Merge branch 'long-consultation-desk'

This commit is contained in:
2026-04-30 12:19:12 +08:00
15 changed files with 675 additions and 272 deletions
@@ -25,8 +25,8 @@ class DoctorNoteLogic extends BaseLogic
->find();
$newContent = trim($params['content'] ?? '');
$newImages = self::parseJsonArray($params['tongue_images'] ?? []);
$newReports = self::parseJsonArray($params['report_files'] ?? []);
$newImages = array_map([self::class, 'toRelativePath'], self::parseJsonArray($params['tongue_images'] ?? []));
$newReports = array_map([self::class, 'toRelativePath'], self::parseJsonArray($params['report_files'] ?? []));
if ($existing) {
$data = [];
@@ -108,6 +108,91 @@ class DoctorNoteLogic extends BaseLogic
}
}
/**
* 删除备注中的单张图片
*/
public static function deleteImage(int $noteId, string $imageType, string $imagePath): bool
{
try {
$note = DoctorNote::where('id', $noteId)->whereNull('delete_time')->find();
if (!$note) {
self::setError('记录不存在');
return false;
}
if (!in_array($imageType, ['tongue_images', 'report_files'])) {
self::setError('类型无效');
return false;
}
$images = self::parseJsonArray($note->$imageType);
// 统一转为相对路径再匹配
$targetPath = self::toRelativePath($imagePath);
$images = array_values(array_filter($images, fn($url) => self::toRelativePath($url) !== $targetPath));
$note->$imageType = empty($images) ? null : json_encode($images, JSON_UNESCAPED_UNICODE);
$note->save();
return true;
} catch (\Exception $e) {
self::setError($e->getMessage());
return false;
}
}
/**
* 聚合某诊单所有备注中的图片(供 DiagnosisLogic::detail 使用)
*/
public static function getAggregatedImages(int $diagnosisId): array
{
$records = DoctorNote::where('diagnosis_id', $diagnosisId)
->whereNull('delete_time')
->select();
$tongueImages = [];
$reportFiles = [];
foreach ($records as $r) {
$tongueImages = array_merge($tongueImages, self::parseJsonArray($r->tongue_images));
$reportFiles = array_merge($reportFiles, self::parseJsonArray($r->report_files));
}
return [
'tongue_images' => array_map(
fn($u) => empty($u) ? $u : FileService::getFileUrl($u),
array_values(array_unique($tongueImages))
),
'report_files' => array_map(
fn($u) => empty($u) ? $u : FileService::getFileUrl($u),
array_values(array_unique($reportFiles))
),
];
}
/**
* 如果 URL 的域名是当前配置的存储域名则去掉,否则原样保留
*/
private static function toRelativePath(string $url): string
{
if (empty($url)) return $url;
if (stripos($url, 'http://') !== 0 && stripos($url, 'https://') !== 0) {
return $url;
}
// 获取当前存储域名
$domain = self::getStorageDomain();
if ($domain && stripos($url, rtrim($domain, '/')) === 0) {
$relative = substr($url, strlen(rtrim($domain, '/')));
return ltrim($relative, '/');
}
// 非当前存储域名,保留完整 URL
return $url;
}
private static function getStorageDomain(): string
{
$default = \app\common\service\ConfigService::get('storage', 'default', 'local');
if ($default === 'local') {
return request()->domain() . '/';
}
$storage = \app\common\service\ConfigService::get('storage', $default);
return $storage ? ($storage['domain'] ?? '') : '';
}
private static function parseJsonArray($value): array
{
if (is_array($value)) return $value;
@@ -80,23 +80,19 @@ class DiagnosisLogic extends BaseLogic
}
}
// 处理舌苔照片(JSON数组)
if (isset($params['tongue_images']) && is_array($params['tongue_images'])) {
$params['tongue_images'] = json_encode($params['tongue_images'], JSON_UNESCAPED_UNICODE);
}
// 处理检查报告(JSON数组)
if (isset($params['report_files']) && is_array($params['report_files'])) {
$params['report_files'] = json_encode($params['report_files'], JSON_UNESCAPED_UNICODE);
}
// 图片字段迁移至 doctor_note,从 params 中提取后再写入备注表
$newTongueImages = isset($params['tongue_images']) && is_array($params['tongue_images'])
? $params['tongue_images'] : [];
$newReportFiles = isset($params['report_files']) && is_array($params['report_files'])
