setDescription('上报监管平台'); } public function handle() { $this->line("开始"); // 获取需执行总数 $order_prescription_count = $this->getOrderPrescriptionCount(); if ($order_prescription_count <= 0) { $this->line("结束:无可执行订单"); return; } for ($i = 0; $i < $order_prescription_count; $i++) { // 获取待上报订单 $order_prescription = $this->getOrderPrescription($i); if (empty($order_prescription)) { $this->line("结束:本轮无可执行订单"); continue; } $this->line("开始:" . $order_prescription['order_prescription_id']); try { $this->line("信息:检测执行次数"); $res = $this->checkHandleNumber($order_prescription['order_prescription_id']); } catch (\Exception $e) { $this->line("错误:" . $e->getMessage()); continue; } if (!$res) { $this->line("错误:超出最大执行次数或检测错误"); Db::beginTransaction(); try { // 修改为上报失败 $this->line("错误:记录上报失败"); $res = $this->modifyReportRegulatoryInquiry($order_prescription, 2, 1, "超出最大执行次数或检测错误"); if (!$res) { Db::rollBack(); $this->line("错误:系统错误"); continue; } // 修改为上报失败 $this->line("错误:记录上报失败"); $res = $this->modifyReportRegulatoryPrescription($order_prescription, 2, "超出最大执行次数或检测错误"); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } Db::commit(); continue; } catch (\Exception $e) { Db::rollBack(); $this->line("错误:" . $e->getMessage()); continue; } } $this->line("信息:检测执行次数通过"); // 获取问诊订单数据 $order_inquiry = $this->getOrderInquiry($order_prescription['order_inquiry_id']); if (empty($order_inquiry)) { // 无问诊数据,跳过 $this->line("错误:问诊订单数据为空"); continue; } $res = $this->checkInquiryOrder($order_inquiry); if (!$res) { // 问诊订单数据不符合条件,不执行 continue; } $this->line("信息:上报监管平台-问诊"); try { // 检测问诊是否已经上报监管平台 $res = $this->checkIsReportRegulatoryInquiry($order_prescription['order_inquiry_id']); if (!$res) { // 检测患者是否首次问诊 $is_first = $this->checkPatientFirstInquiry($order_prescription['patient_id'], $order_prescription['order_prescription_id']); // 获取上报监管数据-问诊 $report_inquiry_data = $this->getReportInquiryData($order_inquiry, $order_prescription, $is_first); // 上报监管平台-问诊 $res = $this->reportRegulatoryInquiry($report_inquiry_data, $is_first); if (empty($res)) { // 上报成功 $res = $this->modifyReportRegulatoryInquiry($order_prescription, 1, $is_first ? 1 : 2); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } } else { // 上报失败 $res = $this->modifyReportRegulatoryInquiry($order_prescription, 2, $is_first ? 1 : 2, $res); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } } } } catch (\Exception $e) { $this->line("错误:" . $e->getMessage()); // 上报失败 $res = $this->modifyReportRegulatoryInquiry($order_prescription, 2, $is_first ? 1 : 2, $e->getMessage()); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } continue; } $this->line("信息:上报监管平台-处方"); try { // 检测处方是否已经上报监管平台 $res = $this->checkIsReportRegulatoryPrescription($order_prescription['order_inquiry_id']); if (!$res) { // 获取上报监管数据-处方 $report_prescription_data = $this->getReportPrescriptionData($order_inquiry, $order_prescription); // 上报监管平台-处方 $res = $this->reportRegulatoryPrescription($report_prescription_data); if (empty($res)) { // 上报成功 $res = $this->modifyReportRegulatoryPrescription($order_prescription, 1); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } } else { // 上报失败 $res = $this->modifyReportRegulatoryPrescription($order_prescription, 2, $e->getMessage()); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } } } } catch (\Exception $e) { $this->line("错误:" . $e->getMessage()); // 上报失败 $res = $this->modifyReportRegulatoryPrescription($order_prescription, 2, $res); if (!