447 lines
20 KiB
PHP
447 lines
20 KiB
PHP
<?php
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// +----------------------------------------------------------------------
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// | likeadmin快速开发前后端分离管理后台（PHP版）
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// +----------------------------------------------------------------------
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// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
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// | 开源版本可自由商用，可去除界面版权logo
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// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
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// | github下载：https://github.com/likeshop-github/likeadmin
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// | 访问官网：https://www.likeadmin.cn
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// | likeadmin团队 版权所有 拥有最终解释权
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// +----------------------------------------------------------------------
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// | author: likeadminTeam
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// +----------------------------------------------------------------------
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namespace app\adminapi\lists\tcm;
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use app\adminapi\lists\BaseAdminDataLists;
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use app\common\model\tcm\Diagnosis;
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use app\common\model\DiagnosisViewRecord;
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use app\common\model\doctor\Appointment;
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use app\common\model\tcm\Prescription;
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use app\common\model\tcm\CallRecord;
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use app\common\model\auth\Admin;
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use app\common\model\auth\AdminDept;
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use app\common\model\auth\AdminRole;
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use app\common\lists\ListsSearchInterface;
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/**
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* 中医辨房病因诊单列表
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* Class DiagnosisLists
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* @package app\adminapi\lists\tcm
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*/
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class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
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{
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/**
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* @notes 设置搜索条件
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* @return array
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*/
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public function setSearch(): array
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{
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return [
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'%like%' => ['patient_name'],
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'=' => ['patient_id', 'gender', 'diagnosis_type', 'syndrome_type', 'assistant_id', 'status'],
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'between_time' => ['diagnosis_date'],
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];
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}
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/**
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* @notes 获取列表
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* @return array
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* @throws \think\db\exception\DataNotFoundException
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* @throws \think\db\exception\DbException
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* @throws \think\db\exception\ModelNotFoundException
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*/
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public function lists(): array
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{
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// 获取当前管理员的角色ID
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$roleIds = AdminRole::where('admin_id', $this->adminId)->column('role_id');
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// 构建查询
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$query = Diagnosis::where($this->searchWhere);
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// 如果是医助角色(role_id=2)，只显示自己添加的患者
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if (in_array(2, $roleIds)) {
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$query->where('assistant_id', $this->adminId);
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}
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// 是否确认诊单：1=已确认 0=未确认
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if (isset($this->params['diagnosis_confirmed']) && $this->params['diagnosis_confirmed'] !== '') {
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$confirmed = (int)$this->params['diagnosis_confirmed'];
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$dvrTbl = (new DiagnosisViewRecord())->getTable();
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$diagTbl = (new Diagnosis())->getTable();
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$subSql = "SELECT 1 FROM {$dvrTbl} dvr WHERE dvr.diagnosis_id = {$diagTbl}.id AND dvr.is_confirmed = 1 AND dvr.delete_time IS NULL";
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if ($confirmed === 1) {
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$query->whereExists($subSql);
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} else {
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$query->whereNotExists($subSql);
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}
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}
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// 挂号日期筛选：当天/明天/后天（1=已预约 3=已完成 4=已过号，需展示以便取消等操作）
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if (!empty($this->params['appointment_date'])) {
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$aptDate = addslashes($this->params['appointment_date']);
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$aptTbl = (new Appointment())->getTable();
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$diagTbl = (new Diagnosis())->getTable();
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$query->whereExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.appointment_date = '{$aptDate}' AND apt.status IN (1,3,4)");
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}
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// 挂号状态：1=已挂号（含已预约/已完成/已过号）0=未挂号
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if (isset($this->params['has_appointment']) && $this->params['has_appointment'] !== '') {
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$aptTbl = (new Appointment())->getTable();
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$diagTbl = (new Diagnosis())->getTable();
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if ((int)$this->params['has_appointment'] === 1) {
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$query->whereExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.status IN (1,3,4)");
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} else {
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$query->whereNotExists("SELECT 1 FROM {$aptTbl} apt WHERE apt.patient_id = {$diagTbl}.id AND apt.status IN (1,3,4)");
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}
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}
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// 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
