RationalUseServer.java 16 KB

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  1. package thyyxxk.webserver.service.heliyongyao;
  2. import com.alibaba.fastjson.JSON;
  3. import com.alibaba.fastjson.JSONArray;
  4. import com.alibaba.fastjson.JSONObject;
  5. import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
  6. import lombok.extern.slf4j.Slf4j;
  7. import org.springframework.stereotype.Service;
  8. import thyyxxk.webserver.config.exception.BizException;
  9. import thyyxxk.webserver.config.exception.ExceptionEnum;
  10. import thyyxxk.webserver.constants.Capacity;
  11. import thyyxxk.webserver.dao.his.heliyongyao.RationalUseDao;
  12. import thyyxxk.webserver.dao.his.zhuyuanyisheng.YiZhuLuRuDao;
  13. import thyyxxk.webserver.entity.ResultVo;
  14. import thyyxxk.webserver.entity.heliyongyao.RationalUsePatient;
  15. import thyyxxk.webserver.entity.heliyongyao.XunHuanJieDian;
  16. import thyyxxk.webserver.entity.heliyongyao.YaoPin;
  17. import thyyxxk.webserver.entity.zhuyuanyisheng.yizhuluru.XinZhenYiZhu;
  18. import thyyxxk.webserver.entity.zhuyuanyisheng.yizhuluru.XinZhenYzActOrder;
  19. import thyyxxk.webserver.service.PublicServer;
  20. import thyyxxk.webserver.service.externalhttp.RationalUseSrvc;
  21. import thyyxxk.webserver.utils.*;
  22. import java.math.BigDecimal;
  23. import java.util.*;
  24. import java.util.stream.Collectors;
  25. /**
  26. * <p>
  27. * 描述: 合理用药
  28. * </p>
  29. *
  30. * @author xc
  31. * @date 2022-03-29 11:27
  32. */
  33. @Service
  34. @Slf4j
  35. public class RationalUseServer {
  36. private final RationalUseDao dao;
  37. private final RationalUseSrvc http;
  38. private final YiZhuLuRuDao orderDao;
  39. public RationalUseServer(RationalUseDao dao, RationalUseSrvc http, YiZhuLuRuDao orderDao) {
  40. this.dao = dao;
  41. this.http = http;
  42. this.orderDao = orderDao;
  43. }
  44. public ResultVo<JSONObject> rationalUseOfMedicine(String patNo, Integer times) {
  45. QueryWrapper<?> qw = new QueryWrapper<>();
  46. // 查询药品医嘱
  47. qw.eq("a.inpatient_no", patNo)
  48. .eq("a.admiss_times", times)
  49. .eq("a.status_flag", "1")
  50. .eq("a.enter_oper", TokenUtil.getTokenUserId())
  51. .eq("isnull(a.self_buy,'0')", "0")
  52. .ne("a.serial", "00");
  53. XinZhenYiZhu patInfo = orderDao.queryPatientInfo(patNo, times);
  54. // 获取新开的医嘱
  55. patInfo.setList(orderDao.selectOrderNo(qw));
  56. List<XinZhenYzActOrder> historicalData = dao.getHistoricalMedicalOrders(patNo, times);
  57. JSONObject js = verify(patInfo, historicalData);
  58. return ResultVoUtil.success(js);
  59. }
  60. /**
  61. * 调用药品审方接口
  62. *
  63. * @param url 审方地址
  64. * @return 返回提示
  65. */
  66. public ResultVo<JSONObject> auditingInterface(String url) {
  67. return ResultVoUtil.success(http.auditingInterface(url));
  68. }
  69. public JSONObject verify(XinZhenYiZhu param, List<XinZhenYzActOrder> historicalData) {
  70. String userCode = TokenUtil.getTokenUserId();
  71. // 医生信息
  72. Map<String, String> doctMap = doctorInfo(userCode);
  73. String baseXml = doctMap.get("baseXml");
  74. String doctXml = doctMap.get("doct");
  75. QueryWrapper<?> qw = new QueryWrapper<>();
  76. List<String> drugList = new ArrayList<>();
  77. addTheDrugCode(param.getList(), drugList);
  78. addTheDrugCode(historicalData, drugList);
  79. if (ListUtil.isBlank(drugList)) {
  80. return new JSONObject();
  81. }
  82. qw.in("rtrim(code) + rtrim(serial)", drugList);
  83. Map<String, YaoPin> drugMap = dao.selectDrug(qw).stream().collect(
  84. Collectors.toMap(YaoPin::getId, a -> a, (k1, k2) -> k1)
  85. );
