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QHD_ZhongYiYuan_YiJiYuYue
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鹿和sa0ChunLuyu 3 days ago
parent 6a569b947c
commit 872974ee66
1 changed files with 55 additions and 66 deletions
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71
Laravel/app/Http/Controllers/API/Third/YiJiController.php
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@ -72,10 +72,7 @@ public function CheckAppointment()
$entrust_ids[] = $item['orderNo'];
$termCodes[] = $item['termCode'];
$execDeptCodes[] = $item['execDeptCode'];
//查询库里是否存在该检医嘱
$db_item = DB::table('s_list')->where(['entrust_id' => $item['orderNo']])->first();
if (!$db_item) {
//如果不存在则进行创建
// UPSERT：原子操作，消除 SELECT + INSERT 之间的竞态
$params = [
'list_status' => 0,
'reg_num' => $data_v['cardNo'],
@ -94,51 +91,43 @@ public function CheckAppointment()
'implement_department' =>$item['execDeptName'],
'entrust_id' => $item['orderNo'],
'episodeid' => $visitSqNo,
// 'RISRExamID' => $order["RISRExamID"] ? $order["RISRExamID"] : null, //检查号,先屏蔽掉，获取不到
'RISRAcceptDeptCode' => $item["execDeptCode"], //接收科室代码
'warddesc' => $data_v["areaName"], //病区
'wardcode' => $data_v["areaCode"], //病区
'bedname' => $data_v["bedName"], //病床号
'bedno' => $data_v["bedNo"], //病床号
'app_num' => $data_v["requestNo"], //申请单号
'idCardNumber' => $data_v["idCardNumber"], //身份证号
'medicalHistory' => $data_v["medicalHistory"], //病史摘要
'diagnosisName' => $data_v["diagnosisName"], //临床诊断（诊断名称）
'his_is_emergency'=> intval($data_v["urgentFlag"]), //是否加急
'reservation_department_code' =>$data_v["orderDeptCode"],//申请科室代码
'doctor_code' => $data_v["orderPersonCode"],//申请医生代码
'requestComment' => $data_v["requestComment"] ?? null, //申请注意事项
'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,
];
$list_id= DB::table('s_list')->insertGetId($params);
if($list_id){
$i_log = DB::table('s_list_log')->insert([
$columns = '`' . implode('`, `', array_keys($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';
$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' => $data_v['cardNo'],
'old_status' => 0,
'new_status' => 0,
'create_user' => 'his',
'note' => '创建记录',
'data' => json_encode($params)
'note' => $note,
'data' => json_encode($params),
]);
}
}else{
//如果存在，更新一下部分字段
$params = [
'medicalHistory' => $data_v["medicalHistory"], //病史摘要
'diagnosisName' => $data_v["diagnosisName"], //临床诊断（诊断名称）
'his_is_emergency'=> intval($data_v["urgentFlag"]), //是否加急
'reservation_department_code' =>$data_v["orderDeptCode"],//申请科室代码
'doctor_code' => $data_v["orderPersonCode"],//申请医生代码
'requestComment' => $data_v["requestComment"] ?? null, //申请注意事项
];
// 如果 wardcode 一致但 warddesc 不一致，同步更新病区名称
if ($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);
}
}
}
}else{
return \Yz::JsonError('Roc接口查询失败');

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