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QHD_ZhongYiYuan_YiJiYuYue
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鹿和sa0ChunLuyu 2 days ago
parent 7d5ef3b89a
commit 6aa484e0c2
1 changed files with 89 additions and 54 deletions
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141
Laravel/app/Http/Controllers/API/Third/YiJiController.php
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@ -72,61 +72,96 @@ public function CheckAppointment()
$entrust_ids[] = $item['orderNo']; $entrust_ids[] = $item['orderNo'];
$termCodes[] = $item['termCode']; $termCodes[] = $item['termCode'];
$execDeptCodes[] = $item['execDeptCode']; $execDeptCodes[] = $item['execDeptCode'];
// UPSERT：原子操作，消除 SELECT + INSERT 之间的竞态 // 先查 s_list，区分"已存在"和"MQ 冲突"两种场景
$params = [ $db_item = DB::table('s_list')->where(['entrust_id' => $item['orderNo']])->first();
'list_status' => 0,
'reg_num' => $data_v['cardNo'], if ($db_item) {
'user_name' =>$data_v['patientName'], // 情景 A：已存在，更新部分字段即可
'user_sex' => $data_v['patientGenderName'] == '男' ? 1 : 2, $params = [
'entrust_code' => $item['termCode'], 'medicalHistory' => $data_v["medicalHistory"],
'entrust' => $item['termName'], 'diagnosisName' => $data_v["diagnosisName"],
'is_pay' => $data_v["chargeStatusName"] == '已收费' ? 1 : 0, 'his_is_emergency'=> intval($data_v["urgentFlag"]),
'reservation_department' =>$data_v["orderDeptName"], 'reservation_department_code' =>$data_v["orderDeptCode"],
'entrust_date' =>$entrust_datePart, 'doctor_code' => $data_v["orderPersonCode"],
'entrust_time' =>$entrust_timePart, 'requestComment' => $data_v["requestComment"] ?? null,
'user_brithday' =>$birthday, ];
'docotr' => $data_v["orderPersonName"], if ($db_item->wardcode == $data_v["areaCode"] && $db_item->warddesc != $data_v["areaName"]) {
'patient_type' => $patientType, $params['warddesc'] = $data_v["areaName"];
'user_phone' => $data_v["mobile"], }
'implement_department' =>$item['execDeptName'], DB::table('s_list')->where(['id' => $db_item->id])->update($params);
'entrust_id' => $item['orderNo'],
'episodeid' => $visitSqNo, DB::table('s_list_log')->insert([
'RISRAcceptDeptCode' => $item["execDeptCode"], 'list_id' => $db_item->id,
'warddesc' => $data_v["areaName"], 'reg_num' => $data_v['cardNo'],
'wardcode' => $data_v["areaCode"], 'old_status' => 0,
'bedname' => $data_v["bedName"], 'new_status' => 0,
'bedno' => $data_v["bedNo"], 'create_user' => 'his',
'app_num' => $data_v["requestNo"], 'note' => '创建记录',
'idCardNumber' => $data_v["idCardNumber"], 'data' => json_encode($params),
'medicalHistory' => $data_v["medicalHistory"], ]);
'diagnosisName' => $data_v["diagnosisName"], } else {
'his_is_emergency'=> intval($data_v["urgentFlag"]), // 情景 B：不存在，全量 UPSERT 兜底（极短窗口内的 MQ 并发）
'reservation_department_code' =>$data_v["orderDeptCode"], $params = [
'doctor_code' => $data_v["orderPersonCode"], 'list_status' => 0,
'requestComment' => $data_v["requestComment"] ?? null, 'reg_num' => $data_v['cardNo'],
]; 'user_name' =>$data_v['patientName'],
'user_sex' => $data_v['patientGenderName'] == '男' ? 1 : 2,
$columns = '`' . implode('`, `', array_keys($params)) . '`'; 'entrust_code' => $item['termCode'],
$holders = implode(', ', array_fill(0, count($params), '?')); 'entrust' => $item['termName'],
$assigns = implode(', ', array_map(fn($k) => "`$k` = VALUES(`$k`)", array_keys($params))); 'is_pay' => $data_v["chargeStatusName"] == '已收费' ? 1 : 0,
'reservation_department' =>$data_v["orderDeptName"],
$sql = "INSERT INTO `s_list` ({$columns}) VALUES ({$holders}) ON DUPLICATE KEY UPDATE {$assigns}"; 'entrust_date' =>$entrust_datePart,
DB::statement($sql, array_values($params)); 'entrust_time' =>$entrust_timePart,
'user_brithday' =>$birthday,
$rowCount = DB::select("SELECT ROW_COUNT() AS `affected`")[0]->affected; 'docotr' => $data_v["orderPersonName"],
$note = ($rowCount == 1) ? '创建记录' : 'MQ冲突更新'; 'patient_type' => $patientType,
'user_phone' => $data_v["mobile"],
'implement_department' =>$item['execDeptName'],
'entrust_id' => $item['orderNo'],
'episodeid' => $visitSqNo,
'RISRAcceptDeptCode' => $item["execDeptCode"],
'warddesc' => $data_v["areaName"],
'wardcode' => $data_v["areaCode"],
'bedname' => $data_v["bedName"],
'bedno' => $data_v["bedNo"],
'app_num' => $data_v["requestNo"],
'idCardNumber' => $data_v["idCardNumber"],
'medicalHistory' => $data_v["medicalHistory"],
'diagnosisName' => $data_v["diagnosisName"],
'his_is_emergency'=> intval($data_v["urgentFlag"]),
'reservation_department_code' =>$data_v["orderDeptCode"],
'doctor_code' => $data_v["orderPersonCode"],
'requestComment' => $data_v["requestComment"] ?? null,
];
$list_id = DB::table('s_list')->where('entrust_id', $item['orderNo'])->value('id'); $columns = '`' . implode('`, `', array_keys($params)) . '`';
$holders = implode(', ', array_fill(0, count($params), '?'));
DB::table('s_list_log')->insert([ $updateFields = [
'list_id' => $list_id, 'medicalHistory', 'diagnosisName', 'his_is_emergency',
'reg_num' => $data_v['cardNo'], 'reservation_department_code', 'doctor_code', 'requestComment',
'old_status' => 0, ];
'new_status' => 0, $assigns = implode(', ', array_map(fn($k) => "`$k` = VALUES(`$k`)", $updateFields));
'create_user' => 'his', $assigns .= ", `warddesc` = IF(`wardcode` = VALUES(`wardcode`) AND `warddesc` != VALUES(`warddesc`), VALUES(`warddesc`), `warddesc`)";
'note' => $note,
'data' => json_encode($params), $sql = "INSERT INTO `s_list` ({$columns}) VALUES ({$holders}) ON DUPLICATE KEY UPDATE {$assigns}";
]); DB::statement($sql, array_values($params));
$rowCount = DB::select("SELECT ROW_COUNT() AS `affected`")[0]->affected;
$note = ($rowCount == 1) ? '创建记录' : 'MQ冲突更新';
$list_id = DB::table('s_list')->where('entrust_id', $item['orderNo'])->value('id');
DB::table('s_list_log')->insert([
'list_id' => $list_id,
'reg_num' => $data_v['cardNo'],
'old_status' => 0,
'new_status' => 0,
'create_user' => 'his',
'note' => $note,
'data' => json_encode($params),
]);
}
} }
} }
}else{ }else{

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