  86. String detailsXml = drugInfoFunc(param.getInpatientNo(), param.getAdmissTimes(), param.getList(), doctXml, drugMap, historicalData);
  87. String js = String.format("{\"BaseXml\": \"%s\", \"DetailsXml\" : \"%s\"}", baseXml, detailsXml);
  88. log.info("js:{}", js);
  89. return http.rationalUse(js);
  90. }
  91. /**
  92. * 添加药品编码
  93. *
  94. * @param list
  95. * @param yp
  96. * @param drugList
  97. */
  98. private static void addTheDrugCode(List<XinZhenYzActOrder> list, List<String> drugList) {
  99. for (XinZhenYzActOrder item : list) {
  100. if (StringUtil.notBlank(item.getSerial())) {
  101. String key = item.getOrderCode().trim() + item.getSerial().trim();
  102. if (!drugList.contains(key)) {
  103. drugList.add(key);
  104. }
  105. }
  106. }
  107. }
  108. public Map<String, String> doctorInfo(String code) {
  109. Map<String, String> doctorInfo = dao.yiShenXinXi(code);
  110. if (doctorInfo == null || doctorInfo.isEmpty()) {
  111. doctorInfo = new HashMap<>(Capacity.TWO);
  112. }
  113. Map<String, String> map = new HashMap<>(Capacity.TWO);
  114. String baseXml = "<base_xml>" +
  115. "<source>HIS</source>" +
  116. "<hosp_code>H43010500370</hosp_code>" +
  117. "<hosp_name>长沙泰和医院</hosp_name>" +
  118. "<dept_code>" + nullToBlank(doctorInfo.get("dept_code")) + "</dept_code>" +
  119. "<dept_name>" + nullToBlank(doctorInfo.get("dept_name")) + "</dept_name>" +
  120. "<doct>" +
  121. "<code>" + nullToBlank(doctorInfo.get("code")) + "</code>" +
  122. "<name>" + nullToBlank(doctorInfo.get("name")) + "</name>" +
  123. "<type>" + nullToBlank(doctorInfo.get("type")) + "</type>" +
  124. "<type_name>" + nullToBlank(doctorInfo.get("type_name")) + "</type_name>" +
  125. "</doct>" +
  126. "</base_xml>";
  127. map.put("baseXml", baseXml);
  128. String sb = "<dept_code>" + nullToBlank(doctorInfo.get("dept_code")) + "</dept_code>" +
  129. "<dept_name>" + nullToBlank(doctorInfo.get("dept_name")) + "</dept_name>" +
  130. "<doct_code>" + nullToBlank(doctorInfo.get("code")) + "</doct_code>" +
  131. "<doct_name>" + nullToBlank(doctorInfo.get("name")) + "</doct_name>";
  132. map.put("doct", sb);
  133. return map;
  134. }
  135. public String nullToBlank(String str) {
  136. if (StringUtil.isBlank(str)) {
  137. return "";
  138. }
  139. return str.trim();
  140. }
  141. /**
  142. * @param patNo 住院号
  143. * @param times 住院次数
  144. * @param drugData 需要审核的药品
  145. * @param doct 文档节点
  146. * @param drugMap 药品的map用 编码和规格做key
  147. * @return 返回节点
  148. */
  149. public String drugInfoFunc(String patNo,
  150. Integer times,
  151. List<XinZhenYzActOrder> drugData,
  152. String doct,
  153. Map<String, YaoPin> drugMap,
  154. List<XinZhenYzActOrder> historicalData) {
  155. log.info("数据:{}", JSON.toJSONString(drugData));
  156. StringBuilder sb = new StringBuilder();
  157. RationalUsePatient patient = dao.huanZheXinXi(patNo, times);
  158. if (patient == null) {
  159. throw new BizException(ExceptionEnum.LOGICAL_ERROR, "没有找到对应患者的信息。");
  160. }
  161. XinZhenYiZhu patientInfo = orderDao.queryPatientInfo(patNo, times);
  162. // 中西药处方/医嘱类型标识
  163. // 就诊类型
  164. // 就诊号
  165. sb.append("<details_xml>")
  166. .append("<hosp_code>H43010500370</hosp_code>")
  167. .append("<his_time>").append(DateUtil.formatDatetime(new Date())).append("</his_time>")
  168. .append("<hosp_flag>ip</hosp_flag>")
  169. // 中西药处方/医嘱类型标识
  170. .append("<cf_type>").append("1").append("</cf_type>")
  171. // 就诊类型
  172. .append("<treat_type>").append("400").append("</treat_type>")
  173. // 就诊号
  174. .append("<treat_code>").append(patNo).append("_").append(times).append(DateUtil.formatDatetime(new Date(), "YYYYMMDD")).append("</treat_code>")
