1

2026-05-05 15:02:04 +08:00
parent 0da27ed745
commit 19bfeef98f
19 changed files with 1771 additions and 272 deletions
@@ -113,12 +113,31 @@ class DiagnosisController extends BaseAdminController
     */
    public function detail()
    {
-        
+
        $params = (new DiagnosisValidate())->goCheck('id');
        $result = DiagnosisLogic::detail($params);
        return $this->data($result);
    }

+    /**
+     * @notes 二诊只读病例详情（患者信息 + 病例 + 跟踪记录）
+     *
+     * 路由：GET /tcm.diagnosis/readonlyDetail?id=:diagnosisId
+     * 权限：tcm.diagnosis/readonlyDetail
+     *
+     * @return \think\response\Json
+     */
+    public function readonlyDetail()
+    {
+        $params = (new DiagnosisValidate())->goCheck('readonlyDetail');
+        $result = DiagnosisLogic::readonlyDetail($params, $this->adminId, $this->adminInfo);
+        if (empty($result)) {
+            return $this->fail(DiagnosisLogic::getError() ?: '诊单不存在或无权访问');
+        }
+
+        return $this->data($result);
+    }
+
    /**
     * @notes 诊单挂号 / 取消挂号 操作日志（谁在何时操作）
     */
@@ -17,6 +17,7 @@ namespace app\adminapi\lists\tcm;
 use app\adminapi\lists\BaseAdminDataLists;
 use app\adminapi\logic\dept\DeptLogic;
 use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\BloodRecord;
 use app\common\model\DiagnosisViewRecord;
 use app\common\model\doctor\Appointment;
 use app\common\model\tcm\Prescription;
@@ -381,6 +382,25 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
        foreach ($lists as &$item) {
            $item['video_call_hint'] = $this->buildVideoCallHint($latestCallByDiag[$item['id']] ?? null);
        }
+        unset($item);
+
+        // 未服务天数：以血糖记录最近一条 record_date 为锚点（口径见 prd T3）
+        // 单次 GROUP BY 聚合，不会成 N+1；走 idx_diagnosis_id 索引。
+        $diagIdsForUnserved = array_values(array_filter(array_unique(array_column($lists, 'id'))));
+        $maxBloodByDiag = [];
+        if (!empty($diagIdsForUnserved)) {
+            $maxBloodByDiag = BloodRecord::whereIn('diagnosis_id', $diagIdsForUnserved)
+                ->whereNull('delete_time')
+                ->group('diagnosis_id')
+                ->column('MAX(record_date)', 'diagnosis_id');
+        }
+        $nowTs = time();
+        foreach ($lists as &$item) {
+            $last = (int) ($maxBloodByDiag[(int) $item['id']] ?? 0);
+            $item['last_blood_record_at'] = $last > 0 ? date('Y-m-d', $last) : null;
+            $item['unserved_days'] = $last > 0 ? max(0, (int) floor(($nowTs - $last) / 86400)) : null;
+        }
+        unset($item);

        return $lists;
    }
@@ -561,13 +561,13 @@ class AppointmentLogic extends BaseLogic

    /**
     * 字典翻译：把诊单中以 code 存储的字段（字典/枚举）补一份中文 label 字段，
-     * 便于前端（接诊台等只读场景）直接渲染，无需加载字典。
+     * 便于前端（接诊台 / 只读病例页等只读场景）直接渲染，无需加载字典。
     * 原始 code 字段保留不动，edit 场景仍可使用。
     *
     * @param array $diagnosis
     * @return array
     */
-    private static function enrichDiagnosisLabels(array $diagnosis): array
+    public static function enrichDiagnosisLabels(array $diagnosis): array
    {
        if (empty($diagnosis)) {
            return $diagnosis;
@@ -19,9 +19,17 @@ use app\common\model\tcm\Diagnosis;
 use app\common\model\tcm\DiagnosisGuahaoLog;
 use app\common\model\tcm\DiagnosisAssignLog;
 use app\common\model\tcm\ImChatMessage;
+use app\common\model\tcm\BloodRecord;
+use app\common\model\tcm\DietRecord;
+use app\common\model\tcm\ExerciseRecord;
 use app\common\model\DiagnosisViewRecord;
+use app\common\model\doctor\Appointment;
+use app\common\model\auth\Admin;
+use app\common\model\auth\AdminRole;
 use app\adminapi\logic\doctor\DoctorNoteLogic;
+use app\adminapi\logic\doctor\AppointmentLogic;
 use app\common\service\FileService;
+use app\common\service\DataScope\DataScopeService;
 use think\facade\Db;
 /**
 * 中医辨房病因诊单逻辑
@@ -3324,4 +3332,237 @@ class DiagnosisLogic extends BaseLogic

