YiZhuLuRuServer.java 73 KB

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  1. package thyyxxk.webserver.service.zhuyuanyisheng;
  2. import cn.hutool.extra.spring.SpringUtil;
  3. import com.alibaba.fastjson.JSON;
  4. import com.alibaba.fastjson.JSONObject;
  5. import com.baomidou.dynamic.datasource.annotation.DS;
  6. import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
  7. import com.baomidou.mybatisplus.core.metadata.IPage;
  8. import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
  9. import lombok.extern.slf4j.Slf4j;
  10. import org.apache.commons.collections4.ListUtils;
  11. import org.jetbrains.annotations.NotNull;
  12. import org.springframework.scheduling.annotation.Async;
  13. import org.springframework.stereotype.Service;
  14. import org.springframework.transaction.annotation.Transactional;
  15. import thyyxxk.webserver.config.exception.BizException;
  16. import thyyxxk.webserver.config.exception.ExceptionEnum;
  17. import thyyxxk.webserver.constants.Capacity;
  18. import thyyxxk.webserver.constants.sidicts.ChargeStatus;
  19. import thyyxxk.webserver.dao.his.inpatient.XiangMuLuRuDao;
  20. import thyyxxk.webserver.dao.his.zhuyuanyisheng.YiZhuLuRuDao;
  21. import thyyxxk.webserver.entity.ResultVo;
  22. import thyyxxk.webserver.entity.RoleCode;
  23. import thyyxxk.webserver.entity.casefrontsheet.SheetOverview;
  24. import thyyxxk.webserver.entity.datamodify.GetDropdownBox;
  25. import thyyxxk.webserver.entity.datamodify.YzActOrder;
  26. import thyyxxk.webserver.entity.datamodify.ZyDetailCharge;
  27. import thyyxxk.webserver.entity.dictionary.CodeName;
  28. import thyyxxk.webserver.entity.inpatient.patient.Overview;
  29. import thyyxxk.webserver.entity.inpatient.patient.Patient;
  30. import thyyxxk.webserver.entity.login.UserInfo;
  31. import thyyxxk.webserver.entity.zhuyuanyisheng.DoctorSOrderFee;
  32. import thyyxxk.webserver.entity.zhuyuanyisheng.ZyOrderZk;
  33. import thyyxxk.webserver.entity.zhuyuanyisheng.yizhuluru.*;
  34. import thyyxxk.webserver.service.PublicServer;
  35. import thyyxxk.webserver.service.casefrontsheet.CaseFrontSheetMainService;
  36. import thyyxxk.webserver.service.externalhttp.DrgWebServices;
  37. import thyyxxk.webserver.service.heliyongyao.RationalUseServer;
  38. import thyyxxk.webserver.service.redislike.RedisLikeService;
  39. import thyyxxk.webserver.utils.*;
  40. import java.math.BigDecimal;
  41. import java.math.RoundingMode;
  42. import java.util.*;
  43. import java.util.stream.Collectors;
  44. /**
  45. * <p>
  46. * 描述: 医嘱录入
  47. * </p>
  48. *
  49. * @author xc
  50. * @date 2022-01-04 16:59
  51. */
  52. @Service
  53. @Slf4j
  54. public class YiZhuLuRuServer {
  55. private final YiZhuLuRuDao dao;
  56. private final PublicServer publicServer;
  57. private final RedisLikeService redisLikeService;
  58. private final XiangMuLuRuDao xiangMuLuRuDao;
  59. private final RationalUseServer rationalUseServer;
  60. private final DrgWebServices drgWebServices;
  61. private final CaseFrontSheetMainService caseFrontSheetMainService;
  62. /**
  63. * 转科的医嘱编码
  64. */
  65. private final String ZK_CODE = "06286";
  66. private final String ONCE = "ONCE";
  67. private final int 出院带药限制天数 = 15;
  68. private final int 出院带药限制数量 = 4;
  69. private final List<String> groupList = Arrays.asList("71", "73");
  70. private final String ITEM = "00";
  71. private final String SMALL_PACKAGE = "01";
  72. private final String BIG_PACKAGE = "99";
  73. private YiZhuLuRuServer getThis() {
  74. return SpringUtil.getBean(this.getClass());
  75. }
  76. public YiZhuLuRuServer(YiZhuLuRuDao dao, PublicServer publicServer, RedisLikeService redisLikeService, XiangMuLuRuDao xiangMuLuRuDao, RationalUseServer rationalUseServer, DrgWebServices drgWebServices, CaseFrontSheetMainService caseFrontSheetMainService) {
  77. this.dao = dao;
  78. this.publicServer = publicServer;
  79. this.redisLikeService = redisLikeService;
  80. this.xiangMuLuRuDao = xiangMuLuRuDao;
  81. this.rationalUseServer = rationalUseServer;
  82. this.drgWebServices = drgWebServices;
  83. this.caseFrontSheetMainService = caseFrontSheetMainService;
  84. }
  85. public ResultVo<String> getOrderNo() {
  86. return ResultVoUtil.success(publicServer.getActOrderNo().stripTrailingZeros().toPlainString());
  87. }
  88. public ResultVo<List<Patient>> getMyPatient() {
  89. return ResultVoUtil.success(dao.getMyPatient(TokenUtil.getTokenUserId()));
  90. }
  91. /**
  92. * 获取医嘱的名称 这里为什么不用 医嘱的code和医嘱号呢,是因为药品编码和项目编码有些一样而医嘱号,又每次只能查询一个
  93. *
  94. * @param inpatientNo 住院号
  95. * @param admissTimes 住院次数
  96. * @param orderName 前端搜索的医嘱名称
  97. * @return 返回医嘱名称去重了
  98. */
  99. public ResultVo<List<GetDropdownBox>> huoQuYiZhuMingCheng(String inpatientNo, Integer admissTimes, String orderName) {
  100. return ResultVoUtil.success(dao.huoQuYiZhuMingZi(inpatientNo, admissTimes, StringUtil.isContainChinese(orderName)));
  101. }
  102. /**
  103. * 获取患者个人的频率
  104. *
  105. * @param patNo 住院号
  106. * @param times 住院次数
  107. * @return 返回自己的医嘱频率
  108. */
  109. @Deprecated
  110. public ResultVo<List<GetDropdownBox>> huoQuGeRenPinLv(String patNo, Integer times) {
  111. return ResultVoUtil.success(dao.huoQuGeRenPinLv(patNo, times));
  112. }
  113. /**
  114. * 获取医嘱的数据
  115. * 可以根据,医嘱时间区间,执行频率,医嘱名
  116. *
  117. * @param param 查询条件
  118. * @return 返回分页数据,同时做了树状图,这样会有一个问题,那就是开了套餐的数据查询不出来
  119. */
  120. public ResultVo<List<XinZhenYzActOrder>> huoQuYiZhuShuJu(YiZhuFeiYongChaXunTiaoJian param) {
  121. QueryWrapper<?> qw = new QueryWrapper<>();
  122. qw.eq("a.inpatient_no", param.getPatNo()).eq("a.admiss_times", param.getTimes());
  123. qw.orderByAsc("a.order_time");
  124. List<XinZhenYzActOrder> yiZhuList = dao.selectOrderNo(qw);
  125. // 还有那些没有被匹配的子级医嘱
  126. Map<BigDecimal, XinZhenYzActOrder> wuFuJiYiZhu = yiZhuList.stream().collect(Collectors.toMap(XinZhenYzActOrder::getActOrderNo, a -> a, (k1, k2) -> k1));
  127. if (ListUtil.isBlank(yiZhuList)) {
  128. return ResultVoUtil.fail(ExceptionEnum.NO_DATA_EXIST, "该患者还没有开医嘱。");
  129. }
  130. // 做成树状图
  131. Map<BigDecimal, XinZhenYzActOrder> map = new HashMap<>();
  132. List<XinZhenYzActOrder> tree = new ArrayList<>();
  133. for (XinZhenYzActOrder item : yiZhuList) {
  134. if (item.getParentNo() == null) {
  135. tree.add(item);
  136. wuFuJiYiZhu.remove(item.getActOrderNo());
  137. }
  138. map.put(item.getActOrderNo(), item);
  139. EntityStringTrim.beanAttributeValueTrim(item);
  140. if ("00".equals(item.getSerial())) {
  141. item.setGroupNoName("项目");
  142. item.setSerialName("项目");
  143. } else {
  144. if ("01".equals(item.getSerial())) {
  145. item.setSerialName("小包装");
  146. } else if ("99".equals(item.getSerial())) {
  147. item.setSerialName("大包装");
  148. }
  149. }
  150. }
  151. for (XinZhenYzActOrder item : yiZhuList) {
  152. XinZhenYzActOrder actOrder = map.get(item.getParentNo());
  153. if (actOrder != null) {
  154. wuFuJiYiZhu.remove(item.getActOrderNo());
  155. if (actOrder.getChildren() == null) {
  156. actOrder.setChildren(new ArrayList<>());
  157. actOrder.setOrderGroup("┌");
  158. }
  159. item.setOrderGroup("丨");
  160. actOrder.getChildren().add(item);
  161. }
  162. }
  163. if (!wuFuJiYiZhu.isEmpty()) {
  164. tree.addAll(wuFuJiYiZhu.values());
  165. }
  166. // 删除前后空格
  167. EntityStringTrim.beanAttributeValueTrimList(tree);
  168. List<XinZhenYzActOrder> list = new ArrayList<>();
  169. for (XinZhenYzActOrder zy : tree) {
  170. list.add(zy);
  171. if (ListUtil.notBlank(zy.getChildren())) {
  172. zy.getChildren().get(zy.getChildren().size() - 1).setOrderGroup("└");
  173. list.addAll(zy.getChildren());
  174. zy.setChildren(null);
  175. }
  176. }
  177. return ResultVoUtil.success(list);
  178. }
  179. /**
  180. * 获取搜索的项目信息,如药品和项目
  181. *
  182. * @param code 拼音首字母,中文,编码来进行搜索
  183. * @return 返回项目信息
  184. */
  185. @DS("his")
  186. public ResultVo<List<YiZhuMingChen>> huoQuXiangMu(String code, String groupNo) {
  187. code = StringUtil.isContainChinese(code);
  188. // 药品
