324 lines
14 KiB
PHP
324 lines
14 KiB
PHP
<?php
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namespace App\Services;
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use App\Model\DetectionProject;
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use App\Model\InquiryCaseProduct;
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use App\Model\OrderDetection;
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use App\Model\OrderInquiry;
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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\PatientFamily;
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use App\Model\PatientFamilyHealth;
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use App\Model\PatientFamilyPersonal;
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use App\Model\User;
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use Hyperf\Redis\Redis;
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/**
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* 患者家庭成员病例
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*/
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class PatientCaseService extends BaseService
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{
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/**
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* 获取问诊订单病例详情-基础
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* @return array
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*/
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public function getPatientFamilyInquiryCaseSimple(): array
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{
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$order_inquiry_id = $this->request->input('order_inquiry_id');
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// 获取订单数据
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry_id;
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$order_inquiry = OrderInquiry::getOne($params);
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if (empty($order_inquiry)) {
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return fail();
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}
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// 获取病例信息
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry_id;
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$params['status'] = 1;
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$order_inquiry_case = OrderInquiryCase::getOne($params);
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if (empty($order_inquiry_case)) {
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return fail();
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}
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$result = array();
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$result['patient_name'] = $order_inquiry['patient_name'];
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$result['patient_sex'] = $order_inquiry['patient_sex'];
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$result['patient_age'] = $order_inquiry['patient_age'];
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$result['disease_desc'] = $order_inquiry_case['disease_desc'];
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$result['reception_time'] = $order_inquiry['reception_time']; // 接诊时间
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return success($result);
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}
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/**
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* 获取问诊订单病例详情
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* @return array
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*/
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public function getPatientFamilyInquiryCase(): array
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{
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$user_info = $this->request->getAttribute("userInfo") ?? [];
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$order_inquiry_id = $this->request->input('order_inquiry_id');
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// 获取订单数据
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry_id;
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$order_inquiry = OrderInquiry::getOne($params);
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if (empty($order_inquiry)) {
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return fail();
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}
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// 获取病例信息
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry_id;
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$params['status'] = 1;
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$order_inquiry_case = OrderInquiryCase::getOne($params);
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if (empty($order_inquiry_case)) {
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return fail();
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}
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$order_inquiry_case = $order_inquiry_case->toArray();
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// 获取患者家庭成员信息表-基本信息
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$params = array();
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$params['family_id'] = $order_inquiry_case['family_id'];
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$patient_family = PatientFamily::getOne($params);
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if (!empty($patient_family)){
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$order_inquiry_case['height'] = $order_inquiry_case['height'] ?: $patient_family['height'] ?: NULL;
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$order_inquiry_case['weight'] = $order_inquiry_case['weight'] ?: $patient_family['weight'] ?: NULL;
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$order_inquiry_case['job_id'] = $order_inquiry_case['job_id'] ?: $patient_family['job_id'] ?: NULL;
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$order_inquiry_case['job_name'] = $order_inquiry_case['job_name'] ?: $patient_family['job_name'] ?: NULL;
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$order_inquiry_case['nation_name'] = $order_inquiry_case['nation_name'] ?: $patient_family['nation_name'] ?: NULL;
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$order_inquiry_case['marital_status'] = $order_inquiry_case['marital_status'] ?: $patient_family['marital_status'] ?: NULL;
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}
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// 获取患者家庭成员信息表-健康情况
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$params = array();
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$params['family_id'] = $order_inquiry_case['family_id'];
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$patient_family_health = PatientFamilyHealth::getOne($params);
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if (!empty($patient_family_health)) {
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$order_inquiry_case['diagnosis_hospital'] = $order_inquiry_case['diagnosis_hospital'] ?: $patient_family_health['diagnosis_hospital'] ?: "";
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$order_inquiry_case['is_take_medicine'] = $order_inquiry_case['is_take_medicine'] ?: $patient_family_health['is_take_medicine'] ?: null;
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$order_inquiry_case['drugs_name'] = $order_inquiry_case['drugs_name'] ?: $patient_family_health['drugs_name'] ?: "";
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}
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// 获取患者家庭成员信息表-个人情况
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$params = array();
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$params['family_id'] = $order_inquiry_case['family_id'];