  175. .append("<is_repeat>").append("1").append("</is_repeat>")
  176. .append("<bed_no>").append(nullToBlank(patientInfo.getBedNo())).append("</bed_no>")
  177. .append("<patient>")
  178. .append("<pati_id>").append(patNo).append("_").append(times).append("</pati_id>")
  179. .append("<name>").append(nullToBlank(patient.getName())).append("</name>")
  180. .append("<is_infant>").append(PublicServer.getInfantFlag(patNo)).append("</is_infant>")
  181. .append("<birth>").append(nullToBlank(patient.getBirth())).append("</birth>")
  182. .append("<sex>").append(nullToBlank(patient.getSexName())).append("</sex>")
  183. .append("<weight>").append("</weight>")
  184. .append("<height>").append("</height>")
  185. .append("<id_card>").append(patient.getIdCard()).append("</id_card>")
  186. .append("<medical_record>").append("</medical_record>")
  187. .append("<card_type>").append("</card_type>")
  188. .append("<card_code>").append("</card_code>")
  189. .append("<pregnant_unit>").append("</pregnant_unit>")
  190. .append("<pregnant>").append("</pregnant>");
  191. // 过敏节点,可循环
  192. sb.append("<allergic_data>");
  193. List<XunHuanJieDian> allergyData = dao.guoMin(patNo);
  194. xunHuanJieDian(sb, allergyData, "allergic");
  195. sb.append("</allergic_data>");
  196. // 皮试节点,可循环
  197. sb.append("<skintest_data>");
  198. List<XunHuanJieDian> skinTestData = new ArrayList<>();
  199. if (ListUtil.isBlank(skinTestData)) {
  200. XunHuanJieDian skinTest = new XunHuanJieDian();
  201. skinTest.setCode("").setName("").setResult("");
  202. skinTestData.add(skinTest);
  203. }
  204. for (XunHuanJieDian item : skinTestData) {
  205. sb.append("<skintest>")
  206. .append("<name>").append(nullToBlank(item.getName())).append("</name>")
  207. .append("<code>").append(nullToBlank(item.getCode())).append("</code>")
  208. .append("<result>").append(nullToBlank(item.getResult())).append("</result>")
  209. .append("</skintest>");
  210. }
  211. sb.append("</skintest_data>");
  212. // 诊断
  213. sb.append("<diagnose_data>");
  214. List<XunHuanJieDian> diagnosticData = new ArrayList<>();
  215. JSONObject medicalRecordDiagnosticData = JSONObject.parseObject(dao.medicalRecordDiagnosticData(patNo, times));
  216. if (medicalRecordDiagnosticData != null) {
  217. JSONArray arr = medicalRecordDiagnosticData.getJSONArray("入院诊断");
  218. if (arr != null && arr.size() > 0) {
  219. for (int i = 0; i < arr.size(); i++) {
  220. JSONObject item = arr.getJSONObject(i);
  221. XunHuanJieDian temp = new XunHuanJieDian();
  222. temp.setType("2");
  223. temp.setCode(item.getString("code"));
  224. temp.setName(item.getString("name"));
  225. diagnosticData.add(temp);
  226. }
  227. }
  228. }
  229. // 诊断节点
  230. xunHuanJieDian(sb, diagnosticData, "diagnose");
  231. sb.append("</diagnose_data>")
  232. .append("</patient>");
  233. sb.append("<prescription_data>");
  234. sb.append("<prescription>").append("<id>").append("0").append("</id>")
  235. .append("<reason>").append("</reason>")
  236. .append("<is_current>").append(1).append("</is_current>")
  237. .append("<pres_type>").append("</pres_type>")
  238. .append("<pres_time>").append(DateUtil.formatDatetime(new Date())).append("</pres_time>")
  239. // 药品信息节点,可循环
  240. .append("<medicine_data>");
  241. // 循环处方节点
  242. prescribingInformation(drugData, doct, drugMap, sb, 1);
  243. prescribingInformation(historicalData, doct, drugMap, sb, 0);
  244. sb.append("</medicine_data></prescription>");
  245. sb.append("</prescription_data></details_xml>");
  246. return sb.toString();
