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. //第一级 公共模板
  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. $data[] = $v;
  341. }
  342. }
  343. foreach ($data as $k => $v) {
  344. unset($data[$k]['impression']);
  345. unset($data[$k]['description']);
  346. unset($data[$k]['parent_id']);
  347. }
  348. foreach ($t as $k => $v) {
  349. foreach ($data as $key => $value) {
  350. if($v['parent_id'] == $value['id']){
  351. unset($t[$k]['parent_id']);
  352. $data[$key]['children'][] = $t[$k];
  353. }
  354. }
  355. }
  356. if($data){
  357. return $data;
  358. }
  359. }
  360. /**
  361. * 确认报告
  362. *
  363. * @ApiTitle (确认报告)
  364. * @ApiSummary (确认报告)
  365. * @ApiSector (远程诊断)
  366. * @ApiMethod (POST)
  367. * @ApiRoute (/inter/writereport/confirm)
  368. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  369. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  370. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  371. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  372. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  373. * @ApiParams (name="film_type", type="string", sample="", description="胶片类型<必填>")
  374. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  375. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  376. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  377. * @ApiReturn (data="
  378. {
  379. 'status': ok,
  380. 'code': '0000',
  381. 'msg': '已确认',
  382. }
  383. *")
  384. **/
  385. public function confirm(){
  386. try{
  387. $is_remote = $_REQUEST['is_remote'];
  388. if($is_remote == 1){
  389. return json_encode(['status'=>'fail','code'=>'1133','msg'=>'远程无法确诊报告']);
  390. }
  391. $sessionid = $_REQUEST['sessionid'];
  392. $doctor = Cache::get($sessionid);
  393. $param = $_REQUEST['param'];
  394. $id = $param['id'];
  395. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  396. if($status['exam_status'] < 8 ){
  397. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  398. }elseif($status['exam_status'] == 9){
  399. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  400. }
  401. $rinfo = array();
  402. $rinfo['impression'] = isset($param['impression']) ? $param['impression'] : '';
  403. $rinfo['description'] = isset($param['description']) ? $param['description'] : '';
  404. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  405. $rinfo['report_result'] = 2;
  406. }else{
  407. $rinfo['report_result'] = 1;
  408. }
  409. $rinfo['confirm_datetime'] = date('Y-m-d H:i:s',time());
  410. $rinfo['confirm_doctor_id'] = $doctor['id'];
  411. // $exam_status = $this->get_exam_status($doctor['id'],9);
  412. DB::table('exams')->where('id',$id)->update(['exam_status'=>'9','film_type'=>$_REQUEST['param']['film_type']]);
  413. DB::table('report')->where('exam_id',$id)->update($rinfo);
  414. $cache_key = $doctor['id'].'_'.$id;
  415. if(Cache::get($cache_key)){
  416. Cache::rm($cache_key);
  417. }
  418. // 添加 确认log日志
  419. $info = array();
  420. $info['id'] = UUIDs::uuid16();
  421. $info['createdAt'] = date('Y-m-d H:i:s',time());
  422. $info['doctor_id'] = $doctor['id'];
  423. $info['type'] = 3;
  424. $info['report_id'] = '';
  425. DB::table('report_record')->insert($info);
  426. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已确认']);
  427. }catch(\Exception $e){
  428. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  429. }
  430. }
  431. /**
  432. * 审核报告
  433. *
  434. * @ApiTitle (审核报告)
  435. * @ApiSummary (审核报告)
  436. * @ApiSector (远程诊断)
  437. * @ApiMethod (POST)
  438. * @ApiRoute (/inter/writereport/examine)
  439. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  440. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  441. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  442. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  443. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  444. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  445. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  446. * @ApiParams (name="param[impression]", type="string", sample="", description="检查所见<必填>")
  447. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  448. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  449. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  450. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  451. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  452. * @ApiReturn (data="
  453. {
  454. 'status': ok,
  455. 'code': '0000',
  456. 'msg': '已审核',
  457. }
  458. *")
  459. **/
  460. public function examine(){
