guochanhua/jcjyhr/app/zskk/servies/PatientServies.php

<?php
declare (strict_types=1);

namespace app\zskk\servies;

use app\common\library\Gm;
use app\common\library\Handle;
use app\zskk\model\Mpi;
use app\zskk\model\Patient;
use think\db\exception\DataNotFoundException;
use think\db\exception\DbException;
use think\db\exception\ModelNotFoundException;
use think\Exception;
use think\facade\Config;
use Throwable;
use app\common\controller\ZskkApi;
use app\zskk\model\BiInspectReport;
use app\zskk\model\DelBiInspectReport;
use app\zskk\model\DelExamReport;
use app\zskk\model\DelInspectReport;
use app\zskk\model\DelLabData;
use app\zskk\model\DelMedicalInformation;
use app\zskk\model\DelPatient;
use app\zskk\model\ExamReport;
use app\zskk\model\HospitalPatient;
use app\zskk\model\InspectReport;
use app\zskk\model\LabData;
use app\zskk\model\MedicalInformation;
use think\facade\Db;

class PatientServies
{
    public $patientModel = null;
    public $commonServies = null;
    public function __construct(Patient $patientModel, CommonServies $commonServies)
    {
//        parent::__construct();
        $this->patientModel = $patientModel;
        $this->commonServies = $commonServies;
    }

    /**
     * @throws DataNotFoundException
     * @throws ModelNotFoundException
     * @throws DbException
     * @throws Exception
     */
    public function makeMappingData($params, $mpKey='0', $action='save', $type=1): array
    {
        $return = [];
        $mapping = $this->patientModel->getMapping(['MPKEY'=>$mpKey,'ACTION'=>$action,'PARAM_TYPE'=>$type]);
        $all =  $this->patientModel->getAllMapping(['ACTION'=>$action,'PARAM_TYPE'=>$type]);
        $allMapping = [];
        foreach ($all as $k=>$v)
        {
            $allMapping[$v['MPKEY']][] = $v;
        }
        $mappingArr = [];
        foreach ($mapping as $v)
        {
            $childMapping = [];
            if($v['TYPE'] == 'object' || $v['TYPE'] == 'array')
            {
                $childMapping = $allMapping[$v['MKEY']] ?? [];
            }
            $child = [];
            if(!empty($childMapping))
            {
                foreach ($childMapping as $value)
                {
                    $child[$value['MKEY']] = ['KEY'=>$value['KEY'],'MPKEY'=>$value['MPKEY'],'MKEY'=>$v['MKEY'],'TYPE'=>$value['TYPE'],'action'=>$v['ACTION']];
                }
            }
            $mappingArr[$v['MKEY']] = ['KEY'=>$v['KEY'],'MPKEY'=>$v['MPKEY'],'MKEY'=>$v['MKEY'],'TYPE'=>$v['TYPE'],'CHILD'=>$child,'ACTION'=>$v['ACTION']];
        }
        foreach ($params as $k=>$v)
        {
            if(is_array($v))
            {
                foreach ($v as $key=>$value)
                {
                    if(is_array($value))
                    {
                        $returnArr = $this->makeMappingData($value,$mappingArr[$k]['MKEY'],$mappingArr[$k]['ACTION'],$type);
                        $return[$mappingArr[$k]['KEY']][] = $returnArr;
                    }else{
                        if(!empty($mappingArr[$k]['CHILD']))
                        {
                            if(isset($mappingArr[$k]['CHILD'][$key]['KEY']))
                            {
                                $return[$mappingArr[$k]['KEY']][$mappingArr[$k]['CHILD'][$key]['KEY']] = $value;
                            }
                        }
                    }
                }
            }else{
                if(isset($mappingArr[$k]['KEY']))
                {
                    $return[$mappingArr[$k]['KEY']] = $v;
                }
            }
        }
        ksort($return);
        return $return;
    }

    public function saveMpi($mpi, $idCard,$mpiKey)
    {
        $this->patientModel->saveMpi($mpi,$idCard,$mpiKey);
    }

    public function savePatient($data,$mpi,$mpiKey,$patientCode):void
    {

        $arr = $this->makePatient($data,$mpi,$mpiKey,$patientCode);
        $this->patientModel->save($arr);
    }

    /**
     * @throws DataNotFoundException
     * @throws \think\exception\DbException
     * @throws ModelNotFoundException
     * @throws DbException
     */
    public function getMpi($idCard)
    {
        $idCard = Gm::encrypt(Config::get('gm.key'),$idCard);
        
        return $this->patientModel->getMpi($idCard);
    }
    public function makePatient($data, $mpi,$mpiKey, $patientCode): array
    {
        $arr = [];
        $arr['MPI'] = $mpi;
        $arr['MPI_KEY'] = $mpiKey;
        $arr['PATIENT_CODE'] = $patientCode;
        $arr['NAME'] = $data['NAME'] ?? '';
        $arr['INSUR_CARD_NO'] = $data['INSUR_CARD_NO'] ?? '';
        $arr['ID_CARD_CODE'] = $data['ID_CARD_CODE'] ?? '';
        $arr['ID_CARD'] = $data['ID_CARD'] ?? '';
        $arr['ID_CARDNUM'] = $data['ID_CARDNUM'] ?? '';
        $arr['GENDER'] = $data['GENDER'] ?? '';
        $arr['GENDER_CODE'] = $data['GENDER_CODE'] ?? '';
        $arr['BIRTH_DATE'] = $data['BIRTH_DATE'] ?? '';
        $arr['MARITAL_STATUS_CODE'] = $data['MARITAL_STATUS_CODE'] ?? '';
        $arr['MARITAL_STATUS'] = $data['MARITAL_STATUS'] ?? '';
        $arr['ADDRESS'] = $data['ADDRESS'] ?? '';
        $arr['ECARD_NO'] = $data['ECARD_NO'] ?? '';
        return $arr;
    }

    public function saveMedical($medical,$mpi,$patientCode):void
    {
        $arr = $this->makeMedical($medical,$mpi,$patientCode);
        $this->patientModel->saveMedical($arr);
    }

    public function makeMedical($medical,$mpi,$patientCode):array
    {
        $arr = [];
        $arr['MPI'] = $mpi;
        $arr['PATIENT_CODE'] = $patientCode;
        $arr['SERIESNUM'] = $medical['SERIESNUM'];
        $arr['CLASS_CODE'] = $medical['CLASS_CODE'];
        $arr['CLASS'] = $medical['CLASS'];
        $arr['ENCOUNTER_CARD_NO'] = $medical['ENCOUNTER_CARD_NO'];
        $arr['RECORD_CODE'] = $medical['RECORD_CODE'];
        $arr['HOS_EMPI'] = $medical['HOS_EMPI'];
        $arr['NAME'] = $medical['NAME'];
        $arr['ENCOUNTER_DATE'] = $medical['ENCOUNTER_DATE'];
        $arr['DEPTNAME'] = $medical['DEPTNAME'];
        $arr['CHIEFCOMPLAINT'] = $medical['CHIEFCOMPLAINT'];
        $arr['ORGCODE'] = $medical['ORGCODE'];
        $arr['ORGNAME'] = $medical['ORGNAME'];
        $arr['AGE'] = $medical['AGE'];
        $arr['GENDER'] = $medical['GENDER'];
        $arr['GENDER_CODE'] = $medical['GENDER_CODE'];
        return  $arr;
    }

