yuanchengpasc/application/inter/controller/Writereport.php

<?php
namespace app\inter\controller;

//use Doctrine\Common\Cache\Cache;
use app\common\library\Message;
use think\Controller;
use think\Db;
use think\Session;
use app\common\library\UUIDs;
use think\Cache;
use think\Log;
use app\common\library\Verify;
use app\common\library\send_message;

class Writereport extends Base
{
    /**
     * 写报告页面
     *
     * @ApiTitle            (写报告页面)
     * @ApiSummary          (写报告页面)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/index)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=truee, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="is_remote",                     type="string",      required=true,      description="是否为远程列表进入")
     * @ApiParams         (name="param[id]",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiParams         (name="param[images]",        type="string",      sample="",          description="影像图片<选填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturnParams   (name="is_remote",                      type="object",      sample="{}",        description="是否为远程诊断进入")
     * @ApiReturnParams   (name="sessionid",                      type="object",      sample="{}",        description="缓存的数据key")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'sessionid': 'a17z7a7a8f9g9rh9d89jio',
    'is_remote': 1,
    'info' : ''
    }
     *")
     **/
    public function  index(){
        try{
            log::record('-----请求值-----');
            log::record($_REQUEST);
            log::record('-----请求值-----');
            $sessionid = $_REQUEST['sessionid'];
            if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
                $is_remote = $_REQUEST['is_remote'];
            }else{
                $is_remote = 0;
            }
            $doctor = Cache::get($sessionid);
            $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name,report_subtitle')->find();
            $param = $_REQUEST['param'];
            $id = $param['id'];
            $info = DB::table('exams')->where('id',$id)->field(['id','ext','study_id','exam_class','exam_status','exam_datetime','exam_sub_class','body_part','accession_num','patient_id','film_type'])->find();
            $exam_class = DB::table('constant')->where('id',$info['exam_class'])->field('constant_value')->find();
            $info['exam_class'] = $exam_class['constant_value'];
            $exam_subclass = DB::table('exam_subclass')->where('id',$info['exam_sub_class'])->field('name')->find();
            $info['exam_sub_class'] = $exam_subclass['name'];
            $patient_info = DB::table('patient_infos')->where('id',$info['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
            $info['pid'] = $patient_info['temp_patient_id'];
            $info['name'] = $patient_info['name'];
            $info['sex'] = $patient_info['sex'];
            $info['age'] = $patient_info['age'];
            $info['phone'] = $patient_info['phone'];
            $info['hospital_name'] = $institution['name'];
            $info['hospital_title'] = $institution['report_subtitle'];
            $info['images'] = isset($param['images']) ? $param['images'] : '';
            if(isset($param['rid']) && !empty($param['rid'])){
                $remote_id = $param['rid'];
                $report = DB::table('report')->where('exam_id',$id)->where('remote_application_id',$remote_id)->field('qr_code,id,remote_application_id,report_result,report_datetime,report_doctor_id,review_datetime,review_doctor_id,impression,description')->find();
                $sta = DB::table('remote_application')->where('id',$remote_id)->field('report_status')->find();
                $info['report_status'] = $sta['report_status'];
                $r_id = $report['remote_application_id'];
            }else{
                // 不存在 本地点击进入  获取本地报告
                $report = DB::table('report')->where('exam_id',$id)->where('type',1)->field('qr_code,id,remote_application_id,report_result,report_datetime,report_doctor_id,review_datetime,review_doctor_id,impression,description')->find();
                $info['report_status'] = '';
                $r_report = DB::table('report')->where('exam_id',$id)->where('type',2)->field('remote_application_id')->find();
                $r_id = $r_report['remote_application_id'];
            }
            if( $r_id == ''){
                $info['remote'] = 1;
            }else{
                $info['remote'] = 2;
            }
            $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
            $info['report_doctor'] = $report_doctor['realname'];
            $info['report_datetime'] = $report['report_datetime'];
            $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
            $info['review_doctor'] = $review_doctor['realname'];
            $info['review_datetime'] = $report['review_datetime'];
            $info['description'] = $report['description'];
            $info['impression'] = $report['impression'];
            $info['report_result'] = $report['report_result'];
            $info['report_id'] = $report['id'];
            $info['qr_code'] = $report['qr_code'];
            $cache_key = $doctor['id'].'_'.$report['id'];
            if(Cache::get($cache_key)){
                $cache = Cache::get($cache_key);
                $info['description'] = isset($cache['description']) ? $cache['description'] : '';
                $info['impression'] = isset($cache['impression']) ? $cache['impression'] : '';
                $info['report_result'] = isset($cache['r_result']) ?$cache['r_result'] : '';
                $info['name'] = isset($cache['name']) ? $cache['name'] : '';
                $info['sex'] = isset($cache['sex']) ? $cache['sex'] : '';
                $info['age'] = isset($cache['age']) ? $cache['age'] : '';
                $info['phone'] = isset($cache['phone']) ? $cache['phone'] : '';
            }
            return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid,'is_remote'=>$is_remote]);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }
    }
    /**
     * 上远程申请附件
     *
     * @ApiTitle            (上远程申请附件)
     * @ApiSummary          (上远程申请附件)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/upload)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="file",                     type="string",      required=true,      description="上传的文件<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'info' : '/upload/20180101/12346asd.jpg'
    }
     *")
     **/
    public function upload($files){
        // 获取表单上传文件
        foreach($files as $file){
            // 移动到框架应用根目录/public/uploads/ 目录下
            $info = $file->move(ROOT_PATH . 'public' . DS . 'uploads');
            if($info){
                return $info->getSaveName();
                // 成功上传后 获取上传信息
                // 输出 jpg
                // echo $info-> getExtension();
                // 输出 42a79759f284b767dfcb2a0197904287.jpg
                // echo $info->getFilename();
            }else{
                // 上传失败获取错误信息
//                echo $file->getError();
            }
        }
    }
    /**
     * 报告保存
     *
     * @ApiTitle            (报告保存)
     * @ApiSummary          (报告保存)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/write)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="is_remote",                     type="string",      required=true,      description="是否为远程列表进入")
     * @ApiParams         (name="param[id]",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiParams         (name="param[pid]",        type="string",      sample="",          description="患者id值<必填>")