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if (isset($this->params['only_has_prescription']) && (string) $this->params['only_has_prescription'] === '1') {
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$rxTbl = (new Prescription())->getTable();
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$diagTbl = (new Diagnosis())->getTable();
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$query->whereExists("SELECT 1 FROM {$rxTbl} rx WHERE rx.diagnosis_id = {$diagTbl}.id AND rx.delete_time IS NULL");
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}
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// 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
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if (isset($this->params['assistant_dept_id']) && $this->params['assistant_dept_id'] !== '' && (int) $this->params['assistant_dept_id'] > 0) {
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$deptId = (int) $this->params['assistant_dept_id'];
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$adTbl = (new AdminDept())->getTable();
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$diagTbl = (new Diagnosis())->getTable();
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$query->whereExists("SELECT 1 FROM {$adTbl} ad WHERE ad.admin_id = {$diagTbl}.assistant_id AND ad.dept_id = {$deptId}");
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}
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// 按挂号状态优先级排序：已过号(4) > 已预约(1) > 已完成(3)，然后按挂号日期+时间升序
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// 若传了 appointment_date（当天/明天等筛选），只按「该日」的挂号排序与展示
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$diagTbl = (new Diagnosis())->getTable();
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$aptTbl = (new Appointment())->getTable();
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$minAptDateCond = '';
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if (!empty($this->params['appointment_date'])) {
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$sortAptDate = addslashes((string) $this->params['appointment_date']);
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$minAptDateCond = " AND apt.appointment_date = '{$sortAptDate}'";
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}
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// 获取最早的挂号状态（用于排序优先级）
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$minAptStatusExpr = '(SELECT apt.status FROM ' . $aptTbl . ' apt WHERE apt.patient_id = ' . $diagTbl . '.id AND apt.status IN (1,3,4)' . $minAptDateCond . ' ORDER BY CASE apt.status WHEN 4 THEN 1 WHEN 1 THEN 2 WHEN 3 THEN 3 ELSE 4 END, apt.appointment_date ASC, apt.appointment_time ASC LIMIT 1)';
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// 获取最早的挂号时间（用于同状态内排序）
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$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)' . $minAptDateCond . ')';
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$lists = $query
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->with(['DiagnosisViewRecord'])
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->field(['id', 'patient_id', 'patient_name', 'id_card', 'phone', 'gender', 'age', 'diagnosis_date', 'diagnosis_type', 'syndrome_type', 'assistant_id', 'status', 'create_time', 'update_time'])
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->append(['gender_desc', 'status_desc', 'diagnosis_date_text'])
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->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")
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->limit($this->limitOffset, $this->limitLength)
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->select()
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->toArray();
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// 关联挂号：doctor_appointment.patient_id 存诊单主键 id（与 Appointment 列表 join 一致）
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$diagnosisIds = array_filter(array_unique(array_column($lists, 'id')));
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if (!empty($diagnosisIds)) {
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$appointmentMap = [];
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$subQuery = Appointment::where('patient_id', 'in', $diagnosisIds)
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->where('status', 'in', [1, 3, 4]); // 1=已预约 3=已完成 4=已过号
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if (!empty($this->params['appointment_date'])) {
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$subQuery->where('appointment_date', (string) $this->params['appointment_date']);
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}
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$subQuery
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->field('id, patient_id, doctor_id, appointment_date, appointment_time, status, create_time')
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->order('appointment_date', 'asc')
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->order('appointment_time', 'asc')
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->order('id', 'asc');
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$appointments = $subQuery->select()->toArray();
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foreach ($appointments as $apt) {
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$did = (int) ($apt['patient_id'] ?? 0);
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if ($did <= 0) {
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continue;
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}
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if (!isset($appointmentMap[$did])) {
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$appointmentMap[$did] = [];
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}
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$appointmentMap[$did][] = $apt;
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}
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// 获取医生名称
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$doctorIds = [];
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foreach ($appointmentMap as $aptList) {
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foreach ($aptList as $apt) {
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$docId = (int) ($apt['doctor_id'] ?? 0);
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if ($docId > 0) {
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$doctorIds[] = $docId;
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}
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}
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}
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$doctorIds = array_values(array_unique($doctorIds));
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$doctorNames = [];
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if (!empty($doctorIds)) {
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$doctors = Admin::whereIn('id', $doctorIds)->column('name', 'id');
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$doctorNames = $doctors ?: [];
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}
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// 合并到诊单列表
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foreach ($lists as &$item) {
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$aptList = $appointmentMap[(int) $item['id']] ?? [];
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if (!empty($aptList)) {
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$apt = $aptList[0];
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$item['has_appointment'] = 1;
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$item['appointment_id'] = $apt['id'];
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$item['appointment_status'] = (int) ($apt['status'] ?? 0);
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$item['appointment_doctor_id'] = $apt['doctor_id'];
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$item['appointment_doctor_name'] = $doctorNames[$apt['doctor_id']] ?? '-';