  189. List<YiZhuMingChen> list = dao.yiZhuYaoPing(code, groupNo);
  190. // 项目
  191. list.addAll(dao.yiZhuXiangMu(code));
  192. // 模板
  193. list.addAll(dao.composeOrders(code, redisLikeService.getUserInfoByToken().getDeptCode()));
  194. EntityStringTrim.beanAttributeValueTrimList(list);
  195. return ResultVoUtil.success(list);
  196. }
  197. /**
  198. * 获取父医嘱
  199. *
  200. * @param patNo 住院号
  201. * @param times 次数
  202. * @return
  203. */
  204. public ResultVo<List<XinZhenYzActOrder>> getParentOrders(String patNo, Integer times) {
  205. return ResultVoUtil.success(dao.getParentOrders(patNo, times));
  206. }
  207. /**
  208. * 把有错误的子医嘱纠正回来,子医嘱要跟随父医嘱的频率 等
  209. *
  210. * @param list 患者的数据
  211. */
  212. public void correctSubOrders(List<XinZhenYzActOrder> list) {
  213. // 父医嘱
  214. Map<BigDecimal, XinZhenYzActOrder> parentOrder = new HashMap<>(list.size());
  215. list.forEach(item -> parentOrder.put(item.getActOrderNo(), item));
  216. list.forEach(item -> {
  217. if (item.getParentNo() != null && parentOrder.containsKey(item.getParentNo())) {
  218. XinZhenYzActOrder order = parentOrder.get(item.getParentNo());
  219. // 判断是否需要更新
  220. if (updateSubOrders(order, item)) {
  221. dao.updateSubOrderStatus(item.getActOrderNo(), order);
  222. }
  223. }
  224. });
  225. }
  226. private boolean updateSubOrders(XinZhenYzActOrder parent, XinZhenYzActOrder children) {
  227. if (!parent.getOrderTime().equals(children.getOrderTime())) {
  228. return true;
  229. }
  230. if (!parent.getStartTime().equals(children.getStartTime())) {
  231. return true;
  232. }
  233. if (parent.getEndTime() != null && !parent.getEndTime().equals(children.getEndTime())) {
  234. return true;
  235. }
  236. if (!"044".equals(children.getSupplyCode())) {
  237. return true;
  238. }
  239. if (!parent.getFrequCode().equals(children.getFrequCode())) {
  240. return true;
  241. }
  242. return !parent.getGroupNo().equals(children.getGroupNo());
  243. }
  244. /**
  245. * 确认医嘱 , 这个是最新的正确的
  246. *
  247. * @param param 数据
  248. * @return 返回提示
  249. */
  250. public ResultVo<Map<String, Object>> confirmOrders(@NotNull XinZhenYiZhu param) {
  251. QueryWrapper<?> qw = new QueryWrapper<>();
  252. qw.eq("a.inpatient_no", param.getInpatientNo())
  253. .eq("a.admiss_times", param.getAdmissTimes())
  254. .eq("a.status_flag", "1")
  255. .eq("a.enter_oper", TokenUtil.getTokenUserId())
  256. // 排除出院带药的医嘱
  257. .ne("isnull(a.self_buy,'0')", "4")
  258. .orderByAsc("a.act_order_no");
  259. param.setList(dao.selectOrderNo(qw));
  260. List<XinZhenYzActOrder> yiZhuList = param.getList();
  261. if (ListUtil.isBlank(yiZhuList)) {
  262. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "没有需要确认的医嘱.");
  263. }
  264. correctSubOrders(param.getList());
  265. dischargeQCVerification(param);
  266. // 药品 code
  267. Set<String> yaoPingCode = new HashSet<>();
  268. // 项目的 code
  269. Set<String> xiangMuCode = new HashSet<>();
  270. for (XinZhenYzActOrder item : yiZhuList) {
  271. if (ITEM.equals(item.getSerial())) {
  272. xiangMuCode.add(item.getOrderCode());
  273. } else {
  274. yaoPingCode.add(item.getOrderCode().trim() + item.getSerial().trim() + item.getGroupNo().trim());
  275. }
  276. }
  277. String userCode = TokenUtil.getTokenUserId();
  278. // 获取医生开药品的权限
  279. Integer doctorLevel = dao.huoQuYiShenDengJi(userCode);
  280. XinZhenYiZhu patInfo = dao.queryPatientInfo(param.getInpatientNo(), param.getAdmissTimes());
  281. Map<String, XinZhenYzActOrder> drug = getDrugInformation(yaoPingCode, patInfo.getZkWard());
  282. Map<String, List<XinZhenYzActOrder>> project = getProjectInformation(xiangMuCode);
  283. // 是否可以确认
  284. boolean isThereAnyErrorMessage = false;
  285. Map<String, Object> map = new HashMap<>();
  286. List<BigDecimal> confirmOrderInformation = new ArrayList<>();
  287. Date excludeOrders = null;
  288. BigDecimal orderNo = null;
  289. for (XinZhenYzActOrder item : yiZhuList) {
  290. if (ITEM.equals(item.getSerial())) {
  291. Integer paiChiYiZhu = dao.shiFouPaiChiYiZhu(item.getOrderCode());
  292. if (excludeOrders != null) {
  293. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "一次性不能确认多条全排斥医嘱。");
  294. }
  295. if (paiChiYiZhu != null && paiChiYiZhu.equals(1)) {
  296. excludeOrders = item.getStartTime();
  297. orderNo = item.getActOrderNo();
  298. }
  299. }
  300. confirmOrderInformation.add(item.getActOrderNo());
  301. Map<String, Object> errorMessageMap = checkData(item, drug, project, patInfo, doctorLevel);
  302. if (!errorMessageMap.isEmpty()) {
  303. if (!isThereAnyErrorMessage && errorMessageMap.containsKey("error")) {
  304. isThereAnyErrorMessage = true;
  305. }
  306. errorMessageMap.put("data", item);
  307. map.put(item.getId(), errorMessageMap);
  308. }
  309. }
  310. if (isThereAnyErrorMessage) {
  311. return ResultVoUtil.fail(ExceptionEnum.ERROR_MESSAGE, "请修改错误的医嘱", map);
  312. }
  313. if (excludeOrders != null) {
  314. int count = dao.thereAreUnexecutedOrders(param.getInpatientNo(), param.getAdmissTimes(), orderNo);
  315. if (count > 0) {
  316. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "有未确认和未执行的长期医嘱,无法确认全排斥医嘱,请先确认其他医嘱。");
  317. }
  318. dao.stopOrder(param.getInpatientNo(), param.getAdmissTimes(), excludeOrders, userCode, orderNo);
  319. }
  320. for (BigDecimal decimal : confirmOrderInformation) {
  321. dao.confirmOrders(decimal, userCode, new Date());
  322. }
  323. getThis().drgOrderUpdate(patInfo.getInpatientNo() + "_" + patInfo.getAdmissTimes() + "_" + patInfo.getLedgerSn());
  324. sendAMessageToTheNurse(param, userCode, patInfo, "新增医嘱");
  325. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION);
  326. }
  327. /**
  328. * 出院医嘱质控校验
  329. *
  330. * @param param 患者信息
  331. */
  332. private void dischargeQCVerification(XinZhenYiZhu param) {
  333. if (dao.selectDischargeOrde(param, TokenUtil.getTokenUserId()) > 0) {
  334. SheetOverview overview = new SheetOverview();
  335. overview.setBah(param.getInpatientNo());
  336. overview.setTimes(param.getAdmissTimes());
  337. overview.setInOutFlag(1);
  338. ResultVo<Map<String, List<CodeName>>> result = caseFrontSheetMainService.sheetVerification(overview);
  339. if (!result.getCode().equals(ExceptionEnum.SUCCESS.getCode())) {
  340. throw new BizException(ExceptionEnum.LOGICAL_ERROR, result.getMessage());
  341. }
  342. if (!result.getData().get("force").isEmpty()) {
  343. throw new BizException(ExceptionEnum.LOGICAL_ERROR, "未通过病案首页质控,无法确认出院类型的医嘱。");
  344. }
  345. }
  346. }
  347. /**
  348. * 在开医嘱时 drg 需要调用一下这个接口
  349. *
  350. * @param patientNo 患者id
  351. */
  352. @Async
  353. public void drgOrderUpdate(String patientNo) {
  354. try {
  355. JSONObject jsonDrg = new JSONObject();
  356. jsonDrg.put("visit_id", Collections.singletonList(patientNo));
  357. jsonDrg.put("scene_type", 1);
  358. JSONObject js = drgWebServices.etlClient(jsonDrg);
  359. log.info("调用drg医嘱确认接口:{}", js);
  360. } catch (Exception e) {
  361. e.printStackTrace();
  362. }
  363. }
  364. private void sendAMessageToTheNurse(XinZhenYiZhu param, String inputCode, XinZhenYiZhu patInfo, String name) {
  365. List<String> content = new ArrayList<>();
  366. for (XinZhenYzActOrder item : param.getList()) {
  367. String sb = notificationStyle("医嘱名", "409eff", item.getOrderName()) +
  368. notificationStyle("医嘱时间", "409eff", DateUtil.formatDatetime(item.getStartTime())) +
  369. notificationStyle("床位", "409eff", patInfo.getBedNo()) +
  370. notificationStyle("患者姓名", "409eff", patInfo.getName()) +
  371. notificationStyle("频次", "409eff", item.getFrequCode());
  372. content.add(sb);
  373. }
  374. publicServer.faSongXiaoXi(patInfo, content, name, inputCode);
  375. }
  376. private String notificationStyle(String name, String color, String content) {
  377. return String.format("%s:<span style='color: #%s'>%s</span><br>", name, color, content);
  378. }
  379. /**
  380. * 录入单条医嘱 新的 下面的保存医嘱的都无效了
  381. *
  382. * @param param 参数
  383. * @return 错误信息和提示
  384. */
  385. public ResultVo<Map<String, Object>> enterOrders(XinZhenYiZhu param) {
