Writereport.php 58 KB

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182838485868788899091929394959697989910010110210310410510610710810911011111211311411511611711811912012112212312412512612712812913013113213313413513613713813914014114214314414514614714814915015115215315415515615715815916016116216316416516616716816917017117217317417517617717817918018118218318418518618718818919019119219319419519619719819920020120220320420520620720820921021121221321421521621721821922022122222322422522622722822923023123223323423523623723823924024124224324424524624724824925025125225325425525625725825926026126226326426526626726826927027127227327427527627727827928028128228328428528628728828929029129229329429529629729829930030130230330430530630730830931031131231331431531631731831932032132232332432532632732832933033133233333433533633733833934034134234334434534634734834935035135235335435535635735835936036136236336436536636736836937037137237337437537637737837938038138238338438538638738838939039139239339439539639739839940040140240340440540640740840941041141241341441541641741841942042142242342442542642742842943043143243343443543643743843944044144244344444544644744844945045145245345445545645745845946046146246346446546646746846947047147247347447547647747847948048148248348448548648748848949049149249349449549649749849950050150250350450550650750850951051151251351451551651751851952052152252352452552652752852953053153253353453553653753853954054154254354454554654754854955055155255355455555655755855956056156256356456556656756856957057157257357457557657757857958058158258358458558658758858959059159259359459559659759859960060160260360460560660760860961061161261361461561661761861962062162262362462562662762862963063163263363463563663763863964064164264364464564664764864965065165265365465565665765865966066166266366466566666766866967067167267367467567667767867968068168268368468568668768868969069169269369469569669769869970070170270370470570670770870971071171271371471571671771871972072172272372472572672772872973073173273373473573673773873974074174274374474574674774874975075175275375475575675775875976076176276376476576676776876977077177277377477577677777877978078178278378478578678778878979079179279379479579679779879980080180280380480580680780880981081181281381481581681781881982082182282382482582682782882983083183283383483583683783883984084184284384484584684784884985085185285385485585685785885986086186286386486586686786886987087187287387487587687787887988088188288388488588688788888989089189289389489589689789889990090190290390490590690790890991091191291391491591691791891992092192292392492592692792892993093193293393493593693793893994094194294394494594694794894995095195295395495595695795895996096196296396496596696796896997097197297397497597697797897998098198298398498598698798898999099199299399499599699799899910001001100210031004100510061007100810091010101110121013101410151016101710181019102010211022102310241025102610271028102910301031103210331034103510361037103810391040104110421043104410451046104710481049105010511052
  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=true, 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('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('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. $cache_key = $doctor['id'].'_'.$report['id'];
  104. if(Cache::get($cache_key)){
  105. $cache = Cache::get($cache_key);
  106. $info['description'] = isset($cache['description']) ? $cache['description'] : '';
  107. $info['impression'] = isset($cache['impression']) ? $cache['impression'] : '';
  108. $info['report_result'] = isset($cache['r_result']) ?$cache['r_result'] : '';
  109. $info['name'] = isset($cache['name']) ? $cache['name'] : '';
  110. $info['sex'] = isset($cache['sex']) ? $cache['sex'] : '';
  111. $info['age'] = isset($cache['age']) ? $cache['age'] : '';
  112. $info['phone'] = isset($cache['phone']) ? $cache['phone'] : '';
  113. }
  114. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid,'is_remote'=>$is_remote]);
  115. }catch(\Exception $e){
  116. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  117. }
  118. }
  119. /**
  120. * 上远程申请附件
  121. *
  122. * @ApiTitle (上远程申请附件)
  123. * @ApiSummary (上远程申请附件)
  124. * @ApiSector (远程诊断)
  125. * @ApiMethod (POST)
  126. * @ApiRoute (/inter/writereport/upload)
  127. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  128. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  129. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  130. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  131. * @ApiParams (name="file", type="string", required=true, description="上传的文件<必填>")
  132. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  133. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  134. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  135. * @ApiReturn (data="
  136. {
  137. 'status': ok,
  138. 'code': '0000',
  139. 'info' : '/upload/20180101/12346asd.jpg'
  140. }
  141. *")
  142. **/
  143. public function upload($files){
  144. // 获取表单上传文件
  145. foreach($files as $file){
  146. // 移动到框架应用根目录/public/uploads/ 目录下
  147. $info = $file->move(ROOT_PATH . 'public' . DS . 'uploads');
