Writereport.php 45 KB

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  1. <?php
  2. namespace app\inter\controller;
  3. //use Doctrine\Common\Cache\Cache;
  4. use think\Controller;
  5. use think\Db;
  6. use think\Session;
  7. use app\common\library\UUIDs;
  8. use think\Cache;
  9. use think\Log;
  10. use app\common\library\Verify;
  11. class Writereport extends Base
  12. {
  13. /**
  14. * 写报告页面
  15. *
  16. * @ApiTitle (写报告页面)
  17. * @ApiSummary (写报告页面)
  18. * @ApiSector (远程诊断)
  19. * @ApiMethod (POST)
  20. * @ApiRoute (/inter/writereport/index)
  21. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  22. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  23. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  24. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  25. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  26. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  27. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  28. * @ApiParams (name="param[images]", type="string", sample="", description="影像图片<选填>")
  29. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  30. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  31. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  32. * @ApiReturnParams (name="is_remote", type="object", sample="{}", description="是否为远程诊断进入")
  33. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  34. * @ApiReturn (data="
  35. {
  36. 'status': ok,
  37. 'code': '0000',
  38. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  39. 'is_remote': 1,
  40. 'info' : ''
  41. }
  42. *")
  43. **/
  44. public function index(){
  45. try{
  46. log::record('-----请求值-----');
  47. log::record($_REQUEST);
  48. log::record('-----请求值-----');
  49. $sessionid = $_REQUEST['sessionid'];
  50. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  51. $is_remote = $_REQUEST['is_remote'];
  52. }else{
  53. $is_remote = 0;
  54. }
  55. $doctor = Cache::get($sessionid);
  56. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name,report_subtitle')->find();
  57. $param = $_REQUEST['param'];
  58. $id = $param['id'];
  59. $info = DB::table('exams')->where('id',$id)->field(['id','ext','study_id','exam_class','exam_status','exam_datetime','exam_sub_class','body_part','accession_num','patient_id','film_type'])->find();
  60. $exam_class = DB::table('constant')->where('id',$info['exam_class'])->field('constant_value')->find();
  61. $info['exam_class'] = $exam_class['constant_value'];
  62. $exam_subclass = DB::table('exam_subclass')->where('id',$info['exam_sub_class'])->field('name')->find();
  63. $info['exam_sub_class'] = $exam_subclass['name'];
  64. $patient_info = DB::table('patient_infos')->where('id',$info['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  65. $info['pid'] = $patient_info['temp_patient_id'];
  66. $info['name'] = $patient_info['name'];
  67. $info['sex'] = $patient_info['sex'];
  68. $info['age'] = $patient_info['age'];
  69. $info['phone'] = $patient_info['phone'];
  70. $info['hospital_name'] = $institution['name'];
  71. $info['hospital_title'] = $institution['report_subtitle'];
  72. $info['images'] = isset($param['images']) ? $param['images'] : '';
  73. $report = DB::table('report')->where('exam_id',$id)->field('report_result,report_datetime,report_doctor_id,review_datetime,review_doctor_id,impression,description')->find();
  74. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  75. $info['report_doctor'] = $report_doctor['realname'];
  76. $info['report_datetime'] = $report['report_datetime'];
  77. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  78. $info['review_doctor'] = $review_doctor['realname'];
  79. $info['review_datetime'] = $report['review_datetime'];
  80. $info['description'] = $report['description'];
  81. $info['impression'] = $report['impression'];
  82. $info['report_result'] = $report['report_result'];
  83. $cache_key = $doctor['id'].'_'.$id;
  84. if(Cache::get($cache_key)){
  85. $cache = Cache::get($cache_key);
  86. $info['description'] = isset($cache['description']) ? $cache['description'] : '';
  87. $info['impression'] = isset($cache['impression']) ? $cache['impression'] : '';
  88. $info['report_result'] = isset($cache['r_result']) ?$cache['r_result'] : '';
  89. $info['name'] = isset($cache['name']) ? $cache['name'] : '';
  90. $info['sex'] = isset($cache['sex']) ? $cache['sex'] : '';
  91. $info['age'] = isset($cache['age']) ? $cache['age'] : '';
  92. $info['phone'] = isset($cache['phone']) ? $cache['phone'] : '';
  93. }
  94. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid,'is_remote'=>$is_remote]);
  95. }catch(\Exception $e){