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$timePart = $apt['appointment_time'] ?? '';
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if (strlen($timePart) > 5) {
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$timePart = substr($timePart, 0, 5); // 09:00:00 -> 09:00
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}
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$item['appointment_time_text'] = trim(($apt['appointment_date'] ?? '') . ' ' . $timePart);
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$item['appointments'] = array_map(function ($a) use ($doctorNames) {
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$timePart = $a['appointment_time'] ?? '';
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if (strlen((string) $timePart) > 5) {
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$timePart = substr((string) $timePart, 0, 5);
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}
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$doctorId = (int) ($a['doctor_id'] ?? 0);
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return [
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'id' => (int) ($a['id'] ?? 0),
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'status' => (int) ($a['status'] ?? 0),
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'doctor_id' => $doctorId,
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'doctor_name' => (string) ($doctorNames[$doctorId] ?? '-'),
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'time_text' => trim((string) ($a['appointment_date'] ?? '') . ' ' . (string) $timePart),
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];
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}, $aptList);
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} else {
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$item['has_appointment'] = 0;
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$item['appointment_id'] = null;
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$item['appointment_status'] = 0;
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$item['appointment_doctor_id'] = null;
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$item['appointment_doctor_name'] = '';
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$item['appointment_time_text'] = '';
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$item['appointments'] = [];
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}
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}
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} else {
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foreach ($lists as &$item) {
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$item['has_appointment'] = 0;
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$item['appointment_id'] = null;
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$item['appointment_status'] = 0;
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$item['appointment_doctor_id'] = null;
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$item['appointment_doctor_name'] = '';
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$item['appointment_time_text'] = '';
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$item['appointments'] = [];
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}
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}
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// 关联是否开方：诊单是否有处方记录
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$diagnosisIds = array_column($lists, 'id');
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$prescriptionMap = [];
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if (!empty($diagnosisIds)) {
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$prescriptionTbl = (new Prescription())->getTable();
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$prescribedIds = Prescription::whereIn('diagnosis_id', $diagnosisIds)
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->whereNull('delete_time')
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->column('diagnosis_id');
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$prescriptionMap = array_fill_keys($prescribedIds, 1);
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}
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foreach ($lists as &$item) {
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$item['has_prescription'] = isset($prescriptionMap[$item['id']]) ? 1 : 0;
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}
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// 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）
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$followupByDiag = [];
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$rxCountByDiag = [];
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if ($diagnosisIds !== []) {
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$rxAll = Prescription::whereIn('diagnosis_id', $diagnosisIds)
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->whereNull('delete_time')
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->field(['id', 'diagnosis_id', 'doctor_name', 'creator_id', 'prescription_date', 'create_time', 'void_status'])
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->order('id', 'desc')
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->select()
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->toArray();
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foreach ($rxAll as $rx) {
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$dCount = (int) ($rx['diagnosis_id'] ?? 0);
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if ($dCount > 0) {
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$rxCountByDiag[$dCount] = ($rxCountByDiag[$dCount] ?? 0) + 1;
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}
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}
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foreach ($rxAll as $rx) {
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$d = (int) ($rx['diagnosis_id'] ?? 0);
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if ($d <= 0 || isset($followupByDiag[$d])) {
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continue;
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}
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if ((int) ($rx['void_status'] ?? 0) === 0) {
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$followupByDiag[$d] = $rx;
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}
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}
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foreach ($rxAll as $rx) {
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$d = (int) ($rx['diagnosis_id'] ?? 0);
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if ($d <= 0 || isset($followupByDiag[$d])) {
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continue;
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}
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$followupByDiag[$d] = $rx;
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}
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$creatorIds = array_values(array_unique(array_filter(array_column($followupByDiag, 'creator_id'))));
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$creatorNames = [];
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if ($creatorIds !== []) {
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$creatorNames = Admin::whereIn('id', $creatorIds)->whereNull('delete_time')->column('name', 'id');
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}
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foreach ($followupByDiag as $d => $rx) {
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$doctorName = trim((string) ($rx['doctor_name'] ?? ''));
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$cid = (int) ($rx['creator_id'] ?? 0);
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if ($doctorName === '' && $cid > 0) {
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$doctorName = (string) ($creatorNames[$cid] ?? '');
