XzService.php 38 KB

123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974
  1. <?php
  2. namespace app\api\servies\xz;
  3. use app\api\model\studies\StudiesModel;
  4. use app\api\servies\ZskkDefaultService;
  5. // use app\api\validate\xz\XzValidate;
  6. use app\api\dao\xz\XzDao;
  7. use app\api\servies\common\CommonService;
  8. use app\api\utils\UUIDUtils;
  9. use app\common\library\send_message;
  10. use think\Db;
  11. use think\Exception;
  12. use think\facade\Config;
  13. use think\facade\Log;
  14. use app\api\change\PinyinChange;
  15. /**
  16. * 后台控制器基类
  17. * 接口方法权限 必传参数 接口返回 错误抛出 通用参数处理
  18. */
  19. class XzService extends ZskkDefaultService {
  20. protected $logName = "XzService";
  21. private $xz = null;
  22. public function __construct(XzDao $xzDao) {
  23. parent::__construct();
  24. $this->xz = $xzDao;
  25. }
  26. public function savePacs($params)
  27. {
  28. try{
  29. $xz = $params;
  30. // 数据存储
  31. $xz['id'] = UUIDUtils::uuid();
  32. $xz['phonetic'] = PinyinChange::utf8_to($xz['patientName'],1);
  33. $xz['descriptionPhonetic'] = PinyinChange::utf8_to($xz['contentDescription'],1);
  34. $where = [
  35. 'applicationFormNo'=>$params['applicationFormNo'],
  36. 'clinicId'=>$params['clinicId']
  37. ];
  38. $xzInfo = $this->xz->checkXz($where);
  39. if(empty($xzInfo)){
  40. $data = $this->xz->insertXz($xz);
  41. }else{
  42. return json_encode(['code'=>'0']);
  43. }
  44. // 存储患者信息
  45. $patientData = [
  46. 'id'=>UUIDUtils::uuid(),
  47. 'name'=>$params['patientName'],
  48. 'sex'=>$params['patientSex'],
  49. 'birthday'=>$params['patientBirthDate'] ?? '',
  50. 'age'=>$params['patientAge'],
  51. 'institution_id'=>$params['clinicId'],
  52. 'createdAt'=>date('Y-m-d H:i:s',time()),
  53. 'temp_patient_id'=>$params['patientId']
  54. ];
  55. $patient = $this->xz->insertPatient($patientData);
  56. // 存储studies
  57. $studiesData = [
  58. 'id'=>UUIDUtils::uuid(),
  59. 'studyuid'=>'1.3.6.1.4.1.30071.8.'.time().$params['clinicId'].$params['patientId'].$params['applicationFormNo'],
  60. 'patient_id'=>$patientData['id'],
  61. 'studydate'=>$params['startDate'],
  62. 'modality'=> $params['modality'] == 1? 'US' : 'OP',
  63. 'accession_num'=>$params['applicationFormNo'],
  64. 'status'=>1,
  65. 'patient_age'=>$params['patientAge'],
  66. 'studyDescribe'=>$params['contentDescription'] ?? '',
  67. 'institution_id'=>$params['clinicId'],
  68. 'createdAt' => date('Y-m-d H:i:s',time()),
  69. 'weight'=>$params['patientWeight'] ?? ''
  70. ];
  71. $studies = $this->xz->insertStudies($studiesData);
  72. // 存储exams 信息
  73. $examData = [
  74. 'id'=>UUIDUtils::uuid(),
  75. 'patient_num'=>$params['patientId'],
  76. 'accession_num'=>$params['applicationFormNo'],
  77. 'patient_id'=>$patientData['id'],
  78. 'exam_datetime'=>$params['startDate'],
  79. 'exam_class' => $params['modality'] == 1? 'US' : 'OP',
  80. 'clin_dept_id'=>$params['department'] ?? '',
  81. 'institution_id'=>$params['clinicId'],
  82. 'illness_desc'=>$params['symptom'] ?? '',
  83. 'clin_doctors'=>$params['clinicalDoctor'] ?? '',
  84. 'study_uid'=>$studiesData['studyuid'],
  85. 'exam_status'=>'1',
  86. 'study_id'=>$studiesData['id']
  87. ];
  88. if($params['clinicalDoctor'] ?? ''){
  89. $doctorId = $this->xz->checkDoctor($params['clinicalDoctor']);
  90. if(!empty($doctorId)){
  91. $examData['register'] = $doctorId;
  92. }else{
  93. $doctorData = [
  94. 'id'=>UUIDUtils::uuid(),
  95. 'realname'=>$params['clinicalDoctor'],
  96. 'password'=>md5('123456'),
  97. 'username'=>UUIDUtils::uuid(),
  98. 'institution_id'=>$params['clinicId']
  99. ];
  100. $examData['register'] = $doctorData['id'];
  101. }
  102. }
  103. $exam = $this->xz->insertExam($examData);
  104. $this->xz->updateStudies($studiesData['id'],$examData['id']);
  105. $updateXz = ['exam_id'=>$examData['id'],'studyUid'=>$studiesData['studyuid']];
  106. $this->xz->updateXz($where,$updateXz);
  107. $status = $this->xz->updateStatus($where,1);
  108. return json_encode(['code'=>'0']);
  109. }catch(\Exception $e){
  110. return json_encode(['code'=>'1','message'=>$e->getMessage()]);
  111. }
  112. }
  113. public function cancel($params)
  114. {
  115. try{
  116. $where = [