  96. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  97. }
  98. }
  99. /**
  100. * 上远程申请附件
  101. *
  102. * @ApiTitle (上远程申请附件)
  103. * @ApiSummary (上远程申请附件)
  104. * @ApiSector (远程诊断)
  105. * @ApiMethod (POST)
  106. * @ApiRoute (/inter/writereport/upload)
  107. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  108. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  109. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  110. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  111. * @ApiParams (name="file", type="string", required=true, description="上传的文件<必填>")
  112. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  113. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  114. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  115. * @ApiReturn (data="
  116. {
  117. 'status': ok,
  118. 'code': '0000',
  119. 'info' : '/upload/20180101/12346asd.jpg'
  120. }
  121. *")
  122. **/
  123. public function upload($files){
  124. // 获取表单上传文件
  125. foreach($files as $file){
  126. // 移动到框架应用根目录/public/uploads/ 目录下
  127. $info = $file->move(ROOT_PATH . 'public' . DS . 'uploads');
  128. if($info){
  129. return $info->getSaveName();
  130. // 成功上传后 获取上传信息
  131. // 输出 jpg
  132. // echo $info-> getExtension();
  133. // 输出 42a79759f284b767dfcb2a0197904287.jpg
  134. // echo $info->getFilename();
  135. }else{
  136. // 上传失败获取错误信息
  137. // echo $file->getError();
  138. }
  139. }
  140. }
  141. /**
  142. * 报告保存
  143. *
  144. * @ApiTitle (报告保存)
  145. * @ApiSummary (报告保存)
  146. * @ApiSector (远程诊断)
  147. * @ApiMethod (POST)
  148. * @ApiRoute (/inter/writereport/write)
  149. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  150. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  151. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  152. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  153. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  154. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  155. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  156. * @ApiParams (name="param[pid]", type="string", sample="", description="患者id值<必填>")
  157. * @ApiParams (name="param[name]", type="string", sample="", description="患者姓名<必填>")
  158. * @ApiParams (name="param[age]", type="string", sample="", description="患者年龄<必填>")
  159. * @ApiParams (name="param[sex]", type="string", sample="", description="患者性别<必填>")
  160. * @ApiParams (name="param[impression]", type="string", sample="", description="影响所见<必填>")
  161. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  162. * @ApiParams (name="param[film_type]", type="string", sample="", description="胶片<必填>")
  163. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  164. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  165. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  166. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  167. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  168. * @ApiReturn (data="
  169. {
  170. 'status': ok,
  171. 'code': '0000',
  172. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  173. 'msg' : '保存成功'
  174. }
  175. *")
  176. **/
  177. public function write(){
  178. try{
  179. $sessionid = $_REQUEST['sessionid'];
  180. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  181. // 是远程写报告 7
  182. $return = Verify::check_role($sessionid,7);
  183. }else{
  184. // 本地写报告权限 2
  185. $return = Verify::check_role($sessionid,2);
  186. }
  187. if($return != 1){
  188. return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
  189. }
  190. $param = $_REQUEST['param'];
  191. $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
  192. if($status['exam_status'] > 6){
  193. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  194. }
  195. // Verify::wreportCheck($param);
  196. $doctor = Cache::get($sessionid);
  197. $remote_app = DB::table('remote_application')->where('exam_id',$param['id'])->field('remote_doctor_id')->find();
  198. if(!empty($remote_app['remote_doctor_id'])){
  199. if($remote_app['remote_doctor_id'] != $doctor['id']){
  200. // return json_encode(['status'=>'fail','code'=>'1029','msg'=>'已被指定报告医生,您没有操作权限']);
  201. }
  202. }
  203. $this->uuids = new UUIDs();
  204. //初步报告生成
  205. $film_type = isset($param['film_type']) ? $param['film_type'] : '';
  206. // $exam_status = $this->get_exam_status($doctor['id'],7);
  207. $patient_info = array();
  208. $patient_info['id'] = isset($param['pid']) ? $param['pid'] : '';
  209. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  210. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  211. $patient_info['phone'] = isset($param['phone']) ? $param['phone'] : '';
