Writereport.php 73 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', $application_id)->update(['report_status'=>'9']);
  536. DB::table('remote_application')->where('id',$application_id)->update(['report_status'=>'9']);
  537. $remote_order = DB::table('remote_order')
  538. ->where('status', Application::ORDER_STATUS['PAYCOMPLTET'])
  539. ->where('application_id', $application_id)
  540. ->field('order_money, id, super_hospital_id')
  541. ->find();
  542. $hospital = DB::table('institution')->where('id', $remote_order['super_hospital_id'])->field('current_money')->find();
  543. if(!$remote_order) {
  544. DB::commit();
  545. // todo 微信消息推送
  546. return true;
  547. }
  548. DB::table('institution')->where('id', $remote_order['super_hospital_id'])->update(['current_money' => $hospital['current_money'] + $remote_order['order_money']]);
  549. DB::table('remote_order')->where('id', $remote_order['id'])->update(['status' => Application::ORDER_STATUS['CONFIRM']]);
  550. DB::table('remote_water')->insert([
  551. 'id' => UUIDs::uuid16(),
  552. 'hospital_id' => $remote_order['super_hospital_id'],
  553. 'order_id' => $remote_order['id'],
  554. 'money' =>$remote_order['order_money'],
  555. 'type' => Application::WATER_TYPE['ADD'],
  556. 'why' => Application::WATER_WHY['REMOTEINCOME'],
  557. 'timestamp' => time(),
  558. ]);
  559. // 提交事务
  560. DB::commit();
  561. // todo 消息推送
  562. return true;
  563. } catch (\Exception $e) {
  564. // 回滚事务
  565. Log::record("-----错误-----");
  566. Log::record($e);
  567. DB::rollback();
  568. }
  569. return json_encode(['status'=>'fail','code'=>'2110','确认报告失败']);
  570. }
  571. /**
  572. * 审核报告
  573. *
  574. * @ApiTitle (审核报告)
  575. * @ApiSummary (审核报告)
  576. * @ApiSector (远程诊断)
  577. * @ApiMethod (POST)
  578. * @ApiRoute (/inter/writereport/examine)
  579. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  580. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  581. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  582. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  583. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  584. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  585. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  586. * @ApiParams (name="param[impression]", type="string", sample="", description="检查所见<必填>")
  587. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  588. * @ApiParams (name="param[r_result]", type="string", sample="", description="检查结果<必填>")
  589. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  590. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  591. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  592. * @ApiReturn (data="
  593. {
  594. 'status': ok,
  595. 'code': '0000',
  596. 'msg': '已审核',
  597. }
  598. *")
  599. **/
  600. public function examine(){
  601. try{
  602. $id = $_REQUEST['id'];
  603. $param = $_REQUEST['param'];
  604. $report_id = $param['report_id'];
  605. $report = DB::table('report')->where('id',$report_id)->find();
  606. $sessionid = $_REQUEST['sessionid'];
  607. $doctor = Cache::get($sessionid);
  608. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  609. // 是远程审核报告 8
  610. $return = Verify::check_role($sessionid,8);
  611. $status = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id,report_status')->find();
  612. if($status['report_status'] < 7){
  613. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  614. }elseif($status['report_status']>8){
  615. 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']);
  616. }elseif($status['report_status'] == 8){
  617. if($report['review_doctor_id'] != $doctor['id']){
  618. return json_encode(['status'=>'fail','code'=>'1039','msg'=>'审核人不一致']);
  619. }
  620. }
  621. DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>'8']);
  622. }else{
  623. // 本地审核权限 3
  624. $return = Verify::check_role($sessionid,3);
  625. $status = DB::table('exams')->where('id',$id)->field('exam_status')->find();
  626. if($status['exam_status'] < 7){
  627. return json_encode(['status'=>'fail','code'=>'1032','msg'=>'只能审核已提交的报告']);
  628. }elseif($status['exam_status']>7){
  629. return json_encode(['status'=>'fail','code'=>'1035','msg'=>'报告已通过审核步骤,请勿重复操作']);
