AdjustBedService.java 15 KB

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  1. package thyyxxk.webserver.service.medicaladvice.patientinfo;
  2. import cn.hutool.core.bean.BeanUtil;
  3. import cn.hutool.core.collection.CollUtil;
  4. import cn.hutool.core.convert.Convert;
  5. import cn.hutool.core.date.DateUtil;
  6. import cn.hutool.core.util.StrUtil;
  7. import com.alibaba.fastjson.JSON;
  8. import com.alibaba.fastjson.JSONObject;
  9. import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
  10. import com.baomidou.mybatisplus.core.metadata.IPage;
  11. import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
  12. import lombok.RequiredArgsConstructor;
  13. import lombok.extern.slf4j.Slf4j;
  14. import org.springframework.stereotype.Service;
  15. import org.springframework.transaction.annotation.Transactional;
  16. import thyyxxk.webserver.config.exception.BizException;
  17. import thyyxxk.webserver.config.exception.ExceptionEnum;
  18. import thyyxxk.webserver.constants.BedStatusEnum;
  19. import thyyxxk.webserver.constants.Message;
  20. import thyyxxk.webserver.dao.his.medicaladvice.patientinfo.AdjustBedDao;
  21. import thyyxxk.webserver.dao.his.medicaladvice.patientinfo.ZyBedPreMsgDao;
  22. import thyyxxk.webserver.dao.his.zygl.ZyBedMiDao;
  23. import thyyxxk.webserver.entity.dictionary.CodeName;
  24. import thyyxxk.webserver.entity.ResultVo;
  25. import thyyxxk.webserver.entity.inpatient.ZyActpatient;
  26. import thyyxxk.webserver.entity.login.UserInfo;
  27. import thyyxxk.webserver.entity.medicaladvice.medicamanage.MzZyReq;
  28. import thyyxxk.webserver.entity.medicaladvice.medicamanage.ZyBedPreMsg;
  29. import thyyxxk.webserver.entity.medicaladvice.medicamanage.patientinfo.ZyBedMi;
  30. import thyyxxk.webserver.entity.medicaladvice.medicamanage.patientinfo.ZyBedMiParam;
  31. import thyyxxk.webserver.entity.medicaladvice.medicamanage.weixin.WeiXinPreBedMsgParam;
  32. import thyyxxk.webserver.http.websocket.SocketV2;
  33. import thyyxxk.webserver.http.websocket.dto.WebSocketByListUserCode;
  34. import thyyxxk.webserver.service.autocreateemr.AutoCreateEmrParams;
  35. import thyyxxk.webserver.service.autocreateemr.AutoCreateEmrServer;
  36. import thyyxxk.webserver.service.externalhttp.WxServer;
  37. import thyyxxk.webserver.service.hutoolcache.DeptCache;
  38. import thyyxxk.webserver.service.hutoolcache.UserCache;
  39. import thyyxxk.webserver.utils.*;
  40. import java.util.*;
  41. /**
  42. * @Description:
  43. * @Author:lihong
  44. * @Date: 2023/5/31
  45. */
  46. @Slf4j
  47. @Service
  48. @RequiredArgsConstructor
  49. public class AdjustBedService {
  50. private final AdjustBedDao dao;
  51. private final ZyBedPreMsgDao zyBedPreMsgDao;
  52. private final WxServer wxServer;
  53. private final SocketV2 intergrationPlatformSocket;
  54. private final UserCache userCache;
  55. private final DeptCache deptCache;
  56. private final AutoCreateEmrServer autoCreateEmrServer;
  57. private final ZyBedMiDao zyBedMiDao;
  58. public ResultVo<String> preAllocationBed(MzZyReq mzZyReq) {
  59. mzZyReq.setVisitDateStr(DateUtil.formatDateTime(mzZyReq.getVisitDate()));
  60. MzZyReq zyReq = dao.selectMzZyReq(mzZyReq);
  61. //发送消息
  62. sendMsg(zyReq.getReqWard(), zyReq.getName());
  63. return ResultVoUtil.success("已发送预分配床位消息,等待护士进行确认");
  64. }
  65. public void sendMsg(String ward, String name) {
  66. //获取该病室的护士
  67. List<String> admins = dao.getAdmins(ward);
  68. JSONObject obj = new JSONObject();
  69. 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));
  70. String message = SocketMsg.socketVo(Message.SYSTEM_NOTIFICATION, obj);