        return $logs;
    }
+
+    /**
+     * @notes 二诊只读病例详情
+     *
+     * 用途：医助从诊单列表「查看 / 双击」进入只读页（T1+T2），返回与接诊台同结构的
+     * 三块内容（appointment + diagnosis + 跟踪记录）。
+     *
+     * 数据权限（与列表 lists 接口一致）：
+     *  - 医助 (role_id=2)：仅能访问 assistant_id == self 的诊单
+     *  - DataScope 启用：assistant_id 须落在 visibleAdminIds
+     *  - 越权 → setError + 返回 []
+     *
+     * @param array               $params    至少含 id
+     * @param int                 $adminId
+     * @param array<string,mixed> $adminInfo request->adminInfo
+     * @return array
+     */
+    public static function readonlyDetail(array $params, int $adminId, array $adminInfo): array
+    {
+        $diagnosisId = (int) ($params['id'] ?? 0);
+        if ($diagnosisId <= 0) {
+            self::setError('诊单 id 不能为空');
+
+            return [];
+        }
+
+        // 1) 数据权限闸 — 不通过则返回「不存在或无权访问」
+        $accessQuery = Diagnosis::where('id', $diagnosisId)->whereNull('delete_time');
+
+        $roleIds = array_map('intval', AdminRole::where('admin_id', $adminId)->column('role_id'));
+        if (in_array(2, $roleIds, true)) {
+            // 医助仅看自己被指派的
+            $accessQuery->where('assistant_id', $adminId);
+        }
+
+        if (DataScopeService::isEnabled()) {
+            $visibleIds = DataScopeService::getVisibleAdminIds($adminId, $adminInfo);
+            if ($visibleIds === []) {
+                self::setError('诊单不存在或无权访问');
+
+                return [];
+            }
+            if (is_array($visibleIds)) {
+                $accessQuery->whereIn('assistant_id', $visibleIds);
+            }
+        }
+
+        if (!$accessQuery->find()) {
+            self::setError('诊单不存在或无权访问');
+
+            return [];
+        }
+
+        // 2) 诊单详情（含图片聚合等）+ 字典翻译
+        $diagnosis = self::detail(['id' => $diagnosisId]);
+        if (empty($diagnosis)) {
+            self::setError('诊单数据为空');
+
+            return [];
+        }
+        $diagnosis = AppointmentLogic::enrichDiagnosisLabels($diagnosis);
+
+        // 3) 最近一条挂号（PatientInfoCard 显示用，无挂号则给默认空对象）
+        $appointment = self::buildLatestAppointmentForReadonly((int) ($diagnosis['id'] ?? $diagnosisId), $diagnosis);
+
+        // 4) 最近 30 天的跟踪记录（一次性 join 出三类，前端透视为矩阵）
+        $windowDays = 30;
+        $sinceTs    = strtotime('-' . $windowDays . ' days');
+        $sinceTs    = $sinceTs > 0 ? $sinceTs : 0;
+
+        $bloodRecords    = self::fetchBloodRecordsForReadonly($diagnosisId, $sinceTs);
+        $dietRecords     = self::fetchDietRecordsForReadonly($diagnosisId, $sinceTs);
+        $exerciseRecords = self::fetchExerciseRecordsForReadonly($diagnosisId, $sinceTs);
+
+        // 5) 医生备注
+        $doctorNotes = DoctorNoteLogic::getByDiagnosis($diagnosisId);
+
+        // 6) 未服务天数（与 T3 列同口径）
+        $maxBloodTs = BloodRecord::where('diagnosis_id', $diagnosisId)
+            ->max('record_date');
+        $maxBloodTs           = (int) $maxBloodTs;
+        $unservedDays         = $maxBloodTs > 0 ? max(0, (int) floor((time() - $maxBloodTs) / 86400)) : null;
+        $lastBloodRecordAt    = $maxBloodTs > 0 ? date('Y-m-d', $maxBloodTs) : null;
+
+        return [
+            'appointment'           => $appointment,
+            'diagnosis'             => $diagnosis,
+            'blood_records'         => $bloodRecords,
+            'diet_records'          => $dietRecords,
+            'exercise_records'      => $exerciseRecords,
+            'doctor_notes'          => $doctorNotes,
+            'unserved_days'         => $unservedDays,
+            'last_blood_record_at'  => $lastBloodRecordAt,
+            'window_days'           => $windowDays,
+        ];
+    }
+
+    /**
+     * 拼一份「最近一条挂号」给只读页 PatientInfoCard 用；没有挂号则给默认空骨架。
+     *
+     * @param int                 $diagnosisId
+     * @param array<string,mixed> $diagnosis 已字典翻译过的诊单数据
+     * @return array<string,mixed>
+     */
+    private static function buildLatestAppointmentForReadonly(int $diagnosisId, array $diagnosis): array
+    {
+        $apt = Appointment::where('patient_id', $diagnosisId)
+            ->order('id', 'desc')
+            ->find();
+
+        $patientName  = (string) ($diagnosis['patient_name'] ?? '');
+        $patientPhone = (string) ($diagnosis['phone'] ?? '');
+
+        if (!$apt) {
+            return [
+                'id'                 => 0,
+                'patient_id'         => $diagnosisId,
+                'patient_name'       => $patientName,
