711 lines
26 KiB
PHP
711 lines
26 KiB
PHP
<?php
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namespace app\adminapi\logic\doctor;
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use app\common\logic\BaseLogic;
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use app\common\model\doctor\Appointment;
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use app\common\model\doctor\Roster;
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use app\common\service\doctor\RosterSegmentService;
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use app\common\model\tcm\Diagnosis;
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use app\common\model\auth\Admin;
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use app\api\logic\ChatNotifyLogic;
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use app\adminapi\logic\tcm\PrescriptionLogic;
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use app\adminapi\logic\tcm\DiagnosisLogic;
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use app\adminapi\logic\tcm\BloodRecordLogic;
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use app\adminapi\logic\doctor\DoctorNoteLogic;
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use app\common\model\tcm\Prescription;
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use app\common\service\wechat\WechatWorkAppMessageService;
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use app\common\model\dict\DictData;
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use think\facade\Db;
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use think\facade\Log;
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/**
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* 医生预约逻辑
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* Class AppointmentLogic
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* @package app\adminapi\logic\doctor
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*/
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class AppointmentLogic extends BaseLogic
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{
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/**
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* @notes 获取可用时间段
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* @param array $params
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* @return array
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*/
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public static function getAvailableSlots(array $params)
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{
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try {
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$doctorId = $params['doctor_id'];
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$date = $params['appointment_date'];
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$period = $params['period'] ?? 'all';
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// 记录请求参数
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\think\facade\Log::info('获取可用时段 - 请求参数', [
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'doctor_id' => $doctorId,
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'date' => $date,
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'period' => $period
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]);
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// 1. 检查医生在该日期是否有出诊排班（只查询status=1的记录）
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$rosters = Roster::where([
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'doctor_id' => $doctorId,
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'date' => $date,
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'status' => 1 // 只查询出诊状态
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])->select()->toArray();
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// 记录查询到的排班
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\think\facade\Log::info('查询到的排班数据', [
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'doctor_id' => $doctorId,
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'date' => $date,
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'count' => count($rosters),
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'rosters' => $rosters
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]);
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// 额外记录：查询该日期所有排班（用于调试）
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$allRosters = Roster::where([
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'doctor_id' => $doctorId,
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'date' => $date
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])->select()->toArray();
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\think\facade\Log::info('该日期所有排班数据（包括非出诊）', [
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'count' => count($allRosters),
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'all_rosters' => $allRosters
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]);
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// 如果没有出诊排班，返回空数组
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if (empty($rosters)) {
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\think\facade\Log::warning('没有找到出诊排班', [
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'doctor_id' => $doctorId,
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'date' => $date
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]);
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return ['slots' => []];
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}
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// 2. 按每段排班的起止时间与号源间隔生成时间段
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$slots = [];
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foreach ($rosters as $roster) {
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if ((int) $roster['status'] !== 1) {
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\think\facade\Log::warning('跳过非出诊排班', [
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'roster_id' => $roster['id'],
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'status' => $roster['status'],
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]);
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continue;
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}
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$window = RosterSegmentService::resolveWindow($roster);
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if ($window === null) {
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\think\facade\Log::warning('无法解析排班起止时间，跳过', [
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'roster_id' => $roster['id'],
