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@ -72,72 +72,61 @@ public function CheckAppointment()
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$entrust_ids[] = $item['orderNo'];
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$entrust_ids[] = $item['orderNo'];
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$termCodes[] = $item['termCode'];
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$termCodes[] = $item['termCode'];
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$execDeptCodes[] = $item['execDeptCode'];
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$execDeptCodes[] = $item['execDeptCode'];
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//查询库里是否存在该检医嘱
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// UPSERT：原子操作，消除 SELECT + INSERT 之间的竞态
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$db_item = DB::table('s_list')->where(['entrust_id' => $item['orderNo']])->first();
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$params = [
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if (!$db_item) {
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'list_status' => 0,
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//如果不存在则进行创建
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'reg_num' => $data_v['cardNo'],
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$params = [
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'user_name' =>$data_v['patientName'],
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'list_status' => 0,
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'user_sex' => $data_v['patientGenderName'] == '男' ? 1 : 2,
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'reg_num' => $data_v['cardNo'],
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'entrust_code' => $item['termCode'],
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'user_name' =>$data_v['patientName'],
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'entrust' => $item['termName'],
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'user_sex' => $data_v['patientGenderName'] == '男' ? 1 : 2,
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'is_pay' => $data_v["chargeStatusName"] == '已收费' ? 1 : 0,
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'entrust_code' => $item['termCode'],
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'reservation_department' =>$data_v["orderDeptName"],
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'entrust' => $item['termName'],
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'entrust_date' =>$entrust_datePart,
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'is_pay' => $data_v["chargeStatusName"] == '已收费' ? 1 : 0,
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'entrust_time' =>$entrust_timePart,
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'reservation_department' =>$data_v["orderDeptName"],
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'user_brithday' =>$birthday,
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'entrust_date' =>$entrust_datePart,
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'docotr' => $data_v["orderPersonName"],
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'entrust_time' =>$entrust_timePart,
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'patient_type' => $patientType,
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'user_brithday' =>$birthday,
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'user_phone' => $data_v["mobile"],
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'docotr' => $data_v["orderPersonName"],
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'implement_department' =>$item['execDeptName'],
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'patient_type' => $patientType,
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'entrust_id' => $item['orderNo'],
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'user_phone' => $data_v["mobile"],
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'episodeid' => $visitSqNo,
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'implement_department' =>$item['execDeptName'],
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'RISRAcceptDeptCode' => $item["execDeptCode"],
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'entrust_id' => $item['orderNo'],
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'warddesc' => $data_v["areaName"],
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'episodeid' => $visitSqNo,
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'wardcode' => $data_v["areaCode"],
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// 'RISRExamID' => $order["RISRExamID"] ? $order["RISRExamID"] : null, //检查号,先屏蔽掉，获取不到
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'bedname' => $data_v["bedName"],
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'RISRAcceptDeptCode' => $item["execDeptCode"], //接收科室代码
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'bedno' => $data_v["bedNo"],
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'warddesc' => $data_v["areaName"], //病区
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'app_num' => $data_v["requestNo"],
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'wardcode' => $data_v["areaCode"], //病区
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'idCardNumber' => $data_v["idCardNumber"],
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'bedname' => $data_v["bedName"], //病床号
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'medicalHistory' => $data_v["medicalHistory"],
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'bedno' => $data_v["bedNo"], //病床号
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'diagnosisName' => $data_v["diagnosisName"],
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'app_num' => $data_v["requestNo"], //申请单号
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'his_is_emergency'=> intval($data_v["urgentFlag"]),
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'idCardNumber' => $data_v["idCardNumber"], //身份证号
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'reservation_department_code' =>$data_v["orderDeptCode"],
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'medicalHistory' => $data_v["medicalHistory"], //病史摘要
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'doctor_code' => $data_v["orderPersonCode"],
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'diagnosisName' => $data_v["diagnosisName"], //临床诊断（诊断名称）
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'requestComment' => $data_v["requestComment"] ?? null,
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'his_is_emergency'=> intval($data_v["urgentFlag"]), //是否加急
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];
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'reservation_department_code' =>$data_v["orderDeptCode"],//申请科室代码
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'doctor_code' => $data_v["orderPersonCode"],//申请医生代码
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$columns = '`' . implode('`, `', array_keys($params)) . '`';
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'requestComment' => $data_v["requestComment"] ?? null, //申请注意事项
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$holders = implode(', ', array_fill(0, count($params), '?'));
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];
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$assigns = implode(', ', array_map(fn($k) => "`{\$k}` = VALUES(`{\$k}`)", array_keys($params)));
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$list_id= DB::table('s_list')->insertGetId($params);
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if($list_id){
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$sql = "INSERT INTO `s_list` ({$columns}) VALUES ({$holders}) ON DUPLICATE KEY UPDATE {$assigns}";
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$i_log = DB::table('s_list_log')->insert([
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DB::statement($sql, array_values($params));
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'list_id' =>$list_id,
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'reg_num' => $data_v['cardNo'],
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$rowCount = DB::select("SELECT ROW_COUNT() AS `affected`")[0]->affected;
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'old_status' => 0,
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$note = ($rowCount == 1) ? '创建记录' : 'MQ冲突更新';
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'new_status' => 0,
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'create_user' => 'his',
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$list_id = DB::table('s_list')->where('entrust_id', $item['orderNo'])->value('id');
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'note' => '创建记录',
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'data' => json_encode($params)
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DB::table('s_list_log')->insert([
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]);
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'list_id' => $list_id,
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}
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'reg_num' => $data_v['cardNo'],
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'old_status' => 0,
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}else{
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'new_status' => 0,
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//如果存在，更新一下部分字段
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'create_user' => 'his',
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$params = [
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'note' => $note,
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'medicalHistory' => $data_v["medicalHistory"], //病史摘要
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'data' => json_encode($params),
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'diagnosisName' => $data_v["diagnosisName"], //临床诊断（诊断名称）
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]);
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'his_is_emergency'=> intval($data_v["urgentFlag"]), //是否加急
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'reservation_department_code' =>$data_v["orderDeptCode"],//申请科室代码
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'doctor_code' => $data_v["orderPersonCode"],//申请医生代码
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'requestComment' => $data_v["requestComment"] ?? null, //申请注意事项
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];
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// 如果 wardcode 一致但 warddesc 不一致，同步更新病区名称
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if ($db_item->wardcode == $data_v["areaCode"] && $db_item->warddesc != $data_v["areaName"]) {
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$params['warddesc'] = $data_v["areaName"];
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}
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DB::table('s_list')->where(['id' => $db_item->id])->update($params);
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}
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}
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}
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}
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}
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}else{
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}else{
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