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- package thyyxxk.webserver.service.medicaladvice.patientinfo;
- import cn.hutool.core.bean.BeanUtil;
- import cn.hutool.core.collection.CollUtil;
- import cn.hutool.core.convert.Convert;
- import cn.hutool.core.date.DateUtil;
- import cn.hutool.core.util.StrUtil;
- import com.alibaba.fastjson.JSON;
- import com.alibaba.fastjson.JSONObject;
- import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
- import com.baomidou.mybatisplus.core.metadata.IPage;
- import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
- import lombok.RequiredArgsConstructor;
- import lombok.extern.slf4j.Slf4j;
- import org.springframework.stereotype.Service;
- import org.springframework.transaction.annotation.Transactional;
- import thyyxxk.webserver.config.exception.BizException;
- import thyyxxk.webserver.config.exception.ExceptionEnum;
- import thyyxxk.webserver.constants.BedStatusEnum;
- import thyyxxk.webserver.constants.Message;
- import thyyxxk.webserver.dao.his.medicaladvice.patientinfo.AdjustBedDao;
- import thyyxxk.webserver.dao.his.medicaladvice.patientinfo.ZyBedPreMsgDao;
- import thyyxxk.webserver.dao.his.zygl.ZyBedMiDao;
- import thyyxxk.webserver.entity.dictionary.CodeName;
- import thyyxxk.webserver.entity.ResultVo;
- import thyyxxk.webserver.entity.inpatient.ZyActpatient;
- import thyyxxk.webserver.entity.login.UserInfo;
- import thyyxxk.webserver.entity.medicaladvice.medicamanage.MzZyReq;
- import thyyxxk.webserver.entity.medicaladvice.medicamanage.ZyBedPreMsg;
- import thyyxxk.webserver.entity.medicaladvice.medicamanage.patientinfo.ZyBedMi;
- import thyyxxk.webserver.entity.medicaladvice.medicamanage.patientinfo.ZyBedMiParam;
- import thyyxxk.webserver.entity.medicaladvice.medicamanage.weixin.WeiXinPreBedMsgParam;
- import thyyxxk.webserver.http.websocket.SocketV2;
- import thyyxxk.webserver.http.websocket.dto.WebSocketByListUserCode;
- import thyyxxk.webserver.service.autocreateemr.AutoCreateEmrParams;
- import thyyxxk.webserver.service.autocreateemr.AutoCreateEmrServer;
- import thyyxxk.webserver.service.externalhttp.WxServer;
- import thyyxxk.webserver.service.hutoolcache.DeptCache;
- import thyyxxk.webserver.service.hutoolcache.UserCache;
- import thyyxxk.webserver.utils.*;
- import java.util.*;
- /**
- * @Description:
- * @Author:lihong
- * @Date: 2023/5/31
- */
- @Slf4j
- @Service
- @RequiredArgsConstructor
- public class AdjustBedService {
- private final AdjustBedDao dao;
- private final ZyBedPreMsgDao zyBedPreMsgDao;
- private final WxServer wxServer;
- private final SocketV2 intergrationPlatformSocket;
- private final UserCache userCache;
- private final DeptCache deptCache;
- private final AutoCreateEmrServer autoCreateEmrServer;
- private final ZyBedMiDao zyBedMiDao;
- public ResultVo<String> preAllocationBed(MzZyReq mzZyReq) {
- mzZyReq.setVisitDateStr(DateUtil.formatDateTime(mzZyReq.getVisitDate()));
- MzZyReq zyReq = dao.selectMzZyReq(mzZyReq);
- //发送消息
- sendMsg(zyReq.getReqWard(), zyReq.getName());
- return ResultVoUtil.success("已发送预分配床位消息,等待护士进行确认");
- }
- public void sendMsg(String ward, String name) {
- //获取该病室的护士
- List<String> admins = dao.getAdmins(ward);
- JSONObject obj = new JSONObject();
- obj.put("message", StrUtil.format("病人:【{}】进行了床位预分配申请,请前往整理床位页面进行预分配床位", name));
