更新

server/app/adminapi/logic/tcm/PrescriptionLogic.php

@@ -5,6 +5,7 @@ declare(strict_types=1);
 namespace app\adminapi\logic\tcm;
 
 use app\common\model\auth\Admin;
+use app\common\model\doctor\Appointment;
 use app\common\model\tcm\Prescription;
 use app\common\model\tcm\PrescriptionOrder;
 use app\common\model\tcm\Diagnosis;
@@ -463,6 +464,13 @@ class PrescriptionLogic
         $arr['business_prescription_audit_rejected'] = $bizPo ? 1 : 0;
         $arr['business_prescription_audit_remark'] = $bizPo ? (string) ($bizPo->prescription_audit_remark ?? '') : '';
 
+        // 与 PrescriptionLists「业务订单」角标一致：未删除且非已取消(4) 即视为存在有效业务订单
+        $hasBizOrder = PrescriptionOrder::where('prescription_id', $id)
+            ->whereNull('delete_time')
+            ->where('fulfillment_status', '<>', 4)
+            ->count() > 0;
+        $arr['has_prescription_order'] = $hasBizOrder ? 1 : 0;
+
         return $arr;
     }
 
@@ -701,6 +709,133 @@ class PrescriptionLogic
         return $row->toArray();
     }
 
+    /**
+     * 挂号标记「完成」后自动生成处方：无药材配方，is_system_auto=1，其余字段与常规开方一致（患者/诊单来自预约关联诊单）。
+     * 若该预约已有未作废处方、或同日同诊单同医师已存在未作废处方，则跳过（不抛错）。
+     *
+     * @return int|null 新建处方 id；跳过返回 null
+     */
+    public static function createSystemAutoFromCompletedAppointment(int $appointmentId): ?int
+    {
+        if ($appointmentId <= 0) {
+            return null;
+        }
+
+        $appointment = Appointment::find($appointmentId);
+        if (!$appointment) {
+            return null;
+        }
+
+        $diagnosisId = (int) ($appointment->patient_id ?? 0);
+        if ($diagnosisId <= 0) {
+            Log::info('createSystemAutoFromCompletedAppointment: no diagnosis (patient_id), skip appt=' . $appointmentId);
+
+            return null;
+        }
+
+        $doctorId = (int) ($appointment->doctor_id ?? 0);
+        if ($doctorId <= 0) {
+            return null;
+        }
+
+        $dupAppt = Prescription::where('appointment_id', $appointmentId)
+            ->where('void_status', 0)
+            ->whereNull('delete_time')
+            ->find();
+        if ($dupAppt) {
+            return null;
+        }
+
+        $diagnosis = Diagnosis::find($diagnosisId);
+        if (!$diagnosis) {
+            self::setError('诊单不存在');
+
+            return null;
+        }
+
+        $apptDateRaw = $appointment->appointment_date ?? '';
+        $dateYmd = is_string($apptDateRaw) && preg_match('/^\d{4}-\d{2}-\d{2}/', trim($apptDateRaw))
+            ? substr(trim($apptDateRaw), 0, 10)
+            : self::normalizePrescriptionDate(date('Y-m-d'));
+
+        if (!self::assertUniquePrescriptionPerDiagnosisDay($diagnosisId, $doctorId, $dateYmd, null)) {
+            Log::info("createSystemAutoFromCompletedAppointment: unique rule skip diagnosis={$diagnosisId} doctor={$doctorId} date={$dateYmd}");
+
+            return null;
+        }
+
+        $sn = self::generateSn();
+        while (Prescription::where('sn', $sn)->find()) {
+            $sn = self::generateSn();
+        }
+
+        $clinical = trim((string) ($diagnosis->symptoms ?? ''));
+        if ($clinical === '') {
+            $clinical = '就诊完成系统生成（暂无药材配方，请医师补充诊断与药材）';
+        }
+
+        $doctorName = (string) (Admin::where('id', $doctorId)->value('name') ?? '');
+        $assistantIdForRx = (int) ($diagnosis->assistant_id ?? 0);
+
+        $visitNo = '1K' . str_pad((string) $diagnosisId, 8, '0', STR_PAD_LEFT);
+
+        $herbs = [];
+
+        $data = [
+            'sn' => $sn,
+            'prescription_name' => '系统代开',
+            'prescription_type' => '浓缩水丸',
+            'dosage_amount' => 1.0,
+            'dosage_unit' => 'g',
+            'need_decoction' => 0,
+            'bags_per_dose' => 1,
+            'diagnosis_id' => $diagnosisId,
+            'appointment_id' => $appointmentId,
+            'patient_id' => 0,
+            'patient_name' => (string) ($diagnosis->patient_name ?? ''),
+            'gender' => (int) ($diagnosis->gender ?? 0),
+            'age' => (int) ($diagnosis->age ?? 0),
+            'phone' => (string) ($diagnosis->phone ?? ''),
+            'visit_no' => $visitNo,
+            'prescription_date' => $dateYmd,
+            'pulse' => (string) ($diagnosis->pulse ?? ''),
+            'pulse_condition' => '',
+            'tongue' => (string) ($diagnosis->tongue ?? ''),
+            'tongue_image' => '',
+            'clinical_diagnosis' => $clinical,
+            'case_record' => [],
+            'herbs' => $herbs,
+            'dose_count' => 1,
+            'dose_unit' => '剂',
+            'usage_days' => 7,
+            'times_per_day' => 2,
+            'usage_instruction' => '水煎服，一日二次',
+            'usage_time' => '饭前',
+            'usage_way' => '温水送服',
+            'dietary_taboo' => '',
+            'usage_notes' => '',
+            'amount' => 0.0,
+            'doctor_name' => $doctorName,
+            'doctor_signature' => '',
+            'template_id' => 0,
+            'is_shared' => 0,
+            'is_system_auto' => 1,
+            'visible_role_ids' => self::normalizeVisibleRoleIds([]),
+            'audit_status' => 0,
+            'audit_time' => null,
+            'audit_by' => null,
+            'audit_by_name' => '',
+            'audit_remark' => '',
+            'creator_id' => $doctorId,
+            'assistant_id' => $assistantIdForRx,
+        ];
+
+        $prescription = new Prescription();
+        $prescription->save($data);
+
+        return (int) $prescription->id;
+    }
+
     /**
      * 作废处方
      */
@@ -715,6 +850,16 @@ class PrescriptionLogic
             self::setError('该处方已作废');
             return false;
         }
+        $rxId = (int) ($row->id ?? 0);
+        $bizCount = (int) PrescriptionOrder::where('prescription_id', $rxId)
+            ->whereNull('delete_time')
+            ->where('fulfillment_status', '<>', 4)
+            ->count();
+        if ($bizCount > 0) {
+            self::setError('该处方已存在业务订单，无法作废');
+
+            return false;
+        }
         $row->void_status = 1;
         $row->void_time = time();
         $row->void_by = $adminId;