  461. try{
  462. $id = $_REQUEST['id'];
  463. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  464. if($status['exam_status'] < 7){
  465. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  466. }elseif($status['exam_status']>7){
  467. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  468. }
  469. $report = DB::table('report')->where('exam_id',$id)->field('id')->find();
  470. $param = $_REQUEST['param'];
  471. $sessionid = $_REQUEST['sessionid'];
  472. $doctor = Cache::get($sessionid);
  473. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  474. // 是远程审核报告 8
  475. $return = Verify::check_role($sessionid,8);
  476. }else{
  477. // 本地审核权限 3
  478. $return = Verify::check_role($sessionid,3);
  479. }
  480. $report_info = array();
  481. $report_info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  482. $report_info['description'] = isset($param['description']) ? $param['description'] : '';
  483. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  484. $report_info['report_result'] = 2;
  485. }else{
  486. $report_info['report_result'] = 1;
  487. }
  488. $report_info['review_datetime'] = date('Y-m-d H:i:s',time());
  489. $report_info['review_doctor_id'] = $doctor['id'];
  490. DB::table('report')->where('id',$report['id'])->update($report_info);
  491. $cache_key = $doctor['id'].'_'.$id;
  492. if(Cache::get($cache_key)){
  493. Cache::rm($cache_key);
  494. }
  495. $info = array();
  496. $info['id'] = UUIDs::uuid16();
  497. $info['type'] = 2; //审核
  498. $info['createdAt'] = date('Y-m-d H:i:s',time());
  499. $info['doctor_id'] = $doctor['id'];
  500. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  501. $info['description'] = isset($param['description']) ? $param['description'] : '';
  502. $info['report_id'] = $report['id'];
  503. DB::table('report_record')->insert($info);
  504. // $exam_status = $this->get_exam_status($doctor['id'],8);
  505. DB::table('exams')->where('id',$id)->update(['exam_status'=>'8','film_type'=>$param['film_type']]);
  506. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
  507. }catch(\Exception $e){
  508. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  509. }
  510. }
  511. /**
  512. * 获取报告权限
  513. *
  514. * @ApiTitle (获取报告权限)
  515. * @ApiSummary (获取报告权限)
  516. * @ApiSector (远程诊断)
  517. * @ApiMethod (POST)
  518. * @ApiRoute (/inter/writereport/getrole)
  519. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  520. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  521. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  522. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  523. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  524. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  525. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  526. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  527. * @ApiReturn (data="
  528. {
  529. 'status': ok,
  530. 'code': '0000',
  531. 'info': '',
  532. }
  533. *")
  534. **/
  535. public function getrole(){
  536. try{
  537. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  538. $is_remote = $_REQUEST['is_remote'];
  539. }
  540. $sessionid = $_REQUEST['sessionid'];
  541. $doctor = Cache::get($sessionid);
  542. $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
  543. $doctor_class = explode(',',$dclass['doctor_class']);
  544. $info = array();
  545. foreach ($doctor_class as $k=>$v) {
  546. switch($v){
  547. case 2: //报告医生
  548. if(isset($is_remote)){
  549. //远程报告
  550. break;
  551. }
  552. $info['bg'] = 1;
  553. break;
  554. case 7: //远程报告医生
  555. if(!isset($is_remote)){
  556. //远程报告
  557. break;
  558. }
  559. $info['bg'] = 1;
  560. break;
  561. case 3: //3审核医生
  562. if(isset($is_remote)){
  563. //远程报告
  564. break;
  565. }
  566. $info['sh'] = 2;
  567. break;
  568. case 8: //远程审核医生
  569. if(!isset($is_remote)){
  570. //远程报告
  571. break;
  572. }
  573. $info['sh'] = 2;
  574. break;
  575. case 4: //确认医生
  576. $info['qr'] = 3;
  577. break;
  578. }
  579. }
  580. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
  581. }catch(\Exception $e){
  582. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  583. }
  584. }
  585. /**
  586. * 获取报告日志
  587. *
  588. * @ApiTitle (获取报告日志)
  589. * @ApiSummary (获取报告日志)
  590. * @ApiSector (远程诊断)
  591. * @ApiMethod (POST)
  592. * @ApiRoute (/inter/writereport/get_report_log)