  630. }
  631. DB::table('exams')->where('id',$id)->update(['exam_status'=>'8']);
  632. }
  633. $report_info = array();
  634. $report_info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  635. $report_info['description'] = isset($param['description']) ? $param['description'] : '';
  636. if(isset($param['r_result']) && $param['r_result'] == 'true'){
  637. $report_info['report_result'] = 2;
  638. }else{
  639. $report_info['report_result'] = 1;
  640. }
  641. $report_info['review_datetime'] = date('Y-m-d H:i:s',time());
  642. $report_info['review_doctor_id'] = $doctor['id'];
  643. DB::table('report')->where('id',$report['id'])->update($report_info);
  644. $cache_key = $doctor['id'].'_'.$report['id'];
  645. if(Cache::get($cache_key)){
  646. Cache::rm($cache_key);
  647. }
  648. $info = array();
  649. $info['id'] = UUIDs::uuid16();
  650. $info['type'] = 2; //审核
  651. $info['createdAt'] = date('Y-m-d H:i:s',time());
  652. $info['doctor_id'] = $doctor['id'];
  653. $info['impression'] = isset($param['impression']) ? $param['impression'] : '';
  654. $info['description'] = isset($param['description']) ? $param['description'] : '';
  655. $info['report_id'] = $report['id'];
  656. DB::table('report_record')->insert($info);
  657. DB::table('exams')->where('id',$id)->update(['film_type'=>$param['film_type']]);
  658. // 已审核 发送短信
  659. $application = DB::table('remote_application')->where('exam_id',$id)->find();
  660. $dinfo = DB::table('doctors')->where('id',$application['req_doctor_id'])->find();
  661. $d_phone = $dinfo['phone'];
  662. log::record('发短信的手机号为'.$d_phone);
  663. $d_name = $doctor['realname'];
  664. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  665. if($dinfo['institution_id'] == '22100002' || $dinfo['send_sms'] == 1){ //魏庙下级
  666. $repsone = send_message::sendSms2CompleteReport($d_phone,$d_name);
  667. }
  668. $tel = '18910184804';
  669. $type = '完成并审核报告';
  670. $content =$application['id'];
  671. // send_message::sendSms2Self($tel,$type,$content);
  672. }
  673. // 添加messages消息
  674. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  675. Message::read($doctor['id'],$report['remote_application_id'],3);
  676. $t = '您的远程诊断申请已完成';
  677. $institution = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  678. $c = '您的远程诊断申请,已由被'.$institution['name'].$doctor['realname'].'医师完成报告';
  679. $d = $status['req_doctor_id'];
  680. $type = '5';
  681. $exam_class = DB::table('exams')->where('id',$id)->field('exam_class')->find();
  682. $url = Message::url($sessionid,$id,0,$exam_class['exam_class'],$report_id,$report['remote_application_id']);
  683. Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
  684. }
  685. $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$report_id;
  686. $info = $this->curl_get($url);
  687. return json_encode(['status'=>'ok','code'=>'0000','msg'=>'已审核']);
  688. }catch(\Exception $e){
  689. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  690. }
  691. }
  692. public function curl_get($url){
  693. //初始化
  694. $curl = curl_init();
  695. //设置抓取的url
  696. curl_setopt($curl, CURLOPT_URL, $url);
  697. //设置头文件的信息作为数据流输出
  698. curl_setopt($curl, CURLOPT_HEADER, 0);
  699. //设置获取的信息以文件流的形式返回,而不是直接输出。
  700. curl_setopt($curl, CURLOPT_RETURNTRANSFER, 1);
  701. // 重定向
  702. curl_setopt($curl, CURLOPT_FOLLOWLOCATION, 1);
  703. //执行命令
  704. $data = curl_exec($curl);
  705. //关闭URL请求
  706. curl_close($curl);
  707. return $data;
  708. }
  709. /**
  710. * 获取报告权限
  711. *
  712. * @ApiTitle (获取报告权限)
  713. * @ApiSummary (获取报告权限)
  714. * @ApiSector (远程诊断)
  715. * @ApiMethod (POST)
  716. * @ApiRoute (/inter/writereport/getrole)
  717. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  718. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  719. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  720. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  721. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  722. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  723. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  724. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  725. * @ApiReturn (data="
