ris_dm/server/application/api/servies/xz/XzService.php

<?php

namespace app\api\servies\xz;
use app\api\model\studies\StudiesModel;
use app\api\servies\ZskkDefaultService;
// use app\api\validate\xz\XzValidate;
use app\api\dao\xz\XzDao;
use app\api\servies\common\CommonService;
use app\api\utils\UUIDUtils;
use app\common\library\send_message;
use think\Db;
use think\Exception;
use think\facade\Config;
use think\facade\Log;
use app\api\change\PinyinChange;


/**
 * 后台控制器基类
 * 接口方法权限 必传参数 接口返回 错误抛出 通用参数处理
 */

class XzService extends ZskkDefaultService {
    protected $logName = "XzService";
    private $xz = null;


    public function __construct(XzDao $xzDao) {
        parent::__construct();
        $this->xz = $xzDao;
    }

    public function savePacs($params)
    {
        try{
            $xz = $params;
            // 数据存储
            $xz['id'] = UUIDUtils::uuid();
            $xz['phonetic'] = PinyinChange::utf8_to($xz['patientName'],1);
            $xz['descriptionPhonetic'] = PinyinChange::utf8_to($xz['contentDescription'],1);
            $where = [
                'applicationFormNo'=>$params['applicationFormNo'],
                'clinicId'=>$params['clinicId']
            ];
            $xzInfo = $this->xz->checkXz($where);
            if(empty($xzInfo)){
                $data = $this->xz->insertXz($xz);
            }else{
                return json_encode(['code'=>'0']);
            }

            // 存储患者信息
            $patientData = [
                'id'=>UUIDUtils::uuid(),
                'name'=>$params['patientName'],
                'sex'=>$params['patientSex'],
                'birthday'=>$params['patientBirthDate'] ?? '',
                'age'=>$params['patientAge'],
                'institution_id'=>$params['clinicId'],
                'createdAt'=>date('Y-m-d H:i:s',time()),
                'temp_patient_id'=>$params['patientId']
            ];
            $patient = $this->xz->insertPatient($patientData);
            // 存储studies
            $studiesData = [
                'id'=>UUIDUtils::uuid(),
                'studyuid'=>'1.3.6.1.4.1.30071.8.'.time().$params['clinicId'].$params['patientId'].$params['applicationFormNo'],
                'patient_id'=>$patientData['id'],
                'studydate'=>$params['startDate'],
                'modality'=> $params['modality'] == 1? 'US' : 'OP',
                'accession_num'=>$params['applicationFormNo'],
                'status'=>1,
                'patient_age'=>$params['patientAge'],
                'studyDescribe'=>$params['contentDescription'] ?? '',
                'institution_id'=>$params['clinicId'],
                'createdAt' => date('Y-m-d H:i:s',time()),
                'weight'=>$params['patientWeight'] ?? ''
            ];
            $studies = $this->xz->insertStudies($studiesData);
            // 存储exams 信息
            $examData = [
                'id'=>UUIDUtils::uuid(),
                'patient_num'=>$params['patientId'],
                'accession_num'=>$params['applicationFormNo'],
                'patient_id'=>$patientData['id'],
                'exam_datetime'=>$params['startDate'],
                'exam_class' => $params['modality'] == 1? 'US' : 'OP',
                'clin_dept_id'=>$params['department'] ?? '',
                'institution_id'=>$params['clinicId'],
                'illness_desc'=>$params['symptom'] ?? '',
                'clin_doctors'=>$params['clinicalDoctor'] ?? '',
                'study_uid'=>$studiesData['studyuid'],
                'exam_status'=>'1',
                'study_id'=>$studiesData['id']
            ];
            if($params['clinicalDoctor'] ?? ''){
                $doctorId = $this->xz->checkDoctor($params['clinicalDoctor']);
                if(!empty($doctorId)){
                    $examData['register'] = $doctorId;
                }else{
                    $doctorData = [
                        'id'=>UUIDUtils::uuid(),
                        'realname'=>$params['clinicalDoctor'],
                        'password'=>md5('123456'),
                        'username'=>UUIDUtils::uuid(),
                        'institution_id'=>$params['clinicId']
                    ];
                    $examData['register'] = $doctorData['id'];
                }
            }
            $exam = $this->xz->insertExam($examData);
            $this->xz->updateStudies($studiesData['id'],$examData['id']);
            $updateXz = ['exam_id'=>$examData['id'],'studyUid'=>$studiesData['studyuid']];
            $this->xz->updateXz($where,$updateXz);
            $status = $this->xz->updateStatus($where,1);
            return json_encode(['code'=>'0']);
        }catch(\Exception $e){
            return json_encode(['code'=>'1','message'=>$e->getMessage()]);
        }

