553 lines
23 KiB
PHP
553 lines
23 KiB
PHP
<?php
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namespace App\Services;
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use App\Constants\HttpEnumCode;
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use App\Exception\BusinessException;
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use App\Model\UserCaCert;
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use App\Model\HospitalDepartmentCustom;
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use App\Model\OrderInquiryCase;
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use App\Model\OrderPrescription;
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use App\Model\OrderPrescriptionIcd;
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use App\Model\OrderPrescriptionProduct;
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use App\Model\OrderProductItem;
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use App\Model\User;
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use App\Model\UserDoctor;
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use App\Model\UserDoctorInfo;
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use App\Model\UserPharmacistInfo;
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use Extend\Alibaba\Oss;
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use Extend\Ca\Ca;
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use Hyperf\Contract\LengthAwarePaginatorInterface;
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use Intervention\Image\ImageManager;
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use TCPDF;
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class OrderPrescriptionService extends BaseService
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{
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/**
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* 获取医生是否存在被驳回处方
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* @param string $doctor_id 医生id
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* @return bool
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*/
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public function getDoctorExistsAuditFail(string $doctor_id): bool
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{
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$params = array();
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$params['doctor_id'] = $doctor_id;
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$params['pharmacist_audit_status'] = 2;// 处方审核状态（0:审核中 1:审核成功 2:审核驳回）
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$params['platform_audit_status'] = 1;// 处方平台审核状态（0:审核中 1:审核成功 2:审核驳回）
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$params['is_delete'] = 0;// 是否删除（0:否 1:是）
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return OrderPrescription::getExists($params);
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}
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/**
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* 获取药师待审核处方-分页
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* @param string $pharmacist_id 药师id
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* @param int $pharmacist_audit_status 药师审核状态（0:审核中 1:审核成功 2:审核驳回）
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* @param int $platform_audit_status
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* @param string|int $page
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* @param string|int $per_page
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* @return array
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*/
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public function getPharmacistWaitAuditPage(string $pharmacist_id, int $pharmacist_audit_status, int $platform_audit_status, string|int $page = 1, string|int $per_page = 10): array
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{
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$params = array();
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$params['pharmacist_id'] = $pharmacist_id;
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$params['pharmacist_audit_status'] = $pharmacist_audit_status; // 药师审核状态（0:审核中 1:审核成功 2:审核驳回）
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$params['platform_audit_status'] = $platform_audit_status; // 处方平台审核状态（0:审核中 1:审核成功 2:审核驳回）
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return OrderPrescription::getPage($params, ['*'], $page, $per_page);
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}
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/**
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* 获取处方中开方药品
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* @param string|int $order_prescription_id
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* @return array
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*/
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public function getproductList(string|int $order_prescription_id): array
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{
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$params = array();
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$params['order_prescription_id'] = $order_prescription_id;
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$order_prescription_products = OrderPrescriptionProduct::getLimit($params);
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if (empty($order_prescription_products)) {
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return [];
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}
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$result = [];
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foreach ($order_prescription_products as $order_prescription_product) {
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$data = array();
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$data['product_id'] = $order_prescription_product['product_id'];
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$data['prescription_product_num'] = $order_prescription_product['prescription_product_num'];
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$data['product_name'] = $order_prescription_product['product_name'] ?? "";
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$data['product_spec'] = $order_prescription_product['product_spec'] ?? "";
