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2026-06-13 15:00:43 +08:00
parent 8ae5b4eead
commit 6b713a2d6c
4 changed files with 208 additions and 25 deletions
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server/app/adminapi/logic/tcm/DiagnosisLogic.php
+123 -20
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@@ -28,6 +28,7 @@ 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\auth\AuthLogic;
use app\adminapi\logic\doctor\DoctorNoteLogic;
use app\adminapi\logic\doctor\AppointmentLogic;
use app\adminapi\logic\tcm\TrackingNoteLogic;
@@ -73,8 +74,8 @@ class DiagnosisLogic extends BaseLogic
}
}
// 生成患者ID
$params['patient_id'] = self::generatePatientId();
// 新患者先占位 0，写入后 patient_id 与自增 id 对齐
$params['patient_id'] = 0;
// 处理既往史数组
if (isset($params['past_history']) && is_array($params['past_history'])) {
@@ -119,6 +120,7 @@ class DiagnosisLogic extends BaseLogic
}
$model = Diagnosis::create($params);
$model = self::syncPatientIdWithDiagnosisId($model);
// 图片写入 doctor_note 表
if (!empty($newTongueImages) || !empty($newReportFiles)) {
@@ -130,7 +132,7 @@ class DiagnosisLogic extends BaseLogic
}
// 自动为患者创建 TRTC 账号
self::createPatientTrtcAccount($model->id);
self::createPatientTrtcAccount($model->patient_id);
return $model->id;
} catch (\Exception $e) {
@@ -140,16 +142,20 @@ class DiagnosisLogic extends BaseLogic
}
/**
* @notes 生成患者ID
* @return int
* @notes 新患者首张诊单：patient_id 与自增 id 对齐
* @param Diagnosis $model
* @return Diagnosis
*/
private static function generatePatientId(): int
private static function syncPatientIdWithDiagnosisId(Diagnosis $model): Diagnosis
{
// 获取当前最大的患者ID
$maxPatientId = Diagnosis::max('id') ?? 10000000;
// 返回下一个患者ID
return $maxPatientId + 1;
if ((int) $model->patient_id === (int) $model->id) {
return $model;
}
Diagnosis::where('id', $model->id)->update(['patient_id' => $model->id]);
$model->patient_id = (int) $model->id;
return $model;
}
/**
@@ -157,9 +163,23 @@ class DiagnosisLogic extends BaseLogic
* @param array $params
* @return bool
*/
public static function edit(array $params): bool
/** 诊单编辑：患者基本信息字段（姓名/身份证/手机/性别/年龄） */
private const PATIENT_BASIC_FIELDS = ['patient_name', 'id_card', 'phone', 'gender', 'age'];
public static function edit(array $params, array $adminInfo = []): bool
{
try {
if (!empty($params['id']) && $adminInfo !== []) {
$existing = Diagnosis::find((int) $params['id']);
if ($existing && !self::canEditPatientBasicInfo((int) $params['id'], $adminInfo)) {
if (self::patientBasicFieldsChanged($existing, $params)) {
self::setError('最近业务订单未完成，无法修改患者基本信息');
return false;
}
}
}
// 检查手机号是否重复（排除当前记录）
if (!empty($params['phone'])) {
$exists = Diagnosis::where('phone', $params['phone'])
@@ -250,7 +270,7 @@ class DiagnosisLogic extends BaseLogic
* @param $params
* @return array
*/
public static function detail($params): array
public static function detail($params, array $adminInfo = []): array
{
$diagnosis = Diagnosis::findOrEmpty($params['id'])->toArray();
@@ -317,7 +337,17 @@ class DiagnosisLogic extends BaseLogic
$diagnosis['local_hospital_visit_date'] = $diagnosis['diagnosis_date'];
}
$diagnosis['is_view'] =DiagnosisViewRecord::where(['diagnosis_id'=> $diagnosis['id'], 'user_id' =>$params['user_id']??0])->find() ? 1 : 0;
$latestPo = self::getLatestPrescriptionOrderRowForDiagnosis((int) ($diagnosis['id'] ?? 0));
$patientBasicLocked = $latestPo !== null && (int) ($latestPo['fulfillment_status'] ?? 0) !== 3;
$diagnosis['patient_basic_locked'] = $patientBasicLocked;
$diagnosis['can_edit_patient_basic'] = self::canEditPatientBasicInfo((int) ($diagnosis['id'] ?? 0), $adminInfo);
