['patient_name'], '=' => ['patient_id', 'gender', 'diagnosis_type', 'syndrome_type', 'assistant_id', 'status'], 'between_time' => ['diagnosis_date'], ]; } /** * @notes 获取列表 * @return array * @throws \think\db\exception\DataNotFoundException * @throws \think\db\exception\DbException * @throws \think\db\exception\ModelNotFoundException */ public function lists(): array { // 获取当前管理员的角色ID $roleIds = AdminRole::where('admin_id', $this->adminId)->column('role_id'); // 构建查询 $query = Diagnosis::where($this->searchWhere); // 如果是医助角色(role_id=2),只显示自己添加的患者 if (in_array(2, $roleIds)) { $query->where('assistant_id', $this->adminId); } // 是否确认诊单:1=已确认 0=未确认 if (isset($this->params['diagnosis_confirmed']) && $this->params['diagnosis_confirmed'] !== '') { $confirmed = (int)$this->params['diagnosis_confirmed']; $dvrTbl = (new DiagnosisViewRecord())->getTable(); $diagTbl = (new Diagnosis())->getTable(); $subSql = "SELECT 1 FROM {$dvrTbl} dvr WHERE dvr.diagnosis_id = {$diagTbl}.id AND dvr.is_confirmed = 1 AND dvr.delete_time IS NULL"; if ($confirmed === 1) { $query->whereExists($subSql); } else { $query->whereNotExists($subSql); } } // 挂号日期筛选:当天/明天/后天(1=已预约 3=已完成 4=已过号,需展示以便取消等操作) if (!empty($this->params['appointment_date'])) { $aptDate = addslashes($this->params['appointment_date']); $aptTbl = (new Appointment())->getTable(); $diagTbl = (new Diagnosis())->getTable(); $query->whereExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.appointment_date = '{$aptDate}' AND apt.status IN (1,3,4)"); } // 挂号状态:1=已挂号(含已预约/已完成/已过号)0=未挂号 if (isset($this->params['has_appointment']) && $this->params['has_appointment'] !== '') { $aptTbl = (new Appointment())->getTable(); $diagTbl = (new Diagnosis())->getTable(); if ((int)$this->params['has_appointment'] === 1) { $query->whereExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.status IN (1,3,4)"); } else { $query->whereNotExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.status IN (1,3,4)"); } } // 仅已开方(有处方)的诊单:随访列表传 only_has_prescription=1;问诊等页面不传则不过滤 if (isset($this->params['only_has_prescription']) && (string) $this->params['only_has_prescription'] === '1') { $rxTbl = (new Prescription())->getTable(); $diagTbl = (new Diagnosis())->getTable(); $query->whereExists("SELECT 1 FROM {$rxTbl} rx WHERE rx.diagnosis_id = {$diagTbl}.id AND rx.delete_time IS NULL"); } // 医助所属部门(随访等页面传 assistant_dept_id):只看待定部门下医助负责的诊单 if (isset($this->params['assistant_dept_id']) && $this->params['assistant_dept_id'] !== '' && (int) $this->params['assistant_dept_id'] > 0) { $deptId = (int) $this->params['assistant_dept_id']; $adTbl = (new AdminDept())->getTable(); $diagTbl = (new Diagnosis())->getTable(); $query->whereExists("SELECT 1 FROM {$adTbl} ad WHERE ad.admin_id = {$diagTbl}.assistant_id AND ad.dept_id = {$deptId}"); } // 按挂号状态优先级排序:已过号(4) > 已预约(1) > 已完成(3),然后按挂号日期+时间升序 // 若传了 appointment_date(当天/明天等筛选),只按「该日」的挂号排序与展示 $diagTbl = (new Diagnosis())->getTable(); $aptTbl = (new Appointment())->getTable(); $minAptDateCond = ''; if (!empty($this->params['appointment_date'])) { $sortAptDate = addslashes((string) $this->params['appointment_date']); $minAptDateCond = " AND apt.appointment_date = '{$sortAptDate}'"; } // 获取最早的挂号状态(用于排序优先级) $minAptStatusExpr = '(SELECT apt.status FROM ' . $aptTbl . ' apt WHERE apt.patient_id = ' . $diagTbl . '.id AND apt.status