  593. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  594. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  595. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  596. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  597. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  598. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  599. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  600. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  601. * @ApiReturn (data="
  602. {
  603. 'status': ok,
  604. 'code': '0000',
  605. 'info': '',
  606. }
  607. *")
  608. **/
  609. public function get_report_log(){
  610. try{
  611. $sessionid = $_REQUEST['sessionid'];
  612. $doctor = Cache::get($sessionid);
  613. $exam_id = $_REQUEST['id'];
  614. $report = DB::table('report')->where('exam_id',$exam_id)->field('id')->find();
  615. if(empty($report)){
  616. return json_encode(['status'=>'ok','code'=>'0000','info'=>'','msg'=>'无数据']);
  617. }
  618. $log_id = $report['id'];
  619. $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$log_id)->order('createdAt asc,type asc')->select();
  620. foreach ($log as $k => $v) {
  621. $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
  622. $log[$k]['doctor_name'] = $doc['realname'];
  623. }
  624. return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
  625. }catch(\Exception $e){
  626. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  627. }
  628. }
  629. /**
  630. * 打印报告
  631. *
  632. * @ApiTitle (打印报告)
  633. * @ApiSummary (打印报告)
  634. * @ApiSector (远程诊断)
  635. * @ApiMethod (POST)
  636. * @ApiRoute (/inter/writereport/print_report)
  637. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  638. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  639. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  640. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  641. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  642. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  643. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  644. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  645. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  646. * @ApiReturn (data="
  647. {
  648. 'status': ok,
  649. 'code': '0000',
  650. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  651. 'info': '',
  652. }
  653. *")
  654. **/
  655. public function print_report(){
  656. try{
  657. $sessionid = $_REQUEST['sessionid'];
  658. $doctor = Cache::get($sessionid);
  659. $id = $_REQUEST['id'];
  660. $info = array();
  661. // 检查日期 住院号 床号
  662. $exam_info = DB::table('exams')->where('id',$id)->field('id,ext,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id')->find();
  663. $info['id'] = $exam_info['id'];
  664. $info['ext'] = $exam_info['ext'];
  665. $info['accession_num'] = $exam_info['accession_num'];
  666. if(!empty($exam_info['exam_datetime'])){
  667. $datetime = explode(' ',$exam_info['exam_datetime']);
  668. $info['exam_datetime'] = $datetime[0];
  669. }else{
  670. $info['exam_datetime'] = '';
  671. }
  672. $info['hopitalized_no'] = $exam_info['hopitalized_no'];
  673. $info['bed_no'] = $exam_info['bed_no'];
  674. // 检查项目
  675. $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
  676. $info['project'] = $project['name'];
  677. //检查类
  678. $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
  679. $info['exam_class'] = $exam_class['constant_value'];
  680. // 病历号 姓名 年龄 性别
  681. $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
  682. $remote = DB::table('remote_application')->where('exam_id',$id)->field('req_doctor_id')->find();
  683. $info['pnumber'] = $patient_info['temp_patient_id'];
  684. $info['name'] = $patient_info['name'];
  685. $info['sex'] = $patient_info['sex'];
  686. $info['age'] = $patient_info['age'];
  687. // 申请医生
  688. $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id')->find();
  689. $info['application_name'] = $application_name['realname'];
  690. // 申请科室
  691. $department = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
  692. $info['department_name'] = $department['department_name'];
  693. // 报告时间 影像所见 意见建议
  694. $report = DB::table('report')->where('exam_id',$id)->field('report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
  695. if(!empty($report['report_datetime'])){
  696. $datetime1 = explode(' ',$report['report_datetime']);
  697. $info['report_datetime'] = $datetime1[0];
  698. }else{
  699. $info['report_datetime'] = '';
  700. }
  701. // $info['report_datetime'] = $report['report_datetime'];
  702. $info['impression'] = $report['impression'];
  703. $info['description'] = $report['description'];
  704. // 报告医生
