1

2026-04-29 18:41:39 +08:00
parent dc899e4af4
commit 256771c384
103 changed files with 2942 additions and 17057 deletions
@@ -10,6 +10,12 @@ use app\common\model\tcm\Diagnosis;
 use app\common\model\auth\Admin;
 use app\api\logic\ChatNotifyLogic;
 use app\adminapi\logic\tcm\PrescriptionLogic;
+use app\adminapi\logic\tcm\DiagnosisLogic;
+use app\adminapi\logic\tcm\BloodRecordLogic;
+use app\adminapi\logic\doctor\DoctorNoteLogic;
+use app\common\model\tcm\Prescription;
+use app\common\service\wechat\WechatWorkAppMessageService;
+use app\common\model\dict\DictData;
 use think\facade\Db;
 use think\facade\Log;

@@ -444,4 +450,261 @@ class AppointmentLogic extends BaseLogic
            return false;
        }
    }
+
+    /**
+     * @notes 接诊台聚合：单次返回挂号信息 + 诊单病例 + 血糖血压记录 + 助理姓名
+     * 数据复用：detail() / DiagnosisLogic::detail() / BloodRecordLogic::getRecordsByPatient()
+     * 备注：appointment.patient_id 实际对应 tcm_diagnosis.id
+     * @param array $params
+     * @return array
+     */
+    public static function reception(array $params): array
+    {
+        // 1) 挂号详情（已包含 patient_name / patient_phone / doctor_name / status_desc 等）
+        $appointment = self::detail($params);
+        if (empty($appointment)) {
+            return [];
+        }
+
+        // 2) 诊单（病例）详情：appointment.patient_id == tcm_diagnosis.id
+        $diagnosisId = (int) ($appointment['patient_id'] ?? 0);
+        $diagnosis = $diagnosisId > 0
+            ? DiagnosisLogic::detail(['id' => $diagnosisId])
+            : [];
+
+        // 3) 血糖血压记录
+        $bloodRecords = $diagnosisId > 0
+            ? BloodRecordLogic::getRecordsByPatient(['diagnosis_id' => $diagnosisId])
+            : [];
+
+        // 4) 补全医助姓名（detail() 未关联 admin 助理表）
+        $assistantName = '';
+        if (!empty($diagnosis['assistant_id'])) {
+            $assistant = Admin::where('id', (int) $diagnosis['assistant_id'])->find();
+            if ($assistant) {
+                $assistantName = $assistant->name ?? '';
+            }
+        }
+        $appointment['assistant_name'] = $assistantName;
+        $appointment['assistant_id'] = $diagnosis['assistant_id'] ?? 0;
+
+        // 5) 是否已开方（与列表口径一致：未删除 & 未作废）
+        $hasPrescription = 0;
+        if ($diagnosisId > 0) {
+            $rxExists = Prescription::where('diagnosis_id', $diagnosisId)
+                ->whereNull('delete_time')
+                ->where('void_status', 0)
+                ->find();
+            $hasPrescription = $rxExists ? 1 : 0;
+        }
+        $appointment['has_prescription'] = $hasPrescription;
+
+        // 6) 对诊单字段进行字典/枚举翻译（产出 *_text 附加字段，不覆盖原 value）
+        $diagnosis = self::enrichDiagnosisLabels($diagnosis);
+
+        // 7) 医生备注
+        $doctorNotes = $diagnosisId > 0
+            ? DoctorNoteLogic::getByDiagnosis($diagnosisId)
+            : [];
+
+        return [
+            'appointment'   => $appointment,
+            'diagnosis'     => $diagnosis,
+            'blood_records' => $bloodRecords,
+            'doctor_notes'  => $doctorNotes,
+        ];
+    }
+
+    /**
+     * 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。
+     * 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 $diagnosis): array
+    {
+        if (empty($diagnosis)) {
+            return $diagnosis;
+        }
+
+        // 单值字段：value 为字典 value，翻译成字典 name
+        $singleDictFields = [
+            'diagnosis_type'     => 'diagnosis_type',
+            'syndrome_type'      => 'syndrome_type',
+            'diabetes_type'      => 'diabetes_type',
+            'water_intake'       => 'water_intake',
+            'weight_change'      => 'weight_change',
+            'fatty_liver_degree' => 'fatty_liver_degree',
+        ];
+        // 多值字段：value 为数组或逗号分隔字符串
+        $multiDictFields = [
+            'past_history'     => 'past_history',
+            'appetite'         => 'appetite',
+            'diet_condition'   => 'diet_condition',
+            'body_feeling'     => 'body_feeling',
+            'sleep_condition'  => 'sleep_condition',
+            'eye_condition'    => 'eye_condition',
+            'head_feeling'     => 'head_feeling',
+            'sweat_condition'  => 'sweat_condition',
+            'skin_condition'   => 'skin_condition',
+            'urine_condition'  => 'urine_condition',
+            'stool_condition'  => 'stool_condition',
+            'kidney_condition' => 'kidney_condition',
+        ];
+
+        // 一次性查出用到的所有字典
+        $allTypes = array_values(array_unique(array_merge(array_values($singleDictFields), array_values($multiDictFields))));
+        $dictMap = self::buildDictMap($allTypes);
+
+        foreach ($singleDictFields as $field => $type) {
+            if (!array_key_exists($field, $diagnosis)) {
+                continue;
