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