  117. 'applicationFormNo'=>$params['applicationFormNo'],
  118. 'clinicId'=>$params['clinicId']
  119. ];
  120. $xzInfo = $this->xz->checkXz($where);
  121. if(empty($xzInfo)){
  122. return json_encode(['code'=>'1','message'=>'该检查不存在']);
  123. }
  124. if($xzInfo['exam_status'] == '1' || $xzInfo['exam_status'] == '0'){
  125. $status = $this->xz->updateStatus($where,0);
  126. $update = ['exam_status'=>-99];
  127. $a = $this->xz->updateExam($xzInfo['exam_id'],$update);
  128. return json_encode(['code'=>'0']);
  129. }else{
  130. return json_encode(['code'=>'1','message'=>'非检查完成状态的检查不可撤回']);
  131. }
  132. }catch(\Exception $e){
  133. return json_encode(['code'=>'1','message'=>$e->getMessage()]);
  134. }
  135. }
  136. // 3 推送检查消息
  137. public function pushExam($params,$url)
  138. {
  139. try{
  140. $data = $params;
  141. $info = $this->curlJsonPost($url,$data);
  142. $xz = json_decode($info,true);
  143. $return = [];
  144. if($xz['code'] == '0'){
  145. return '1';
  146. }else{
  147. return $xz;
  148. }
  149. // 是否要修改xz表中的状态
  150. // return $info;
  151. }catch(\Exception $e){
  152. return json_encode(['code'=>'0001','message'=>$e->getMessage()]);
  153. }
  154. }
  155. public function getData($params)
  156. {
  157. $info = $this->xz->getXzData($params['id']);
  158. if($info['exam_status'] != 1){
  159. $this->throwError('非正常的流程操作,无法开始检查','0001');
  160. }
  161. $data = [
  162. 'applicationFormNo'=>$info['applicationFormNo'],
  163. 'clinicId'=>$info['clinicId']
  164. ];
  165. return $data;
  166. }
  167. public function change($params,$status)
  168. {
  169. $where = [
  170. 'exam_id'=>$params['id']
  171. ];
  172. $this->xz->updateStatus($where,$status);
  173. $this->xz->updateExam($params['id'],['exam_status'=>$status]);
  174. }
  175. public function getInfo($params)
  176. {
  177. $info = $this->xz->getXzData($params['id']);
  178. $data = [
  179. 'applicationFormNo'=>$info['applicationFormNo'],
  180. 'clinicId'=>$info['clinicId'],
  181. 'urlParm'=>$params['id']
  182. ];
  183. return $data;
  184. }
  185. public function getExamData($id)
  186. {
  187. $xzData = $this->xz->getExamData($id);
  188. return $xzData;
  189. }
  190. public function getExamPush($id)
  191. {
  192. try{
  193. $xzData = $this->xz->getXzData($id);
  194. $report = $this->xz->getReport($id);
  195. $reportName = $this->xz->getDoctorName($report['report_doctor_id']);
  196. $reviewName = $this->xz->getDoctorName($report['review_doctor_id']);
  197. $studyUid = $this->xz->getUid($id);
  198. $accessionNum = $this->xz->getAccession($id);
  199. $info = [
  200. 'report'=>[
  201. 'department'=>$xzData['department'],
  202. 'clinicalDoctor'=>$xzData['clinicalDoctor'],
  203. 'symptom'=>$xzData['symptom'],
  204. 'reportDate'=>$report['report_datetime'],
  205. 'description'=>$report['description'],
  206. 'impression'=>$report['impression'],
  207. 'reportDoctor'=>$reportName,
  208. 'reviewDoctor'=>$reviewName,
  209. 'studyInstanceUId'=>$studyUid,
  210. 'modality'=>$xzData['modality'],
  211. 'accessionNumber'=>$accessionNum
  212. ],
  213. 'applicationFormNo'=>$xzData['applicationFormNo'],
  214. 'clinicId'=>$xzData['clinicId'],
  215. ];
  216. $data = json_encode($info);
  217. $url = 'http://wjw.yidab.cn:801/pacs/pushExamReport.do';
  218. // $url = 'http://wjw.yidab.cn:801/wjw-test/pacs/pushExamReport.do';
  219. $return = $this->curlJsonPost($url,$data);
  220. return $return;
  221. }catch(\Exception $e){
  222. return json_encode(['code'=>'1','message'=>$e->getMessage()]);
  223. }
  224. }
  225. public function saveExam($params)
  226. {
  227. /*if(isset($params['institution_id']) && $params['institution_id'] == '730900006')
  228. {
  229. log::record('存在730900006');
  230. // $db = Db::connect('db2');
  231. $e = Db::connect('db2')->table('exams')->where('study_id',$params['study_id'])->value('id');
  232. if(!empty($e)){
  233. log::record('存在检查');
  234. log::record('检查id%'.$e.'%');
  235. return true;
  236. }
  237. log::record('不存在检查');
  238. $exam2 = [
  239. 'id'=>UUIDUtils::uuid(),
  240. 'patient_id'=>$params['patient_id'] ?? null,
  241. 'patient_num'=>$params['patient_num'] ?? null,
  242. 'accession_num'=>$params['accession_num'] ?? null,