  386. XinZhenYzActOrder oldOrderNo = dao.getActOrderNoOne(param.getActOrderNo());
  387. String userCode = TokenUtil.getTokenUserId();
  388. if (oldOrderNo != null) {
  389. if (!"1".equals(oldOrderNo.getStatusFlag().trim())) {
  390. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该医嘱不是录入状态无法保存.");
  391. }
  392. if (!oldOrderNo.getInpatientNo().trim().equals(param.getInpatientNo())) {
  393. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "两次医嘱录入时患者不一致。");
  394. }
  395. if (!oldOrderNo.getEnterOper().equals(userCode)) {
  396. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "医嘱录入人不是您,无法修改。。");
  397. }
  398. }
  399. // 获取医生开药品的权限
  400. Integer doctorLevel = dao.huoQuYiShenDengJi(userCode);
  401. XinZhenYiZhu huanZheXinXi = dao.queryPatientInfo(param.getInpatientNo(), param.getAdmissTimes());
  402. XinZhenYzActOrder data = param.getData();
  403. if (ITEM.equals(data.getSerial().trim())) {
  404. data.setGroupNo("00");
  405. }
  406. // 药品的 code
  407. Set<String> yaoPingCode = new HashSet<>();
  408. // 项目的 code
  409. Set<String> xiangMuCode = new HashSet<>();
  410. if (ITEM.equals(data.getSerial())) {
  411. xiangMuCode.add(data.getOrderCode());
  412. } else {
  413. yaoPingCode.add(data.getOrderCode().trim() + data.getSerial().trim() + data.getGroupNo().trim());
  414. }
  415. Map<String, XinZhenYzActOrder> drug = getDrugInformation(yaoPingCode, huanZheXinXi.getZkWard());
  416. Map<String, List<XinZhenYzActOrder>> project = getProjectInformation(xiangMuCode);
  417. Map<String, Object> errorMessageMap = checkData(data, drug, project, huanZheXinXi, doctorLevel);
  418. if (data.getParentNo() != null) {
  419. XinZhenYzActOrder parentOrder = dao.getActOrderNoOne(data.getParentNo().stripTrailingZeros().toPlainString());
  420. if (parentOrder != null) {
  421. data.setFrequCode(parentOrder.getFrequCode());
  422. }
  423. }
  424. // 删除抗菌药物信息
  425. dao.deleteAntimicrobialInformation(param.getActOrderNo());
  426. // 先删除转科在插入
  427. dao.deleteTransferOrder(param.getActOrderNo());
  428. if (errorMessageMap.isEmpty()) {
  429. if (ZK_CODE.equals(data.getOrderCode())) {
  430. ZyOrderZk transferData = new ZyOrderZk();
  431. transferData
  432. .setActOrderNo(param.getActOrderNo())
  433. .setNewDept(data.getZkDeptCode())
  434. .setNewWard(data.getZkWardCode())
  435. .setOldWard(huanZheXinXi.getDeptCode())
  436. .setOldDept(huanZheXinXi.getSmallDept());
  437. dao.insertDoctorSOrder(transferData);
  438. }
  439. // 判断是不是抗菌药物
  440. XinZhenYzActOrder kssItem = drug.get(data.getOrderCode().trim() + data.getSerial().trim() + data.getGroupNo().trim());
  441. if (kssItem != null && kssItem.getKjywFlag() != null && kssItem.getKjywFlag() == 1) {
  442. YzActRecordKss kss = new YzActRecordKss();
  443. kss.setActOrderNo(data.getActOrderNo());
  444. kss.setChargeCode(data.getOrderCode());
  445. kss.setYyfs(data.getYyfs());
  446. kss.setSsqk(data.getSsqk());
  447. kss.setYysj(data.getYysj());
  448. dao.insertAntimicrobialInformation(param.getActOrderNo(),
  449. kss, userCode, param.getInpatientNo(), param.getAdmissTimes());
  450. }
  451. }
  452. dao.deleteOrderNo(param.getActOrderNo(), param.getInpatientNo(), param.getAdmissTimes());
  453. dao.insertEntryOrder(huanZheXinXi, param.getData(), userCode);
  454. // 01724
  455. if (!errorMessageMap.isEmpty()) {
  456. Map<String, Object> map = new HashMap<>();
  457. errorMessageMap.put("data", data);
  458. map.put(param.getActOrderNo(), errorMessageMap);
  459. if (errorMessageMap.containsKey("error")) {
  460. return ResultVoUtil.fail(ExceptionEnum.ERROR_MESSAGE, "请修改有错误的医嘱。", map);
  461. }
  462. }
  463. publicServer.orderRecord(new BigDecimal(param.getActOrderNo()), TokenUtil.getTokenUserId());
  464. log.info("医嘱录入日志:{}", JSON.toJSONString(param));
  465. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "添加成功.");
  466. }
  467. /**
  468. * 把医嘱模板中的数据插入到 患者的医嘱表中
  469. *
  470. * @param param 参数
  471. * @return
  472. */
  473. public ResultVo<String> insertTemplateOrder(XinZhenYiZhu param) {
  474. if (StringUtil.isBlank(param.getInpatientNo())) {
  475. return ResultVoUtil.fail(ExceptionEnum.ERROR_MESSAGE, "请先选择患者.");
  476. }
  477. Map<String, XinZhenYzActOrder> fatherAndSonDoctorSAdvice = new HashMap<>(param.getList().size());
  478. param.getList().forEach(item -> {
  479. fatherAndSonDoctorSAdvice.put(item.getId(), item);
  480. item.setActOrderNo(publicServer.getActOrderNo());
  481. });
  482. XinZhenYiZhu huanZheXinXi = dao.queryPatientInfo(param.getInpatientNo(), param.getAdmissTimes());
  483. // 把模板的数据插入到医嘱
  484. getThis().templateInsertToOrder(param, fatherAndSonDoctorSAdvice, huanZheXinXi);
  485. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "插入模板数据成功。");
  486. }
  487. @Transactional(rollbackFor = Exception.class)
  488. public void templateInsertToOrder(XinZhenYiZhu param, Map<String, XinZhenYzActOrder> fatherAndSonDoctorSAdvice, XinZhenYiZhu huanZheXinXi) {
  489. String userCode = TokenUtil.getTokenUserId();
  490. param.getList().forEach(item -> {
  491. String key = item.getParentNo() != null ? item.getParentNo().stripTrailingZeros().toPlainString() : "";
  492. if (StringUtil.notBlank(key)) {
  493. if (fatherAndSonDoctorSAdvice.containsKey(key)) {
  494. item.setParentNo(fatherAndSonDoctorSAdvice.get(key).getActOrderNo());
  495. }
  496. }
  497. dao.insertEntryOrder(huanZheXinXi, item, userCode);
  498. });
  499. }
  500. /**
  501. * 删除单条医嘱
  502. *
  503. * @param orderNo 医嘱号
  504. * @return 提示
  505. */
  506. public ResultVo<String> toDeleteAnOrder(String orderNo) {
  507. XinZhenYzActOrder oldData = dao.getActOrderNoOne(orderNo);
  508. String message = judgeWhetherItCanBeDeleted(oldData);
  509. if (StringUtil.notBlank(message)) {
  510. return ResultVoUtil.fail(ExceptionEnum.ERROR_MESSAGE, message);
  511. }
  512. dao.toDeleteAnOrder(orderNo, oldData.getInpatientNo());
  513. dao.deleteGroup(orderNo);
  514. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION);
  515. }
  516. /**
  517. * 删除多条录入的医嘱
  518. *
  519. * @param param 参数
  520. * @return 返回提示
  521. */
  522. public ResultVo<Map<String, String>> deleteMultipleOrders(XinZhenYiZhu param) {
  523. QueryWrapper<?> qw = new QueryWrapper<>();
  524. qw.eq("inpatient_no", param.getInpatientNo());
  525. qw.eq("admiss_times", param.getAdmissTimes());
  526. List<BigDecimal> list = new ArrayList<>();
  527. param.getList().forEach(item -> {
  528. list.add(item.getActOrderNo());
  529. });
  530. qw.in("act_order_no", list);
  531. List<XinZhenYzActOrder> deleteOrderList = dao.getOrdersToDelete(qw);
  532. if (ListUtil.isBlank(deleteOrderList)) {
  533. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "没有找到原医嘱可能已经被删除了");
  534. }
  535. Map<String, String> map = new HashMap<>();
  536. deleteOrderList.forEach(item -> {
  537. String error = judgeWhetherItCanBeDeleted(item);
  538. if (StringUtil.notBlank(error)) {
  539. map.put(item.getActOrderNo().stripTrailingZeros().toPlainString(), error);
  540. }
  541. });
  542. log.info("数据:{}", deleteOrderList);
  543. if (map.isEmpty()) {
  544. dao.deleteParentChildRelationship(param.getInpatientNo(), param.getAdmissTimes(), list);
  545. dao.deleteMultipleOrders(qw);
  546. return ResultVoUtil.fail(ExceptionEnum.SUCCESS_AND_NOTIFICATION);
  547. }
  548. return ResultVoUtil.fail(ExceptionEnum.ERROR_MESSAGE, "删除失败", map);
  549. }
  550. private String judgeWhetherItCanBeDeleted(XinZhenYzActOrder oldData) {
  551. StringBuilder str = new StringBuilder();
  552. if (oldData == null) {
  553. return "没有找到原医嘱可能已经被删除了";
  554. }
  555. if (!"1".equals(oldData.getStatusFlag())) {
  556. str.append("该医嘱不是录入状态,无法删除");
  557. }
  558. if (!oldData.getEnterOper().equals(TokenUtil.getTokenUserId())) {
  559. str.append("该医嘱录入人不是您,无法删除.");
  560. }
  561. return str.toString();
  562. }
  563. public ResultVo<Map<BigDecimal, String>> stopOrder(XinZhenYiZhu param) {
  564. if (ListUtil.isBlank(param.getList())) {
  565. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "请先选择数据");
