Writereport.php 72 KB

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  1. <?php
  2. namespace app\inter\controller;
  3. //use Doctrine\Common\Cache\Cache;
  4. use app\common\library\Message;
  5. use think\Controller;
  6. use think\Db;
  7. use think\Session;
  8. use app\common\library\UUIDs;
  9. use think\Cache;
  10. use think\Log;
  11. use app\common\library\Verify;
  12. use app\common\library\send_message;
  13. class Writereport extends Base
  14. {
  15. /**
  16. * 写报告页面
  17. *
  18. * @ApiTitle (写报告页面)
  19. * @ApiSummary (写报告页面)
  20. * @ApiSector (远程诊断)
  21. * @ApiMethod (POST)
  22. * @ApiRoute (/inter/writereport/index)
  23. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  24. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  25. * @ApiHeaders (name="timestamp", type=string, required=truee, description="请求头-时间戳s")
  26. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  27. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  28. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  29. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  30. * @ApiParams (name="param[images]", type="string", sample="", description="影像图片<选填>")
  31. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  32. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  33. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  34. * @ApiReturnParams (name="is_remote", type="object", sample="{}", description="是否为远程诊断进入")
  35. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  36. * @ApiReturn (data="
  37. {
  38. 'status': ok,
  39. 'code': '0000',
  40. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  41. 'is_remote': 1,
  42. 'info' : ''
  43. }
  44. *")
  45. **/
  46. public function index(){
  47. try{
  48. log::record('-----请求值-----');
  49. log::record($_REQUEST);
  50. log::record('-----请求值-----');
  51. $sessionid = $_REQUEST['sessionid'];
  52. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  53. $is_remote = $_REQUEST['is_remote'];
  54. }else{
  55. $is_remote = 0;
  56. }
  57. $doctor = Cache::get($sessionid);
  58. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name,report_subtitle')->find();
  59. $param = $_REQUEST['param'];
  60. $id = $param['id'];
  61. $info = DB::table('exams')->where('id',$id)->field(['id','ext','study_id','exam_class','exam_status','exam_datetime','exam_sub_class','body_part','accession_num','patient_id','film_type'])->find();
  62. $exam_class = DB::table('constant')->where('id',$info['exam_class'])->field('constant_value')->find();
  63. $info['exam_class'] = $exam_class['constant_value'];
  64. $exam_subclass = DB::table('exam_subclass')->where('id',$info['exam_sub_class'])->field('name')->find();
  65. $info['exam_sub_class'] = $exam_subclass['name'];
  66. $patient_info = DB::table('patient_infos')->where('id',$info['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  67. $info['pid'] = $patient_info['temp_patient_id'];
  68. $info['name'] = $patient_info['name'];
  69. $info['sex'] = $patient_info['sex'];
  70. $info['age'] = $patient_info['age'];
  71. $info['phone'] = $patient_info['phone'];
  72. $info['hospital_name'] = $institution['name'];
  73. $info['hospital_title'] = $institution['report_subtitle'];
  74. $info['images'] = isset($param['images']) ? $param['images'] : '';
  75. if(isset($param['rid']) && !empty($param['rid'])){
  76. $remote_id = $param['rid'];
  77. $report = DB::table('report')->where('exam_id',$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();
  78. $sta = DB::table('remote_application')->where('id',$remote_id)->field('report_status')->find();
  79. $info['report_status'] = $sta['report_status'];
  80. $r_id = $report['remote_application_id'];
  81. }else{
  82. // 不存在 本地点击进入 获取本地报告
  83. $report = DB::table('report')->where('exam_id',$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();
  84. $info['report_status'] = '';
  85. $r_report = DB::table('report')->where('exam_id',$id)->where('type',2)->field('remote_application_id')->find();
  86. $r_id = $r_report['remote_application_id'];
  87. }
  88. if( $r_id == ''){
  89. $info['remote'] = 1;
  90. }else{
  91. $info['remote'] = 2;
  92. }
  93. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  94. $info['report_doctor'] = $report_doctor['realname'];
  95. $info['report_datetime'] = $report['report_datetime'];
  96. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  97. $info['review_doctor'] = $review_doctor['realname'];
  98. $info['review_datetime'] = $report['review_datetime'];
  99. $info['description'] = $report['description'];
  100. $info['impression'] = $report['impression'];
  101. $info['report_result'] = $report['report_result'];
  102. $info['report_id'] = $report['id'];
  103. $info['qr_code'] = $report['qr_code'];
  104. $cache_key = $doctor['id'].'_'.$report['id'];
  105. if(Cache::get($cache_key)){
  106. $cache = Cache::get($cache_key);
  107. $info['description'] = isset($cache['description']) ? $cache['description'] : '';
  108. $info['impression'] = isset($cache['impression']) ? $cache['impression'] : '';
  109. $info['report_result'] = isset($cache['r_result']) ?$cache['r_result'] : '';
  110. $info['name'] = isset($cache['name']) ? $cache['name'] : '';
  111. $info['sex'] = isset($cache['sex']) ? $cache['sex'] : '';
  112. $info['age'] = isset($cache['age']) ? $cache['age'] : '';
  113. $info['phone'] = isset($cache['phone']) ? $cache['phone'] : '';
  114. }
  115. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid,'is_remote'=>$is_remote]);
  116. }catch(\Exception $e){
  117. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  118. }
  119. }
  120. /**
  121. * 上远程申请附件
  122. *
  123. * @ApiTitle (上远程申请附件)
  124. * @ApiSummary (上远程申请附件)
  125. * @ApiSector (远程诊断)
  126. * @ApiMethod (POST)
  127. * @ApiRoute (/inter/writereport/upload)
  128. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  129. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  130. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  131. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  132. * @ApiParams (name="file", type="string", required=true, description="上传的文件<必填>")
  133. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  134. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  135. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  136. * @ApiReturn (data="
  137. {
  138. 'status': ok,
  139. 'code': '0000',
  140. 'info' : '/upload/20180101/12346asd.jpg'
  141. }
  142. *")
  143. **/
  144. public function upload($files){
  145. // 获取表单上传文件
  146. foreach($files as $file){
  147. // 移动到框架应用根目录/public/uploads/ 目录下