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$data['single_unit'] = $order_prescription_product['single_unit'] ?? "";
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$data['single_use'] = $order_prescription_product['single_use'] ?? "";
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$data['packaging_unit'] = $order_prescription_product['packaging_unit'] ?? "";
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$data['frequency_use'] = $order_prescription_product['frequency_use'] ?? "";
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$data['available_days'] = $order_prescription_product['available_days'] ?? 0;
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$result[] = $data;
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}
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unset($order_product_items);
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return $result;
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}
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/**
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* 获取患者某一状态下的处方数量
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* @param string $patient_id 患者id
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* @param int $prescription_status 处方状态（1:待审核 2:待使用 3:已失效 4:已使用）
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* @return int
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*/
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public function getPatientPrescriptionWithStatus(string $patient_id, int $prescription_status): int
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{
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$params = array();
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$params['patient_id'] = $patient_id;
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$params['prescription_status'] = $prescription_status;
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$params['pharmacist_audit_status'] = 1;
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return OrderPrescription::getCount($params);
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}
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/**
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* 开具处方
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* 医生-正常开具
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* 药师-先开具药师处方，再开具医院签章
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* @param string $order_prescription_id
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* @param string $user_id
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* @return array
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*/
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public function openPrescription(string $order_prescription_id,string $user_id): array
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{
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try {
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// 获取用户数据
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$params = array();
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$params['user_id'] = $user_id;
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$user = User::getOne($params);
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if (empty($user)){
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throw new BusinessException("用户数据错误");
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}
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if ($user['user_type'] != 2 && $user['user_type'] != 3){
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throw new BusinessException("用户类型错误");
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}
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// 获取用户info数据
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$params = array();
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$params['user_id'] = $user['user_id'];
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if ($user['user_type'] == 2){
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$user_doctor_info = UserDoctorInfo::getOne($params);
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if (empty($user_doctor_info)){
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throw new BusinessException("用户数据错误");
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}
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$user_sign_image_path = $user_doctor_info['sign_image'];
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$user_entity_id = "491925054435950592";
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} else{
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$user_pharmacist_info = UserPharmacistInfo::getOne($params);
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if (empty($user_pharmacist_info)){
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throw new BusinessException("用户数据错误");
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}
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$user_sign_image_path = $user_pharmacist_info['sign_image'];
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$user_entity_id = $user['user_id'];
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$hospital_sign_image_path = "basic/file/hospital_signature.png";
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$hospital_entity_id = "5345345461";
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}
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if (empty($user_sign_image_path) || empty($user_entity_id)){
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throw new BusinessException("无签名图片/用户唯一标识");
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}
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// 去除第一个/ oss不识别
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$sign_image_path = substr($user_sign_image_path, 1, strlen($user_sign_image_path) - 1);
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// 获取处方数据
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$params = array();
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$params['order_prescription_id'] = $order_prescription_id;
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$order_prescription = OrderPrescription::getOne($params);
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if (empty($order_prescription)){