- String message = SocketMsg.socketVo(Message.SYSTEM_NOTIFICATION, obj);
- intergrationPlatformSocket.sendUserCodeListMessage(
- WebSocketByListUserCode.create(admins, message)
- );
- }
- @Transactional(rollbackFor = Exception.class)
- public ResultVo<String> confirmPreBed(ZyBedPreMsg zyBedPreMsg) {
- BeanUtil.trimStrFields(zyBedPreMsg);
- ZyBedPreMsg msg = zyBedPreMsgDao.selectById(zyBedPreMsg.getId());
- if ("1".equals(msg.getMsgStatus())) {
- throw new BizException(ExceptionEnum.LOGICAL_ERROR, "该条消息已办,不要重复确认");
- }
- if ("1".equals(zyBedPreMsg.getPreBedStatus())) {
- AssertUtil.isnotBlank(zyBedPreMsg.getBedNo(), "床位不能为空");
- //判断床位是否空闲
- Integer idleBedNo = dao.isIdleBedNo(zyBedPreMsg.getBedNo(), zyBedPreMsg.getWard());
- if (idleBedNo == null) {
- throw new BizException(ExceptionEnum.LOGICAL_ERROR, "该床位已有人,请重新分配");
- }
- }
- //消息改为已办
- UserInfo userInfo = userCache.getUserInfoByToken();
- Date now = new Date();
- zyBedPreMsg.setConfirmDate(now);
- zyBedPreMsg.setConfirmId(userInfo.getCode());
- zyBedPreMsg.setMsgStatus("1");
- zyBedPreMsgDao.updateById(zyBedPreMsg);
- //修改住院申请表
- MzZyReq req = new MzZyReq();
- req.setPatientId(zyBedPreMsg.getPatientId());
- req.setVisitDate(zyBedPreMsg.getVisitDate());
- req.setBedNo(zyBedPreMsg.getBedNo());
- req.setPreBedConfirmId(userInfo.getCode());
- req.setPreBedConfirmDate(now);
- req.setVisitDateStr(DateUtil.formatDateTime(zyBedPreMsg.getVisitDate()));
- req.setReqStatus(zyBedPreMsg.getPreBedStatus());
- req.setPreBedConfirmRemark(zyBedPreMsg.getPreBedConfirmRemark());
- String reqStatus = dao.selectReqStatus(req);
- if (!"3".equals(reqStatus.trim())) {
- dao.updateBedNo(req);
- MzZyReq zyReq = dao.selectMzZyReq(req);
- if ("1".equals(req.getReqStatus()) && isPushMessagePreBedNo(req.getPatientId(), zyReq.getName())) {
- WeiXinPreBedMsgParam weiXinPreBedMsgParam = new WeiXinPreBedMsgParam();
- weiXinPreBedMsgParam.setPatientId(req.getPatientId());
- weiXinPreBedMsgParam.setName(zyReq.getName());
- weiXinPreBedMsgParam.setBedInfo("1".equals(req.getReqStatus()) ?
- deptCache.getDeptName(zyReq.getReqWard()) + req.getBedNo() + "床" : "");
- weiXinPreBedMsgParam.setFirst("1".equals(req.getReqStatus()) ? "您已成功预约床位,请及时办理住院!" : req.getPreBedConfirmRemark());
- try {
- pushMessagePreBedNo(weiXinPreBedMsgParam);
- } catch (Exception e) {
- log.error("调用微信床位预约报错", e);
- }
- }
- }
- return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, "成功");
- }
- private boolean isPushMessagePreBedNo(String patientId, String name) {
- String mzName = dao.selectPatientMi(patientId);
- if (StrUtil.equals(name, mzName)) {
- return true;
- }
- return false;
- }
- public ResultVo<IPage<ZyBedPreMsg>> queryZyBedPreMsg(ZyBedPreMsg msg) {
- IPage<ZyBedPreMsg> page = new Page<>(msg.getCurrentPage(), msg.getPageSize());
- QueryWrapper queryWrapper = new QueryWrapper();
- queryWrapper.like(StrUtil.isNotBlank(msg.getName()), "a.name", msg.getName());
- queryWrapper.like(StrUtil.isNotBlank(msg.getMsgStatus()), "a.msg_status", msg.getMsgStatus());
- UserInfo userInfo = userCache.getUserInfoByToken();
- if (!userInfo.getRoles().contains(1)) {
- queryWrapper.eq("a.ward", userInfo.getDeptCode());
- }
- zyBedPreMsgDao.queryZyBedPreMsgPage(page, queryWrapper);
- page.getRecords().forEach(item -> {
- item.setWardName(deptCache.getDeptName(item.getWard()));
- });