$res) { // 记录失败 $this->line("错误:记录失败"); } } $this->line("结束:" . $order_prescription['order_prescription_id']); } $this->line("全部结束"); } /** * 获取符合条件的处方订单个数 * @return int */ private function getOrderPrescriptionCount(): int { $params = array(); $params['pharmacist_audit_status'] = 1; $prescription_status_params = [2, 3, 4]; return OrderPrescription::getStatusCount($params, $prescription_status_params); } /** * 获取符合条件的处方订单 * @param int $offset 起始位置 * @param int $limit 个数 * @return array */ private function getOrderPrescription(string|int $offset): array { $params = array(); $params['pharmacist_audit_status'] = 1; $prescription_status_params = [2,3,4]; $order_prescription = OrderPrescription::getStatusLimit($params,$prescription_status_params,["*"],$offset,1); if (empty($order_prescription)){ return []; } $order_prescription = $order_prescription->toArray(); return $order_prescription[0]; } /** * 检测执行次数 * @param string $order_prescription_id * @return bool * @throws ContainerExceptionInterface * @throws NotFoundExceptionInterface */ protected function checkHandleNumber(string $order_prescription_id): bool { try { $redis = $this->container->get(Redis::class); $redis_key = "ReportRegulatoryInquiry" . $order_prescription_id; $redis_value = $redis->get($redis_key); if (empty($redis_value)) { $redis->set($redis_key, 1, 60 * 60 * 24 * 5); return true; } // 执行次数过多 if ($redis_value > 1) { // 加入短信队列,通知管理员 return false; } $redis->incr($redis_key); } catch (\Exception $e) { return false; } return true; } /** * 新增/修改 问诊数据 * @param array|object $order_prescription * @param int $report_inquiry_status 问诊上报状态(0:未上报 1:已上报 2:上报失败) * @param int $report_inquiry_type 问诊上报类型(1:网络初诊 2:网络复诊) * @param string $report_inquiry_fail_reason 问诊上报失败原因 * @return bool */ private function modifyReportRegulatoryInquiry(array|object $order_prescription, int $report_inquiry_status, int $report_inquiry_type, string $report_inquiry_fail_reason = ""): bool { try { // 检测数据是否存在 $params = array(); $params['order_inquiry_id'] = $order_prescription['order_inquiry_id']; $report_regulatory = ReportRegulatory::getOne($params); if (empty($report_regulatory)) { // 新增 $data = array(); $data['order_inquiry_id'] = $order_prescription['order_inquiry_id']; $data['order_prescription_id'] = $order_prescription['order_prescription_id']; $data['report_inquiry_status'] = $report_inquiry_status; $data['report_inquiry_type'] = $report_inquiry_type; $data['report_inquiry_time'] = date('Y-m-d H:i:s', time()); $data['report_inquiry_fail_reason'] = $report_inquiry_fail_reason; $report_regulatory = ReportRegulatory::addReportRegulatory($data); if (empty($report_regulatory)) { return false; } } else { // 修改 $params = array(); $params['order_inquiry_id'] = $order_prescription['order_inquiry_id']; $data = array(); $data['report_inquiry_status'] = $report_inquiry_status; $data['report_inquiry_type'] = $report_inquiry_type; $data['report_inquiry_time'] = date('Y-m-d H:i:s', time()); $data['report_inquiry_fail_reason'] = $report_inquiry_fail_reason; ReportRegulatory::edit($params, $data); } } catch (\Exception $e) { $this->line("失败:" . $e->getMessage()); return false; } return true; } /** * 新增/修改 处方数据 * @param array|object $order_prescription * @param int $report_prescription_status 