? $params['report_files'] : [];
unset($params['tongue_images'], $params['report_files']);
// 处理诊断日期
if (isset($params['diagnosis_date'])) {
$params['diagnosis_date'] = strtotime($params['diagnosis_date']);
}
// 表未增加 admin_id 列时勿写入,避免 SQL 报错(见 sql/1.9.20260421/add_tcm_diagnosis_admin_id.sql
// 注意:Model::getConnection() 在 think-orm 中返回连接名(string),须用 Db 查询对象取字段
if (array_key_exists('admin_id', $params)) {
$fieldNames = Db::name('tcm_diagnosis')->getTableFields();
if (! is_array($fieldNames) || ! in_array('admin_id', $fieldNames, true)) {
@@ -105,10 +101,19 @@ class DiagnosisLogic extends BaseLogic
}
$model = Diagnosis::create($params);
// 图片写入 doctor_note 表
if (!empty($newTongueImages) || !empty($newReportFiles)) {
DoctorNoteLogic::addOrAppend([
'diagnosis_id' => (int) $model->id,
'tongue_images' => $newTongueImages,
'report_files' => $newReportFiles,
]);
}
// 自动为患者创建 TRTC 账号
self::createPatientTrtcAccount($model->id);
return $model->id;
} catch (\Exception $e) {
self::setError($e->getMessage());
@@ -179,46 +184,16 @@ class DiagnosisLogic extends BaseLogic
}
}
// 处理舌苔照片(JSON数组)
if (isset($params['tongue_images']) && is_array($params['tongue_images'])) {
$params['tongue_images'] = json_encode($params['tongue_images'], JSON_UNESCAPED_UNICODE);
}
// 处理检查报告(JSON数组)
if (isset($params['report_files']) && is_array($params['report_files'])) {
$params['report_files'] = json_encode($params['report_files'], JSON_UNESCAPED_UNICODE);
}
// 图片字段已迁移至 doctor_note 表管理,不再写入 tcm_diagnosis
unset($params['tongue_images'], $params['report_files']);
// 处理诊断日期
if (isset($params['diagnosis_date'])) {
$params['diagnosis_date'] = strtotime($params['diagnosis_date']);
}
// 保存前记录旧的检查报告,用于对比新增
$oldReportFiles = [];
if (isset($params['report_files'])) {
$old = Diagnosis::where('id', $params['id'])->value('report_files');
if ($old) {
$oldReportFiles = is_string($old) ? (json_decode($old, true) ?: []) : (array) $old;
}
}
Diagnosis::update($params);
// 检查报告有新增时同步到医生备注
if (isset($params['report_files'])) {
$newReportFiles = is_string($params['report_files'])
? (json_decode($params['report_files'], true) ?: [])
: (array) $params['report_files'];
$added = array_values(array_diff($newReportFiles, $oldReportFiles));
if (!empty($added)) {
DoctorNoteLogic::addOrAppend([
'diagnosis_id' => (int) $params['id'],
'report_files' => $added,
]);
}
}
// 如果是编辑,也确保患者有 TRTC 账号
$diagnosis = Diagnosis::find($params['id']);
if ($diagnosis) {
@@ -280,33 +255,36 @@ class DiagnosisLogic extends BaseLogic
}
if (!empty($diagnosis['tongue_images'])) {
$files = json_decode($diagnosis['tongue_images'], true);
if (is_array($files)) {
$diagnosis['tongue_images'] = $files;
} else {
$diagnosis['tongue_images'] = array_filter(explode(',', $diagnosis['tongue_images'])) ?: [];
}
$diagnosis['tongue_images'] = array_map(function($url) {
return empty($url) ? $url : FileService::getFileUrl($url);
}, $diagnosis['tongue_images']);
// 从 doctor_note 聚合图片(已迁移至备注表统一管理)
$noteImages = DoctorNoteLogic::getAggregatedImages((int) $diagnosis['id']);
if (!empty($noteImages['tongue_images']) || !empty($noteImages['report_files'])) {
$diagnosis['tongue_images'] = $noteImages['tongue_images'];
$diagnosis['report_files'] = $noteImages['report_files'];
} else {
$diagnosis['tongue_images'] = [];
// Fallback: 未迁移的旧数据仍从 tcm_diagnosis 读取
if (!empty($diagnosis['tongue_images'])) {
$files = json_decode($diagnosis['tongue_images'], true);
if (!is_array($files)) {
$files = array_filter(explode(',', $diagnosis['tongue_images'])) ?: [];
}
$diagnosis['tongue_images'] = array_map(function($url) {
return empty($url) ? $url : FileService::getFileUrl($url);
}, $files);
} else {
$diagnosis['tongue_images'] = [];
}
if (!empty($diagnosis['report_files'])) {