  148. $info = $file->move(ROOT_PATH . 'public' . DS . 'uploads');
  149. if($info){
  150. return $info->getSaveName();
  151. // 成功上传后 获取上传信息
  152. // 输出 jpg
  153. // echo $info-> getExtension();
  154. // 输出 42a79759f284b767dfcb2a0197904287.jpg
  155. // echo $info->getFilename();
  156. }else{
  157. // 上传失败获取错误信息
  158. // echo $file->getError();
  159. }
  160. }
  161. }
  162. /**
  163. * 报告保存
  164. *
  165. * @ApiTitle (报告保存)
  166. * @ApiSummary (报告保存)
  167. * @ApiSector (远程诊断)
  168. * @ApiMethod (POST)
  169. * @ApiRoute (/inter/writereport/write)
  170. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  171. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  172. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  173. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  174. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  175. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  176. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  177. * @ApiParams (name="param[pid]", type="string", sample="", description="患者id值<必填>")
  178. * @ApiParams (name="param[name]", type="string", sample="", description="患者姓名<必填>")
  179. * @ApiParams (name="param[age]", type="string", sample="", description="患者年龄<必填>")
  180. * @ApiParams (name="param[sex]", type="string", sample="", description="患者性别<必填>")
  181. * @ApiParams (name="param[impression]", type="string", sample="", description="影响所见<必填>")
  182. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  183. * @ApiParams (name="param[film_type]", type="string", sample="", description="胶片<必填>")
  184. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  185. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  186. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  187. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  188. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  189. * @ApiReturn (data="
  190. {
  191. 'status': ok,
  192. 'code': '0000',
  193. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  194. 'msg' : '保存成功'
  195. }
  196. *")
  197. **/
  198. public function write(){
  199. try{
  200. $sessionid = $_REQUEST['sessionid'];
  201. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  202. // 是远程写报告 7
  203. $return = Verify::check_role($sessionid,7);
  204. }else{
  205. // 本地写报告权限 2
  206. $return = Verify::check_role($sessionid,2);
  207. }
  208. if($return != 1){
  209. return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
  210. }
  211. $param = $_REQUEST['param'];
  212. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  213. //远程
  214. $status = DB::table('remote_application')->where('id',$param['rid'])->field('report_status')->find();
  215. if($status['report_status'] == 12){
  216. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被撤回,无法进行保存填写']);
  217. }elseif($status['report_status'] > 7 && $status['report_status'] != 13){
  218. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被审核,无法再次被保存']);
  219. }
  220. }else{
  221. //本地
  222. $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
  223. if($status['exam_status'] > 6 && $status['exam_status'] != 13){
  224. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  225. }
  226. }
  227. // Verify::wreportCheck($param);
  228. $doctor = Cache::get($sessionid);
  229. // $remote_app = DB::table('remote_application')->where('exam_id',$param['id'])->field('remote_doctor_id')->find();
  230. // if(!empty($remote_app['remote_doctor_id'])){
  231. // if($remote_app['remote_doctor_id'] != $doctor['id']){
  232. // return json_encode(['status'=>'fail','code'=>'1029','msg'=>'已被指定报告医生,您没有操作权限']);
  233. // }
  234. // }
  235. $this->uuids = new UUIDs();
  236. //初步报告生成
  237. $film_type = isset($param['film_type']) ? $param['film_type'] : '';
  238. // $exam_status = $this->get_exam_status($doctor['id'],7);
  239. $patient_info = array();
  240. $patient_info['id'] = isset($param['pid']) ? $param['pid'] : '';
  241. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  242. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  243. $patient_info['phone'] = isset($param['phone']) ? $param['phone'] : '';
  244. if(isset($param['sex']) && !empty($param['sex'])){
  245. switch($param['sex']){
  246. case '男';
  247. $sex = 'M';
  248. break;
  249. case '女';
  250. $sex = 'F';
  251. break;
  252. case 'm';
  253. $sex = 'M';
  254. break;
  255. case 'f';
  256. $sex = 'F';
  257. break;
  258. default :
  259. $sex = $param['sex'];
  260. }
  261. $patient_info['sex'] = $sex;
  262. }
  263. $patient = DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  264. $info = array();
  265. $info['exam_id'] = $param['id'];
  266. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  267. $info['description'] = isset($param['description']) ? $param['description'] : '';
  268. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  269. $info['report_result'] = 2;
  270. }else{
  271. $info['report_result'] = 1;
  272. }
  273. DB::table('exams')->where('id',$param['id'])->update(['film_type'=>$film_type,'phone'=>isset($param['phone']) ? $param['phone'] : '','exam_report'=>$info['report_result']]);
  274. // 报告的id
  275. $report_id = $param['report_id'];
  276. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  277. // 远程保存
  278. DB::table('remote_application')->where('id',$param['rid'])->update(['report_status'=>'7']);
  279. $info['type'] = 2;
  280. }else{
  281. //本地保存
  282. DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>'7']);
  283. $info['type'] = 1;
  284. }
  285. $info['report_datetime'] = date('Y-m-d H:i:s',time());
  286. $info['report_doctor_id'] = $doctor['id'];
  287. $info['remote_application_id'] = $param['rid'];
  288. if($report_id){
  289. $report_info = DB::table('report')->where('id',$report_id)->find();
  290. $report = DB::table('report')->where('id',$report_id)->update($info);
  291. $id = $report_info['id'];
  292. $cache_key = $doctor['id'].'_'.$report_id;
  293. $rid = $report_id;
  294. } else {
  295. $id = $this->uuids->uuid16();
  296. $info['id'] = $id;
  297. $info['createdAt'] = date('Y-m-d H:i:s',time());
  298. $report = DB::table('report')->insert($info);
  299. $cache_key = $doctor['id'].'_'.$id;
  300. $rid = $id;
  301. }
  302. if(Cache::get($cache_key)){
  303. Cache::rm($cache_key);
  304. }
  305. //写入log日志
  306. log::record('----日志写入----');
  307. $log = array();
  308. $log['id'] = UUIDs::uuid16();
  309. $log['impression'] = isset($param['impression']) ? $param['impression'] : '';
  310. $log['description'] = isset($param['description']) ? $param['description'] : '';