  243. 'exam_datetime'=>$params['exam_datetime'] ?? null,
  244. 'exam_class'=>$params['exam_class'] ?? null,
  245. 'institution_id'=>$params['institution_id'],
  246. 'study_id'=>$params['study_id'] ?? null,
  247. 'id_card' => $params['card_num'] ?? null,
  248. 'study_uid'=>StudiesModel::where('id',$params['study_id'])->value('studyuid'),
  249. 'exam_status'=>3,
  250. 'createdAt'=>date('Y-m-d H:i:s',time()),
  251. 'phone'=>$params['phone'] ?? null,
  252. ];
  253. log::record('存储的检查数据'.json_encode($exam2));
  254. $e2 = Db::connect('db2')->table('exams')->insert($exam2);
  255. log::record('存储是否成功'.$e2);
  256. log::record('当前患者id为'.$params['patient_id'].'患者id存在');
  257. if(!empty($params['patient_id'])){
  258. log::record('存在患者id');
  259. $patient = [
  260. 'id'=>$params['patient_id'],
  261. 'name'=>$params['name'] ?? null,
  262. 'sex'=>$params['sex'] ?? null,
  263. 'card_num'=>$params['card_num'] ?? null,
  264. 'phone'=>$params['phone'] ?? null,
  265. 'age'=>$params['age'] ?? null,
  266. 'temp_patient_id'=>$params['patient_num'] ?? null,
  267. 'institution_id'=>$params['institution_id']
  268. ];
  269. log::record('存储的患者数据'.json_encode($patient));
  270. $p = Db::connect('db2')->table('patient_infos')->insert($patient);
  271. log::record('患者存储成功'.$p);
  272. }
  273. return true;
  274. }*/
  275. $time1 = time();
  276. if($params['institution_id'] == '43600001')
  277. {
  278. $exam = $this->xz->checkIsSet($params['study_id'],$params['studyuid'],$params['institution_id']);
  279. }else{
  280. $exam = $this->xz->checkIsSet($params['study_id']);
  281. }
  282. if($params['institution_id'] == '71900004')
  283. {
  284. $params['name'] = str_replace('=','',$params['name']);
  285. }
  286. if($params['institution_id'] == '16100014')
  287. {
  288. if($params['exam_class'] == 'RF')
  289. {
  290. $params['exam_class'] = 'DX';
  291. }
  292. }
  293. if($params['institution_id'] == '71900007' || $params['institution_id'] == '71900008')
  294. {
  295. if($params['exam_class'] == 'CR')
  296. {
  297. $params['exam_class'] = 'DR';
  298. }
  299. }
  300. if($exam){
  301. //存在则修改
  302. $id = $exam['id'];
  303. $water_log = $this->xz->getWaterLog($id,$params['institution_id']);
  304. $update = [];
  305. if(empty($water_log)){
  306. $film = $this->xz->getInsFilmInfo($params['institution_id']);
  307. if(!empty($film))
  308. {
  309. if($film['charge_mode'] == Config::get('order_type')['hospitalPay']){
  310. //创建检查 必须为医院托管模式 才允许创建胶片记录
  311. $this->save_ins_film_water($id,$film['charge_mode'],$film['film_price'],$params['institution_id']);
  312. $update['pay_status'] = 1;
  313. }
  314. }
  315. }
  316. $update['updatedAt'] = date('Y-m-d H:i:s',time());
  317. if(isset($params['node_type']) && !empty($params['node_type']))
  318. {
  319. $update['node_type'] = $params['node_type'];
  320. }
  321. if(isset($params['exam_class']) && !empty($params['exam_class']))
  322. {
  323. if($exam['exam_class'] !== $params['exam_class'])
  324. {
  325. $update['exam_class'] = $params['exam_class'];
  326. }
  327. }
  328. $update['status'] = 1;
  329. if($params['institution_id'] == '27400005') {
  330. $cache = $this->xz->getCache("worklist_".$params['patient_num']);
  331. if(!empty($cache))
  332. {
  333. $key = "worklist_".$params['patient_num'];
  334. $d = json_decode($cache, true);
  335. Log::record('东民二院;存储key为'.$key.';存储内容为'.$cache);
  336. $update["name"] = $d['NAME'];
  337. $update["hopitalized_no"] = $d['zyh'];
  338. $update["bed_no"] = $d['cwh'];
  339. $update["exam_project"] = $d['PARTOFCHECK'];
  340. }
  341. }
  342. // foreach ($params as $k=>$v){
  343. // if(!empty($v) && $k !== 'exam_class'){
  344. // $update[$k] = $v;
  345. // if($k == 'name' && $params['institution_id'] == '27400005'){
  346. // //东明二院
  347. // $cache = $this->xz->getCache("worklist_".$params['patient_num']);
  348. // if(!empty($cache))
  349. // {
  350. // // $d = json_decode($cache, true);
  351. // $update[$k] = $cache;
  352. // }
  353. // }
  354. // }
  355. // }
  356. if($exam['exam_status'] == -1){
  357. $update['exam_status'] = '9';
  358. $this->xz->updateExam($id,$update);
  359. }elseif($exam['exam_status']<3){
  360. $update['exam_status'] = '3';
  361. //进行分派