  247. }
  248. private void prescribingInformation(List<XinZhenYzActOrder> drugData, String doct, Map<String, YaoPin> drugMap, StringBuilder sb,
  249. int current) {
  250. for (XinZhenYzActOrder item : drugData) {
  251. YaoPin yp = drugMap.get(item.getOrderCode().trim() + item.getSerial().trim());
  252. if (null == yp) {
  253. yp = new YaoPin();
  254. yp.setPackRetprice(BigDecimal.valueOf(1));
  255. }
  256. sb.append("<medicine>")
  257. .append("<cf_id>").append("0").append("</cf_id>")
  258. .append("<oeridid>").append(item.getActOrderNo().stripTrailingZeros().toPlainString()).append("</oeridid>")
  259. .append("<is_current>").append(current).append("</is_current>")
  260. .append("<pres_type>").append("ONCE".equals(item.getFrequCode()) ? "T" : "L").append("</pres_type>")
  261. .append("<pres_time>").append(DateUtil.formatDatetime(item.getOrderTime())).append("</pres_time>")
  262. .append("<name>").append(item.getOrderName()).append("</name>")
  263. .append("<his_code>").append(nullToBlank(item.getOrderCode() + "_" + item.getSerial())).append("</his_code>")
  264. .append("<insur_code>").append(nullToBlank(yp.getNationalCode())).append("</insur_code>")
  265. .append("<approval>").append(nullToBlank(yp.getPzwh())).append("</approval>")
  266. .append("<spec>").append(nullToBlank(item.getDrugSpecification())).append("</spec>")
  267. .append("<quantity>").append(nullToBlank(item.getDrugQuan() + item.getMiniUnitName())).append("</quantity>")
  268. .append("<group>").append(item.getParentNo() == null ? item.getActOrderNo().stripTrailingZeros().toPlainString() : item.getParentNo().stripTrailingZeros().toPlainString()).append("</group>")
  269. .append("<reason>").append("</reason>")
  270. .append("<dose_unit>").append(nullToBlank(item.getDoseUnitName())).append("</dose_unit>")
  271. .append("<dose>").append(item.getDose()).append("</dose>")
  272. .append("<kyzl>").append(item.getDrugQuan()).append("</kyzl>")
  273. .append("<zl_unit>").append(item.getDrugQuanName()).append("</zl_unit>")
  274. .append("<freq>").append("ZY").append(nullToBlank(item.getFrequCode())).append("</freq>")
  275. .append("<administer>").append("ZY").append(item.getSupplyCode()).append("</administer>")
  276. .append("<begin_time>").append(DateUtil.formatDatetime(item.getStartTime())).append("</begin_time>")
  277. .append("<end_time>").append(DateUtil.formatDatetime(item.getEndTime())).append("</end_time>")
  278. .append("<days>").append("</days>")
  279. .append(doct)
  280. .append("<PREVENTIVE_TYPE>").append("2").append("</PREVENTIVE_TYPE>")
  281. .append("<money>").append(yp.getPackRetprice().multiply(item.getDrugQuan())).append("</money>")
  282. .append("<emergency>").append(item.getEmergencyFlag()).append("</emergency>")
  283. .append("</medicine>");
  284. }
  285. }
  286. /**
  287. * 循环节点
  288. *
  289. * @param sb 字符串
  290. * @param jieDian 节点
  291. * @param name 节点名称
  292. */
  293. public void xunHuanJieDian(StringBuilder sb, List<XunHuanJieDian> jieDian, String name) {
  294. if (ListUtil.isBlank(jieDian)) {
  295. XunHuanJieDian zhenDuan = new XunHuanJieDian();
  296. zhenDuan.setType("").setCode("").setName("");
  297. jieDian.add(zhenDuan);
  298. }
  299. for (XunHuanJieDian item : jieDian) {
  300. sb.append("<").append(name).append(">").
  301. append("<type>").append(nullToBlank(item.getType())).append("</type>")
  302. .append("<name>").append(nullToBlank(item.getName())).append("</name>")
  303. .append("<code>").append(nullToBlank(item.getCode())).append("</code>")
  304. .append("</").append(name).append(">");
  305. }
  306. }
  307. }