    public function saveDiagnose($diagnose, $patientCode)
    {
        $arr = [];
        foreach ($diagnose as $v)
        {
            $data = $this->makeDiagnose($v,$patientCode);
            $arr[] = $data;
        }
        $this->patientModel->saveDiagnose($arr);
    }

    public function makeDiagnose($diagnose, $patientCode):array
    {
        $data = [];
        $data['PATIENT_CODE'] = $patientCode;
        $data['DIAGNOSECODE'] = $diagnose['DIAGNOSECODE'];
        $data['DIAGNOSENAME'] = $diagnose['DIAGNOSENAME'];
        return $data;
    }

    public function saveApplication($application, $mpi, $patientCode):void
    {
        $arr = [];
        foreach ($application as $v)
        {
            $data = $this->makeApplication($v,$mpi,$patientCode);
            $arr[] = $data;
        }
        $this->patientModel->saveApplication($arr);
    }

    public function makeApplication($application, $mpi, $patientCode):array
    {
        $data = [];
        $applicationCode = Handle::makeApplicationCode($patientCode,$application['REQUESTID']);
        $data['MPI'] = $mpi;
        $data['PATIENT_CODE'] = $patientCode;
        $data['EXAM_APPLICATION_CODE'] = $applicationCode;
        $data['REQUESTID'] = $application['REQUESTID'];
        $data['NAME'] = $application['NAME'];
        $data['SERIESNUM'] = $application['SERIESNUM'];
        $data['DEVICETYPE'] = $application['DEVICETYPE'];
        $data['DEVICETYPE_CODE'] = $application['DEVICETYPE_CODE'];
        $data['EXAM_ITEMNAME'] = $application['EXAM_ITEMNAME'];
        $data['EXAM_ITEMNAME_CODE'] = $application['EXAM_ITEMNAME_CODE'];
        $data['BODYSITE_CATEG'] = $application['BODYSITE_CATEG'];
        $data['BODYSITE_CATEG_CODE'] = $application['BODYSITE_CATEG_CODE'];
        $data['BODYSITE'] = $application['BODYSITE'];
        $data['EXAM_METHOD'] = $application['EXAM_METHOD'];
        $data['ORGCODE'] = $application['ORGCODE'];
        $data['ORGNAME'] = $application['ORGNAME'];
        $data['DEPTNAME'] = $application['DEPTNAME'];
        $data['PRACTITIONERNAME'] = $application['PRACTITIONERNAME'];
        $data['REQUESTTIME'] = $application['REQUESTTIME'];
        $data['AGE'] = $application['AGE'];
        $data['GENDER'] = $application['GENDER'];
        $data['GENDER_CODE'] = $application['GENDER_CODE'];
        return  $data;
    }

    public function saveOrders($orders,$mpi,$patientCode): void
    {
        $arr = [];
        $medicalOrderCode = '';
        foreach ($orders as $k=>$v)
        {
            $data = $this->makeOrders($v,$mpi,$patientCode);
            $arr[] = $data;
        }
        $this->patientModel->saveOrders($arr);
    }

    public function makeOrders($orders,$mpi,$patientCode):array
    {
        $medicalOrderCode = Handle::makeMedicalOrderCode($patientCode,$orders['ORDERID'],$orders['LAB_ITEMNAME_CODE']);
        $data = [];
        $data['MPI'] = $mpi;
        $data['PATIENT_CODE'] = $patientCode;
        $data['MEDICAL_ORDER_CODE'] = $medicalOrderCode;
        $data['ORDERID'] = $orders['ORDERID'];
        $data['NAME'] = $orders['NAME'];
        $data['SERIESNUM'] = $orders['SERIESNUM'];
        $data['LAB_ITEMNAME'] = $orders['LAB_ITEMNAME'];
        $data['LAB_ITEMNAME_CODE'] = $orders['LAB_ITEMNAME_CODE'];
        $data['SPECIMEN_TYPE'] = $orders['SPECIMEN_TYPE'];
        $data['SPECIMEN_NUM'] = $orders['SPECIMEN_NUM'];
        $data['SPECIMEN_STATUS'] = $orders['SPECIMEN_STATUS'];
        $data['SPECIMEN_COLLETIME'] = $orders['SPECIMEN_COLLETIME'];
        $data['SPECIMEN_RECEITIME'] = $orders['SPECIMEN_RECEITIME'];
        $data['ORGCODE'] = $orders['ORGCODE'];
        $data['ORGNAME'] = $orders['ORGNAME'];
        $data['DEPTNAME'] = $orders['DEPTNAME'];
        $data['PRACTITIONERNAME'] = $orders['PRACTITIONERNAME'];
        $data['REQUESTTIME'] = $orders['REQUESTTIME'];
        $data['REPORTSTATUS'] = $orders['REPORTSTATUS'];
        $data['REPORTSTATUS_CODE'] = $orders['REPORTSTATUS_CODE'];
        $data['AGE'] = $orders['AGE'];
        $data['GENDER'] = $orders['GENDER'];
        $data['GENDER_CODE'] = $orders['GENDER_CODE'];
        $data['TYPE'] = $orders['TYPE'];
        return  $data;
    }

    public function saveExamReport($exam,$mpi,$patientCode,$exam_code = false): void
    {
        $arr = [];
        foreach ($exam as $v)
        {
            $data = $this->makeExamReport($v,$mpi,$patientCode,$exam_code);
            $data['IMAGES'] = $this->makeUrl($data['IMAGES']);
            $arr[] = $data;
        }
        $this->patientModel->saveExamReport($arr);
    }

    public function makeExamReport($exam,$mpi,$patientCode,$exam_code):array
    {
        $examReportCode = Handle::makeExamReportCode($patientCode,$exam['REPORTID']);
        $applicationCode = Handle::makeApplicationCode($patientCode,$exam['EXAM_REQUESTID']);
        $data = [];
        $data['MPI'] = $mpi;
        $data['PATIENT_CODE'] = $patientCode;
        $data['EXAM_APPLICATION_CODE'] = $applicationCode;
        $data['EXAM_REPORT_CODE'] = $examReportCode;
        $data['NAME'] = $exam['NAME'];
        $data['SERIESNUM'] = $exam['SERIESNUM'];
        $data['EXAM_REQUESTID'] = $exam['EXAM_REQUESTID'];
        $data['REPORTID'] = $exam['REPORTID'];
        $data['EXAM_ITEMNAME'] = $exam['EXAM_ITEMNAME'];
        $data['BODYSITE_CATEG'] = $exam['BODYSITE_CATEG'];
        $data['BODYSITE_CATEG_CODE'] = $exam['BODYSITE_CATEG_CODE'];
        $data['BODYSITE'] = $exam['BODYSITE'];
        $data['OBSERVATIONS_COMMENT'] = $exam['OBSERVATIONS_COMMENT'];
        $data['OBSERVATIONS_RESULT'] = $exam['OBSERVATIONS_RESULT'];
        $data['IMAGES'] = $exam['IMAGES'];
        $data['DICOM_INDEXID'] = $exam['DICOM_INDEXID'];
        $data['ORGCODE'] = $exam['ORGCODE'];
        $data['ORGNAME'] = $exam['ORGNAME'];
        $data['DEPTNAME'] = $exam['DEPTNAME'];
        $data['PRACTITIONERNAME'] = $exam['PRACTITIONERNAME'];
        $data['AUDITNAME'] = $exam['AUDITNAME'];
        $data['REPORTTIME'] = $exam['REPORTTIME'];
        $data['REPORTSTATUS'] = $exam['REPORTSTATUS'];
        $data['GENDER'] = $exam['GENDER'];
        $data['GENDER_CODE'] = $exam['GENDER_CODE'];
        $data['AGE'] = $exam['AGE'];
        $data['STUDYTIME'] = $exam['STUDYTIME'];
        // $data['EXAM_ITEMNAME_CODE'] = $exam_code;
        return $data;
    }