+                'patient_phone'      => $patientPhone,
+                'doctor_id'          => 0,
+                'doctor_name'        => '',
+                'assistant_id'       => (int) ($diagnosis['assistant_id'] ?? 0),
+                'assistant_name'     => self::resolveAssistantName((int) ($diagnosis['assistant_id'] ?? 0)),
+                'appointment_date'   => '',
+                'appointment_time'   => '',
+                'period'             => '',
+                'status'             => 0,
+                'status_desc'        => '无挂号',
+                'has_prescription'   => 0,
+                'remark'             => '',
+            ];
+        }
+
+        $aptArr = $apt->toArray();
+        $aptArr['patient_name']  = $patientName;
+        $aptArr['patient_phone'] = $patientPhone;
+        // 医生姓名
+        $aptArr['doctor_name'] = '';
+        $docId                 = (int) ($aptArr['doctor_id'] ?? 0);
+        if ($docId > 0) {
+            $aptArr['doctor_name'] = (string) Admin::where('id', $docId)->value('name');
+        }
+        $aptArr['assistant_id']     = (int) ($diagnosis['assistant_id'] ?? 0);
+        $aptArr['assistant_name']   = self::resolveAssistantName((int) ($diagnosis['assistant_id'] ?? 0));
+        // status_desc 与现有列表口径保持简单映射
+        $statusMap = [
+            0 => '未挂号',
+            1 => '已预约',
+            2 => '已取消',
+            3 => '已完成',
+            4 => '已过号',
+        ];
+        $aptArr['status_desc']     = $statusMap[(int) ($aptArr['status'] ?? 0)] ?? '';
+        $aptArr['has_prescription'] = (int) ($diagnosis['has_prescription'] ?? 0);
+
+        return $aptArr;
+    }
+
+    private static function resolveAssistantName(int $assistantId): string
+    {
+        if ($assistantId <= 0) {
+            return '';
+        }
+
+        return (string) Admin::where('id', $assistantId)->value('name');
+    }
+
+    /**
+     * @return array<int,array<string,mixed>>
+     */
+    private static function fetchBloodRecordsForReadonly(int $diagnosisId, int $sinceTs): array
+    {
+        $query = BloodRecord::where('diagnosis_id', $diagnosisId);
+        if ($sinceTs > 0) {
+            $query->where('record_date', '>=', $sinceTs);
+        }
+        $rows = $query->order('record_date', 'desc')
+            ->order('record_time', 'desc')
+            ->select()
+            ->toArray();
+
+        // 给前端一个 Y-m-d 字符串方便按日期透视；保留原 record_date 整数戳作日期窗口比较
+        foreach ($rows as &$row) {
+            $ts                          = (int) ($row['record_date'] ?? 0);
+            $row['record_date_ts']       = $ts;
+            $row['record_date']          = $ts > 0 ? date('Y-m-d', $ts) : '';
+        }
+
+        return $rows;
+    }
+
+    /**
+     * @return array<int,array<string,mixed>>
+     */
+    private static function fetchDietRecordsForReadonly(int $diagnosisId, int $sinceTs): array
+    {
+        $query = DietRecord::where('diagnosis_id', $diagnosisId);
+        if ($sinceTs > 0) {
+            $query->where('record_date', '>=', $sinceTs);
+        }
+        $rows = $query->order('record_date', 'desc')->select()->toArray();
+
+        foreach ($rows as &$row) {
+            $ts                    = (int) ($row['record_date'] ?? 0);
+            $row['record_date_ts'] = $ts;
+            $row['record_date']    = $ts > 0 ? date('Y-m-d', $ts) : '';
+        }
+
+        return $rows;
+    }
+
+    /**
+     * @return array<int,array<string,mixed>>
+     */
+    private static function fetchExerciseRecordsForReadonly(int $diagnosisId, int $sinceTs): array
+    {
+        $query = ExerciseRecord::where('diagnosis_id', $diagnosisId);
+        if ($sinceTs > 0) {
+            $query->where('record_date', '>=', $sinceTs);
+        }
+        $rows = $query->order('record_date', 'desc')
+            ->append(['intensity_text'])
+            ->select()
+            ->toArray();
+
+        foreach ($rows as &$row) {
+            $ts                    = (int) ($row['record_date'] ?? 0);
+            $row['record_date_ts'] = $ts;
+            $row['record_date']    = $ts > 0 ? date('Y-m-d', $ts) : '';
+        }
+
+        return $rows;
+    }
 }
@@ -71,6 +71,11 @@ class DiagnosisValidate extends BaseValidate
    {
        return $this->only(['id']);
    }
+
+    public function sceneReadonlyDetail()
+    {
+        return $this->only(['id']);
+    }
    
    public function sceneGenerateQrcode()
    {