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- package thyyxxk.webserver.service.heliyongyao;
- import com.alibaba.fastjson.JSON;
- import com.alibaba.fastjson.JSONArray;
- import com.alibaba.fastjson.JSONObject;
- import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
- import lombok.extern.slf4j.Slf4j;
- import org.springframework.stereotype.Service;
- import thyyxxk.webserver.config.exception.BizException;
- import thyyxxk.webserver.config.exception.ExceptionEnum;
- import thyyxxk.webserver.constants.Capacity;
- import thyyxxk.webserver.dao.his.heliyongyao.RationalUseDao;
- import thyyxxk.webserver.dao.his.zhuyuanyisheng.YiZhuLuRuDao;
- import thyyxxk.webserver.entity.ResultVo;
- import thyyxxk.webserver.entity.heliyongyao.RationalUsePatient;
- import thyyxxk.webserver.entity.heliyongyao.XunHuanJieDian;
- import thyyxxk.webserver.entity.heliyongyao.YaoPin;
- import thyyxxk.webserver.entity.zhuyuanyisheng.yizhuluru.XinZhenYiZhu;
- import thyyxxk.webserver.entity.zhuyuanyisheng.yizhuluru.XinZhenYzActOrder;
- import thyyxxk.webserver.service.PublicServer;
- import thyyxxk.webserver.service.externalhttp.RationalUseSrvc;
- import thyyxxk.webserver.utils.*;
- import java.math.BigDecimal;
- import java.util.*;
- import java.util.stream.Collectors;
- /**
- * <p>
- * 描述: 合理用药
- * </p>
- *
- * @author xc
- * @date 2022-03-29 11:27
- */
- @Service
- @Slf4j
- public class RationalUseServer {
- private final RationalUseDao dao;
- private final RationalUseSrvc http;
- private final YiZhuLuRuDao orderDao;
- public RationalUseServer(RationalUseDao dao, RationalUseSrvc http, YiZhuLuRuDao orderDao) {
- this.dao = dao;
- this.http = http;
- this.orderDao = orderDao;
- }
- public ResultVo<JSONObject> rationalUseOfMedicine(String patNo, Integer times) {
- QueryWrapper<?> qw = new QueryWrapper<>();
- // 查询药品医嘱
- qw.eq("a.inpatient_no", patNo)
- .eq("a.admiss_times", times)
- .eq("a.status_flag", "1")
- .eq("a.enter_oper", TokenUtil.getTokenUserId())
- .eq("isnull(a.self_buy,'0')", "0")
- .ne("a.serial", "00");
- XinZhenYiZhu patInfo = orderDao.queryPatientInfo(patNo, times);
- // 获取新开的医嘱
- patInfo.setList(orderDao.selectOrderNo(qw));
- List<XinZhenYzActOrder> historicalData = dao.getHistoricalMedicalOrders(patNo, times);
- JSONObject js = verify(patInfo, historicalData);
- return ResultVoUtil.success(js);
- }
- /**
- * 调用药品审方接口
- *
- * @param url 审方地址
- * @return 返回提示
- */
- public ResultVo<JSONObject> auditingInterface(String url) {
- return ResultVoUtil.success(http.auditingInterface(url));
- }
- public JSONObject verify(XinZhenYiZhu param, List<XinZhenYzActOrder> historicalData) {
- String userCode = TokenUtil.getTokenUserId();
- // 医生信息
- Map<String, String> doctMap = doctorInfo(userCode);
- String baseXml = doctMap.get("baseXml");
- String doctXml = doctMap.get("doct");
- QueryWrapper<?> qw = new QueryWrapper<>();
- List<String> drugList = new ArrayList<>();
- addTheDrugCode(param.getList(), drugList);
- addTheDrugCode(historicalData, drugList);
- if (ListUtil.isBlank(drugList)) {
- return new JSONObject();
- }
- qw.in("rtrim(code) + rtrim(serial)", drugList);
- Map<String, YaoPin> drugMap = dao.selectDrug(qw).stream().collect(
- Collectors.toMap(YaoPin::getId, a -> a, (k1, k2) -> k1)
- );