    public function saveInspectReport($inspect, $mpi, $patientCode): void
    {
        $arr = [];
        $labArr = [];
        $labArrOrganism = [];
        foreach ($inspect as $v) {
            $inspectReportCode = Handle::makeInspectReportCode($patientCode, $v['REPORTID']);
            $data = $this->makeInspect($v,$mpi,$patientCode,$inspectReportCode);
            $arr[] = $data;
            foreach ($v['INSPECT_REPORT_ITEMS'] as $value)
            {
//                $lab = $this->makeLab($value,$inspectReportCode);
                $lab = $this->makeLabOrganism($value,$inspectReportCode);
                $labArr[] = $lab;
            }
//            if($v['type'] == 1)
//            {
//                // 正常检验
//            }else{
//                // 微生物检验
//                foreach ($v['INSPECT_REPORT_ITEMS'] as $value)
//                {
//                    $lab2 = $this->makeLabOrganism($value,$inspectReportCode);
//                    $labArrOrganism[] = $lab2;
//                }
//            }
        }
        $this->patientModel->saveInspectReport($arr);
        if(!empty($labArr)) {
            $this->patientModel->saveLabData($labArr);
        }
//        if(!empty($labArrOrganism))
//        {
//            $this->patientModel->saveLabDataOrganism($labArrOrganism);
//        }
    }

    public function makeInspect($inspect,$mpi,$patientCode,$inspectReportCode)
    {
        $data = [];
        
        $medicalOrderCode = Handle::makeMedicalOrderCode($patientCode,$inspect['EXAM_REQUESTID'],$inspect['LAB_ITEMNAME_CODE']);
        $data['MPI'] = $mpi;
        $data['PATIENT_CODE'] = $patientCode;
        $data['MEDICAL_ORDER_CODE'] = $medicalOrderCode;
        $data['INSPECT_REPORT_CODE'] = $inspectReportCode;
        $data['NAME'] = $inspect['NAME'];
        $data['SERIESNUM'] = $inspect['SERIESNUM'];
        $data['EXAM_REQUESTID'] = $inspect['EXAM_REQUESTID'];
        $data['REPORTID'] = $inspect['REPORTID'];
        $data['LAB_ITEMNAME'] = $inspect['LAB_ITEMNAME'];
        $data['LAB_ITEMNAME_CODE'] = $inspect['LAB_ITEMNAME_CODE'];
        $data['LAB_ITEMNAME_NUMBER'] = $inspect['LAB_ITEMNAME_NUMBER'];
        $data['LAB_HR_STATUS'] = $inspect['LAB_HR_STATUS'];
        $data['LAB_HR_ITEMNAME'] = $inspect['LAB_HR_ITEMNAME'];
        $data['LAB_HR_ITEMNAME_CODE'] = $inspect['LAB_HR_ITEMNAME_CODE'];
        $data['SPECIMEN_TYPE'] = $inspect['SPECIMEN_TYPE'];
        $data['ORGNAME'] = $inspect['ORGNAME'];
        $data['ORGCODE'] = $inspect['ORGCODE'];
        $data['PRACTITIONERNAME'] = $inspect['PRACTITIONERNAME'];
        $data['DEPTNAME'] = $inspect['DEPTNAME'];
        $data['REPORTTIME'] = $inspect['REPORTTIME'];
        $data['AUDITNAME'] = $inspect['AUDITNAME'];
        $data['REPORTSTATUS'] = $inspect['REPORTSTATUS'];
        $data['GENDER'] = $inspect['GENDER'];
        $data['GENDER_CODE'] = $inspect['GENDER_CODE'];
        $data['AGE'] = $inspect['AGE'];
        $data['TYPE'] = $inspect['TYPE'];
        return $data;
    }

    public function saveHospitalPatient($mpiKey, $mpi, $patientCode, $patientData, $medical, $diagnoses, $orders, $application) {
        $data = $this->makeHospitalPatientData($mpiKey, $mpi, $patientCode, $patientData, $medical, $diagnoses, $orders, $application);
        $model = new HospitalPatient();
        $model->save($data);
    }

    private function makeHospitalPatientData($mpiKey, $mpi, $patientCode, $patientData, $medical, $diagnoses, $orders, $applications) {
        
        $data = [];
        $patient = $this->makePatient($patientData,$mpi, $mpiKey,$patientCode);
        $medical = $this->makeMedical($medical,$mpiKey,$patientCode);
        $diagnose = $this->makeDiagnoseNameAndCodes($diagnoses);
        $order = $this->makeOrderNameAndCodes($orders);
        $application = $this->makeApplicationsNameAndCodes($applications);

        $data['MPI_KEY'] = $mpiKey;
        $data['PATIENT_CODE'] = $patient['PATIENT_CODE'];
        $data['ORGNAME'] = $medical['ORGNAME'];
        $data['NAME'] = $patient['NAME'];
        $data['GENDER'] = $patient['GENDER'];
        $data['AGE'] = $medical['AGE'];
        $data['ID_CARDNUM'] = $patient['ID_CARDNUM'];
        $data['MPI'] = $mpi;
        $data['ENCOUNTER_DATE'] =  $medical['ENCOUNTER_DATE'];
        $data['CHIEFCOMPLAINT'] =  $medical['CHIEFCOMPLAINT'];
        $data['DIAGNOSENAME'] = $diagnose['DIAGNOSENAME'];
        $data['LAB_ITEMNAME'] = $order['LAB_ITEMNAME'];
        $data['EXAM_ITEMNAME'] = $application['EXAM_ITEMNAME'];
        $data['INSUR_CARD_NO'] = $patient['INSUR_CARD_NO'];
        $data['ID_CARD_CODE'] = $patient['ID_CARD_CODE'];
        $data['ID_CARD'] = $patient['ID_CARD'];
        $data['GENDER_CODE'] = $patient['GENDER_CODE'];
        $data['BIRTH_DATE'] = $patient['BIRTH_DATE'];
        $data['MARITAL_STATUS_CODE'] =  $patient['MARITAL_STATUS_CODE'];
        $data['MARITAL_STATUS'] =  $patient['MARITAL_STATUS'];
        $data['ADDRESS'] =  $patient['ADDRESS'];
        $data['ECARD_NO'] =  $patient['ECARD_NO'];
        $data['SERIESNUM'] = $medical['SERIESNUM'];
        $data['CLASS_CODE'] = $medical['CLASS_CODE'];
        $data['CLASS'] = $medical['CLASS'];
        $data['ENCOUNTER_CARD_NO'] = $medical['ENCOUNTER_CARD_NO'];
        $data['RECORD_CODE'] = $medical['RECORD_CODE'];
        $data['HOS_EMPI'] = $medical['HOS_EMPI'];
        $data['DEPTNAME'] = $medical['DEPTNAME'];
        $data['DIAGNOSECODE'] = $diagnose['DIAGNOSECODE'];
        $data['LAB_ITEMNAME_CODE'] = $order['LAB_ITEMNAME_CODE'];
        $data['EXAM_ITEMNAME_CODE'] = $application['EXAM_ITEMNAME_CODE'];
        $data['ORGCODE'] = $medical['ORGCODE'];