$diagnosis['latest_prescription_order'] = $latestPo !== null ? [
'id' => (int) ($latestPo['id'] ?? 0),
'fulfillment_status' => (int) ($latestPo['fulfillment_status'] ?? 0),
'fulfillment_status_text'=> PrescriptionOrderLogic::fulfillmentStatusLabel((int) ($latestPo['fulfillment_status'] ?? 0)),
] : null;
return $diagnosis;
}
@@ -486,11 +516,11 @@ class DiagnosisLogic extends BaseLogic
}
/**
* 诊单下用于指派日志快照的「最新」业务单：按 create_time 最新，其次 id（避免误用更早下单但 id 更大的记录）。
* 诊单下「最新」业务单：按 create_time 最新，其次 id（避免误用更早下单但 id 更大的记录）。
*
* @return array{creator_id: int, create_time: int}|null
* @return array<string, mixed>|null
*/
private static function getLatestPrescriptionOrderSnapshotForDiagnosis(int $diagnosisId): ?array
private static function getLatestPrescriptionOrderRowForDiagnosis(int $diagnosisId): ?array
{
if ($diagnosisId <= 0) {
return null;
@@ -500,19 +530,88 @@ class DiagnosisLogic extends BaseLogic
->whereNull('delete_time')
->order('create_time', 'desc')
->order('id', 'desc')
->field(['creator_id', 'create_time'])
->field(['id', 'creator_id', 'create_time', 'fulfillment_status'])
->find();
if ($row === null || $row === []) {
return null;
}
return $row;
}
/**
* 诊单下用于指派日志快照的「最新」业务单：按 create_time 最新，其次 id（避免误用更早下单但 id 更大的记录）。
*
* @return array{creator_id: int, create_time: int}|null
*/
private static function getLatestPrescriptionOrderSnapshotForDiagnosis(int $diagnosisId): ?array
{
$row = self::getLatestPrescriptionOrderRowForDiagnosis($diagnosisId);
if ($row === null) {
return null;
}
return [
'creator_id' => (int) ($row['creator_id'] ?? 0),
'create_time' => (int) ($row['create_time'] ?? 0),
];
}
/**
* 菜单权限 tcm.diagnosis/editPatientBasic：最近业务订单未完成时仍可改患者基本信息
*/
public static function hasEditPatientBasicPermission(array $adminInfo): bool
{
if (!empty($adminInfo['root']) && (int) $adminInfo['root'] === 1) {
return true;
}
$perms = AuthLogic::getAuthByAdminId((int) ($adminInfo['admin_id'] ?? 0));
return in_array('tcm.diagnosis/editPatientBasic', $perms, true);
}
/**
* 是否允许编辑诊单患者基本信息（无业务单 / 最近一单已完成 / 具备 editPatientBasic 权限）
*/
public static function canEditPatientBasicInfo(int $diagnosisId, array $adminInfo): bool
{
$latest = self::getLatestPrescriptionOrderRowForDiagnosis($diagnosisId);
if ($latest === null) {
return true;
}
if ((int) ($latest['fulfillment_status'] ?? 0) === 3) {
return true;
}
return self::hasEditPatientBasicPermission($adminInfo);
}
/**
* @param Diagnosis $existing
*/
private static function patientBasicFieldsChanged($existing, array $params): bool
{
foreach (self::PATIENT_BASIC_FIELDS as $field) {
if (!array_key_exists($field, $params)) {
continue;
}
$old = $existing->{$field};
$new = $params[$field];
if ($field === 'age' || $field === 'gender') {
if ((int) $old !== (int) $new) {
return true;
}
continue;
}
if ((string) $old !== (string) $new) {
return true;
}
}
return false;
}
/**
* 诊单 current assistant_id 为 0 时，从最近一条指派日志推断「原医助」（如发货释放后：上一条多为 from=X、to=0）。
* - 最近一条 to_assistant_id > 0：视为上一任持有人（库未同步时的兜底）
@@ -3092,8 +3191,9 @@ class DiagnosisLogic extends BaseLogic
unset($params['user_id']); // 诊单表无此字段，仅用于创建 view_record
$patientId = $params['patient_id'] ?? 0;
if (!$patientId) {
$params['patient_id'] = self::generatePatientId();
$isNewPatient = !$patientId;
if ($isNewPatient) {
$params['patient_id'] = 0;
}
$params['status'] = 1;
@@ -3123,6 +3223,9 @@ class DiagnosisLogic extends BaseLogic
}
$model = Diagnosis::create($params);
if ($isNewPatient) {
$model = self::syncPatientIdWithDiagnosisId($model);
}
self::createPatientTrtcAccount($model->patient_id);
// 图片写入 doctor_note