更新

2026-08-22 08:51:35 +08:00
parent 6c444a4a04
commit c06d293424
69 changed files with 11431 additions and 1601 deletions
@@ -248,20 +248,47 @@ class PrescriptionLogic
    /**
     * 添加处方
     */
-    public static function add(array $params, int $adminId): ?int
-    {
-        // 如果没有诊单ID，允许直接创建处方模板
-        if (!empty($params['diagnosis_id'])) {
-            $diagnosis = Diagnosis::find($params['diagnosis_id']);
-            if (!$diagnosis) {
-                self::setError('诊单不存在');
-                return null;
-            }
-        }
-
-        $dateYmd = self::normalizePrescriptionDate($params['prescription_date'] ?? date('Y-m-d'));
-        $diagnosisIdRule = (int) ($params['diagnosis_id'] ?? 0);
-        if ($diagnosisIdRule > 0 && !self::assertUniquePrescriptionPerDiagnosisDay($diagnosisIdRule, $adminId, $dateYmd, null)) {
+    public static function add(array $params, int $adminId, array $adminInfo): ?int
+    {
+        self::setError('');
+        $diagnosis = null;
+        $authoritativeCaseRecord = null;
+        $authoritativeAppointmentId = 0;
+        $diagnosisIdRule = (int) ($params['diagnosis_id'] ?? 0);
+        if ($diagnosisIdRule > 0) {
+            if (!DiagnosisLogic::canManageDiagnosis($diagnosisIdRule, $adminId, $adminInfo)) {
+                self::setError('诊单不存在或无权访问');
+                return null;
+            }
+            $diagnosis = Diagnosis::where('id', $diagnosisIdRule)
+                ->whereNull('delete_time')
+                ->find();
+            if (!$diagnosis) {
+                self::setError('诊单不存在或无权访问');
+                return null;
+            }
+
+            $requestedAppointmentId = (int) ($params['appointment_id'] ?? 0);
+            if ($requestedAppointmentId > 0) {
+                $appointment = Appointment::where('id', $requestedAppointmentId)
+                    // 历史数据中 appointment.patient_id 指向诊单主键。
+                    ->where('patient_id', $diagnosisIdRule)
+                    ->find();
+                if (!$appointment) {
+                    self::setError('预约与诊单不一致');
+                    return null;
+                }
+                $authoritativeAppointmentId = $requestedAppointmentId;
+            }
+            $authoritativeCaseRecord = DiagnosisLogic::detail(['id' => $diagnosisIdRule], $adminInfo);
+            if (!is_array($authoritativeCaseRecord) || $authoritativeCaseRecord === []) {
+                self::setError('诊单病历暂时无法读取');
+                return null;
+            }
+        }
+
+        $dateYmd = self::normalizePrescriptionDate($params['prescription_date'] ?? date('Y-m-d'));
+        if ($diagnosisIdRule > 0 && !self::assertUniquePrescriptionPerDiagnosisDay($diagnosisIdRule, $adminId, $dateYmd, null)) {
            return null;
        }

@@ -288,7 +315,12 @@ class PrescriptionLogic
            $assistantIdForRx = (int) ($diagAssistant ?? 0);
        }