        return $data;
    }

    public function makeUploadHospitalPatient($patientCode): array
    {
        $where = ['PATIENT_CODE'=>$patientCode];
        $patient = $this->patientModel->getPatient($where);
        if(empty($patient))
        {
            $where['MPI_KEY'] = '';
            return $where;
        }
        $medical = $this->patientModel->getMedical($patientCode);
        $exam = $this->patientModel->getExam($patientCode);
        $inspect = $this->patientModel->getInspect($patientCode);
        $data['PATIENT_CODE'] = $patient['PATIENT_CODE'];
        $data['MPI_KEY'] = $patient['MPI_KEY'];
        $data['NAME'] = $patient['NAME'];
        $data['GENDER'] = $patient['GENDER'];
        $data['ORGNAME'] = $medical['ORGNAME'];
        $data['AGE'] = $medical['AGE'];
        $age_last = substr( $data['AGE'], -1);
        $age_num = substr( $data['AGE'], 0,-1);
        $last = match ($age_last) {
            'Y' => '365',
            'M' => '30',
            'W' => '7',
            'D' => '1',
            default => $age_last,
        };
        $data['AGE_DAY'] = $last*$age_num;
        $data['ID_CARDNUM'] = $patient['ID_CARDNUM'];
        $data['MPI'] = $patient['MPI'];
        $data['ENCOUNTER_DATE'] =  $medical['ENCOUNTER_DATE'];
        $data['CHIEFCOMPLAINT'] =  $medical['CHIEFCOMPLAINT'];
        $data['DIAGNOSENAME'] = $medical['DIAGNOSENAME'];
        if(!empty($inspect))
        {
            $code = [];
            $code_name = [];
            foreach ($inspect as $v)
            {
                if(!empty($v['LAB_HR_ITEMNAME_CODE']))
                {
                    $code[] = $v['LAB_HR_ITEMNAME_CODE'];
                    $code_name[] = $v['LAB_HR_ITEMNAME'];
                }else{
//                    $inspectItem = $this->patientModel->getLab($v['INSPECT_REPORT_CODE']);
//                    foreach ($inspectItem as $value)
//                    {
//                        if(!empty($value['LAB_HR_ITEMDETAILNAME_CODE']))
//                        {
//                            $code[] = $value['LAB_HR_ITEMDETAILNAME_CODE'];
//                            $code_name[] = $value['LAB_HR_ITEMDETAILNAME'];
//                        }
//                    }
                }
            }
            $data['LAB_ITEMNAME'] = implode(',',$code_name); //检验项目
            $data['LAB_ITEMNAME_CODE'] = implode(',',$code);
        }
        if(!empty($exam))
        {
            $item_exam = [];
            $item_exam_code = [];
            foreach ($exam as $k=>$v)
            {
                $item_exam[] = $v['HR_ITEMNAME'];
                $item_exam_code[] = $v['HR_ITEMNAME_CODE'];
            }
            $data['EXAM_ITEMNAME'] = implode(',',$item_exam); //检查项目
            $data['EXAM_ITEMNAME_CODE'] =  implode(',',$item_exam_code); //检查项目
        }
        $data['ID_CARD_CODE'] = $patient['ID_CARD_CODE'];
        $data['ID_CARD'] = $patient['ID_CARD'];
        $data['GENDER_CODE'] = $patient['GENDER_CODE'];
        $data['BIRTH_DATE'] = $patient['BIRTH_DATE'];
        $data['SERIESNUM'] = $medical['SERIESNUM'];
        $data['CLASS_CODE'] = $medical['CLASS_CODE'];
        $data['CLASS'] = $medical['CLASS'];
        $data['ENCOUNTER_CARD_NO'] = $medical['ENCOUNTER_CARD_NO'];
        $data['HOS_EMPI'] = $medical['HOS_EMPI'];
        $data['DEPTNAME'] = $medical['DEPTNAME'];
        $data['DIAGNOSECODE'] = $medical['DIAGNOSECODE'];
        $data['ORGCODE'] = $medical['ORGCODE'];
        // todo 
        $data['create_time'] = $medical['ENCOUNTER_DATE'];

        return $data;
    }
    public function saveUploadHospitalPatient($patientCode)
    {
        $data = $this->makeUploadHospitalPatient($patientCode);
        $this->patientModel->HospitalPatient($data);
    }


    private function makeDiagnoseNameAndCodes($diagnoses) {

        $DIAGNOSECODES = array_map(function($diagnose) {
            return $diagnose['DIAGNOSECODE'];
        }, $diagnoses);
        
        $DIAGNOSENAMES = array_map(function($diagnose) {
            return $diagnose['DIAGNOSENAME'];
        }, $diagnoses);

        return [
            'DIAGNOSECODE' => implode(',', $DIAGNOSECODES),
            'DIAGNOSENAME' => implode(',', $DIAGNOSENAMES)
        ];
    }

    private function makeOrderNameAndCodes($orders) {

        $LAB_ITEMNAME_CODES = array_map(function($order) {
            return $order['LAB_ITEMNAME_CODE'];
        }, $orders);

        $LAB_ITEMNAMES = array_map(function($order) {
            return $order['LAB_ITEMNAME'];
        }, $orders);

        return [
            'LAB_ITEMNAME_CODE' => implode(',', $LAB_ITEMNAME_CODES),
            'LAB_ITEMNAME' => implode(',', $LAB_ITEMNAMES)
        ];
    }

    private function makeApplicationsNameAndCodes($applications) {
        
        $EXAM_ITEMNAME_CODES = array_map(function($application) {
            return $application['EXAM_ITEMNAME_CODE'];
        }, $applications);

        $EXAM_ITEMNAMES = array_map(function($application) {
            return $application['EXAM_ITEMNAME'];
        }, $applications);

        return [
            'EXAM_ITEMNAME_CODE' => implode(',', $EXAM_ITEMNAME_CODES),
            'EXAM_ITEMNAME' => implode(',', $EXAM_ITEMNAMES)
        ];
    }
    public function makeLab($lab,$inspectReportCode)
    {