  726. {
  727. 'status': ok,
  728. 'code': '0000',
  729. 'info': '',
  730. }
  731. *")
  732. **/
  733. public function getrole(){
  734. try{
  735. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  736. $is_remote = $_REQUEST['is_remote'];
  737. }
  738. $sessionid = $_REQUEST['sessionid'];
  739. $doctor = Cache::get($sessionid);
  740. $dclass = DB::table('doctor_class')->where('doctor_id',$doctor['id'])->field('doctor_class')->find();
  741. $doctor_class = explode(',',$dclass['doctor_class']);
  742. $info = array();
  743. foreach ($doctor_class as $k=>$v) {
  744. switch($v){
  745. case 2: //报告医生
  746. if(isset($is_remote)){
  747. //远程报告
  748. break;
  749. }
  750. $info['bg'] = 1;
  751. break;
  752. case 7: //远程报告医生
  753. if(!isset($is_remote)){
  754. //远程报告
  755. break;
  756. }
  757. $info['bg'] = 1;
  758. break;
  759. case 3: //3审核医生
  760. if(isset($is_remote)){
  761. //远程报告
  762. break;
  763. }
  764. $info['sh'] = 2;
  765. break;
  766. case 8: //远程审核医生
  767. if(!isset($is_remote)){
  768. //远程报告
  769. break;
  770. }
  771. $info['sh'] = 2;
  772. break;
  773. case 4: //确认医生
  774. $info['qr'] = 3;
  775. break;
  776. }
  777. }
  778. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info]);
  779. }catch(\Exception $e){
  780. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  781. }
  782. }
  783. /**
  784. * 获取报告日志
  785. *
  786. * @ApiTitle (获取报告日志)
  787. * @ApiSummary (获取报告日志)
  788. * @ApiSector (远程诊断)
  789. * @ApiMethod (POST)
  790. * @ApiRoute (/inter/writereport/get_report_log)
  791. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  792. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  793. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  794. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  795. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  796. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  797. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  798. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  799. * @ApiReturn (data="
  800. {
  801. 'status': ok,
  802. 'code': '0000',
  803. 'info': '',
  804. }
  805. *")
  806. **/
  807. public function get_report_log(){
  808. try{
  809. $sessionid = $_REQUEST['sessionid'];
  810. $doctor = Cache::get($sessionid);
  811. $id = $_REQUEST['id'];
  812. $exam_id = $_REQUEST['exam_id'];
  813. if(isset($_REQUEST['is_remote']) && !empty($_REQUEST['is_remote'])){
  814. // 远程
  815. $report = DB::table('report')->where('id',$id)->find();
  816. }else{
  817. // 本地
  818. $report = DB::table('report')->where('exam_id',$exam_id)->where('type',1)->find();
  819. }
  820. if(empty($report)){
  821. return json_encode(['status'=>'ok','code'=>'0000','info'=>'','msg'=>'无数据']);
  822. }
  823. $log = DB::table('report_record')->where('doctor_id',$doctor['id'])->where('report_id',$report['id'])->order('createdAt asc,type asc')->select();
  824. foreach ($log as $k => $v) {
  825. $doc = DB::table('doctors')->where('id',$v['doctor_id'])->field('realname')->find();
  826. $log[$k]['doctor_name'] = $doc['realname'];
  827. }
  828. return json_encode(['status'=>'ok','code'=>'0000','info'=>$log]);
  829. }catch(\Exception $e){
  830. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  831. }
  832. }
  833. /**
  834. * 打印报告
  835. *
  836. * @ApiTitle (打印报告)
  837. * @ApiSummary (打印报告)
  838. * @ApiSector (远程诊断)
  839. * @ApiMethod (POST)
  840. * @ApiRoute (/inter/writereport/print_report)
  841. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  842. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  843. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  844. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  845. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  846. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  847. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  848. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  849. * @ApiReturnParams (name="sessionid", type="object", sample="{}", description="缓存的数据key")
  850. * @ApiReturn (data="
  851. {
  852. 'status': ok,
  853. 'code': '0000',
  854. 'sessionid': 'a17z7a7a8f9g9rh9d89jio',