  362. $did = $this->handle_queue($params['institution_id']);
  363. $update['doctor_sign'] = $did;
  364. $this->xz->updateExam($id,$update);
  365. }else{
  366. $this->xz->updateExam($id,$update);
  367. }
  368. }
  369. else{
  370. $name = $params['name'] ?? null;
  371. $hopitalized_no = null;
  372. $bed_no = null;
  373. $exam_project = null;
  374. if($params['institution_id'] == '27400005') {
  375. $cache = $this->xz->getCache("worklist_".$params['patient_num']);
  376. if(!empty($cache))
  377. {
  378. $key = "worklist_".$params['patient_num'];
  379. $d = json_decode($cache, true);
  380. Log::record('东民二院;存储key为'.$key.';存储内容为'.$cache);
  381. $name = $d['NAME'];
  382. $hopitalized_no = $d['zyh'];
  383. $bed_no = $d['cwh'];
  384. $exam_project = $d['PARTOFCHECK'];
  385. }
  386. }
  387. $uid = $this->xz->getStudyUid($params['study_id']);
  388. if(empty($uid))
  389. {
  390. $uid = $params['studyuid'] ?? null;
  391. }
  392. $body_part_text = '';
  393. if(!empty($params['body_part'] ?? null))
  394. {
  395. $body_part_text = $this->xz->getBodyText($params['body_part']);
  396. }
  397. $data = [
  398. 'id'=>UUIDUtils::uuid(),
  399. 'patient_id'=>$params['patient_id'],
  400. 'study_id'=>$params['study_id'],
  401. 'patient_num'=>$params['patient_num'],
  402. 'accession_num'=>$params['accession_num'] ?? null,
  403. 'exam_datetime'=>$params['exam_datetime'] ?? null,
  404. 'exam_class'=>$params['exam_class'] ?? null,
  405. 'institution_id'=>$params['institution_id'] ?? null,
  406. 'device_name'=>$params['device_name'] ?? null,
  407. 'body_part'=>$params['body_part'] ?? null,
  408. 'body_part_text'=>$body_part_text,
  409. 'createdAt'=>date('Y-m-d H:i:s',time()),
  410. 'exam_status'=>'3',
  411. 'name'=>$name,
  412. 'phone'=>$params['phone'] ?? null,
  413. 'card_num' => $params['card_num'] ?? null,
  414. 'studyid'=>$params['studyid'] ?? null,
  415. 'studyuid'=>$uid,
  416. 'sex' =>$params['sex'] ?? null,
  417. 'age' => $params['age'] ?? null,
  418. 'hopitalized_no' => $hopitalized_no,
  419. 'bed_no' => $bed_no,
  420. 'exam_project' => $exam_project,
  421. 'node_type'=>$params['node_type'] ?? 1
  422. ];
  423. // 队列处理并分配
  424. $did = $this->handle_queue($params['institution_id']);
  425. $exam['doctor_sign'] = $did;
  426. $this->xz->insertExam($data);
  427. $id = $data['id'];
  428. $exam = $data;
  429. unset($exam['id']);
  430. $exam['exam_id'] = $data['id'];
  431. $film = $this->xz->getInsFilmInfo($params['institution_id']);
  432. if(!empty($film))
  433. {
  434. if($film['charge_mode'] == Config::get('order_type')['hospitalPay']){
  435. //创建检查 必须为医院托管模式 才允许创建胶片记录
  436. $this->save_ins_film_water($id,$film['charge_mode'],$film['film_price'],$params['institution_id']);
  437. $this->xz->updateExam($id,['pay_status'=>1]);
  438. }
  439. }
  440. log::record('当前医院id'.$params['institution_id']);
  441. $phone = $params['phone'] ?? '';
  442. $value = 'patient_sms';
  443. $sms = $this->xz->getInsValue($params['institution_id'],$value);
  444. log::record('当前医院发送短信'.$sms);
  445. if($sms == 1)
  446. {
  447. // log::record('手机号为'.$phone);
  448. // if(!empty($phone))
  449. // {
  450. // $institution = $this->xz->getInstitutionName($params['institution_id']);
  451. // $code = rand(1000,9999);
  452. // $share = [
  453. // 'id'=>UUIDUtils::uuid(),
  454. // 'examId'=>$id,
  455. // 'code'=>$code,
  456. // 'overdueTime'=>'5475', //有效期15年
  457. // 'phone'=>$phone,
  458. // 'study_id'=>$params['study_id'],
  459. // 'send_message'=>1,
  460. // 'source'=>1 //1 为影像同步
  461. // ];
  462. // $send = send_message::sendExam2Patient($phone,$code,$institution,$share['id']);
  463. // $data = json_decode(json_encode($send),true);
  464. // if($data['Code'] == 'OK'){
  465. // $share['send_message'] = 1;
  466. // }else{
  467. // $share['send_message'] = 0;
  468. // }
  469. // $this->xz->saveSms($share);
  470. // }
  471. }
  472. // if($params['institution_id'] ?? null){
  473. // log::record('开始回调');
  474. // $method = $this->xz->getApiAction($params['institution_id'],Config::get('api_action')['create']);
  475. // $action = $method.'Action';
  476. // log::record($action);
  477. // if(method_exists($this,$action)){