     * @ApiParams         (name="param[name]",        type="string",      sample="",          description="患者姓名<必填>")
     * @ApiParams         (name="param[age]",        type="string",      sample="",          description="患者年龄<必填>")
     * @ApiParams         (name="param[sex]",        type="string",      sample="",          description="患者性别<必填>")
     * @ApiParams         (name="param[impression]",        type="string",      sample="",          description="影响所见<必填>")
     * @ApiParams         (name="param[description]",        type="string",      sample="",          description="意见建议<必填>")
     * @ApiParams         (name="param[film_type]",        type="string",      sample="",          description="胶片<必填>")
     * @ApiParams         (name="param[r_result]",        type="string",      sample="",          description="检查结果<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturnParams   (name="sessionid",                      type="object",      sample="{}",        description="缓存的数据key")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'sessionid': 'a17z7a7a8f9g9rh9d89jio',
    'msg' : '保存成功'
    }
     *")
     **/
    public function write(){
        try{
            $sessionid = $_REQUEST['sessionid'];
            if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
                //  是远程写报告  7
                $return  = Verify::check_role($sessionid,7);
            }else{
                //  本地写报告权限 2
                $return  = Verify::check_role($sessionid,2);
            }
            if($return != 1){
                return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
            }
            $param = $_REQUEST['param'];
            if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
                //远程
                $status = DB::table('remote_application')->where('id',$param['rid'])->field('report_status')->find();
                if($status['report_status']  ==  12){
                    return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被撤回，无法进行保存填写']);
                }elseif($status['report_status'] > 7 && $status['report_status'] != 13){
                    return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被审核，无法再次被保存']);
                }
            }else{
                //本地
                $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
                if($status['exam_status'] > 6 && $status['exam_status'] != 13){
                    return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存，无法再次被修改']);
                }
            }
//            Verify::wreportCheck($param);
            $doctor = Cache::get($sessionid);
//            $remote_app = DB::table('remote_application')->where('exam_id',$param['id'])->field('remote_doctor_id')->find();
//            if(!empty($remote_app['remote_doctor_id'])){
//                if($remote_app['remote_doctor_id'] != $doctor['id']){
//                    return json_encode(['status'=>'fail','code'=>'1029','msg'=>'已被指定报告医生，您没有操作权限']);
//                }
//            }
            $this->uuids = new UUIDs();
            //初步报告生成
            $film_type = isset($param['film_type']) ? $param['film_type'] : '';
            // $exam_status = $this->get_exam_status($doctor['id'],7);
            $patient_info = array();
            $patient_info['id']       = isset($param['pid']) ? $param['pid'] : '';
            $patient_info['name']     = isset($param['name']) ? $param['name'] : '';
            $patient_info['age']      = isset($param['age']) ? $param['age'] : '';
            $patient_info['phone']    = isset($param['phone']) ? $param['phone'] : '';
            if(isset($param['sex']) && !empty($param['sex'])){
                switch($param['sex']){
                    case '男';
                        $sex = 'M';
                        break;
                    case '女';
                        $sex = 'F';
                        break;
                    case 'm';
                        $sex = 'M';
                        break;
                    case 'f';
                        $sex = 'F';
                        break;
                    default :
                        $sex = $param['sex'];
                }
                $patient_info['sex']      =   $sex;
            }
            $patient = DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
            $info = array();
            $info['exam_id'] = $param['id'];
            $info['impression']       = isset($param['impression']) ? $param['impression'] : '';
            $info['description']      = isset($param['description']) ? $param['description'] : '';
            if(isset($param['r_result']) && $param['r_result'] == 'true'){
                $info['report_result'] = 2;
            }else{
                $info['report_result'] = 1;
            }
            DB::table('exams')->where('id',$param['id'])->update(['film_type'=>$film_type,'phone'=>isset($param['phone']) ? $param['phone'] : '','exam_report'=>$info['report_result']]);
            // 报告的id
            $report_id = $param['report_id'];
            if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
                // 远程保存
                DB::table('remote_application')->where('id',$param['rid'])->update(['report_status'=>'7']);
                $info['type'] = 2;
            }else{
                //本地保存
                DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>'7']);
                $info['type'] = 1;
            }
            $info['report_datetime']  = date('Y-m-d H:i:s',time());
            $info['report_doctor_id'] = $doctor['id'];
            $info['remote_application_id'] = $param['rid'];
            if($report_id){
                $report_info = DB::table('report')->where('id',$report_id)->find();
                $report = DB::table('report')->where('id',$report_id)->update($info);
                $id = $report_info['id'];
                $cache_key = $doctor['id'].'_'.$report_id;
                $rid = $report_id;
            } else {
                $id = $this->uuids->uuid16();
                $info['id'] = $id;
                $info['createdAt'] = date('Y-m-d H:i:s',time());
                $report = DB::table('report')->insert($info);
                $cache_key = $doctor['id'].'_'.$id;
                $rid = $id;
            }
            if(Cache::get($cache_key)){
                Cache::rm($cache_key);
            }
            //写入log日志
            log::record('----日志写入----');
            $log = array();
            $log['id'] = UUIDs::uuid16();
            $log['impression'] = isset($param['impression']) ? $param['impression'] : '';
            $log['description'] = isset($param['description']) ? $param['description'] : '';
            $log['report_id'] = $rid;
            $log['createdAt'] = date('Y-m-d H:i:s',time());
            $log['doctor_id'] = $doctor['id'];
            $log['type'] = 1;  //写报告
            log::record($log);
            $report_log = DB::table('report_record')->insert($log);
            log::record($report_log);
            log::record('----日志写入成功----');
            $application = DB::table('remote_application')->where('exam_id',$param['id'])->find();
            if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
                $tel = '18910184804';
                $type = '保存报告';
                $content  = $application['id'];
                // send_message::sendSms2Self($tel,$type,$content);
            }
            $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$rid;
            $info = $this->curl_get($url);
            return json_encode(['status'=>'ok','code'=>'0000','msg'=>'保存成功','sessionid'=>$sessionid]);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }
    }

