Writereport.php 21 KB

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  1. <?php
  2. namespace app\inter\controller;
  3. //use Doctrine\Common\Cache\Cache;
  4. use think\Controller;
  5. use think\Db;
  6. use think\Session;
  7. use app\common\library\UUIDs;
  8. use think\Cache;
  9. use think\Log;
  10. use app\common\library\Verify;
  11. class WriteReport extends Base
  12. {
  13. public function index(){
  14. try{
  15. log::record('-----请求值-----');
  16. log::record($_REQUEST);
  17. log::record('-----请求值-----');
  18. $sessionid = $_REQUEST['sessionid'];
  19. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  20. $is_remote = $_REQUEST['is_remote'];
  21. }else{
  22. $is_remote = 0;
  23. }
  24. $doctor = Cache::get($sessionid);
  25. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name,report_subtitle')->find();
  26. $param = $_REQUEST['param'];
  27. $id = $param['id'];
  28. $info = DB::table('exams')->where('id',$id)->field(['id','study_id','exam_class','exam_datetime','exam_sub_class','body_part','accession_num','patient_id','film_type'])->find();
  29. $exam_class = DB::table('constant')->where('id',$info['exam_class'])->field('constant_value')->find();
  30. $info['exam_class'] = $exam_class['constant_value'];
  31. $exam_subclass = DB::table('exam_subclass')->where('id',$info['exam_sub_class'])->field('name')->find();
  32. $info['exam_sub_class'] = $exam_subclass['name'];
  33. $patient_info = DB::table('patient_infos')->where('id',$info['patient_id'])->field(['id','temp_patient_id','name','sex','age'])->find();
  34. $info['pid'] = $patient_info['temp_patient_id'];
  35. $info['name'] = $patient_info['name'];
  36. $info['sex'] = $patient_info['sex'];
  37. $info['age'] = $patient_info['age'];
  38. $info['hospital_name'] = $institution['name'];
  39. $info['hospital_title'] = $institution['report_subtitle'];
  40. $info['images'] = isset($param['images']) ? $param['images'] : '';
  41. $report = DB::table('report')->where('exam_id',$id)->field('report_result,report_datetime,report_doctor_id,review_datetime,review_doctor_id,impression,description')->find();
  42. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  43. $info['report_doctor'] = $report_doctor['realname'];
  44. $info['report_datetime'] = $report['report_datetime'];
  45. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  46. $info['review_doctor'] = $review_doctor['realname'];
  47. $info['review_datetime'] = $report['review_datetime'];
  48. $info['description'] = $report['description'];
  49. $info['impression'] = $report['impression'];
  50. $info['report_result'] = $report['report_result'];
  51. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid,'is_remote'=>$is_remote]);
  52. }catch(\Exception $e){
  53. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  54. }
  55. }
  56. public function upload($files){
  57. // 获取表单上传文件
  58. foreach($files as $file){
  59. // 移动到框架应用根目录/public/uploads/ 目录下
  60. $info = $file->move(ROOT_PATH . 'public' . DS . 'uploads');
  61. if($info){
  62. return $info->getSaveName();
  63. // 成功上传后 获取上传信息
  64. // 输出 jpg
  65. // echo $info-> getExtension();
  66. // 输出 42a79759f284b767dfcb2a0197904287.jpg
  67. // echo $info->getFilename();
  68. }else{
  69. // 上传失败获取错误信息
  70. // echo $file->getError();
  71. }
  72. }
  73. }
  74. public function write(){
  75. try{
  76. $sessionid = $_REQUEST['sessionid'];
  77. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  78. // 是远程写报告 7
  79. $return = Verify::check_role($sessionid,7);
  80. }else{
  81. // 本地写报告权限 2
  82. $return = Verify::check_role($sessionid,2);
  83. }
  84. if($return != 1){
  85. return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
  86. }
  87. $param = $_REQUEST['param'];
  88. // Verify::wreportCheck($param);
  89. $doctor = Cache::get($sessionid);
  90. $remote_app = DB::table('remote_application')->where('exam_id',$param['id'])->field('remote_doctor_id')->find();
  91. if(!empty($remote_app['remote_doctor_id'])){
  92. if($remote_app['remote_doctor_id'] != $doctor['id']){
  93. // return json_encode(['status'=>'fail','code'=>'1029','msg'=>'已被指定报告医生,您没有操作权限']);
  94. }
  95. }