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$patient_family_personal = PatientFamilyPersonal::getOne($params);
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if (!empty($patient_family_personal)) {
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$order_inquiry_case['drink_wine_status'] = $order_inquiry_case['drink_wine_status'] ?: $patient_family_personal['drink_wine_status'] ?: null;
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$order_inquiry_case['smoke_status'] = $order_inquiry_case['smoke_status'] ?: $patient_family_personal['smoke_status'] ?: null;
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$order_inquiry_case['chemical_compound_status'] = $order_inquiry_case['chemical_compound_status'] ?: $patient_family_personal['chemical_compound_status'] ?: null;
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$order_inquiry_case['chemical_compound_describe'] = $order_inquiry_case['chemical_compound_describe'] ?: $patient_family_personal['chemical_compound_describe'] ?: "";
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$order_inquiry_case['is_operation'] = $order_inquiry_case['is_operation'] ?: $patient_family_personal['is_operation'] ?: null;
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$order_inquiry_case['operation'] = $order_inquiry_case['operation'] ?: $patient_family_personal['operation'] ?: "";
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}
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// 获取用药意向
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$product = [];
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$fields = [
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'inquiry_case_id',
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'product_id',
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'case_product_num',
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];
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$params = array();
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$params['inquiry_case_id'] = $order_inquiry_case['inquiry_case_id'];
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$inquiry_case_product = InquiryCaseProduct::getWithProductList($params, $fields);
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if (!empty($inquiry_case_product)) {
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foreach ($inquiry_case_product as &$item) {
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if (!empty($item['Product'])) {
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$product[] = $item['Product']['product_name'] . ' ' . $item['Product']['product_spec'] . '(' . $item['case_product_num'] . $item['Product']['packaging_unit'] . ')';
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}
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}
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}
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$order_inquiry_case['product'] = $product;
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unset($inquiry_case_product);
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// 复诊凭证
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if (!empty($order_inquiry_case['diagnose_images'])) {
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$diagnose_images = explode(',', $order_inquiry_case['diagnose_images']);
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foreach ($diagnose_images as &$item) {
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$item = addAliyunOssWebsite($item);
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}
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$order_inquiry_case['diagnose_images'] = $diagnose_images;
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}
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// 检测项目
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$order_inquiry_case['detection_project'] = null;
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if ($order_inquiry['inquiry_type'] == 5) {
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// 获取检测订单
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry['order_inquiry_id'];
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$order_detection = OrderDetection::getOne($params);
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if (!empty($order_detection)) {
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// 获取检测项目
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$params = array();
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$params['detection_project_id'] = $order_detection['detection_project_id'];
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$detection_project = DetectionProject::getOne($params);
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if (!empty($detection_project)) {
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$order_inquiry_case['detection_project']['detection_project_name'] = $detection_project['detection_project_name']; // 检测项目名称
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$order_inquiry_case['detection_project']['detection_time'] = $order_detection['detection_time']; // 检测时间
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$order_inquiry_case['detection_project']['detection_link'] = addAliyunOssWebsite($order_detection['detection_result_pdf']); // 检测结果链接
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}
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}
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}
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// 获取处方数据
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$order_inquiry_case['order_prescription'] = null;
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry['order_inquiry_id'];
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$order_prescription = OrderPrescription::getOne($params);
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if (!empty($order_prescription)){
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$order_inquiry_case['order_prescription']['doctor_created_time'] = $order_prescription['doctor_created_time']; // 医生开具处方时间
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$order_inquiry_case['order_prescription']['doctor_advice'] = $order_prescription['doctor_advice'];// 医嘱
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// 获取处方疾病数据
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$params = array();
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$params['order_prescription_id'] = $order_prescription['order_prescription_id'];
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$order_prescription_icds = OrderPrescriptionIcd::getList($params);
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if (empty($order_prescription_icds)){
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return fail();
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}
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$icd_name = array_column($order_prescription_icds->toArray(),"icd_name");
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$order_inquiry_case['order_prescription']['icd_name'] = implode(";",$icd_name);
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// 获取处方药品名称
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$params = array();
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$params['order_prescription_id'] = $order_prescription['order_prescription_id'];
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$order_prescription_products = OrderPrescriptionProduct::getList($params);
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if (empty($order_prescription_products)){
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return fail();
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}
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$order_inquiry_case['order_prescription']["product"] = $order_prescription_products->toArray();
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}
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return success($order_inquiry_case);
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}