  148. if($info){
  149. return $info->getSaveName();
  150. // 成功上传后 获取上传信息
  151. // 输出 jpg
  152. // echo $info-> getExtension();
  153. // 输出 42a79759f284b767dfcb2a0197904287.jpg
  154. // echo $info->getFilename();
  155. }else{
  156. // 上传失败获取错误信息
  157. // echo $file->getError();
  158. }
  159. }
  160. }
  161. /**
  162. * 报告保存
  163. *
  164. * @ApiTitle (报告保存)
  165. * @ApiSummary (报告保存)
  166. * @ApiSector (远程诊断)
  167. * @ApiMethod (POST)
  168. * @ApiRoute (/inter/writereport/write)
  169. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  170. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  171. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  172. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  173. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  174. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  175. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  176. * @ApiParams (name="param[pid]", type="string", sample="", description="患者id值<必填>")
  177. * @ApiParams (name="param[name]", type="string", sample="", description="患者姓名<必填>")
  178. * @ApiParams (name="param[age]", type="string", sample="", description="患者年龄<必填>")
  179. * @ApiParams (name="param[sex]", type="string", sample="", description="患者性别<必填>")
  180. * @ApiParams (name="param[impression]", type="string", sample="", description="影响所见<必填>")
  181. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  182. * @ApiParams (name="param[film_type]", type="string", sample="", description="胶片<必填>")
  183. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  184. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  185. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  186. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  187. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  188. * @ApiReturn (data="
  189. {
  190. 'status': ok,
  191. 'code': '0000',
  192. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  193. 'msg' : '保存成功'
  194. }
  195. *")
  196. **/
  197. public function write(){
  198. try{
  199. $sessionid = $_REQUEST['sessionid'];
  200. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  201. // 是远程写报告 7
  202. $return = Verify::check_role($sessionid,7);
  203. }else{
  204. // 本地写报告权限 2
  205. $return = Verify::check_role($sessionid,2);
  206. }
  207. if($return != 1){
  208. return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
  209. }
  210. $param = $_REQUEST['param'];
  211. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  212. //远程
  213. $status = DB::table('remote_application')->where('id',$param['rid'])->field('report_status')->find();
  214. if($status['report_status'] == 12){
  215. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被撤回,无法进行保存填写']);
  216. }elseif($status['report_status'] > 6){
  217. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  218. }
  219. }else{
  220. //本地
  221. $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
  222. if($status['exam_status'] > 6){
  223. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  224. }
  225. }
  226. // Verify::wreportCheck($param);
  227. $doctor = Cache::get($sessionid);
  228. // $remote_app = DB::table('remote_application')->where('exam_id',$param['id'])->field('remote_doctor_id')->find();
  229. // if(!empty($remote_app['remote_doctor_id'])){
  230. // if($remote_app['remote_doctor_id'] != $doctor['id']){
  231. // return json_encode(['status'=>'fail','code'=>'1029','msg'=>'已被指定报告医生,您没有操作权限']);
  232. // }
  233. // }
  234. $this->uuids = new UUIDs();
  235. //初步报告生成
  236. $film_type = isset($param['film_type']) ? $param['film_type'] : '';
  237. // $exam_status = $this->get_exam_status($doctor['id'],7);
  238. $patient_info = array();
  239. $patient_info['id'] = isset($param['pid']) ? $param['pid'] : '';
  240. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  241. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  242. $patient_info['phone'] = isset($param['phone']) ? $param['phone'] : '';
  243. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  244. $patient = DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  245. $info = array();
  246. $info['exam_id'] = $param['id'];
  247. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  248. $info['description'] = isset($param['description']) ? $param['description'] : '';
  249. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  250. $info['report_result'] = 2;
  251. }else{
  252. $info['report_result'] = 1;
  253. }
  254. DB::table('exams')->where('id',$param['id'])->update(['film_type'=>$film_type,'phone'=>isset($param['phone']) ? $param['phone'] : '','exam_report'=>$info['report_result']]);
  255. // 报告的id
  256. $report_id = $param['report_id'];
  257. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  258. // 远程保存
  259. DB::table('remote_application')->where('id',$param['rid'])->update(['report_status'=>'7']);
  260. $info['type'] = 2;
  261. }else{
  262. //本地保存
  263. DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>'7']);
  264. $info['type'] = 1;
  265. }
  266. $info['report_datetime'] = date('Y-m-d H:i:s',time());
  267. $info['report_doctor_id'] = $doctor['id'];
