更新功能

2026-05-26 18:05:48 +08:00
parent 5b233fb0ab
commit 0dd9cdcba9
8 changed files with 4703 additions and 10 deletions
@@ -15,7 +15,10 @@
 namespace app\api\controller;

 use app\adminapi\logic\tcm\DiagnosisLogic;
+use app\adminapi\logic\tcm\TrackingNoteLogic;
 use app\adminapi\logic\ConfigLogic;
+use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\BloodRecord;

 /**
 * 中医诊断控制器（供小程序调用）
@@ -28,7 +31,7 @@ class TcmController extends BaseApiController
     * @notes 不需要登录的方法
     * @var array
     */
-    public array $notNeedLogin = ['getPatientSignature', 'diagnosisDetail', 'getDict', 'confirmDiagnosis', 'getCardList', 'getOrderByNo', 'patientHangupVideo'];
+    public array $notNeedLogin = ['getPatientSignature', 'diagnosisDetail', 'getDict', 'confirmDiagnosis', 'getCardList', 'getOrderByNo', 'patientHangupVideo', 'dailyTrackingWindow', 'dailyTrackingNotes'];
    
    /**
     * @notes 获取患者签名（供小程序调用）
@@ -332,6 +335,301 @@ class TcmController extends BaseApiController
        }
    }