IN (1,3,4)' . $minAptDateCond . ' ORDER BY CASE apt.status WHEN 4 THEN 1 WHEN 1 THEN 2 WHEN 3 THEN 3 ELSE 4 END, apt.appointment_date ASC, apt.appointment_time ASC LIMIT 1)'; // 获取最早的挂号时间(用于同状态内排序) $minAptExpr = '(SELECT MIN(CONCAT(apt.appointment_date, \' \', IFNULL(NULLIF(TRIM(apt.appointment_time), \'\'), \'00:00:00\'))) FROM ' . $aptTbl . ' apt WHERE apt.patient_id = ' . $diagTbl . '.id AND apt.status IN (1,3,4)' . $minAptDateCond . ')'; $lists = $query ->with(['DiagnosisViewRecord']) ->field(['id', 'patient_id', 'patient_name', 'id_card', 'phone', 'gender', 'age', 'diagnosis_date', 'diagnosis_type', 'syndrome_type', 'assistant_id', 'status', 'create_time', 'update_time']) ->append(['gender_desc', 'status_desc', 'diagnosis_date_text']) ->orderRaw('CASE IFNULL(' . $minAptStatusExpr . ', 999) WHEN 4 THEN 1 WHEN 1 THEN 2 WHEN 3 THEN 3 ELSE 4 END ASC, IFNULL(' . $minAptExpr . ", '9999-12-31 23:59:59') ASC, {$diagTbl}.id DESC") ->limit($this->limitOffset, $this->limitLength) ->select() ->toArray(); // 关联挂号:doctor_appointment.patient_id 存诊单主键 id(与 Appointment 列表 join 一致) $diagnosisIds = array_filter(array_unique(array_column($lists, 'id'))); if (!empty($diagnosisIds)) { $appointmentMap = []; $subQuery = Appointment::where('patient_id', 'in', $diagnosisIds) ->where('status', 'in', [1, 3, 4]); // 1=已预约 3=已完成 4=已过号 if (!empty($this->params['appointment_date'])) { $subQuery->where('appointment_date', (string) $this->params['appointment_date']); } $subQuery ->field('id, patient_id, doctor_id, appointment_date, appointment_time, status, create_time') ->order('appointment_date', 'asc') ->order('appointment_time', 'asc') ->order('id', 'asc'); $appointments = $subQuery->select()->toArray(); foreach ($appointments as $apt) { $did = (int) ($apt['patient_id'] ?? 0); if ($did <= 0) { continue; } if (!isset($appointmentMap[$did])) { $appointmentMap[$did] = []; } $appointmentMap[$did][] = $apt; } // 获取医生名称 $doctorIds = []; foreach ($appointmentMap as $aptList) { foreach ($aptList as $apt) { $docId = (int) ($apt['doctor_id'] ?? 0); if ($docId > 0) { $doctorIds[] = $docId; } } } $doctorIds = array_values(array_unique($doctorIds)); $doctorNames = []; if (!empty($doctorIds)) { $doctors = Admin::whereIn('id', $doctorIds)->column('name', 'id'); $doctorNames = $doctors ?: []; } // 合并到诊单列表 foreach ($lists as &$item) { $aptList = $appointmentMap[(int) $item['id']] ?? []; if (!empty($aptList)) { $apt = $aptList[0]; $item['has_appointment'] = 1; $item['appointment_id'] = $apt['id']; $item['appointment_status'] = (int) ($apt['status'] ?? 0); $item['appointment_doctor_id'] = $apt['doctor_id']; $item['appointment_doctor_name'] = $doctorNames[$apt['doctor_id']] ?? '-'; $timePart = $apt['appointment_time'] ?? ''; if (strlen($timePart) > 5) { $timePart = substr($timePart, 0, 5); // 09:00:00 -> 09:00 } $item['appointment_time_text'] = trim(($apt['appointment_date'] ?? '') . ' ' . $timePart); $item['appointments'] = array_map(function ($a) use ($doctorNames) { $timePart = $a['appointment_time'] ?? ''; if (strlen((string) $timePart) > 5) { $timePart = substr((string) $timePart, 0, 5); } $doctorId = (int) ($a['doctor_id'] ?? 0); return [ 'id' => (int) ($a['id'] ?? 0), 'status' => (int) ($a['status'] ?? 