  212. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  213. $patient = DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  214. $info = array();
  215. $info['exam_id'] = $param['id'];
  216. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  217. $info['description'] = isset($param['description']) ? $param['description'] : '';
  218. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  219. $info['report_result'] = 2;
  220. }else{
  221. $info['report_result'] = 1;
  222. }
  223. DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>'7','film_type'=>$film_type,'exam_report'=>$info['report_result']]);
  224. $info['report_datetime'] = date('Y-m-d H:i:s',time());
  225. $info['report_doctor_id'] = $doctor['id'];
  226. $report_info = DB::table('report')->where('exam_id',$param['id'])->find();
  227. if($report_info){
  228. $report = DB::table('report')->where('exam_id',$param['id'])->update($info);
  229. $id = $report_info['id'];
  230. }else{
  231. $id = $this->uuids->uuid16();
  232. $info['id'] = $id;
  233. $info['createdAt'] = date('Y-m-d H:i:s',time());
  234. $report = DB::table('report')->insert($info);
  235. }
  236. $cache_key = $doctor['id'].'_'.$param['id'];
  237. if(Cache::get($cache_key)){
  238. Cache::rm($cache_key);
  239. }
  240. //写入log日志
  241. log::record('----日志写入----');
  242. $log = array();
  243. $log['id'] = UUIDs::uuid16();
  244. $log['impression'] = isset($param['impression']) ? $param['impression'] : '';
  245. $log['description'] = isset($param['description']) ? $param['description'] : '';
  246. $log['report_id'] = $id;
  247. $log['createdAt'] = date('Y-m-d H:i:s',time());
  248. $log['doctor_id'] = $doctor['id'];
  249. $log['type'] = 1; //写报告
  250. log::record($log);
  251. $report_log = DB::table('report_record')->insert($log);
  252. log::record($report_log);
  253. log::record('----日志写入成功----');
  254. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'保存成功','sessionid'=>$sessionid]);
  255. }catch(\Exception $e){
  256. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  257. }
  258. }
  259. public function get_exam_status($doctorid,$status){
  260. $doctor_class = DB::table('doctor_class')->where('doctor_id',$doctorid)->field('doctor_class')->find();
  261. if(strpos($doctor_class['doctor_class'],'9')){
  262. return 9;
  263. }elseif(strpos($doctor_class['doctor_class'],'8')){
  264. return 8;
  265. }else{
  266. return $status;
  267. }
  268. }
  269. /**
  270. * 公有模板列表
  271. *
  272. * @ApiTitle (公有模板列表)
  273. * @ApiSummary (公有模板列表)
  274. * @ApiSector (远程诊断)
  275. * @ApiMethod (POST)
  276. * @ApiRoute (/inter/writereport/public_template)
  277. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  278. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  279. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  280. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  281. * @ApiParams (name="exam_class", type="string", required=true, description="检查类id")
  282. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  283. * @ApiReturn (data="
  284. {
  285. 'info' : ''
  286. }
  287. *")
  288. **/
  289. public function public_template(){
  290. $sessionid = $_REQUEST['sessionid'];
  291. $doctor = Cache::get($sessionid);
  292. $exam = $_REQUEST['exam_class'];
  293. //第一级 公共模板
  294. $info = $this->get_template(1,$doctor['id'],$exam);
  295. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  296. }
  297. /**
  298. * 私有模板列表
  299. *
  300. * @ApiTitle (私有模板列表)
  301. * @ApiSummary (私有模板列表)
  302. * @ApiSector (远程诊断)
  303. * @ApiMethod (POST)
  304. * @ApiRoute (/inter/writereport/private_template)
  305. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  306. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  307. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  308. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  309. * @ApiParams (name="exam_class", type="string", required=true, description="检查类id")
  310. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  311. * @ApiReturn (data="
  312. {
  313. 'info' : ''
  314. }
  315. *")
  316. **/
  317. public function private_template(){
  318. $sessionid = $_REQUEST['sessionid'];
  319. $doctor = Cache::get($sessionid);
  320. $exam = $_REQUEST['exam_class'];
  321. //私有模板
  322. $info = $this->get_template(2,$doctor['id'],$exam);
  323. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  324. }
  325. public function get_template($public,$id,$exam){
  326. // 查询exam_class表
  327. $examCla = DB::table('constant')->where('id',$exam)->field('constant_value as name')->find();