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'period' => $roster['period'] ?? null,
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]);
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continue;
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}
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[$startHm, $endHm] = $window;
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$slotMinutes = RosterSegmentService::normalizeSlotMinutes($roster['slot_minutes'] ?? 15);
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$times = RosterSegmentService::generateSlotTimes($startHm, $endHm, $slotMinutes);
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$times = RosterSegmentService::applyQuotaCap($times, (int) ($roster['quota'] ?? 0));
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\think\facade\Log::info('处理排班时段', [
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'roster_id' => $roster['id'],
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'window' => $window,
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'slot_minutes' => $slotMinutes,
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'slot_count' => count($times),
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]);
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foreach ($times as $time) {
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$slots[] = [
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'time' => $time,
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'available' => true,
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'quota' => 1,
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'period' => $roster['period'] ?? 'segment',
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];
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}
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}
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\think\facade\Log::info('生成的时间段数量（去重前）', [
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'count' => count($slots),
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'sample_slots' => array_slice($slots, 0, 3)
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]);
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// 如果没有生成任何时间段，返回空数组
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if (empty($slots)) {
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\think\facade\Log::warning('没有生成任何时间段');
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return ['slots' => []];
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}
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// 3. 去重：按时间去重（因为可能有重复的排班记录）
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$uniqueSlots = [];
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$timeMap = [];
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foreach ($slots as $slot) {
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$time = $slot['time'];
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if (!isset($timeMap[$time])) {
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$timeMap[$time] = true;
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$uniqueSlots[] = $slot;
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}
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}
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$slots = $uniqueSlots;
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\think\facade\Log::info('生成的时间段数量（去重后）', [
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'count' => count($slots),
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'first_3_slots' => array_slice($slots, 0, 3),
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'last_3_slots' => array_slice($slots, -3),
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]);
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// 4. 查询已预约的时间段
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$appointmentTimes = Appointment::where([
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'doctor_id' => $doctorId,
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'appointment_date' => $date,
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'status' => 1 // 只查询有效预约
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])->column('appointment_time');
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// 将时间格式统一为 HH:MM（去掉秒）
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$appointments = array_map(function($time) {
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// 如果是 HH:MM:SS 格式，截取前5位
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return substr($time, 0, 5);
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}, $appointmentTimes);
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// 4. 标记已占用的时间段
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foreach ($slots as &$slot) {
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if (in_array($slot['time'], $appointments)) {
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$slot['available'] = false;
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$slot['quota'] = 0;
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}
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}
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// 5. 按时间排序
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usort($slots, function($a, $b) {
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return strcmp($a['time'], $b['time']);
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});
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return ['slots' => $slots];
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} catch (\Exception $e) {
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self::setError($e->getMessage());
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return ['slots' => []];
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}
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}
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/**
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* @notes 创建预约
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* @param array $params
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* @return array|bool
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*/
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public static function create(array $params)
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{
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try {
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Db::startTrans();
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// 同一诊单患者在「所选预约日」仅允许一条「已预约」或「已过号」记录（与 appointment_date 一致，不能误用服务器当天拦其它日期）
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$apptDate = trim((string) ($params['appointment_date'] ?? ''));