  855. 'info': '',
  856. }
  857. *")
  858. **/
  859. public function print_report(){
  860. try{
  861. $sessionid = $_REQUEST['sessionid'];
  862. $doctor = Cache::get($sessionid);
  863. $id = $_REQUEST['id'];
  864. $is_remote = $_REQUEST['is_remote'];
  865. $report_id = $_REQUEST['report_id'];
  866. $report = DB::table('report')->where('id',$report_id)->field('qr_code,remote_application_id,report_datetime,impression,description,report_doctor_id,review_doctor_id')->find();
  867. $info = array();
  868. // 检查日期 住院号 床号 本地申请科室 本地申请医生
  869. $exam_info = DB::table('exams')->where('id',$id)->field('id,ext,accession_num,exam_datetime,exam_class,hopitalized_no,bed_no,exam_project,patient_id,application_department,application_doctor')->find();
  870. $info['id'] = $exam_info['id'];
  871. $info['ext'] = $exam_info['ext'];
  872. $info['accession_num'] = $exam_info['accession_num'];
  873. if(!empty($exam_info['exam_datetime'])){
  874. $datetime = explode(' ',$exam_info['exam_datetime']);
  875. $info['exam_datetime'] = $datetime[0];
  876. }else{
  877. $info['exam_datetime'] = '';
  878. }
  879. $info['hopitalized_no'] = $exam_info['hopitalized_no'];
  880. $info['bed_no'] = $exam_info['bed_no'];
  881. // 检查项目
  882. $project = DB::table('exam_project')->where('id',$exam_info['exam_project'])->field('name')->find();
  883. $info['project'] = $project['name'];
  884. //检查类
  885. $exam_class = DB::table('constant')->where('id',$exam_info['exam_class'])->field('constant_value')->find();
  886. $info['exam_class'] = $exam_class['constant_value'];
  887. // 病历号 姓名 年龄 性别
  888. $patient_info = DB::table('patient_infos')->where('id',$exam_info['patient_id'])->field('temp_patient_id,name,sex,age')->find();
  889. $remote = DB::table('remote_application')->where('id',$report['remote_application_id'])->field('req_doctor_id')->find();
  890. $info['pnumber'] = $patient_info['temp_patient_id'];
  891. $info['name'] = $patient_info['name'];
  892. $info['sex'] = $patient_info['sex'];
  893. $info['age'] = $patient_info['age'];
  894. // 申请医生
  895. $application_name = DB::table('doctors')->where('id',$remote['req_doctor_id'])->field('realname,department_id,autograph,is_use_autograph')->find();
  896. if($is_remote == 1){
  897. $info['application_name'] = $application_name['realname'];
  898. // 申请科室
  899. $department = DB::table('department')->where('id',$application_name['department_id'])->field('department_name')->find();
  900. $info['department_name'] = $department['department_name'];
  901. }else{
  902. $info['application_name'] = $exam_info['application_doctor'];
  903. $info['application_department'] = $exam_info['application_department'];
  904. }
  905. $info['application_use_autograph'] = $application_name['is_use_autograph'];
  906. $info['application_autograph'] = $application_name['autograph'];
  907. // 报告时间 影像所见 意见建议
  908. if(!empty($report['report_datetime'])){
  909. $datetime1 = explode(' ',$report['report_datetime']);
  910. $info['report_datetime'] = $datetime1[0];
  911. }else{
  912. $info['report_datetime'] = '';
  913. }
  914. $info['report_datetime_xa'] = $report['report_datetime'];
  915. $info['impression'] = $report['impression'];
  916. $info['description'] = $report['description'];
  917. $info['qr_code'] = $report['qr_code'];
  918. // 报告医生
  919. $report_doctor = DB::table('doctors')->where('id',$report['report_doctor_id'])->field('realname,autograph,is_use_autograph,institution_id')->find();
  920. $info['report_doctor'] = $report_doctor['realname'];
  921. $info['report_use_autograph'] = $report_doctor['is_use_autograph'];
  922. $info['report_autograph'] = $report_doctor['autograph'];
  923. //审核医生
  924. $review_doctor = DB::table('doctors')->where('id',$report['review_doctor_id'])->field('realname,autograph,is_use_autograph')->find();
  925. $info['review_doctor'] = $review_doctor['realname'];
  926. $info['review_use_autograph'] = $review_doctor['is_use_autograph'];
  927. $info['review_autograph'] = $review_doctor['autograph'];
  928. // $hospital = DB::table('institution')->where('id',$doctor['institution_id'])->field('name')->find();