  328. if($public == 1){
  329. $t = DB::table('templates')->where('is_public',$public)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  330. }else{
  331. // 私有模板 添加创建人条件
  332. $t = DB::table('templates')->where('is_public',$public)->where('create_user',$id)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  333. }
  334. if(!$t){
  335. return '';
  336. }
  337. $data = array();
  338. foreach ($t as $k => $v) {
  339. if($v['parent_id'] == 0){
  340. var_dump((int)($v['parent_id']));
  341. $data[] = $v;
  342. }
  343. }
  344. die;
  345. foreach ($data as $k => $v) {
  346. unset($data[$k]['impression']);
  347. unset($data[$k]['description']);
  348. unset($data[$k]['parent_id']);
  349. }
  350. foreach ($t as $k => $v) {
  351. foreach ($data as $key => $value) {
  352. if($v['parent_id'] == $value['id']){
  353. unset($t[$k]['parent_id']);
  354. $data[$key]['children'][] = $t[$k];
  355. }
  356. }
  357. }
  358. if($data){
  359. return $data;
  360. }
  361. }
  362. /**
  363. * 确认报告
  364. *
  365. * @ApiTitle (确认报告)
  366. * @ApiSummary (确认报告)
  367. * @ApiSector (远程诊断)
  368. * @ApiMethod (POST)
  369. * @ApiRoute (/inter/writereport/confirm)
  370. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  371. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  372. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  373. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  374. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  375. * @ApiParams (name="film_type", type="string", sample="", description="胶片类型<必填>")
  376. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  377. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  378. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  379. * @ApiReturn (data="
  380. {
  381. 'status': ok,
  382. 'code': '0000',
  383. 'msg': '已确认',
  384. }
  385. *")
  386. **/
  387. public function confirm(){
  388. try{
  389. $is_remote = $_REQUEST['is_remote'];
  390. if($is_remote == 1){
  391. return json_encode(['status'=>'fail','code'=>'1133','msg'=>'远程无法确诊报告']);
  392. }
  393. $sessionid = $_REQUEST['sessionid'];
  394. $doctor = Cache::get($sessionid);
  395. $param = $_REQUEST['param'];
  396. $id = $param['id'];
  397. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  398. if($status['exam_status'] < 8 ){
  399. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  400. }elseif($status['exam_status'] == 9){
  401. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  402. }
  403. $rinfo = array();
  404. $rinfo['impression'] = isset($param['impression']) ? $param['impression'] : '';
  405. $rinfo['description'] = isset($param['description']) ? $param['description'] : '';
  406. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  407. $rinfo['report_result'] = 2;
  408. }else{
  409. $rinfo['report_result'] = 1;
  410. }
  411. $rinfo['confirm_datetime'] = date('Y-m-d H:i:s',time());
  412. $rinfo['confirm_doctor_id'] = $doctor['id'];
  413. // $exam_status = $this->get_exam_status($doctor['id'],9);
  414. DB::table('exams')->where('id',$id)->update(['exam_status'=>'9','film_type'=>$_REQUEST['param']['film_type']]);
  415. DB::table('report')->where('exam_id',$id)->update($rinfo);
  416. $cache_key = $doctor['id'].'_'.$id;
  417. if(Cache::get($cache_key)){
  418. Cache::rm($cache_key);
  419. }
  420. // 添加 确认log日志
  421. $info = array();
  422. $info['id'] = UUIDs::uuid16();
  423. $info['createdAt'] = date('Y-m-d H:i:s',time());
  424. $info['doctor_id'] = $doctor['id'];
  425. $info['type'] = 3;
  426. $info['report_id'] = '';
  427. DB::table('report_record')->insert($info);
  428. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已确认']);
  429. }catch(\Exception $e){
  430. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  431. }
  432. }
  433. /**
  434. * 审核报告
  435. *
  436. * @ApiTitle (审核报告)
  437. * @ApiSummary (审核报告)
  438. * @ApiSector (远程诊断)
  439. * @ApiMethod (POST)
  440. * @ApiRoute (/inter/writereport/examine)
  441. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  442. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  443. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  444. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  445. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  446. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  447. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  448. * @ApiParams (name="param[impression]", type="string", sample="", description="检查所见<必填>")