        $labArr = [];
        $labArr['INSPECT_REPORT_CODE'] = $inspectReportCode;
        $labArr['INSPECT_REPORT_ITEM_CODE'] = Handle::makeInspectReportItemCode($inspectReportCode,$lab['LAB_ITEMDETAILNAME_CODE']);
        $labArr['EXAM_REQUESTID'] = $lab['EXAM_REQUESTID'];
        $labArr['REPORTID'] = $lab['REPORTID'];
        $labArr['ORGCODE'] = $lab['ORGCODE'];
        $labArr['LAB_ITEMDETAILNAME'] = $lab['LAB_ITEMDETAILNAME'];
        $labArr['LAB_ITEMDETAILNAME_NUMBER'] = $lab['LAB_ITEMDETAILNAME_NUMBER'];
        $labArr['LAB_ITEMDETAILNAME_CODE'] = $lab['LAB_ITEMDETAILNAME_CODE'];
        $labArr['LAB_ITEMDETAILVALUE'] = $lab['LAB_ITEMDETAILVALUE'];
        $labArr['LAB_ITEMDETAILSPEC'] = $lab['LAB_ITEMDETAILSPEC'];
        $labArr['LAB_ITEMDETAILINTERPRETATION'] = $lab['LAB_ITEMDETAILINTERPRETATION'];
        $labArr['LAB_ITEMDETAILRANGE'] = $lab['LAB_ITEMDETAILRANGE'];
        $labArr['CRITICAL_RANGE'] = $lab['CRITICAL_RANGE'];
        $labArr['LAB_HR_ITEMDETAIL_STATUS'] = $lab['LAB_HR_ITEMDETAIL_STATUS'];
        $labArr['LAB_HR_ITEMDETAILNAME'] = $lab['LAB_HR_ITEMDETAILNAME'];
        $labArr['LAB_HR_ITEMDETAILNAME_CODE'] = $lab['LAB_HR_ITEMDETAILNAME_CODE'];
        return $labArr;
    }

    public function makeLabOrganism($lab,$inspectReportCode)
    {
        $data['INSPECT_REPORT_CODE']              = $inspectReportCode;
        $data['INSPECT_REPORT_ITEM_CODE']         = Handle::makeInspectReportItemCode($inspectReportCode,$lab['LAB_ITEMDETAILNAME_CODE']);
        $data['EXAM_REQUESTID']                   = $lab['EXAM_REQUESTID'] ?? '';
        $data['REPORTID']                         = $lab['REPORTID'] ?? '';
        $data['ORGCODE']                          = $lab['ORGCODE'] ?? '';
        $data['LAB_ITEMDETAILNAME']               = $lab['LAB_ITEMDETAILNAME'] ?? '';
        $data['LAB_ITEMDETAILNAME_EN']            = $lab['LAB_ITEMDETAILNAME_EN'] ?? '';
        $data['LAB_ITEMDETAILNAME_CODE']          = $lab['LAB_ITEMDETAILNAME_CODE'] ?? '';
        $data['LAB_ITEMDETAILNAME_NUMBER']        = $lab['LAB_ITEMDETAILNAME_NUMBER'] ?? '';
        $data['LAB_ITEMDETAILVALUE']              = $lab['LAB_ITEMDETAILVALUE'] ?? '';
        $data['LAB_ITEMDETAILSPEC']               = $lab['LAB_ITEMDETAILSPEC'] ?? '';
        $data['LAB_ITEMDETAILINTERPRETATION']     = $lab['LAB_ITEMDETAILINTERPRETATION'] ?? '';
        $data['LAB_ITEMDETAILINTERPRETATION_BIA'] = $lab['LAB_ITEMDETAILINTERPRETATION_BIA'] ?? '';
        $data['LAB_ITEMDETAILRANGE']              = $lab['LAB_ITEMDETAILRANGE'] ?? '';
        $data['CRITICAL_RANGE']                   = $lab['CRITICAL_RANGE'] ?? '';
        $data['LAB_HR_ITEMDETAIL_STATUS']         = $lab['LAB_HR_ITEMDETAIL_STATUS'] ?? '';
        $data['LAB_HR_ITEMDETAILNAME']            = $lab['LAB_HR_ITEMDETAILNAME'] ?? '';
        $data['LAB_HR_ITEMDETAILNAME_CODE']       = $lab['LAB_HR_ITEMDETAILNAME_CODE'] ?? '';
        $data['LAB_METHOD']                       = $lab['LAB_METHOD'] ?? '';
        $data['KB']                               = $lab['KB'] ?? '';
        $data['MIC']                              = $lab['MIC'] ?? '';
        $data['LAB_ITEMDETAILINTERPRE']           = $lab['LAB_ITEMDETAILINTERPRE'] ?? '';
        return $data;
    }

    // /**
    //  * @throws ModelNotFoundException
    //  * @throws DbException
    //  * @throws DataNotFoundException
    //  */
    // public function getPatient($where): array|string
    // {
    //     $patient = $this->patientModel->getPatient($where);
    //     if(empty($patient))
    //     {
    //         return '无法找到患者信息';
    //     }
    //     $medical = $this->patientModel->getMedical($patient['PATIENT_CODE']);
    //     $mpi = $this->patientModel->getMpiByKey($patient['MPI']);
    //     $diagnoses = $this->patientModel->getDiagnoses($patient['PATIENT_CODE']);
    //     $application = $this->patientModel->getApplication($patient['PATIENT_CODE']);
    //     $orders = $this->patientModel->getOrders($patient['PATIENT_CODE']);
    //     $exam = $this->patientModel->getExam($patient['PATIENT_CODE']);
    //     $app_data = [];
    //     foreach ($application as $key=>$value)
    //     {
    //         $app_data[$value['EXAM_APPLICATION_CODE']] = $value['DEVICETYPE_CODE'];
    //     }
    //     foreach ($exam as $kkk=>$vvv)
    //     {
    //         $exam[$kkk]['DEVICETYPE_CODE'] = $app_data[$vvv['EXAM_APPLICATION_CODE']] ?? '';
    //     }
    //     $inspect = $this->patientModel->getInspect($patient['PATIENT_CODE']);
    //     foreach ($inspect as $kk=>$vv)
    //     {
    //         $lab = $this->patientModel->getLab($vv['INSPECT_REPORT_CODE']);
    //         $inspect[$kk]['INSPECT_REPORT_ITEMS'] = $lab;
    //     }
    //     unset($patient['ID']);
    //     unset($patient['PATIENT_CODE']);
    //     unset($patient['MPI']);
    //     $patient['MPI'] = $mpi;
    //     unset($patient['create_time']);
    //     unset($patient['update_time']);
    //     return [
    //         'PATIENT'=>$patient,
    //         'MEDICAL_INFORMATION'=>$medical,
    //         'DIAGNOSES'=>$diagnoses,
    //         'EXAM_APPLICATIONS'=>$application,
    //         'MEDICAL_ORDERS'=>$orders,
    //         'EXAM_REPORTS'=>$exam,
    //         'INSPECT_REPORTS'=>$inspect
    //     ];
    // }