+            }
+            $diagnosis[$field . '_text'] = self::dictLabel($dictMap, $type, $diagnosis[$field]);
+        }
+        foreach ($multiDictFields as $field => $type) {
+            if (!array_key_exists($field, $diagnosis)) {
+                continue;
+            }
+            $v = $diagnosis[$field];
+            $arr = is_array($v)
+                ? $v
+                : (is_string($v) && $v !== '' ? preg_split('/[,，、]/', $v) : []);
+            $labels = [];
+            foreach ($arr as $item) {
+                $item = is_string($item) ? trim($item) : $item;
+                if ($item === '' || $item === null) {
+                    continue;
+                }
+                $labels[] = self::dictLabel($dictMap, $type, $item);
+            }
+            $diagnosis[$field . '_text'] = implode('、', array_filter($labels));
+        }
+
+        // 枚举字段
+        $diagnosis['gender_text']         = isset($diagnosis['gender']) ? self::genderText((int) $diagnosis['gender']) : '';
+        $diagnosis['marital_status_text'] = array_key_exists('marital_status', $diagnosis) ? self::maritalText($diagnosis['marital_status']) : '';
+        foreach (['trauma_history', 'surgery_history', 'allergy_history', 'family_history', 'pregnancy_history'] as $f) {
+            if (array_key_exists($f, $diagnosis)) {
+                $diagnosis[$f . '_text'] = self::yesNoText($diagnosis[$f]);
+            }
+        }
+
+        return $diagnosis;
+    }
+
+    /**
+     * 构建 type_value => [value => name] 的两级查询映射
+     *
+     * @param array $types
+     * @return array
+     */
+    private static function buildDictMap(array $types): array
+    {
+        if (empty($types)) {
+            return [];
+        }
+        $rows = DictData::whereIn('type_value', $types)
+            ->field(['type_value', 'value', 'name'])
+            ->select()
+            ->toArray();
+        $map = [];
+        foreach ($rows as $r) {
+            $tv = (string) ($r['type_value'] ?? '');
+            $v  = (string) ($r['value'] ?? '');
+            $n  = (string) ($r['name'] ?? '');
+            if ($tv === '' || $v === '') {
+                continue;
+            }
+            $map[$tv][$v] = $n;
+        }
+        return $map;
+    }
+
+    /**
+     * 找不到字典项时回显原值（避免空白）
+     */
+    private static function dictLabel(array $dictMap, string $type, $value): string
+    {
+        if ($value === null || $value === '') {
+            return '';
+        }
+        $key = (string) $value;
+        return $dictMap[$type][$key] ?? $key;
+    }
+
+    private static function genderText(int $gender): string
+    {
+        if ($gender === 1) return '男';
+        if ($gender === 0) return '女';
+        return '';
+    }
+
+    private static function maritalText($v): string
+    {
+        if ($v === null || $v === '') return '';
+        $n = (int) $v;
+        if ($n === 0) return '未婚';
+        if ($n === 1) return '已婚';
+        if ($n === 2) return '离异';
+        return '';
+    }
+
+    private static function yesNoText($v): string
+    {
+        if ($v === null || $v === '') return '';
+        return ((int) $v) === 1 ? '有' : '无';
+    }
+
+    /**
+     * @notes 通知接诊医助（按诊单 assistant_id 查企微 userid 后发应用消息）
+     * 文案固定：马上面诊到你对应的患者了，请联系患者进入诊室等待。
+     * @param int $appointmentId
+     * @return array{ok: bool, message?: string}
+     */
+    public static function notifyAssistant(int $appointmentId): array
+    {
+        try {
+            $appointment = Appointment::findOrEmpty($appointmentId);
+            if ($appointment->isEmpty()) {
+                return ['ok' => false, 'message' => '挂号记录不存在'];
+            }
+
+            $diagnosis = Diagnosis::where('id', (int) $appointment->patient_id)->find();
+            if (!$diagnosis) {
+                return ['ok' => false, 'message' => '未找到对应的诊单'];
+            }
+            $assistantId = (int) ($diagnosis->assistant_id ?? 0);
+            if ($assistantId <= 0) {
+                return ['ok' => false, 'message' => '该患者尚未指派医助'];
+            }
+
+            $assistant = Admin::whereNull('delete_time')->find($assistantId);
+            if (!$assistant) {
+                return ['ok' => false, 'message' => '医助账号不存在'];
+            }
+            $wxId = trim((string) ($assistant->work_wechat_userid ?? ''));
+            if ($wxId === '') {
+                Log::warning("接诊台通知医助跳过：医助 admin_id={$assistantId} 未绑定 work_wechat_userid");
+                return [
+                    'ok' => false,
+                    'message' => '该医助未绑定企业微信账号，无法推送消息（请其在后台「扫码绑定企业微信」后再试）',
+                ];
+            }
+
+            $patientName = (string) ($diagnosis->patient_name ?? '患者');