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if ($apptDate === '') {
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self::setError('预约日期不能为空');
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Db::rollback();
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return false;
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}
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$patientSameDay = Appointment::where('patient_id', (int) $params['patient_id'])
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->where('appointment_date', $apptDate)
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->whereIn('status', [1, 4])
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->find();
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if ($patientSameDay) {
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self::setError('该患者在所选日期已有挂号（已预约或已过号），无法重复预约');
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Db::rollback();
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return false;
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}
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// 1. 检查时间段是否已被预约（每个时间段只能预约1次）
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// 统一时间格式为 HH:MM:SS
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$appointmentTime = strlen($params['appointment_time']) == 5
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? $params['appointment_time'] . ':00'
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: $params['appointment_time'];
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$exists = Appointment::where([
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'doctor_id' => $params['doctor_id'],
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'appointment_date' => $params['appointment_date'],
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'status' => 1
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])->where('appointment_time', $appointmentTime)
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->find();
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if ($exists) {
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self::setError('该时间段已被预约');
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Db::rollback();
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return false;
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}
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$data = [
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'patient_id' => $params['patient_id'],
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'assistant_id'=>$params['assistant_id'],
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'doctor_id' => $params['doctor_id'],
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'roster_id' => 0, // 不再关联排班表
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'appointment_date' => $params['appointment_date'],
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'period' => $params['period'] ?? 'all',
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'appointment_time' => $appointmentTime,
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'appointment_type' => $params['appointment_type'] ?? 'video',
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'remark' => $params['remark'] ?? '',
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'channels' => $params['channel_source'] ?? '',
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'status' => 1,
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'create_time' => time(),
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'update_time' => time(),
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];
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$appointment = Appointment::create($data);
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Db::commit();
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return ['id' => $appointment->id];
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} catch (\Exception $e) {
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Db::rollback();
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self::setError($e->getMessage());
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return false;
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}
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}
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/**
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* @notes 取消预约
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* @param array $params
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* @return bool
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*/
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public static function cancel(array $params)
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{
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try {
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$appointment = Appointment::findOrEmpty($params['id']);
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if ($appointment->isEmpty()) {
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self::setError('预约记录不存在');
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return false;
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}
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$st = (int) $appointment->status;
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if ($st === 2) {
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return true;
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}
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if ($st === 3) {
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self::setError('预约已完成，无法取消');
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return false;
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}
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if ($st !== 1 && $st !== 4) {
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self::setError('当前状态不可取消');
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return false;
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}
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$appointment->status = 2; // 已取消
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$appointment->update_time = time();
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$appointment->save();
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return true;
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} catch (\Exception $e) {
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self::setError($e->getMessage());
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return false;
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}
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}
