zyt/server/app/adminapi/logic/firstvisit/MyPatientLogic.php

<?php

declare(strict_types=1);

namespace app\adminapi\logic\firstvisit;

use app\common\model\auth\AdminRole;
use app\common\model\doctor\Appointment;
use app\common\model\tcm\Diagnosis;
use app\common\service\DataScope\DataScopeService;
use think\db\Query;
use think\facade\Db;

/**
 * “我的患者”统一数据范围。
 *
 * 角色语义：医生只看本人接诊患者，医助只看本人归属患者；经理、
 * 诊室组长和管理员按系统 DataScope 查看团队患者；root 查看全部。
 */
class MyPatientLogic
{
    private const DOCTOR_ROLE_ID = 1;
    private const ASSISTANT_ROLE_ID = 2;
    private const TEAM_ROLE_IDS = [3, 7, 8];
    private const EFFECTIVE_APPOINTMENT_STATUSES = [1, 3, 4];

    /**
     * @param Query $query 以 d 作为 zyt_tcm_diagnosis 别名的查询
     */
    public static function applyScope(Query $query, int $adminId, array $adminInfo): void
    {
        if ($adminId <= 0) {
            $query->whereRaw('0 = 1');

            return;
        }

        if ((int) ($adminInfo['root'] ?? 0) === 1) {
            return;
        }

        $roleIds = self::roleIds($adminId);
        $appointmentTable = (new Appointment())->getTable();
        $statusList = implode(',', self::EFFECTIVE_APPOINTMENT_STATUSES);

        // 管理角色按系统的数据范围查看“范围内医助归属或医生接诊”的患者。
        if (array_intersect($roleIds, self::TEAM_ROLE_IDS) !== []) {
            $visibleAdminIds = DataScopeService::getVisibleAdminIds($adminId, $adminInfo);
            if ($visibleAdminIds === null) {
                return;
            }
            $visibleAdminIds = self::normalizeIds($visibleAdminIds);
            if ($visibleAdminIds === []) {
                $query->whereRaw('0 = 1');

                return;
            }
            $ids = implode(',', $visibleAdminIds);
            $query->whereRaw(
                "(CAST(d.assistant_id AS UNSIGNED) IN ({$ids})"
                . " OR EXISTS (SELECT 1 FROM {$appointmentTable} scope_apt"
                . ' WHERE scope_apt.patient_id = d.id'
                . " AND scope_apt.status IN ({$statusList})"
                . " AND scope_apt.doctor_id IN ({$ids})))"
            );

            return;
        }

        // 一线角色始终只取“本人关系”，不受数据库中医生角色 ALL 配置影响。
        $conditions = [];
        if (in_array(self::ASSISTANT_ROLE_ID, $roleIds, true)) {
            $conditions[] = 'CAST(d.assistant_id AS UNSIGNED) = ' . $adminId;
        }
        if (in_array(self::DOCTOR_ROLE_ID, $roleIds, true)) {
            $conditions[] = "EXISTS (SELECT 1 FROM {$appointmentTable} scope_apt"
                . ' WHERE scope_apt.patient_id = d.id'
                . " AND scope_apt.status IN ({$statusList})"
                . " AND scope_apt.doctor_id = {$adminId})";
        }

        // 未知/异常角色按本人医助或本人医生关系收窄，拒绝意外放大全库。
        if ($conditions === []) {
            $conditions[] = 'CAST(d.assistant_id AS UNSIGNED) = ' . $adminId;
            $conditions[] = "EXISTS (SELECT 1 FROM {$appointmentTable} scope_apt"
                . ' WHERE scope_apt.patient_id = d.id'
                . " AND scope_apt.status IN ({$statusList})"
                . " AND scope_apt.doctor_id = {$adminId})";
        }

        $query->whereRaw('(' . implode(' OR ', $conditions) . ')');
    }

    public static function canAccessDiagnosis(int $diagnosisId, int $adminId, array $adminInfo): bool
    {
        if ($diagnosisId <= 0 || $adminId <= 0) {
            return false;
        }

        $diagnosisTable = (new Diagnosis())->getTable();
        $query = Db::table($diagnosisTable)
            ->alias('d')
            ->where('d.id', $diagnosisId)
            ->whereNull('d.delete_time')
            ->where('d.status', 1);
        self::applyScope($query, $adminId, $adminInfo);

        return (int) $query->count() > 0;
    }

    /** @return array{mode:string,label:string} */
    public static function scopeMeta(int $adminId, array $adminInfo): array
    {
        if ((int) ($adminInfo['root'] ?? 0) === 1) {
            return ['mode' => 'all', 'label' => '全部数据'];
        }

        $roleIds = self::roleIds($adminId);
        if (array_intersect($roleIds, self::TEAM_ROLE_IDS) !== []) {
            $scope = DataScopeService::getEffectiveScope($adminInfo);
            $labels = [
                DataScopeService::SCOPE_ALL => '全部数据',
                DataScopeService::SCOPE_DEPT_AND_CHILD => '本部门及下级',
                DataScopeService::SCOPE_DEPT => '本部门',
                DataScopeService::SCOPE_SELF => '仅本人',
            ];

            return [
                'mode' => $scope === DataScopeService::SCOPE_ALL ? 'all' : 'team',
                'label' => $labels[$scope] ?? '仅本人',
            ];
        }

        $isDoctor = in_array(self::DOCTOR_ROLE_ID, $roleIds, true);
        $isAssistant = in_array(self::ASSISTANT_ROLE_ID, $roleIds, true);
        if ($isDoctor && $isAssistant) {
            return ['mode' => 'self', 'label' => '本人归属及接诊'];
        }
        if ($isDoctor) {
            return ['mode' => 'self', 'label' => '本人接诊'];
        }

        return ['mode' => 'self', 'label' => '本人归属'];
    }

    /** @return int[] */
    private static function roleIds(int $adminId): array
    {
        return self::normalizeIds(AdminRole::where('admin_id', $adminId)->column('role_id'));
    }

    /** @param array<int|string, mixed> $ids @return int[] */
    private static function normalizeIds(array $ids): array
    {
        return array_values(array_unique(array_filter(array_map('intval', $ids), static function (int $id): bool {
            return $id > 0;
        })));
    }
}