    }

    public function cancel($params)
    {
        try{
            $where = [
                'applicationFormNo'=>$params['applicationFormNo'],
                'clinicId'=>$params['clinicId']
            ];
            $xzInfo = $this->xz->checkXz($where);
            if(empty($xzInfo)){
                return json_encode(['code'=>'1','message'=>'该检查不存在']);
            }
            if($xzInfo['exam_status'] == '1' || $xzInfo['exam_status'] == '0'){
                $status = $this->xz->updateStatus($where,0);
                $update = ['exam_status'=>-99];
                $a = $this->xz->updateExam($xzInfo['exam_id'],$update);
                return json_encode(['code'=>'0']);
            }else{
                return json_encode(['code'=>'1','message'=>'非检查完成状态的检查不可撤回']);
            }

        }catch(\Exception $e){
            return json_encode(['code'=>'1','message'=>$e->getMessage()]);
        }
    }

    // 3 推送检查消息
    public function pushExam($params,$url)
    {
        try{
            $data = $params;
            $info = $this->curlJsonPost($url,$data);
            $xz = json_decode($info,true);
            $return  = [];
            if($xz['code'] == '0'){
                return '1';
            }else{
                return $xz;
            }
            // 是否要修改xz表中的状态
            // return $info;
        }catch(\Exception $e){
            return json_encode(['code'=>'0001','message'=>$e->getMessage()]);
        }
    }

    public function getData($params)
    {
        $info = $this->xz->getXzData($params['id']);
        if($info['exam_status'] != 1){
            $this->throwError('非正常的流程操作，无法开始检查','0001');
        }
        $data = [
            'applicationFormNo'=>$info['applicationFormNo'],
            'clinicId'=>$info['clinicId']
        ];
        return $data;
    }

    public function change($params,$status)
    {
        $where = [
            'exam_id'=>$params['id']
        ];
        $this->xz->updateStatus($where,$status);
        $this->xz->updateExam($params['id'],['exam_status'=>$status]);
    }

    public function getInfo($params)
    {
        $info = $this->xz->getXzData($params['id']);
        $data = [
            'applicationFormNo'=>$info['applicationFormNo'],
            'clinicId'=>$info['clinicId'],
            'urlParm'=>$params['id']
        ];
        return $data;
    }

    public function getExamData($id)
    {
        $xzData = $this->xz->getExamData($id);
        return $xzData;
    }

    public function getExamPush($id)
    {
        try{
            $xzData = $this->xz->getXzData($id);
            $report = $this->xz->getReport($id);
            $reportName = $this->xz->getDoctorName($report['report_doctor_id']);
            $reviewName = $this->xz->getDoctorName($report['review_doctor_id']);
            $studyUid = $this->xz->getUid($id);
            $accessionNum = $this->xz->getAccession($id);
            $info = [
                'report'=>[
                    'department'=>$xzData['department'],
                    'clinicalDoctor'=>$xzData['clinicalDoctor'],
                    'symptom'=>$xzData['symptom'],
                    'reportDate'=>$report['report_datetime'],
                    'description'=>$report['description'],
                    'impression'=>$report['impression'],
                    'reportDoctor'=>$reportName,
                    'reviewDoctor'=>$reviewName,
                    'studyInstanceUId'=>$studyUid,
                    'modality'=>$xzData['modality'],
                    'accessionNumber'=>$accessionNum
                ],
                'applicationFormNo'=>$xzData['applicationFormNo'],
                'clinicId'=>$xzData['clinicId'],
            ];
            $data = json_encode($info);
            $url = 'http://wjw.yidab.cn:801/pacs/pushExamReport.do';
            // $url = 'http://wjw.yidab.cn:801/wjw-test/pacs/pushExamReport.do';
            $return = $this->curlJsonPost($url,$data);
            return $return;
        }catch(\Exception $e){
            return json_encode(['code'=>'1','message'=>$e->getMessage()]);
        }
    }