  71. intergrationPlatformSocket.sendUserCodeListMessage(
  72. WebSocketByListUserCode.create(admins, message)
  73. );
  74. }
  75. @Transactional(rollbackFor = Exception.class)
  76. public ResultVo<String> confirmPreBed(ZyBedPreMsg zyBedPreMsg) {
  77. BeanUtil.trimStrFields(zyBedPreMsg);
  78. ZyBedPreMsg msg = zyBedPreMsgDao.selectById(zyBedPreMsg.getId());
  79. if ("1".equals(msg.getMsgStatus())) {
  80. throw new BizException(ExceptionEnum.LOGICAL_ERROR, "该条消息已办,不要重复确认");
  81. }
  82. if ("1".equals(zyBedPreMsg.getPreBedStatus())) {
  83. AssertUtil.isnotBlank(zyBedPreMsg.getBedNo(), "床位不能为空");
  84. //判断床位是否空闲
  85. Integer idleBedNo = dao.isIdleBedNo(zyBedPreMsg.getBedNo(), zyBedPreMsg.getWard());
  86. if (idleBedNo == null) {
  87. throw new BizException(ExceptionEnum.LOGICAL_ERROR, "该床位已有人,请重新分配");
  88. }
  89. }
  90. //消息改为已办
  91. UserInfo userInfo = userCache.getUserInfoByToken();
  92. Date now = new Date();
  93. zyBedPreMsg.setConfirmDate(now);
  94. zyBedPreMsg.setConfirmId(userInfo.getCode());
  95. zyBedPreMsg.setMsgStatus("1");
  96. zyBedPreMsgDao.updateById(zyBedPreMsg);
  97. //修改住院申请表
  98. MzZyReq req = new MzZyReq();
  99. req.setPatientId(zyBedPreMsg.getPatientId());
  100. req.setVisitDate(zyBedPreMsg.getVisitDate());
  101. req.setBedNo(zyBedPreMsg.getBedNo());
  102. req.setPreBedConfirmId(userInfo.getCode());
  103. req.setPreBedConfirmDate(now);
  104. req.setVisitDateStr(DateUtil.formatDateTime(zyBedPreMsg.getVisitDate()));
  105. req.setReqStatus(zyBedPreMsg.getPreBedStatus());
  106. req.setPreBedConfirmRemark(zyBedPreMsg.getPreBedConfirmRemark());
  107. String reqStatus = dao.selectReqStatus(req);
  108. if (!"3".equals(reqStatus.trim())) {
  109. dao.updateBedNo(req);
  110. MzZyReq zyReq = dao.selectMzZyReq(req);
  111. if ("1".equals(req.getReqStatus()) && isPushMessagePreBedNo(req.getPatientId(), zyReq.getName())) {
  112. WeiXinPreBedMsgParam weiXinPreBedMsgParam = new WeiXinPreBedMsgParam();
  113. weiXinPreBedMsgParam.setPatientId(req.getPatientId());
  114. weiXinPreBedMsgParam.setName(zyReq.getName());
  115. weiXinPreBedMsgParam.setBedInfo("1".equals(req.getReqStatus()) ?
  116. deptCache.getDeptName(zyReq.getReqWard()) + req.getBedNo() + "床" : "");
  117. weiXinPreBedMsgParam.setFirst("1".equals(req.getReqStatus()) ? "您已成功预约床位,请及时办理住院!" : req.getPreBedConfirmRemark());
  118. try {
  119. pushMessagePreBedNo(weiXinPreBedMsgParam);
  120. } catch (Exception e) {
  121. log.error("调用微信床位预约报错", e);
  122. }
  123. }
  124. }
  125. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, "成功");
  126. }
  127. private boolean isPushMessagePreBedNo(String patientId, String name) {
  128. String mzName = dao.selectPatientMi(patientId);
  129. if (StrUtil.equals(name, mzName)) {
  130. return true;
  131. }
  132. return false;
  133. }
  134. public ResultVo<IPage<ZyBedPreMsg>> queryZyBedPreMsg(ZyBedPreMsg msg) {
  135. IPage<ZyBedPreMsg> page = new Page<>(msg.getCurrentPage(), msg.getPageSize());
  136. QueryWrapper queryWrapper = new QueryWrapper();
  137. queryWrapper.like(StrUtil.isNotBlank(msg.getName()), "a.name", msg.getName());
  138. queryWrapper.like(StrUtil.isNotBlank(msg.getMsgStatus()), "a.msg_status", msg.getMsgStatus());
  139. UserInfo userInfo = userCache.getUserInfoByToken();
  140. if (!userInfo.getRoles().contains(1)) {
  141. queryWrapper.eq("a.ward", userInfo.getDeptCode());
  142. }
  143. zyBedPreMsgDao.queryZyBedPreMsgPage(page, queryWrapper);
  144. page.getRecords().forEach(item -> {
  145. item.setWardName(deptCache.getDeptName(item.getWard()));
  146. });
  147. page.setRecords(page.getRecords());
  148. page.setTotal(page.getTotal());