- page.setRecords(page.getRecords());
- page.setTotal(page.getTotal());
- return ResultVoUtil.success(page);
- }
- public List<ZyActpatient> queryPreAdmiss(String ward) {
- return dao.getPreAdmPatients(ward);
- }
- public void receivePatient(ZyActpatient act) {
- ZyBedMi zyBedMi = zyBedMiDao.selectZyBedMi(act.getWard(), act.getWard(), act.getBedNo());
- if (StringUtil.notBlank(zyBedMi.getInpatientNo()) &&
- !Objects.equals(zyBedMi.getInpatientNo(), act.getInpatientNo())) {
- String freeBedNo = zyBedMiDao.selectMaxFreeBedNo(act.getWard(), act.getWard());
- if (StringUtil.isBlank(freeBedNo)) {
- throw new BizException(ExceptionEnum.LOGICAL_ERROR, "接收失败,没有空闲床位!");
- }
- zyBedMi.setBedNo(freeBedNo);
- }
- zyBedMi.setInpatientNo(act.getInpatientNo());
- zyBedMi.setAdmissTimes(act.getAdmissTimes());
- zyBedMi.setBedStatus(BedStatusEnum.ARRANGE.code);
- zyBedMiDao.updateZyBedMi(zyBedMi);
- AutoCreateEmrParams.Params params = new AutoCreateEmrParams.Params();
- params.setPatNo(act.getInpatientNo());
- params.setTimes(act.getAdmissTimes());
- // 自动创建病程记录
- autoCreateEmrServer.createEmrAsync(params);
- dao.updateBedStatus(act.getInpatientNo(), act.getPhry());
- }
- public ResultVo<List<Map>> getIdleBedNoList(ZyBedPreMsg msg) {
- List<Map> list = new ArrayList<>();
- List<String> bedNos = dao.selectIdleBedNoList(msg.getWard());
- if (CollUtil.isNotEmpty(bedNos)) {
- bedNos.forEach(bedNo -> {
- Map map = new HashMap(2);
- map.put("code", bedNo);
- map.put("name", bedNo);
- list.add(map);
- });
- }
- return ResultVoUtil.success(list);
- }
- public Map<String, Object> queryZybedMi(ZyBedMi param) {
- if (StrUtil.isBlank(param.getWardCode())) {
- param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
- }
- Map<String, Object> map = new HashMap<>(4);
- List<ZyBedMi> list = dao.selectZybedMi(param);
- CommonUtil.BeanTrim(list);
- map.put("data", list);
- map.put("bedTotal", list.size());
- long yzBedTotal = list.stream().filter(o -> StrUtil.isNotBlank(o.getInpatientNo())).count();
- long ybTotal = list.stream().filter(o -> StrUtil.isNotBlank(o.getInpatientNo()) && !"01".equals(o.getResponceType()) && !"011".equals(o.getResponceType())).count();
- map.put("yzBedTotal", yzBedTotal);
- map.put("ybTotal", ybTotal);
- return map;
- }
- public ResultVo<String> clearBed(ZyBedMi param) {
- AssertUtil.isnotBlank(param.getBedNo(), "床位号不能为空");
- if (StrUtil.isBlank(param.getWardCode())) {
- param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
- }
- //
- Integer existPatient = dao.isExistPatient(param);
- if (existPatient != null) {
- throw new BizException(ExceptionEnum.INTERNAL_SERVER_ERROR, "此床位存在病人信息不能清除");
- }
- param.setInpatientNo(null);
- param.setAdmissTimes(null);
- param.setBedStatus("1");
- dao.updatePatientByBed(param);
- String message = StrUtil.format("清除{}床信息成功", param.getBedNo());
- return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, message);
- }
- public ResultVo<String> addBed(ZyBedMi param) {
- AssertUtil.isnotBlank(param.getBedNo(), "床位号不能为空");
- if (StrUtil.isBlank(param.getWardCode())) {
- param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
- }
- ZyBedMi zyBedMi = dao.selectActInpatientByBed(param);
- if (zyBedMi == null || StrUtil.isBlank(zyBedMi.getInpatientNo())) {
- throw new BizException(ExceptionEnum.INTERNAL_SERVER_ERROR, "此床位不存在病人信息,不能添加");