-        $data = [
+        $doctorName = trim((string) (Admin::where('id', $adminId)->value('name') ?? ''));
+        if ($doctorName === '') {
+            self::setError('当前账号未配置医师姓名，无法开方');
+            return null;
+        }
+        $data = [
            'sn' => $sn,
            'prescription_name' => $params['prescription_name'] ?? '',
            'prescription_type' => $params['prescription_type'] ?? '浓缩水丸',
@@ -298,12 +330,24 @@ class PrescriptionLogic
            'need_decoction' => (int)($params['need_decoction'] ?? 0),
            'bags_per_dose' => isset($params['bags_per_dose']) ? (int)$params['bags_per_dose'] : 1,
            'diagnosis_id' => (int)($params['diagnosis_id'] ?? 0),
-            'appointment_id' => (int)($params['appointment_id'] ?? 0),
-            'patient_id' => (int)($params['patient_id'] ?? 0),
-            'patient_name' => $params['patient_name'] ?? '',
-            'gender' => (int)($params['gender'] ?? 1),
-            'age' => (int)($params['age'] ?? 0),
-            'phone' => $params['phone'] ?? '',
+            'appointment_id' => $diagnosis !== null
+                ? $authoritativeAppointmentId
+                : (int) ($params['appointment_id'] ?? 0),
+            'patient_id' => $diagnosis !== null
+                ? (int) ($diagnosis->patient_id ?? 0)
+                : (int) ($params['patient_id'] ?? 0),
+            'patient_name' => $diagnosis !== null
+                ? (string) ($diagnosis->patient_name ?? '')
+                : (string) ($params['patient_name'] ?? ''),
+            'gender' => $diagnosis !== null
+                ? (int) ($diagnosis->gender ?? 1)
+                : (int) ($params['gender'] ?? 1),
+            'age' => $diagnosis !== null
+                ? (int) ($diagnosis->age ?? 0)
+                : (int) ($params['age'] ?? 0),
+            'phone' => $diagnosis !== null
+                ? (string) ($diagnosis->phone ?? '')
+                : (string) ($params['phone'] ?? ''),
            'visit_no' => $params['visit_no'] ?? $sn,
            'prescription_date' => $dateYmd,
            'pulse' => $params['pulse'] ?? '',
@@ -311,7 +355,9 @@ class PrescriptionLogic
            'tongue' => $params['tongue'] ?? '',
            'tongue_image' => $params['tongue_image'] ?? '',
            'clinical_diagnosis' => $params['clinical_diagnosis'] ?? '',
-            'case_record' => $params['case_record'] ?? null,
+            'case_record' => $diagnosis !== null
+                ? $authoritativeCaseRecord
+                : ($params['case_record'] ?? null),
            'herbs' => $herbs,
            'dose_count' => (int)($params['dose_count'] ?? 1),
            'dose_unit' => $params['dose_unit'] ?? '剂',
@@ -324,7 +370,7 @@ class PrescriptionLogic
            'dietary_taboo' => is_array($params['dietary_taboo'] ?? null) ? implode(',', $params['dietary_taboo']) : ($params['dietary_taboo'] ?? ''),
            'usage_notes' => $params['usage_notes'] ?? '',
            'amount' => (float)($params['amount'] ?? 0),
-            'doctor_name' => $params['doctor_name'] ?? '',
+            'doctor_name' => $doctorName,
            'doctor_signature' => $params['doctor_signature'] ?? '',
            'template_id' => (int)($params['template_id'] ?? 0),
            'is_shared' => (int)($params['is_shared'] ?? 0),
@@ -405,11 +451,17 @@ class PrescriptionLogic
                }
            }

-            // 检查权限：只有创建者或共享的处方才能编辑
-            if ($prescription->creator_id != $adminId && $prescription->is_shared != 1) {
-                self::setError('无权限编辑此处方');
-                return false;
-            }
+            // 共享只扩大只读范围，不能扩大写权限。
+            if ((int) $prescription->creator_id !== $adminId) {
+                self::setError('无权限编辑此处方');
+                return false;
+            }
+
+            $requestedDiagnosisId = (int) ($params['diagnosis_id'] ?? $prescription->diagnosis_id);
+            if ($requestedDiagnosisId !== (int) $prescription->diagnosis_id) {
+                self::setError('处方不允许改绑其他诊单');
+                return false;
+            }

            $herbs = $params['herbs'] ?? [];
            if (empty($herbs) || !is_array($herbs)) {
@@ -419,7 +471,7 @@ class PrescriptionLogic

            $herbs = self::normalizeHerbIdentities($herbs);

-            $newDiagnosisId = (int) ($params['diagnosis_id'] ?? $prescription->diagnosis_id);
+            $newDiagnosisId = (int) $prescription->diagnosis_id;
            $newDateYmd = self::normalizePrescriptionDate($params['prescription_date'] ?? $prescription->prescription_date);
            if ($newDiagnosisId > 0 && !self::assertUniquePrescriptionPerDiagnosisDay($newDiagnosisId, (int) $prescription->creator_id, $newDateYmd, (int) $params['id'])) {
                return false;