  149. return ResultVoUtil.success(page);
  150. }
  151. public List<ZyActpatient> queryPreAdmiss(String ward) {
  152. return dao.getPreAdmPatients(ward);
  153. }
  154. public void receivePatient(ZyActpatient act) {
  155. ZyBedMi zyBedMi = zyBedMiDao.selectZyBedMi(act.getWard(), act.getWard(), act.getBedNo());
  156. if (StringUtil.notBlank(zyBedMi.getInpatientNo()) &&
  157. !Objects.equals(zyBedMi.getInpatientNo(), act.getInpatientNo())) {
  158. String freeBedNo = zyBedMiDao.selectMaxFreeBedNo(act.getWard(), act.getWard());
  159. if (StringUtil.isBlank(freeBedNo)) {
  160. throw new BizException(ExceptionEnum.LOGICAL_ERROR, "接收失败,没有空闲床位!");
  161. }
  162. zyBedMi.setBedNo(freeBedNo);
  163. }
  164. zyBedMi.setInpatientNo(act.getInpatientNo());
  165. zyBedMi.setAdmissTimes(act.getAdmissTimes());
  166. zyBedMi.setBedStatus(BedStatusEnum.ARRANGE.code);
  167. zyBedMiDao.updateZyBedMi(zyBedMi);
  168. AutoCreateEmrParams.Params params = new AutoCreateEmrParams.Params();
  169. params.setPatNo(act.getInpatientNo());
  170. params.setTimes(act.getAdmissTimes());
  171. // 自动创建病程记录
  172. autoCreateEmrServer.createEmrAsync(params);
  173. dao.updateBedStatus(act.getInpatientNo(), act.getPhry());
  174. }
  175. public ResultVo<List<Map>> getIdleBedNoList(ZyBedPreMsg msg) {
  176. List<Map> list = new ArrayList<>();
  177. List<String> bedNos = dao.selectIdleBedNoList(msg.getWard());
  178. if (CollUtil.isNotEmpty(bedNos)) {
  179. bedNos.forEach(bedNo -> {
  180. Map map = new HashMap(2);
  181. map.put("code", bedNo);
  182. map.put("name", bedNo);
  183. list.add(map);
  184. });
  185. }
  186. return ResultVoUtil.success(list);
  187. }
  188. public Map<String, Object> queryZybedMi(ZyBedMi param) {
  189. if (StrUtil.isBlank(param.getWardCode())) {
  190. param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
  191. }
  192. Map<String, Object> map = new HashMap<>(4);
  193. List<ZyBedMi> list = dao.selectZybedMi(param);
  194. CommonUtil.BeanTrim(list);
  195. map.put("data", list);
  196. map.put("bedTotal", list.size());
  197. long yzBedTotal = list.stream().filter(o -> StrUtil.isNotBlank(o.getInpatientNo())).count();
  198. long ybTotal = list.stream().filter(o -> StrUtil.isNotBlank(o.getInpatientNo()) && !"01".equals(o.getResponceType()) && !"011".equals(o.getResponceType())).count();
  199. map.put("yzBedTotal", yzBedTotal);
  200. map.put("ybTotal", ybTotal);
  201. return map;
  202. }
  203. public ResultVo<String> clearBed(ZyBedMi param) {
  204. AssertUtil.isnotBlank(param.getBedNo(), "床位号不能为空");
  205. if (StrUtil.isBlank(param.getWardCode())) {
  206. param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
  207. }
  208. //
  209. Integer existPatient = dao.isExistPatient(param);
  210. if (existPatient != null) {
  211. throw new BizException(ExceptionEnum.INTERNAL_SERVER_ERROR, "此床位存在病人信息不能清除");
  212. }
  213. param.setInpatientNo(null);
  214. param.setAdmissTimes(null);
  215. param.setBedStatus("1");
  216. dao.updatePatientByBed(param);
  217. String message = StrUtil.format("清除{}床信息成功", param.getBedNo());
  218. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, message);
  219. }
  220. public ResultVo<String> addBed(ZyBedMi param) {
  221. AssertUtil.isnotBlank(param.getBedNo(), "床位号不能为空");
  222. if (StrUtil.isBlank(param.getWardCode())) {
  223. param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
  224. }
  225. ZyBedMi zyBedMi = dao.selectActInpatientByBed(param);
  226. if (zyBedMi == null || StrUtil.isBlank(zyBedMi.getInpatientNo())) {
  227. throw new BizException(ExceptionEnum.INTERNAL_SERVER_ERROR, "此床位不存在病人信息,不能添加");
  228. }