  478. // $r = $this->$action($params,$exam,Config::get('api_action')['create']);
  479. //// return $r;
  480. // }else{
  481. // log::record('没有找到对应的action');
  482. // }
  483. //
  484. // }else{
  485. // log::record('没有这个医院id'.$params['institution_id'] ?? null);
  486. // }
  487. }
  488. $time2 = time();
  489. $time = $time2-$time1;
  490. $this->xz->insertSpecialLog($time,'xz/create');
  491. return $id;
  492. }
  493. //医院胶片流水
  494. public function save_ins_film_water($exam_id,$order_type,$money,$institution)
  495. {
  496. $money_water = [
  497. 'money'=>$money,
  498. 'order_type'=>$order_type,
  499. 'type'=>'2', //电子胶片
  500. 'exam_id'=>$exam_id,
  501. 'institution_id'=>$institution,
  502. 'pay_way'=>'2', //医院支付
  503. 'status'=>'0', //未支付
  504. 'pay_type'=>'1' //支入
  505. ];
  506. $this->xz->saveMoneyWater($money_water);
  507. return true;
  508. }
  509. public function test($params,$exam)
  510. {
  511. $method = $this->xz->getApiAction($params['institution_id'],Config::get('api_action')['create']);
  512. $action = $method.'Action';
  513. if(method_exists($this,$action)){
  514. $r = $this->$action($params,$exam,Config::get('api_action')['create']);
  515. return $r;
  516. }
  517. }
  518. public function jsdAction($params,$data,$action,$times = 1)
  519. {
  520. try{
  521. $this->jsdLog('进入金盛达区间');
  522. log::record('进入金盛达区间');
  523. $this->jsdLog('当前次数----'.$times);
  524. log::record('当前次数----'.$times);
  525. $jsd_token = $this->xz->getCache('jsd_token');
  526. $this->jsdLog('第一次请求的token----'.$jsd_token);
  527. $this->jsdLog('请求的examid----'.$data['exam_id']);
  528. log::record('第一次请求的token----'.$jsd_token);
  529. if(!$jsd_token){
  530. $jsd_token = $this->getJsdToken($params['institution_id'],$data['exam_id']);
  531. }
  532. $this->jsdLog("token为:".$jsd_token) ;
  533. log::record("token为:".$jsd_token) ;
  534. $this->jsdLog('医院id'.$params['institution_id']);
  535. log::record('医院id'.$params['institution_id']);
  536. $this->jsdLog('动作'.$action);
  537. log::record('动作'.$action);
  538. $apis = $this->xz->getApis($params['institution_id'],$action);
  539. $method = $apis['action'].'_'.$apis['method'];
  540. $this->jsdLog('调用方法'.$method);
  541. log::record('调用方法'.$method);
  542. // $apis['key'] = 'a093e7998f0f4c80a5a7f66f31bdb483';
  543. // $apis['url'] = 'http://pacs.hnjsd.com.cn:8080/pacs/api/pacs/pacsOrganRegister.json';
  544. // $method = 'jsdcreate_jsd';
  545. $this->jsdLog("密钥为 :".$apis['key']) ;
  546. log::record("密钥为 :".$apis['key']) ;
  547. $jsdInfo = $this->makeJsdInfo($params,$data,$jsd_token,$apis['key']);
  548. if(method_exists($this,$method)){
  549. $this->jsdLog('存在方法,进入区间');
  550. log::record('存在方法,进入区间');
  551. $return = $this->$method($apis['url'],$jsdInfo);
  552. $this->jsdLog('金盛达回调返回数据'.$return);
  553. log::record('金盛达回调返回数据'.$return);
  554. $r = json_decode($return,true);
  555. $this->jsdLog('返回码是:'.$r['resultCode']);
  556. log::record('返回码是:'.$r['resultCode']);
  557. $update = ['push_api'=>$r['resultCode'],'api_message'=>$r['message'] ?? null];
  558. $this->xz->updateExam($jsdInfo['exam_id'],$update);
  559. if($r['resultCode'] != 1){
  560. $this->sendDing('金盛达请求失败,失败原因:'.($r['message'] ?? '无').'失败返回码:'.$r['resultCode'].',登陆请求token为'.$jsd_token,$data['exam_id']);
  561. $this->jsdLog('当前次数----'.$times);
  562. log::record('当前次数----'.$times);
  563. $del = $this->xz->delCache('jsd_token');
  564. $this->jsdLog('缓存删除'.($del ? '成功' : '失败'));
  565. log::record('缓存删除'.($del ? '成功' : '失败'));
  566. if($times == 3){
  567. $this->throwError($r['message'],$r['resultCode']);
  568. }
  569. $time = $times+1;
  570. return $this->jsdAction($params,$data,$action,$time);
  571. }
  572. $success = '金盛达请求成功,唯一检查id:'.$data['exam_id'].',登陆token为'.$jsd_token;
  573. $this->sendDing($success);
  574. return $r;
  575. }else{
  576. $this->jsdLog('方法不存在');
  577. log::record('方法不存在');
  578. $this->throwError('不存在方法'.$method,'3030');
  579. }
  580. }catch (\Exception $e)
  581. {
  582. $this->sendDing('金盛达异常,原因:'.$e->getMessage(),$data['exam_id']);
  583. $this->jsdLog('金盛达异常,原因:'.$e->getMessage().' 检查id:'.$data['exam_id']);
  584. log::record('金盛达异常,原因:'.$e->getMessage());
  585. $this->throwError('金盛达异常,原因:'.$e->getMessage(),'3031');