  449. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  450. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  451. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  452. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  453. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  454. * @ApiReturn (data="
  455. {
  456. 'status': ok,
  457. 'code': '0000',
  458. 'msg': '已审核',
  459. }
  460. *")
  461. **/
  462. public function examine(){
  463. try{
  464. $id = $_REQUEST['id'];
  465. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  466. if($status['exam_status'] < 7){
  467. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  468. }elseif($status['exam_status']>7){
  469. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  470. }
  471. $report = DB::table('report')->where('exam_id',$id)->field('id')->find();
  472. $param = $_REQUEST['param'];
  473. $sessionid = $_REQUEST['sessionid'];
  474. $doctor = Cache::get($sessionid);
  475. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  476. // 是远程审核报告 8
  477. $return = Verify::check_role($sessionid,8);
  478. }else{
  479. // 本地审核权限 3
  480. $return = Verify::check_role($sessionid,3);
  481. }
  482. $report_info = array();
  483. $report_info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  484. $report_info['description'] = isset($param['description']) ? $param['description'] : '';
  485. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  486. $report_info['report_result'] = 2;
  487. }else{
  488. $report_info['report_result'] = 1;
  489. }
  490. $report_info['review_datetime'] = date('Y-m-d H:i:s',time());
  491. $report_info['review_doctor_id'] = $doctor['id'];
  492. DB::table('report')->where('id',$report['id'])->update($report_info);
  493. $cache_key = $doctor['id'].'_'.$id;
  494. if(Cache::get($cache_key)){
  495. Cache::rm($cache_key);
  496. }
  497. $info = array();
  498. $info['id'] = UUIDs::uuid16();
  499. $info['type'] = 2; //审核
  500. $info['createdAt'] = date('Y-m-d H:i:s',time());
  501. $info['doctor_id'] = $doctor['id'];
  502. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  503. $info['description'] = isset($param['description']) ? $param['description'] : '';
  504. $info['report_id'] = $report['id'];
  505. DB::table('report_record')->insert($info);
  506. // $exam_status = $this->get_exam_status($doctor['id'],8);
  507. DB::table('exams')->where('id',$id)->update(['exam_status'=>'8','film_type'=>$param['film_type']]);
  508. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
  509. }catch(\Exception $e){
  510. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  511. }
  512. }
  513. /**
  514. * 获取报告权限
  515. *
  516. * @ApiTitle (获取报告权限)
  517. * @ApiSummary (获取报告权限)
  518. * @ApiSector (远程诊断)
  519. * @ApiMethod (POST)
  520. * @ApiRoute (/inter/writereport/getrole)
  521. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  522. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  523. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  524. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  525. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  526. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  527. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  528. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  529. * @ApiReturn (data="
  530. {
  531. 'status': ok,
  532. 'code': '0000',
  533. 'info': '',
  534. }
  535. *")
  536. **/
  537. public function getrole(){
  538. try{
  539. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  540. $is_remote = $_REQUEST['is_remote'];
  541. }
  542. $sessionid = $_REQUEST['sessionid'];
  543. $doctor = Cache::get($sessionid);
  544. $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
  545. $doctor_class = explode(',',$dclass['doctor_class']);
  546. $info = array();
  547. foreach ($doctor_class as $k=>$v) {
  548. switch($v){
  549. case 2: //报告医生
  550. if(isset($is_remote)){
  551. //远程报告
  552. break;
  553. }
  554. $info['bg'] = 1;
  555. break;
  556. case 7: //远程报告医生
  557. if(!isset($is_remote)){
  558. //远程报告
  559. break;
  560. }
  561. $info['bg'] = 1;
  562. break;
  563. case 3: //3审核医生
  564. if(isset($is_remote)){
  565. //远程报告
  566. break;
  567. }
  568. $info['sh'] = 2;
  569. break;
  570. case 8: //远程审核医生
  571. if(!isset($is_remote)){
  572. //远程报告
  573. break;
  574. }
  575. $info['sh'] = 2;
  576. break;
  577. case 4: //确认医生
  578. $info['qr'] = 3;
  579. break;
  580. }
  581. }
  582. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
  583. }catch(\Exception $e){
  584. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  585. }
  586. }
  587. /**
  588. * 获取报告日志
  589. *
  590. * @ApiTitle (获取报告日志)
  591. * @ApiSummary (获取报告日志)
  592. * @ApiSector (远程诊断)
  593. * @ApiMethod (POST)