  268. $info['remote_application_id'] = $param['rid'];
  269. if($report_id){
  270. $report_info = DB::table('report')->where('id',$report_id)->find();
  271. $report = DB::table('report')->where('id',$report_id)->update($info);
  272. $id = $report_info['id'];
  273. $cache_key = $doctor['id'].'_'.$report_id;
  274. }else{
  275. $id = $this->uuids->uuid16();
  276. $info['id'] = $id;
  277. $info['createdAt'] = date('Y-m-d H:i:s',time());
  278. $report = DB::table('report')->insert($info);
  279. $cache_key = $doctor['id'].'_'.$id;
  280. }
  281. if(Cache::get($cache_key)){
  282. Cache::rm($cache_key);
  283. }
  284. //写入log日志
  285. log::record('----日志写入----');
  286. $log = array();
  287. $log['id'] = UUIDs::uuid16();
  288. $log['impression'] = isset($param['impression']) ? $param['impression'] : '';
  289. $log['description'] = isset($param['description']) ? $param['description'] : '';
  290. $log['report_id'] = $id;
  291. $log['createdAt'] = date('Y-m-d H:i:s',time());
  292. $log['doctor_id'] = $doctor['id'];
  293. $log['type'] = 1; //写报告
  294. log::record($log);
  295. $report_log = DB::table('report_record')->insert($log);
  296. log::record($report_log);
  297. log::record('----日志写入成功----');
  298. $application = DB::table('remote_application')->where('exam_id',$id)->find();
  299. if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
  300. $tel = '18910184804';
  301. $type = '保存报告';
  302. $content = $application['id'];
  303. send_message::sendSms2Self($tel,$type,$content);
  304. }
  305. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'保存成功','sessionid'=>$sessionid]);
  306. }catch(\Exception $e){
  307. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  308. }
  309. }
  310. public function get_exam_status($doctorid,$status){
  311. $doctor_class = DB::table('doctor_class')->where('doctor_id',$doctorid)->field('doctor_class')->find();
  312. if(strpos($doctor_class['doctor_class'],'9')){
  313. return 9;
  314. }elseif(strpos($doctor_class['doctor_class'],'8')){
  315. return 8;
  316. }else{
  317. return $status;
  318. }
  319. }
  320. /**
  321. * 公有模板列表
  322. *
  323. * @ApiTitle (公有模板列表)
  324. * @ApiSummary (公有模板列表)
  325. * @ApiSector (远程诊断)
  326. * @ApiMethod (POST)
  327. * @ApiRoute (/inter/writereport/public_template)
  328. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  329. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  330. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  331. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  332. * @ApiParams (name="exam_class", type="string", required=true, description="检查类id")
  333. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  334. * @ApiReturn (data="
  335. {
  336. 'info' : ''
  337. }
  338. *")
  339. **/
  340. public function public_template(){
  341. $sessionid = $_REQUEST['sessionid'];
  342. $doctor = Cache::get($sessionid);
  343. $exam = $_REQUEST['exam_class'];
  344. //第一级 公共模板
  345. $info = $this->get_template(1,$doctor['id'],$exam);
  346. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  347. }
  348. /**
  349. * 私有模板列表
  350. *
  351. * @ApiTitle (私有模板列表)
  352. * @ApiSummary (私有模板列表)
  353. * @ApiSector (远程诊断)
  354. * @ApiMethod (POST)
  355. * @ApiRoute (/inter/writereport/private_template)
  356. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  357. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  358. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  359. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  360. * @ApiParams (name="exam_class", type="string", required=true, description="检查类id")
  361. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  362. * @ApiReturn (data="
  363. {
  364. 'info' : ''
  365. }
  366. *")
  367. **/
  368. public function private_template(){
  369. $sessionid = $_REQUEST['sessionid'];
  370. $doctor = Cache::get($sessionid);
  371. $exam = $_REQUEST['exam_class'];
  372. //私有模板
  373. $info = $this->get_template(2,$doctor['id'],$exam);
  374. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  375. }
  376. public function get_template($public,$id,$exam){
  377. // 查询exam_class表
  378. $examCla = DB::table('constant')->where('id',$exam)->field('constant_value as name')->find();
  379. if($public == 1){
  380. $t = DB::table('templates')->where('is_public',$public)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  381. }else{
  382. // 私有模板 添加创建人条件
  383. $t = DB::table('templates')->where('is_public',$public)->where('create_user',$id)->where('exam_class_id',$examCla['name'])->field(['id','title as label','impression','description','parent_id'])->select();
  384. }
  385. if(!$t){
  386. return '';
  387. }
  388. $data = array();
  389. foreach ($t as $k => $v) {
  390. if($v['parent_id'] == '0'){
  391. $data[] = $v;
  392. }
  393. }
  394. foreach ($data as $k => $v) {
  395. unset($data[$k]['impression']);
  396. unset($data[$k]['description']);
  397. unset($data[$k]['parent_id']);
  398. }
  399. foreach ($t as $k => $v) {
  400. foreach ($data as $key => $value) {
  401. if($v['parent_id'] == $value['id']){
  402. unset($t[$k]['parent_id']);