  929. $hospital = DB::table('institution')->where('id',$report_doctor['institution_id'])->field('name')->find();
  930. $info['hospital'] = $hospital['name'];
  931. return json_encode(['status'=>'ok','code'=>'0000','info'=>$info,'sessionid'=>$sessionid]);
  932. }catch(\Exception $e){
  933. return json_encode(['status'=>'fail','code'=>'2000','msg'=>$e->getMessage()]);
  934. }
  935. }
  936. /**
  937. * 变更胶片
  938. *
  939. * @ApiTitle (变更胶片)
  940. * @ApiSummary (变更胶片)
  941. * @ApiSector (远程诊断)
  942. * @ApiMethod (POST)
  943. * @ApiRoute (/inter/writereport/change_film)
  944. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  945. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  946. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  947. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  948. * @ApiParams (name="id", type="string", required=true, description="exams表id值")
  949. * @ApiParams (name="film_type", type="string", required=true, description="胶片")
  950. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  951. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  952. * @ApiReturnParams (name="info", type="string", required=true, sample="返回成功", description="返回信息")
  953. * @ApiReturn (data="z
  954. {
  955. 'status': ok,
  956. 'code': '0000',
  957. 'info': '',
  958. }
  959. *")
  960. **/
  961. public function change_film(){
  962. $id = $_REQUEST['id'];
  963. $film = $_REQUEST['film_type'];
  964. DB::table('exams')->where('id',$id)->update(['film_type'=>$film]);
  965. return json_encode(['status'=>'ok','info'=>$film,'code'=>'0000']);
  966. }
  967. /**
  968. * 保存草稿
  969. *
  970. * @ApiTitle (保存草稿)
  971. * @ApiSummary (保存草稿)
  972. * @ApiSector (远程诊断)
  973. * @ApiMethod (POST)
  974. * @ApiRoute (/inter/writereport/draft)
  975. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  976. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  977. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  978. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  979. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  980. * @ApiParams (name="param[report_id]", type="string", sample="", description="报告表id值<必填>")
  981. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  982. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  983. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  984. * @ApiReturn (data="
  985. {
  986. 'status': ok,
  987. 'code': '0000',
  988. 'msg': '保存成功',
  989. }
  990. *")
  991. **/
  992. public function draft(){
  993. $sessionid = $_REQUEST['sessionid'];
  994. $doctor = Cache::get($sessionid);
  995. $param = $_REQUEST['param'];
  996. $report_id = $param['report_id'];
  997. $rinfo = DB::table('report')->where('id',$report_id)->find();
  998. if($rinfo['type'] == 2){
  999. //远程报告
  1000. $status = DB::table('remote_application')->where('id',$rinfo['remote_application_id'])->find();
  1001. if($status['report_status'] ==6 || $status['report_status'] ==7){
  1002. $key = $doctor['id'].'_'.$report_id;
  1003. Cache::set($key,$param);
  1004. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  1005. }else{
  1006. 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']);
  1007. }
  1008. }else {
  1009. //本地报告
  1010. $status = DB::table('exams')->where('id', $rinfo['exam_id'])->find();
  1011. if ($status['exam_status'] == 7 || $status['exam_status'] == 3) {
  1012. $key = $doctor['id'] . '_' . $report_id;
  1013. Cache::set($key, $param);
  1014. return json_encode(['status' => 'ok', 'msg' => '保存成功', 'code' => '0000']);
  1015. } else {
  1016. 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']);
  1017. }
  1018. }
  1019. }
  1020. /**
  1021. * XA类型数据获取
  1022. *
  1023. * @ApiTitle (XA类型数据获取)
  1024. * @ApiSummary (XA类型数据获取)
  1025. * @ApiSector (远程诊断)
  1026. * @ApiMethod (POST)
  1027. * @ApiRoute (/inter/writereport/get_rinfo)
  1028. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  1029. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  1030. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  1031. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  1032. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  1033. * @ApiParams (name="report_id", type="string", required=true, description="报告表id<必填>")