$files = json_decode($diagnosis['report_files'], true);
if (!is_array($files)) {
$files = array_filter(explode(',', $diagnosis['report_files'])) ?: [];
}
$diagnosis['report_files'] = array_map(function($url) {
return empty($url) ? $url : FileService::getFileUrl($url);
}, $files);
} else {
$diagnosis['report_files'] = [];
}
}
if (!empty($diagnosis['report_files'])) {
$files = json_decode($diagnosis['report_files'], true);
if (is_array($files)) {
$diagnosis['report_files'] = $files;
} else {
$diagnosis['report_files'] = array_filter(explode(',', $diagnosis['report_files'])) ?: [];
}
$diagnosis['report_files'] = array_map(function($url) {
return empty($url) ? $url : FileService::getFileUrl($url);
}, $diagnosis['report_files']);
} else {
$diagnosis['report_files'] = [];
}
// 处理诊断日期格式
if (!empty($diagnosis['diagnosis_date'])) {
$diagnosis['diagnosis_date'] = date('Y-m-d', $diagnosis['diagnosis_date']);
@@ -2788,12 +2766,13 @@ class DiagnosisLogic extends BaseLogic
$params[$field] = implode(',', $params[$field]);
}
}
if (isset($params['tongue_images']) && is_array($params['tongue_images'])) {
$params['tongue_images'] = json_encode($params['tongue_images'], JSON_UNESCAPED_UNICODE);
}
if (isset($params['report_files']) && is_array($params['report_files'])) {
$params['report_files'] = json_encode($params['report_files'], JSON_UNESCAPED_UNICODE);
}
// 图片字段迁移至 doctor_note 表
$cardTongueImages = isset($params['tongue_images']) && is_array($params['tongue_images'])
? $params['tongue_images'] : [];
$cardReportFiles = isset($params['report_files']) && is_array($params['report_files'])
? $params['report_files'] : [];
unset($params['tongue_images'], $params['report_files']);
if (isset($params['diagnosis_date'])) {
$params['diagnosis_date'] = is_numeric($params['diagnosis_date']) ? $params['diagnosis_date'] : strtotime($params['diagnosis_date']);
}
@@ -2801,6 +2780,15 @@ class DiagnosisLogic extends BaseLogic
$model = Diagnosis::create($params);
self::createPatientTrtcAccount($model->patient_id);
// 图片写入 doctor_note
if (!empty($cardTongueImages) || !empty($cardReportFiles)) {
DoctorNoteLogic::addOrAppend([
'diagnosis_id' => (int) $model->id,
'tongue_images' => $cardTongueImages,
'report_files' => $cardReportFiles,
]);
}
// 关联 diagnosis_view_records,便于用户通过 User::with('diagnosis') 获取就诊卡
if ($userId) {
$now = time();
@@ -2906,8 +2894,6 @@ class DiagnosisLogic extends BaseLogic
// 临床信息
'symptoms' => $params['symptoms'] ?? '',
'tongue_coating' => $params['tongue_coating'] ?? '',
'tongue_images' => $params['tongue_images'] ?? '',
'report_files' => $params['report_files'] ?? '',
'pulse' => $params['pulse'] ?? '',
'treatment_principle' => $params['treatment_principle'] ?? '',
'prescription' => $params['prescription'] ?? '',
@@ -2920,14 +2906,25 @@ class DiagnosisLogic extends BaseLogic
if (!empty($params['diagnosis_date'])) {
$updateData['diagnosis_date'] = strtotime($params['diagnosis_date']);
} elseif (!empty($params['local_hospital_visit_date'])) {
// 如果没有diagnosis_date但有local_hospital_visit_date,则使用local_hospital_visit_date
$updateData['diagnosis_date'] = strtotime($params['local_hospital_visit_date']);
}
// 执行更新
$diagnosis->save($updateData);
// 图片写入 doctor_note 表
$cardTongueImages = isset($params['tongue_images']) && is_array($params['tongue_images'])
? $params['tongue_images'] : [];
$cardReportFiles = isset($params['report_files']) && is_array($params['report_files'])
? $params['report_files'] : [];
if (!empty($cardTongueImages) || !empty($cardReportFiles)) {
DoctorNoteLogic::addOrAppend([
'diagnosis_id' => (int) $diagnosisId,
'tongue_images' => $cardTongueImages,
'report_files' => $cardReportFiles,
]);
}
\think\facade\Log::info('诊单更新成功 - diagnosis_id: ' . $diagnosisId . ', patient_id: ' . $patientId);
return true;