  403. $data[$key]['children'][] = $t[$k];
  404. }
  405. }
  406. }
  407. if($data){
  408. return $data;
  409. }
  410. }
  411. /**
  412. * 确认报告
  413. *
  414. * @ApiTitle (确认报告)
  415. * @ApiSummary (确认报告)
  416. * @ApiSector (远程诊断)
  417. * @ApiMethod (POST)
  418. * @ApiRoute (/inter/writereport/confirm)
  419. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  420. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  421. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  422. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  423. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  424. * @ApiParams (name="film_type", type="string", sample="", description="胶片类型<必填>")
  425. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  426. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  427. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  428. * @ApiReturn (data="
  429. {
  430. 'status': ok,
  431. 'code': '0000',
  432. 'msg': '已确认',
  433. }
  434. *")
  435. **/
  436. public function confirm(){
  437. try{
  438. $is_remote = $_REQUEST['is_remote'];
  439. if($is_remote == 1){
  440. return json_encode(['status'=>'fail','code'=>'1133','msg'=>'远程无法确诊报告']);
  441. }
  442. $sessionid = $_REQUEST['sessionid'];
  443. $doctor = Cache::get($sessionid);
  444. $param = $_REQUEST['param'];
  445. $id = $param['id'];
  446. $report_id = $param['report_id'];
  447. $report_info = DB::table('report')->where('id',$report_id)->find();
  448. if($report_info['type'] == 1){
  449. //本地报告
  450. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  451. if($status['exam_status'] < 8 ){
  452. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  453. }elseif($status['exam_status'] == 9){
  454. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  455. }
  456. }else{
  457. //远程
  458. $status = DB::table('remote_application')->where('id',$report_info['remote_application_id'])->field('remote_doctor_id,report_status')->find();
  459. if($status['report_status'] < 8 ){
  460. return json_encode(['status'=>'fail','code'=>'1033','msg'=>'只能确认通过审核的报告']);
  461. }elseif($status['report_status'] == 9){
  462. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'已经确认过该报告,不可再次确认']);
  463. }
  464. }
  465. $rinfo = array();
  466. $rinfo['impression'] = isset($param['impression']) ? $param['impression'] : '';
  467. $rinfo['description'] = isset($param['description']) ? $param['description'] : '';
  468. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  469. $rinfo['report_result'] = 2;
  470. }else{
  471. $rinfo['report_result'] = 1;
  472. }
  473. $rinfo['confirm_datetime'] = date('Y-m-d H:i:s',time());
  474. $rinfo['confirm_doctor_id'] = $doctor['id'];
  475. if($report_info['type'] == 1){
  476. //本地报告确认
  477. DB::table('exams')->where('id',$id)->update(['exam_status'=>'9']);
  478. }else{
  479. Message::read($doctor['id'],$report_info['remote_application_id'],4);
  480. //远程确认
  481. DB::table('remote_application')->where('id',$report_info['remote_application_id'])->update(['report_status'=>'9']);
  482. // 添加messages消息
  483. $t = '您的报告已确认';
  484. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  485. $c = '您的远程诊断申请报告,已被'.$institution['name'].$doctor['realname'].'医师确认';
  486. $d = $status['remote_doctor_id'];
  487. $type = '6';
  488. $url = '';
  489. Message::insert($t,$c,$d,$type,$url,1,$report_info['remote_application_id']);
  490. }
  491. DB::table('exams')->where('id',$id)->update(['film_type'=>$_REQUEST['param']['film_type']]);
  492. DB::table('report')->where('id',$report_id)->update($rinfo);
  493. $cache_key = $doctor['id'].'_'.$report_info['id'];
  494. if(Cache::get($cache_key)){
  495. Cache::rm($cache_key);
  496. }
  497. // 添加 确认log日志
  498. $info = array();
  499. $info['id'] = UUIDs::uuid16();
  500. $info['createdAt'] = date('Y-m-d H:i:s',time());
  501. $info['doctor_id'] = $doctor['id'];
  502. $info['type'] = 3;
  503. $info['report_id'] = $report_id;
  504. DB::table('report_record')->insert($info);
  505. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已确认']);
  506. }catch(\Exception $e){
  507. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  508. }
  509. }
  510. /**
  511. * 审核报告
  512. *
  513. * @ApiTitle (审核报告)
  514. * @ApiSummary (审核报告)
  515. * @ApiSector (远程诊断)
  516. * @ApiMethod (POST)
  517. * @ApiRoute (/inter/writereport/examine)
  518. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  519. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  520. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  521. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  522. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  523. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  524. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  525. * @ApiParams (name="param[impression]", type="string", sample="", description="检查所见<必填>")
  526. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  527. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  528. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  529. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  530. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  531. * @ApiReturn (data="