    public function get_exam_status($doctorid,$status){
        $doctor_class = DB::table('doctor_class')->where('doctor_id',$doctorid)->field('doctor_class')->find();
        if(strpos($doctor_class['doctor_class'],'9')){
            return 9;
        }elseif(strpos($doctor_class['doctor_class'],'8')){
            return 8;
        }else{
            return $status;
        }
    }
    /**
     * 公有模板列表
     *
     * @ApiTitle            (公有模板列表)
     * @ApiSummary          (公有模板列表)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/public_template)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="exam_class",                 type="string",      required=true,      description="检查类id")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturn   (data="
    {
    'info' : ''
    }
     *")
     **/
    public function public_template(){
        $sessionid = $_REQUEST['sessionid'];
        $doctor = Cache::get($sessionid);
        $exam = $_REQUEST['exam_class'];
        //第一级  公共模板
        $info = $this->get_template(1,$doctor['id'],$exam);
        return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
    }
    /**
     * 私有模板列表
     *
     * @ApiTitle            (私有模板列表)
     * @ApiSummary          (私有模板列表)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/private_template)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="exam_class",                 type="string",      required=true,      description="检查类id")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturn   (data="
    {
    'info' : ''
    }
     *")
     **/
    public function private_template(){
        $sessionid = $_REQUEST['sessionid'];
        $doctor = Cache::get($sessionid);
        $exam = $_REQUEST['exam_class'];
        //私有模板
        $info = $this->get_template(2,$doctor['id'],$exam);
        return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
    }

    public function get_template($public,$id,$exam){
        // 查询exam_class表
        $examCla = DB::table('constant')->where('id',$exam)->field('constant_value as name')->find();

        if($public == 1){
            $t = DB::table('templates')->where('is_public',$public)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
        }else{
            // 私有模板 添加创建人条件
            $t = DB::table('templates')->where('is_public',$public)->where('create_user',$id)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
        }
        if(!$t){
            return '';
        }
        $data = array();
        foreach ($t as $k => $v) {
            if($v['parent_id'] == '0'){
                $data[] = $v;
            }
        }
        foreach ($data as $k => $v) {
            unset($data[$k]['impression']);
            unset($data[$k]['description']);
            unset($data[$k]['parent_id']);
        }
        foreach ($t as $k => $v) {
            foreach ($data as $key => $value) {
                if($v['parent_id'] == $value['id']){
                    unset($t[$k]['parent_id']);
                    $data[$key]['children'][] = $t[$k];
                }
            }
        }
        if($data){
            return $data;
        }
    }