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throw new BusinessException("处方数据错误");
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}
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if (empty($order_prescription['doctor_created_time'])){
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throw new BusinessException("医生开方日期错误");
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}
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// 检测处方图片
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if ($user['user_type'] == 3 && empty($order_prescription['prescription_img'])){
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throw new BusinessException("处方图片错误");
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}
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// 获取处方关联疾病数据
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$params = array();
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$params['order_prescription_id'] = $order_prescription_id;
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$order_prescription_icd = OrderPrescriptionIcd::getList($params);
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if (empty($order_prescription_icd)){
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throw new BusinessException("处方疾病数据错误");
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}
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// 获取处方关联商品数据
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$params = array();
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$params['order_prescription_id'] = $order_prescription_id;
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$order_prescription_product = OrderPrescriptionProduct::getList($params);
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if (empty($order_prescription_product)){
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throw new BusinessException("处方药品数据错误");
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}
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// 获取医生数据
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$params = array();
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$params['doctor_id'] = $order_prescription['doctor_id'];
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$user_doctor = UserDoctor::getOne($params);
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if (empty($user_doctor)){
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throw new BusinessException("医生数据错误");
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}
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// 获取医生自定义科室数据
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$params = array();
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$params['department_custom_id'] = $user_doctor['department_custom_id'];
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$hospital_department_custom = HospitalDepartmentCustom::getOne($params);
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if (empty($hospital_department_custom)){
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throw new BusinessException("医生自定义数据错误");
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}
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// 获取处方关联病例数据
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$params = array();
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$params['order_inquiry_id'] = $order_prescription['order_inquiry_id'];
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$order_inquiry_case = OrderInquiryCase::getOne($params);
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if (empty($order_inquiry_case)){
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throw new BusinessException("处方病例数据错误");
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}
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// 处理疾病数据
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$icd_name = array_column($order_prescription_icd->toArray(),'icd_name');
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if (!empty($icd_name)){
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$icd_name = implode(';',$icd_name);
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}else{
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$icd_name = "";
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}
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$ca = new Ca();
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// 获取云证书签名
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$data = array();
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$data['created_at'] = $order_prescription['doctor_created_time'];
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$data['department_custom_name'] = $hospital_department_custom['department_name'] ?: "";
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$data['user_name'] = $order_prescription['patient_name'];
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$data['sex'] = sexToStringSex($order_prescription['patient_sex']);
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$data['age'] = $order_prescription['patient_age'];
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$data['allergy_history'] = $order_inquiry_case['allergy_history'] ?: "无";
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$data['icd_name'] = $icd_name;
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$data['doctor_advice'] = $order_prescription['doctor_advice'] ?: "无";
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// 商品数据
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$data['product'] = array();
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foreach ($order_prescription_product as $item){
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$product = array();
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$product['product_name'] = $item['product_name'] . "(" . $item['product_spec'] . ")"; // 商品名称+商品规格
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$product['single_unit'] = $item['single_unit'] ?: ""; // 单次剂量（例：1次1包）
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$product['frequency_use'] = $item['frequency_use'] ?: ""; // 使用频率(例：1天3次)
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$product['single_use'] = $item['single_use'] ?: ""; // 单次用法（例：口服）
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$product['prescription_product_num'] = $item['prescription_product_num'] . $item['packaging_unit']; // 商品数量 + 基本包装单位(例：盒/瓶)