  311. $log['report_id'] = $rid;
  312. $log['createdAt'] = date('Y-m-d H:i:s',time());
  313. $log['doctor_id'] = $doctor['id'];
  314. $log['type'] = 1; //写报告
  315. log::record($log);
  316. $report_log = DB::table('report_record')->insert($log);
  317. log::record($report_log);
  318. log::record('----日志写入成功----');
  319. $application = DB::table('remote_application')->where('exam_id',$param['id'])->find();
  320. if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
  321. $tel = '18910184804';
  322. $type = '保存报告';
  323. $content = $application['id'];
  324. // send_message::sendSms2Self($tel,$type,$content);
  325. }
  326. $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$rid;
  327. $info = $this->curl_get($url);
  328. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'保存成功','sessionid'=>$sessionid]);
  329. }catch(\Exception $e){
  330. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  331. }
  332. }
  333. public function get_exam_status($doctorid,$status){
  334. $doctor_class = DB::table('doctor_class')->where('doctor_id',$doctorid)->field('doctor_class')->find();
  335. if(strpos($doctor_class['doctor_class'],'9')){
  336. return 9;
  337. }elseif(strpos($doctor_class['doctor_class'],'8')){
  338. return 8;
  339. }else{
  340. return $status;
  341. }
  342. }
  343. /**
  344. * 公有模板列表
  345. *
  346. * @ApiTitle (公有模板列表)
  347. * @ApiSummary (公有模板列表)
  348. * @ApiSector (远程诊断)
  349. * @ApiMethod (POST)
  350. * @ApiRoute (/inter/writereport/public_template)
  351. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  352. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  353. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  354. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  355. * @ApiParams (name="exam_class", type="string", required=true, description="检查类id")
  356. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  357. * @ApiReturn (data="
  358. {
  359. 'info' : ''
  360. }
  361. *")
  362. **/
  363. public function public_template(){
  364. $sessionid = $_REQUEST['sessionid'];
  365. $doctor = Cache::get($sessionid);
  366. $exam = $_REQUEST['exam_class'];
  367. //第一级 公共模板
  368. $info = $this->get_template(1,$doctor['id'],$exam);
  369. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  370. }
  371. /**
  372. * 私有模板列表
  373. *
  374. * @ApiTitle (私有模板列表)
  375. * @ApiSummary (私有模板列表)
  376. * @ApiSector (远程诊断)
  377. * @ApiMethod (POST)
  378. * @ApiRoute (/inter/writereport/private_template)
  379. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  380. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  381. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  382. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  383. * @ApiParams (name="exam_class", type="string", required=true, description="检查类id")
  384. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  385. * @ApiReturn (data="
  386. {
  387. 'info' : ''
  388. }
  389. *")
  390. **/
  391. public function private_template(){
  392. $sessionid = $_REQUEST['sessionid'];
  393. $doctor = Cache::get($sessionid);
  394. $exam = $_REQUEST['exam_class'];
  395. //私有模板
  396. $info = $this->get_template(2,$doctor['id'],$exam);
  397. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  398. }
  399. public function get_template($public,$id,$exam){
  400. // 查询exam_class表
  401. $examCla = DB::table('constant')->where('id',$exam)->field('constant_value as name')->find();
  402. if($public == 1){
  403. $t = DB::table('templates')->where('is_public',$public)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  404. }else{
  405. // 私有模板 添加创建人条件
  406. $t = DB::table('templates')->where('is_public',$public)->where('create_user',$id)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  407. }
  408. if(!$t){
  409. return '';
  410. }
  411. $data = array();
  412. foreach ($t as $k => $v) {
  413. if($v['parent_id'] == '0'){
  414. $data[] = $v;
  415. }
  416. }
  417. foreach ($data as $k => $v) {
  418. unset($data[$k]['impression']);
  419. unset($data[$k]['description']);
  420. unset($data[$k]['parent_id']);
  421. }
  422. foreach ($t as $k => $v) {
  423. foreach ($data as $key => $value) {
  424. if($v['parent_id'] == $value['id']){
  425. unset($t[$k]['parent_id']);
  426. $data[$key]['children'][] = $t[$k];
  427. }
  428. }
  429. }
  430. if($data){
  431. return $data;
  432. }
  433. }
  434. /**
  435. * 确认报告
  436. *
  437. * @ApiTitle (确认报告)
  438. * @ApiSummary (确认报告)
  439. * @ApiSector (远程诊断)
  440. * @ApiMethod (POST)
  441. * @ApiRoute (/inter/writereport/confirm)
  442. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  443. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  444. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  445. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  446. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  447. * @ApiParams (name="film_type", type="string", sample="", description="胶片类型<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': '已确认',
  456. }
  457. *")
  458. **/
  459. public function confirm(){
  460. try{
  461. $is_remote = $_REQUEST['is_remote'];
  462. if($is_remote == 1){
  463. return json_encode(['status'=>'fail','code'=>'1133','msg'=>'远程无法确诊报告']);
  464. }
  465. $sessionid = $_REQUEST['sessionid'];
  466. $doctor = Cache::get($sessionid);
  467. $param = $_REQUEST['param'];
  468. $id = $param['id'];
  469. $report_id = $param['report_id'];
  470. $report_info = DB::table('report')->where('id',$report_id)->find();
  471. if($report_info['type'] == 1){
  472. //本地报告
  473. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  474. if($status['exam_status'] < 8 ){
  475. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  476. }elseif($status['exam_status'] == 9){
  477. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  478. }
  479. }else{
  480. //远程
  481. $status = DB::table('remote_application')->where('id',$report_info['remote_application_id'])->field('remote_doctor_id,report_status')->find();
  482. if($status['report_status'] < 8 ){
  483. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  484. }elseif($status['report_status'] == 9){
  485. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  486. }
  487. }
  488. $rinfo = array();
  489. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  490. $rinfo['report_result'] = 2;
  491. }else{
  492. $rinfo['report_result'] = 1;
  493. }
  494. $rinfo['confirm_datetime'] = date('Y-m-d H:i:s',time());
  495. $rinfo['confirm_doctor_id'] = $doctor['id'];
  496. if($report_info['type'] == 1){
  497. //本地报告确认