    /**
     * @throws ModelNotFoundException
     * @throws DbException
     * @throws DataNotFoundException
     */
    public function getPatientSign($where,$medicalWhere,$RESULT ): bool|array
    {
        $patient = $this->patientModel->getPatient($where);
        if(empty($patient))
        {
            return false;
        }
        $patient = $patient->toArray();
        $medical = $this->patientModel->getMedical($patient['PATIENT_CODE'],$medicalWhere);
        $medical = empty($medical) ? $medical : $medical->toArray();
        if(empty($medical))
        {
            return false;
        }
        $exam = $this->patientModel->getExam($patient['PATIENT_CODE'],['RECOG_STATUS'=>'*']);
        if(!empty($exam) && $RESULT == 1)
        {
            return $exam;
        }
        $inspect = $this->patientModel->getInspect($patient['PATIENT_CODE']);

        unset($patient['PATIENT_CODE']);
        $inspectData = [];
        $return = false;
        foreach ($inspect as $k=>$v)
        {
            $RECOG = 0;
            if($v['RECOG_STATUS'] == '*' && $RESULT == 1)
            {
                $RECOG = 1;
                $return = true;
            }
            $lab = $this->patientModel->getLab($v['INSPECT_REPORT_CODE']);
            if(!empty($lab))
            {
                foreach ($lab as $key=>$value)
                {
                    if($value['RECOG_STATUS'] == '*')
                    {
                        $RECOG = 1;
                    }
                }
            }
            if($RECOG == 1)
            {
                $return = true;
                $v['LAB_DATA'] = $lab;
                $inspectData[] = $v;
            }

        }
        $data = [
            'PATIENT'=>$patient,
            'MEDICAL_INFORMATION'=>$medical,
            'EXAM_REPORTS'=>$exam,
            'INSPECT_REPORTS'=>$inspectData
        ];
        if($RESULT == 1)
        {
            return $return;
        }else{
            return $data;
        }
    }

    /**
     * @throws ModelNotFoundException
     * @throws DbException
     * @throws DataNotFoundException
     */
    public function getPatient($where,$medicalWhere = []): array|string
    {
        $patient = $this->patientModel->getPatient($where);
        if(empty($patient))
        {
            return '无法找到患者信息';
        }
        $patient = $patient->toArray();
        $medical = $this->patientModel->getMedical($patient['PATIENT_CODE'],$medicalWhere);
        $medical = empty($medical) ? $medical : $medical->toArray();
        $exam = $this->patientModel->getExam($patient['PATIENT_CODE']);
        $inspect = $this->patientModel->getInspect($patient['PATIENT_CODE']);

        unset($patient['PATIENT_CODE']);
        foreach ($inspect as $k=>$v)
        {
            $lab = $this->patientModel->getLab($v['INSPECT_REPORT_CODE']);
            $inspect[$k]['INSPECT_REPORT_ITEMS'] = $lab;
            unset($inspect[$k]['INSPECT_REPORT_CODE']);
        }
        $data = [
            'PATIENT'=>$patient,
            'MEDICAL_INFORMATION'=>$medical,
            'EXAM_REPORTS'=>$exam,
            'INSPECT_REPORTS'=>$inspect
        ];
        return $data;
    }
    public function updateMiddleStatus($id, $update): void
    {
        $this->patientModel->updateMiddleStatus($id, $update);
    }


    public function checkPostExamReport($params): array {
        var_dump(0);

        $PATIENT = $this->commonServies->handlePATIENT($params['PATIENT'], $params['MEDICAL_INFORMATION']);
        var_dump(1);
        $MEDICAL_INFORMATION = $this->commonServies->handleMEDICAL_INFORMATION($params['MEDICAL_INFORMATION'], $PATIENT);
        var_dump(2);

        $EXAM = $this->commonServies->handleEXAM($params['EXAM_REPORTS'], $MEDICAL_INFORMATION);
        var_dump(3);
//        $EXAM_APPLICATIONS = $EXAM['EXAM_APPLICATIONS'];
        $EXAM_REPORTS = $EXAM['EXAM_REPORTS'];
        foreach ($EXAM_REPORTS as &$v)
        {
            if(!empty($v['REPORT']))
            {
                $v['REPORT'] = $this->makeUrl($v['REPORT']);
            }
        }

        return [
            "PATIENT" => $PATIENT,
            "MEDICAL_INFORMATION" => $MEDICAL_INFORMATION,
//            "EXAM_APPLICATIONS" => $EXAM_APPLICATIONS,
            "EXAM_REPORTS" => $EXAM_REPORTS,
        ];
    }

    public function checkPostLisReport($params): array {

        $PATIENT = $this->commonServies->handlePATIENT($params['PATIENT'], $params['MEDICAL_INFORMATION']);
        $MEDICAL_INFORMATION = $this->commonServies->handleMEDICAL_INFORMATION($params['MEDICAL_INFORMATION'], $PATIENT);

        $reportModel = $this->commonServies->handleINSPECT_REPORTS($params, $MEDICAL_INFORMATION);

        $INSPECT_REPORTS = $reportModel['INSPECT_REPORTS'];
        $INSPECT_REPORT_ITEMS = $reportModel['INSPECT_REPORT_ITEMS'];
        foreach ($INSPECT_REPORTS as &$v)
        {
            if(!empty($v['REPORT']))
            {
                $v['REPORT'] = $this->makeUrl($v['REPORT']);
            }
        }

        return [
            "PATIENT" => $PATIENT,
            "MEDICAL_INFORMATION" => $MEDICAL_INFORMATION,
            "INSPECT_REPORTS" => $INSPECT_REPORTS,
            "INSPECT_REPORT_ITEMS" => $INSPECT_REPORT_ITEMS,
        ];
    }

    
    /*
     * 上传检查数据
     */
    public function postExamInfo($params): string
    {
        // try {
            $check = $this->checkPostExamReport($params);

            $this->handlePatient($check['PATIENT']);
            $MEDICAL_INFORMATION = $check['MEDICAL_INFORMATION'];
            $information = $this->patientModel->getMedical($MEDICAL_INFORMATION['PATIENT_CODE'],[],'*');
            if(!empty($information))
            {
                $this->patientModel->saveRepeatInformation($information);
                $this->patientModel->delOldInformation(['PATIENT_CODE'=>$information['PATIENT_CODE']]);
            }
            $MEDICAL_INFORMATION_INSERT = $MEDICAL_INFORMATION;
            $MEDICAL_INFORMATION_INSERT['create_time'] =  $check['EXAM_REPORTS'][0]['create_time'];
            $this->patientModel->saveMedical($MEDICAL_INFORMATION_INSERT);
            $EXAM_REPORTS = $check['EXAM_REPORTS'];
            $this->saveExamData($EXAM_REPORTS);
            $this->saveUploadHospitalPatient($MEDICAL_INFORMATION['PATIENT_CODE']);
            return 'success';
        // }catch (\Exception $e)
        // {
        //     return $e->getMessage();
        // }