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$data['product'][] = $product;
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}
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$cert_sign_result = $ca->getCertSign($user_entity_id, $user_entity_id, $data);
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// 验证云证书签名-验证无需处理，只要不返回错误即可
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$ca->verifyPkcs7($cert_sign_result['signP7'],$data);
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dump("云证书签名验证成功");
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if ($user['user_type'] == 3){
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$cert_sign_result = $ca->getCertSign($hospital_entity_id, $hospital_entity_id, $data);
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// 验证云证书签名-验证无需处理，只要不返回错误即可
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$ca->verifyPkcs7($cert_sign_result['signP7'],$data);
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dump("医院云证书签名获取成功");
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}
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$oss = new Oss();
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// 医生
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if ($user['user_type'] == 2){
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// 下载基础处方图片
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$prescription_basic_filename = "basic/file/prescription.jpg";
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$prescription_image = $oss->getObjectToRAM($prescription_basic_filename);
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dump("下载基础处方图片成功");
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$manager = new ImageManager();
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$image = $manager->make($prescription_image);
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$fontPath = './extend/Ca/msyh.ttf';
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// 处方号
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$image->text($order_prescription['prescription_code'], 1480, 540, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 日期
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$image->text(date('Y-m-d',strtotime($order_prescription['doctor_created_time'])), 354, 675, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 科室
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$image->text($hospital_department_custom['department_name'] ?: "", 1385, 675, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 姓名
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$image->text($order_prescription['patient_name'], 354, 795, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 性别
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$image->text(sexToStringSex($order_prescription['patient_sex']), 1385, 790, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 年龄
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$image->text($order_prescription['patient_age'], 354, 900, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 过敏史
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$image->text($order_inquiry_case['allergy_history'] ?: "无", 405, 1030, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 初步诊断
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$image->text($icd_name, 445, 1145, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 医生建议
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$image->text($order_prescription['doctor_advice'] ?: "无", 445, 1252, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(60);
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$font->align('left');
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});
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// 商品数据
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foreach ($order_prescription_product as $key => $item){
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$x_axis = 229;
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$y_axis = 1600 + $key * 250;
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$x_axis_num = 1900;// 数量使用
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// 商品名称
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$image->text($item['product_name'], $x_axis, $y_axis, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(50);
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$font->align('left');
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});
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$image->text("X" . $item['prescription_product_num'] . $item['packaging_unit'], $x_axis_num, $y_axis, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(50);
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$font->align('left');
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});
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// 用量
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$image->text("用量：" . $item['single_unit'] . " " . $item['frequency_use'], $x_axis, $y_axis+70, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(50);
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$font->align('left');
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});
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// 用法
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$image->text("用法：" . $item['single_use'], $x_axis, $y_axis+140, function ($font) use($fontPath) {
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$font->file($fontPath);
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$font->size(50);
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$font->align('left');
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});
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}
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// 生成图片
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$img_result = (string) $image->encode('png', 75);
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dump("处方图片生成成功");
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// 上传处方图片至oss
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$prescription_img_oss_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'jpg';
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$prescription_img_url = $oss->putObject($prescription_img_oss_filename, $img_result);
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$prescription_img_url = '/' . $prescription_img_url;