  498. DB::table('exams')->where('id',$id)->update(['exam_status'=>'9']);
  499. }else{
  500. Message::read($doctor['id'],$report_info['remote_application_id'],4);
  501. //远程
  502. $this->confirmReport($report_info['remote_application_id']);
  503. // DB::table('remote_application')->where('id',$report_info['remote_application_id'])->update(['report_status'=>'9']);
  504. // 添加messages消息
  505. $t = '您的报告已确认';
  506. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  507. $c = '您的远程诊断申请报告,已被'.$institution['name'].$doctor['realname'].'医师确认';
  508. $d = $status['remote_doctor_id'];
  509. $type = '6';
  510. $url = '';
  511. Message::insert($t,$c,$d,$type,$url,1,$report_info['remote_application_id']);
  512. }
  513. DB::table('exams')->where('id',$id)->update(['film_type'=>$_REQUEST['param']['film_type']]);
  514. DB::table('report')->where('id',$report_id)->update($rinfo);
  515. $cache_key = $doctor['id'].'_'.$report_info['id'];
  516. if(Cache::get($cache_key)){
  517. Cache::rm($cache_key);
  518. }
  519. // 添加 确认log日志
  520. $info = array();
  521. $info['id'] = UUIDs::uuid16();
  522. $info['createdAt'] = date('Y-m-d H:i:s',time());
  523. $info['doctor_id'] = $doctor['id'];
  524. $info['type'] = 3;
  525. $info['report_id'] = $report_id;
  526. DB::table('report_record')->insert($info);
  527. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已确认']);
  528. }catch(\Exception $e){
  529. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  530. }
  531. }
  532. private function confirmReport($application_id) {
  533. DB::startTrans();
  534. try{
  535. DB::table('remote_application')->where('id', $application_id)->update(['report_status'=>'9']);
  536. $remote_order = DB::table('remote_order')
  537. ->where('status', Application::ORDER_STATUS['PAYCOMPLTET'])
  538. ->where('application_id', $application_id)
  539. ->field('order_money, id, super_hospital_id')
  540. ->find();
  541. if(!$remote_order) {
  542. DB::commit();
  543. // todo 微信消息推送
  544. return true;
  545. }
  546. $hospital = DB::table('institution')->where('id', $remote_order['super_hospital_id'])->field('current_money')->find();
  547. DB::table('institution')->where('id', $remote_order['super_hospital_id'])->update(['current_money' => $current_money + $remote_order['order_money']]);
  548. DB::table('remote_order')->where('id', $remote_order['id'])->update(['status' => Application::ORDER_STATUS['CONFIRM']]);
  549. DB::table('remote_water')->insert([
  550. 'id' => UUIDs::uuid16(),
  551. 'hospital_id' => $remote_order['super_hospital_id'],
  552. 'order_id' => $remote_order['id'],
  553. 'money' =>$remote_order['order_money'],
  554. 'type' => Application::WATER_TYPE['ADD'],
  555. 'why' => Application::WATER_WHY['REMOTEINCOME'],
  556. 'timestamp' => time(),
  557. ]);
  558. // 提交事务
  559. DB::commit();
  560. // todo 消息推送
  561. return true;
  562. } catch (\Exception $e) {
  563. // 回滚事务
  564. DB::rollback();
  565. }
  566. return json_encode(['status'=>'fail','code'=>'2110','确认报告失败']);
  567. }
  568. /**
  569. * 审核报告
  570. *
  571. * @ApiTitle (审核报告)
  572. * @ApiSummary (审核报告)
  573. * @ApiSector (远程诊断)
  574. * @ApiMethod (POST)
  575. * @ApiRoute (/inter/writereport/examine)
  576. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  577. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  578. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  579. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  580. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  581. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  582. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  583. * @ApiParams (name="param[impression]", type="string", sample="", description="检查所见<必填>")
  584. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  585. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  586. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  587. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  588. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  589. * @ApiReturn (data="
  590. {
  591. 'status': ok,
  592. 'code': '0000',
  593. 'msg': '已审核',
  594. }
  595. *")
  596. **/
  597. public function examine(){
  598. try{
  599. $id = $_REQUEST['id'];
  600. $param = $_REQUEST['param'];
  601. $report_id = $param['report_id'];
  602. $report = DB::table('report')->where('id',$report_id)->find();
  603. $sessionid = $_REQUEST['sessionid'];
  604. $doctor = Cache::get($sessionid);
  605. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  606. // 是远程审核报告 8
  607. $return = Verify::check_role($sessionid,8);
  608. $status = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id,report_status')->find();
  609. if($status['report_status'] < 7){
  610. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  611. }elseif($status['report_status']>8){
  612. 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']);
  613. }elseif($status['report_status'] == 8){
  614. if($report['review_doctor_id'] != $doctor['id']){
  615. return json_encode(['status'=>'fail','code'=>'1039','msg'=>'审核人不一致']);
  616. }
  617. }
  618. DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>'8']);
  619. }else{
  620. // 本地审核权限 3
  621. $return = Verify::check_role($sessionid,3);
  622. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  623. if($status['exam_status'] < 7){
  624. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  625. }elseif($status['exam_status']>7){
  626. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  627. }
  628. DB::table('exams')->where('id',$id)->update(['exam_status'=>'8']);
  629. }
  630. $report_info = array();
  631. $report_info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  632. $report_info['description'] = isset($param['description']) ? $param['description'] : '';
  633. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  634. $report_info['report_result'] = 2;
  635. }else{
  636. $report_info['report_result'] = 1;
  637. }
  638. $report_info['review_datetime'] = date('Y-m-d H:i:s',time());
  639. $report_info['review_doctor_id'] = $doctor['id'];
  640. DB::table('report')->where('id',$report['id'])->update($report_info);
  641. $cache_key = $doctor['id'].'_'.$report['id'];
  642. if(Cache::get($cache_key)){
  643. Cache::rm($cache_key);
  644. }
  645. $info = array();
  646. $info['id'] = UUIDs::uuid16();
  647. $info['type'] = 2; //审核
  648. $info['createdAt'] = date('Y-m-d H:i:s',time());
  649. $info['doctor_id'] = $doctor['id'];
  650. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  651. $info['description'] = isset($param['description']) ? $param['description'] : '';
