医保支付方式

src/main/java/thyyxxk/webserver/dao/his/medicalinsurance/UpIdCollectionDao.java

@@ -8,6 +8,7 @@ import thyyxxk.webserver.entity.medicalinsurance.inpatient.BatjBa4;
 import thyyxxk.webserver.entity.medicalinsurance.inpatient.YbZyDisDiag;
 import thyyxxk.webserver.entity.medicalinsurance.inpatient.ZyDisDiagYb;
 import thyyxxk.webserver.entity.medicalinsurance.inpatient.ZyInactpatient;
+import thyyxxk.webserver.entity.medicalinsurance.query.SiPatInfo;
 import thyyxxk.webserver.entity.medicalinsurance.setllistupld.*;
 import thyyxxk.webserver.entity.querydata.SiSetlinfoTemp;
 
@@ -45,7 +46,6 @@ public interface UpIdCollectionDao {
             "       psnOwnpay=cast(a.fulamt_ownpay_amt as decimal(16,2)) ,  " + // -- 个人自费c
             "       acct_pay=cast(a.acct_pay as decimal(16,2)), " + // -- 个人账户支出
             "       psnCashpay=cast(a.psn_cash_pay as decimal(16,2)) ,  " + // --  个人现金支付
-            "       hiPaymtd='3',  " + // --  医保支付方式   只有市医保的传 3
             "       a.clr_optins as hsorg,  " + // -- 医保机构
             "       a.insutype as hi_type," +   // -- 枚举 MdcsType
             "       a.setl_time as  setl_end_date " +  //结算时间
@@ -157,15 +157,28 @@ public interface UpIdCollectionDao {
             "       ssrq as oprn_oprt_date, " +
             "       (select rtrim(isnull(yb_code,9)) from zd_anaesthesia where code = mzff ) as anst_way, " +
             "       (select top(1) rtrim(name) from a_employee_mi where code = ssys) as oper_dr_name, " +
-            "       rtrim(ssys) as oper_dr_code, " +
+            "       (select top(1) yb_code from a_employee_mi where code = ssys) as oper_dr_code, " +
             "       (select top(1) rtrim(name) from a_employee_mi where code = mzys) as  anst_dr_name, " +
-            "       rtrim(mzys) as anst_dr_code " +
+            "       (select top(1) yb_code from a_employee_mi where code = mzys)  as anst_dr_code " +
             "       from ${tableName} " +
             "where zyh = #{patNo} and zycs = #{times} and isnull(ssbm,'-') <> '-' ")
     List<OprninfoUpld> oprninfoUplds(@Param("patNo") String patNo,
                                      @Param("times") Integer times,
                                      @Param("tableName") String tableName);
 
+
+    @Select("select insuplc_admdvs,insutype,med_type from t_si_pat_info " +
+            "where pat_no = #{patNo} and times = #{times} and ledger_sn = #{ledgerSn}")
+    SiPatInfo huoQuZhiFuFangShi(@Param("patNo") String patNo,
+                                @Param("times") Integer times,
+                                @Param("ledgerSn") Integer ledgerSn);
+
+    @Update("update t_si_setlinfo set hi_paymtd = #{hiPaymtd} where pat_no = #{patNo} and times = #{times} and ledger_sn = #{ledgerSn}")
+    void genXingYiBaoZhiFuFangShi(@Param("patNo") String patNo,
+                                  @Param("times") Integer times,
+                                  @Param("ledgerSn") Integer ledgerSn,
+                                  @Param("hiPaymtd") Integer hiPaymtd);
+
     @Select("select receipt_no from zy_receipt where inpatient_no=#{patNo} and admiss_times=#{times} and ledger_sn=#{ledgerSn} and receipt_no<>'0000000'" +
             "and receipt_sn = 1")
     String billNo(@Param("patNo") String patNo,
@@ -407,7 +420,9 @@ public interface UpIdCollectionDao {
             "       sszsName1 = (select top(1) rtrim(name) from a_employee_mi where code = sszs1), " +
             "       sszsName2 = (select top(1) rtrim(name) from a_employee_mi where code = sszs2), " +
             "       mzys_name = (select top(1) rtrim(name) from a_employee_mi where code = mzys)," +
-            "       bah, zyh, zycs, ssxh, ssrq, sstj, ssys, sszs1, sszs2, mzys, ssbm, ssmc, rtrim(mzff) mzff, rtrim(qkjb) qkjb," +
+            "       bah, zyh, zycs, ssxh, ssrq, sstj, " +
+            "       ssys = (select top(1) yb_code from a_employee_mi where code = ssys)" +
+            ", sszs1, sszs2, mzys = (select top(1) yb_code from a_employee_mi where code = mzys), ssbm, ssmc, rtrim(mzff) mzff, rtrim(qkjb) qkjb," +
             "rtrim(yhqk) yhqk, ssbfz, fhqk, ssjb, cut_heal" +
             " from ${tableName} where zyh = #{patNo} and zycs = #{times} and isnull(ssbm,'-') <> '-'")
     List<BatjBa4> shouShuXinXi(@Param("patNo") String patNo,