  586. }
  587. }
  588. public function sendDing($message,$examId=null)
  589. {
  590. $time = time()* 1000;
  591. $secret = 'SEC7eb73155768e08feeb0cb1bb84b2effe7ce6a75b69634a339a900dcc2cf5dd4e';
  592. $m = $time."\n".$secret;
  593. $s = hash_hmac('sha256', $m, $secret, true);
  594. $a = base64_encode($s);
  595. $b = urlencode($a);
  596. if(!empty($examId)){
  597. $message .= " 继续请求地址为:https://risdevserver3.pacsonline.cn/xz/test?id=".$examId;
  598. }
  599. $dingding = Config::get('dingding_url');
  600. $url =$dingding."/robot/send?access_token=a7994ade98986725955c4a6f583ba4b5d6e500ad15f16173c96cc76518b67ae4&timestamp=$time&sign=$b";
  601. $data = array ('msgtype' => 'text','text' => array ('content' => $message));
  602. $data_string = json_encode($data);
  603. $result = $this->request_by_curl($url, $data_string);
  604. }
  605. public function makeJsdInfo($params,$data,$token,$key)
  606. {
  607. $info = [
  608. 'sysCode'=>'0015',
  609. 'patient_id'=>$data['patient_id'],
  610. 'patient_name'=>$data['name'],
  611. 'patient_sex'=>$data['sex'],
  612. 'card_num'=>$data['card_num'],
  613. 'phone'=>$data['phone'],
  614. 'birthday'=>$data['birthday'] ?? null,
  615. 'patient_age'=>$data['age'],
  616. 'hospital_id'=>$params['institution_id'],
  617. 'hospital_name'=>$this->xz->getInstitutionName($params['institution_id']),
  618. 'dcm_patient_id'=>$data['patient_num'],
  619. 'study_id'=>$data['study_id'],
  620. 'studyuid'=>$data['studyuid'],
  621. 'studyid'=>$data['studyid'],
  622. 'accession_num'=>$data['accession_num'],
  623. 'studydate'=>$data['exam_datetime'],
  624. 'modality'=>$data['exam_class'],
  625. 'status'=>'1',
  626. 'exam_id'=>$data['exam_id'],
  627. 'exam_status'=>(string)$data['exam_status'],
  628. 'timestamp'=>(string)$this->msectime(),
  629. ];
  630. ksort($info);
  631. $string = '';
  632. foreach ($info as $k=>$v){
  633. if(!empty($v)){
  634. if($string == ''){
  635. $string = $k.'='.$v;
  636. }else{
  637. $string .= "&".$k.'='.$v;
  638. }
  639. }
  640. }
  641. $string .= '&key='.$key;
  642. $this->jsdLog( "加密前字符串 :".$string);
  643. $this->jsdLog( "加密后sign ".md5($string));;
  644. $info['sign'] = strtoupper(md5($string));
  645. $info['token'] = $token;
  646. // var_dump(json_encode($info));
  647. $this->jsdLog( "转换为json的数据:".json_encode($info));
  648. return $info;
  649. }
  650. public function getJsdToken($institution,$exam_id)
  651. {
  652. $username = 'pacsonline';
  653. $password = 'zskk_200408';
  654. $sysCode = '0015';
  655. $data = [
  656. 'userName'=>$username,
  657. 'password'=>$password,
  658. 'sysCode'=>$sysCode
  659. ];
  660. $url = 'http://pacs.hnjsd.com.cn:9080/pacs/api/pacs/getToken.json';
  661. $return = $this->curlPost($url,$data);
  662. $this->jsdLog($exam_id.'登陆请求的返回值'.$return);
  663. log::record($exam_id.'登陆请求的返回值'.$return);
  664. $info = json_decode($return,true);
  665. if($info['resultCode'] == '1')
  666. {
  667. $token = $info['uniqueCode'];
  668. $this->xz->setCache('jsd_token',$token,6000);
  669. return $token;
  670. }else{
  671. $this->sendDing('金盛达登陆异常,原因:'.$info['message'] ?? '',$exam_id);
  672. $this->throwError($info['message'] ?? '金盛达登陆异常',$info['resultCode'] ?? 10000);
  673. }
  674. }
  675. public function create_jsd($url,$info)
  676. {
  677. $data = $this->curlPost($url,$info);
  678. $this->jsdLog('金盛达创建请求数据为'.json_encode($info));
  679. $this->jsdLog('金盛达创建请求结果为'.$data);
  680. log::record('金盛达创建请求数据为'.json_encode($info));
  681. log::record('金盛达创建请求结果为'.$data);
  682. return $data;
  683. }
  684. public function yjkAction($params,$data,$action)
  685. {
  686. $apis = $this->xz->getApis($params['institution_id'],$action);
  687. $data = json_encode($data);
  688. $method = $apis['action'].'_'.$apis['method'];
  689. $number = rand(10000000,99999999);
  690. $time = time();
  691. $key = $apis['key'];
  692. $str = $data.$number.$time;
  693. $info = [
  694. 'timestamp'=>$time,
  695. 'random'=>$number,
  696. 'signature'=>base64_encode(hash_hmac("sha1", $str, $key, true)),
  697. 'data'=>$data
  698. ];
  699. if(method_exists($this,$method)){
  700. $this->$method($apis['url'],$info);
  701. }
  702. }
  703. public function yjkcreate_jyk($url,$info)
  704. {