  652. $info['report_id'] = $report['id'];
  653. DB::table('report_record')->insert($info);
  654. DB::table('exams')->where('id',$id)->update(['film_type'=>$param['film_type']]);
  655. // 已审核 发送短信
  656. $application = DB::table('remote_application')->where('exam_id',$id)->find();
  657. $dinfo = DB::table('doctors')->where('id',$application['req_doctor_id'])->find();
  658. $d_phone = $dinfo['phone'];
  659. log::record('发短信的手机号为'.$d_phone);
  660. $d_name = $doctor['realname'];
  661. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  662. if($dinfo['institution_id'] == '22100002' || $dinfo['send_sms'] == 1){ //魏庙下级
  663. $repsone = send_message::sendSms2CompleteReport($d_phone,$d_name);
  664. }
  665. $tel = '18910184804';
  666. $type = '完成并审核报告';
  667. $content =$application['id'];
  668. // send_message::sendSms2Self($tel,$type,$content);
  669. }
  670. // 添加messages消息
  671. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  672. Message::read($doctor['id'],$report['remote_application_id'],3);
  673. $t = '您的远程诊断申请已完成';
  674. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  675. $c = '您的远程诊断申请,已由被'.$institution['name'].$doctor['realname'].'医师完成报告';
  676. $d = $status['req_doctor_id'];
  677. $type = '5';
  678. $exam_class = DB::table('exams')->where('id',$id)->field('exam_class')->find();
  679. $url = Message::url($sessionid,$id,0,$exam_class['exam_class'],$report_id,$report['remote_application_id']);
  680. Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
  681. }
  682. $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$report_id;
  683. $info = $this->curl_get($url);
  684. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
  685. }catch(\Exception $e){
  686. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  687. }
  688. }
  689. public function curl_get($url){
  690. //初始化
  691. $curl = curl_init();
  692. //设置抓取的url
  693. curl_setopt($curl, CURLOPT_URL, $url);
  694. //设置头文件的信息作为数据流输出
  695. curl_setopt($curl, CURLOPT_HEADER, 0);
  696. //设置获取的信息以文件流的形式返回,而不是直接输出。
  697. curl_setopt($curl, CURLOPT_RETURNTRANSFER, 1);
  698. // 重定向
  699. curl_setopt($curl, CURLOPT_FOLLOWLOCATION, 1);
  700. //执行命令
  701. $data = curl_exec($curl);
  702. //关闭URL请求
  703. curl_close($curl);
  704. return $data;
  705. }
  706. /**
  707. * 获取报告权限
  708. *
  709. * @ApiTitle (获取报告权限)
  710. * @ApiSummary (获取报告权限)
  711. * @ApiSector (远程诊断)
  712. * @ApiMethod (POST)
  713. * @ApiRoute (/inter/writereport/getrole)
  714. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  715. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  716. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  717. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  718. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  719. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  720. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  721. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  722. * @ApiReturn (data="
  723. {
  724. 'status': ok,
  725. 'code': '0000',
  726. 'info': '',
  727. }
  728. *")
  729. **/
  730. public function getrole(){
  731. try{
  732. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  733. $is_remote = $_REQUEST['is_remote'];
  734. }
  735. $sessionid = $_REQUEST['sessionid'];
  736. $doctor = Cache::get($sessionid);
  737. $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
  738. $doctor_class = explode(',',$dclass['doctor_class']);
  739. $info = array();
  740. foreach ($doctor_class as $k=>$v) {
  741. switch($v){
  742. case 2: //报告医生
  743. if(isset($is_remote)){
  744. //远程报告
  745. break;
  746. }
  747. $info['bg'] = 1;
  748. break;
  749. case 7: //远程报告医生
  750. if(!isset($is_remote)){
  751. //远程报告
  752. break;
  753. }
  754. $info['bg'] = 1;
  755. break;
  756. case 3: //3审核医生
  757. if(isset($is_remote)){
  758. //远程报告
  759. break;
  760. }
  761. $info['sh'] = 2;
  762. break;
  763. case 8: //远程审核医生
  764. if(!isset($is_remote)){
  765. //远程报告
  766. break;
  767. }
  768. $info['sh'] = 2;
  769. break;
  770. case 4: //确认医生
  771. $info['qr'] = 3;
  772. break;
  773. }
  774. }
  775. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
  776. }catch(\Exception $e){
  777. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  778. }
  779. }
  780. /**
  781. * 获取报告日志
  782. *
  783. * @ApiTitle (获取报告日志)
  784. * @ApiSummary (获取报告日志)
  785. * @ApiSector (远程诊断)
  786. * @ApiMethod (POST)
  787. * @ApiRoute (/inter/writereport/get_report_log)
  788. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  789. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  790. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  791. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  792. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  793. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  794. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  795. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  796. * @ApiReturn (data="
  797. {
  798. 'status': ok,
  799. 'code': '0000',
  800. 'info': '',
  801. }
  802. *")
  803. **/
  804. public function get_report_log(){
  805. try{
  806. $sessionid = $_REQUEST['sessionid'];
  807. $doctor = Cache::get($sessionid);
  808. $id = $_REQUEST['id'];
  809. $exam_id = $_REQUEST['exam_id'];
  810. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  811. // 远程
  812. $report = DB::table('report')->where('id',$id)->find();
  813. }else{
  814. // 本地
  815. $report = DB::table('report')->where('exam_id',$exam_id)->where('type',1)->find();
  816. }
  817. if(empty($report)){
  818. return json_encode(['status'=>'ok','code'=>'0000','info'=>'','msg'=>'无数据']);
  819. }
  820. $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$report['id'])->order('createdAt asc,type asc')->select();
  821. foreach ($log as $k => $v) {
  822. $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
  823. $log[$k]['doctor_name'] = $doc['realname'];
  824. }
  825. return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
  826. }catch(\Exception $e){
  827. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  828. }
  829. }
  830. /**
  831. * 打印报告
  832. *
  833. * @ApiTitle (打印报告)
  834. * @ApiSummary (打印报告)
  835. * @ApiSector (远程诊断)
  836. * @ApiMethod (POST)
  837. * @ApiRoute (/inter/writereport/print_report)
  838. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  839. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  840. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  841. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  842. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  843. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  844. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  845. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  846. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  847. * @ApiReturn (data="