    public function saveExam($params)
    {
        /*if(isset($params['institution_id']) && $params['institution_id'] == '730900006')
        {
            log::record('存在730900006');
//            $db = Db::connect('db2');
            $e = Db::connect('db2')->table('exams')->where('study_id',$params['study_id'])->value('id');
            if(!empty($e)){
                log::record('存在检查');
                log::record('检查id%'.$e.'%');
                return true;
            }
            log::record('不存在检查');
            $exam2 = [
                'id'=>UUIDUtils::uuid(),
                'patient_id'=>$params['patient_id'] ?? null,
                'patient_num'=>$params['patient_num'] ?? null,
                'accession_num'=>$params['accession_num'] ?? null,
                'exam_datetime'=>$params['exam_datetime'] ?? null,
                'exam_class'=>$params['exam_class'] ?? null,
                'institution_id'=>$params['institution_id'],
                'study_id'=>$params['study_id'] ?? null,
                'id_card' => $params['card_num'] ?? null,
                'study_uid'=>StudiesModel::where('id',$params['study_id'])->value('studyuid'),
                'exam_status'=>3,
                'createdAt'=>date('Y-m-d H:i:s',time()),
                'phone'=>$params['phone'] ?? null,
            ];
            log::record('存储的检查数据'.json_encode($exam2));
            $e2  = Db::connect('db2')->table('exams')->insert($exam2);
            log::record('存储是否成功'.$e2);
            log::record('当前患者id为'.$params['patient_id'].'患者id存在');
            if(!empty($params['patient_id'])){
                log::record('存在患者id');
                $patient = [
                    'id'=>$params['patient_id'],
                    'name'=>$params['name'] ?? null,
                    'sex'=>$params['sex'] ?? null,
                    'card_num'=>$params['card_num'] ?? null,
                    'phone'=>$params['phone'] ?? null,
                    'age'=>$params['age'] ?? null,
                    'temp_patient_id'=>$params['patient_num'] ?? null,
                    'institution_id'=>$params['institution_id']
                ];
                log::record('存储的患者数据'.json_encode($patient));
                $p = Db::connect('db2')->table('patient_infos')->insert($patient);
                log::record('患者存储成功'.$p);
            }
            return true;
        }*/
        $time1 = time();
        if($params['institution_id'] == '43600001')
        {
            $exam = $this->xz->checkIsSet($params['study_id'],$params['studyuid'],$params['institution_id']);
        }else{
            $exam = $this->xz->checkIsSet($params['study_id']);
        }
        if($params['institution_id'] == '71900004')
        {
            $params['name'] = str_replace('=','',$params['name']);
        }
        if($params['institution_id'] == '16100014')
        {
            if($params['exam_class'] == 'RF')
            {
                $params['exam_class'] = 'DX';
            }
        }
        if($params['institution_id'] == '71900007' || $params['institution_id'] == '71900008')
        {
            if($params['exam_class'] == 'CR')
            {
                $params['exam_class'] = 'DR';
            }
        }
        if($exam){
            //存在则修改
            $id = $exam['id'];
            $water_log = $this->xz->getWaterLog($id,$params['institution_id']);
            $update = [];
            if(empty($water_log)){
                $film = $this->xz->getInsFilmInfo($params['institution_id']);
                if(!empty($film))
                {
                    if($film['charge_mode'] == Config::get('order_type')['hospitalPay']){
                        //创建检查  必须为医院托管模式 才允许创建胶片记录
                        $this->save_ins_film_water($id,$film['charge_mode'],$film['film_price'],$params['institution_id']);
                        $update['pay_status'] = 1;
                    }
                }
            }
            $update['updatedAt'] = date('Y-m-d H:i:s',time());
            if(isset($params['node_type']) &&  !empty($params['node_type']))
            {
                $update['node_type'] = $params['node_type'];
            }
            if(isset($params['exam_class']) && !empty($params['exam_class']))
            {
                if($exam['exam_class'] !== $params['exam_class'])
                {
                    $update['exam_class'] = $params['exam_class'];
                }
            }
            $update['status'] = 1;
            if($params['institution_id'] == '27400005') {
                $cache = $this->xz->getCache("worklist_".$params['patient_num']);
                if(!empty($cache))
                    {
                    $key = "worklist_".$params['patient_num'];
                    $d = json_decode($cache, true);
                    Log::record('东民二院；存储key为'.$key.';存储内容为'.$cache);
                    $update["name"] = $d['NAME'];
                    $update["hopitalized_no"] = $d['zyh'];
                    $update["bed_no"] = $d['cwh'];
                    $update["exam_project"] = $d['PARTOFCHECK'];
                }
            }
            // foreach ($params as $k=>$v){
            //     if(!empty($v) && $k !== 'exam_class'){
            //         $update[$k] = $v;
            //         if($k == 'name' && $params['institution_id'] == '27400005'){
            //             //东明二院
            //             $cache = $this->xz->getCache("worklist_".$params['patient_num']);
            //             if(!empty($cache))
            //             {
            //                 // $d = json_decode($cache, true);

            //                 $update[$k] = $cache;
            //             }
            //         }
            //     }
            // }
            if($exam['exam_status'] == -1){
                $update['exam_status'] = '9';
                $this->xz->updateExam($id,$update);
            }elseif($exam['exam_status']<3){
                $update['exam_status'] = '3';
                