    /**
     * 确认报告
     *
     * @ApiTitle            (确认报告)
     * @ApiSummary          (确认报告)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/confirm)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="id",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiParams         (name="film_type",        type="string",      sample="",          description="胶片类型<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'msg': '已确认',
    }
     *")
     **/
    public function confirm(){
        try{
            $is_remote = $_REQUEST['is_remote'];
            if($is_remote == 1){
                return json_encode(['status'=>'fail','code'=>'1133','msg'=>'远程无法确诊报告']);
            }
            $sessionid = $_REQUEST['sessionid'];
            $doctor = Cache::get($sessionid);
            $param = $_REQUEST['param'];
            $id = $param['id'];
            $report_id = $param['report_id'];
            $report_info = DB::table('report')->where('id',$report_id)->find();
            if($report_info['type'] == 1){
                //本地报告
                $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
                if($status['exam_status'] < 8 ){
                    return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
                }elseif($status['exam_status'] == 9){
                    return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告，不可再次确认']);
                }
            }else{
                //远程
                $status = DB::table('remote_application')->where('id',$report_info['remote_application_id'])->field('remote_doctor_id,report_status')->find();
                if($status['report_status'] < 8 ){
                    return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
                }elseif($status['report_status'] == 9){
                    return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告，不可再次确认']);
                }
            }
            $rinfo = array();
            if(isset($param['r_result']) && $param['r_result'] == 'true'){
                $rinfo['report_result'] = 2;
            }else{
                $rinfo['report_result'] = 1;
            }
            $rinfo['confirm_datetime']  = date('Y-m-d H:i:s',time());
            $rinfo['confirm_doctor_id'] = $doctor['id'];
            if($report_info['type'] == 1){
                //本地报告确认
                DB::table('exams')->where('id',$id)->update(['exam_status'=>'9']);
            }else{
                Message::read($doctor['id'],$report_info['remote_application_id'],4);
                //远程确认
                DB::table('remote_application')->where('id',$report_info['remote_application_id'])->update(['report_status'=>'9']);
                // 添加messages消息
                $t = '您的报告已确认';
                $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
                $c = '您的远程诊断申请报告,已被'.$institution['name'].$doctor['realname'].'医师确认';
                $d = $status['remote_doctor_id'];
                $type = '6';
                $url = '';
                Message::insert($t,$c,$d,$type,$url,1,$report_info['remote_application_id']);
            }
            DB::table('exams')->where('id',$id)->update(['film_type'=>$_REQUEST['param']['film_type']]);
            DB::table('report')->where('id',$report_id)->update($rinfo);
            $cache_key = $doctor['id'].'_'.$report_info['id'];
            if(Cache::get($cache_key)){
                Cache::rm($cache_key);
            }
            // 添加  确认log日志
            $info = array();
            $info['id'] = UUIDs::uuid16();
            $info['createdAt'] = date('Y-m-d H:i:s',time());
            $info['doctor_id'] = $doctor['id'];
            $info['type'] = 3;
            $info['report_id'] = $report_id;
            DB::table('report_record')->insert($info);
            return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已确认']);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }

    }

    /**
     * 审核报告
     *
     * @ApiTitle            (审核报告)
     * @ApiSummary          (审核报告)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/examine)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="is_remote",                     type="string",      required=true,      description="是否为远程列表进入")
     * @ApiParams         (name="id",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiParams         (name="param[impression]",        type="string",      sample="",          description="检查所见<必填>")
     * @ApiParams         (name="param[description]",        type="string",      sample="",          description="意见建议<必填>")
     * @ApiParams         (name="param[r_result]",        type="string",      sample="",          description="检查结果<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'msg': '已审核',
    }
     *")
     **/
    public function examine(){
        try{
            $id = $_REQUEST['id'];
            $param = $_REQUEST['param'];
            $report_id = $param['report_id'];
            $report = DB::table('report')->where('id',$report_id)->find();
            $sessionid = $_REQUEST['sessionid'];
            $doctor = Cache::get($sessionid);
            if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
                //  是远程审核报告  8
                $return  = Verify::check_role($sessionid,8);
                $status = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id,report_status')->find();
                if($status['report_status'] < 7){
                    return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
                }elseif($status['report_status']>8){
                    return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已被下级医院所确认，无法进行审核']);
                }elseif($status['report_status'] == 8){
                    if($report['review_doctor_id'] != $doctor['id']){
                        return json_encode(['status'=>'fail','code'=>'1039','msg'=>'审核人不一致']);
                    }
                }
                DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>'8']);
            }else{
                //  本地审核权限 3
                $return  = Verify::check_role($sessionid,3);
                $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
                if($status['exam_status'] < 7){
                    return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
                }elseif($status['exam_status']>7){
                    return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤，请勿重复操作']);
                }
                DB::table('exams')->where('id',$id)->update(['exam_status'=>'8']);
            }
            $report_info = array();
            $report_info['impression']       = isset($param['impression']) ? $param['impression'] : '';
            $report_info['description']      = isset($param['description']) ? $param['description'] : '';
            if(isset($param['r_result']) && $param['r_result'] == 'true'){
                $report_info['report_result'] = 2;
            }else{
                $report_info['report_result'] = 1;
            }
            $report_info['review_datetime']  =  date('Y-m-d H:i:s',time());
            $report_info['review_doctor_id'] = $doctor['id'];
            DB::table('report')->where('id',$report['id'])->update($report_info);
            $cache_key = $doctor['id'].'_'.$report['id'];
            if(Cache::get($cache_key)){
                Cache::rm($cache_key);
            }
            $info = array();
            $info['id'] = UUIDs::uuid16();
            $info['type'] = 2; //审核
            $info['createdAt'] = date('Y-m-d H:i:s',time());
            $info['doctor_id'] = $doctor['id'];
            $info['impression']       = isset($param['impression']) ? $param['impression'] : '';
            $info['description']      = isset($param['description']) ? $param['description'] : '';
            $info['report_id'] = $report['id'];
            DB::table('report_record')->insert($info);
            DB::table('exams')->where('id',$id)->update(['film_type'=>$param['film_type']]);
            //  已审核 发送短信
            $application = DB::table('remote_application')->where('exam_id',$id)->find();
            $dinfo = DB::table('doctors')->where('id',$application['req_doctor_id'])->find();
            $d_phone = $dinfo['phone'];
            log::record('发短信的手机号为'.$d_phone);
            $d_name = $doctor['realname'];
            if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
                if($dinfo['institution_id'] == '22100002' || $dinfo['send_sms'] == 1){ //魏庙下级
                    $repsone = send_message::sendSms2CompleteReport($d_phone,$d_name);
                }
                $tel = '18910184804';
                $type = '完成并审核报告';
                $content  =$application['id'];
                // send_message::sendSms2Self($tel,$type,$content);
            }
            // 添加messages消息
            if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
                Message::read($doctor['id'],$report['remote_application_id'],3);
                $t = '您的远程诊断申请已完成';
                $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
                $c = '您的远程诊断申请,已由被'.$institution['name'].$doctor['realname'].'医师完成报告';
                $d = $status['req_doctor_id'];
                $type = '5';
                $exam_class = DB::table('exams')->where('id',$id)->field('exam_class')->find();
                $url = Message::url($sessionid,$id,0,$exam_class['exam_class'],$report_id,$report['remote_application_id']);
                Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
            }
            $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$report_id;
            $info = $this->curl_get($url);
            return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }

    }
    public function curl_get($url){
        //初始化
        $curl = curl_init();
        //设置抓取的url
        curl_setopt($curl, CURLOPT_URL, $url);
        //设置头文件的信息作为数据流输出
        curl_setopt($curl, CURLOPT_HEADER, 0);
        //设置获取的信息以文件流的形式返回，而不是直接输出。
        curl_setopt($curl, CURLOPT_RETURNTRANSFER, 1);
        // 重定向
        curl_setopt($curl, CURLOPT_FOLLOWLOCATION, 1);
        //执行命令
        $data = curl_exec($curl);
        //关闭URL请求
        curl_close($curl);
        return $data;
    }
    /**
     * 获取报告权限
     *
     * @ApiTitle            (获取报告权限)
     * @ApiSummary          (获取报告权限)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/getrole)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="is_remote",                     type="string",      required=true,      description="是否为远程列表进入")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'info': '',
    }
     *")
     **/
    public function getrole(){
        try{
            if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
                $is_remote = $_REQUEST['is_remote'];
            }
            $sessionid = $_REQUEST['sessionid'];
            $doctor = Cache::get($sessionid);
            $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
            $doctor_class = explode(',',$dclass['doctor_class']);
            $info = array();
            foreach ($doctor_class as $k=>$v) {
                switch($v){
                    case 2: //报告医生
                        if(isset($is_remote)){
                            //远程报告
                            break;
                        }
                        $info['bg'] = 1;
                        break;
                    case 7: //远程报告医生
                        if(!isset($is_remote)){
                            //远程报告
                            break;
                        }
                        $info['bg'] = 1;
                        break;
                    case 3: //3审核医生
                        if(isset($is_remote)){
                            //远程报告
                            break;
                        }
                        $info['sh'] = 2;
                        break;
                    case 8: //远程审核医生
                        if(!isset($is_remote)){
                            //远程报告
                            break;
                        }
                        $info['sh'] = 2;
                        break;
                    case 4: //确认医生
                        $info['qr'] = 3;
                        break;
                }
            }
            return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }

    }

    /**
     * 获取报告日志
     *
     * @ApiTitle            (获取报告日志)
     * @ApiSummary          (获取报告日志)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/get_report_log)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="id",                     type="string",      required=true,      description="exams表id值")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'info': '',
    }
     *")
     **/
    public function get_report_log(){
        try{
            $sessionid = $_REQUEST['sessionid'];
            $doctor = Cache::get($sessionid);
            $id = $_REQUEST['id'];
            $exam_id = $_REQUEST['exam_id'];
            if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
                // 远程
                $report = DB::table('report')->where('id',$id)->find();
            }else{
                // 本地
                $report = DB::table('report')->where('exam_id',$exam_id)->where('type',1)->find();
            }
            if(empty($report)){
                return json_encode(['status'=>'ok','code'=>'0000','info'=>'','msg'=>'无数据']);
            }
            $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$report['id'])->order('createdAt asc,type asc')->select();
            foreach ($log as $k => $v) {
                $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
                $log[$k]['doctor_name'] = $doc['realname'];
            }
            return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }

