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