  566. }
  567. Map<BigDecimal, String> map = new HashMap<>();
  568. param.getList().forEach(item -> {
  569. if (item.getEndTime() == null) {
  570. map.put(item.getActOrderNo(), "停止时间不能为空。");
  571. } else {
  572. // 因为前端用的是浏览器自带的 所以要删除 T
  573. if (DateUtil.shiJianDaXiao(item.getEndTime(), item.getStartTime(), "<")) {
  574. map.put(item.getActOrderNo(), "停止时间不能小于医嘱的开始时间。");
  575. }
  576. }
  577. });
  578. if (map.isEmpty()) {
  579. dao.setStopTime(param.getList(), TokenUtil.getTokenUserId(), param.getInpatientNo(), param.getAdmissTimes());
  580. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION);
  581. }
  582. return ResultVoUtil.success(ExceptionEnum.ERROR_MESSAGE, "请修改有错误的医嘱", map);
  583. }
  584. @Transactional(rollbackFor = Exception.class)
  585. public ResultVo<String> voidOrders(String orderNo, String reasonForCancellation) {
  586. XinZhenYzActOrder yz = dao.getActOrderNoOne(orderNo);
  587. if (yz == null) {
  588. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "原医嘱找不到了。");
  589. }
  590. if ("6".equals(yz.getStatusFlag())) {
  591. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "医嘱已作废了。");
  592. }
  593. UserInfo userInfo = redisLikeService.getUserInfoByToken();
  594. if (!DateUtil.within24Hours(yz.getStartTime())) {
  595. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "只能对24小时内的医嘱进行作废处理");
  596. }
  597. List<String> list = dao.getTheDoctorSDepartment(userInfo.getDeptCode());
  598. list.add(userInfo.getDeptCode());
  599. if (publicServer.needRule(1)) {
  600. list.add(yz.getWardCode());
  601. }
  602. if (!list.contains(yz.getWardCode())) {
  603. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "非本科室开的医嘱不可作废");
  604. }
  605. if (dao.getADoctorSOrderWithADefiniteFee(yz.getInpatientNo(), yz.getAdmissTimes(), orderNo) > 0) {
  606. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该医嘱已经产生了医技费用,请对应的医技科室进行退费处理。");
  607. }
  608. if (dao.getDetailChargeFee(yz.getInstruction(), yz.getAdmissTimes(), orderNo) > 0) {
  609. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该医嘱已经产生了医技费用,请对应的医技科室进行退费处理。");
  610. }
  611. // 患者最大的 detail_sn
  612. int maxDetailSn = publicServer.getMaxDetailSn(yz.getInpatientNo(), yz.getAdmissTimes());
  613. dao.cancelMedicalTechnologyAssuranceFee(TokenUtil.getTokenUserId(), orderNo, yz.getInpatientNo(), yz.getAdmissTimes());
  614. // 如果是药品的话就需要自动退费
  615. if (!yz.getSerial().equals(ITEM)) {
  616. // 获取父子医嘱同时退费
  617. List<String> parentNoList = dao.getParentChildOrders(orderNo);
  618. parentNoList.add(orderNo);
  619. List<ZyDetailCharge> feeList = dao.getExpenseData(yz.getInpatientNo(), yz.getAdmissTimes(), parentNoList);
  620. if (ListUtil.notBlank(feeList)) {
  621. List<ZyDetailCharge> refundArray = new ArrayList<>(feeList.size());
  622. for (ZyDetailCharge item : feeList) {
  623. // 取负数的费用
  624. item.setChargeFee(item.getChargeFee().negate());
  625. item.setChargeAmount(item.getChargeAmount().negate());
  626. item.setOpIdCode(userInfo.getCode());
  627. item.setOriDetailSn(item.getDetailSn());
  628. // 设置 流水号
  629. item.setDetailSn(maxDetailSn += 1);
  630. item.setOrderNo(new BigDecimal(0));
  631. refundArray.add(item);
  632. }
  633. List<List<ZyDetailCharge>> fenGe = ListUtils.partition(refundArray, 20);
  634. fenGe.forEach(xiangMuLuRuDao::xiangMuTuiFei);
  635. dao.updateItemFlag(yz.getInpatientNo(), yz.getAdmissTimes(), parentNoList);
  636. }
  637. }
  638. dao.updateVoidedOrders(orderNo, userInfo.getCode(), reasonForCancellation);
  639. dao.updateChildOrders(orderNo, userInfo.getCode(), reasonForCancellation);
  640. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "撤销成功。");
  641. }
  642. /**
  643. * 获取某一个费用的详细信息
  644. *
  645. * @param code 编码
  646. * @param serial 00-项目 01-小包装的药品 99-大包装
  647. * @return 返回该费用的一些详细信息,以及一些提示信息。
  648. */
  649. @DS("his")
  650. public ResultVo<Map<String, Object>> huoQuFeiYongXinXi(String code, String serial, String deptCode, String groupNo) {
  651. Map<String, Object> map = new HashMap<>();
  652. // 一些提示
  653. List<String> prompt = new ArrayList<>();
  654. // 加载项目信息
  655. if (ITEM.equals(serial.trim())) {
  656. List<XinZhenYzActOrder> xiangMu = dao.huoQuXiangMu(code);
  657. for (XinZhenYzActOrder item : xiangMu) {
  658. if (item.getDelFlag() == 1) {
  659. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, String.format("该医嘱下的【%s】,已经被停用了,请联系物价科。", item.getOrderName()));
  660. } else if (StringUtil.isBlank(item.getNationalCode())) {
  661. prompt.add(String.format("该医嘱下面的【%s】,没有医保编码,请注意。", item.getOrderName()));
  662. } else {
  663. prompt.add(String.format("该医嘱下【%s】,医保码为:【%s】。", item.getOrderName(), item.getNationalCode()));
  664. }
  665. }
  666. if (ListUtil.isBlank(xiangMu)) {
  667. Integer paiChiYiZhu = dao.shiFouPaiChiYiZhu(code);
  668. if (paiChiYiZhu != null) {
  669. switch (paiChiYiZhu) {
  670. case 1:
  671. prompt.add("全排斥医嘱");
  672. break;
  673. case 2:
  674. prompt.add("单组排斥医嘱");
  675. break;
  676. case 3:
  677. prompt.add("多组斥医嘱");
  678. break;
  679. default:
  680. break;
  681. }
  682. }
  683. }
  684. } else {
  685. YaoPinXinXi yp = dao.huoQuYaoPin(code.trim() + serial.trim(), groupNo);
  686. if (StringUtil.notBlank(deptCode)) {
  687. if (dao.restrictedUseInTheDepartment(code.trim(), deptCode) > 0) {
  688. return ResultVoUtil.fail(ExceptionEnum.NO_DATA_EXIST, "该药品禁止在患者所在的科室使用。");
  689. }
  690. }
  691. if (yp == null) {
  692. return ResultVoUtil.fail(ExceptionEnum.NO_DATA_EXIST, "该医嘱下的药品,可能已经被停用了,请联系药剂科。");
  693. }
  694. yp.setDrugFlag(getDrugFlagByLargeCategories(yp.getCategoriesFlag()));
  695. if (yp.getVisibleFlagZy() == 1) {
  696. return ResultVoUtil.fail(ExceptionEnum.NO_DATA_EXIST, "该药品禁止住院使用。");
  697. }
  698. Integer yiShenDengJi = dao.huoQuYiShenDengJi(TokenUtil.getTokenUserId());
  699. int yiShen = yiShenDengJi == null ? 0 : yiShenDengJi;
  700. if (yp.getYpLevel() > yiShen) {
  701. return ResultVoUtil.fail(ExceptionEnum.NO_DATA_EXIST, "您没有开此药品的权限。");
  702. }
  703. List<YaoPingJiLiang> yaoPingJiLiang = new ArrayList<>();
  704. if (StringUtil.notBlank(yp.getWeighUnit())) {
  705. yaoPingJiLiang.add(new YaoPingJiLiang(yp.getWeighUnit(), yp.getWeighUnitName(), yp.getWeight()));
  706. }
  707. if (StringUtil.notBlank(yp.getVolUnit())) {
  708. yaoPingJiLiang.add(new YaoPingJiLiang(yp.getVolUnit(), yp.getVolUnitName(), yp.getVolum()));
  709. }
  710. if (StringUtil.notBlank(yp.getPackUnit())) {
  711. yaoPingJiLiang.add(new YaoPingJiLiang(yp.getPackUnit(), yp.getPackUnitName(), yp.getPackSize()));
  712. }
  713. if (yp.getKjywFlag() == 1) {
  714. prompt.add("抗菌药物,需填写抗菌药物医嘱附注");
  715. }
  716. if (yp.getSelfFlagYb() == 1) {
  717. prompt.add("该药品医保自费药品,如符合条件请填写记账,不是请填写自费");
  718. }
  719. if (StringUtil.isBlank(yp.getNationalCode())) {
  720. prompt.add("该药品医保没有匹配医保码");
  721. } else {
  722. prompt.add(String.format("药品医保码为:【%s】", yp.getNationalCode()));
  723. }
  724. if (yp.getStockAmount() != null && BigUtils.bigXiaoYu(yp.getStockAmount(), 10)) {
  725. prompt.add(String.format("该药品剩余数量为:【%s】", yp.getStockAmount().stripTrailingZeros().toPlainString()));
  726. }
  727. if (yp.getPsFlag() == 1) {
  728. prompt.add("此药品为皮试药品");
  729. map.put("piShi", dao.piShiGeiYaoFangShi());
  730. }
  731. map.put("yaoPingJiLiang", yaoPingJiLiang);
  732. map.put("data", yp);
  733. }
  734. map.put("prompt", prompt);
  735. return ResultVoUtil.success(map);
  736. }
  737. private String getDrugFlagByLargeCategories(String val) {
  738. if (StringUtil.isBlank(val)) {
  739. return "z";
  740. }
  741. switch (val) {
  742. case "0":
  743. return "d";
  744. case "1":
  745. return "i";
  746. default:
  747. return "z";
  748. }
  749. }
  750. /**
  751. * 获取频率
  752. *
  753. * @param code 五笔,拼音,中文,编码
  754. * @return 返回对应的数据
  755. */
  756. public ResultVo<List<GetDropdownBox>> huoQuZhuYuanPinLv(String code) {
  757. return ResultVoUtil.success(dao.huoQuZhuYuanPinLv("%" + code.toUpperCase() + "%"));
  758. }
  759. /**
  760. * 获取给药方式
  761. *
  762. * @param code 五笔,拼音,中文,编码
  763. * @return 返回对应的数据
  764. */