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/**
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* @notes 预约详情
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* @param array $params
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* @return array
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*/
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public static function detail(array $params)
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{
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$appointment = Appointment::alias('a')
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->leftJoin('zyt_tcm_diagnosis u', 'a.patient_id = u.id')
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->leftJoin('zyt_admin ad', 'a.doctor_id = ad.id')
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->field('a.*, u.patient_name as patient_name, u.phone as patient_phone, ad.name as doctor_name')
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->where('a.id', $params['id'])
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->findOrEmpty()
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->toArray();
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if (empty($appointment)) {
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return [];
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}
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// 添加状态和类型描述
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$statusMap = [
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1 => '已预约',
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2 => '已取消',
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3 => '已完成',
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];
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$appointment['status_desc'] = $statusMap[$appointment['status']] ?? '未知';
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$typeMap = [
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'video' => '视频问诊',
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'text' => '图文问诊',
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'phone' => '电话问诊',
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];
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$appointment['appointment_type_desc'] = $typeMap[$appointment['appointment_type']] ?? '未知';
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// 格式化时间戳为日期时间
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if (isset($appointment['create_time']) && is_numeric($appointment['create_time'])) {
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$appointment['create_time'] = date('Y-m-d H:i:s', $appointment['create_time']);
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}
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if (isset($appointment['update_time']) && is_numeric($appointment['update_time'])) {
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$appointment['update_time'] = date('Y-m-d H:i:s', $appointment['update_time']);
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}
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return $appointment;
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}
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/**
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* @notes 获取医生某天的可用号源总数
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* @param int $doctorId
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* @param string $date
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* @return int
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*/
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public static function getDoctorAvailability($doctorId, $date)
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{
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try {
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$rosters = Roster::where([
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'doctor_id' => $doctorId,
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'date' => $date,
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'status' => 1,
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])->select()->toArray();
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if (empty($rosters)) {
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return 0;
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}
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$bookedHm = Appointment::where([
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'doctor_id' => $doctorId,
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'appointment_date' => $date,
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'status' => 1,
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])->column('appointment_time');
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$bookedHm = array_map(static function ($t) {
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return substr((string) $t, 0, 5);
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}, $bookedHm);
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$bookedSet = array_fill_keys($bookedHm, true);
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$totalAvailable = 0;
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foreach ($rosters as $roster) {
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$window = RosterSegmentService::resolveWindow($roster);
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if ($window === null) {
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continue;
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}
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[$startHm, $endHm] = $window;
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$slotMinutes = RosterSegmentService::normalizeSlotMinutes($roster['slot_minutes'] ?? 15);
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$times = RosterSegmentService::generateSlotTimes($startHm, $endHm, $slotMinutes);
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$times = RosterSegmentService::applyQuotaCap($times, (int) ($roster['quota'] ?? 0));
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foreach ($times as $t) {
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if (empty($bookedSet[$t])) {
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++$totalAvailable;
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}
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}
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}
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return $totalAvailable;
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} catch (\Exception $e) {
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return 0;
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}