  848. {
  849. 'status': ok,
  850. 'code': '0000',
  851. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  852. 'info': '',
  853. }
  854. *")
  855. **/
  856. public function print_report(){
  857. try{
  858. $sessionid = $_REQUEST['sessionid'];
  859. $doctor = Cache::get($sessionid);
  860. $id = $_REQUEST['id'];
  861. $is_remote = $_REQUEST['is_remote'];
  862. $report_id = $_REQUEST['report_id'];
  863. $report = DB::table('report')->where('id',$report_id)->field('qr_code,remote_application_id,report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
  864. $info = array();
  865. // 检查日期 住院号 床号 本地申请科室 本地申请医生
  866. $exam_info = DB::table('exams')->where('id',$id)->field('id,ext,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id,application_department,application_doctor')->find();
  867. $info['id'] = $exam_info['id'];
  868. $info['ext'] = $exam_info['ext'];
  869. $info['accession_num'] = $exam_info['accession_num'];
  870. if(!empty($exam_info['exam_datetime'])){
  871. $datetime = explode(' ',$exam_info['exam_datetime']);
  872. $info['exam_datetime'] = $datetime[0];
  873. }else{
  874. $info['exam_datetime'] = '';
  875. }
  876. $info['hopitalized_no'] = $exam_info['hopitalized_no'];
  877. $info['bed_no'] = $exam_info['bed_no'];
  878. // 检查项目
  879. $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
  880. $info['project'] = $project['name'];
  881. //检查类
  882. $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
  883. $info['exam_class'] = $exam_class['constant_value'];
  884. // 病历号 姓名 年龄 性别
  885. $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
  886. $remote = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id')->find();
  887. $info['pnumber'] = $patient_info['temp_patient_id'];
  888. $info['name'] = $patient_info['name'];
  889. $info['sex'] = $patient_info['sex'];
  890. $info['age'] = $patient_info['age'];
  891. // 申请医生
  892. $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id,autograph,is_use_autograph')->find();
  893. if($is_remote == 1){
  894. $info['application_name'] = $application_name['realname'];
  895. // 申请科室
  896. $department = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
  897. $info['department_name'] = $department['department_name'];
  898. }else{
  899. $info['application_name'] = $exam_info['application_doctor'];
  900. $info['application_department'] = $exam_info['application_department'];
  901. }
  902. $info['application_use_autograph'] = $application_name['is_use_autograph'];
  903. $info['application_autograph'] = $application_name['autograph'];
  904. // 报告时间 影像所见 意见建议
  905. if(!empty($report['report_datetime'])){
  906. $datetime1 = explode(' ',$report['report_datetime']);
  907. $info['report_datetime'] = $datetime1[0];
  908. }else{
  909. $info['report_datetime'] = '';
  910. }
  911. $info['report_datetime_xa'] = $report['report_datetime'];
  912. $info['impression'] = $report['impression'];
  913. $info['description'] = $report['description'];
  914. $info['qr_code'] = $report['qr_code'];
  915. // 报告医生
  916. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname,autograph,is_use_autograph,institution_id')->find();
  917. $info['report_doctor'] = $report_doctor['realname'];
  918. $info['report_use_autograph'] = $report_doctor['is_use_autograph'];
  919. $info['report_autograph'] = $report_doctor['autograph'];
  920. //审核医生
  921. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname,autograph,is_use_autograph')->find();
  922. $info['review_doctor'] = $review_doctor['realname'];
  923. $info['review_use_autograph'] = $review_doctor['is_use_autograph'];
  924. $info['review_autograph'] = $review_doctor['autograph'];
  925. // $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  926. $hospital = DB::table('institution')->where('id',$report_doctor['institution_id'])->field('name')->find();
  927. $info['hospital'] = $hospital['name'];
  928. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  929. }catch(\Exception $e){
  930. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  931. }
  932. }
  933. /**
  934. * 变更胶片
  935. *
  936. * @ApiTitle (变更胶片)
  937. * @ApiSummary (变更胶片)
  938. * @ApiSector (远程诊断)
  939. * @ApiMethod (POST)
  940. * @ApiRoute (/inter/writereport/change_film)
  941. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  942. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  943. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  944. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  945. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  946. * @ApiParams (name="film_type", type="string", required=true, description="胶片")
  947. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  948. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  949. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  950. * @ApiReturn (data="z
  951. {
  952. 'status': ok,
  953. 'code': '0000',
  954. 'info': '',
  955. }
  956. *")
  957. **/
  958. public function change_film(){
  959. $id = $_REQUEST['id'];
  960. $film = $_REQUEST['film_type'];
  961. DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
  962. return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
  963. }
  964. /**
  965. * 保存草稿
  966. *
  967. * @ApiTitle (保存草稿)
  968. * @ApiSummary (保存草稿)
  969. * @ApiSector (远程诊断)
  970. * @ApiMethod (POST)
  971. * @ApiRoute (/inter/writereport/draft)
  972. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  973. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  974. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  975. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  976. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  977. * @ApiParams (name="param[report_id]", type="string", sample="", description="报告表id值<必填>")
  978. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  979. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  980. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  981. * @ApiReturn (data="
  982. {
  983. 'status': ok,
  984. 'code': '0000',
  985. 'msg': '保存成功',
  986. }
  987. *")
  988. **/
  989. public function draft(){
  990. $sessionid = $_REQUEST['sessionid'];
  991. $doctor = Cache::get($sessionid);
  992. $param = $_REQUEST['param'];
  993. $report_id = $param['report_id'];
  994. $rinfo = DB::table('report')->where('id',$report_id)->find();
  995. if($rinfo['type'] == 2){