  594. * @ApiRoute (/inter/writereport/get_report_log)
  595. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  596. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  597. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  598. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  599. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  600. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  601. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  602. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  603. * @ApiReturn (data="
  604. {
  605. 'status': ok,
  606. 'code': '0000',
  607. 'info': '',
  608. }
  609. *")
  610. **/
  611. public function get_report_log(){
  612. try{
  613. $sessionid = $_REQUEST['sessionid'];
  614. $doctor = Cache::get($sessionid);
  615. $exam_id = $_REQUEST['id'];
  616. $report = DB::table('report')->where('exam_id',$exam_id)->field('id')->find();
  617. if(empty($report)){
  618. return json_encode(['status'=>'ok','code'=>'0000','info'=>'','msg'=>'无数据']);
  619. }
  620. $log_id = $report['id'];
  621. $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$log_id)->order('createdAt asc,type asc')->select();
  622. foreach ($log as $k => $v) {
  623. $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
  624. $log[$k]['doctor_name'] = $doc['realname'];
  625. }
  626. return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
  627. }catch(\Exception $e){
  628. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  629. }
  630. }
  631. /**
  632. * 打印报告
  633. *
  634. * @ApiTitle (打印报告)
  635. * @ApiSummary (打印报告)
  636. * @ApiSector (远程诊断)
  637. * @ApiMethod (POST)
  638. * @ApiRoute (/inter/writereport/print_report)
  639. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  640. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  641. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  642. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  643. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  644. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  645. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  646. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  647. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  648. * @ApiReturn (data="
  649. {
  650. 'status': ok,
  651. 'code': '0000',
  652. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  653. 'info': '',
  654. }
  655. *")
  656. **/
  657. public function print_report(){
  658. try{
  659. $sessionid = $_REQUEST['sessionid'];
  660. $doctor = Cache::get($sessionid);
  661. $id = $_REQUEST['id'];
  662. $info = array();
  663. // 检查日期 住院号 床号
  664. $exam_info = DB::table('exams')->where('id',$id)->field('id,ext,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id')->find();
  665. $info['id'] = $exam_info['id'];
  666. $info['ext'] = $exam_info['ext'];
  667. $info['accession_num'] = $exam_info['accession_num'];
  668. if(!empty($exam_info['exam_datetime'])){
  669. $datetime = explode(' ',$exam_info['exam_datetime']);
  670. $info['exam_datetime'] = $datetime[0];
  671. }else{
  672. $info['exam_datetime'] = '';
  673. }
  674. $info['hopitalized_no'] = $exam_info['hopitalized_no'];
  675. $info['bed_no'] = $exam_info['bed_no'];
  676. // 检查项目
  677. $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
  678. $info['project'] = $project['name'];
  679. //检查类
  680. $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
  681. $info['exam_class'] = $exam_class['constant_value'];
  682. // 病历号 姓名 年龄 性别
  683. $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
  684. $remote = DB::table('remote_application')->where('exam_id',$id)->field('req_doctor_id')->find();
  685. $info['pnumber'] = $patient_info['temp_patient_id'];
  686. $info['name'] = $patient_info['name'];
  687. $info['sex'] = $patient_info['sex'];
  688. $info['age'] = $patient_info['age'];
  689. // 申请医生
  690. $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id')->find();
  691. $info['application_name'] = $application_name['realname'];
  692. // 申请科室
  693. $department = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
  694. $info['department_name'] = $department['department_name'];
  695. // 报告时间 影像所见 意见建议
  696. $report = DB::table('report')->where('exam_id',$id)->field('report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
  697. if(!empty($report['report_datetime'])){
  698. $datetime1 = explode(' ',$report['report_datetime']);
  699. $info['report_datetime'] = $datetime1[0];
  700. }else{
  701. $info['report_datetime'] = '';
  702. }
  703. // $info['report_datetime'] = $report['report_datetime'];
  704. $info['impression'] = $report['impression'];