  1034. * @ApiParams (name="id", type="string", sample="", description="exams表id值<必填>")
  1035. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  1036. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  1037. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  1038. * @ApiReturn (data="
  1039. {
  1040. 'status': ok,
  1041. 'code': '0000',
  1042. 'msg': '已审核',
  1043. }
  1044. *")
  1045. **/
  1046. public function get_rinfo(){
  1047. $sessionid = $_REQUEST['sessionid'];
  1048. $doctor = Cache::get($sessionid);
  1049. $id = $_REQUEST['id'];
  1050. $report_id = $_REQUEST['report_id'];
  1051. $key = $doctor['id'].'_'.$report_id;
  1052. if(Cache::get($key)){
  1053. $patient = Cache::get($key);
  1054. }else{
  1055. $exam = DB::table('exams')->where('id',$id)->field('accession_num,exam_class,patient_id,ext,hopitalized_no,bed_no')->find();
  1056. $patient = DB::table('patient_infos')->where('id',$exam['patient_id'])->field(['id','temp_patient_id','name','phone','sex','age'])->find();
  1057. $report_info = DB::table('report')->where('id',$report_id)->field('description')->find();
  1058. $patient['ext'] = $exam['ext'];
  1059. $patient['exam_id'] = $id;
  1060. $patient['bed_no'] = $exam['bed_no'];
  1061. $patient['accession_num'] = $exam['accession_num'];
  1062. $patient['exam_class'] = $exam['exam_class'];
  1063. $patient['hopitalized_no'] = $exam['hopitalized_no'];
  1064. $patient['description'] = $report_info['description'];
  1065. $patient['report_id'] = $report_id;
  1066. }
  1067. return json_encode(['status'=>'ok','info'=>$patient,'code'=>'0000']);
  1068. }
  1069. /**
  1070. * XA类型保存
  1071. *
  1072. * @ApiTitle (XA类型保存)
  1073. * @ApiSummary (XA类型保存)
  1074. * @ApiSector (远程诊断)
  1075. * @ApiMethod (POST)
  1076. * @ApiRoute (/inter/writereport/write_info)
  1077. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  1078. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  1079. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  1080. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  1081. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  1082. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  1083. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  1084. * @ApiParams (name="param[name]", type="string", sample="", description="姓名<必填>")
  1085. * @ApiParams (name="param[sex]", type="string", sample="", description="性别<必填>")
  1086. * @ApiParams (name="param[age]", type="string", sample="", description="年龄<必填>")
  1087. * @ApiParams (name="param[hospital_number]", type="string", sample="", description="住院号<必填>")
  1088. * @ApiParams (name="param[bed_number]", type="string", sample="", description="病床号<必填>")
  1089. * @ApiParams (name="param[ext]", type="string", sample="", description="其他<必填>")
  1090. * @ApiParams (name="param[description]", type="string", sample="", description="意见建议<必填>")
  1091. * @ApiParams (name="param[accession_num]", type="string", sample="", description="检查号<必填>")
  1092. * @ApiParams (name="param[pid]", type="string", sample="", description="患者id<必填>")
  1093. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  1094. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  1095. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  1096. * @ApiReturn (data="
  1097. {
  1098. 'status': ok,
  1099. 'code': '0000',
  1100. 'msg': '保存成功',
  1101. }
  1102. *")
  1103. **/
  1104. public function write_info(){
  1105. $sessionid = $_REQUEST['sessionid'];
  1106. /*if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  1107. // 是远程写报告 7
  1108. $return = Verify::check_role($sessionid,7);
  1109. }else{
  1110. // 本地写报告权限 2
  1111. $return = Verify::check_role($sessionid,2);
  1112. }
  1113. if($return != 1){
  1114. return json_encode(['status'=>'fail','code'=>'1029','msg'=>'没有操作权限']);
  1115. }
  1116. $param = $_REQUEST['param'];
  1117. if(isset($_REQUEST['is_remote']) && $_REQUEST['is_remote'] == 1){
  1118. //远程
  1119. $status = DB::table('remote_application')->where('id',$param['rid'])->field('report_status')->find();
  1120. if($status['report_status'] == 12){
  1121. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被撤回,无法进行保存填写']);