+    /**
+     * @notes 日常记录窗口数据（血糖血压 / 饮食 / 运动）—— 患者端
+     *
+     * 路由：GET /api/tcm/dailyTrackingWindow?diagnosis_id=:id&patient_id=:pid&start_date=&end_date=
+     * 说明：供小程序「日常记录」页面拉取一段时间内的跟踪数据，复用后台 fetchTrackingWindow。
+     *
+     * @return \think\response\Json
+     */
+    public function dailyTrackingWindow()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $patientId   = (int) $this->request->get('patient_id', 0);
+        $startDate   = (string) $this->request->get('start_date', '');
+        $endDate     = (string) $this->request->get('end_date', '');
+
+        if ($diagnosisId <= 0) {
+            return $this->fail('诊单ID不能为空');
+        }
+
+        try {
+            // 患者端越权校验：诊单必须存在；如传入 patient_id 则须与诊单匹配
+            $diagnosis = Diagnosis::where('id', $diagnosisId)->find();
+            if (!$diagnosis) {
+                return $this->fail('诊单不存在');
+            }
+            if ($patientId > 0 && (int) $diagnosis['patient_id'] !== $patientId) {
+                return $this->fail('无权查看该诊单的日常记录');
+            }
+
+            $data = DiagnosisLogic::fetchTrackingWindow($diagnosisId, $startDate, $endDate);
+
+            // 把诊断的基础信息一并返回，便于小程序展示头部摘要
+            $data['diagnosis'] = [
+                'id'           => (int) $diagnosis['id'],
+                'patient_id'   => (int) $diagnosis['patient_id'],
+                'patient_name' => (string) ($diagnosis['patient_name'] ?? ''),
+                'age'          => (int) ($diagnosis['age'] ?? 0),
+                'gender'       => (int) ($diagnosis['gender'] ?? 0),
+            ];
+
+            return $this->data($data);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 日常记录-跟踪备注列表（患者端）
+     *
+     * 路由：GET /api/tcm/dailyTrackingNotes?diagnosis_id=:id&patient_id=:pid
+     *
+     * @return \think\response\Json
+     */
+    public function dailyTrackingNotes()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $patientId   = (int) $this->request->get('patient_id', 0);
+
+        if ($diagnosisId <= 0) {
+            return $this->fail('诊单ID不能为空');
+        }
+
+        try {
+            $diagnosis = Diagnosis::where('id', $diagnosisId)->find();
+            if (!$diagnosis) {
+                return $this->fail('诊单不存在');
+            }
+            if ($patientId > 0 && (int) $diagnosis['patient_id'] !== $patientId) {
+                return $this->fail('无权查看该诊单的跟踪备注');
+            }
+
+            $notes = TrackingNoteLogic::getByDiagnosis($diagnosisId);
+            return $this->data($notes);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 校验当前登录患者是否拥有指定诊单（通过 diagnosis_view_records 关联）
+     * @param int $diagnosisId
+     * @return array{ok:bool,diagnosis?:\app\common\model\tcm\Diagnosis,error?:string}
+     */
+    private function ensurePatientOwnsDiagnosis(int $diagnosisId): array
+    {
+        if (!$this->userId) {
+            return ['ok' => false, 'error' => '请先登录'];
+        }
+        if ($diagnosisId <= 0) {
+            return ['ok' => false, 'error' => '诊单ID不能为空'];
+        }
+
+        $diagnosis = Diagnosis::where('id', $diagnosisId)->find();
+        if (!$diagnosis) {
+            return ['ok' => false, 'error' => '诊单不存在'];
+        }
+
+        // 通过 diagnosis_view_records 校验当前小程序用户与该诊单的归属关系
+        // 该表是「就诊卡列表」的来源（参考 DiagnosisLogic::getCardList）
+        $owned = \think\facade\Db::name('diagnosis_view_records')
+            ->where('user_id', $this->userId)
+            ->where('diagnosis_id', $diagnosisId)
+            ->where('delete_time', null)
+            ->find();
+
+        if (!$owned) {
+            return ['ok' => false, 'error' => '无权操作该诊单'];
+        }
+
+        return ['ok' => true, 'diagnosis' => $diagnosis];
+    }
+
+    /**
+     * @notes 日常记录-获取今日已录入的血糖血压记录（患者端）
+     *
+     * 路由：GET /api/tcm/dailyTodayBloodRecord?diagnosis_id=:id
+     *
+     * 用于「日常记录」页打开「录入今日」表单时预填数据；只返回 source=1 的当天记录。
+     *
+     * @return \think\response\Json
+     */
+    public function dailyTodayBloodRecord()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $check = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+
+        try {
+            $todayStart = strtotime(date('Y-m-d 00:00:00'));
+            $todayEnd   = strtotime(date('Y-m-d 23:59:59'));
+
+            $record = BloodRecord::where('diagnosis_id', $diagnosisId)
+                ->where('source', 1)
+                ->where('record_date', '>=', $todayStart)
+                ->where('record_date', '<=', $todayEnd)
+                ->order('id', 'desc')
+                ->find();
+
+            if (!$record) {
+                return $this->data(['record' => null, 'today' => date('Y-m-d')]);
+            }
+
+            $data                  = $record->toArray();
+            $data['record_date']   = date('Y-m-d', (int) $data['record_date']);
+            return $this->data(['record' => $data, 'today' => date('Y-m-d')]);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 日常记录-保存今日的血糖血压记录（患者端）
+     *
+     * 路由：POST /api/tcm/dailySaveBloodRecord
+     * 必填：diagnosis_id
+     * 可选数值：fasting_blood_sugar, postprandial_blood_sugar, other_blood_sugar,
+     *           systolic_pressure, diastolic_pressure
+     * 可选字符串：remark
+     *
+     * 语义：同一天同一诊单只有一条 source=1 的记录；存在则 update，不存在则 create。
+     * 日期强制为「今天」；任何 record_date 入参被忽略，避免补录历史。
+     *
+     * @return \think\response\Json