  765. public ResultVo<List<GetDropdownBox>> huoQuGeiYaoFangShi(String code) {
  766. return ResultVoUtil.success(dao.huoQuGeiYaoFangShi(StringUtil.isContainChinese(code)));
  767. }
  768. public ResultVo<List<GetDropdownBox>> getCostFreeDosing(String code) {
  769. return ResultVoUtil.success(dao.getCostFreeDosing(StringUtil.isContainChinese(code)));
  770. }
  771. /**
  772. * 获取执行科室
  773. *
  774. * @param code 五笔,拼音,中文,编码
  775. * @return 返回对应的数据
  776. */
  777. public ResultVo<List<GetDropdownBox>> huoQuZhiXinKeShi(String code) {
  778. return ResultVoUtil.success(dao.huoQuZhiXinKeShi(StringUtil.isContainChinese(code)));
  779. }
  780. /**
  781. * 这里是校验模板的数据
  782. *
  783. * @param param 模板数据
  784. * @return 返回提示信息
  785. */
  786. public ResultVo<Map<String, Object>> singleDataCheck(XinZhenYiZhu param) {
  787. // 获取医生开药品的权限
  788. Integer doctorLevel = dao.huoQuYiShenDengJi(TokenUtil.getTokenUserId());
  789. Set<String> yaoPingCode = new HashSet<>();
  790. Set<String> xiangMuCode = new HashSet<>();
  791. for (XinZhenYzActOrder item : param.getList()) {
  792. if (ITEM.equals(item.getSerial().trim())) {
  793. xiangMuCode.add(item.getOrderCode().trim());
  794. } else {
  795. yaoPingCode.add(item.getOrderCode().trim() + item.getSerial().trim() + item.getGroupNo().trim());
  796. }
  797. }
  798. Map<String, Object> errorMessage = checkData(param.getList().get(0), getDrugInformation(yaoPingCode, null), getProjectInformation(xiangMuCode), null, doctorLevel);
  799. errorMessage.put("data", param.getList().get(0));
  800. return ResultVoUtil.success(errorMessage);
  801. }
  802. public ResultVo<String> doesTheTemplateExist(String name) {
  803. if (dao.duplicateTemplateName(name, TokenUtil.getTokenUserId()) == 0) {
  804. return ResultVoUtil.success();
  805. }
  806. return ResultVoUtil.fail(ExceptionEnum.NO_DATA_EXIST, "模板名称重复");
  807. }
  808. /**
  809. * 保存模板数据
  810. *
  811. * @param param
  812. * @return
  813. */
  814. public ResultVo<String> saveTemplate(YzOrderPattern param) {
  815. // 如果名字重复了,那么就修改原来的模板
  816. YzOrderPattern yzOrderPattern = dao.yuanLaiDeMuBanBianMa(param.getPatternName(), TokenUtil.getTokenUserId());
  817. UserInfo userInfo = redisLikeService.getUserInfoByCode(TokenUtil.getTokenUserId());
  818. if (null == yzOrderPattern) {
  819. yzOrderPattern = new YzOrderPattern();
  820. }
  821. String patternCode = yzOrderPattern.getPatternCode();
  822. // 有原来的模板名称而且 还要是自己创建的才能删除,否则就只能创建新的模板了
  823. if (StringUtil.notBlank(patternCode) && userInfo.getCode().equals(yzOrderPattern.getInputId())) {
  824. // 更新的时候先删除模板 原来的模板
  825. dao.shanChuLaoMuBan(patternCode);
  826. param.setPatternCode(patternCode);
  827. } else {
  828. // 设置新的模板号
  829. param.setPatternCode(publicServer.getPatternCode());
  830. }
  831. String py = PingYinUtils.pyShouZiMuDaXie(param.getPatternName());
  832. String wb = PingYinUtils.getWBCode(param.getPatternName());
  833. param.setPyCode(py.length() > 9 ? py.substring(0, 9) : py);
  834. param.setDCode(wb.length() > 9 ? wb.substring(0, 9) : wb);
  835. param.setInputId(TokenUtil.getTokenUserId());
  836. param.setDeptCode(userInfo.getDeptCode());
  837. dao.chaRuMuBan(param);
  838. Map<String, XinZhenYzActOrder> map = param.getList().stream().collect(Collectors.toMap(XinZhenYzActOrder::getId, a -> a, (k1, k2) -> k1));
  839. for (XinZhenYzActOrder item : param.getList()) {
  840. // 设置模板号
  841. item.setActOrderNo(publicServer.getPatternOrderCode());
  842. if (item.getParentNo() != null && map.containsKey(item.getParentNo().stripTrailingZeros().toPlainString())) {
  843. item.setParentNo(map.get(item.getParentNo().stripTrailingZeros().toPlainString()).getActOrderNo());
  844. }
  845. }
  846. dao.chaRuMuBanShuJu(param.getList(), param.getPatternCode());
  847. return ResultVoUtil.success();
  848. }
  849. private void calculateDrugAmount(XinZhenYzActOrder item, XinZhenYzActOrder feiYongXinXi, List<String> 错误信息) {
  850. if (feiYongXinXi == null) {
  851. return;
  852. }
  853. if (StringUtil.notBlank(feiYongXinXi.getDrugWeightUnit()) && item.getDoseUnit().trim().equals(feiYongXinXi.getDrugWeightUnit().trim())) {
  854. item.setDrugOcc(DecimalUtil.divide(item.getDose(), feiYongXinXi.getDrugWeight(), 2));
  855. } else if (StringUtil.notBlank(feiYongXinXi.getDrugVolUnit()) && item.getDoseUnit().trim().equals(feiYongXinXi.getDrugVolUnit())) {
  856. item.setDrugOcc(DecimalUtil.divide(item.getDose(), feiYongXinXi.getDrugVolume(), 2));
  857. } else if (StringUtil.notBlank(feiYongXinXi.getPackUnit()) && item.getDoseUnit().trim().equals(feiYongXinXi.getPackUnit())) {
  858. if (new BigDecimal(item.getDose().intValue()).compareTo(item.getDose()) != 0) {
  859. 错误信息.add("已经是最小单位了请不要带小数点");
  860. }
  861. item.setDrugOcc(DecimalUtil.divide(item.getDose(), feiYongXinXi.getPackSize(), 2));
  862. }
  863. }
  864. private Map<String, Object> checkData(XinZhenYzActOrder item,
  865. Map<String, XinZhenYzActOrder> drug,
  866. Map<String, List<XinZhenYzActOrder>> project,
  867. XinZhenYiZhu huanZheXinXi,
  868. Integer doctorLevel) {
  869. boolean strictVerification = huanZheXinXi != null;
  870. List<String> errorMessage = new ArrayList<>();
  871. List<String> warningMessage = new ArrayList<>();
  872. if (StringUtil.isBlank(item.getGroupNo())) {
  873. errorMessage.add("没有药房请重新开。");
  874. }
  875. if (item.getParentNo() != null && item.getActOrderNo() != null) {
  876. if (BigUtils.bigXiaoYu(item.getActOrderNo(), item.getParentNo())) {
  877. errorMessage.add("子医嘱的医嘱号,小于父医嘱号,无法成组。【原因如果子医嘱的医嘱号小于父医嘱,会导致打印乱码】");
  878. }
  879. }
  880. if (ITEM.equals(item.getSerial())) {
  881. List<XinZhenYzActOrder> projectDetails = project.get(item.getOrderCode());
  882. // 如果这个项目下面没有费用明细,那么这就是一条口头医,口头医嘱每次只能开一个
  883. if (ListUtil.notBlank(projectDetails)) {
  884. for (XinZhenYzActOrder detailed : projectDetails) {
  885. if (detailed.getDelFlag() == 1) {
  886. errorMessage.add(String.format("项目:【%s】,已经被物价停用了", detailed.getOrderName()));
  887. }
  888. if (StringUtil.isBlank(detailed.getNationalCode())) {
  889. warningMessage.add(String.format("项目:【%s】,没有匹配医保码", detailed.getOrderName()));
  890. }
  891. }
  892. }
  893. item.setDrugOcc(item.getDrugQuan());
  894. } else {
  895. XinZhenYzActOrder detailsOfDrugs = drug.get(item.getOrderCode().trim() + item.getSerial().trim() + item.getGroupNo().trim());
  896. if (detailsOfDrugs != null) {
  897. if (detailsOfDrugs.getDelFlag() == 1) {
  898. errorMessage.add("药品已经被停用了,请联系药剂科");
  899. }
  900. if (detailsOfDrugs.getYpLevel() > doctorLevel) {
  901. errorMessage.add("您没有开此药品的权限");
  902. }
  903. if (ITEM.equals(item.getGroupNo().trim())) {
  904. errorMessage.add("药房错误请重新选择药房,");
  905. }
  906. if (!groupList.contains(item.getGroupNo())) {
  907. errorMessage.add("药房错误,请重新选择药房。");
  908. }
  909. if (StringUtil.isBlank(detailsOfDrugs.getNationalCode())) {
  910. warningMessage.add("该药品没有医保编码");
  911. }
  912. if (BigUtils.bigXiaoYu(detailsOfDrugs.getStockAmount(), 10)) {
  913. warningMessage.add(String.format("该药品剩余数量为:【%s】", detailsOfDrugs.getStockAmount().stripTrailingZeros().toPlainString()));
  914. }
  915. if (BigUtils.bigDaYu(item.getDrugQuan(), detailsOfDrugs.getStockAmount())) {
  916. errorMessage.add("药品领量大于药品的库存,当前库存量" + detailsOfDrugs.getStockAmount().stripTrailingZeros().toPlainString());
  917. }
  918. if (strictVerification) {
  919. if (detailsOfDrugs.getDeptRestrictions() > 0) {
  920. errorMessage.add("该药品禁止在患者所在的科室使用。");
  921. }
  922. if (detailsOfDrugs.getVisibleFlagZy() == 1) {
  923. errorMessage.add("该药品禁止住院患者使用。");
  924. }
  925. item.setKjywFlag(detailsOfDrugs.getKjywFlag());
  926. if (detailsOfDrugs.getKjywFlag() == 1) {
  927. if (item.getYyfs() == null) {
  928. errorMessage.add("请填写抗菌药物医嘱附注信息录入");
  929. } else if (item.getYyfs() == 1 || item.getYyfs() == 2) {
  930. if (item.getSsqk() == null) {
  931. errorMessage.add("当用药方式为 1 或 2 时,手术切口和用药时间不能为空");
  932. }
  933. }
  934. }
  935. }
  936. if (item.getSelfBuy() != null && "4".equals(item.getSelfBuy())) {
  937. // 如果是临时医嘱 开了就结束了.
