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