, tzRoot));
const hx = getVal($one(v.hx, tzRoot));
const mb = getVal($one(v.mb, tzRoot));
const xl = getVal($one(v.xl, tzRoot));
const sys = getVal($one(v.gxy, tzRoot));
const dia = getVal($one(v.dxy, tzRoot));
const xt = getVal($one(v.xt, tzRoot));
const sg = getVal($one(v.sg, tzRoot));
const tz = getVal($one(v.tz, tzRoot));
const bmiRaw = getVal($one(v.bmi, tzRoot));
const bloodType = getVal($one(v.bloodType, tzRoot));
const xybhd = getVal($one(v.xybhd, tzRoot));
const yw = getVal($one(v.yw, tzRoot));
const bmi = bmiRaw || computeBMI(sg, tz);
const vitals = {
temperature_c: tw || '',
respiration_bpm: hx || '',
pulse_bpm: mb || '',
heart_rate_bpm: xl || '',
blood_pressure: (sys || dia) ? `${sys || ''}/${dia || ''} mmHg` : '',
glucose_mmol_L: xt || '',
height_cm: sg || '',
weight_kg: tz || '',
bmi: bmi || '',
blood_type: bloodType || '',
spo2_percent: xybhd || '',
waist_cm: yw || '',
};
const result = {
meta: {
extracted_at: nowISO(),
page_title: document.title,
url: location.href
},
base,
emr,
vitals
};
return result;
}
/** ============ UI：浮窗 + 操作按钮 ============ */
function createPanel() {
GM_addStyle(`
.emr-extractor-panel {
position: fixed; right: 16px; bottom: 16px; z-index: 2147483647;
width: 360px; background: #ffffff; border: 1px solid #e5e7eb; border-radius: 14px;
box-shadow: 0 6px 30px rgba(0,0,0,.08); font-family: -apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica,Arial,ui-sans-serif;
}
.emr-extractor-header {
display:flex; align-items:center; justify-content:space-between;
padding: 10px 12px; border-bottom: 1px solid #f1f5f9; cursor: move;
}
.emr-extractor-title { font-size: 14px; font-weight: 600; }
.emr-extractor-body { padding: 12px; }
.emr-extractor-textarea {
width:100%; height:160px; font-size:12px; line-height:1.45; padding:8px;
border:1px solid #e5e7eb; border-radius:10px; resize: vertical; box-sizing: border-box;
background:#fafafa;
}
.emr-extractor-actions { display:flex; gap:8px; margin-top:10px; }
.emr-btn {
flex:1; border:1px solid #e5e7eb; background:#0ea5e9; color:#fff; padding:8px 10px;
border-radius:10px; font-size:12px; cursor:pointer; transition: all .15s ease;
}
.emr-btn.secondary { background:#fff; color:#111827; }
.emr-btn:hover { transform: translateY(-1px); box-shadow: 0 6px 18px rgba(0,0,0,.08); }
.emr-extractor-footer {
display:flex; justify-content:space-between; align-items:center;
padding: 8px 12px; border-top:1px solid #f1f5f9; font-size:11px; color:#6b7280;
}
.emr-extractor-close { cursor:pointer; padding:2px 6px; border-radius:6px; }
.emr-extractor-close:hover { background:#f3f4f6; }
`);
const panel = document.createElement('div');
panel.className = 'emr-extractor-panel';
panel.innerHTML = `
<div class="emr-extractor-header" id="emrExtractorHeader">
<div class="emr-extractor-title">病历提取</div>
<div class="emr-extractor-close" id="emrExtractorClose">✕</div>
</div>
<div class="emr-extractor-body">
<textarea class="emr-extractor-textarea" id="emrExtractorOutput" placeholder="点击“提取数据”后显示 JSON 结果"></textarea>
<div class="emr-extractor-actions">
<button class="emr-btn secondary" id="emrExtractorExtract">提取数据</button>
<button class="emr-btn" id="emrExtractorCopy">复制文本</button>
<button class="emr-btn secondary" id="emrExtractorDownload">下载JSON</button>
</div>
</div>
<div class="emr-extractor-footer">
<span>映射顺序：主诉 → 现病史 → 体格检查 → 处理意见</span>
<span id="emrExtractorStatus"></span>