处方上报状态(0:未上报 1:已上报 2:上报失败) * @param string $report_prescription_fail_reason 处方上报失败原因 * @return bool */ private function modifyReportRegulatoryPrescription(array|object $order_prescription, int $report_prescription_status, string $report_prescription_fail_reason = ""): bool { try { // 检测数据是否存在 $params = array(); $params['order_inquiry_id'] = $order_prescription['order_inquiry_id']; $report_regulatory = ReportRegulatory::getOne($params); if (empty($report_regulatory)) { // 新增 $data = array(); $data['order_inquiry_id'] = $order_prescription['order_inquiry_id']; $data['order_prescription_id'] = $order_prescription['order_prescription_id']; $data['report_prescription_status'] = $report_prescription_status; $data['report_prescription_time'] = date('Y-m-d H:i:s', time()); $data['report_prescription_fail_reason'] = $report_prescription_fail_reason; $report_regulatory = ReportRegulatory::addReportRegulatory($data); if (empty($report_regulatory)) { return false; } } else { // 修改 $params = array(); $params['order_inquiry_id'] = $order_prescription['order_inquiry_id']; $data = array(); $data['report_prescription_status'] = $report_prescription_status; $data['report_prescription_time'] = date('Y-m-d H:i:s', time()); $data['report_prescription_fail_reason'] = $report_prescription_fail_reason; ReportRegulatory::edit($params, $data); } } catch (\Exception $e) { $this->line("失败:" . $e->getMessage()); return false; } return true; } /** * 获取问诊订单数据 * @param string $order_inquiry_id * @return array */ private function getOrderInquiry(string $order_inquiry_id): array { $params = array(); $params['order_inquiry_id'] = $order_inquiry_id; $order_inquiry = OrderInquiry::getOne($params); if (empty($order_inquiry)) { return []; } return $order_inquiry->toArray(); } /** * 检测问诊订单数据 * @param array|object $order_inquiry 问诊订单数据 * @return bool true:可执行 false:不可执行 */ private function checkInquiryOrder(array|object $order_inquiry): bool { // 检测问诊订单状态 $inquiry_status = [5, 6, 7];// 5:已完成 6:已结束 7:已取消 if (!in_array($order_inquiry['inquiry_status'], $inquiry_status)) { // 问诊订单状态(1:待支付 2:待分配 3:待接诊 4:已接诊 5:已完成 6:已结束 7:已取消) $this->line("信息:订单状态未完成-不执行"); return false; } // 已取消状态,查看是否完成后取消的 if ($order_inquiry['inquiry_status'] == 7 && $order_inquiry['cancel_reason'] != 4 && empty($order_inquiry['complete_time'])) { $this->line("信息:订单为取消的未完成订单,不执行"); return false; } return true; } /** * 检测患者是否首次问诊-是否开具过处方 * @param string $patient_id * @param string $order_prescription_id * @return bool true:首次 false:复诊 */ private function checkPatientFirstInquiry(string $patient_id, string $order_prescription_id): bool { $params = array(); $params['patient_id'] = $patient_id; $params['pharmacist_audit_status'] = 1; $prescription_status_params = [2, 3, 4]; $order_prescriptions = OrderPrescription::getStatusList($params, $prescription_status_params); if (empty($order_prescriptions)) { return true; } foreach ($order_prescriptions as $item) { if ($item['order_prescription_id'] == $order_prescription_id) { continue; } // 开具过处方 return false; } return true; } /** * 检测问诊是否已经上报监管平台 * @param string $order_inquiry_id * @return bool true:已上报 false:未上报 */ private function checkIsReportRegulatoryInquiry(string $order_inquiry_id): bool { $params = array(); $params['order_inquiry_id'] = $order_inquiry_id; $report_regulatory = ReportRegulatory::getOne($params); if (empty($report_regulatory)) { return false; } if ($report_regulatory['report_inquiry_status'] == 1) { return true; } return false; } /** * 检测处方是否已经上报监管平台 * @param string $order_inquiry_id * @return bool true:已上报 false:未上报 */ private function checkIsReportRegulatoryPrescription(string $order_inquiry_id): bool { $params = array(); $params['order_inquiry_id'] = $order_inquiry_id; $report_regulatory = ReportRegulatory::getOne($params); if (empty($report_regulatory)) { return false; } if ($report_regulatory['report_prescription_status'] == 1) { return true; } return false; } /** * 获取上报监管数据-问诊 * @param array|object $order_inquiry * @param array|object $order_prescription * @param bool $is_first 是否首次问诊 true:是 1:否 * @return bool|array */ private function getReportInquiryData(array|object $order_inquiry, array|object $order_prescription, bool $is_first = true): bool|array { // 获取医生数据 $params = array(); $params['doctor_id'] = $order_inquiry['doctor_id']; $user_doctor = UserDoctor::getOne($params); if (empty($user_doctor)) { $this->line("错误:医生数据错误"); return false; } $params = array(); $params['doctor_id'] = $order_inquiry['doctor_id']; $user_doctor_info = UserDoctorInfo::getOne($params); if (empty($user_doctor_info)) { $this->line("错误:医生详情数据错误"); return false; } // 获取医生自定义科室数据 $params = array(); $params['department_custom_id'] = $user_doctor['department_custom_id']; $hospital_department_custom = HospitalDepartmentCustom::getOne($params); if (empty($hospital_department_custom)) { $this->line("错误:医生自定义数据错误"); return false; } // 获取问诊患者数据 $params = array(); $params['family_id'] = $order_inquiry['family_id']; $patient_family = PatientFamily::getOne($params); if (empty($patient_family)) { $this->line("错误:问诊患者数据错误"); return false; } // 获取患者问诊病例 $params = array(); $params['order_inquiry_id'] = $order_inquiry['order_inquiry_id']; $params['status'] = 1; $order_inquiry_case = OrderInquiryCase::getOne($params); if (empty($order_inquiry_case)) { $this->line("错误:患者问诊病例错误"); return false; } if ($is_first) { $this->line("信息:患者首次问诊"); // 初诊 // 网络咨询(网络门诊)服务 $data = array(); $data['thirdUniqueid'] = $order_inquiry['order_inquiry_id']; // 唯一标识 $data['orgName'] = "成都金牛欣欣相照互联网医院"; // 机构名称 $data['orgCode'] = "MA6CGUDA251010619D2112"; // 机构编码 $data['channelName'] = "成都金牛欣欣相照互联网医院";//平台名称 $data['section'] = $hospital_department_custom['department_name'];//科室名称 $data['sectionCode'] = $hospital_department_custom['department_code'];//科室编码 $data['docName'] = $user_doctor['user_name'];// 姓名(医师、护师、技师) $data['certificateNum'] = $user_doctor_info['qualification_cert_num']; // 执业资格证号 $data['patientName'] = $order_inquiry['patient_name']; // 患者姓名 $data['patientAge'] = (int)$order_inquiry['patient_age']; // 患者年龄 $data['patientSex'] = $order_inquiry['patient_sex'] == 0 ?: 1; // 患者性别 $data['patientIdcardType'] = 1; // 证件类型 $data['patientIdcardNum'] = $patient_family['id_number']; // 患者证件号码 $data['serviceType'] = 1; // 服务类型 1网络咨询 2网络门诊 $data['consultNo'] = $order_inquiry['inquiry_no']; // 网络咨询或网络门诊编号 订单编号 $data['consultType'] = 1; // 咨询类别 1、图文咨询 2语音咨询3、视频咨询 $data['consultApplyTime'] = $order_inquiry['created_at']; // 咨询申请时间 $data['consultStartTime'] = $order_inquiry['reception_time']; // 咨询开始时间 $data['consultEndTime'] = $order_inquiry['complete_time']; // 咨询结束时间 $data['feeType'] = 1; // 费别 1自费 2医保 $data['price'] = $order_inquiry['payment_amount_total']; // 咨询价格 元 $data['isReply'] = 1; //咨询是否回复 0未回复 1已回复 $data['patientEvaluate'] = 1; //患者满意度 1-5 1代表非常满意 5代表非常不满意 $data['complainInfo'] = "无"; //投诉举报信息 $data['disposeResult'] = "无"; //处理结果信息 $data['isRiskWarn'] = 1; //是否进行诊前风险提示 0否 1是 $data['isPatientSign'] = 1; //是否确认患者为签约对象 0否 1是 $data['uploadTime'] = date('Y-m-d H:i:s', time()); //上传时间 $data['medicalHistory'] = $order_inquiry_case['disease_desc']; //患者病史描述 $data['docAdvice'] = $order_prescription['doctor_advice'] ?? "无"; // 医生建议描述 医嘱 $data['cityId'] = "510100"; // 城市ID(参考地区字段) $data['isMark'] = 1;//是否留痕 1:代表留痕;0代表未留痕 } else { $this->line("信息:患者复诊"); // 获取患者首次问诊病例数据 $params = array(); $params['patient_id'] = $order_inquiry['patient_id']; $params['pharmacist_audit_status'] = 1; $prescription_status_params = [2, 3, 4]; $first_order_prescription = OrderPrescription::getStatusOne($params, $prescription_status_params); if (empty($first_order_prescription)) { // 复诊,但是未找到复诊处方单 $this->line("错误:无初诊处方单"); return false; } // 获取患者初诊疾病诊断数据 $params = array(); $params['order_prescription_id'] = $first_order_prescription['order_prescription_id']; $first_order_prescription_icd = OrderPrescriptionIcd::getList($params); if (empty($first_order_prescription_icd)) { // 复诊,但是未找到关联疾病 $this->line("错误:无初诊疾病诊断数据"); return false; } $first_icd_name_data = array_column($first_order_prescription_icd->toArray(), 'icd_name'); if (!empty($first_icd_name_data)) { if (count($first_icd_name_data) > 1) { $first_icd_name = implode('|', $first_icd_name_data); } else { $first_icd_name = $first_icd_name_data[0]; } } // 获取患者复诊疾病诊断数据 $params = array(); $params['order_prescription_id'] = $order_prescription['order_prescription_id']; $order_prescription_icd = OrderPrescriptionIcd::getList($params); if (empty($order_prescription_icd)) { // 复诊,但是未找到关联疾病 $this->line("错误:无复诊疾病诊断数据"); return false; } $icd_name_data = array_column($order_prescription_icd->toArray(), 'icd_name'); if (!empty($icd_name_data)) { if (count($icd_name_data) > 1) { $icd_name = implode('|', $icd_name_data); } else { $icd_name = $icd_name_data[0]; } } // icd编码 $icd_code_data = array_column($order_prescription_icd->toArray(), 'icd_code'); if (!empty($icd_code_data)) { if (count($icd_code_data) > 1) { $icd_code = implode('|', $icd_code_data); } else { $icd_code = $icd_code_data[0]; } } // 网络复诊服务 $data = array(); $data['thirdUniqueid'] = $order_inquiry['order_inquiry_id']; // 唯一标识 $data['orgName'] = "成都金牛欣欣相照互联网医院"; // 机构名称 $data['orgCode'] = "MA6CGUDA251010619D2112"; // 机构编码 $data['channelName'] = "成都金牛欣欣相照互联网医院";//平台名称 $data['section'] = $hospital_department_custom['department_name'];//科室名称 $data['sectionCode'] = $hospital_department_custom['department_code'];//科室编码 $data['docName'] = $user_doctor['user_name'];// 复诊医师姓名 $data['certificateNum'] = $user_doctor_info['qualification_cert_num']; // 执业资格证号 $data['patientName'] = $order_inquiry['patient_name']; // 患者姓名 $data['patientAge'] = (int)$order_inquiry['patient_age']; // 患者年龄 $data['patientSex'] = $order_inquiry['patient_sex'] == 0 ?: 1; // 患者性别 $data['patientIdcardType'] = 1; // 证件类型 $data['patientIdcardNum'] = $patient_family['id_number']; // 患者证件号码 $data['furtherConsultNo'] = $order_inquiry['order_inquiry_id']; // 网络复诊编号 $data['furtherConsulType'] = "1"; // 复诊类别 1、图文诊疗 2、语音诊疗 3、视频诊疗 $data['medicalHistory'] = $order_inquiry_case['disease_desc']; //患者病史描述 $data['consultDiagnosisType'] = 