                //进行分派
                $did = $this->handle_queue($params['institution_id']);
                $update['doctor_sign'] = $did;
                $this->xz->updateExam($id,$update);
            }else{
                $this->xz->updateExam($id,$update);
            }
        }
        else{
            $name = $params['name'] ?? null;
            $hopitalized_no = null;
            $bed_no = null;
            $exam_project = null;
            if($params['institution_id'] == '27400005') {
                $cache = $this->xz->getCache("worklist_".$params['patient_num']);
                if(!empty($cache))
                    {
                    $key = "worklist_".$params['patient_num'];
                    $d = json_decode($cache, true);
                    Log::record('东民二院；存储key为'.$key.';存储内容为'.$cache);
                    $name = $d['NAME'];
                    $hopitalized_no = $d['zyh'];
                    $bed_no = $d['cwh'];
                    $exam_project = $d['PARTOFCHECK'];
                }
            }
            $uid = $this->xz->getStudyUid($params['study_id']);
            if(empty($uid))
            {
                $uid = $params['studyuid'] ?? null;
            }
            $body_part_text = '';
            if(!empty($params['body_part'] ?? null))
            {
                $body_part_text = $this->xz->getBodyText($params['body_part']);
            }
            $data = [
                'id'=>UUIDUtils::uuid(),
                'patient_id'=>$params['patient_id'],
                'study_id'=>$params['study_id'],
                'patient_num'=>$params['patient_num'],
                'accession_num'=>$params['accession_num'] ?? null,
                'exam_datetime'=>$params['exam_datetime'] ?? null,
                'exam_class'=>$params['exam_class'] ?? null,
                'institution_id'=>$params['institution_id'] ?? null,
                'device_name'=>$params['device_name'] ?? null,
                'body_part'=>$params['body_part'] ?? null,
                'body_part_text'=>$body_part_text,
                'createdAt'=>date('Y-m-d H:i:s',time()),
                'exam_status'=>'3',
                'name'=>$name,
                'phone'=>$params['phone'] ?? null,
                'card_num' => $params['card_num'] ?? null,
                'studyid'=>$params['studyid'] ?? null,
                'studyuid'=>$uid,
                'sex' =>$params['sex'] ?? null,
                'age' => $params['age'] ?? null,
                'hopitalized_no' => $hopitalized_no,
                'bed_no' => $bed_no,
                'exam_project' => $exam_project,
                'node_type'=>$params['node_type'] ?? 1
            ];
            // 队列处理并分配
            $did = $this->handle_queue($params['institution_id']);
            $exam['doctor_sign'] = $did;
            $this->xz->insertExam($data);
            $id = $data['id'];
            $exam = $data;
            unset($exam['id']);
            $exam['exam_id'] = $data['id'];
            $film = $this->xz->getInsFilmInfo($params['institution_id']);
            if(!empty($film))
            {
                if($film['charge_mode'] == Config::get('order_type')['hospitalPay']){
                    //创建检查  必须为医院托管模式 才允许创建胶片记录
                    $this->save_ins_film_water($id,$film['charge_mode'],$film['film_price'],$params['institution_id']);
                    $this->xz->updateExam($id,['pay_status'=>1]);
                }
            }
            log::record('当前医院id'.$params['institution_id']);
            $phone = $params['phone'] ?? '';
            $value = 'patient_sms';
            $sms = $this->xz->getInsValue($params['institution_id'],$value);
            log::record('当前医院发送短信'.$sms);
            if($sms == 1)
            {
//                log::record('手机号为'.$phone);
//                if(!empty($phone))
//                {
//                    $institution = $this->xz->getInstitutionName($params['institution_id']);
//                    $code = rand(1000,9999);
//                    $share = [
//                        'id'=>UUIDUtils::uuid(),
//                        'examId'=>$id,
//                        'code'=>$code,
//                        'overdueTime'=>'5475', //有效期15年
//                        'phone'=>$phone,
//                        'study_id'=>$params['study_id'],
//                        'send_message'=>1,
//                        'source'=>1 //1 为影像同步
//                    ];
//                    $send = send_message::sendExam2Patient($phone,$code,$institution,$share['id']);
//                    $data = json_decode(json_encode($send),true);
//                    if($data['Code'] == 'OK'){
//                        $share['send_message'] = 1;
//                    }else{
//                        $share['send_message'] = 0;
//                    }
//                    $this->xz->saveSms($share);
//                }
            }
            if($params['institution_id'] ?? null){
                log::record('开始回调');
                $method = $this->xz->getApiAction($params['institution_id'],Config::get('api_action')['create']);
                $action = $method.'Action';
                log::record($action);
                if(method_exists($this,$action)){
                    $r = $this->$action($params,$exam,Config::get('api_action')['create']);
//                    return $r;
                }else{
                    log::record('没有找到对应的action');
                }