    }

    /**
     * 打印报告
     *
     * @ApiTitle            (打印报告)
     * @ApiSummary          (打印报告)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/print_report)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="id",                     type="string",      required=true,      description="exams表id值")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturnParams   (name="sessionid",                      type="object",      sample="{}",        description="缓存的数据key")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'sessionid': 'a17z7a7a8f9g9rh9d89jio',
    'info': '',
    }
     *")
     **/
    public function print_report(){
        try{
            $sessionid = $_REQUEST['sessionid'];
            $doctor = Cache::get($sessionid);
            $id = $_REQUEST['id'];
            $is_remote =  $_REQUEST['is_remote'];
            $report_id = $_REQUEST['report_id'];
            $report = DB::table('report')->where('id',$report_id)->field('qr_code,remote_application_id,report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
            $info = array();
            // 检查日期 住院号 床号 本地申请科室 本地申请医生
            $exam_info = DB::table('exams')->where('id',$id)->field('id,ext,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id,application_department,application_doctor')->find();
            $info['id'] = $exam_info['id'];
            $info['ext'] = $exam_info['ext'];
            $info['accession_num'] = $exam_info['accession_num'];
            if(!empty($exam_info['exam_datetime'])){
                $datetime = explode(' ',$exam_info['exam_datetime']);
                $info['exam_datetime'] = $datetime[0];
            }else{
                $info['exam_datetime'] = '';
            }
            $info['hopitalized_no'] = $exam_info['hopitalized_no'];
            $info['bed_no'] = $exam_info['bed_no'];
            // 检查项目
            $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
            $info['project'] = $project['name'];
            //检查类
            $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
            $info['exam_class'] = $exam_class['constant_value'];
            // 病历号 姓名 年龄 性别
            $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
            $remote = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id')->find();
            $info['pnumber'] = $patient_info['temp_patient_id'];
            $info['name'] = $patient_info['name'];
            $info['sex'] = $patient_info['sex'];
            $info['age'] = $patient_info['age'];
            // 申请医生
            $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id,autograph,is_use_autograph')->find();
            if($is_remote == 1){
                $info['application_name'] = $application_name['realname'];
                // 申请科室
                $department  = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
                $info['department_name'] = $department['department_name'];
            }else{
                $info['application_name'] = $exam_info['application_doctor'];
                $info['application_department'] = $exam_info['application_department'];
            }
            $info['application_use_autograph'] = $application_name['is_use_autograph'];
            $info['application_autograph'] = $application_name['autograph'];
            // 报告时间 影像所见 意见建议
            if(!empty($report['report_datetime'])){
                $datetime1 = explode(' ',$report['report_datetime']);
                $info['report_datetime'] = $datetime1[0];
            }else{
                $info['report_datetime'] = '';
            }
            $info['report_datetime_xa'] = $report['report_datetime'];
            $info['impression'] = $report['impression'];
            $info['description'] = $report['description'];
            $info['qr_code'] = $report['qr_code'];
            // 报告医生
            $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname,autograph,is_use_autograph,institution_id')->find();
            $info['report_doctor'] = $report_doctor['realname'];
            $info['report_use_autograph'] = $report_doctor['is_use_autograph'];
            $info['report_autograph'] = $report_doctor['autograph'];
            //审核医生
            $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname,autograph,is_use_autograph')->find();
            $info['review_doctor'] = $review_doctor['realname'];
            $info['review_use_autograph'] = $review_doctor['is_use_autograph'];
            $info['review_autograph'] = $review_doctor['autograph'];
            
            // $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
            $hospital = DB::table('institution')->where('id',$report_doctor['institution_id'])->field('name')->find();
            $info['hospital'] = $hospital['name'];
            return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
        }catch(\Exception $e){
            return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
        }
    }

    /**
     * 变更胶片
     *
     * @ApiTitle            (变更胶片)
     * @ApiSummary          (变更胶片)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/change_film)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="id",                     type="string",      required=true,      description="exams表id值")
     * @ApiParams         (name="film_type",                     type="string",      required=true,      description="胶片")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="info",                       type="string",      required=true,      sample="返回成功", description="返回信息")
     * @ApiReturn   (data="z
    {
    'status': ok,
    'code': '0000',
    'info': '',
    }
     *")
     **/
    public function change_film(){
        $id = $_REQUEST['id'];
        $film = $_REQUEST['film_type'];
        DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
        return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
    }

    /**
     * 保存草稿
     *
     * @ApiTitle            (保存草稿)
     * @ApiSummary          (保存草稿)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/draft)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param[report_id]",        type="string",      sample="",          description="报告表id值<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'msg': '保存成功',
    }
     *")
     **/
    public function draft(){
        $sessionid = $_REQUEST['sessionid'];
        $doctor = Cache::get($sessionid);
        $param = $_REQUEST['param'];
        $report_id = $param['report_id'];
        $rinfo = DB::table('report')->where('id',$report_id)->find();
        if($rinfo['type'] == 2){
            //远程报告
            $status = DB::table('remote_application')->where('id',$rinfo['remote_application_id'])->find();
            if($status['report_status'] ==6 || $status['report_status'] ==7){
                $key = $doctor['id'].'_'.$report_id;
                Cache::set($key,$param);
                return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
            }else{
                return json_encode(['status'=>'fail','msg'=>'只能为未保存或者未审核的报告填写草稿','code'=>'0110']);
            }
        }else {
            //本地报告
            $status = DB::table('exams')->where('id', $rinfo['exam_id'])->find();
            if ($status['exam_status'] == 7 || $status['exam_status'] == 3) {
                $key = $doctor['id'] . '_' . $report_id;
                Cache::set($key, $param);
                return json_encode(['status' => 'ok', 'msg' => '保存成功', 'code' => '0000']);
            } else {
                return json_encode(['status' => 'fail', 'msg' => '只能为未保存或者未审核的报告填写草稿', 'code' => '0110']);
            }
        }