  532. {
  533. 'status': ok,
  534. 'code': '0000',
  535. 'msg': '已审核',
  536. }
  537. *")
  538. **/
  539. public function examine(){
  540. try{
  541. $id = $_REQUEST['id'];
  542. $param = $_REQUEST['param'];
  543. $report_id = $param['report_id'];
  544. $report = DB::table('report')->where('id',$report_id)->find();
  545. $sessionid = $_REQUEST['sessionid'];
  546. $doctor = Cache::get($sessionid);
  547. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  548. // 是远程审核报告 8
  549. $return = Verify::check_role($sessionid,8);
  550. $status = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id,report_status')->find();
  551. if($status['report_status'] < 7){
  552. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  553. }elseif($status['report_status']>7){
  554. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  555. }
  556. DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>'8']);
  557. }else{
  558. // 本地审核权限 3
  559. $return = Verify::check_role($sessionid,3);
  560. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  561. if($status['exam_status'] < 7){
  562. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  563. }elseif($status['exam_status']>7){
  564. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  565. }
  566. DB::table('exams')->where('id',$id)->update(['exam_status'=>'8']);
  567. }
  568. $report_info = array();
  569. $report_info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  570. $report_info['description'] = isset($param['description']) ? $param['description'] : '';
  571. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  572. $report_info['report_result'] = 2;
  573. }else{
  574. $report_info['report_result'] = 1;
  575. }
  576. $report_info['review_datetime'] = date('Y-m-d H:i:s',time());
  577. $report_info['review_doctor_id'] = $doctor['id'];
  578. DB::table('report')->where('id',$report['id'])->update($report_info);
  579. $cache_key = $doctor['id'].'_'.$report['id'];
  580. if(Cache::get($cache_key)){
  581. Cache::rm($cache_key);
  582. }
  583. $info = array();
  584. $info['id'] = UUIDs::uuid16();
  585. $info['type'] = 2; //审核
  586. $info['createdAt'] = date('Y-m-d H:i:s',time());
  587. $info['doctor_id'] = $doctor['id'];
  588. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  589. $info['description'] = isset($param['description']) ? $param['description'] : '';
  590. $info['report_id'] = $report['id'];
  591. DB::table('report_record')->insert($info);
  592. DB::table('exams')->where('id',$id)->update(['film_type'=>$param['film_type']]);
  593. // 已审核 发送短信
  594. $application = DB::table('remote_application')->where('exam_id',$id)->find();
  595. $dinfo = DB::table('doctors')->where('id',$application['req_doctor_id'])->find();
  596. $d_phone = $dinfo['phone'];
  597. log::record('发短信的手机号为'.$d_phone);
  598. $d_name = $doctor['realname'];
  599. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  600. if($dinfo['institution_id'] == '22100002' || $dinfo['send_sms'] == 1){ //魏庙下级
  601. $repsone = send_message::sendSms2CompleteReport($d_phone,$d_name);
  602. }
  603. $tel = '18910184804';
  604. $type = '完成并审核报告';
  605. $content =$application['id'];
  606. send_message::sendSms2Self($tel,$type,$content);
  607. }
  608. // 添加messages消息
  609. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  610. Message::read($doctor['id'],$report['remote_application_id'],3);
  611. $t = '您的远程诊断申请已完成';
  612. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  613. $c = '您的远程诊断申请,已由被'.$institution['name'].$doctor['realname'].'医师完成报告';
  614. $d = $status['req_doctor_id'];
  615. $type = '5';
  616. $exam_class = DB::table('exams')->where('id',$id)->field('exam_class')->find();
  617. $url = Message::url($sessionid,$id,0,$exam_class['exam_class'],$report_id);
  618. Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
  619. }
  620. $url = 'wechat.pacsonline.cn/wxzskk/uwx/requestWxQrcode?reportId='.$report_id;
  621. $info = $this->curl_get($url);
  622. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
  623. }catch(\Exception $e){
  624. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  625. }
  626. }
  627. public function curl_get($url){
  628. //初始化
  629. $curl = curl_init();
  630. //设置抓取的url
  631. curl_setopt($curl, CURLOPT_URL, $url);
  632. //设置头文件的信息作为数据流输出
  633. curl_setopt($curl, CURLOPT_HEADER, 0);
  634. //设置获取的信息以文件流的形式返回,而不是直接输出。
  635. curl_setopt($curl, CURLOPT_RETURNTRANSFER, 1);
  636. //执行命令
  637. $data = curl_exec($curl);
  638. //关闭URL请求
  639. curl_close($curl);
  640. return $data;
  641. }
  642. /**
  643. * 获取报告权限
  644. *
  645. * @ApiTitle (获取报告权限)
  646. * @ApiSummary (获取报告权限)
  647. * @ApiSector (远程诊断)
  648. * @ApiMethod (POST)
  649. * @ApiRoute (/inter/writereport/getrole)
  650. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  651. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  652. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  653. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  654. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  655. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  656. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  657. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  658. * @ApiReturn (data="
