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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
Unescape Escape View File

@ -72,61 +72,96 @@ public function CheckAppointment()
$entrust_ids[] = $item['orderNo'];
$termCodes[] = $item['termCode'];
$execDeptCodes[] = $item['execDeptCode'];
// UPSERT：原子操作，消除 SELECT + INSERT 之间的竞态
$params = [
'list_status' => 0,
'reg_num' => $data_v['cardNo'],
'user_name' =>$data_v['patientName'],
'user_sex' => $data_v['patientGenderName'] == '男' ? 1 : 2,
'entrust_code' => $item['termCode'],
'entrust' => $item['termName'],
'is_pay' => $data_v["chargeStatusName"] == '已收费' ? 1 : 0,
'reservation_department' =>$data_v["orderDeptName"],
'entrust_date' =>$entrust_datePart,
'entrust_time' =>$entrust_timePart,
'user_brithday' =>$birthday,
'docotr' => $data_v["orderPersonName"],
'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,
];
$columns = '`' . implode('`, `', array_keys($params)) . '`';
$holders = implode(', ', array_fill(0, count($params), '?'));
$assigns = implode(', ', array_map(fn($k) => "`$k` = VALUES(`$k`)", array_keys($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';
// 先查 s_list，区分"已存在"和"MQ 冲突"两种场景
$db_item = DB::table('s_list')->where(['entrust_id' => $item['orderNo']])->first();
if ($db_item) {
// 情景 A：已存在，更新部分字段即可
$params = [
'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' => $data_v["requestComment"] ?? null,
];
if ($db_item->wardcode == $data_v["areaCode"] && $db_item->warddesc != $data_v["areaName"]) {
$params['warddesc'] = $data_v["areaName"];
}
DB::table('s_list')->where(['id' => $db_item->id])->update($params);
DB::table('s_list_log')->insert([
'list_id' => $db_item->id,
'reg_num' => $data_v['cardNo'],
'old_status' => 0,
'new_status' => 0,
'create_user' => 'his',
'note' => '创建记录',
'data' => json_encode($params),
]);
} else {
// 情景 B：不存在，全量 UPSERT 兜底（极短窗口内的 MQ 并发）
$params = [
'list_status' => 0,
'reg_num' => $data_v['cardNo'],
'user_name' =>$data_v['patientName'],
'user_sex' => $data_v['patientGenderName'] == '男' ? 1 : 2,
'entrust_code' => $item['termCode'],
'entrust' => $item['termName'],
'is_pay' => $data_v["chargeStatusName"] == '已收费' ? 1 : 0,
'reservation_department' =>$data_v["orderDeptName"],
'entrust_date' =>$entrust_datePart,
'entrust_time' =>$entrust_timePart,
'user_brithday' =>$birthday,
'docotr' => $data_v["orderPersonName"],
'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([
'list_id' => $list_id,
'reg_num' => $data_v['cardNo'],
'old_status' => 0,
'new_status' => 0,
'create_user' => 'his',
'note' => $note,
'data' => json_encode($params),
]);
$updateFields = [
'medicalHistory', 'diagnosisName', 'his_is_emergency',
'reservation_department_code', 'doctor_code', 'requestComment',
];
$assigns = implode(', ', array_map(fn($k) => "`$k` = VALUES(`$k`)", $updateFields));
$assigns .= ", `warddesc` = IF(`wardcode` = VALUES(`wardcode`) AND `warddesc` != VALUES(`warddesc`), VALUES(`warddesc`), `warddesc`)";
$sql = "INSERT INTO `s_list` ({$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{

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