+     */
+    public function dailySaveBloodRecord()
+    {
+        $diagnosisId = (int) $this->request->post('diagnosis_id', 0);
+        $check = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+        $diagnosis = $check['diagnosis'];
+
+        // 解析并校验数值字段；空字符串当 null 处理
+        $parseDecimal = function ($v) {
+            if ($v === null || $v === '' || $v === '0' || $v === 0) return null;
+            if (!is_numeric($v)) return null;
+            $f = (float) $v;
+            return $f > 0 ? $f : null;
+        };
+        $parseInt = function ($v) {
+            if ($v === null || $v === '') return null;
+            if (!is_numeric($v)) return null;
+            $i = (int) $v;
+            return $i > 0 ? $i : null;
+        };
+
+        $fasting       = $parseDecimal($this->request->post('fasting_blood_sugar'));
+        $postprandial  = $parseDecimal($this->request->post('postprandial_blood_sugar'));
+        $other         = $parseDecimal($this->request->post('other_blood_sugar'));
+        $systolic      = $parseInt($this->request->post('systolic_pressure'));
+        $diastolic     = $parseInt($this->request->post('diastolic_pressure'));
+        $remark        = trim((string) $this->request->post('remark', ''));
+
+        // 至少要填一个有效字段
+        if ($fasting === null && $postprandial === null && $other === null &&
+            $systolic === null && $diastolic === null && $remark === '') {
+            return $this->fail('请至少填写一项血糖或血压数据');
+        }
+
+        // 边界校验，避免误录天文数字
+        if ($fasting !== null && ($fasting < 0.1 || $fasting > 50)) return $this->fail('空腹血糖数值异常');
+        if ($postprandial !== null && ($postprandial < 0.1 || $postprandial > 50)) return $this->fail('餐后血糖数值异常');
+        if ($other !== null && ($other < 0.1 || $other > 50)) return $this->fail('其他血糖数值异常');
+        if ($systolic !== null && ($systolic < 40 || $systolic > 300)) return $this->fail('收缩压数值异常');
+        if ($diastolic !== null && ($diastolic < 20 || $diastolic > 200)) return $this->fail('舒张压数值异常');
+
+        try {
+            $todayStart = strtotime(date('Y-m-d 00:00:00'));
+            $todayEnd   = strtotime(date('Y-m-d 23:59:59'));
+
+            $existing = BloodRecord::where('diagnosis_id', $diagnosisId)
+                ->where('source', 1)
+                ->where('record_date', '>=', $todayStart)
+                ->where('record_date', '<=', $todayEnd)
+                ->order('id', 'desc')
+                ->find();
+
+            $payload = [
+                'diagnosis_id'             => $diagnosisId,
+                'patient_id'               => (int) $diagnosis['patient_id'],
+                'record_date'              => $todayStart,
+                'record_time'              => date('H:i'),
+                'fasting_blood_sugar'      => $fasting,
+                'postprandial_blood_sugar' => $postprandial,
+                'other_blood_sugar'        => $other,
+                'systolic_pressure'        => $systolic,
+                'diastolic_pressure'       => $diastolic,
+                'remark'                   => $remark,
+                'source'                   => 1,
+            ];
+
+            if ($existing) {
+                $payload['id'] = $existing['id'];
+                BloodRecord::update($payload);
+                return $this->success('已更新今日记录', ['id' => $existing['id']]);
+            }
+
+            $created = BloodRecord::create($payload);
+            return $this->success('录入成功', ['id' => $created->id]);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 日常记录-删除今日的血糖血压记录（患者端）
+     *
+     * 路由：POST /api/tcm/dailyDeleteBloodRecord
+     * 必填：diagnosis_id, id
+     *
+     * 只允许删除当前用户拥有的诊单 + 当天 + source=1 的记录；其他情况一律拒绝。
+     *
+     * @return \think\response\Json
+     */
+    public function dailyDeleteBloodRecord()
+    {
+        $diagnosisId = (int) $this->request->post('diagnosis_id', 0);
+        $recordId    = (int) $this->request->post('id', 0);
+        $check = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+
+        if ($recordId <= 0) {
+            return $this->fail('记录ID不能为空');
+        }
+
+        try {
+            $todayStart = strtotime(date('Y-m-d 00:00:00'));
+            $todayEnd   = strtotime(date('Y-m-d 23:59:59'));
+
+            $record = BloodRecord::where('id', $recordId)
+                ->where('diagnosis_id', $diagnosisId)
+                ->where('source', 1)
+                ->find();
+
+            if (!$record) {
+                return $this->fail('记录不存在或无权删除');
+            }
+
+            $ts = (int) $record['record_date'];
+            if ($ts < $todayStart || $ts > $todayEnd) {
+                return $this->fail('只能删除当天的记录');
+            }
+
+            BloodRecord::destroy($recordId);
+            return $this->success('已删除');
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
    /**
     * @notes 根据订单号获取订单详情（供小程序支付页调用）
     * @return \think\response\Json
@@ -0,0 +1,11 @@
+-- 为「血糖血压记录表」增加来源字段
+-- 0 = 医生 / 助理在管理后台录入（历史数据默认 0）
+-- 1 = 患者在小程序「日常记录」页自录
+-- 该字段用于：1) 后台 DailyMatrix 上展示「患者自录」徽章；2) 限制患者只能编辑/删除自己当天的记录
+
+ALTER TABLE `zyt_tcm_blood_record`
+ADD COLUMN `source` tinyint(1) NOT NULL DEFAULT 0 COMMENT '来源：0-医生录入 1-患者自录' AFTER `remark`;
+
+-- 加索引方便按来源过滤
+ALTER TABLE `zyt_tcm_blood_record`
+ADD KEY `idx_source` (`source`);