  996. //远程报告
  997. $status = DB::table('remote_application')->where('id',$rinfo['remote_application_id'])->find();
  998. if($status['report_status'] ==6 || $status['report_status'] ==7){
  999. $key = $doctor['id'].'_'.$report_id;
  1000. Cache::set($key,$param);
  1001. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  1002. }else{
  1003. 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']);
  1004. }
  1005. }else {
  1006. //本地报告
  1007. $status = DB::table('exams')->where('id', $rinfo['exam_id'])->find();
  1008. if ($status['exam_status'] == 7 || $status['exam_status'] == 3) {
  1009. $key = $doctor['id'] . '_' . $report_id;
  1010. Cache::set($key, $param);
  1011. return json_encode(['status' => 'ok', 'msg' => '保存成功', 'code' => '0000']);
  1012. } else {
  1013. 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']);
  1014. }
  1015. }
  1016. }
  1017. /**
  1018. * XA类型数据获取
  1019. *
  1020. * @ApiTitle (XA类型数据获取)
  1021. * @ApiSummary (XA类型数据获取)
  1022. * @ApiSector (远程诊断)
  1023. * @ApiMethod (POST)
  1024. * @ApiRoute (/inter/writereport/get_rinfo)
  1025. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  1026. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  1027. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  1028. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  1029. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  1030. * @ApiParams (name="report_id", type="string", required=true, description="报告表id<必填>")
  1031. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  1032. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  1033. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  1034. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  1035. * @ApiReturn (data="
  1036. {
  1037. 'status': ok,
  1038. 'code': '0000',
  1039. 'msg': '已审核',
  1040. }
  1041. *")
  1042. **/
  1043. public function get_rinfo(){
  1044. $sessionid = $_REQUEST['sessionid'];
  1045. $doctor = Cache::get($sessionid);
  1046. $id = $_REQUEST['id'];
  1047. $report_id = $_REQUEST['report_id'];
  1048. $key = $doctor['id'].'_'.$report_id;
  1049. if(Cache::get($key)){
  1050. $patient = Cache::get($key);
  1051. }else{
  1052. $exam = DB::table('exams')->where('id',$id)->field('accession_num,exam_class,patient_id,ext,hopitalized_no,bed_no')->find();
  1053. $patient = DB::table('patient_infos')->where('id',$exam['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  1054. $report_info = DB::table('report')->where('id',$report_id)->field('description')->find();
  1055. $patient['ext'] = $exam['ext'];
  1056. $patient['exam_id'] = $id;
  1057. $patient['bed_no'] = $exam['bed_no'];
  1058. $patient['accession_num'] = $exam['accession_num'];
  1059. $patient['exam_class'] = $exam['exam_class'];
  1060. $patient['hopitalized_no'] = $exam['hopitalized_no'];
  1061. $patient['description'] = $report_info['description'];
  1062. $patient['report_id'] = $report_id;
  1063. }
  1064. return json_encode(['status'=>'ok','info'=>$patient,'code'=>'0000']);
  1065. }
  1066. /**
  1067. * XA类型保存
  1068. *
  1069. * @ApiTitle (XA类型保存)
  1070. * @ApiSummary (XA类型保存)
  1071. * @ApiSector (远程诊断)
  1072. * @ApiMethod (POST)
  1073. * @ApiRoute (/inter/writereport/write_info)
  1074. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  1075. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  1076. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  1077. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  1078. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  1079. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  1080. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  1081. * @ApiParams (name="param[name]", type="string", sample="", description="姓名<必填>")
  1082. * @ApiParams (name="param[sex]", type="string", sample="", description="性别<必填>")
  1083. * @ApiParams (name="param[age]", type="string", sample="", description="年龄<必填>")
  1084. * @ApiParams (name="param[hospital_number]", type="string", sample="", description="住院号<必填>")
  1085. * @ApiParams (name="param[bed_number]", type="string", sample="", description="病床号<必填>")
  1086. * @ApiParams (name="param[ext]", type="string", sample="", description="其他<必填>")
  1087. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  1088. * @ApiParams (name="param[accession_num]", type="string", sample="", description="检查号<必填>")
  1089. * @ApiParams (name="param[pid]", type="string", sample="", description="患者id<必填>")
  1090. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  1091. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  1092. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  1093. * @ApiReturn (data="
  1094. {
  1095. 'status': ok,
  1096. 'code': '0000',
  1097. 'msg': '保存成功',
  1098. }
  1099. *")
  1100. **/
  1101. public function write_info(){
  1102. $sessionid = $_REQUEST['sessionid'];
  1103. /*if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  1104. // 是远程写报告 7
  1105. $return = Verify::check_role($sessionid,7);
  1106. }else{
  1107. // 本地写报告权限 2
  1108. $return = Verify::check_role($sessionid,2);
  1109. }
  1110. if($return != 1){
  1111. return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
  1112. }
  1113. $param = $_REQUEST['param'];
  1114. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  1115. //远程
  1116. $status = DB::table('remote_application')->where('id',$param['rid'])->field('report_status')->find();
  1117. if($status['report_status'] == 12){
  1118. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被撤回,无法进行保存填写']);
  1119. }elseif($status['report_status'] > 6){
  1120. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  1121. }
  1122. }else{
  1123. //本地
  1124. $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
  1125. if($status['exam_status'] > 6){
  1126. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  1127. }
  1128. }*/
  1129. $doctor = Cache::get($sessionid);
  1130. $is_remote = $_REQUEST['is_remote'];
  1131. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  1132. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  1133. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  1134. $exam_info['hopitalized_no'] = isset($param['hospital_number']) ? $param['hospital_number'] : '';
  1135. $exam_info['bed_no'] = isset($param['bed_number']) ? $param['bed_number'] : '';
  1136. $exam_info['ext'] = isset($param['ext']) ? $param['ext'] : '';
  1137. $exam_info['accession_num'] = isset($param['accession_num']) ? $param['accession_num'] : '';
  1138. $report['description'] = isset($param['description']) ? $param['description'] : '';