- String detailsXml = drugInfoFunc(param.getInpatientNo(), param.getAdmissTimes(), param.getList(), doctXml, drugMap, historicalData);
- String js = String.format("{\"BaseXml\": \"%s\", \"DetailsXml\" : \"%s\"}", baseXml, detailsXml);
- log.info("js:{}", js);
- return http.rationalUse(js);
- }
- /**
- * 添加药品编码
- *
- * @param list
- * @param yp
- * @param drugList
- */
- private static void addTheDrugCode(List<XinZhenYzActOrder> list, List<String> drugList) {
- for (XinZhenYzActOrder item : list) {
- if (StringUtil.notBlank(item.getSerial())) {
- String key = item.getOrderCode().trim() + item.getSerial().trim();
- if (!drugList.contains(key)) {
- drugList.add(key);
- }
- }
- }
- }
- public Map<String, String> doctorInfo(String code) {
- Map<String, String> doctorInfo = dao.yiShenXinXi(code);
- if (doctorInfo == null || doctorInfo.isEmpty()) {
- doctorInfo = new HashMap<>(Capacity.TWO);
- }
- Map<String, String> map = new HashMap<>(Capacity.TWO);
- String baseXml = "<base_xml>" +
- "<source>HIS</source>" +
- "<hosp_code>H43010500370</hosp_code>" +
- "<hosp_name>长沙泰和医院</hosp_name>" +
- "<dept_code>" + nullToBlank(doctorInfo.get("dept_code")) + "</dept_code>" +
- "<dept_name>" + nullToBlank(doctorInfo.get("dept_name")) + "</dept_name>" +
- "<doct>" +
- "<code>" + nullToBlank(doctorInfo.get("code")) + "</code>" +
- "<name>" + nullToBlank(doctorInfo.get("name")) + "</name>" +
- "<type>" + nullToBlank(doctorInfo.get("type")) + "</type>" +
- "<type_name>" + nullToBlank(doctorInfo.get("type_name")) + "</type_name>" +
- "</doct>" +
- "</base_xml>";
- map.put("baseXml", baseXml);
- String sb = "<dept_code>" + nullToBlank(doctorInfo.get("dept_code")) + "</dept_code>" +
- "<dept_name>" + nullToBlank(doctorInfo.get("dept_name")) + "</dept_name>" +
- "<doct_code>" + nullToBlank(doctorInfo.get("code")) + "</doct_code>" +
- "<doct_name>" + nullToBlank(doctorInfo.get("name")) + "</doct_name>";
- map.put("doct", sb);
- return map;
- }
- public String nullToBlank(String str) {
- if (StringUtil.isBlank(str)) {
- return "";
- }
- return str.trim();
- }
- /**
- * @param patNo 住院号
- * @param times 住院次数
- * @param drugData 需要审核的药品
- * @param doct 文档节点
- * @param drugMap 药品的map用 编码和规格做key
- * @return 返回节点
- */
- public String drugInfoFunc(String patNo,
- Integer times,
- List<XinZhenYzActOrder> drugData,
- String doct,
- Map<String, YaoPin> drugMap,
- List<XinZhenYzActOrder> historicalData) {
- log.info("数据:{}", JSON.toJSONString(drugData));
- StringBuilder sb = new StringBuilder();
- RationalUsePatient patient = dao.huanZheXinXi(patNo, times);
- if (patient == null) {
- throw new BizException(ExceptionEnum.LOGICAL_ERROR, "没有找到对应患者的信息。");
- }
- XinZhenYiZhu patientInfo = orderDao.queryPatientInfo(patNo, times);
- // 中西药处方/医嘱类型标识
- // 就诊类型
- // 就诊号
- sb.append("<details_xml>")
- .append("<hosp_code>H43010500370</hosp_code>")
- .append("<his_time>").append(DateUtil.formatDatetime(new Date())).append("</his_time>")
- .append("<hosp_flag>ip</hosp_flag>")
- // 中西药处方/医嘱类型标识
- .append("<cf_type>").append("1").append("</cf_type>")
- // 就诊类型
- .append("<treat_type>").append("400").append("</treat_type>")
- // 就诊号
- .append("<treat_code>").append(patNo).append("_").append(times).append(DateUtil.formatDatetime(new Date(), "YYYYMMDD")).append("</treat_code>")
- .append("<is_repeat>").append("1").append("</is_repeat>")