0), 'doctor_id' => $doctorId, 'doctor_name' => (string) ($doctorNames[$doctorId] ?? '-'), 'time_text' => trim((string) ($a['appointment_date'] ?? '') . ' ' . (string) $timePart), ]; }, $aptList); } else { $item['has_appointment'] = 0; $item['appointment_id'] = null; $item['appointment_status'] = 0; $item['appointment_doctor_id'] = null; $item['appointment_doctor_name'] = ''; $item['appointment_time_text'] = ''; $item['appointments'] = []; } } } else { foreach ($lists as &$item) { $item['has_appointment'] = 0; $item['appointment_id'] = null; $item['appointment_status'] = 0; $item['appointment_doctor_id'] = null; $item['appointment_doctor_name'] = ''; $item['appointment_time_text'] = ''; $item['appointments'] = []; } } // 关联是否开方:诊单是否有处方记录 $diagnosisIds = array_column($lists, 'id'); $prescriptionMap = []; if (!empty($diagnosisIds)) { $prescriptionTbl = (new Prescription())->getTable(); $prescribedIds = Prescription::whereIn('diagnosis_id', $diagnosisIds) ->whereNull('delete_time') ->column('diagnosis_id'); $prescriptionMap = array_fill_keys($prescribedIds, 1); } foreach ($lists as &$item) { $item['has_prescription'] = isset($prescriptionMap[$item['id']]) ? 1 : 0; } // 复诊展示:业务上「已开方」即算有复诊,取该诊单下最新一条处方的时间与医师(优先未作废) $followupByDiag = []; $rxCountByDiag = []; if ($diagnosisIds !== []) { $rxAll = Prescription::whereIn('diagnosis_id', $diagnosisIds) ->whereNull('delete_time') ->field(['id', 'diagnosis_id', 'doctor_name', 'creator_id', 'prescription_date', 'create_time', 'void_status']) ->order('id', 'desc') ->select() ->toArray(); foreach ($rxAll as $rx) { $dCount = (int) ($rx['diagnosis_id'] ?? 0); if ($dCount > 0) { $rxCountByDiag[$dCount] = ($rxCountByDiag[$dCount] ?? 0) + 1; } } foreach ($rxAll as $rx) { $d = (int) ($rx['diagnosis_id'] ?? 0); if ($d <= 0 || isset($followupByDiag[$d])) { continue; } if ((int) ($rx['void_status'] ?? 0) === 0) { $followupByDiag[$d] = $rx; } } foreach ($rxAll as $rx) { $d = (int) ($rx['diagnosis_id'] ?? 0); if ($d <= 0 || isset($followupByDiag[$d])) { continue; } $followupByDiag[$d] = $rx; } $creatorIds = array_values(array_unique(array_filter(array_column($followupByDiag, 'creator_id')))); $creatorNames = []; if ($creatorIds !== []) { $creatorNames = Admin::whereIn('id', $creatorIds)->whereNull('delete_time')->column('name', 'id'); } foreach ($followupByDiag as $d => $rx) { $doctorName = trim((string) ($rx['doctor_name'] ?? '')); $cid = (int) ($rx['creator_id'] ?? 0); if ($doctorName === '' && $cid > 0) { $doctorName = (string) ($creatorNames[$cid] ?? ''); } $followupByDiag[$d] = [ 'time_text' => $this->formatPrescriptionFollowupTime($rx), 'doctor_name' => $doctorName !== '' ? $doctorName : '—', 'voided' => (int) ($rx['void_status'] ?? 0) !== 0, ]; } } foreach ($lists as &$item) { $did = (int) $item['id']; $fu = $followupByDiag[$did] ?? null; $item['followup_time_text'] = ($item['has_prescription'] && $fu) ? ($fu['time_text'] ?? '') : ''; $item['followup_doctor_name'] = ($item['has_prescription'] && $fu) ? ($fu['doctor_name'] ?? '—') : ''; $item['followup_rx_voided'] = ($item['has_prescription'] && $fu && !empty($fu['voided'])) ? 1 : 0; // 开方次数即复诊次数:1 张处方 = 第 1 次复诊,以此类推 $item['followup_prescription_count'] = (int) ($rxCountByDiag[$did] ?? 