更新
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@@ -338,7 +338,7 @@ class DiagnosisLogic extends BaseLogic
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try {
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// 获取配置
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$config = self::getTrtcConfig();
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if (!$config) {
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self::setError('请先配置腾讯云TRTC参数');
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return false;
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@@ -1197,4 +1197,158 @@ class DiagnosisLogic extends BaseLogic
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return false;
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}
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}
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/**
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* @notes 获取就诊卡列表（供小程序调用）
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* @param int $patientId
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* @return array|false
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*/
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public static function getCardList(int $patientId)
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{
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try {
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if (!$patientId) {
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self::setError('患者ID不能为空');
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return false;
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}
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// 查询该患者的所有诊单
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$cardList = Diagnosis::where('patient_id', $patientId)
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->where('delete_time', null)
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->field([
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'id', 'patient_id', 'patient_name', 'gender', 'age',
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'diagnosis_date', 'diagnosis_type', 'syndrome_type',
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'status', 'create_time', 'update_time'
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])
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->order('create_time', 'desc')
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->select()
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->toArray();
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// 处理数据格式
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foreach ($cardList as &$card) {
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// 转换诊断日期为时间戳和格式化文本
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if ($card['diagnosis_date']) {
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$card['diagnosis_date_text'] = date('Y-m-d', $card['diagnosis_date']);
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} else {
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$card['diagnosis_date_text'] = '-';
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}
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// 添加性别描述
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$card['gender_desc'] = $card['gender'] == 1 ? '男' : '女';
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// 添加状态描述
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$card['status_desc'] = $card['status'] == 1 ? '启用' : '禁用';
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// 格式化创建时间
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if ($card['create_time']) {
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$card['create_time'] = date('Y-m-d H:i:s', $card['create_time']);
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}
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// 格式化更新时间
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if ($card['update_time']) {
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$card['update_time'] = date('Y-m-d H:i:s', $card['update_time']);
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}
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}
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return $cardList;
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} catch (\Exception $e) {
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\think\facade\Log::error('获取就诊卡列表失败 - patient_id: ' . $patientId . ', error: ' . $e->getMessage());
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self::setError($e->getMessage());
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return false;
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}
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}
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/**
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* @notes 更新就诊卡（供小程序调用）
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* @param array $params
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* @return bool
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*/
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public static function updateCard(array $params)
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{
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try {
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$diagnosisId = $params['id'] ?? 0;
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$patientId = $params['patient_id'] ?? 0;
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if (!$diagnosisId) {
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self::setError('诊单ID不能为空');
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return false;
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}
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if (!$patientId) {
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self::setError('患者ID不能为空');
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return false;
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}
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// 获取诊单信息
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$diagnosis = Diagnosis::find($diagnosisId);
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if (!$diagnosis) {
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self::setError('诊单不存在');
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return false;
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}
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// 权限验证：只能修改自己的诊单
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if ($diagnosis->patient_id != $patientId) {
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\think\facade\Log::warning('非法修改诊单 - diagnosis_id: ' . $diagnosisId . ', patient_id: ' . $patientId . ', actual_patient_id: ' . $diagnosis->patient_id);
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self::setError('无权限修改此诊单');
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return false;
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}
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// 准备更新数据
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$updateData = [
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'patient_name' => $params['patient_name'] ?? '',
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'gender' => $params['gender'] ?? 1,
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'age' => $params['age'] ?? 0,
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'diagnosis_type' => $params['diagnosis_type'] ?? '',
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'syndrome_type' => $params['syndrome_type'] ?? '',
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'diabetes_type' => $params['diabetes_type'] ?? '',
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// 现病史字段
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'appetite' => $params['appetite'] ?? '',
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'water_intake' => $params['water_intake'] ?? '',
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'diet_condition' => $params['diet_condition'] ?? '',
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'weight_change' => $params['weight_change'] ?? '',
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'body_feeling' => $params['body_feeling'] ?? '',
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'sleep_condition' => $params['sleep_condition'] ?? '',
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'eye_condition' => $params['eye_condition'] ?? '',
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'head_feeling' => $params['head_feeling'] ?? '',
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'sweat_condition' => $params['sweat_condition'] ?? '',
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'skin_condition' => $params['skin_condition'] ?? '',
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'urine_condition' => $params['urine_condition'] ?? '',
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'stool_condition' => $params['stool_condition'] ?? '',
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'kidney_condition' => $params['kidney_condition'] ?? '',
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'fatty_liver_degree' => $params['fatty_liver_degree'] ?? '',
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// 既往史字段
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'past_history' => $params['past_history'] ?? '',
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'trauma_history' => $params['trauma_history'] ?? 0,
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'surgery_history' => $params['surgery_history'] ?? 0,
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'allergy_history' => $params['allergy_history'] ?? 0,
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'family_history' => $params['family_history'] ?? 0,
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'pregnancy_history' => $params['pregnancy_history'] ?? 0,
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// 临床信息
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'symptoms' => $params['symptoms'] ?? '',
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'tongue_coating' => $params['tongue_coating'] ?? '',
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'pulse' => $params['pulse'] ?? '',
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'treatment_principle' => $params['treatment_principle'] ?? '',
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'prescription' => $params['prescription'] ?? '',
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'doctor_advice' => $params['doctor_advice'] ?? '',
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'remark' => $params['remark'] ?? '',
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'update_time' => time()
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];
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// 处理诊断日期
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if (!empty($params['diagnosis_date'])) {
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$updateData['diagnosis_date'] = strtotime($params['diagnosis_date']);
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}
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// 执行更新
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$diagnosis->save($updateData);
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\think\facade\Log::info('诊单更新成功 - diagnosis_id: ' . $diagnosisId . ', patient_id: ' . $patientId);
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return true;
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} catch (\Exception $e) {
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\think\facade\Log::error('更新诊单失败 - error: ' . $e->getMessage());
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self::setError($e->getMessage());
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return false;
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}
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}
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}
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