    }

    public function postExamReport($params): string
    {
        $EXAM_REPORTS = $this->makeExamData($params['EXAM_REPORTS']);
        $report = $this->patientModel->getExamReport(['EXAM_REPORT_CODE'=>$EXAM_REPORTS['EXAM_REPORT_CODE']],'*');
        $report->save($EXAM_REPORTS);
        return 'success';
    }

    public function makeExamData($report)
    {
        $RESULT_STATUS = $this->commonServies->getRESULT_STATUSByCode($report['RESULT_STATUS_CODE']);
        $report['RESULT_STATUS'] = $RESULT_STATUS;
        return $report;
    }

    public function saveExamData($EXAM_REPORTS)
    {

        $EXAM_REPORTS_INSERT = [];
        foreach ($EXAM_REPORTS as $k=>$v)
        {
            $report = $this->patientModel->getExamReport(['EXAM_REPORT_CODE'=>$v['EXAM_REPORT_CODE']],'*');
            if(!empty($report))
            {
                $this->patientModel->saveRepeatReport($report);
                $this->patientModel->delOldReport(['EXAM_REPORT_CODE'=>$v['EXAM_REPORT_CODE']]);
            }
            $EXAM_REPORTS_INSERT[] = $v;
        }
        $this->patientModel->saveExamReport($EXAM_REPORTS_INSERT);
    }

    public function makeUrl($base64_string)
    {
        if(empty($base64_string))
        {
            return '';
        }
// 将Base64字符串分割成数据和文件类型
        list($type, $data) = explode(';', $base64_string);
        list(,$hz) = explode('/',$type);
        list(, $data)      = explode(',', $data);
// 将Base64解码成二进制数据
        $decodedData = base64_decode($data);
        $filePath = $_SERVER['DOCUMENT_ROOT'].'/report/'.time().rand(0,9999).'.'.$hz; // 本地文件路径
        $savePath = $_SERVER['HTTP_HOST'].'/report/'.time().rand(0,9999).'.'.$hz; // 本地文件路径

// 将数据写入到文件
        file_put_contents($filePath, $decodedData);
        return $savePath;
    }

     /*
     * 删除检验数据
     */
    public function delLabReport($params,$orgCode)
    {
        $INSPECT_REPORT = $this->checkDelLibReport($params,$orgCode);
        $this->doneDelLibReport($INSPECT_REPORT);
    }

    /*
     * 删除检查数据
     */
    public function delExamReport($params,$orgCode)
    {
        $EXAM_REPORT = $this->checkDelExamReport($params,$orgCode);
        $this->doneDelExamReport($EXAM_REPORT);
    }

    public function checkDelLibReport($params,$orgCode) {
        $REPORTID = $params['REPORTID'];
        $ID_CARDNUM = $params['ID_CARDNUM'];
        return $this->getINSPECT_REPORT($REPORTID, $ID_CARDNUM,$orgCode);
    }
    public function checkDelExamReport($params,$orgCode) {

        $REQUESTID = $params['REQUESTID'];
        $ID_CARDNUM = $params['ID_CARDNUM'];
        return $this->getEXAM_REPORT($REQUESTID, $ID_CARDNUM,$orgCode);
    }

    public function getEXAM_REPORT($REQUESTID, $ID_CARDNUM,$orgCode) {
        $mpiModel = new Mpi();
        $mpiData = $mpiModel
            ->where('ID_CARDNUM', Gm::encrypt(Config::get('gm.key'), $ID_CARDNUM))
            ->find();
        $model = new ExamReport();
        $report = $model
            ->where('REQUESTID', $REQUESTID)
            ->where('ORGCODE', $orgCode)
            ->where('MPI', $mpiData['MPI'])
            ->find();
        if(!$report) {
            // todo 未找到检查报告异常抛出
        }
        return $report;
    }
    public function getINSPECT_REPORT($REPORTID, $ID_CARDNUM,$orgCode) {
        $mpiModel = new Mpi();
        $mpiData = $mpiModel
            ->where('ID_CARDNUM', Gm::encrypt(Config::get('gm.key'), $ID_CARDNUM))
            ->find();
         // todo 根据报告单号和身份证号获取检验报告标识
        $model = new InspectReport();
        $report = $model
            ->where('REPORTID', $REPORTID)
            ->where('ORGCODE', $orgCode)
            ->where('MPI', $mpiData['MPI'])
            ->find();
        if(!$report) {
            // todo 未找到检验报告异常抛出
        }
        return $report;
    }

    public function doneDelLibReport($INSPECT_REPORT) {
        Db::startTrans();
        try {
            $newModel = new DelInspectReport();
            $this->_delModelAndCreateNewModel($INSPECT_REPORT, $newModel);
            $this->doneDelLabData($INSPECT_REPORT['INSPECT_REPORT_CODE']);
            $this->doneDelBiInspectReport($INSPECT_REPORT['INSPECT_REPORT_CODE']);
            $this->doneDelMedicalInformation($INSPECT_REPORT['PATIENT_CODE']);
            $this->doneUpdateHrData($INSPECT_REPORT['PATIENT_CODE']);
            $this->doneUpdateCache($INSPECT_REPORT['PATIENT_CODE']);
            Db::commit();
        } catch(Exception $e) {
            Db::rollback();
        }
    }

    public function doneDelLabData($INSPECT_REPORT_CODE) {
        $model = new LabData();
        $labs = $model->where('INSPECT_REPORT_CODE', $INSPECT_REPORT_CODE)->select();
        foreach($labs as $lab) {
            $this->_delModelAndCreateNewModel($lab, new DelLabData());
        }
    }

    public function doneUpdateHrData($PATIENT_CODE) {
        // TODO 更新互认相关数据 hospital_patient
        $this->saveUploadHospitalPatient($PATIENT_CODE);
    }

    public function doneUpdateCache($PATIENT_CODE) {
        // TODO 更新相关缓存数据
        // 记录PATIENT_CODE删除时间和内容
    }

    public function doneDelBiInspectReport($INSPECT_REPORT_CODE) {
        $model = new BiInspectReport();
        $labs = $model->where('INSPECT_REPORT_CODE', $INSPECT_REPORT_CODE)->select();
        foreach($labs as $lab) {
            $this->_delModelAndCreateNewModel($lab, new DelBiInspectReport());
        }
    }
    public function doneDelExamReport($EXAM_REPORT) {

        Db::startTrans();
        try {
            $newModel = new DelExamReport();
            $this->_delModelAndCreateNewModel($EXAM_REPORT, $newModel);
            $this->doneDelMedicalInformation($EXAM_REPORT['PATIENT_CODE']);
            $this->doneUpdateHrData($EXAM_REPORT['PATIENT_CODE']);
            $this->doneUpdateCache($EXAM_REPORT['PATIENT_CODE']);
            Db::commit();
        } catch(Exception $e) {
            Db::rollback();
        }
    }

    public function _delModelAndCreateNewModel($dataModel, $newModel) {
        $id = $dataModel['ID'];
        $arr = $dataModel;
        $arr['del_time'] = time();
        unset($arr['ID']);
        $newModel->save($dataModel);
        $dataModel->where('ID',$id)->delete();
    }

    public function doneDelMedicalInformation($PATIENT_CODE) {
        $examModel = new ExamReport();
        $res = $examModel->field('PATIENT_CODE')->where('PATIENT_CODE', $PATIENT_CODE)->find();
        if($res) {
            return;
        }
        $inspectModel = new InspectReport();
        $res = $inspectModel->field('PATIENT_CODE')->where('PATIENT_CODE', $PATIENT_CODE)->find();
        if($res) {
            return;
        }
        $model = new MedicalInformation();
        $newModel = new DelMedicalInformation();
        $info = $model->where('PATIENT_CODE', $PATIENT_CODE)->find();
        $this->_delModelAndCreateNewModel($info, $newModel);