  96. $this->uuids = new UUIDs();
  97. $id = $this->uuids->uuid16();
  98. //初步报告生成
  99. $film_type = isset($param['film_type']) ? $param['film_type'] : '';
  100. $exam_status = $this->get_exam_status($doctor['id'],7);
  101. $patient_info = array();
  102. $patient_info['id'] = isset($param['pid']) ? $param['pid'] : '';
  103. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  104. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  105. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  106. $patient = DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  107. $info = array();
  108. $info['exam_id'] = $param['id'];
  109. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  110. $info['description'] = isset($param['description']) ? $param['description'] : '';
  111. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  112. $info['report_result'] = 2;
  113. }else{
  114. $info['report_result'] = 1;
  115. }
  116. DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>$exam_status,'film_type'=>$film_type,'exam_report'=>$info['report_result']]);
  117. $info['report_datetime'] = date('Y-m-d H:i:s',time());
  118. $info['report_doctor_id'] = $doctor['id'];
  119. $report_info = DB::table('report')->where('exam_id',$param['id'])->find();
  120. if($report_info){
  121. $report = DB::table('report')->where('exam_id',$param['id'])->update($info);
  122. }else{
  123. $info['id'] = $id;
  124. $info['createdAt'] = date('Y-m-d H:i:s',time());
  125. $report = DB::table('report')->insert($info);
  126. }
  127. //写入log日志
  128. log::record('----日志写入----');
  129. $log = array();
  130. $log['id'] = UUIDs::uuid16();
  131. $log['impression'] = isset($param['impression']) ? $param['impression'] : '';
  132. $log['description'] = isset($param['description']) ? $param['description'] : '';
  133. $log['report_id'] = $id;
  134. $log['createdAt'] = date('Y-m-d H:i:s',time());
  135. $log['doctor_id'] = $doctor['id'];
  136. $log['type'] = 1; //写报告
  137. log::record($log);
  138. $report_log = DB::table('report_record')->insert($log);
  139. log::record($report_log);
  140. log::record('----日志写入成功----');
  141. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'保存成功','sessionid'=>$sessionid]);
  142. }catch(\Exception $e){
  143. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  144. }
  145. }
  146. public function get_exam_status($doctorid,$status){
  147. $doctor_class = DB::table('doctor_class')->where('doctor_id',$doctorid)->field('doctor_class')->find();
  148. if(strpos($doctor_class['doctor_class'],'9')){
  149. return 9;
  150. }elseif(strpos($doctor_class['doctor_class'],'8')){
  151. return 8;
  152. }else{
  153. return $status;
  154. }
  155. }
  156. public function public_template(){
  157. $sessionid = $_REQUEST['sessionid'];
  158. $doctor = Cache::get($sessionid);
  159. $exam = $_REQUEST['exam_class'];
  160. //第一级 公共模板
  161. $info = $this->get_template(1,$doctor['id'],$exam);
  162. echo json_encode($info);
  163. }
  164. public function private_template(){
  165. $sessionid = $_REQUEST['sessionid'];
  166. $doctor = Cache::get($sessionid);
  167. $exam = $_REQUEST['exam_class'];
  168. //第一级 公共模板
  169. $info = $this->get_template(2,$doctor['id'],$exam);
  170. echo json_encode($info);
  171. }
  172. public function get_template($public,$id,$exam){
  173. // 查询exam_class表
  174. $examCla = DB::table('constant')->where('id',$exam)->field('constant_value as name')->find();
  175. if($public == 1){
  176. $t = DB::table('templates')->where('is_public',$public)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  177. }else{
  178. // 私有模板 添加创建人条件
  179. $t = DB::table('templates')->where('is_public',$public)->where('create_user',$id)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  180. }
  181. if(!$t){
  182. return '';
  183. }
  184. $data = array();
  185. foreach ($t as $k => $v) {
  186. if($v['parent_id'] == 0){
  187. $data[] = $v;
  188. }
  189. }
  190. foreach ($data as $k => $v) {
  191. unset($data[$k]['impression']);
  192. unset($data[$k]['description']);
  193. unset($data[$k]['parent_id']);
  194. }
  195. foreach ($t as $k => $v) {
  196. foreach ($data as $key => $value) {