            }else{
                log::record('没有这个医院id'.$params['institution_id'] ?? null);
            }
        }
        $time2 = time();
        $time = $time2-$time1;
        $this->xz->insertSpecialLog($time,'xz/create');
        $this->saveMonitorExam($params);
        return $id;
    }

    public function saveMonitorExam($params)
    {
        $arr = [];
        $arr['institution_id'] = $params['institution_id'];
        $arr['institution_name'] = $this->xz->getInsValue($params['institution_id'],'name');;
        $arr['name'] = $params['name'];
        $arr['patient_num'] = $params['patient_num'];
        $arr['accession_num'] = $params['patient_num'] ?? '';
        $arr['body_part'] = $params['body_part'] ?? '';
        $arr['sex'] = $params['sex'] ?? '';
        $arr['age'] = $params['age'] ?? '';
        $this->xz->saveMonitorExam($arr);
    }

    //医院胶片流水
    public function save_ins_film_water($exam_id,$order_type,$money,$institution)
    {
        $money_water = [
            'money'=>$money,
            'order_type'=>$order_type,
            'type'=>'2',    //电子胶片
            'exam_id'=>$exam_id,
            'institution_id'=>$institution,
            'pay_way'=>'2',  //医院支付
            'status'=>'0',  //未支付
            'pay_type'=>'1'  //支入
        ];
        $this->xz->saveMoneyWater($money_water);
        return true;
    }

    public function test($params,$exam)
    {
        $method = $this->xz->getApiAction($params['institution_id'],Config::get('api_action')['create']);
        $action = $method.'Action';
        if(method_exists($this,$action)){
            $r = $this->$action($params,$exam,Config::get('api_action')['create']);
            return $r;
        }
    }

    public function jsdAction($params,$data,$action,$times = 1)
    {
        try{
            $this->jsdLog('进入金盛达区间');
            log::record('进入金盛达区间');
            $this->jsdLog('当前次数----'.$times);
            log::record('当前次数----'.$times);
            $jsd_token = $this->xz->getCache('jsd_token');
            $this->jsdLog('第一次请求的token----'.$jsd_token);
            $this->jsdLog('请求的examid----'.$data['exam_id']);
            log::record('第一次请求的token----'.$jsd_token);
            if(!$jsd_token){
                $jsd_token = $this->getJsdToken($params['institution_id'],$data['exam_id']);
            }
            $this->jsdLog("token为：".$jsd_token) ;
            log::record("token为：".$jsd_token) ;
            $this->jsdLog('医院id'.$params['institution_id']);
            log::record('医院id'.$params['institution_id']);
            $this->jsdLog('动作'.$action);
            log::record('动作'.$action);
            $apis = $this->xz->getApis($params['institution_id'],$action);
            $method = $apis['action'].'_'.$apis['method'];
            $this->jsdLog('调用方法'.$method);
            log::record('调用方法'.$method);
//        $apis['key'] = 'a093e7998f0f4c80a5a7f66f31bdb483';
//        $apis['url'] = 'http://pacs.hnjsd.com.cn:8080/pacs/api/pacs/pacsOrganRegister.json';
//        $method = 'jsdcreate_jsd';
            $this->jsdLog("密钥为 ：".$apis['key']) ;
            log::record("密钥为 ：".$apis['key']) ;
            $jsdInfo = $this->makeJsdInfo($params,$data,$jsd_token,$apis['key']);
            if(method_exists($this,$method)){
                $this->jsdLog('存在方法,进入区间');
                log::record('存在方法,进入区间');
                $return = $this->$method($apis['url'],$jsdInfo);
                $this->jsdLog('金盛达回调返回数据'.$return);
                log::record('金盛达回调返回数据'.$return);
                $r = json_decode($return,true);
                $this->jsdLog('返回码是:'.$r['resultCode']);
                log::record('返回码是:'.$r['resultCode']);
                $update = ['push_api'=>$r['resultCode'],'api_message'=>$r['message'] ?? null];
                $this->xz->updateExam($jsdInfo['exam_id'],$update);
                if($r['resultCode'] != 1){
                    $this->sendDing('金盛达请求失败,失败原因:'.($r['message'] ?? '无').'失败返回码:'.$r['resultCode'].',登陆请求token为'.$jsd_token,$data['exam_id']);
                    $this->jsdLog('当前次数----'.$times);
                    log::record('当前次数----'.$times);
                    $del = $this->xz->delCache('jsd_token');
                    $this->jsdLog('缓存删除'.($del ? '成功' : '失败'));
                    log::record('缓存删除'.($del ? '成功' : '失败'));
                    if($times == 3){
                        $this->throwError($r['message'],$r['resultCode']);
                    }
                    $time = $times+1;
                    return $this->jsdAction($params,$data,$action,$time);
                }
                $success = '金盛达请求成功,唯一检查id:'.$data['exam_id'].',登陆token为'.$jsd_token;
                $this->sendDing($success);
                return $r;
            }else{
                $this->jsdLog('方法不存在');
                log::record('方法不存在');
                $this->throwError('不存在方法'.$method,'3030');
            }
        }catch (\Exception $e)
        {
            $this->sendDing('金盛达异常，原因:'.$e->getMessage(),$data['exam_id']);
            $this->jsdLog('金盛达异常，原因:'.$e->getMessage().' 检查id:'.$data['exam_id']);
            log::record('金盛达异常，原因:'.$e->getMessage());
            $this->throwError('金盛达异常，原因:'.$e->getMessage(),'3031');
        }