  659. {
  660. 'status': ok,
  661. 'code': '0000',
  662. 'info': '',
  663. }
  664. *")
  665. **/
  666. public function getrole(){
  667. try{
  668. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  669. $is_remote = $_REQUEST['is_remote'];
  670. }
  671. $sessionid = $_REQUEST['sessionid'];
  672. $doctor = Cache::get($sessionid);
  673. $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
  674. $doctor_class = explode(',',$dclass['doctor_class']);
  675. $info = array();
  676. foreach ($doctor_class as $k=>$v) {
  677. switch($v){
  678. case 2: //报告医生
  679. if(isset($is_remote)){
  680. //远程报告
  681. break;
  682. }
  683. $info['bg'] = 1;
  684. break;
  685. case 7: //远程报告医生
  686. if(!isset($is_remote)){
  687. //远程报告
  688. break;
  689. }
  690. $info['bg'] = 1;
  691. break;
  692. case 3: //3审核医生
  693. if(isset($is_remote)){
  694. //远程报告
  695. break;
  696. }
  697. $info['sh'] = 2;
  698. break;
  699. case 8: //远程审核医生
  700. if(!isset($is_remote)){
  701. //远程报告
  702. break;
  703. }
  704. $info['sh'] = 2;
  705. break;
  706. case 4: //确认医生
  707. $info['qr'] = 3;
  708. break;
  709. }
  710. }
  711. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
  712. }catch(\Exception $e){
  713. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  714. }
  715. }
  716. /**
  717. * 获取报告日志
  718. *
  719. * @ApiTitle (获取报告日志)
  720. * @ApiSummary (获取报告日志)
  721. * @ApiSector (远程诊断)
  722. * @ApiMethod (POST)
  723. * @ApiRoute (/inter/writereport/get_report_log)
  724. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  725. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  726. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  727. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  728. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  729. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  730. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  731. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  732. * @ApiReturn (data="
  733. {
  734. 'status': ok,
  735. 'code': '0000',
  736. 'info': '',
  737. }
  738. *")
  739. **/
  740. public function get_report_log(){
  741. try{
  742. $sessionid = $_REQUEST['sessionid'];
  743. $doctor = Cache::get($sessionid);
  744. $id = $_REQUEST['id'];
  745. $exam_id = $_REQUEST['exam_id'];
  746. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  747. // 远程
  748. $report = DB::table('report')->where('id',$id)->find();
  749. }else{
  750. // 本地
  751. $report = DB::table('report')->where('exam_id',$exam_id)->where('type',1)->find();
  752. }
  753. if(empty($report)){
  754. return json_encode(['status'=>'ok','code'=>'0000','info'=>'','msg'=>'无数据']);
  755. }
  756. $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$report['id'])->order('createdAt asc,type asc')->select();
  757. foreach ($log as $k => $v) {
  758. $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
  759. $log[$k]['doctor_name'] = $doc['realname'];
  760. }
  761. return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
  762. }catch(\Exception $e){
  763. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  764. }
  765. }
  766. /**
  767. * 打印报告
  768. *
  769. * @ApiTitle (打印报告)
  770. * @ApiSummary (打印报告)
  771. * @ApiSector (远程诊断)
  772. * @ApiMethod (POST)
  773. * @ApiRoute (/inter/writereport/print_report)
  774. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  775. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  776. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  777. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  778. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  779. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  780. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  781. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  782. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  783. * @ApiReturn (data="
  784. {
  785. 'status': ok,
  786. 'code': '0000',
  787. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  788. 'info': '',
  789. }
  790. *")
  791. **/
  792. public function print_report(){
  793. try{
  794. $sessionid = $_REQUEST['sessionid'];
  795. $doctor = Cache::get($sessionid);
  796. $id = $_REQUEST['id'];
  797. $report_id = $_REQUEST['report_id'];
  798. $report = DB::table('report')->where('id',$report_id)->field('qr_code,remote_application_id,report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
  799. $info = array();
  800. // 检查日期 住院号 床号
  801. $exam_info = DB::table('exams')->where('id',$id)->field('id,ext,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id')->find();
  802. $info['id'] = $exam_info['id'];
  803. $info['ext'] = $exam_info['ext'];
  804. $info['accession_num'] = $exam_info['accession_num'];
  805. if(!empty($exam_info['exam_datetime'])){
  806. $datetime = explode(' ',$exam_info['exam_datetime']);
  807. $info['exam_datetime'] = $datetime[0];
  808. }else{
  809. $info['exam_datetime'] = '';
  810. }