  705. $data = $this->curlPost($url,$info);
  706. Log::record('医健康创建请求数据为'.$info);
  707. Log::record('医健康创建请求结果为'.$data);
  708. }
  709. public function filmCallback($params)
  710. {
  711. $key = Config::get('ins_type')[$params['ins_type']];
  712. $exam = $this->xz->getExam($key,$params[$key],$params['institution_id']);
  713. $examId = $exam['id'];
  714. if(!empty($examId)){
  715. $film = $this->xz->getInsFilmInfo($params['institution_id']);
  716. if($film['charge_mode'] == Config::get('order_type')['patientToHospital']){
  717. $water_log = $this->xz->getWaterLog($examId,$params['institution_id']);
  718. //胶片回调 必须为医院代收模式才允许创建胶片流水
  719. if(empty($water_log)){
  720. $this->save_ins_film_water($examId,$film['charge_mode'],$film['film_price'],$params['institution_id']);
  721. }
  722. }
  723. log::record('zskkccs存在回调');
  724. if(!empty($exam['id'])){
  725. if($exam['pay_status'] !== '1')
  726. {
  727. log::record('支付状态为'.$exam['pay_status']);
  728. Log::record('zskkccs胶片回调key值'.$params[$key]);
  729. $data = $this->xz->getPushInfo($exam['id']);
  730. $pushType = 5;
  731. $cont = [
  732. 'name'=>$exam['name'],
  733. 'modality'=>$exam['exam_class'],
  734. 'examDate'=>$exam['exam_datetime'],
  735. 'study_id'=>$exam['study_id']
  736. ];
  737. $content = json_encode($cont,true);
  738. $openids = $this->xz->getOpenId($data);
  739. foreach ($openids as $k=>$v){
  740. $this->new_wechat_push($v,$pushType,$content);
  741. }
  742. }
  743. }
  744. $this->xz->updateExam($examId,['pay_status'=>1]);
  745. return true;
  746. }else{
  747. $this->throwError('检查不存在','0231');
  748. }
  749. }
  750. public function jsdLog($info)
  751. {
  752. $file = ROOT_PATH . 'public' . DS . 'runtime/jsd';
  753. if(!file_exists($file)){
  754. mkdir($file,0777,true);
  755. }
  756. $date = date('Ymd',time());
  757. $value = date('Y-m-d H:i:s',time()).$info;
  758. //创建ini文件
  759. $gao_file = fopen($file.'/'.$date.".txt","a+");
  760. //替换
  761. $string = iconv("utf-8", "GB2312", $value);
  762. //附加分号和换行专
  763. $string = $string . ";" . "\r\n";
  764. //将内容写入文件
  765. fwrite($gao_file, $string);
  766. //关闭文件
  767. fclose($gao_file);
  768. }
  769. public function getDcmUrlInfo($id)
  770. {
  771. $exam = $this->xz->getExamDataById($id);
  772. $study = $exam['study_id'];
  773. $image= $this->xz->getImageInfo($study);
  774. $data = [];
  775. $i = 0;
  776. foreach ($image as $k=>$v)
  777. {
  778. $info = [];
  779. $adress = ''; //前端传值
  780. $url = $this->makeUrl($v['url'],$adress);
  781. $info = ['id'=>$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']];
  782. $data[] = $info;
  783. }
  784. // var_dump($data);die;
  785. // var_dump(json_encode($data,JSON_UNESCAPED_SLASHES));
  786. $this->curlJsonYbPost('http://192.168.1.51:5000/get_dcm_batch_flask/',json_encode($data,JSON_UNESCAPED_SLASHES));
  787. return true;
  788. }
  789. public function makeUrl($url,$adress)
  790. {
  791. if(!$url)
  792. {
  793. return '';
  794. }
  795. if(preg_match('/^dicomweb:\/\//',$url)){
  796. return $this->generateAliossURL($url,$adress);
  797. }
  798. if(preg_match('/^group/',$url)){
  799. return $this->generateFastdfsURL($url,$adress);
  800. }
  801. return $this->generateLcossURL($url,$adress);
  802. }
  803. public function generateAliossURL($url,$address)
  804. {
  805. if ($address) {
  806. return str_replace('zskk-dcm.oss-cn-beijing.aliyuncs.com',$address.'/oss',$url);
  807. }
  808. return $url;
  809. }
  810. public function generateFastdfsURL($url,$adress)
  811. {
  812. if($adress)
  813. {
  814. return "dicomweb://$adress/$url";
  815. }
  816. return "dicomweb://dcm.pacsonline.cn/$url";
  817. }
  818. public function wechatFix($str)
  819. {
  820. if(!$str) {
  821. return $str;
  822. }
  823. return str_replace('=','%3D',$str);
  824. }
  825. public function generateLcossURL($key,$adress)
  826. {
  827. $uCloudPublicKey = 'TOKEN_109bb131-db96-46cf-b693-745f37129bee';
  828. $uCloudPrivateKey = '515bec45-1709-41e9-862e-f05705ba47b3';
  829. $hTTPVerb = "GET";
  830. $expires = '';
  831. $canonicalizedUCloudHeaders = '';
  832. $bucket = 'zskkdcm';
  833. $canonicalizedResource = '/'.$bucket.'/'.$key;
  834. $stringToSign = $hTTPVerb."\n" .