    }

    public function sendDing($message,$examId=null)
    {
        $time = time()* 1000;
        $secret = 'SEC7eb73155768e08feeb0cb1bb84b2effe7ce6a75b69634a339a900dcc2cf5dd4e';
        $m = $time."\n".$secret;
        $s = hash_hmac('sha256', $m, $secret, true);
        $a = base64_encode($s);
        $b = urlencode($a);
        if(!empty($examId)){
            $message .= "  继续请求地址为:https://risdevserver3.pacsonline.cn/xz/test?id=".$examId;
        }
        $dingding = Config::get('dingding_url');
        $url =$dingding."/robot/send?access_token=a7994ade98986725955c4a6f583ba4b5d6e500ad15f16173c96cc76518b67ae4&timestamp=$time&sign=$b";
        $data = array ('msgtype' => 'text','text' => array ('content' => $message));
        $data_string = json_encode($data);
        $result = $this->request_by_curl($url, $data_string);
    }

    public function makeJsdInfo($params,$data,$token,$key)
    {
        $info = [
            'sysCode'=>'0015',
            'patient_id'=>$data['patient_id'],
            'patient_name'=>$data['name'],
            'patient_sex'=>$data['sex'],
            'card_num'=>$data['card_num'],
            'phone'=>$data['phone'],
            'birthday'=>$data['birthday'] ?? null,
            'patient_age'=>$data['age'],
            'hospital_id'=>$params['institution_id'],
            'hospital_name'=>$this->xz->getInstitutionName($params['institution_id']),
            'dcm_patient_id'=>$data['patient_num'],
            'study_id'=>$data['study_id'],
            'studyuid'=>$data['studyuid'],
            'studyid'=>$data['studyid'],
            'accession_num'=>$data['accession_num'],
            'studydate'=>$data['exam_datetime'],
            'modality'=>$data['exam_class'],
            'status'=>'1',
            'exam_id'=>$data['exam_id'],
            'exam_status'=>(string)$data['exam_status'],
            'timestamp'=>(string)$this->msectime(),
        ];
        ksort($info);
        $string = '';
        foreach ($info as $k=>$v){
            if(!empty($v)){
                if($string == ''){
                    $string = $k.'='.$v;
                }else{
                    $string .= "&".$k.'='.$v;
                }
            }
        }
        $string .= '&key='.$key;
        $this->jsdLog( "加密前字符串 :".$string);
        $this->jsdLog( "加密后sign ".md5($string));;
        $info['sign'] = strtoupper(md5($string));
        $info['token'] = $token;
//        var_dump(json_encode($info));
        $this->jsdLog( "转换为json的数据：".json_encode($info));
        return $info;
    }

    public function getJsdToken($institution,$exam_id)
    {
        $username = 'pacsonline';
        $password = 'zskk_200408';
        $sysCode = '0015';
        $data = [
            'userName'=>$username,
            'password'=>$password,
            'sysCode'=>$sysCode
        ];
        $url = 'http://pacs.hnjsd.com.cn:9080/pacs/api/pacs/getToken.json';
        $return = $this->curlPost($url,$data);
        $this->jsdLog($exam_id.'登陆请求的返回值'.$return);
        log::record($exam_id.'登陆请求的返回值'.$return);
        $info = json_decode($return,true);
        if($info['resultCode'] == '1')
        {
            $token = $info['uniqueCode'];
            $this->xz->setCache('jsd_token',$token,6000);
            return $token;
        }else{
            $this->sendDing('金盛达登陆异常，原因:'.$info['message'] ?? '',$exam_id);
            $this->throwError($info['message'] ?? '金盛达登陆异常',$info['resultCode'] ?? 10000);
        }
    }

    public function create_jsd($url,$info)
    {
        $data = $this->curlPost($url,$info);
        $this->jsdLog('金盛达创建请求数据为'.json_encode($info));
        $this->jsdLog('金盛达创建请求结果为'.$data);
        log::record('金盛达创建请求数据为'.json_encode($info));
        log::record('金盛达创建请求结果为'.$data);
        return $data;
    }