  229. BeanUtil.trimStrFields(zyBedMi);
  230. //占床
  231. param.setBedStatus("2");
  232. param.setInpatientNo(zyBedMi.getInpatientNo());
  233. param.setAdmissTimes(zyBedMi.getAdmissTimes());
  234. dao.updatePatientByBed(param);
  235. String message = StrUtil.format("添加{}床信息成功", param.getBedNo());
  236. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, message);
  237. }
  238. public ResultVo<String> saveBed(ZyBedMiParam params) {
  239. ZyBedMi bedMi = new ZyBedMi();
  240. if (StrUtil.isBlank(params.getWardCode())) {
  241. bedMi.setWardCode(userCache.getUserInfoByToken().getDeptCode());
  242. } else {
  243. bedMi.setWardCode(params.getWardCode());
  244. }
  245. List<ZyBedMi> oldZyBedMi = dao.selectZybedMi(bedMi);
  246. List<ZyBedMi> newZyBedMi = params.getParam();
  247. CommonUtil.BeanTrim(oldZyBedMi);
  248. List<ZyBedMi> updateData = new ArrayList<>();
  249. newZyBedMi.forEach(newData -> {
  250. ZyBedMi oldComBedMi = oldZyBedMi.stream().filter(old -> newData.getBedNo().equals(old.getBedNo())).findFirst().get();
  251. if (!Convert.toStr(oldComBedMi.getInpatientNo(), "").equals(Convert.toStr(newData.getInpatientNo(), ""))) {
  252. if (StrUtil.isBlank(newData.getWardCode())) {
  253. newData.setWardCode(bedMi.getWardCode());
  254. }
  255. updateData.add(newData);
  256. }
  257. });
  258. if (CollUtil.isNotEmpty(updateData)) {
  259. updateData.forEach(o -> {
  260. if (StrUtil.isNotBlank(o.getInpatientNo())) {
  261. o.setBedStatus("2");
  262. dao.updateActpatientBed(o);
  263. dao.updateYpZyOrder(o);
  264. dao.updateYzActOcc(o);
  265. } else {
  266. o.setBedStatus("1");
  267. o.setInpatientNo(null);
  268. o.setAdmissTimes(null);
  269. }
  270. dao.updatePatientByBed(o);
  271. });
  272. }
  273. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_EL_MESSAGE, "保存成功");
  274. }
  275. public ResultVo<String> queryIsPreBed(ZyBedMi param) {
  276. if (StrUtil.isBlank(param.getWardCode())) {
  277. param.setWardCode(userCache.getUserInfoByToken().getDeptCode());
  278. } else {
  279. param.setWardCode(param.getWardCode());
  280. }
  281. //是否24小时内分配了床位
  282. Date now = new Date();
  283. param.setEndVisitDate(DateUtil.formatDateTime(now));
  284. param.setStartVisitDate(DateUtil.formatDateTime(DateUtil.offsetDay(now, -1)));
  285. Integer pre = dao.queryIsPreBed(param);
  286. if (pre == null) {
  287. return ResultVoUtil.success();
  288. } else {
  289. 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());
  290. return ResultVoUtil.fail(ExceptionEnum.INTERNAL_SERVER_ERROR, str);
  291. }
  292. }
  293. public void pushMessagePreBedNo(WeiXinPreBedMsgParam param) {
  294. JSONObject jsonObject = new JSONObject();
  295. String msgContentJson = "{\"touser\":\"\",\"data\":" +
  296. "{\"keyword3\":{\"color\":\"#173177\",\"value\":\"" + param.getBedInfo() + "\"}," +
  297. "\"keyword4\":{\"color\":\"#FF0000\",\"value\":\"泰和医院\"}," +
  298. "\"keyword1\":{\"color\":\"#173177\",\"value\":\"" + param.getName() + "\"}," +
  299. "\"remark\":{\"color\":\"#FF0000\",\"value\":\"感谢您的使用,祝您健康!\"}," +
  300. "\"first\":{\"color\":\"#FF0000\",\"value\":\"" + param.getFirst() + "\"}}," +
  301. "\"template_id\":\"gQapOy99TXwDpublt7pWFehB2pzfI0Az5qlhCjaYxB0\"," +
  302. "\"url\":\"\"}";
  303. jsonObject.put("cardNo", param.getPatientId());
  304. jsonObject.put("isCardNoPatientId", true);
  305. jsonObject.put("msgContext", JSON.parseObject(msgContentJson));
  306. log.info("调用微信接口参数入参{}", JSON.toJSONString(jsonObject));
  307. wxServer.pushWxMessage(jsonObject);
  308. }
  309. public List<CodeName> getDefaultHsryList() {
  310. return dao.getHsry();
  311. }
  312. }