0); } // 最近一条通话记录状态(列表行展示:通话中 / 已结束等) $latestCallByDiag = []; if (!empty($diagnosisIds)) { $agg = CallRecord::whereIn('diagnosis_id', $diagnosisIds) ->field('diagnosis_id, MAX(id) AS max_id') ->group('diagnosis_id') ->select() ->toArray(); $maxIds = array_filter(array_column($agg, 'max_id')); if (!empty($maxIds)) { $recList = CallRecord::whereIn('id', $maxIds)->select()->toArray(); foreach ($recList as $r) { $latestCallByDiag[(int)$r['diagnosis_id']] = $r; } } } foreach ($lists as &$item) { $item['video_call_hint'] = $this->buildVideoCallHint($latestCallByDiag[$item['id']] ?? null); } return $lists; } /** * @param array $rx 处方一行 */ private function formatPrescriptionFollowupTime(array $rx): string { $ct = (int) ($rx['create_time'] ?? 0); $pd = trim((string) ($rx['prescription_date'] ?? '')); if ($pd !== '') { return $pd . ($ct > 0 ? ' ' . date('H:i', $ct) : ''); } return $ct > 0 ? date('Y-m-d H:i', $ct) : '—'; } /** * @param array|null $rec tcm_call_record 一行 * @return array{state:string,label:string,end_time?:int,start_time?:int} */ private function buildVideoCallHint(?array $rec): array { if (!$rec) { return ['state' => 'none', 'label' => '']; } $st = (int)($rec['status'] ?? 0); $roomOk = trim((string)($rec['room_id'] ?? '')) !== ''; if ($st === 1 && $roomOk) { $t = (int)($rec['start_time'] ?? 0); return [ 'state' => 'live', 'label' => '视频通话进行中', 'start_time' => $t, ]; } if ($st === 1 && !$roomOk) { return [ 'state' => 'pending_room', 'label' => '通话发起中,待同步房间', ]; } if ($st === 2) { $end = (int)($rec['end_time'] ?? 0); $timePart = $end > 0 ? date('m-d H:i', $end) : ''; return [ 'state' => 'ended', 'label' => $timePart !== '' ? ('视频已结束 · ' . $timePart) : '视频已结束', 'end_time' => $end, ]; } if ($st === 3) { return ['state' => 'missed', 'label' => '上次通话未接听']; } if ($st === 4) { return ['state' => 'cancelled', 'label' => '上次通话已取消']; } return ['state' => 'none', 'label' => '']; } /** * @notes 获取数量 * @return int */ public function count(): int { // 获取当前管理员的角色ID $roleIds = AdminRole::where('admin_id', $this->adminId)->column('role_id'); // 构建查询 $query = Diagnosis::where($this->searchWhere); // 如果是医助角色(role_id=2),只显示自己添加的患者 if (in_array(2, $roleIds)) { $query->where('assistant_id', $this->adminId); } // 是否确认诊单 if (isset($this->params['diagnosis_confirmed']) && $this->params['diagnosis_confirmed'] !== '') { $confirmed = (int)$this->params['diagnosis_confirmed']; $dvrTbl = (new DiagnosisViewRecord())->getTable(); $diagTbl = (new Diagnosis())->getTable(); $subSql = "SELECT 1 FROM {$dvrTbl} dvr WHERE dvr.diagnosis_id = {$diagTbl}.id AND dvr.is_confirmed = 1 AND dvr.delete_time IS NULL"; if ($confirmed === 1) { $query->whereExists($subSql); } else { $query->whereNotExists($subSql); } } // 挂号日期筛选 if (!empty($this->params['appointment_date'])) { $aptDate = addslashes($this->params['appointment_date']); $aptTbl = (new Appointment())->getTable(); $diagTbl = (new Diagnosis())->getTable(); $query->whereExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.appointment_date = '{$aptDate}' AND apt.status IN (1,3,4)"); } // 挂号状态 if (isset($this->params['has_appointment']) && $this->params['has_appointment'] !== '') { $aptTbl = (new Appointment())->getTable(); $diagTbl = (new Diagnosis())->getTable(); if ((int)$this->params['has_appointment'] === 1) { $query->whereExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.status IN (1,3,4)"); } else { $query->whereNotExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.status IN (1,3,4)"); } } return $query->count(); } }