  938. if ("ONCE".equals(item.getFrequCode())) {
  939. item.setEndTime(item.getStartTime());
  940. }
  941. if (dao.dischargeWithMedicationAdministration(item.getSupplyCode()) == 0) {
  942. errorMessage.add("出院带药给药方式不能包含费用。");
  943. }
  944. int day = 1;
  945. if (item.getStartTime() == null) {
  946. errorMessage.add("出院带药请输入开始时间。");
  947. }
  948. if (item.getEndTime() == null) {
  949. errorMessage.add("出院带药请输入结束时间。");
  950. } else {
  951. long cha = item.getEndTime().getTime() - item.getStartTime().getTime();
  952. long nd = 1000 * 24 * 60 * 60;
  953. day = (int) (cha / nd);
  954. if (day > 出院带药限制天数) {
  955. errorMessage.add("出院带药天数不得超过 15 天,计算方式结束时间减去开始时间。");
  956. }
  957. if (day == 0) {
  958. day = 1;
  959. }
  960. }
  961. BigDecimal total = getTotal(item, day);
  962. if (StringUtil.notBlank(detailsOfDrugs.getDrugWeightUnit()) && item.getDoseUnit().trim().equals(detailsOfDrugs.getDrugWeightUnit().trim())) {
  963. item.setDrugQuan(DecimalUtil.multiply(item.getDose(), total).divide(detailsOfDrugs.getDrugWeight(), 0, RoundingMode.UP));
  964. item.setDrugOcc(item.getDrugQuan());
  965. } else if (StringUtil.notBlank(detailsOfDrugs.getDrugVolUnit()) && item.getDoseUnit().trim().equals(detailsOfDrugs.getDrugVolUnit())) {
  966. item.setDrugQuan(DecimalUtil.multiply(item.getDose(), total).divide(detailsOfDrugs.getDrugVolume(), 0, RoundingMode.UP));
  967. item.setDrugOcc(item.getDrugQuan());
  968. } else if (StringUtil.notBlank(detailsOfDrugs.getPackUnit()) && item.getDoseUnit().trim().equals(detailsOfDrugs.getPackUnit())) {
  969. if (new BigDecimal(item.getDose().intValue()).compareTo(item.getDose()) != 0) {
  970. errorMessage.add("已经是最小单位了请不要带小数点");
  971. }
  972. item.setDrugQuan(DecimalUtil.multiply(item.getDose(), total).divide(detailsOfDrugs.getPackSize(), 0, RoundingMode.UP));
  973. item.setDrugOcc(item.getDrugQuan());
  974. }
  975. if (item.getDrugQuan().equals(BigDecimal.ZERO)) {
  976. item.setDrugQuan(BigDecimal.ONE);
  977. item.setDrugOcc(BigDecimal.ONE);
  978. }
  979. } else {
  980. // 计算普通药品的领量 durg_quan durg_occ
  981. calculateDrugAmount(item, detailsOfDrugs, errorMessage);
  982. }
  983. }
  984. }
  985. if (StringUtil.isBlank(item.getOrderCode())) {
  986. errorMessage.add("项目编码不能为空");
  987. }
  988. if (StringUtil.isBlank(item.getOrderName())) {
  989. errorMessage.add("项目名称不能为空");
  990. }
  991. if (StringUtil.isBlank(item.getExecUnit())) {
  992. errorMessage.add("执行科室不能为空");
  993. } else if (item.getExecUnit().startsWith("8")) {
  994. errorMessage.add("执行科室不能选择为病区");
  995. }
  996. if (ZK_CODE.equals(item.getOrderCode())) {
  997. if (StringUtil.isBlank(item.getZkWardCode())) {
  998. errorMessage.add("转科病房不能为空");
  999. }
  1000. if (StringUtil.isBlank(item.getZkDeptCode())) {
  1001. errorMessage.add("转科科室不能为空");
  1002. }
  1003. }
  1004. if (StringUtil.isBlank(item.getFrequCode())) {
  1005. errorMessage.add("频次不能为空");
  1006. }
  1007. // 药品的校验
  1008. if (!ITEM.equals(item.getSerial().trim())) {
  1009. if (StringUtil.isBlank(item.getDrugSpecification())) {
  1010. errorMessage.add("药品规格不能为空");
  1011. }
  1012. if (StringUtil.isBlank(item.getSupplyCode())) {
  1013. errorMessage.add("给药方式不能为空");
  1014. }
  1015. if (item.getDose() == null || BigUtils.dengYu(item.getDose(), 0)) {
  1016. errorMessage.add("一次计量不能为空");
  1017. }
  1018. if (StringUtil.isBlank(item.getDoseUnit())) {
  1019. errorMessage.add("计量单位不能为空");
  1020. }
  1021. if (StringUtil.isBlank(item.getSerial())) {
  1022. errorMessage.add("包装大小不能为空");
  1023. }
  1024. }
  1025. if (strictVerification) {
  1026. // 获取患者的入院时间
  1027. if (item.getOrderTime() == null) {
  1028. errorMessage.add("医嘱时间不能为空");
  1029. } else if (item.getStartTime() == null) {
  1030. errorMessage.add("开始时间不能为空");
  1031. } else if (huanZheXinXi.getAdmissDate() == null) {
  1032. errorMessage.add("没有查询到患者的入院时间");
  1033. } else if (DateUtil.shiJianDaXiao(item.getStartTime(), huanZheXinXi.getAdmissDate(), "<")) {
  1034. errorMessage.add("开始时间不能在患者入院之前,患者入院时间" + DateUtil.formatDatetime(huanZheXinXi.getAdmissDate()));
  1035. } else if (DateUtil.shiJianDaXiao(item.getStartTime(), item.getOrderTime(), "<")) {
  1036. errorMessage.add("开始时间不能在开医嘱之前");
  1037. }
  1038. if (item.getEndTime() != null) {
  1039. if (ONCE.equals(item.getFrequCode().trim())) {
  1040. item.setEndTime(null);
  1041. } else {
  1042. if (DateUtil.shiJianDaXiao(item.getEndTime(), item.getStartTime(), "<")) {
  1043. errorMessage.add("结束时间不能在开始时间之前");
  1044. }
  1045. }
  1046. }
  1047. }
  1048. Map<String, Object> map = new HashMap<>(Capacity.TWO);
  1049. if (ListUtil.notBlank(errorMessage)) {
  1050. map.put("error", errorMessage);
  1051. }
  1052. if (ListUtil.notBlank(warningMessage)) {
  1053. map.put("warning", warningMessage);
  1054. }
  1055. return map;
  1056. }
  1057. /**
  1058. * 计算总量
  1059. *
  1060. * @param item 药品信息
  1061. * @param day 天数
  1062. * @return 返回总数
  1063. */
  1064. @NotNull
  1065. private BigDecimal getTotal(XinZhenYzActOrder item, int day) {
  1066. // 计算出院带药的领量
  1067. Map<String, Short> numberOfTimesADay = dao.numberOfTimesADay(item.getFrequCode());
  1068. int times = 0;
  1069. for (Map.Entry<String, Short> entry : numberOfTimesADay.entrySet()) {
  1070. if (entry.getValue() != null) {
  1071. times += entry.getValue();
  1072. }
  1073. }
  1074. // 最小天数一天
  1075. return new BigDecimal((day <= 0 ? 1 : day) * times);
  1076. }
  1077. /***
  1078. * 获取项目信息
  1079. * @param xiangMuCode 项目编码
  1080. * @return 返回数据
  1081. */
  1082. public Map<String, List<XinZhenYzActOrder>> getProjectInformation(Set<String> xiangMuCode) {
  1083. if (!xiangMuCode.isEmpty()) {
  1084. return dao.huoQuXiangMuXinXi(xiangMuCode).stream().collect(Collectors.groupingBy(item -> item.getOrderCode().trim()));
  1085. }
  1086. return new HashMap<>(0);
  1087. }
  1088. /**
  1089. * 获取药品信息
  1090. *
  1091. * @param yaoPingCode 药品编码
  1092. * @return 返回数据
  1093. */
  1094. public Map<String, XinZhenYzActOrder> getDrugInformation(Set<String> yaoPingCode, String dept) {
  1095. if (!yaoPingCode.isEmpty()) {
  1096. return dao.huoQuYaoPinXinXi(yaoPingCode, dept).stream().collect(Collectors.toMap(item -> item.getOrderCode().trim() + item.getSerial().trim() + item.getGroupNo(), a -> a, (k1, k2) -> k1));
  1097. }
  1098. return new HashMap<>(0);
  1099. }
  1100. /**
  1101. * 获取医嘱录入的模板1
  1102. *
  1103. * @param code 模板编码
  1104. * @param deptCode 科室编码
  1105. * @param muBanLeiXing 项目类型
  1106. * @param currentPage 当前页
  1107. * @param total 总数
  1108. * @return 返回模板
  1109. */
  1110. public ResultVo<IPage<YzOrderPattern>> huoQuYiZhuMuBan(String code, String deptCode, Integer muBanLeiXing, long currentPage, long total) {
  1111. IPage<YzOrderPattern> page = new Page<>();
  1112. if (total == 0) {
  1113. page.setTotal(dao.huoQuMuBanTotal(StringUtil.isContainChinese(code), TokenUtil.getTokenUserId(), deptCode, muBanLeiXing));
  1114. }
  1115. page.setRecords(dao.huoQuMuBan(StringUtil.isContainChinese(code), TokenUtil.getTokenUserId(), deptCode, muBanLeiXing, currentPage));
  1116. return ResultVoUtil.success(page);
  1117. }
  1118. /**
  1119. * 获取 我的医嘱模板的最大医嘱码
  1120. *
  1121. * @return 最大排序码
  1122. */
  1123. public ResultVo<Integer> getDoctorSOrderTemplateMaxSortNo() {
  1124. Integer sortCode = dao.getMyTemplateMaxSortNo(TokenUtil.getTokenUserId());
  1125. return ResultVoUtil.success(sortCode == null ? 0 : sortCode);
  1126. }
  1127. private String getActOrderNo() {
  1128. Random random = new Random();
  1129. String a = String.valueOf(random.nextInt(5) + 1);
  1130. String b = String.valueOf(random.nextInt(99999));
  1131. return a + b;
  1132. }
  1133. /**
  1134. * 获取模板数据
  1135. *
  1136. * @param code 模板的编码
  1137. * @return 返回数据
  1138. */
  1139. public ResultVo<List<YzActOrder>> huoQuMuBanShuJu(String code) {
  1140. List<YzActOrder> muBanShuJu = dao.huoQuMuBanShuJu(code);
  1141. Map<BigDecimal, YzActOrder> map = new HashMap<>(muBanShuJu.size());