    public function yjkAction($params,$data,$action)
    {
        $apis = $this->xz->getApis($params['institution_id'],$action);
        $data = json_encode($data);
        $method = $apis['action'].'_'.$apis['method'];
        $number = rand(10000000,99999999);
        $time = time();
        $key = $apis['key'];
        $str = $data.$number.$time;
        $info = [
            'timestamp'=>$time,
            'random'=>$number,
            'signature'=>base64_encode(hash_hmac("sha1", $str, $key, true)),
            'data'=>$data
        ];
        if(method_exists($this,$method)){
            $this->$method($apis['url'],$info);
        }
    }

    public function yjkcreate_jyk($url,$info)
    {
        $data = $this->curlPost($url,$info);
        Log::record('医健康创建请求数据为'.$info);
        Log::record('医健康创建请求结果为'.$data);
    }

    public function filmCallback($params)
    {
        $key = Config::get('ins_type')[$params['ins_type']];
        $exam = $this->xz->getExam($key,$params[$key],$params['institution_id']);
        $examId = $exam['id'];
        if(!empty($examId)){
            $film = $this->xz->getInsFilmInfo($params['institution_id']);
            if($film['charge_mode'] == Config::get('order_type')['patientToHospital']){
                $water_log = $this->xz->getWaterLog($examId,$params['institution_id']);
                //胶片回调 必须为医院代收模式才允许创建胶片流水
                if(empty($water_log)){
                    $this->save_ins_film_water($examId,$film['charge_mode'],$film['film_price'],$params['institution_id']);
                }
            }
            log::record('zskkccs存在回调');
            if(!empty($exam['id'])){
                if($exam['pay_status'] !== '1')
                {
                    log::record('支付状态为'.$exam['pay_status']);
                    Log::record('zskkccs胶片回调key值'.$params[$key]);
                    $data = $this->xz->getPushInfo($exam['id']);
                    $pushType = 5;
                    $cont = [
                        'name'=>$exam['name'],
                        'modality'=>$exam['exam_class'],
                        'examDate'=>$exam['exam_datetime'],
                        'study_id'=>$exam['study_id']
                    ];
                    $content = json_encode($cont,true);
                    $openids = $this->xz->getOpenId($data);
                    foreach ($openids as $k=>$v){
                        $this->new_wechat_push($v,$pushType,$content);
                    }
                }
            }
            $this->xz->updateExam($examId,['pay_status'=>1]);
            return true;
        }else{
            $this->throwError('检查不存在','0231');
        }
    }

    public function jsdLog($info)
    {
        $file = ROOT_PATH . 'public' . DS . 'runtime/jsd';
        if(!file_exists($file)){
            mkdir($file,0777,true);
        }
        $date = date('Ymd',time());
        $value = date('Y-m-d H:i:s',time()).$info;
        //创建ini文件
        $gao_file = fopen($file.'/'.$date.".txt","a+");
        //替换
        $string = iconv("utf-8", "GB2312", $value);
        //附加分号和换行专
        $string = $string . ";" . "\r\n";
        //将内容写入文件
        fwrite($gao_file, $string);
        //关闭文件
        fclose($gao_file);
    }


    public function getDcmUrlInfo($id)
    {
        $exam = $this->xz->getExamDataById($id);
        $study = $exam['study_id'];
        $image= $this->xz->getImageInfo($study);
        $data = [];
        $i = 0;
        foreach ($image as $k=>$v)
        {
            $info = [];
            $adress = ''; //前端传值
            $url = $this->makeUrl($v['url'],$adress);
            $info = ['id'=>$v['id'],'url'=>str_replace('dicomweb','http',$url),'exam_id'=>$id,'study_id'=>$v['study_id'],'series_id'=>$v['series_id'],'sop_uid'=>$v['sopUid']];
            $data[] = $info;
        }
//        var_dump($data);die;
//        var_dump(json_encode($data,JSON_UNESCAPED_SLASHES));
        $this->curlJsonYbPost('http://192.168.1.51:5000/get_dcm_batch_flask/',json_encode($data,JSON_UNESCAPED_SLASHES));
        return true;
    }

    public function makeUrl($url,$adress)
    {
        if(!$url)
        {
            return '';
        }
        if(preg_match('/^dicomweb:\/\//',$url)){
            return $this->generateAliossURL($url,$adress);
        }
        if(preg_match('/^group/',$url)){
            return $this->generateFastdfsURL($url,$adress);
        }
        return $this->generateLcossURL($url,$adress);
    }

    public function generateAliossURL($url,$address)
    {
        if ($address) {
            return str_replace('zskk-dcm.oss-cn-beijing.aliyuncs.com',$address.'/oss',$url);
        }
        return $url;
    }