  1139. $report['report_datetime'] = date('Y-m-d H:i:s',time());
  1140. $report['report_doctor_id'] = $doctor['id'];
  1141. DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  1142. DB::table('exams')->where('id',$param['id'])->update($exam_info);
  1143. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  1144. if($rinfo){
  1145. DB::table('report')->where('exam_id',$param['id'])->update($report);
  1146. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  1147. $rid = $rinfo['id'];
  1148. }else{
  1149. $report['id'] = UUIDs::uuid16();
  1150. $report['exam_id'] = $param['id'];
  1151. $report['createdAt'] = date('Y-m-d H:i:s',time());
  1152. DB::table('report')->insert($report);
  1153. $rid = $report['id'];
  1154. }
  1155. $log = array();
  1156. $log['id'] = UUIDs::uuid16();
  1157. $log['impression'] = isset($param['ext']) ? $param['ext'] : '';
  1158. $log['description'] = isset($param['description']) ? $param['description'] : '';
  1159. $log['report_id'] = $rid;
  1160. $log['createdAt'] = date('Y-m-d H:i:s',time());
  1161. $log['doctor_id'] = $doctor['id'];
  1162. $log['type'] = 1; //写报告
  1163. log::record($log);
  1164. $report_log = DB::table('report_record')->insert($log);
  1165. $application = DB::table('remote_application')->where('exam_id',$param['id'])->find();
  1166. if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
  1167. $tel = '18910184804';
  1168. $type = '保存报告';
  1169. $content = $application['id'];
  1170. // send_message::sendSms2Self($tel,$type,$content);
  1171. }
  1172. if($is_remote == 1){
  1173. DB::table('remote_application')->where('exam_id',$param['id'])->update(['report_status'=>7]);
  1174. }else{
  1175. DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>7]);
  1176. }
  1177. $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$rid;
  1178. $info = $this->curl_get($url);
  1179. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  1180. }
  1181. /**
  1182. * 获取远程报告列表
  1183. *
  1184. * @ApiTitle (获取远程报告列表)
  1185. * @ApiSummary (获取远程报告列表)
  1186. * @ApiSector (远程诊断)
  1187. * @ApiMethod (POST)
  1188. * @ApiRoute (/inter/writereport/get_report_list)
  1189. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  1190. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  1191. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  1192. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  1193. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  1194. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  1195. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  1196. * @ApiParams (name="param[pid]", type="string", sample="", description="病历号<必填>")
  1197. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  1198. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  1199. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  1200. * @ApiReturn (data="
  1201. {
  1202. 'status': ok,
  1203. 'code': '0000',
  1204. 'info': '',
  1205. }
  1206. *")
  1207. **/
  1208. public function get_report_list(){
  1209. $sessionid = $_REQUEST['sessionid'];
  1210. $doctor = Cache::get($sessionid);
  1211. $param = $_REQUEST['param'];
  1212. $rinfo = DB::table('report')->where('exam_id',$param['id'])->where('type','<>',1)->select();
  1213. $pinfo = DB::table('patient_infos')->where('temp_patient_id',$param['pid'])->field('name,temp_patient_id,sex,age,phone')->find();
  1214. $einfo = DB::table('exams')->where('id',$param['id'])->field('exam_class,exam_sub_class,exam_datetime')->find();
  1215. $info = array();
  1216. $arr = array();
  1217. foreach ($rinfo as $k => $v) {
  1218. $remote_info = DB::table('remote_application')->where('id',$v['remote_application_id'])->find();
  1219. Message::read($doctor['id'],$remote_info['id'],4);
  1220. if($remote_info['report_status'] == 8 || $remote_info['report_status'] == 9){
  1221. $arr = $v;
  1222. $remote_did = DB::table('doctors')->where('id',$v['report_doctor_id'])->field('realname')->find();
  1223. $arr['report_doctor'] = $remote_did['realname'];
  1224. $review_did = DB::table('doctors')->where('id',$v['review_doctor_id'])->field('realname')->find();
  1225. $arr['review_doctor'] = $review_did['realname'];
  1226. $arr['name'] = $pinfo['name'];
  1227. $arr['pid'] = $pinfo['temp_patient_id'];
  1228. $arr['sex'] = $pinfo['sex'];
  1229. $arr['age'] = $pinfo['age'];
  1230. $arr['phone'] = $pinfo['phone'];
  1231. $arr['exam_class'] = $einfo['exam_class'];
  1232. $arr['exam_sub_class'] = $einfo['exam_sub_class'];
  1233. $arr['exam_datetime'] = $einfo['exam_datetime'];
  1234. $arr['report_status'] = $remote_info['report_status'];
  1235. $arr['hospital_name'] = DB::table('institution')->where('id',$remote_info['remote_institution_id'])->value('name');
  1236. $info = $arr;
  1237. }elseif($remote_info['report_status'] == 4){
  1238. //申请中
  1239. 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']);
  1240. }elseif($remote_info['report_status'] == 5){
  1241. // 驳回
  1242. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单已被驳回,没有医生完成远程报告']);
  1243. }elseif($remote_info['report_status'] == 12){
  1244. // 撤回
  1245. 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']);
  1246. }elseif($remote_info['report_status'] == ''){
  1247. // 撤回
  1248. return json_encode(['status'=>'fail','code'=>'0126','msg'=>'没有申请单']);
  1249. }else{
  1250. // 其他
  1251. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单还没有被完成,请等待']);
  1252. }
  1253. }
  1254. return json_encode(['status'=>'ok','info'=>$info,'code'=>'0000']);
  1255. }
  1256. public function reject_examine()
  1257. {
  1258. $sessionid = $_REQUEST['sessionid'];
  1259. //传值报告id
  1260. $report_id = $_REQUEST['report_id'];
  1261. $reason = $_REQUEST['reason'];
  1262. $is_remote = $_REQUEST['is_remote'];
  1263. $report = DB::table('report')->where('id',$report_id)->field('remote_application_id,exam_id,report_doctor_id')->find();
  1264. $exam = DB::table('exams')->where('id',$report['exam_id'])->value('exam_class');
  1265. if($is_remote == 1){
  1266. //远程
  1267. DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>13]);
  1268. }else{
  1269. // 本地
  1270. DB::table('exams')->where('id',$report['exam_id'])->update(['exam_status'=>13]);
  1271. }
  1272. $url = Message::url($sessionid,$report['exam_id'],0,$exam,$report_id,$report['remote_application_id']);
  1273. $t = '您的报告在审核步骤已被驳回';
  1274. $c = '您保存的报告在审核步骤已被驳回,驳回的原因是:'.$reason.',请您重新更改您的报告';
  1275. $d = $report['report_doctor_id'];
  1276. $type = '8';
  1277. Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
  1278. return json_encode(['status'=>'ok','msg'=>'审核已驳回','code'=>'0000']);
  1279. }
  1280. }