- .append("<bed_no>").append(nullToBlank(patientInfo.getBedNo())).append("</bed_no>")
- .append("<patient>")
- .append("<pati_id>").append(patNo).append("_").append(times).append("</pati_id>")
- .append("<name>").append(nullToBlank(patient.getName())).append("</name>")
- .append("<is_infant>").append(PublicServer.getInfantFlag(patNo)).append("</is_infant>")
- .append("<birth>").append(nullToBlank(patient.getBirth())).append("</birth>")
- .append("<sex>").append(nullToBlank(patient.getSexName())).append("</sex>")
- .append("<weight>").append("</weight>")
- .append("<height>").append("</height>")
- .append("<id_card>").append(patient.getIdCard()).append("</id_card>")
- .append("<medical_record>").append("</medical_record>")
- .append("<card_type>").append("</card_type>")
- .append("<card_code>").append("</card_code>")
- .append("<pregnant_unit>").append("</pregnant_unit>")
- .append("<pregnant>").append("</pregnant>");
- // 过敏节点,可循环
- sb.append("<allergic_data>");
- List<XunHuanJieDian> allergyData = dao.guoMin(patNo);
- xunHuanJieDian(sb, allergyData, "allergic");
- sb.append("</allergic_data>");
- // 皮试节点,可循环
- sb.append("<skintest_data>");
- List<XunHuanJieDian> skinTestData = new ArrayList<>();
- if (ListUtil.isBlank(skinTestData)) {
- XunHuanJieDian skinTest = new XunHuanJieDian();
- skinTest.setCode("").setName("").setResult("");
- skinTestData.add(skinTest);
- }
- for (XunHuanJieDian item : skinTestData) {
- sb.append("<skintest>")
- .append("<name>").append(nullToBlank(item.getName())).append("</name>")
- .append("<code>").append(nullToBlank(item.getCode())).append("</code>")
- .append("<result>").append(nullToBlank(item.getResult())).append("</result>")
- .append("</skintest>");
- }
- sb.append("</skintest_data>");
- // 诊断
- sb.append("<diagnose_data>");
- List<XunHuanJieDian> diagnosticData = new ArrayList<>();
- JSONObject medicalRecordDiagnosticData = JSONObject.parseObject(dao.medicalRecordDiagnosticData(patNo, times));
- if (medicalRecordDiagnosticData != null) {
- JSONArray arr = medicalRecordDiagnosticData.getJSONArray("入院诊断");
- if (arr != null && arr.size() > 0) {
- for (int i = 0; i < arr.size(); i++) {
- JSONObject item = arr.getJSONObject(i);
- XunHuanJieDian temp = new XunHuanJieDian();
- temp.setType("2");
- temp.setCode(item.getString("code"));
- temp.setName(item.getString("name"));
- diagnosticData.add(temp);
- }
- }
- }
- // 诊断节点
- xunHuanJieDian(sb, diagnosticData, "diagnose");
- sb.append("</diagnose_data>")
- .append("</patient>");
- sb.append("<prescription_data>");
- sb.append("<prescription>").append("<id>").append("0").append("</id>")
- .append("<reason>").append("</reason>")
- .append("<is_current>").append(1).append("</is_current>")
- .append("<pres_type>").append("</pres_type>")
- .append("<pres_time>").append(DateUtil.formatDatetime(new Date())).append("</pres_time>")
- // 药品信息节点,可循环
- .append("<medicine_data>");
- // 循环处方节点
- prescribingInformation(drugData, doct, drugMap, sb, 1);
- prescribingInformation(historicalData, doct, drugMap, sb, 0);
- sb.append("</medicine_data></prescription>");
- sb.append("</prescription_data></details_xml>");
- return sb.toString();
- }
- private void prescribingInformation(List<XinZhenYzActOrder> drugData, String doct, Map<String, YaoPin> drugMap, StringBuilder sb,