  811. $info['hopitalized_no'] = $exam_info['hopitalized_no'];
  812. $info['bed_no'] = $exam_info['bed_no'];
  813. // 检查项目
  814. $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
  815. $info['project'] = $project['name'];
  816. //检查类
  817. $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
  818. $info['exam_class'] = $exam_class['constant_value'];
  819. // 病历号 姓名 年龄 性别
  820. $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
  821. $remote = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id')->find();
  822. $info['pnumber'] = $patient_info['temp_patient_id'];
  823. $info['name'] = $patient_info['name'];
  824. $info['sex'] = $patient_info['sex'];
  825. $info['age'] = $patient_info['age'];
  826. // 申请医生
  827. $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id')->find();
  828. $info['application_name'] = $application_name['realname'];
  829. // 申请科室
  830. $department = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
  831. $info['department_name'] = $department['department_name'];
  832. // 报告时间 影像所见 意见建议
  833. if(!empty($report['report_datetime'])){
  834. $datetime1 = explode(' ',$report['report_datetime']);
  835. $info['report_datetime'] = $datetime1[0];
  836. }else{
  837. $info['report_datetime'] = '';
  838. }
  839. $info['report_datetime_xa'] = $report['report_datetime'];
  840. $info['impression'] = $report['impression'];
  841. $info['description'] = $report['description'];
  842. $info['qr_code'] = $report['qr_code'];
  843. // 报告医生
  844. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname')->find();
  845. $info['report_doctor'] = $report_doctor['realname'];
  846. //审核医生
  847. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname')->find();
  848. $info['review_doctor'] = $review_doctor['realname'];
  849. $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  850. $info['hospital'] = $hospital['name'];
  851. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  852. }catch(\Exception $e){
  853. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  854. }
  855. }
  856. /**
  857. * 变更胶片
  858. *
  859. * @ApiTitle (变更胶片)
  860. * @ApiSummary (变更胶片)
  861. * @ApiSector (远程诊断)
  862. * @ApiMethod (POST)
  863. * @ApiRoute (/inter/writereport/change_film)
  864. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  865. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  866. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  867. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  868. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  869. * @ApiParams (name="film_type", type="string", required=true, description="胶片")
  870. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  871. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  872. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  873. * @ApiReturn (data="z
  874. {
  875. 'status': ok,
  876. 'code': '0000',
  877. 'info': '',
  878. }
  879. *")
  880. **/
  881. public function change_film(){
  882. $id = $_REQUEST['id'];
  883. $film = $_REQUEST['film_type'];
  884. DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
  885. return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
  886. }
  887. public function draft(){
  888. $sessionid = $_REQUEST['sessionid'];
  889. $doctor = Cache::get($sessionid);
  890. $param = $_REQUEST['param'];
  891. $report_id = $param['report_id'];
  892. $rinfo = DB::table('report')->where('id',$report_id)->find();
  893. if($rinfo['type'] == 2){
  894. //远程报告
  895. $status = DB::table('remote_application')->where('id',$rinfo['remote_application_id'])->find();
  896. if($status['report_status'] ==6 || $status['report_status'] ==7){
  897. $key = $doctor['id'].'_'.$report_id;
  898. Cache::set($key,$param);
  899. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  900. }else{
  901. 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']);
  902. }
  903. }else {
  904. //本地报告
  905. $status = DB::table('exams')->where('id', $rinfo['exam_id'])->find();
  906. if ($status['exam_status'] == 7 || $status['exam_status'] == 3) {
  907. $key = $doctor['id'] . '_' . $report_id;
  908. Cache::set($key, $param);
  909. return json_encode(['status' => 'ok', 'msg' => '保存成功', 'code' => '0000']);
  910. } else {
  911. 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']);
  912. }
  913. }
  914. }
  915. // XA类型数据获取
  916. public function get_rinfo(){
  917. $sessionid = $_REQUEST['sessionid'];
  918. $doctor = Cache::get($sessionid);
  919. $id = $_REQUEST['id'];
  920. $report_id = $_REQUEST['report_id'];
  921. $key = $doctor['id'].'_'.$report_id;
  922. if(Cache::get($key)){
  923. $patient = Cache::get($key);
  924. }else{
  925. $exam = DB::table('exams')->where('id',$id)->field('accession_num,exam_class,patient_id,ext,hopitalized_no,bed_no')->find();
  926. $patient = DB::table('patient_infos')->where('id',$exam['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  927. $report_info = DB::table('report')->where('id',$report_id)->field('description')->find();
  928. $patient['ext'] = $exam['ext'];
  929. $patient['exam_id'] = $id;
  930. $patient['bed_no'] = $exam['bed_no'];