1; // 首诊诊断类型 $data['consultDiagnosis'] = $first_icd_name; // 首诊诊断 复诊患者在首诊医院的诊断,如有多条,使用“|”进行分隔;当传图片时,需要传图片的base64字符串 $data['consultTime'] = $first_order_prescription['doctor_created_time']; // 首诊时间 $data['consultOrg'] = "成都金牛欣欣相照互联网医院"; // 首诊机构 $data['furtherConsultApplyTime'] = $order_inquiry['created_at']; // 复诊申请时间 $data['furtherConsulStartTime'] = $order_inquiry['reception_time']; // 复诊开始时间 $data['furtherConsulEndTime'] = $order_inquiry['complete_time']; // 复诊结束时间 $data['furtherConsulIsReply'] = 1; // 复诊是否回复 0未回复 1已回复 $data['feeType'] = 1; // 费别 1自费 2医保 $data['furtherConsultDiagnosis'] = $icd_name; // 复诊诊断 复诊患者在实体医院的诊断名称,如有多条,使用“|”进行分隔 $data['furtherConsultDiagnosisNo'] = $icd_code; // 复诊icd诊断编码 $data['furtherConsultPrice'] = $order_inquiry['payment_amount_total']; // 复诊价格 $data['patientEvaluate'] = 1; // 患者满意度 1-5 1代表非常满意 5代表非常不满意 $data['complainInfo'] = "无"; // 投诉举报信息 $data['disposeResult'] = "无"; // 处理结果信息 $data['isRiskWarn'] = 1; // 是否进行诊前风险提示 0否 1是 $data['isPatientSign'] = 1; // 是否确认患者为签约对象 0否 1是 $data['isPrescription'] = 1; // 是否开具处方 0否 1是 $data['uploadTime'] = date('Y-m-d H:i:s', time()); // 上传时间 $data['cityId'] = "510100"; // 城市ID(参考地区字段) $data['isMark'] = 1;//是否留痕 1:代表留痕;0代表未留痕 } return $data; } /** * 上报监管平台-问诊 * @param array $report_inquiry_data 上报数据 * @param bool $is_first * @return string * @throws ContainerExceptionInterface * @throws NotFoundExceptionInterface */ private function reportRegulatoryInquiry(array $report_inquiry_data, bool $is_first = true): string { try { $regulatoryPlatform = new regulatoryPlatform(); if ($is_first) { $result = $regulatoryPlatform->uploadConsult([$report_inquiry_data]); } else { $result = $regulatoryPlatform->uploadFurtherConsult([$report_inquiry_data]); } return ""; } catch (\Exception $e) { $this->line("错误:" . $e->getMessage()); return $e->getMessage(); } } /** * 获取上报监管数据-处方 * @param array|object $order_inquiry * @param array|object $order_prescription * @return bool|array */ private function getReportPrescriptionData(array|object $order_inquiry, array|object $order_prescription): bool|array { // 获取医生数据 $params = array(); $params['doctor_id'] = $order_inquiry['doctor_id']; $user_doctor = UserDoctor::getOne($params); if (empty($user_doctor)) { $this->line("错误:医生数据错误"); return false; } $params = array(); $params['doctor_id'] = $order_inquiry['doctor_id']; $user_doctor_info = UserDoctorInfo::getOne($params); if (empty($user_doctor_info)) { $this->line("错误:医生详情数据错误"); return false; } // 获取医生自定义科室数据 $params = array(); $params['department_custom_id'] = $user_doctor['department_custom_id']; $hospital_department_custom = HospitalDepartmentCustom::getOne($params); if (empty($hospital_department_custom)) { $this->line("错误:医生自定义数据错误"); return false; } // 获取问诊患者数据 $params = array(); $params['family_id'] = $order_inquiry['family_id']; $patient_family = PatientFamily::getOne($params); if (empty($patient_family)) { $this->line("错误:问诊患者数据错误"); return false; } // 获取患者问诊病例 $params = array(); $params['order_inquiry_id'] = $order_inquiry['order_inquiry_id']; $params['status'] = 1; $order_inquiry_case = OrderInquiryCase::getOne($params); if (empty($order_inquiry_case)) { $this->line("错误:患者问诊病例错误"); return false; } // 获取药师数据 $params = array(); $params['pharmacist_id'] = $order_prescription['pharmacist_id']; $user_pharmacist = UserPharmacist::getOne($params); if (empty($user_pharmacist)) { $this->line("错误:药师数据错误"); return false; } // 获取药师详情数据 $params = array(); $params['pharmacist_id'] = $order_prescription['pharmacist_id']; $user_pharmacist_info = UserPharmacistInfo::getOne($params); if (empty($user_pharmacist_info)) { $this->line("错误:药师详情数据错误"); return false; } // 获取患者复诊疾病诊断数据 $params = array(); $params['order_prescription_id'] = $order_prescription['order_prescription_id']; $order_prescription_icd = OrderPrescriptionIcd::getList($params); if (empty($order_prescription_icd)) { // 复诊,但是未找到关联疾病 $this->line("错误:无复诊疾病诊断数据"); return false; } $icd_name_data = array_column($order_prescription_icd->toArray(), 'icd_name'); if (!empty($icd_name_data)) { if (count($icd_name_data) > 1) { $icd_name = implode('|', $icd_name_data); } else { $icd_name = $icd_name_data[0]; } } // 获取处方商品数据 $order_prescription_product = $this->getPreProductData($order_prescription['order_prescription_id']); if (empty($order_prescription_product)){ $this->line("错误:无处方商品数据"); return false; } $data = array(); $data['thirdUniqueid'] = $order_inquiry['order_inquiry_id']; // 唯一标识 $data['orgName'] = "成都金牛欣欣相照互联网医院"; // 机构名称 $data['orgCode'] = "MA6CGUDA251010619D2112"; // 机构编码 $data['section'] = $hospital_department_custom['department_name'];//科室名称 $data['sectionCode'] = $hospital_department_custom['department_code'];//科室编码 $data['docName'] = $user_doctor['user_name'];// 医师姓名 $data['docCertificateNum'] = $user_doctor_info['qualification_cert_num']; // 医师执业资格证号 $data['pharmacistName'] = $user_pharmacist_info['card_name']; // 药师姓名 $data['pharmacistOrg'] = "成都金牛欣欣相照互联网医院"; // 药师执业机构 $data['pharmacistCertificateNum'] = $user_pharmacist_info['qualification_cert_num']; // 药师执业资格证号 $data['furtherConsultNo'] = $order_inquiry['order_inquiry_id']; // 网络复诊编号 $data['furtherConsultDiagnosis'] = $icd_name; // 复诊诊断 复诊患者在实体医院的诊断名称,如有多条,使用“|”进行分隔 $data['patientName'] = $order_inquiry['patient_name']; // 患者姓名 $data['patientSex'] = $order_inquiry['patient_sex'] == 0 ?: 1; // 患者性别 $data['patientAge'] = (int)$order_inquiry['patient_age']; // 患者年龄 $data['patientIdcardType'] = 1; // 证件类型 $data['patientIdcardNum'] = $patient_family['id_number']; // 患者证件号码 $data['feeType'] = 1; // 费别 1自费 2医保 $data['medicalHistory'] = $order_inquiry_case['disease_desc']; //患者病史描述 $data['recipeTime'] = $order_prescription['doctor_created_time']; // 处方日期 $data['recipeType'] = 2; // 处方类型 1中药 2西药 3成药(三医) $data['reviewTime'] = $order_prescription['pharmacist_verify_time']; // 审方日期 $data['recipeUnitPrice'] = $order_prescription_product['amount_total']; // 处方单价 元 $data['drugName'] = $order_prescription_product['drug_name']; // 药品名称商品名 $data['drugCode'] = $order_prescription_product['drug_code']; // 药品编码 $data['drugCommonName'] = $order_prescription_product['drug_common_name']; // 药品通用名 $data['specification'] = $order_prescription_product['specification']; // 规格 $data['frequency'] = $order_prescription_product['frequency']; // 使用频度 $data['usage'] = $order_prescription_product['usage']; // 用法 $data['doseUnit'] = $order_prescription_product['dose_unit']; // 剂量单位 $data['doseEachTime'] = $order_prescription_product['dose_each_time']; // 每次剂量 $data['medicationDays'] = $order_prescription_product['medication_days']; // 用药天数 $data['quantity'] = $order_prescription_product['quantity']; // 数量 $data['drugPackage'] = $order_prescription_product['drug_package']; // 