- int current) {
- for (XinZhenYzActOrder item : drugData) {
- YaoPin yp = drugMap.get(item.getOrderCode().trim() + item.getSerial().trim());
- if (null == yp) {
- yp = new YaoPin();
- yp.setPackRetprice(BigDecimal.valueOf(1));
- }
- sb.append("<medicine>")
- .append("<cf_id>").append("0").append("</cf_id>")
- .append("<oeridid>").append(item.getActOrderNo().stripTrailingZeros().toPlainString()).append("</oeridid>")
- .append("<is_current>").append(current).append("</is_current>")
- .append("<pres_type>").append("ONCE".equals(item.getFrequCode()) ? "T" : "L").append("</pres_type>")
- .append("<pres_time>").append(DateUtil.formatDatetime(item.getOrderTime())).append("</pres_time>")
- .append("<name>").append(item.getOrderName()).append("</name>")
- .append("<his_code>").append(nullToBlank(item.getOrderCode() + "_" + item.getSerial())).append("</his_code>")
- .append("<insur_code>").append(nullToBlank(yp.getNationalCode())).append("</insur_code>")
- .append("<approval>").append(nullToBlank(yp.getPzwh())).append("</approval>")
- .append("<spec>").append(nullToBlank(item.getDrugSpecification())).append("</spec>")
- .append("<quantity>").append(nullToBlank(item.getDrugQuan() + item.getMiniUnitName())).append("</quantity>")
- .append("<group>").append(item.getParentNo() == null ? item.getActOrderNo().stripTrailingZeros().toPlainString() : item.getParentNo().stripTrailingZeros().toPlainString()).append("</group>")
- .append("<reason>").append("</reason>")
- .append("<dose_unit>").append(nullToBlank(item.getDoseUnitName())).append("</dose_unit>")
- .append("<dose>").append(item.getDose()).append("</dose>")
- .append("<kyzl>").append(item.getDrugQuan()).append("</kyzl>")
- .append("<zl_unit>").append(item.getDrugQuanName()).append("</zl_unit>")
- .append("<freq>").append("ZY").append(nullToBlank(item.getFrequCode())).append("</freq>")
- .append("<administer>").append("ZY").append(item.getSupplyCode()).append("</administer>")
- .append("<begin_time>").append(DateUtil.formatDatetime(item.getStartTime())).append("</begin_time>")
- .append("<end_time>").append(DateUtil.formatDatetime(item.getEndTime())).append("</end_time>")
- .append("<days>").append("</days>")
- .append(doct)
- .append("<PREVENTIVE_TYPE>").append("2").append("</PREVENTIVE_TYPE>")
- .append("<money>").append(yp.getPackRetprice().multiply(item.getDrugQuan())).append("</money>")
- .append("<emergency>").append(item.getEmergencyFlag()).append("</emergency>")
- .append("</medicine>");
- }
- }
- /**
- * 循环节点
- *
- * @param sb 字符串
- * @param jieDian 节点
- * @param name 节点名称
- */
- public void xunHuanJieDian(StringBuilder sb, List<XunHuanJieDian> jieDian, String name) {
- if (ListUtil.isBlank(jieDian)) {
- XunHuanJieDian zhenDuan = new XunHuanJieDian();
- zhenDuan.setType("").setCode("").setName("");
- jieDian.add(zhenDuan);
- }
- for (XunHuanJieDian item : jieDian) {
- sb.append("<").append(name).append(">").
- append("<type>").append(nullToBlank(item.getType())).append("</type>")
- .append("<name>").append(nullToBlank(item.getName())).append("</name>")
- .append("<code>").append(nullToBlank(item.getCode())).append("</code>")
- .append("</").append(name).append(">");
- }
- }
- }
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