</div>
`;
document.body.appendChild(panel);
// 拖动
(function makeDraggable() {
const header = panel.querySelector('#emrExtractorHeader');
let isDown = false, startX=0, startY=0, startLeft=0, startTop=0;
header.addEventListener('mousedown', (e) => {
isDown = true;
startX = e.clientX; startY = e.clientY;
const rect = panel.getBoundingClientRect();
startLeft = rect.left; startTop = rect.top;
e.preventDefault();
});
document.addEventListener('mousemove', (e) => {
if (!isDown) return;
const dx = e.clientX - startX;
const dy = e.clientY - startY;
panel.style.left = `${startLeft + dx}px`;
panel.style.top = `${startTop + dy}px`;
panel.style.right = 'auto';
panel.style.bottom = 'auto';
});
document.addEventListener('mouseup', () => { isDown = false; });
})();
// 事件
const closeBtn = panel.querySelector('#emrExtractorClose');
const extractBtn = panel.querySelector('#emrExtractorExtract');
const copyBtn = panel.querySelector('#emrExtractorCopy');
const downloadBtn = panel.querySelector('#emrExtractorDownload');
const output = panel.querySelector('#emrExtractorOutput');
const status = panel.querySelector('#emrExtractorStatus');
closeBtn.addEventListener('click', () => panel.remove());
extractBtn.addEventListener('click', () => {
try {
const data = extractEMR();
output.value = JSON.stringify(data, null, 2);
status.textContent = '✓ 已提取';
console.info('[EMR Extractor] Extracted:', data);
} catch (err) {
console.error('[EMR Extractor] 提取失败：', err);
status.textContent = '✗ 提取失败';
alert('提取失败：' + (err && err.message ? err.message : String(err)));
}
});
copyBtn.addEventListener('click', async () => {
try {
const data = extractEMR();
const textToCopy = `
"门诊号": "${data.base.outp_no}",
"姓名": "${data.base.name}",
"性别": "${data.base.sex}",
"年龄": ${data.base.age},
"联系电话": "${data.base.phone}",
"身份证": "${data.base.id_card}",
"现病史": "${data.emr.present_illness}",
"意识": "清醒",
"呼吸": ${data.vitals.respiration_bpm},
"脉搏": ${data.vitals.pulse_bpm},
"心率": ${data.vitals.heart_rate_bpm},
"血压": "${data.vitals.blood_pressure}",
"处理意见": "${data.emr.treatment_plan}"
`;
// 使用 Clipboard API 复制文本
if (navigator.clipboard && navigator.clipboard.writeText) {
await navigator.clipboard.writeText(textToCopy);
status.textContent = '✓ 已复制';
} else {
// 使用 document.execCommand 作为回退方案
const textarea = document.createElement('textarea');
textarea.value = textToCopy;
document.body.appendChild(textarea);
textarea.select();
document.execCommand('copy');
document.body.removeChild(textarea);
status.textContent = '✓ 已复制';
}
} catch (err) {
console.error('[EMR Extractor] 复制失败：', err);
status.textContent = '✗ 复制失败';
alert('复制失败：' + (err && err.message ? err.message : String(err)));
}
});
downloadBtn.addEventListener('click', () => {
try {
const val = output.value.trim() || JSON.stringify(extractEMR(), null, 2);
const blob = new Blob([val], { type: 'application/json;charset=utf-8' });
const a = document.createElement('a');
const ts = new Date().toISOString().replace(/[:.]/g, '-');
a.download = `emr_extract_${ts}.json`;
a.href = URL.createObjectURL(blob);
a.click();
URL.revokeObjectURL(a.href);
status.textContent = '✓ 已下载';
} catch (err) {
console.error('[EMR Extractor] 下载失败：', err);
status.textContent = '✗ 下载失败';
alert('下载失败：' + (err && err.message ? err.message : String(err)));
}
});
}
/** 初始化：避免重复注入 */
if (!document.querySelector('.emr-extractor-panel')) {
createPanel();
}
})();