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}
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$followupByDiag[$d] = [
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'time_text' => $this->formatPrescriptionFollowupTime($rx),
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'doctor_name' => $doctorName !== '' ? $doctorName : '—',
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'voided' => (int) ($rx['void_status'] ?? 0) !== 0,
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];
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}
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}
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foreach ($lists as &$item) {
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$did = (int) $item['id'];
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$fu = $followupByDiag[$did] ?? null;
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$item['followup_time_text'] = ($item['has_prescription'] && $fu) ? ($fu['time_text'] ?? '') : '';
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$item['followup_doctor_name'] = ($item['has_prescription'] && $fu) ? ($fu['doctor_name'] ?? '—') : '';
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$item['followup_rx_voided'] = ($item['has_prescription'] && $fu && !empty($fu['voided'])) ? 1 : 0;
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// 开方次数即复诊次数：1 张处方 = 第 1 次复诊，以此类推
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$item['followup_prescription_count'] = (int) ($rxCountByDiag[$did] ?? 0);
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}
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// 最近一条通话记录状态（列表行展示：通话中 / 已结束等）
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$latestCallByDiag = [];
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if (!empty($diagnosisIds)) {
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$agg = CallRecord::whereIn('diagnosis_id', $diagnosisIds)
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->field('diagnosis_id, MAX(id) AS max_id')
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->group('diagnosis_id')
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->select()
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->toArray();
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$maxIds = array_filter(array_column($agg, 'max_id'));
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if (!empty($maxIds)) {
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$recList = CallRecord::whereIn('id', $maxIds)->select()->toArray();
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foreach ($recList as $r) {
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$latestCallByDiag[(int)$r['diagnosis_id']] = $r;
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}
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}
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}
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foreach ($lists as &$item) {
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$item['video_call_hint'] = $this->buildVideoCallHint($latestCallByDiag[$item['id']] ?? null);
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}
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return $lists;
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}
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/**
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* @param array<string,mixed> $rx 处方一行
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*/
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private function formatPrescriptionFollowupTime(array $rx): string
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{
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$ct = (int) ($rx['create_time'] ?? 0);
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$pd = trim((string) ($rx['prescription_date'] ?? ''));
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if ($pd !== '') {
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return $pd . ($ct > 0 ? ' ' . date('H:i', $ct) : '');
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}
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return $ct > 0 ? date('Y-m-d H:i', $ct) : '—';
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}
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/**
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* @param array<string,mixed>|null $rec tcm_call_record 一行
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* @return array{state:string,label:string,end_time?:int,start_time?:int}
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*/
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private function buildVideoCallHint(?array $rec): array
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{
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if (!$rec) {
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return ['state' => 'none', 'label' => ''];
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}
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$st = (int)($rec['status'] ?? 0);
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$roomOk = trim((string)($rec['room_id'] ?? '')) !== '';
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if ($st === 1 && $roomOk) {
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$t = (int)($rec['start_time'] ?? 0);
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return [
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'state' => 'live',
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'label' => '视频通话进行中',
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'start_time' => $t,
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];
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}
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if ($st === 1 && !$roomOk) {
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return [
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'state' => 'pending_room',
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'label' => '通话发起中，待同步房间',
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];
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}
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if ($st === 2) {
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$end = (int)($rec['end_time'] ?? 0);
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$timePart = $end > 0 ? date('m-d H:i', $end) : '';
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return [
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'state' => 'ended',
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'label' => $timePart !== '' ? ('视频已结束 · ' . $timePart) : '视频已结束',
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'end_time' => $end,
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];
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}
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if ($st === 3) {
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return ['state' => 'missed', 'label' => '上次通话未接听'];
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}
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if ($st === 4) {
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return ['state' => 'cancelled', 'label' => '上次通话已取消'];
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}
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return ['state' => 'none', 'label' => ''];
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}
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/**
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* @notes 获取数量
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* @return int
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*/
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public function count(): int
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{
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// 获取当前管理员的角色ID
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$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();
|
|
}
|
|
}
|