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/**
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* 获取问诊订单病例缺少字段
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* @return array
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*/
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public function getPatientFamilyInquiryCaseUnfilledFields(): array
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{
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$user_info = $this->request->getAttribute("userInfo") ?? [];
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$order_inquiry_id = $this->request->input('order_inquiry_id');
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// 获取订单数据
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry_id;
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$order_inquiry = OrderInquiry::getOne($params);
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if (empty($order_inquiry)) {
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return fail();
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}
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// 获取病例信息
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$params = array();
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$params['order_inquiry_id'] = $order_inquiry_id;
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$params['status'] = 1;
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$order_inquiry_case = OrderInquiryCase::getOne($params);
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if (empty($order_inquiry_case)) {
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return fail();
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}
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// 获取患者家庭成员信息表-基本信息
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$params = array();
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$params['family_id'] = $order_inquiry_case['family_id'];
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$patient_family = PatientFamily::getOne($params);
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// 获取患者家庭成员信息表-健康情况
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$params = array();
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$params['family_id'] = $order_inquiry_case['family_id'];
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$patient_family_health = PatientFamilyHealth::getOne($params);
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// 获取患者家庭成员信息表-个人情况
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$params = array();
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$params['family_id'] = $order_inquiry_case['family_id'];
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$patient_family_personal = PatientFamilyPersonal::getOne($params);
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// 初始字段定义
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$fields = [
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"relation", // 与患者关系（1:本人 2:父母 3:爱人 4:子女 5:亲戚 6:其他 ）
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"name", // 患者名称
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"sex", // 患者性别（0:未知 1:男 2:女）
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"age", // 患者年龄
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"height", // 身高（cm）
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"weight", // 体重（kg）
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"marital_status", // 婚姻状况（0:未婚 1:已婚 2:离异）
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"disease_class_name", // 疾病名称-系统
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"diagnosis_date", // 确诊日期
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"disease_desc", // 病情描述（主诉）
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"is_allergy_history", // 是否存在过敏史（0:否 1:是）
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"allergy_history", // 过敏史描述
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"is_family_history", // 是否存在家族病史（0:否 1:是）
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"family_history", // 家族病史描述
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"is_pregnant", // 是否备孕、妊娠、哺乳期（0:否 1:是）
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"pregnant", // 备孕、妊娠、哺乳期描述
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"is_taboo", // 是否服用过禁忌药物，且无相关禁忌（0:否 1:是）问诊购药时存在
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"is_take_medicine", // 正在服药（0:否 1:是）
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"drugs_name", // 正在服药名称
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"nation_name", // 民族名称
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"job_name", // 职业名称
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"diagnosis_hospital", // 确诊医院
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"is_operation", // 是否存在手术（0:否 1:是）
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"operation", // 手术描述
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"drink_wine_status", // 饮酒状态（1:从不 2:偶尔 3:经常 4:每天 5:已戒酒）
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"smoke_status", // 吸烟状态（1:从不 2:偶尔 3:经常 4:每天 5:已戒烟）
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"chemical_compound_status", // 化合物状态（1:从不 2:偶尔 3:经常 4:每天）
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"chemical_compound_describe", // 化合物描述
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];
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// 获取缓存
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$redis = $this->container->get(Redis::class);
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$redis_key = "patient_family_inquiry_case_unfilled_fields_" . $order_inquiry_id;
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$redis_value = $redis->get($redis_key);
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// 处理字段
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$result = null;
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foreach ($fields as $field){
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if ($order_inquiry_case[$field] !== null){
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continue;
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}
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if (!empty($patient_family)){
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if ($patient_family[$field] !== null){
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continue;
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}
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}
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if (!empty($patient_family_health)){
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if ($patient_family_health[$field] !== null){
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continue;
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}
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}
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if (!empty($patient_family_personal)){
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if ($patient_family_personal[$field] !== null){
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continue;
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}
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}
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// 缓存
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if (!empty($redis_value)){
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if (strstr($redis_value,$field)){
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continue;
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}
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}
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$result[] = $field;
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}
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return success($result);
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}
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} |