  197. if($v['parent_id'] == $value['id']){
  198. unset($t[$k]['parent_id']);
  199. $data[$key]['children'][] = $t[$k];
  200. }
  201. }
  202. }
  203. if($data){
  204. return $data;
  205. }
  206. }
  207. //确认 5
  208. public function confirm(){
  209. try{
  210. $sessionid = $_REQUEST['sessionid'];
  211. $doctor = Cache::get($sessionid);
  212. $id = $_REQUEST['id'];
  213. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  214. if($status['exam_status'] < 8 ){
  215. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  216. }elseif($status['exam_status'] == 9){
  217. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  218. }
  219. $exam_status = $this->get_exam_status($doctor['id'],9);
  220. DB::table('exams')->where('id',$id)->update(['exam_status'=>$exam_status]);
  221. DB::table('report')->where('exam_id',$id)->update(['confirm_doctor_id'=>$doctor['id'],'confirm_datetime'=>date('Y-m-d H:i:s')]);
  222. // 添加 确认log日志
  223. $info = array();
  224. $info['id'] = UUIDs::uuid16();
  225. $info['createdAt'] = date('Y-m-d H:i:s',time());
  226. $info['doctor_id'] = $doctor['id'];
  227. $info['type'] = 3;
  228. $info['report_id'] = '';
  229. DB::table('report_record')->insert($info);
  230. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已确认']);
  231. }catch(\Exception $e){
  232. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  233. }
  234. }
  235. // 审核
  236. public function examine(){
  237. try{
  238. $id = $_REQUEST['id'];
  239. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  240. if($status['exam_status'] < 7){
  241. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  242. }elseif($status['exam_status']>7){
  243. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  244. }
  245. $report = DB::table('report')->where('exam_id',$id)->field('id')->find();
  246. $param = $_REQUEST['param'];
  247. $sessionid = $_REQUEST['sessionid'];
  248. $doctor = Cache::get($sessionid);
  249. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  250. // 是远程审核报告 8
  251. $return = Verify::check_role($sessionid,8);
  252. }else{
  253. // 本地审核权限 3
  254. $return = Verify::check_role($sessionid,3);
  255. }
  256. $report_info = array();
  257. $report_info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  258. $report_info['description'] = isset($param['description']) ? $param['description'] : '';
  259. $report_info['report_result'] = isset($param['r_result']) ? $param['r_result'] : '';
  260. $report_info['review_datetime'] = date('Y-m-d H:i:s',time());
  261. $report_info['review_doctor_id'] = $doctor['id'];
  262. DB::table('report')->where('id',$report['id'])->update($report_info);
  263. $info = array();
  264. $info['id'] = UUIDs::uuid16();
  265. $info['type'] = 2; //审核
  266. $info['createdAt'] = date('Y-m-d H:i:s',time());
  267. $info['doctor_id'] = $doctor['id'];
  268. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  269. $info['description'] = isset($param['description']) ? $param['description'] : '';
  270. $info['report_id'] = $report['id'];
  271. DB::table('report_record')->insert($info);
  272. $exam_status = $this->get_exam_status($doctor['id'],8);
  273. DB::table('exams')->where('id',$id)->update(['exam_status'=>$exam_status]);
  274. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
  275. }catch(\Exception $e){
  276. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  277. }
  278. }
  279. public function getrole(){
  280. try{
  281. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  282. $is_remote = $_REQUEST['is_remote'];
  283. }
  284. $sessionid = $_REQUEST['sessionid'];
  285. $doctor = Cache::get($sessionid);
  286. $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
  287. $doctor_class = explode(',',$dclass['doctor_class']);
  288. $info = array();
  289. foreach ($doctor_class as $k=>$v) {
  290. switch($v){
  291. case 2: //报告医生
  292. if(isset($is_remote)){
  293. //远程报告
  294. break;
  295. }
  296. $info['bg'] = 1;
  297. break;
  298. case 7: //远程报告医生
  299. if(!isset($is_remote)){
  300. //远程报告
  301. break;
  302. }
  303. $info['bg'] = 1;
  304. break;
  305. case 3: //3审核医生
  306. if(isset($is_remote)){