  1122. }elseif($status['report_status'] > 6){
  1123. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  1124. }
  1125. }else{
  1126. //本地
  1127. $status = DB::table('exams')->where('id',$param['id'])->field('exam_status')->find();
  1128. if($status['exam_status'] > 6){
  1129. return json_encode(['status'=>'fail','code'=>'1034','msg'=>'报告已被保存,无法再次被修改']);
  1130. }
  1131. }*/
  1132. $doctor = Cache::get($sessionid);
  1133. $is_remote = $_REQUEST['is_remote'];
  1134. $patient_info['name'] = isset($param['name']) ? $param['name'] : '';
  1135. $patient_info['sex'] = isset($param['sex']) ? $param['sex'] : '';
  1136. $patient_info['age'] = isset($param['age']) ? $param['age'] : '';
  1137. $exam_info['hopitalized_no'] = isset($param['hospital_number']) ? $param['hospital_number'] : '';
  1138. $exam_info['bed_no'] = isset($param['bed_number']) ? $param['bed_number'] : '';
  1139. $exam_info['ext'] = isset($param['ext']) ? $param['ext'] : '';
  1140. $exam_info['accession_num'] = isset($param['accession_num']) ? $param['accession_num'] : '';
  1141. $report['description'] = isset($param['description']) ? $param['description'] : '';
  1142. $report['report_datetime'] = date('Y-m-d H:i:s',time());
  1143. $report['report_doctor_id'] = $doctor['id'];
  1144. DB::table('patient_infos')->where('id',$param['pid'])->update($patient_info);
  1145. DB::table('exams')->where('id',$param['id'])->update($exam_info);
  1146. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  1147. if($rinfo){
  1148. DB::table('report')->where('exam_id',$param['id'])->update($report);
  1149. $rinfo = DB::table('report')->where('exam_id',$param['id'])->find();
  1150. $rid = $rinfo['id'];
  1151. }else{
  1152. $report['id'] = UUIDs::uuid16();
  1153. $report['exam_id'] = $param['id'];
  1154. $report['createdAt'] = date('Y-m-d H:i:s',time());
  1155. DB::table('report')->insert($report);
  1156. $rid = $report['id'];
  1157. }
  1158. $log = array();
  1159. $log['id'] = UUIDs::uuid16();
  1160. $log['impression'] = isset($param['ext']) ? $param['ext'] : '';
  1161. $log['description'] = isset($param['description']) ? $param['description'] : '';
  1162. $log['report_id'] = $rid;
  1163. $log['createdAt'] = date('Y-m-d H:i:s',time());
  1164. $log['doctor_id'] = $doctor['id'];
  1165. $log['type'] = 1; //写报告
  1166. log::record($log);
  1167. $report_log = DB::table('report_record')->insert($log);
  1168. $application = DB::table('remote_application')->where('exam_id',$param['id'])->find();
  1169. if($application['req_doctor_id'] == 'c44663d6d3c0b535'){
  1170. $tel = '18910184804';
  1171. $type = '保存报告';
  1172. $content = $application['id'];
  1173. // send_message::sendSms2Self($tel,$type,$content);
  1174. }
  1175. if($is_remote == 1){
  1176. DB::table('remote_application')->where('exam_id',$param['id'])->update(['report_status'=>7]);
  1177. }else{
  1178. DB::table('exams')->where('id',$param['id'])->update(['exam_status'=>7]);
  1179. }
  1180. $url = 'http://wechat.pacsonline.cn/wx_patient/api/unifyGetWxQrcode?reportId='.$rid;
  1181. $info = $this->curl_get($url);
  1182. return json_encode(['status'=>'ok','msg'=>'保存成功','code'=>'0000']);
  1183. }
  1184. /**
  1185. * 获取远程报告列表
  1186. *
  1187. * @ApiTitle (获取远程报告列表)
  1188. * @ApiSummary (获取远程报告列表)
  1189. * @ApiSector (远程诊断)
  1190. * @ApiMethod (POST)
  1191. * @ApiRoute (/inter/writereport/get_report_list)
  1192. * @ApiHeaders (name="sign", type="string", required=true, description="请求头-校验key")
  1193. * @ApiHeaders (name="nonce", type="string", required=true, description="请求头-随机数")
  1194. * @ApiHeaders (name="timestamp", type=string, required=true, description="请求头-时间戳s")
  1195. * @ApiParams (name="sessionid", type="string", required=true, description="参数json字符串")
  1196. * @ApiParams (name="param", type="string", required=true, description="参数json字符串")
  1197. * @ApiParams (name="is_remote", type="string", required=true, description="是否为远程列表进入")
  1198. * @ApiParams (name="param[id]", type="string", sample="", description="exams表id值<必填>")
  1199. * @ApiParams (name="param[pid]", type="string", sample="", description="病历号<必填>")