    }

    /**
     * XA类型数据获取
     *
     * @ApiTitle            (XA类型数据获取)
     * @ApiSummary          (XA类型数据获取)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/get_rinfo)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="report_id",                     type="string",      required=true,      description="报告表id<必填>")
     * @ApiParams         (name="id",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'msg': '已审核',
    }
     *")
     **/
    public function get_rinfo(){
        $sessionid = $_REQUEST['sessionid'];
        $doctor = Cache::get($sessionid);
        $id = $_REQUEST['id'];
        $report_id = $_REQUEST['report_id'];
        $key = $doctor['id'].'_'.$report_id;
        if(Cache::get($key)){
            $patient = Cache::get($key);
        }else{
            $exam = DB::table('exams')->where('id',$id)->field('accession_num,exam_class,patient_id,ext,hopitalized_no,bed_no')->find();
            $patient = DB::table('patient_infos')->where('id',$exam['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
            $report_info = DB::table('report')->where('id',$report_id)->field('description')->find();
            $patient['ext'] = $exam['ext'];
            $patient['exam_id'] = $id;
            $patient['bed_no'] = $exam['bed_no'];
            $patient['accession_num'] = $exam['accession_num'];
            $patient['exam_class'] = $exam['exam_class'];
            $patient['hopitalized_no'] = $exam['hopitalized_no'];
            $patient['description'] = $report_info['description'];
            $patient['report_id'] = $report_id;
        }
        return json_encode(['status'=>'ok','info'=>$patient,'code'=>'0000']);
    }

    /**
     * XA类型保存
     *
     * @ApiTitle            (XA类型保存)
     * @ApiSummary          (XA类型保存)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/write_info)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="is_remote",                     type="string",      required=true,      description="是否为远程列表进入")
     * @ApiParams         (name="param[id]",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiParams         (name="param[name]",        type="string",      sample="",          description="姓名<必填>")
     * @ApiParams         (name="param[sex]",        type="string",      sample="",          description="性别<必填>")
     * @ApiParams         (name="param[age]",        type="string",      sample="",          description="年龄<必填>")
     * @ApiParams         (name="param[hospital_number]",        type="string",      sample="",          description="住院号<必填>")
     * @ApiParams         (name="param[bed_number]",        type="string",      sample="",          description="病床号<必填>")
     * @ApiParams         (name="param[ext]",        type="string",      sample="",          description="其他<必填>")
     * @ApiParams         (name="param[description]",        type="string",      sample="",          description="意见建议<必填>")
     * @ApiParams         (name="param[accession_num]",        type="string",      sample="",          description="检查号<必填>")
     * @ApiParams         (name="param[pid]",        type="string",      sample="",          description="患者id<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'msg': '保存成功',
    }
     *")
     **/
    public function write_info(){
        $sessionid = $_REQUEST['sessionid'];
        /*if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
            //  是远程写报告  7
            $return  = Verify::check_role($sessionid,7);
        }else{
            //  本地写报告权限 2
            $return  = Verify::check_role($sessionid,2);
        }
        if($return != 1){
            return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
        }
        $param = $_REQUEST['param'];
        if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
            //远程
            $status = DB::table('remote_application')->where('id',$param['rid'])->field('report_status')->find();
            if($status['report_status']  ==  12){
                return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被撤回，无法进行保存填写']);
            }elseif($status['report_status'] > 6){
                return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存，无法再次被修改']);
            }
        }else{
            //本地
            $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
            if($status['exam_status'] > 6){
                return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存，无法再次被修改']);
            }
        }*/
        $doctor = Cache::get($sessionid);
        $is_remote = $_REQUEST['is_remote'];
        $patient_info['name']       = isset($param['name']) ? $param['name'] : '';
        $patient_info['sex']       = isset($param['sex']) ? $param['sex'] : '';
        $patient_info['age']       = isset($param['age']) ? $param['age'] : '';
        $exam_info['hopitalized_no']       = isset($param['hospital_number']) ? $param['hospital_number'] : '';
        $exam_info['bed_no']       = isset($param['bed_number']) ? $param['bed_number'] : '';
        $exam_info['ext']  = isset($param['ext']) ? $param['ext'] : '';
        $exam_info['accession_num']       = isset($param['accession_num']) ? $param['accession_num'] : '';
        $report['description'] = isset($param['description']) ? $param['description'] : '';
        $report['report_datetime'] = date('Y-m-d H:i:s',time());
        $report['report_doctor_id'] = $doctor['id'];
        DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
        DB::table('exams')->where('id',$param['id'])->update($exam_info);
        $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
        if($rinfo){
            DB::table('report')->where('exam_id',$param['id'])->update($report);
            $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
            $rid = $rinfo['id'];
        }else{
            $report['id'] = UUIDs::uuid16();
            $report['exam_id'] = $param['id'];
            $report['createdAt'] = date('Y-m-d H:i:s',time());
            DB::table('report')->insert($report);
            $rid = $report['id'];
        }
        $log = array();
        $log['id'] = UUIDs::uuid16();
        $log['impression'] = isset($param['ext']) ? $param['ext'] : '';
        $log['description'] = isset($param['description']) ? $param['description'] : '';
        $log['report_id'] = $rid;
        $log['createdAt'] = date('Y-m-d H:i:s',time());
        $log['doctor_id'] = $doctor['id'];
        $log['type'] = 1;  //写报告