  835. "\n" .
  836. "\n" .
  837. $expires . "\n" .
  838. $canonicalizedUCloudHeaders .
  839. $canonicalizedResource;
  840. $signature = base64_encode(hash_hmac("sha1", $stringToSign, $uCloudPrivateKey, true));
  841. $domain = 'dicomweb://'.$bucket.'.infile.inspurcloud.cn';
  842. if($adress)
  843. {
  844. $domain = 'dicomweb://'.$adress.'/lcoss';
  845. }
  846. $uCloudPublicKey = $this->wechatFix($uCloudPublicKey);
  847. $signature = $this->wechatFix($signature);
  848. $url = $domain.'/'.$key.'?UCloudPublicKey='.$uCloudPublicKey.'&Signature='.$signature.'&Expires='.$expires;
  849. return $url;
  850. // $uCloudRootPublicKey = '0cCMBBXqiuFdJrb3jy0csUwXHDEAzjPT4I8ZDvcnKlpd6RGdQ7vStHO0z1M=';
  851. // $uCloudRootPrivateKey = '8JYvmvzBIaM7W15bVqmdriR9pFohACpBMDz/w/c/XSqTjX+aL0YN8yFb9EQ2SUP1';
  852. }
  853. // public function getlsoss()
  854. //{
  855. // $data['UCloudPublicKey'] = 'TOKEN_109bb131-db96-46cf-b693-745f37129bee';
  856. // $data['UCloudPrivateKey'] = '515bec45-1709-41e9-862e-f05705ba47b3';
  857. // $data['bucket'] = 'zskkdcm';
  858. // $data['UCloudRootPublicKey'] = '0cCMBBXqiuFdJrb3jy0csUwXHDEAzjPT4I8ZDvcnKlpd6RGdQ7vStHO0z1M=';
  859. // $data['UCloudRootPrivateKey'] = '8JYvmvzBIaM7W15bVqmdriR9pFohACpBMDz/w/c/XSqTjX+aL0YN8yFb9EQ2SUP1';
  860. // return $data;
  861. //}
  862. public function saveImageNode($params)
  863. {
  864. if(empty($params))
  865. {
  866. return false;
  867. }
  868. $data = json_decode($params,true);
  869. $info = [];
  870. $num = 0;
  871. foreach ($data as $k=>$v)
  872. {
  873. if($k == ($num+1)*500 && $k != 0)
  874. {
  875. $num++;
  876. }
  877. if($num*500 <= $k && $k < ($num+1) * 500)
  878. {
  879. //500一组 防止一次性过多存储
  880. $info[$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']];
  881. }
  882. }
  883. foreach ($info as $v)
  884. {
  885. $this->xz->saveImageNode($v);
  886. }
  887. return true;
  888. }
  889. public function getImageNode($code,$type)
  890. {
  891. $where = [Config::get('dcm_type')[$type]=>$code];
  892. $nodeInfo = $this->xz->getImageNode($where);
  893. $array = [];
  894. foreach ($nodeInfo as $k=>$v)
  895. {
  896. $array[$k]['instanceUID'] = $v['sop_uid'];
  897. $nodeArray = json_decode($v['image_node']);
  898. $coords = [];
  899. foreach ($nodeArray as $key=>$value)
  900. {
  901. $coords['coords'][$key]['x'] = $value[0];
  902. $coords['coords'][$key]['y'] = $value[1];
  903. $coords['color'] = 'red';
  904. }
  905. $array[$k]['data'] = [$coords];
  906. }
  907. return json_encode($array);
  908. }
  909. public function getWjwData()
  910. {
  911. $data = $this->xz->getWjwData();
  912. return $data;
  913. }
  914. public function getRemoteCount()
  915. {
  916. $data = $this->xz->getRemoteCount();
  917. return $data;
  918. }
  919. public function getYjRemote($page,$num)
  920. {
  921. $data = $this->xz->getYjRemote($page,$num);
  922. return $data;
  923. }
  924. public function getYjDoctor()
  925. {
  926. $data = $this->xz->getYjDoctor();
  927. return $data;
  928. }
  929. }