  1200. * @ApiReturnParams (name="status", type="integer", required=true, sample="0", description="返回码 fail 失败 ok成功"))
  1201. * @ApiReturnParams (name="code", type="integer", required=true, sample="0", description="返回状态码")
  1202. * @ApiReturnParams (name="msg", type="string", required=true, sample="返回成功", description="返回消息")
  1203. * @ApiReturn (data="
  1204. {
  1205. 'status': ok,
  1206. 'code': '0000',
  1207. 'info': '',
  1208. }
  1209. *")
  1210. **/
  1211. public function get_report_list(){
  1212. $sessionid = $_REQUEST['sessionid'];
  1213. $doctor = Cache::get($sessionid);
  1214. $param = $_REQUEST['param'];
  1215. $rinfo = DB::table('report')->where('exam_id',$param['id'])->where('type','<>',1)->select();
  1216. $pinfo = DB::table('patient_infos')->where('temp_patient_id',$param['pid'])->field('name,temp_patient_id,sex,age,phone')->find();
  1217. $einfo = DB::table('exams')->where('id',$param['id'])->field('exam_class,exam_sub_class,exam_datetime')->find();
  1218. $info = array();
  1219. $arr = array();
  1220. foreach ($rinfo as $k => $v) {
  1221. $remote_info = DB::table('remote_application')->where('id',$v['remote_application_id'])->find();
  1222. Message::read($doctor['id'],$remote_info['id'],4);
  1223. if($remote_info['report_status'] == 8 || $remote_info['report_status'] == 9){
  1224. $arr = $v;
  1225. $remote_did = DB::table('doctors')->where('id',$v['report_doctor_id'])->field('realname')->find();
  1226. $arr['report_doctor'] = $remote_did['realname'];
  1227. $review_did = DB::table('doctors')->where('id',$v['review_doctor_id'])->field('realname')->find();
  1228. $arr['review_doctor'] = $review_did['realname'];
  1229. $arr['name'] = $pinfo['name'];
  1230. $arr['pid'] = $pinfo['temp_patient_id'];
  1231. $arr['sex'] = $pinfo['sex'];
  1232. $arr['age'] = $pinfo['age'];
  1233. $arr['phone'] = $pinfo['phone'];
  1234. $arr['exam_class'] = $einfo['exam_class'];
  1235. $arr['exam_sub_class'] = $einfo['exam_sub_class'];
  1236. $arr['exam_datetime'] = $einfo['exam_datetime'];
  1237. $arr['report_status'] = $remote_info['report_status'];
  1238. $arr['hospital_name'] = DB::table('institution')->where('id',$remote_info['remote_institution_id'])->value('name');
  1239. $info = $arr;
  1240. }elseif($remote_info['report_status'] == 4){
  1241. //申请中
  1242. 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']);
  1243. }elseif($remote_info['report_status'] == 5){
  1244. // 驳回
  1245. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单已被驳回,没有医生完成远程报告']);
  1246. }elseif($remote_info['report_status'] == 12){
  1247. // 撤回
  1248. 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']);
  1249. }elseif($remote_info['report_status'] == ''){
  1250. // 撤回
  1251. return json_encode(['status'=>'fail','code'=>'0126','msg'=>'没有申请单']);
  1252. }else{
  1253. // 其他
  1254. return json_encode(['status'=>'fail','code'=>'0125','msg'=>'申请单还没有被完成,请等待']);
  1255. }
  1256. }
  1257. return json_encode(['status'=>'ok','info'=>$info,'code'=>'0000']);
  1258. }
  1259. public function reject_examine()
  1260. {
  1261. $sessionid = $_REQUEST['sessionid'];
  1262. //传值报告id
  1263. $report_id = $_REQUEST['report_id'];
  1264. $reason = $_REQUEST['reason'];
  1265. $is_remote = $_REQUEST['is_remote'];
  1266. $report = DB::table('report')->where('id',$report_id)->field('remote_application_id,exam_id,report_doctor_id')->find();
  1267. $exam = DB::table('exams')->where('id',$report['exam_id'])->value('exam_class');
  1268. if($is_remote == 1){
  1269. //远程
  1270. DB::table('remote_application')->where('id',$report['remote_application_id'])->update(['report_status'=>13]);
  1271. }else{
  1272. // 本地
  1273. DB::table('exams')->where('id',$report['exam_id'])->update(['exam_status'=>13]);
  1274. }
  1275. $url = Message::url($sessionid,$report['exam_id'],0,$exam,$report_id,$report['remote_application_id']);
  1276. $t = '您的报告在审核步骤已被驳回';
  1277. $c = '您保存的报告在审核步骤已被驳回,驳回的原因是:'.$reason.',请您重新更改您的报告';
  1278. $d = $report['report_doctor_id'];
  1279. $type = '8';
  1280. Message::insert($t,$c,$d,$type,$url,1,$report['remote_application_id']);
  1281. return json_encode(['status'=>'ok','msg'=>'审核已驳回','code'=>'0000']);
  1282. }
  1283. }