        $this->doneDelPatient($PATIENT_CODE);
    }
    public function doneDelPatient($PATIENT_CODE) {
        $model = new Patient();
        $newModel = new DelPatient();
        $patient = $model->where('PATIENT_CODE', $PATIENT_CODE)->find();
        $this->_delModelAndCreateNewModel($patient, $newModel);
    }
    /*
     * 上传检验数据
     */
    public function postLabReport($params): string
    {
//        try{
            $check = $this->checkPostLisReport($params);

            $this->handlePatient($check['PATIENT']);
            $MEDICAL_INFORMATION = $check['MEDICAL_INFORMATION'];
            $information = $this->patientModel->getMedical($MEDICAL_INFORMATION['PATIENT_CODE'],[],'*');
            if(!empty($information))
            {
                $this->patientModel->saveRepeatInformation($information);
                $this->patientModel->delOldInformation(['PATIENT_CODE'=>$information['PATIENT_CODE']]);
            }
            $MEDICAL_INFORMATION_INSERT = $MEDICAL_INFORMATION;
            $MEDICAL_INFORMATION_INSERT['create_time'] =  $check['INSPECT_REPORTS'][0]['create_time'];
            $this->patientModel->saveMedical($MEDICAL_INFORMATION_INSERT);

            $INSPECT_REPORTS = $check['INSPECT_REPORTS'];
            $INSPECT_REPORTS_INSERT = [];
            $newArr = [];
            $hrNullData = [];
            $INSPECT_REPORT_CODE = [];
            $bi = [];
            foreach ($INSPECT_REPORTS as $k=>$v)
            {
                $INSPECT_REPORT_CODE[] = $v['INSPECT_REPORT_CODE'];
                $inspect = $this->patientModel->getInspectData(['INSPECT_REPORT_CODE'=>$v['INSPECT_REPORT_CODE']],'*');
                if(!empty($inspect))
                {
                    //存在  删除并存储历史
                    $this->patientModel->saveRepeatInspect($inspect);
                    $this->patientModel->delOldInspect(['INSPECT_REPORT_CODE'=>$v['INSPECT_REPORT_CODE']]);
                }
                if(!empty($v['LAB_HR_ITEMNAME_CODE']))
                {
                    $newArr[] = $v;
                    $bi[] = $v['INSPECT_REPORT_CODE'];
                }else{
                    $hrNullData[$v['INSPECT_REPORT_CODE']] = $v;
                }
                $INSPECT_REPORTS_INSERT[] = $v;
            }
            if(!empty($INSPECT_REPORTS_INSERT))
            {
                $this->patientModel->saveInspectReport($INSPECT_REPORTS_INSERT);
            }
            if(!empty($INSPECT_REPORT_CODE))
            {
                $oldItems = $this->patientModel->getOldLab($INSPECT_REPORT_CODE);
                if(!empty($oldItems))
                {
                    $this->patientModel->delOldLab($INSPECT_REPORT_CODE);
                    $delItems = [];
                    foreach ($oldItems as $k=>$v)
                    {
                        unset($v['ID']);
                        $delItems[] = $v;
                    }
                    if(!empty($delItems))
                    {
                        $this->patientModel->saveRepeatLab($delItems);
                    }
                }
            }
            $INSPECT_REPORT_ITEMS = $check['INSPECT_REPORT_ITEMS'];
            $INSPECT_REPORT_ITEMS_INSERT = [];
            foreach ($INSPECT_REPORT_ITEMS as $k=>$v)
            {
                if(isset($hrNullData[$v['INSPECT_REPORT_CODE']]))
                {
                    // 存在互认项目编码为空的检验报告子项
                    $labChild = $hrNullData[$v['INSPECT_REPORT_CODE']];
                    $labChild['LAB_HR_ITEMNAME_CODE'] = $v['LAB_HR_ITEMDETAILNAME_CODE'];
                    $labChild['LAB_HR_ITEMNAME'] = $v['LAB_HR_ITEMDETAILNAME'];
                    $newArr[] = $labChild;
                    $bi[] = $v['INSPECT_REPORT_CODE'];
                }
                $INSPECT_REPORT_ITEMS_INSERT[] = $v;
            }
            if(!empty($INSPECT_REPORT_ITEMS_INSERT))
            {
                $this->patientModel->saveLabData($INSPECT_REPORT_ITEMS_INSERT);
            }
           if(!empty($newArr))
           {
               $biInspect = $this->patientModel->getBiInspect($bi);
               foreach ($biInspect as $k=>$v)
               {
                   unset($biInspect[$k]['ID']);
               }
               $this->patientModel->saveRepeatBiInspect($biInspect);
               $this->patientModel->delBiInspect($bi);
               $this->patientModel->saveBiInspect($newArr);
           }
            $this->saveUploadHospitalPatient($check['PATIENT']['PATIENT_CODE']);
            return 'success';
//        }catch (\Exception $e)
//        {
//            return $e->getMessage();
//        }

    }

    public function checkExam($data)
    {
        $info = $this->patientModel->getPatient(['PATIENT_CODE'=>$data['PATIENT_CODE']],'*');
        return $info;
    }

    public function saveNormalPatient($params, $mpiKey, $patientCode, $mpi): void
    {
        $mpiData = $this->patientModel->getMpi($params['ID_CARDNUM']);
        if(!empty($mpiData))
        {
            $this->saveMpi($mpi,$params['ID_CARDNUM'],$mpiKey);
        }
        $PData = $this->patientModel->getPatient(['PATIENT_CODE'=>$patientCode]);
        if(empty($PData))
        {
            // 直接存储  患者信息
            $this->savePatient($params['PATIENT'],$mpi,$mpiKey,$patientCode);
        }else{
            // todo  存储到备用表里
//            $patient = $this->makePatient($params,$mpiKey,$patientCode);
        }
        $MData = $this->patientModel->getMedical($patientCode);
        if(empty($MData))
        {
            // 直接存储  就诊信息
            $this->saveMedical($params['MEDICAL_INFORMATION'],$mpiKey,$patientCode);
        }else{
            // todo  存储到备用表里
        }
    }

    /**
     * @param $PATIENT1
     * @return void
     */
    public function handlePatient($PATIENT1)
    {
        $PATIENT = $PATIENT1;
        $data = $this->checkExam($PATIENT);
        if ($data) {
            //存在 删除 并存储历史记录
            $this->patientModel->saveRepeatPatient($data);
            $this->patientModel->delOldPatient(['PATIENT_CODE'=>$data['PATIENT_CODE']]);
        }
        $this->patientModel->save($PATIENT);
    }

    public function getIdCard($mpi)
    {
        $mpiData = $this->patientModel->getMpiData(['MPI'=>$mpi]);
        return $mpiData['ID_CARDNUM'];
    }
}