  931. $patient['accession_num'] = $exam['accession_num'];
  932. $patient['exam_class'] = $exam['exam_class'];
  933. $patient['hopitalized_no'] = $exam['hopitalized_no'];
  934. $patient['description'] = $report_info['description'];
  935. $patient['report_id'] = $report_id;
  936. }
  937. return json_encode(['status'=>'ok','info'=>$patient,'code'=>'0000']);
  938. }
  939. // XA类型保存
  940. public function write_info(){
  941. $sessionid = $_REQUEST['sessionid'];
  942. $doctor = Cache::get($sessionid);
  943. $param = $_REQUEST['param'];
  944. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  945. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  946. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  947. $exam_info['hopitalized_no'] = isset($param['hospital_number']) ? $param['hospital_number'] : '';
  948. $exam_info['bed_no'] = isset($param['bed_number']) ? $param['bed_number'] : '';
  949. $exam_info['ext'] = isset($param['ext']) ? $param['ext'] : '';
  950. $exam_info['accession_num'] = isset($param['accession_num']) ? $param['accession_num'] : '';
  951. $report['description'] = isset($param['description']) ? $param['description'] : '';
  952. $report['report_datetime'] = date('Y-m-d H:i:s',time());
  953. $report['report_doctor_id'] = $doctor['id'];
  954. DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  955. DB::table('exams')->where('id',$param['id'])->update($exam_info);
  956. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  957. if($rinfo){
  958. DB::table('report')->where('exam_id',$param['id'])->update($report);
  959. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  960. $rid = $rinfo['id'];
  961. }else{
  962. $report['id'] = UUIDs::uuid16();
  963. $report['exam_id'] = $param['id'];
  964. $report['createdAt'] = date('Y-m-d H:i:s',time());
  965. DB::table('report')->insert($report);
  966. $rid = $report['id'];
  967. }
  968. $log = array();
  969. $log['id'] = UUIDs::uuid16();
  970. $log['impression'] = isset($param['ext']) ? $param['ext'] : '';
  971. $log['description'] = isset($param['description']) ? $param['description'] : '';
  972. $log['report_id'] = $rid;
  973. $log['createdAt'] = date('Y-m-d H:i:s',time());
  974. $log['doctor_id'] = $doctor['id'];
  975. $log['type'] = 1; //写报告
  976. log::record($log);
  977. $report_log = DB::table('report_record')->insert($log);
  978. $application = DB::table('remote_application')->where('exam_id',$param['id'])->find();
  979. if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
  980. $tel = '18910184804';
  981. $type = '保存报告';
  982. $content = $application['id'];
  983. send_message::sendSms2Self($tel,$type,$content);
  984. }
  985. return json_encode(['status'=>'ok','msg'=>'成功','code'=>'0000']);
  986. }
  987. // 获取远程报告列表
  988. public function get_report_list(){
  989. $sessionid = $_REQUEST['sessionid'];
  990. // $doctor = Cache::get($sessionid);
  991. $param = $_REQUEST['param'];
  992. $rinfo = DB::table('report')->where('exam_id',$param['id'])->where('type','<>',1)->select();
  993. $pinfo = DB::table('patient_infos')->where('temp_patient_id',$param['pid'])->field('name,temp_patient_id,sex,age,phone')->find();
  994. $einfo = DB::table('exams')->where('id',$param['id'])->field('exam_class,exam_sub_class,exam_datetime')->find();
  995. $info = array();
  996. $arr = array();
  997. foreach ($rinfo as $k => $v) {
  998. $remote_info = DB::table('remote_application')->where('id',$v['remote_application_id'])->find();
  999. if($remote_info['report_status'] == 8 || $remote_info['report_status'] == 9){
  1000. $arr = $v;
  1001. $remote_did = DB::table('doctors')->where('id',$v['report_doctor_id'])->field('realname')->find();
  1002. $arr['report_doctor'] = $remote_did['realname'];
  1003. $review_did = DB::table('doctors')->where('id',$v['review_doctor_id'])->field('realname')->find();
  1004. $arr['review_doctor'] = $review_did['realname'];
  1005. $arr['name'] = $pinfo['name'];
  1006. $arr['pid'] = $pinfo['temp_patient_id'];
  1007. $arr['sex'] = $pinfo['sex'];
  1008. $arr['age'] = $pinfo['age'];
  1009. $arr['phone'] = $pinfo['phone'];
  1010. $arr['exam_class'] = $einfo['exam_class'];
  1011. $arr['exam_sub_class'] = $einfo['exam_sub_class'];
  1012. $arr['exam_datetime'] = $einfo['exam_datetime'];
  1013. $arr['report_status'] = $remote_info['report_status'];
  1014. $info[] = $arr;
  1015. }elseif($remote_info['report_status'] == 4){
  1016. //申请中
  1017. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单正在申请中,赞无医生接收远程报告']);
  1018. }elseif($remote_info['report_status'] == 5){
  1019. // 驳回
  1020. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单已被驳回,没有医生完成远程报告']);
  1021. }elseif($remote_info['report_status'] == 12){
  1022. // 撤回
  1023. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单正在申请中,赞无医生完成远程报告']);
  1024. }elseif($remote_info['report_status'] == ''){
  1025. // 撤回
  1026. return json_encode(['status'=>'fail','code'=>'0126','msg'=>'没有申请单']);
  1027. }else{
  1028. // 其他
  1029. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单还没有被完成,请等待']);
  1030. }
  1031. }
  1032. return json_encode(['status'=>'ok','info'=>$info,'code'=>'0000']);
  1033. }
  1034. }