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dump("处方图片上传oss成功");
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// 图片生成pdf
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$pdf = new TCPDF('P', 'mm', 'A4', true, 'UTF-8', false);
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$pdf->AddPage();
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$pdf->Image('@' . $img_result, 10, 10, 0, 0, '', '', '', false, 300, '', false, false, 0, false, false, false);
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$prescription_pdf_local_filename = $order_prescription['order_prescription_id'] . '.' . 'pdf';
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// 图片生成的处方pdf存储为本地文件
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$pdf->Output(dirname(__DIR__, 2) . "/" . $prescription_pdf_local_filename ,"F");
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dump("处方图片生成pdf成功");
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}
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// 药师
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if ($user['user_type'] == 3){
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// 下载医生开具的处方pdf
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// 去除第一个/ oss不识别
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$prescription_pdf_path = substr($order_prescription['prescription_pdf'], 1, strlen($order_prescription['prescription_pdf']) - 1);
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$local = "./runtime/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
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$oss->getObjectToLocal($prescription_pdf_path,$local);
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dump("下载医生开具的处方pdf成功");
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}
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// 下载签名图片
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$style = "image/resize,m_lfit,w_100,h_350";
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$sign_image = $oss->getCusTomObjectToRAM($sign_image_path,$style);
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$sign_image = base64_encode($sign_image);
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if (!$sign_image){
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throw new BusinessException("签名图片下载失败");
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}
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dump("下载签名图片成功");
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if ($user['user_type'] == 2){
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$sign_param = [
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[ // 医生端
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"llx"=>"120", // 左边底部X坐标
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"lly"=>"190", // 左边底部Y坐标
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"urx"=>"190", // 右边上部x坐标
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"ury"=>"140", // 右边上部y坐标
|
||
"pageList"=>[1],
|
||
"sealImg"=>$sign_image
|
||
],
|
||
];
|
||
}else{
|
||
$sign_param = [
|
||
[ // 药师端
|
||
"llx"=>"350", // 左边底部X坐标
|
||
"lly"=>"190", // 左边底部Y坐标
|
||
"urx"=>"440", // 右边上部x坐标
|
||
"ury"=>"140", // 右边上部y坐标
|
||
"pageList"=>[1],
|
||
"sealImg"=>$sign_image
|
||
]
|
||
];
|
||
}
|
||
|
||
// 打开处方pdf文件
|
||
$pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf",'r');
|
||
if (!$pdf_file){
|
||
throw new BusinessException("处方图片打开失败");
|
||
}
|
||
|
||
|
||
// 处方pdf进行签章
|
||
$data = array();
|
||
$data['sign_param'] = json_encode($sign_param);
|
||
$data['pdf_file'] = $pdf_file;
|
||
$sign_pdf_result = $ca->addSignPdf($user_entity_id,$data);
|
||
if (empty($sign_pdf_result[0]['fileId'])){
|
||
throw new BusinessException("处方签章失败");
|
||
}
|
||
|
||
dump("处方pdf进行签章成功");
|
||
|
||
// 下载处方签章文件
|
||
$file_id = $sign_pdf_result[0]['fileId'];
|
||
$prescription_pdf_result = $ca->getSignedFile($user_entity_id,$file_id);
|
||
|
||
if (empty($prescription_pdf_result)){
|
||
throw new BusinessException("下载处方签章文件失败");
|
||
}
|
||
|
||
dump("下载处方签章文件成功");
|
||
|
||
// 上传oss
|
||
$filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
|
||
$prescription_pdf_url = $oss->putObject($filename, $prescription_pdf_result);
|
||
dump("处方pdf上传pss成功");
|
||
|
||
if ($user['user_type'] == 3){
|
||
// 药师端时，需要进行系统签章
|
||
// 把药师签章的pdf存储至本地文件
|
||
$file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . '.' . 'pdf', "w");
|
||
fwrite($file, $prescription_pdf_result);
|
||
fclose($file);
|
||
|
||
// 下载医院签名图片
|
||
$style = "image/resize,w_300,h_300";
|
||
$sign_image = $oss->getCusTomObjectToRAM($hospital_sign_image_path,$style);
|
||
$sign_image = base64_encode($sign_image);
|
||
if (!$sign_image){
|
||
throw new BusinessException("医院签名图片下载失败");
|
||
}
|
||
|
||
$sign_param = [
|
||
[ // 医院签章
|
||
"llx"=>"370", // 左边底部X坐标 控制左右（越小越左）
|
||
"lly"=>"210", // 左边底部Y坐标 控制上下（越小越下）
|
||
"urx"=>"520", // 右边上部x坐标
|
||
"ury"=>"360", // 右边上部y坐标
|
||
"pageList"=>[1],
|
||
"sealImg"=>$sign_image
|
||
],
|
||
];
|
||
|
||
// 打开处方pdf文件
|
||
unset($pdf_file);
|
||
$pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf",'r');
|
||
|
||
// 处方pdf进行签章
|
||
$data = array();
|
||
$data['sign_param'] = json_encode($sign_param);
|
||
$data['pdf_file'] = $pdf_file;
|
||
$hospital_sign_pdf_result = $ca->addSignPdf($hospital_entity_id,$data);
|
||
if (empty($hospital_sign_pdf_result[0]['fileId'])){
|
||
throw new BusinessException("处方签章失败");
|
||
}
|
||
|
||
dump("处方pdf进行医院签章成功");
|
||
|
||
// 下载处方签章文件
|
||
unset($prescription_pdf_result);
|
||
$file_id = $hospital_sign_pdf_result[0]['fileId'];
|
||
$prescription_pdf_result = $ca->getSignedFile($hospital_entity_id,$file_id);
|
||
|
||
if (empty($prescription_pdf_result)){
|
||
throw new BusinessException("下载处方签章文件失败");
|
||
}
|
||
|
||
dump("下载医院处方签章文件成功");
|
||
|
||
// 上传oss
|
||
$hospital_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
|
||
$prescription_pdf_url = $oss->putObject($hospital_filename, $prescription_pdf_result);
|
||
dump("上传医院处方签章文件成功");
|
||
}
|
||
|
||
$result = array();
|
||
$result['prescription_img_url'] = $prescription_img_url ?? $order_prescription['prescription_img'];
|
||
$result['prescription_pdf_url'] = '/' . $prescription_pdf_url ?: "";
|
||
return $result;
|
||
|
||
} catch (\Exception $e) {
|
||
throw new BusinessException($e->getMessage());
|
||
}
|
||
}
|
||
} |