- }
- BeanUtil.trimStrFields(zyBedMi);
- //占床
- param.setBedStatus("2");
- param.setInpatientNo(zyBedMi.getInpatientNo());
- param.setAdmissTimes(zyBedMi.getAdmissTimes());
- dao.updatePatientByBed(param);
- String message = StrUtil.format("添加{}床信息成功", param.getBedNo());
- return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, message);
- }
- public ResultVo<String> saveBed(ZyBedMiParam params) {
- ZyBedMi bedMi = new ZyBedMi();
- if (StrUtil.isBlank(params.getWardCode())) {
- bedMi.setWardCode(userCache.getUserInfoByToken().getDeptCode());
- } else {
- bedMi.setWardCode(params.getWardCode());
- }
- List<ZyBedMi> oldZyBedMi = dao.selectZybedMi(bedMi);
- List<ZyBedMi> newZyBedMi = params.getParam();
- CommonUtil.BeanTrim(oldZyBedMi);
- List<ZyBedMi> updateData = new ArrayList<>();
- newZyBedMi.forEach(newData -> {
- ZyBedMi oldComBedMi = oldZyBedMi.stream().filter(old -> newData.getBedNo().equals(old.getBedNo())).findFirst().get();
- if (!Convert.toStr(oldComBedMi.getInpatientNo(), "").equals(Convert.toStr(newData.getInpatientNo(), ""))) {
- if (StrUtil.isBlank(newData.getWardCode())) {
- newData.setWardCode(bedMi.getWardCode());
- }
- updateData.add(newData);
- }
- });
- if (CollUtil.isNotEmpty(updateData)) {
- updateData.forEach(o -> {
- if (StrUtil.isNotBlank(o.getInpatientNo())) {
- o.setBedStatus("2");
- dao.updateActpatientBed(o);
- dao.updateYpZyOrder(o);
- dao.updateYzActOcc(o);
- } else {
- o.setBedStatus("1");
- o.setInpatientNo(null);
- o.setAdmissTimes(null);
- }
- dao.updatePatientByBed(o);
- });
- }
- return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, "保存成功");
- }
- public ResultVo<String> queryIsPreBed(ZyBedMi param) {
- if (StrUtil.isBlank(param.getWardCode())) {
- param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
- } else {
- param.setWardCode(param.getWardCode());
- }
- //是否24小时内分配了床位
- Date now = new Date();
- param.setEndVisitDate(DateUtil.formatDateTime(now));
- param.setStartVisitDate(DateUtil.formatDateTime(DateUtil.offsetDay(now, -1)));
- Integer pre = dao.queryIsPreBed(param);
- if (pre == null) {
- return ResultVoUtil.success();
- } else {
- String str = StrUtil.format("{}床24小时内已经分配的病人,请确认是否继续分配该床", param.getBedNo());
- return ResultVoUtil.fail(ExceptionEnum.INTERNAL_SERVER_ERROR, str);
- }
- }
- public void pushMessagePreBedNo(WeiXinPreBedMsgParam param) {
- JSONObject jsonObject = new JSONObject();
- String msgContentJson = "{\"touser\":\"\",\"data\":" +
- "{\"keyword3\":{\"color\":\"#173177\",\"value\":\"" + param.getBedInfo() + "\"}," +
- "\"keyword4\":{\"color\":\"#FF0000\",\"value\":\"泰和医院\"}," +
- "\"keyword1\":{\"color\":\"#173177\",\"value\":\"" + param.getName() + "\"}," +
- "\"remark\":{\"color\":\"#FF0000\",\"value\":\"感谢您的使用,祝您健康!\"}," +
- "\"first\":{\"color\":\"#FF0000\",\"value\":\"" + param.getFirst() + "\"}}," +
- "\"template_id\":\"gQapOy99TXwDpublt7pWFehB2pzfI0Az5qlhCjaYxB0\"," +
- "\"url\":\"\"}";
- jsonObject.put("cardNo", param.getPatientId());
- jsonObject.put("isCardNoPatientId", true);
- jsonObject.put("msgContext", JSON.parseObject(msgContentJson));
- log.info("调用微信接口参数入参{}", JSON.toJSONString(jsonObject));
- wxServer.pushWxMessage(jsonObject);
- }
- public List<CodeName> getDefaultHsryList() {
- return dao.getHsry();
- }
- }
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