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}
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/**
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* @notes 完成预约
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* @param array $params
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* @return bool
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*/
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public static function complete(array $params)
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{
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try {
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$appointment = Appointment::findOrEmpty($params['id']);
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if ($appointment->isEmpty()) {
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self::setError('预约记录不存在');
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return false;
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}
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if ($appointment->status == 3) {
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self::setError('该预约已处理，无法完成');
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return false;
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}
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$appointment->status = 3; // 已完成
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$appointment->update_time = time();
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$appointment->save();
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// 面诊结束：通知对应医助（从诊单 assistant_id 获取）
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try {
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$diagnosis = Diagnosis::where('id', $appointment->patient_id)->find();
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if ($diagnosis && !empty($diagnosis->assistant_id)) {
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$assistantId = (int) $diagnosis->assistant_id;
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$patientName = $diagnosis->patient_name ?? '患者';
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$doctor = Admin::where('id', $appointment->doctor_id)->find();
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$doctorName = $doctor ? $doctor->name : '医生';
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ChatNotifyLogic::addConsultationCompleteNotify(
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$assistantId,
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$patientName,
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$doctorName,
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(int) $appointment->patient_id
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);
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}
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} catch (\Throwable $e) {
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\think\facade\Log::warning('面诊结束通知医助失败: ' . $e->getMessage());
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}
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// 完成就诊后系统代开处方（无药材、标记 is_system_auto；失败不影响「完成」成功）
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try {
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PrescriptionLogic::createSystemAutoFromCompletedAppointment((int) $appointment->id);
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} catch (\Throwable $e) {
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Log::warning('完成挂号后系统代开处方失败: ' . $e->getMessage());
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}
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return true;
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} catch (\Exception $e) {
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self::setError($e->getMessage());
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return false;
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}
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}
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/**
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* @notes 接诊台聚合：单次返回挂号信息 + 诊单病例 + 血糖血压记录 + 助理姓名
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* 数据复用：detail() / DiagnosisLogic::detail() / BloodRecordLogic::getRecordsByPatient()
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* 备注：appointment.patient_id 实际对应 tcm_diagnosis.id
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* @param array $params
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* @return array
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*/
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public static function reception(array $params): array
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{
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// 1) 挂号详情（已包含 patient_name / patient_phone / doctor_name / status_desc 等）
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$appointment = self::detail($params);
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if (empty($appointment)) {
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return [];
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}
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// 2) 诊单（病例）详情：appointment.patient_id == tcm_diagnosis.id
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$diagnosisId = (int) ($appointment['patient_id'] ?? 0);
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$diagnosis = $diagnosisId > 0
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? DiagnosisLogic::detail(['id' => $diagnosisId])
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: [];
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// 3) 血糖血压记录
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$bloodRecords = $diagnosisId > 0
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? BloodRecordLogic::getRecordsByPatient(['diagnosis_id' => $diagnosisId])
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: [];
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// 4) 补全医助姓名（detail() 未关联 admin 助理表）
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$assistantName = '';
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if (!empty($diagnosis['assistant_id'])) {
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$assistant = Admin::where('id', (int) $diagnosis['assistant_id'])->find();
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if ($assistant) {
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$assistantName = $assistant->name ?? '';
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}
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}
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$appointment['assistant_name'] = $assistantName;
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|