src/main/java/thyyxxk/webserver/service/medicalinsurance/SetlListUpldService.java

@@ -23,6 +23,7 @@ import thyyxxk.webserver.entity.medicalinsurance.inpatient.BatjBa4;
 import thyyxxk.webserver.entity.medicalinsurance.inpatient.YbZyDisDiag;
 import thyyxxk.webserver.entity.medicalinsurance.inpatient.ZyDisDiagYb;
 import thyyxxk.webserver.entity.medicalinsurance.inpatient.ZyInactpatient;
+import thyyxxk.webserver.entity.medicalinsurance.query.SiPatInfo;
 import thyyxxk.webserver.entity.medicalinsurance.query.SiSetlFeeDetl;
 import thyyxxk.webserver.entity.medicalinsurance.setllistupld.*;
 import thyyxxk.webserver.entity.medicalinsurance.setllistupldTemp.*;
@@ -67,7 +68,15 @@ public class SetlListUpldService {
         this.sendWxInfoService = sendWxInfoService;
     }
 
-
+    /**
+     * 上传到医保的结算单上传
+     *
+     * @param patNo    住院号
+     * @param times    住院次数
+     * @param ledgerSn 账页号
+     * @return 返回体术
+     * @throws Exception 错误
+     */
     public ResultVo<String> upldSetlList(String patNo, Integer times, Integer ledgerSn) throws Exception {
         ResultVo<UpldCollection> upldCollection = getUploadInfo(patNo, times, ledgerSn);
         if (upldCollection.getCode() != 200) {
@@ -99,17 +108,25 @@ public class SetlListUpldService {
         return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, String.format("医保中心报错：【%s】 ", result.getString("err_msg")));
     }
 
+    /**
+     * 获取上传到医保的信息
+     *
+     * @param patNo    住院号
+     * @param times    住院次数
+     * @param ledgerSn 账页号
+     * @return 返回上传的结算单信息
+     * @throws Exception 错误
+     */
     public ResultVo<UpldCollection> getUploadInfo(String patNo, Integer times, Integer ledgerSn) throws Exception {
-        log.info("住院号：{}，次数：{}，账页：{}", patNo, times, ledgerSn);
+        // 医保支付方式
+
+
         Integer flag = dao.setlModifyReqAuditFlag(patNo, times);
         flag = flag == null ? 0 : flag;
         SetlinfoUpld setlinfoUpld = dao.setlinfo1(patNo, times, ledgerSn);
         if (StringUtil.isBlank(setlinfoUpld.getSetlId())) {
             return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "结算id为空");
         }
-        if (!setlinfoUpld.getInsuplc().startsWith("4301") || setlinfoUpld.getInsuplc().equals("430182")) {
-            return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该患者参保地不属于长沙市，无法上传结算清单。");
-        }
         setlinfoUpld.setFixmedinsName(SiUtil.INSTITUTION_NAME);
         // 特级护理
         setlinfoUpld.setSpgaNurscareDays(String.valueOf(dao.teJiHuLi(publicServer.getInpatientNo(patNo), times, ledgerSn,
@@ -155,7 +172,7 @@ public class SetlListUpldService {
 