  705. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  706. $info['report_doctor'] = $report_doctor['realname'];
  707. //审核医生
  708. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  709. $info['review_doctor'] = $review_doctor['realname'];
  710. $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  711. $info['hospital'] = $hospital['name'];
  712. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  713. }catch(\Exception $e){
  714. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  715. }
  716. }
  717. /**
  718. * 变更胶片
  719. *
  720. * @ApiTitle (变更胶片)
  721. * @ApiSummary (变更胶片)
  722. * @ApiSector (远程诊断)
  723. * @ApiMethod (POST)
  724. * @ApiRoute (/inter/writereport/change_film)
  725. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  726. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  727. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  728. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  729. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  730. * @ApiParams (name="film_type", type="string", required=true, description="胶片")
  731. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  732. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  733. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  734. * @ApiReturn (data="z
  735. {
  736. 'status': ok,
  737. 'code': '0000',
  738. 'info': '',
  739. }
  740. *")
  741. **/
  742. public function change_film(){
  743. $id = $_REQUEST['id'];
  744. $film = $_REQUEST['film_type'];
  745. DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
  746. return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
  747. }
  748. public function draft(){
  749. $sessionid = $_REQUEST['sessionid'];
  750. $doctor = Cache::get($sessionid);
  751. $param = $_REQUEST['param'];
  752. $exam_id = $param['id'];
  753. $key = $doctor['id'].'_'.$exam_id;
  754. Cache::set($key,$param);
  755. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  756. }
  757. // XA类型数据获取
  758. public function get_rinfo(){
  759. $sessionid = $_REQUEST['sessionid'];
  760. $doctor = Cache::get($sessionid);
  761. $id = $_REQUEST['id'];
  762. $key = $doctor['id'].'_'.$id;
  763. if(Cache::get($key)){
  764. $patient = Cache::get($key);
  765. }else{
  766. $exam = DB::table('exams')->where('id',$id)->field('accession_num,exam_class,patient_id,ext,hopitalized_no,bed_no')->find();
  767. $patient = DB::table('patient_infos')->where('id',$exam['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  768. $report_info = DB::table('report')->where('exam_id',$id)->field('description')->find();
  769. $patient['ext'] = $exam['ext'];
  770. $patient['exam_id'] = $id;
  771. $patient['bed_no'] = $exam['bed_no'];
  772. $patient['accession_num'] = $exam['accession_num'];
  773. $patient['exam_class'] = $exam['exam_class'];
  774. $patient['hopitalized_no'] = $exam['hopitalized_no'];
  775. $patient['description'] = $report_info['description'];
  776. }
  777. return json_encode(['status'=>'ok','info'=>$patient,'code'=>'0000']);
  778. }
  779. // XA类型保存
  780. public function write_info(){
  781. $sessionid = $_REQUEST['sessionid'];
  782. $doctor = Cache::get($sessionid);
  783. $param = $_REQUEST['param'];
  784. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  785. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  786. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  787. $exam_info['hopitalized_no'] = isset($param['hospital_number']) ? $param['hospital_number'] : '';
  788. $exam_info['bed_no'] = isset($param['bed_number']) ? $param['bed_number'] : '';
  789. $exam_info['ext'] = isset($param['ext']) ? $param['ext'] : '';
  790. $exam_info['accession_num'] = isset($param['accession_num']) ? $param['accession_num'] : '';
  791. $report['description'] = isset($param['description']) ? $param['description'] : '';
  792. DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  793. DB::table('exams')->where('id',$param['id'])->update($exam_info);
  794. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  795. if($rinfo){
  796. DB::table('report')->where('exam_id',$param['id'])->update($report);
  797. }else{
  798. $report['id'] = UUIDs::uuid16();
  799. $report['exam_id'] = $param['id'];
  800. $report['createdAt'] = date('Y-m-d H:i:s',time());
  801. $report['report_datetime'] = date('Y-m-d H:i:s',time());
  802. $report['report_doctor_id'] = $doctor['id'];
  803. DB::table('report')->insert($report);
  804. }
  805. return json_encode(['status'=>'ok','msg'=>'成功','code'=>'0000']);
  806. }
  807. }