  307. //远程报告
  308. break;
  309. }
  310. $info['sh'] = 2;
  311. break;
  312. case 8: //远程审核医生
  313. if(!isset($is_remote)){
  314. //远程报告
  315. break;
  316. }
  317. $info['sh'] = 2;
  318. break;
  319. case 4: //确认医生
  320. $info['qr'] = 3;
  321. break;
  322. }
  323. }
  324. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
  325. }catch(\Exception $e){
  326. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  327. }
  328. }
  329. public function get_report_log(){
  330. try{
  331. $sessionid = $_REQUEST['sessionid'];
  332. $doctor = Cache::get($sessionid);
  333. $exam_id = $_REQUEST['id'];
  334. $report = DB::table('report')->where('exam_id',$exam_id)->field('id')->find();
  335. $log_id = $report['id'];
  336. $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$log_id)->order('createdAt asc,type asc')->select();
  337. foreach ($log as $k => $v) {
  338. $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
  339. $log[$k]['doctor_name'] = $doc['realname'];
  340. }
  341. return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
  342. }catch(\Exception $e){
  343. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  344. }
  345. }
  346. public function print_report(){
  347. try{
  348. $sessionid = $_REQUEST['sessionid'];
  349. $doctor = Cache::get($sessionid);
  350. $id = $_REQUEST['id'];
  351. $info = array();
  352. // 检查日期 住院号 床号
  353. $exam_info = DB::table('exams')->where('id',$id)->field('id,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id')->find();
  354. $info['id'] = $exam_info['id'];
  355. if(!empty($exam_info['exam_datetime'])){
  356. $datetime = explode(' ',$exam_info['exam_datetime']);
  357. $info['exam_datetime'] = $datetime[0];
  358. }else{
  359. $info['exam_datetime'] = '';
  360. }
  361. $info['hopitalized_no'] = $exam_info['hopitalized_no'];
  362. $info['bed_no'] = $exam_info['bed_no'];
  363. // 检查项目
  364. $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
  365. $info['project'] = $project['name'];
  366. //检查类
  367. $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
  368. $info['exam_class'] = $exam_class['constant_value'];
  369. // 病历号 姓名 年龄 性别
  370. $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
  371. $remote = DB::table('remote_application')->where('exam_id',$id)->field('req_doctor_id')->find();
  372. $info['pnumber'] = $patient_info['temp_patient_id'];
  373. $info['name'] = $patient_info['name'];
  374. $info['sex'] = $patient_info['sex'];
  375. $info['age'] = $patient_info['age'];
  376. // 申请医生
  377. $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id')->find();
  378. $info['application_name'] = $application_name['realname'];
  379. // 申请科室
  380. $department = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
  381. $info['department_name'] = $department['department_name'];
  382. // 报告时间 影像所见 意见建议
  383. $report = DB::table('report')->where('exam_id',$id)->field('report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
  384. if(!empty($report['report_datetime'])){
  385. $datetime1 = explode(' ',$report['report_datetime']);
  386. $info['report_datetime'] = $datetime1[0];
  387. }else{
  388. $info['report_datetime'] = '';
  389. }
  390. // $info['report_datetime'] = $report['report_datetime'];
  391. $info['impression'] = $report['impression'];
  392. $info['description'] = $report['description'];
  393. // 报告医生
  394. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  395. $info['report_doctor'] = $report_doctor['realname'];
  396. //审核医生
  397. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  398. $info['review_doctor'] = $review_doctor['realname'];
  399. $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  400. $info['hospital'] = $hospital['name'];
  401. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  402. }catch(\Exception $e){
  403. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  404. }
  405. }
  406. public function change_film(){
  407. $id = $_REQUEST['id'];
  408. $film = $_REQUEST['film_type'];
  409. DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
  410. return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
  411. }
  412. }