$appointment['assistant_id'] = $diagnosis['assistant_id'] ?? 0;
|
|
|
|
// 5) 是否已开方（与列表口径一致：未删除 & 未作废）
|
|
$hasPrescription = 0;
|
|
if ($diagnosisId > 0) {
|
|
$rxExists = Prescription::where('diagnosis_id', $diagnosisId)
|
|
->whereNull('delete_time')
|
|
->where('void_status', 0)
|
|
->find();
|
|
$hasPrescription = $rxExists ? 1 : 0;
|
|
}
|
|
$appointment['has_prescription'] = $hasPrescription;
|
|
|
|
// 6) 对诊单字段进行字典/枚举翻译（产出 *_text 附加字段，不覆盖原 value）
|
|
$diagnosis = self::enrichDiagnosisLabels($diagnosis);
|
|
|
|
// 7) 医生备注
|
|
$doctorNotes = $diagnosisId > 0
|
|
? DoctorNoteLogic::getByDiagnosis($diagnosisId)
|
|
: [];
|
|
|
|
return [
|
|
'appointment' => $appointment,
|
|
'diagnosis' => $diagnosis,
|
|
'blood_records' => $bloodRecords,
|
|
'doctor_notes' => $doctorNotes,
|
|
];
|
|
}
|
|
|
|
/**
|
|
* 字典翻译：把诊单中以 code 存储的字段（字典/枚举）补一份中文 label 字段，
|
|
* 便于前端（接诊台等只读场景）直接渲染，无需加载字典。
|
|
* 原始 code 字段保留不动，edit 场景仍可使用。
|
|
*
|
|
* @param array $diagnosis
|
|
* @return array
|
|
*/
|
|
private static function enrichDiagnosisLabels(array $diagnosis): array
|
|
{
|
|
if (empty($diagnosis)) {
|
|
return $diagnosis;
|
|
}
|
|
|
|
// 单值字段：value 为字典 value，翻译成字典 name
|
|
$singleDictFields = [
|
|
'diagnosis_type' => 'diagnosis_type',
|
|
'syndrome_type' => 'syndrome_type',
|
|
'diabetes_type' => 'diabetes_type',
|
|
'water_intake' => 'water_intake',
|
|
'weight_change' => 'weight_change',
|
|
'fatty_liver_degree' => 'fatty_liver_degree',
|
|
];
|
|
// 多值字段：value 为数组或逗号分隔字符串
|
|
$multiDictFields = [
|
|
'past_history' => 'past_history',
|
|
'appetite' => 'appetite',
|
|
'diet_condition' => 'diet_condition',
|
|
'body_feeling' => 'body_feeling',
|
|
'sleep_condition' => 'sleep_condition',
|
|
'eye_condition' => 'eye_condition',
|
|
'head_feeling' => 'head_feeling',
|
|
'sweat_condition' => 'sweat_condition',
|
|
'skin_condition' => 'skin_condition',
|
|
'urine_condition' => 'urine_condition',
|
|
'stool_condition' => 'stool_condition',
|
|
'kidney_condition' => 'kidney_condition',
|
|
];
|
|
|
|
// 一次性查出用到的所有字典
|
|
$allTypes = array_values(array_unique(array_merge(array_values($singleDictFields), array_values($multiDictFields))));
|
|
$dictMap = self::buildDictMap($allTypes);
|
|
|
|
foreach ($singleDictFields as $field => $type) {
|
|
if (!array_key_exists($field, $diagnosis)) {
|
|
continue;
|
|
}
|
|
$diagnosis[$field . '_text'] = self::dictLabel($dictMap, $type, $diagnosis[$field]);
|
|
}
|
|
foreach ($multiDictFields as $field => $type) {
|
|
if (!array_key_exists($field, $diagnosis)) {
|
|
continue;
|
|
}
|
|
$v = $diagnosis[$field];
|
|
$arr = is_array($v)
|
|
? $v
|
|
: (is_string($v) && $v !== '' ? preg_split('/[,，、]/', $v) : []);
|
|
$labels = [];
|
|
foreach ($arr as $item) {
|
|
$item = is_string($item) ? trim($item) : $item;
|
|
if ($item === '' || $item === null) {
|
|
continue;
|
|
}
|
|
$labels[] = self::dictLabel($dictMap, $type, $item);
|
|
}
|
|
$diagnosis[$field . '_text'] = implode('、', array_filter($labels));
|
|
}
|
|
|
|
// 枚举字段
|
|
$diagnosis['gender_text'] = isset($diagnosis['gender']) ? self::genderText((int) $diagnosis['gender']) : '';
|
|
$diagnosis['marital_status_text'] = array_key_exists('marital_status', $diagnosis) ? self::maritalText($diagnosis['marital_status']) : '';
|
|
foreach (['trauma_history', 'surgery_history', 'allergy_history', 'family_history', 'pregnancy_history'] as $f) {
|
|
if (array_key_exists($f, $diagnosis)) {
|
|
$diagnosis[$f . '_text'] = self::yesNoText($diagnosis[$f]);
|
|
}
|
|
}
|
|
|
|
return $diagnosis;
|
|
}
|
|
|
|
/**
|
|
* 构建 type_value => [value => name] 的两级查询映射
|
|
*
|
|
* @param array $types
|
|
* @return array
|
|
*/
|
|
private static function buildDictMap(array $types): array
|
|
{
|
|
if (empty($types)) {
|
|
return [];
|
|
}
|
|
$rows = DictData::whereIn('type_value', $types)
|
|
->field(['type_value', 'value', 'name'])
|
|
->select()
|
|
->toArray();
|
|
$map = [];
|
|
foreach ($rows as $r) {
|
|
$tv = (string) ($r['type_value'] ?? '');
|
|
$v = (string) ($r['value'] ?? '');
|
|
$n = (string) ($r['name'] ?? '');
|
|
if ($tv === '' || $v === '') {
|
|
continue;
|
|
}
|
|
$map[$tv][$v] = $n;
|
|
}
|
|
return $map;
|
|
}
|
|
|
|
/**
|
|
* 找不到字典项时回显原值（避免空白）
|
|
*/
|
|
private static function dictLabel(array $dictMap, string $type, $value): string
|
|
{
|
|
if ($value === null || $value === '') {
|
|
return '';
|
|
}
|
|
$key = (string) $value;
|
|
return $dictMap[$type][$key] ?? $key;
|
|
}
|
|
|
|
private static function genderText(int $gender): string
|
|
{
|
|
if ($gender === 1) return '男';
|
|
if ($gender === 0) return '女';
|
|
return '';
|
|
}
|
|
|
|
private static function maritalText($v): string
|
|
{
|
|
if ($v === null || $v === '') return '';
|
|
$n = (int) $v;
|
|
if ($n === 0) return '未婚';
|
|
if ($n === 1) return '已婚';
|
|
if ($n === 2) return '离异';
|
|
return '';
|
|
}
|
|
|
|
private static function yesNoText($v): string
|
|
{
|
|
if ($v === null || $v === '') return '';
|
|
return ((int) $v) === 1 ? '有' : '无';
|
|
}
|
|
|
|
/**
|
|
* @notes 通知接诊医助（按诊单 assistant_id 查企微 userid 后发应用消息）
|
|
* 文案固定：马上面诊到你对应的患者了，请联系患者进入诊室等待。
|
|
* @param int $appointmentId
|
|
* @return array{ok: bool, message?: string}
|
|
*/
|
|
public static function notifyAssistant(int $appointmentId): array
|
|
{
|
|
try {
|
|
$appointment = Appointment::findOrEmpty($appointmentId);
|
|
if ($appointment->isEmpty()) {
|
|
return ['ok' => false, 'message' => '挂号记录不存在'];
|
|
}
|
|
|
|
$diagnosis = Diagnosis::where('id', (int) $appointment->patient_id)->find();
|
|
if (!$diagnosis) {
|
|
return ['ok' => false, 'message' => '未找到对应的诊单'];
|
|
}
|
|
$assistantId = (int) ($diagnosis->assistant_id ?? 0);
|
|
if ($assistantId <= 0) {
|
|
return ['ok' => false, 'message' => '该患者尚未指派医助'];
|
|
}
|
|
|
|
$assistant = Admin::whereNull('delete_time')->find($assistantId);
|
|
if (!$assistant) {
|
|
return ['ok' => false, 'message' => '医助账号不存在'];
|
|
}
|
|
$wxId = trim((string) ($assistant->work_wechat_userid ?? ''));
|
|
if ($wxId === '') {
|
|
Log::warning("接诊台通知医助跳过：医助 admin_id={$assistantId} 未绑定 work_wechat_userid");
|
|
return [
|
|
'ok' => false,
|
|
'message' => '该医助未绑定企业微信账号，无法推送消息（请其在后台「扫码绑定企业微信」后再试）',
|
|
];
|
|
}
|
|
|
|
$patientName = (string) ($diagnosis->patient_name ?? '患者');
|
|
$text = "【接诊通知】马上面诊到你对应的患者了，请联系患者进入诊室等待。\n患者：{$patientName}\n时间：" . (string) $appointment->appointment_date . ' ' . (string) $appointment->appointment_time;
|
|
|
|
$result = WechatWorkAppMessageService::sendTextToUser($wxId, $text);
|
|
if (empty($result['ok'])) {
|
|
Log::warning('接诊台通知医助失败：' . ($result['message'] ?? ''));
|
|
}
|
|
return $result;
|
|
} catch (\Throwable $e) {
|
|
Log::error('接诊台通知医助异常：' . $e->getMessage());
|
|
return ['ok' => false, 'message' => '企业微信通知异常：' . $e->getMessage()];
|
|
}
|
|
}
|
|
}
|