药品包装 $data['recipeAllPrice'] = $order_prescription_product['amount_total']; // 处方总价 $data['uploadTime'] = date("Y-m-d H:i:s",time()); // 上传时间 $data['recipeNo'] = $order_prescription['order_prescription_id']; // 医院处方编号 $data['cityId'] = "510100"; // 城市ID(参考地区字段) return $data; } /** * 上报监管平台-处方 * @param array $report_prescription_data * @return string * @throws ContainerExceptionInterface * @throws NotFoundExceptionInterface */ private function reportRegulatoryPrescription(array $report_prescription_data): string { try { $regulatoryPlatform = new regulatoryPlatform(); $result = $regulatoryPlatform->uploadRecipe([$report_prescription_data]); return ""; } catch (\Exception $e) { $this->line("错误:" . $e->getMessage()); return $e->getMessage(); } } /** * 获取处方商品数据 * @param string $order_prescription_id * @return array */ private function getPreProductData(string $order_prescription_id): array { // 获取处方药品数据 $params = array(); $params['order_prescription_id'] = $order_prescription_id; $order_prescription_product = OrderPrescriptionProduct::getList($params); if (empty($order_prescription_product)) { $this->line("错误:无处方药品数据"); return []; } // 药品总价格 $amount_total = 0; foreach ($order_prescription_product as $key => $item) { // 获取商品数据 $params = array(); $params['product_id'] = $item['product_id']; $product = Product::getWithAmountOne($params); if (empty($product)) { $this->line("错误:无药品数据"); return []; } if ($key == 0) { $drug_name = $item['product_name']; // 药品名称商品名 $drug_code = $product['product_pharmacy_code']; // 药品编码 $drug_common_name = $product['common_name']; // 药品通用名 $specification = $item['product_spec']; // 规格 $frequency = $item['frequency_use']; // 使用频度 $usage = $item['single_use']; // 用法 $dose_unit = $product['single_unit']; // 剂量单位 $dose_each_time = $product['single_unit']; // 每次剂量 $medication_days = (double)$product['available_days']; // 用药天数 $quantity = (double)$item['prescription_product_num']; // 数量 $drug_package = $item['packaging_unit']; // 药品包装 } else { $drug_name = $drug_name . "|" . $item['product_name']; // 药品名称商品名 $drug_code = $drug_code . "|" . $product['product_pharmacy_code']; // 药品编码 $drug_common_name = $drug_common_name . "|" . $product['common_name']; // 药品通用名 $specification = $specification . "|" . $item['product_spec']; // 规格 $frequency = $frequency . "|" . $item['frequency_use']; // 使用频度 $usage = $usage . "|" . $item['single_use']; // 用法 $dose_unit = $dose_unit . "|" . $product['single_unit']; // 剂量单位 $dose_each_time = $dose_each_time . "|" . $product['single_unit']; // 每次剂量 $medication_days = $medication_days . "|" . (double)$product['available_days']; // 用药天数 $quantity = $quantity . "|" . (double)$item['prescription_product_num']; // 数量 $drug_package = $drug_package . "|" . $item['packaging_unit']; // 药品包装 } $amount_total += $item['product_price'] * $item['prescription_product_num']; } $result = array(); $result['drug_name'] = $drug_name; $result['drug_code'] = $drug_code; $result['drug_common_name'] = $drug_common_name; $result['specification'] = $specification; $result['frequency'] = $frequency; $result['usage'] = $usage; $result['dose_unit'] = $dose_unit; $result['dose_each_time'] = $dose_each_time; $result['medication_days'] = $medication_days; $result['quantity'] = $quantity; $result['drug_package'] = $drug_package; $result['amount_total'] = $amount_total; return $result; } }