+            $text = "【接诊通知】马上面诊到你对应的患者了，请联系患者进入诊室等待。\n患者：{$patientName}\n时间：" . (string) $appointment->appointment_date . ' ' . (string) $appointment->appointment_time;
+
+            $result = WechatWorkAppMessageService::sendTextToUser($wxId, $text);
+            if (empty($result['ok'])) {
+                Log::warning('接诊台通知医助失败：' . ($result['message'] ?? ''));
+            }
+            return $result;
+        } catch (\Throwable $e) {
+            Log::error('接诊台通知医助异常：' . $e->getMessage());
+            return ['ok' => false, 'message' => '企业微信通知异常：' . $e->getMessage()];
+        }
+    }
 }
@@ -0,0 +1,121 @@
+<?php
+
+namespace app\adminapi\logic\doctor;
+
+use app\common\logic\BaseLogic;
+use app\common\model\doctor\DoctorNote;
+
+class DoctorNoteLogic extends BaseLogic
+{
+    /**
+     * 按 diagnosis_id + 当天 find-or-create，追加 content / tongue_images
+     */
+    public static function addOrAppend(array $params): bool
+    {
+        try {
+            $diagnosisId = (int) $params['diagnosis_id'];
+            $doctorId    = (int) ($params['doctor_id'] ?? 0);
+            $today       = date('Y-m-d');
+            $time        = date('H:i');
+
+            $existing = DoctorNote::where('diagnosis_id', $diagnosisId)
+                ->where('note_date', $today)
+                ->whereNull('delete_time')
+                ->find();
+
+            $newContent = trim($params['content'] ?? '');
+            $newImages  = $params['tongue_images'] ?? [];
+            if (is_string($newImages)) {
+                $newImages = json_decode($newImages, true) ?: [];
+            }
+
+            if ($existing) {
+                $data = [];
+
+                if ($newContent !== '') {
+                    $prev = trim($existing->content ?? '');
+                    $line = "[{$time}] {$newContent}";
+                    $data['content'] = $prev !== '' ? ($prev . "\n" . $line) : $line;
+                }
+
+                if (!empty($newImages)) {
+                    $prev = $existing->tongue_images;
+                    if (is_string($prev)) {
+                        $prev = json_decode($prev, true) ?: [];
+                    }
+                    if (!is_array($prev)) {
+                        $prev = [];
+                    }
+                    $merged = array_values(array_unique(array_merge($prev, $newImages)));
+                    if (count($merged) > 9) {
+                        $merged = array_slice($merged, 0, 9);
+                    }
+                    $data['tongue_images'] = json_encode($merged, JSON_UNESCAPED_UNICODE);
+                }
+
+                if (!empty($data)) {
+                    $existing->save($data);
+                }
+            } else {
+                $content = $newContent !== '' ? "[{$time}] {$newContent}" : '';
+                DoctorNote::create([
+                    'diagnosis_id'  => $diagnosisId,
+                    'doctor_id'     => $doctorId,
+                    'note_date'     => $today,
+                    'content'       => $content,
+                    'tongue_images' => !empty($newImages)
+                        ? json_encode($newImages, JSON_UNESCAPED_UNICODE)
+                        : null,
+                ]);
+            }
+
+            return true;
+        } catch (\Exception $e) {
+            self::setError($e->getMessage());
+            return false;
+        }
+    }
+
+    /**
+     * 按 diagnosis_id 获取备注列表（note_date DESC）
+     */
+    public static function getByDiagnosis(int $diagnosisId, int $limit = 30): array
+    {
+        try {
+            if ($diagnosisId <= 0) {
+                return [];
+            }
+
+            $records = DoctorNote::where('diagnosis_id', $diagnosisId)
+                ->whereNull('delete_time')
+                ->order('note_date', 'desc')
+                ->limit($limit)
+                ->select()
+                ->toArray();
+
+            $domain = request()->domain();
+
+            foreach ($records as &$record) {
+                $images = $record['tongue_images'] ?? [];
+                if (is_string($images)) {
+                    $images = json_decode($images, true) ?: [];
+                }
+                if (!is_array($images)) {
+                    $images = [];
+                }
+                $record['tongue_images'] = array_map(function ($url) use ($domain) {
+                    if (empty($url)) return $url;
+                    if (stripos($url, 'http://') === 0 || stripos($url, 'https://') === 0) {
+                        return $url;
+                    }
+                    return $domain . '/' . $url;
+                }, $images);
+            }
+
+            return $records;
+        } catch (\Exception $e) {
+            self::setError($e->getMessage());
+            return [];
+        }
+    }
+}