  705. $info['description'] = $report['description'];
  706. // 报告医生
  707. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  708. $info['report_doctor'] = $report_doctor['realname'];
  709. //审核医生
  710. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  711. $info['review_doctor'] = $review_doctor['realname'];
  712. $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  713. $info['hospital'] = $hospital['name'];
  714. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  715. }catch(\Exception $e){
  716. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  717. }
  718. }
  719. /**
  720. * 变更胶片
  721. *
  722. * @ApiTitle (变更胶片)
  723. * @ApiSummary (变更胶片)
  724. * @ApiSector (远程诊断)
  725. * @ApiMethod (POST)
  726. * @ApiRoute (/inter/writereport/change_film)
  727. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  728. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  729. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  730. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  731. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  732. * @ApiParams (name="film_type", type="string", required=true, description="胶片")
  733. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  734. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  735. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  736. * @ApiReturn (data="z
  737. {
  738. 'status': ok,
  739. 'code': '0000',
  740. 'info': '',
  741. }
  742. *")
  743. **/
  744. public function change_film(){
  745. $id = $_REQUEST['id'];
  746. $film = $_REQUEST['film_type'];
  747. DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
  748. return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
  749. }
  750. public function draft(){
  751. $sessionid = $_REQUEST['sessionid'];
  752. $doctor = Cache::get($sessionid);
  753. $param = $_REQUEST['param'];
  754. $exam_id = $param['id'];
  755. $key = $doctor['id'].'_'.$exam_id;
  756. Cache::set($key,$param);
  757. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  758. }
  759. // XA类型数据获取
  760. public function get_rinfo(){
  761. $sessionid = $_REQUEST['sessionid'];
  762. $doctor = Cache::get($sessionid);
  763. $id = $_REQUEST['id'];
  764. $key = $doctor['id'].'_'.$id;
  765. if(Cache::get($key)){
  766. $patient = Cache::get($key);
  767. }else{
  768. $exam = DB::table('exams')->where('id',$id)->field('accession_num,exam_class,patient_id,ext,hopitalized_no,bed_no')->find();
  769. $patient = DB::table('patient_infos')->where('id',$exam['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  770. $report_info = DB::table('report')->where('exam_id',$id)->field('description')->find();
  771. $patient['ext'] = $exam['ext'];
  772. $patient['exam_id'] = $id;
  773. $patient['bed_no'] = $exam['bed_no'];
  774. $patient['accession_num'] = $exam['accession_num'];
  775. $patient['exam_class'] = $exam['exam_class'];
  776. $patient['hopitalized_no'] = $exam['hopitalized_no'];
  777. $patient['description'] = $report_info['description'];
  778. }
  779. return json_encode(['status'=>'ok','info'=>$patient,'code'=>'0000']);
  780. }
  781. // XA类型保存
  782. public function write_info(){
  783. $sessionid = $_REQUEST['sessionid'];
  784. $doctor = Cache::get($sessionid);
  785. $param = $_REQUEST['param'];
  786. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  787. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  788. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  789. $exam_info['hopitalized_no'] = isset($param['hospital_number']) ? $param['hospital_number'] : '';
  790. $exam_info['bed_no'] = isset($param['bed_number']) ? $param['bed_number'] : '';
  791. $exam_info['ext'] = isset($param['ext']) ? $param['ext'] : '';
  792. $exam_info['accession_num'] = isset($param['accession_num']) ? $param['accession_num'] : '';
  793. $report['description'] = isset($param['description']) ? $param['description'] : '';
  794. DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  795. DB::table('exams')->where('id',$param['id'])->update($exam_info);
  796. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  797. if($rinfo){
  798. DB::table('report')->where('exam_id',$param['id'])->update($report);
  799. }else{
  800. $report['id'] = UUIDs::uuid16();
  801. $report['exam_id'] = $param['id'];
  802. $report['createdAt'] = date('Y-m-d H:i:s',time());
  803. $report['report_datetime'] = date('Y-m-d H:i:s',time());
  804. $report['report_doctor_id'] = $doctor['id'];
  805. DB::table('report')->insert($report);
  806. }
  807. return json_encode(['status'=>'ok','msg'=>'成功','code'=>'0000']);
  808. }
  809. }