  1142. List<YzActOrder> tree = new ArrayList<>();
  1143. for (YzActOrder item : muBanShuJu) {
  1144. item.setId(getActOrderNo());
  1145. if (item.getParentNo() == null) {
  1146. tree.add(item);
  1147. }
  1148. map.put(item.getActOrderNo(), item);
  1149. }
  1150. for (YzActOrder item : muBanShuJu) {
  1151. YzActOrder yzActOrder = map.get(item.getParentNo());
  1152. if (yzActOrder != null) {
  1153. item.setParentNo(new BigDecimal(yzActOrder.getId()));
  1154. item.setIsChildren(true);
  1155. if (yzActOrder.getChildren() == null) {
  1156. yzActOrder.setChildren(new ArrayList<>());
  1157. }
  1158. yzActOrder.getChildren().add(item);
  1159. // 没有副医嘱的就返回到最上层
  1160. } else if (!tree.contains(item)) {
  1161. item.setParentNo(null);
  1162. tree.add(item);
  1163. }
  1164. }
  1165. return ResultVoUtil.success(tree);
  1166. }
  1167. /**
  1168. * 删除医嘱模板
  1169. *
  1170. * @param patternCode 模板的编码
  1171. * @return 提示
  1172. */
  1173. public ResultVo<String> deleteADoctorSOrderTemplate(String patternCode) {
  1174. if (StringUtil.isBlank(patternCode)) {
  1175. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "模板编号为空。");
  1176. }
  1177. YzOrderPattern yzOrderPattern = dao.huoQuMuBanXinXi(patternCode);
  1178. EntityStringTrim.beanAttributeValueTrim(yzOrderPattern);
  1179. if (yzOrderPattern == null) {
  1180. return ResultVoUtil.fail(ExceptionEnum.NULL_POINTER, "没有查询到对应的模板信息。");
  1181. }
  1182. String userId = TokenUtil.getTokenUserId();
  1183. List<Integer> role = publicServer.getRoleCode().getData();
  1184. if (publicServer.needRule(role, RoleCode.PHYSICIAN_S_ORDER_TEMPLATEEDIT)) {
  1185. return startDeletingTemplates(patternCode);
  1186. }
  1187. if (userId.equals(yzOrderPattern.getInputId())) {
  1188. return startDeletingTemplates(patternCode);
  1189. }
  1190. // 主任可以删除本科室的任意模板
  1191. if (publicServer.needRule(role, RoleCode.DIRECTOR) && dao.userDeptCode(userId).equals(yzOrderPattern.getDeptCode())) {
  1192. return startDeletingTemplates(patternCode);
  1193. }
  1194. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "您没有权限删除这个模板。");
  1195. }
  1196. /**
  1197. * 删除父模板以及下面的子模板 数据
  1198. *
  1199. * @param patternCode 模板编码
  1200. */
  1201. private ResultVo<String> startDeletingTemplates(String patternCode) {
  1202. dao.shanChuMuBan(patternCode);
  1203. log.info("删除医嘱模板==> 操作人:{},模板编码:{}", TokenUtil.getTokenUserId(), patternCode);
  1204. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "删除成功。");
  1205. }
  1206. /**
  1207. * 收藏医嘱模板或者取消收藏
  1208. * 如果以及收藏了就删除,没有就收藏
  1209. *
  1210. * @param patternCode 模板号
  1211. * @return 提示
  1212. */
  1213. public ResultVo<String> collectDoctorSOrderTemplate(String patternCode) {
  1214. String userId = TokenUtil.getTokenUserId();
  1215. String saveTheDoctorSOrderNumber = dao.whetherToSaveTheDoctorSOrderTemplate(patternCode, userId);
  1216. if (StringUtil.notBlank(saveTheDoctorSOrderNumber)) {
  1217. dao.shanChuMuBan(saveTheDoctorSOrderNumber);
  1218. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "已取消删除。");
  1219. } else {
  1220. YzOrderPattern yzOrderPattern = dao.huoQuMuBanXinXi(patternCode);
  1221. EntityStringTrim.beanAttributeValueTrim(yzOrderPattern);
  1222. dao.chaRuShouCang(publicServer.getPatternCode(), yzOrderPattern.getPatternName() + "(收藏)", yzOrderPattern.getPyCode(), yzOrderPattern.getDCode(), dao.userDeptCode(userId), userId, yzOrderPattern.getPatternCode());
  1223. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "收藏成功。");
  1224. }
  1225. }
  1226. /**
  1227. * 删除或修改模板
  1228. *
  1229. * @param patternCode 模板点吗
  1230. * @param patternName 模板名称
  1231. * @param sortNo 排序号
  1232. * @param flag 标志 1-修改 2- 删除 3-收藏和取消收藏
  1233. * @return 返回给前端提示
  1234. */
  1235. public ResultVo<String> muBanCaoZuo(String patternCode, String patternName, String deptCode, Integer sortNo, Integer flag) {
  1236. if (StringUtil.isBlank(patternCode)) {
  1237. return ResultVoUtil.fail(ExceptionEnum.NULL_POINTER, "模板编码为空。");
  1238. }
  1239. YzOrderPattern yzOrderPattern = dao.huoQuMuBanXinXi(patternCode);
  1240. if (yzOrderPattern == null) {
  1241. return ResultVoUtil.fail(ExceptionEnum.NULL_POINTER, "没有查询到对应的模板信息。");
  1242. }
  1243. EntityStringTrim.beanAttributeValueTrim(yzOrderPattern);
  1244. String inputId = TokenUtil.getTokenUserId();
  1245. List<Integer> role = publicServer.getRoleCode().getData();
  1246. // 管理员 和 医务部的无视 规则
  1247. if (!role.contains(1) && !role.contains(38) && flag != 3) {
  1248. // 只有模板在不等于 自己的时候触发
  1249. if (!inputId.equals(yzOrderPattern.getInputId())) {
  1250. if ("2".equals(yzOrderPattern.getInputType()) && !role.contains(11)) {
  1251. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该模板为科室模板您没有权限修改或删除,请联系科主任进行修改。");
  1252. } else if ("1".equals(yzOrderPattern.getInputType())) {
  1253. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "该模板为全院模板,无法删除或修改。");
  1254. }
  1255. }
  1256. }
  1257. if (flag == 1) {
  1258. if (StringUtil.isBlank(patternName)) {
  1259. return ResultVoUtil.fail(ExceptionEnum.NULL_POINTER, "模板名称不能为空。");
  1260. }
  1261. if (patternName.trim().equals(yzOrderPattern.getPatternName().trim()) && sortNo.equals(yzOrderPattern.getSortNo())) {
  1262. return ResultVoUtil.fail(ExceptionEnum.INTERNAL_SERVER_ERROR, "数据没有变化,请勿点击。");
  1263. }
  1264. dao.genXingMuBan(patternName.trim(), PingYinUtils.pyShouZiMuDaXie(patternName), PingYinUtils.getWBCode(patternName), yzOrderPattern.getPatternCode(), sortNo);
  1265. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "修改成功。");
  1266. } else if (flag == 2) {
  1267. // 删除父模板以及下面的子模板 数据
  1268. dao.shanChuMuBan(yzOrderPattern.getPatternCode());
  1269. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "删除成功。");
  1270. } else if (flag == 3) {
  1271. // 收藏模板
  1272. String collectCode = dao.chongFuShouCang(inputId, patternCode);
  1273. if (collectCode == null) {
  1274. dao.chaRuShouCang(publicServer.getPatternCode(), yzOrderPattern.getPatternName() + "(收藏)", yzOrderPattern.getPyCode(), yzOrderPattern.getDCode(), deptCode, inputId, yzOrderPattern.getPatternCode());
  1275. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "收藏成功。");
  1276. } else {
  1277. dao.shanChuMuBan(yzOrderPattern.getPatternCode());
  1278. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "已取消收藏。");
  1279. }
  1280. }
  1281. return ResultVoUtil.success();
  1282. }
  1283. /**
  1284. * 获取医嘱下面产生的费用
  1285. *
  1286. * @param patNo 住院号
  1287. * @param times 住院次数
  1288. * @return 返回
  1289. */
  1290. public ResultVo<Map<String, Object>> expensesForGettingADoctorSOrder(String patNo, Integer times) {
  1291. List<DoctorSOrderFee> feeDate = dao.expensesForGettingADoctorSOrder(patNo, times);
  1292. // 这些编码的医嘱都是有问题的
  1293. List<String> problem = Arrays.asList("5", "6", "7", "9");
  1294. Map<String, String> problemDoctorSOrder = new HashMap<>();
  1295. Map<String, FeeSum> totalCost = new HashMap<>();
  1296. Map<String, List<DoctorSOrderFee>> map = new HashMap<>(feeDate.size());
  1297. for (DoctorSOrderFee fee : feeDate) {
  1298. // 如果这个没有就代表没有产生费用
  1299. if (fee.getOrderNoStr() == null) {
  1300. continue;
  1301. }
  1302. String chargeStatusName = ChargeStatus.getValue(fee.getChargeStatus());
  1303. String amount = fee.getChargeAmount().abs().stripTrailingZeros().toPlainString();
  1304. String money = fee.getChargeFee().stripTrailingZeros().toPlainString();
  1305. // 计算费用总和
  1306. if (totalCost.containsKey(fee.getOrderNoStr())) {
  1307. FeeSum sum = totalCost.get(fee.getOrderNoStr());
  1308. sum.setSum(DecimalUtil.add(money, sum.getSum()));
  1309. sum.setAmount(DecimalUtil.add(amount, sum.getAmount()));
  1310. totalCost.replace(fee.getOrderNoStr(), sum);
  1311. } else {
  1312. FeeSum sum = new FeeSum();
  1313. sum.setAmount(amount);
  1314. sum.setSum(money);
  1315. totalCost.put(fee.getOrderNoStr(), sum);
  1316. }
  1317. if (problem.contains(fee.getChargeStatus())) {
  1318. problemDoctorSOrder.put(fee.getOrderNoStr(), chargeStatusName);