         String setlId = setlinfoUpld.getSetlId();
         List<IteminfoUpld> amtAndOthAmt = dao.amtAndOthAmt(setlId);
-        if (null == amtAndOthAmt || amtAndOthAmt.isEmpty()) {
+        if (ListUtil.isBlank(amtAndOthAmt)) {
             ResultVo<String> chrgitems = getChrgitems(patNo, setlId, setlinfoUpld.getMdtrtId(), setlinfoUpld.getInsuplc());
             if (chrgitems.getCode() != 200) {
                 return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, chrgitems.getMessage());
@@ -232,6 +249,8 @@ public class SetlListUpldService {
             amtAndOthAmt.sort(Comparator.comparing(IteminfoUpld::getMedChrgitm));
         }
 
+        setlinfoUpld.setHiPaymtd(YiBaoZhiFuFangShi(patNo, times, ledgerSn));
+
         upldCollection.setPayinfo(payinfo);
         // 门特慢特病诊断信息 目前还没有
         upldCollection.setOpspdiseinfo(new ArrayList<>());
@@ -246,7 +265,52 @@ public class SetlListUpldService {
         return ResultVoUtil.success(upldCollection);
     }
 
+    public String YiBaoZhiFuFangShi(String patNo, Integer times, Integer ledgerSn) {
+        SiPatInfo patInfo = dao.huoQuZhiFuFangShi(patNo, times, ledgerSn);
+        String hiPaymtd = "3";
+        String insuplcAdmdvs = patInfo.getInsuplcAdmdvs();
+        String insutype = patInfo.getInsutype();
+        String medType = patInfo.getMedType();
+        // 参保地
+        List<String> chanBaoDi = new ArrayList<String>() {{
+            add("430121");
+            add("430181");
+        }};
+        //  医疗保障类型
+        List<String> mdcsType = new ArrayList<String>() {{
+            add("340");
+            add("350");
+        }};
+        // 险种类型
+        List<String> insutypeList = new ArrayList<String>() {{
+            add("340");
+            add("350");
+        }};
+        if (medType.equals("2101") || medType.equals("22")) {
+            if (!insuplcAdmdvs.startsWith("4301") || chanBaoDi.contains(insuplcAdmdvs) ||
+                    mdcsType.contains(insuplcAdmdvs) || insutypeList.contains(insutype)) {
+                hiPaymtd = "1";
+            }
+        }
+        if (medType.equals("2106") || medType.equals("2107") || medType.equals("52")) {
+            hiPaymtd = "7";
+        }
+        if (medType.equals("2102")) {
+            hiPaymtd = "2";
+        }
+        dao.genXingYiBaoZhiFuFangShi(patNo, times, ledgerSn, Integer.parseInt(hiPaymtd));
+        return hiPaymtd;
+    }
 
+    /**
+     * 这里是获取打印结算单的信息，需要重新分装一下
+     *
+     * @param patNo    住院号
+     * @param times    住院次数
+     * @param ledgerSn 账页号
+     * @return 返回信息
+     * @throws Exception 克隆可能会报错
+     */
     public ResultVo<UpldCollectionTemp> daYingShangChuanJieSuanDan(String patNo, Integer times, Integer ledgerSn) throws Exception {
         log.info("住院号：{}，住院次数：{}，账页号：{}", patNo, times, ledgerSn);
         Integer flag = dao.setlModifyReqAuditFlag(patNo, times);
@@ -395,11 +459,19 @@ public class SetlListUpldService {
         log.info("发送信息通知：{}", message);
     }
 
+    /**
+     * 进度条百分比
+     *
+     * @param index 当前下标
+     * @param size  总条数
+     * @return 返回
+     */
     private int makePercentage(int index, int size) {
         float per = (float) index / (float) size;
         return (int) (per * 100);
     }
 
+
     private ResultVo<String> getChrgitems(String patNo, String setlId, String mdtrtId, String admdvs) {
         JSONObject input = exec.makeTradeHeaderWithInsureArea(SiFunction.QUERY_FEE_DETAILS, admdvs);
         JSONObject data = new JSONObject();
@@ -633,9 +705,6 @@ public class SetlListUpldService {
         if (StringUtil.isBlank(setlinfoUpld.getSetlId())) {
             return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "结算id为空");
         }
-        if (!setlinfoUpld.getInsuplc().startsWith("4301") || setlinfoUpld.getInsuplc().equals("430182")) {
-            return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该患者参保地不属于长沙市，无法上传结算清单。");
-        }
         ZyInactpatient zy = dao.huanZheXinXi(patNo, times);
         List<Integer> code = publicServer.getRoleCode().getData();
         if (!code.contains(1) && !code.contains(8)) {