        log::record($log);
        $report_log = DB::table('report_record')->insert($log);
        $application = DB::table('remote_application')->where('exam_id',$param['id'])->find();
        if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
            $tel = '18910184804';
            $type = '保存报告';
            $content  = $application['id'];
            // send_message::sendSms2Self($tel,$type,$content);
        }
        if($is_remote == 1){
            DB::table('remote_application')->where('exam_id',$param['id'])->update(['report_status'=>7]);
        }else{
            DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>7]);
        }
        $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$rid;
        $info = $this->curl_get($url);
        return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
    }
    /**
     * 获取远程报告列表
     *
     * @ApiTitle            (获取远程报告列表)
     * @ApiSummary          (获取远程报告列表)
     * @ApiSector           (远程诊断)
     * @ApiMethod           (POST)
     * @ApiRoute            (/inter/writereport/get_report_list)
     * @ApiHeaders        (name="sign", type="string", required=true, description="请求头-校验key")
     * @ApiHeaders        (name="nonce", type="string", required=true, description="请求头-随机数")
     * @ApiHeaders        (name="timestamp", type=string, required=true, description="请求头-时间戳s")
     * @ApiParams         (name="sessionid",                 type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="param",                     type="string",      required=true,      description="参数json字符串")
     * @ApiParams         (name="is_remote",                     type="string",      required=true,      description="是否为远程列表进入")
     * @ApiParams         (name="param[id]",        type="string",      sample="",          description="exams表id值<必填>")
     * @ApiParams         (name="param[pid]",        type="string",      sample="",          description="病历号<必填>")
     * @ApiReturnParams   (name="status",                      type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
     * @ApiReturnParams   (name="code",                      type="integer",     required=true,      sample="0", description="返回状态码")
     * @ApiReturnParams   (name="msg",                       type="string",      required=true,      sample="返回成功", description="返回消息")
     * @ApiReturn   (data="
    {
    'status': ok,
    'code': '0000',
    'info': '',
    }
     *")
     **/
    public function get_report_list(){
        $sessionid = $_REQUEST['sessionid'];
        $doctor = Cache::get($sessionid);
        $param = $_REQUEST['param'];
        $rinfo = DB::table('report')->where('exam_id',$param['id'])->where('type','<>',1)->select();
        $pinfo = DB::table('patient_infos')->where('temp_patient_id',$param['pid'])->field('name,temp_patient_id,sex,age,phone')->find();
        $einfo = DB::table('exams')->where('id',$param['id'])->field('exam_class,exam_sub_class,exam_datetime')->find();
        $info = array();
        $arr = array();
        foreach ($rinfo as $k => $v) {
            $remote_info = DB::table('remote_application')->where('id',$v['remote_application_id'])->find();
            Message::read($doctor['id'],$remote_info['id'],4);
            if($remote_info['report_status'] == 8 || $remote_info['report_status'] == 9){
                $arr = $v;
                $remote_did = DB::table('doctors')->where('id',$v['report_doctor_id'])->field('realname')->find();
                $arr['report_doctor'] = $remote_did['realname'];
                $review_did = DB::table('doctors')->where('id',$v['review_doctor_id'])->field('realname')->find();
                $arr['review_doctor'] = $review_did['realname'];
                $arr['name'] = $pinfo['name'];
                $arr['pid'] = $pinfo['temp_patient_id'];
                $arr['sex'] = $pinfo['sex'];
                $arr['age'] = $pinfo['age'];
                $arr['phone'] = $pinfo['phone'];
                $arr['exam_class'] = $einfo['exam_class'];
                $arr['exam_sub_class'] = $einfo['exam_sub_class'];
                $arr['exam_datetime'] = $einfo['exam_datetime'];
                $arr['report_status'] = $remote_info['report_status'];
                $arr['hospital_name'] = DB::table('institution')->where('id',$remote_info['remote_institution_id'])->value('name');
                $info = $arr;
            }elseif($remote_info['report_status'] == 4){
                //申请中
                return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单正在申请中，暂无医生接收远程报告']);
            }elseif($remote_info['report_status'] == 5){
                // 驳回
                return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单已被驳回，没有医生完成远程报告']);
            }elseif($remote_info['report_status'] == 12){
                // 撤回
                return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单正在申请中，暂无医生完成远程报告']);
            }elseif($remote_info['report_status'] == ''){
                // 撤回
                return json_encode(['status'=>'fail','code'=>'0126','msg'=>'没有申请单']);
            }else{
                // 其他
                return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单还没有被完成，请等待']);
            }
        }
        return json_encode(['status'=>'ok','info'=>$info,'code'=>'0000']);
    }

    public function reject_examine()
    {
        $sessionid = $_REQUEST['sessionid'];
        //传值报告id
        $report_id = $_REQUEST['report_id'];
        $reason = $_REQUEST['reason'];
        $is_remote = $_REQUEST['is_remote'];
        $report = DB::table('report')->where('id',$report_id)->field('remote_application_id,exam_id,report_doctor_id')->find();
        $exam = DB::table('exams')->where('id',$report['exam_id'])->value('exam_class');
        if($is_remote == 1){
            //远程
            DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>13]);
        }else{
            // 本地
            DB::table('exams')->where('id',$report['exam_id'])->update(['exam_status'=>13]);
        }
        $url = Message::url($sessionid,$report['exam_id'],0,$exam,$report_id,$report['remote_application_id']);
        $t = '您的报告在审核步骤已被驳回';
        $c = '您保存的报告在审核步骤已被驳回，驳回的原因是:'.$reason.'，请您重新更改您的报告';
        $d = $report['report_doctor_id'];
        $type = '8';
        Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
        return json_encode(['status'=>'ok','msg'=>'审核已驳回','code'=>'0000']);
    }
}