    public function generateFastdfsURL($url,$adress)
    {
        if($adress)
        {
            return "dicomweb://$adress/$url";
        }
        return "dicomweb://dcm.pacsonline.cn/$url";
    }

    public function wechatFix($str)
    {
        if(!$str) {
            return $str;
        }
        return str_replace('=','%3D',$str);
    }

    public function generateLcossURL($key,$adress)
    {
        $uCloudPublicKey = 'TOKEN_109bb131-db96-46cf-b693-745f37129bee';
        $uCloudPrivateKey = '515bec45-1709-41e9-862e-f05705ba47b3';
        $hTTPVerb = "GET";
        $expires = '';
        $canonicalizedUCloudHeaders = '';
        $bucket = 'zskkdcm';
        $canonicalizedResource = '/'.$bucket.'/'.$key;
        $stringToSign = $hTTPVerb."\n" .
            "\n" .
            "\n" .
            $expires . "\n" .
            $canonicalizedUCloudHeaders .
            $canonicalizedResource;
        $signature = base64_encode(hash_hmac("sha1", $stringToSign, $uCloudPrivateKey, true));
        $domain = 'dicomweb://'.$bucket.'.infile.inspurcloud.cn';
        if($adress)
        {
            $domain = 'dicomweb://'.$adress.'/lcoss';
        }
        $uCloudPublicKey = $this->wechatFix($uCloudPublicKey);
        $signature = $this->wechatFix($signature);
        $url = $domain.'/'.$key.'?UCloudPublicKey='.$uCloudPublicKey.'&Signature='.$signature.'&Expires='.$expires;
        return $url;
//        $uCloudRootPublicKey = '0cCMBBXqiuFdJrb3jy0csUwXHDEAzjPT4I8ZDvcnKlpd6RGdQ7vStHO0z1M=';
//        $uCloudRootPrivateKey = '8JYvmvzBIaM7W15bVqmdriR9pFohACpBMDz/w/c/XSqTjX+aL0YN8yFb9EQ2SUP1';
    }

//  public function getlsoss()
//{
//    $data['UCloudPublicKey'] = 'TOKEN_109bb131-db96-46cf-b693-745f37129bee';
//    $data['UCloudPrivateKey'] = '515bec45-1709-41e9-862e-f05705ba47b3';
//    $data['bucket'] = 'zskkdcm';
//    $data['UCloudRootPublicKey'] = '0cCMBBXqiuFdJrb3jy0csUwXHDEAzjPT4I8ZDvcnKlpd6RGdQ7vStHO0z1M=';
//    $data['UCloudRootPrivateKey'] = '8JYvmvzBIaM7W15bVqmdriR9pFohACpBMDz/w/c/XSqTjX+aL0YN8yFb9EQ2SUP1';
//    return $data;
//}
    public function saveImageNode($params)
    {
        if(empty($params))
        {
            return false;
        }
        $data = json_decode($params,true);
        $info = [];
        $num = 0;
        foreach ($data as $k=>$v)
        {
            if($k == ($num+1)*500 && $k != 0)
            {
                $num++;
            }
            if($num*500 <= $k && $k < ($num+1) * 500)
            {
                //500一组 防止一次性过多存储
                $info[$num][] = ['image_id'=>$v['id'],'image_node'=>json_encode($v['node']),'exam_id'=>$v['exam_id'],'study_id'=>$v['study_id'],'series_id'=>$v['series_id'],'sop_uid'=>$v['sop_uid']];
            }
        }
        foreach ($info as $v)
        {
            $this->xz->saveImageNode($v);
        }
        return true;
    }

    public function getImageNode($code,$type)
    {
        $where = [Config::get('dcm_type')[$type]=>$code];
        $nodeInfo = $this->xz->getImageNode($where);
        $array = [];
        foreach ($nodeInfo as $k=>$v)
        {
            $array[$k]['instanceUID'] = $v['sop_uid'];
            $nodeArray = json_decode($v['image_node']);
            $coords = [];
            foreach ($nodeArray as $key=>$value)
            {
                $coords['coords'][$key]['x'] = $value[0];
                $coords['coords'][$key]['y'] = $value[1];
                $coords['color'] = 'red';
            }
            $array[$k]['data'] = [$coords];
        }
        return json_encode($array);
    }

    public function getWjwData()
    {
        $data = $this->xz->getWjwData();
        return $data;
    }

    public function getRemoteCount()
    {
        $data = $this->xz->getRemoteCount();
        return $data;
    }

    public function getYjRemote($page,$num)
    {
        $data = $this->xz->getYjRemote($page,$num);
        return $data;
    }
    public function getYjDoctor()
    {
        $data = $this->xz->getYjDoctor();
        return $data;
    }

}