  1319. }
  1320. fee.setChargeStatusName(chargeStatusName);
  1321. if (map.containsKey(fee.getOrderNoStr())) {
  1322. map.get(fee.getOrderNoStr()).add(fee);
  1323. } else {
  1324. List<DoctorSOrderFee> list = new ArrayList<>();
  1325. list.add(fee);
  1326. map.put(fee.getOrderNoStr(), list);
  1327. }
  1328. }
  1329. Map<String, Object> feeData = new HashMap<>(3);
  1330. feeData.put("data", map);
  1331. feeData.put("problem", problemDoctorSOrder);
  1332. feeData.put("totalCost", totalCost);
  1333. return ResultVoUtil.success(feeData);
  1334. }
  1335. /**
  1336. * 设置患者三级医生
  1337. *
  1338. * @param param 参数
  1339. * @return 返回值
  1340. */
  1341. public ResultVo<String> saveTheThirdLevelDoctor(Overview param) {
  1342. log.info("设置三级医生:==> 操作人{},数据:{}", TokenUtil.getTokenUserId(), JSON.toJSONString(param));
  1343. dao.updateTheThirdLevelDoctor(param);
  1344. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION);
  1345. }
  1346. /**
  1347. * 设置父子医嘱
  1348. *
  1349. * @param param 主医嘱 和 多个子医嘱
  1350. * @return 返回数据
  1351. */
  1352. public ResultVo<String> associateOrders(XinZhenYiZhu param) {
  1353. log.info("数据:{}", JSON.toJSONString(param));
  1354. XinZhenYzActOrder order = dao.getActOrderNoOne(param.getActOrderNo());
  1355. if (order.getParentNo() != null) {
  1356. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "操作失败,父医嘱不能为子医嘱。");
  1357. }
  1358. param.getAssociatedGroup().forEach(item -> {
  1359. dao.associateOrders(item, order);
  1360. });
  1361. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION, "关联成功。");
  1362. }
  1363. /**
  1364. * 批量检验医嘱是否正确
  1365. *
  1366. * @param list 医嘱数据
  1367. * @param huanZheXinXi 患者信息
  1368. * @param rationalUse 是否要用合理用药
  1369. * @return
  1370. */
  1371. public Map<String, Object> batchVerification(List<XinZhenYzActOrder> list,
  1372. XinZhenYiZhu huanZheXinXi,
  1373. boolean rationalUse) {
  1374. Map<String, Object> returnMap = new HashMap<>();
  1375. // 药品 code
  1376. Set<String> yaoPingCode = new HashSet<>();
  1377. // 项目的 code
  1378. Set<String> xiangMuCode = new HashSet<>();
  1379. huanZheXinXi.setList(list);
  1380. // 合理用药校验
  1381. for (XinZhenYzActOrder item : list) {
  1382. if (ITEM.equals(item.getSerial())) {
  1383. xiangMuCode.add(item.getOrderCode());
  1384. } else {
  1385. yaoPingCode.add(item.getOrderCode().trim() + item.getSerial().trim() + item.getGroupNo().trim());
  1386. }
  1387. }
  1388. String userCode = TokenUtil.getTokenUserId();
  1389. // 获取医生开药品的权限
  1390. Integer doctorLevel = dao.huoQuYiShenDengJi(userCode);
  1391. Map<String, XinZhenYzActOrder> drug = getDrugInformation(yaoPingCode, huanZheXinXi.getZkWard());
  1392. Map<String, List<XinZhenYzActOrder>> project = getProjectInformation(xiangMuCode);
  1393. for (XinZhenYzActOrder item : list) {
  1394. String key = item.getId();
  1395. Map<String, Object> errorMessageMap = checkData(item, drug, project, huanZheXinXi, doctorLevel);
  1396. if (!errorMessageMap.isEmpty()) {
  1397. if (errorMessageMap.get("error") != null) {
  1398. errorMessageMap.put("data", item);
  1399. returnMap.put(item.getId(), errorMessageMap);
  1400. }
  1401. }
  1402. }
  1403. return returnMap;
  1404. }
  1405. /**
  1406. * 确认出院带药医嘱
  1407. *
  1408. * @param patNo 住院号
  1409. * @param times 住院次数
  1410. * @return
  1411. */
  1412. public ResultVo<Map<String, Object>> confirmTheDoctorSOrderWithMedicine(String patNo, Integer times) {
  1413. QueryWrapper<?> qw = new QueryWrapper<>();
  1414. qw.eq("a.inpatient_no", patNo)
  1415. .eq("a.admiss_times", times)
  1416. .eq("a.status_flag", "1")
  1417. .eq("a.enter_oper", TokenUtil.getTokenUserId())
  1418. .eq("isnull(a.self_buy,'0')", "4");
  1419. XinZhenYiZhu patInfo = dao.queryPatientInfo(patNo, times);
  1420. patInfo.setList(dao.selectOrderNo(qw));
  1421. if (dao.obtainTheNumberOfDischargedDrugs(patNo, times) > 出院带药限制数量) {
  1422. return ResultVoUtil.fail(ExceptionEnum.LOGICAL_ERROR, "出院带药医嘱不得超过 4 种,且不得超过 15 天。");
  1423. }
  1424. String userCode = TokenUtil.getTokenUserId();
  1425. // 出院带药需要生成药单 key 是不同的药房。不同的药房就要
  1426. Map<String, List<XinZhenYzActOrder>> takeTheMedicineList = new HashMap<>(Capacity.TWO);
  1427. for (XinZhenYzActOrder item : patInfo.getList()) {
  1428. XinZhenYzActOrder feiYongXinXi = dao.getDrugOne(item.getOrderCode() + item.getSerial(), item.getGroupNo());
  1429. int day = 1;
  1430. // 如果是临时医嘱 开了就结束了.
  1431. if ("ONCE".equals(item.getFrequCode())) {
  1432. item.setEndTime(item.getStartTime());
  1433. }
  1434. if (item.getStartTime() != null && item.getEndTime() != null) {
  1435. long cha = item.getEndTime().getTime() - item.getStartTime().getTime();
  1436. long nd = 1000 * 24 * 60 * 60;
  1437. day = (int) (cha / nd);
  1438. if (day == 0) {
  1439. day = 1;
  1440. }
  1441. }
  1442. // 计算出院带药的领量
  1443. BigDecimal total = getTotal(item, day);
  1444. if (StringUtil.notBlank(feiYongXinXi.getDrugWeightUnit()) && item.getDoseUnit().trim().equals(feiYongXinXi.getDrugWeightUnit().trim())) {
  1445. item.setDrugQuan(DecimalUtil.multiply(item.getDose(), total).divide(feiYongXinXi.getDrugWeight(), 0, RoundingMode.UP));
  1446. item.setDrugOcc(item.getDrugQuan());
  1447. } else if (StringUtil.notBlank(feiYongXinXi.getDrugVolUnit()) && item.getDoseUnit().trim().equals(feiYongXinXi.getDrugVolUnit())) {
  1448. item.setDrugQuan(DecimalUtil.multiply(item.getDose(), total).divide(feiYongXinXi.getDrugVolume(), 0, RoundingMode.UP));
  1449. item.setDrugOcc(item.getDrugQuan());
  1450. } else if (StringUtil.notBlank(feiYongXinXi.getPackUnit()) && item.getDoseUnit().trim().equals(feiYongXinXi.getPackUnit())) {
  1451. item.setDrugQuan(DecimalUtil.multiply(item.getDose(), total).divide(feiYongXinXi.getPackSize(), 0, RoundingMode.UP));
  1452. item.setDrugOcc(item.getDrugQuan());
  1453. }
  1454. if (item.getDrugQuan().equals(BigDecimal.ZERO)) {
  1455. item.setDrugQuan(BigDecimal.ONE);
  1456. item.setDrugOcc(BigDecimal.ONE);
  1457. }
  1458. // 在这里更新出院带药领量
  1459. dao.updateThePickup(item);
  1460. // 费用标志为 4 的就是出院带药
  1461. if ("4".equals(item.getSelfBuy())) {
  1462. if (takeTheMedicineList.containsKey(item.getGroupNo())) {
  1463. takeTheMedicineList.get(item.getGroupNo()).add(item);
  1464. } else {
  1465. List<XinZhenYzActOrder> temp = new ArrayList<>();
  1466. temp.add(item);
  1467. takeTheMedicineList.put(item.getGroupNo(), temp);
  1468. }
  1469. }
  1470. }
  1471. Map<String, Object> check = batchVerification(patInfo.getList(), patInfo, true);
  1472. if (check.isEmpty()) {
  1473. List<Integer> pageNoList = new ArrayList<>();
  1474. for (int i = 0; i < takeTheMedicineList.size(); i++) {
  1475. pageNoList.add(publicServer.getTheDrugListNo());
  1476. }
  1477. sendAMessageToTheNurse(patInfo, userCode, dao.queryPatientInfo(patNo, times), "出院带药");
  1478. return getThis().getMapResultVo(patInfo, userCode, takeTheMedicineList, pageNoList);
  1479. } else {
  1480. return ResultVoUtil.fail(ExceptionEnum.ERROR_MESSAGE, "请修改有错误的医嘱。", check);
  1481. }
  1482. }
  1483. @NotNull
  1484. @Transactional(rollbackFor = Exception.class)
  1485. public ResultVo<Map<String, Object>> getMapResultVo(XinZhenYiZhu patInfo, String userCode, Map<String, List<XinZhenYzActOrder>> takeTheMedicineList, List<Integer> pageNoList) {
  1486. // 根据不同的药房,生成不同的单子.
  1487. int index = 0;
  1488. for (Map.Entry<String, List<XinZhenYzActOrder>> entry : takeTheMedicineList.entrySet()) {
  1489. Integer pageNo = pageNoList.get(index);
  1490. dao.summarySheetOfDrugs(pageNo, patInfo, userCode, entry.getKey());
  1491. dao.insertDetailedMedicineList(pageNo, patInfo, userCode, entry.getKey(), entry.getValue());
  1492. index++;
  1493. }
  1494. for (XinZhenYzActOrder order : patInfo.getList()) {
  1495. // 出院带药 确认了直接停止医嘱
  1496. dao.takeMedicineAfterDischargeStopOrder(order.getActOrderNo(), userCode, new Date());
  1497. }
  1498. return ResultVoUtil.success(ExceptionEnum.SUCCESS_AND_NOTIFICATION);
  1499. }
  1500. }