liusheng
2 天以前 eb3195e397b023cfae1ee4dea7fbc29f1271504f
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
package cn.lihu.jh.module.ecg.service.appointment;
 
import cn.lihu.jh.framework.common.pojo.PageResult;
import cn.lihu.jh.framework.common.util.date.DateUtils;
import cn.lihu.jh.framework.common.util.object.BeanUtils;
import cn.lihu.jh.module.ecg.controller.admin.appointment.vo.AppointmentConfirmReqVO;
import cn.lihu.jh.module.ecg.controller.admin.appointment.vo.AppointmentPageReqVO;
import cn.lihu.jh.module.ecg.controller.admin.appointment.vo.AppointmentSaveReqVO;
import cn.lihu.jh.module.ecg.controller.admin.queue.vo.QueueSaveReqVO;
import cn.lihu.jh.module.ecg.dal.dataobject.appointment.AppointmentDO;
import cn.lihu.jh.module.ecg.dal.dataobject.patient.PatDetails;
import cn.lihu.jh.module.ecg.dal.dataobject.queue.QueueDO;
import cn.lihu.jh.module.ecg.dal.mysql.appointment.AppointmentMapper;
import cn.lihu.jh.module.ecg.enums.HisCheckCodeEnum;
import cn.lihu.jh.module.ecg.feign.RemoteDataService;
import cn.lihu.jh.module.ecg.service.config.EcgConfigService;
import cn.lihu.jh.module.ecg.service.queue.QueueService;
import cn.lihu.jh.module.ecg.service.queuesequence.QueueSequenceService;
import lombok.extern.slf4j.Slf4j;
import org.apache.ibatis.annotations.Param;
import org.springframework.dao.DuplicateKeyException;
import org.springframework.stereotype.Service;
import org.springframework.transaction.annotation.Transactional;
import org.springframework.util.CollectionUtils;
import org.springframework.validation.annotation.Validated;
 
import javax.annotation.Resource;
import java.time.LocalDate;
import java.time.LocalDateTime;
import java.time.format.DateTimeFormatter;
import java.util.List;
import java.util.Map;
import java.util.Optional;
import java.util.stream.Collectors;
 
import static cn.lihu.jh.framework.common.exception.util.ServiceExceptionUtil.exception;
import static cn.lihu.jh.module.ecg.enums.ErrorCodeConstants.*;
 
/**
 * 预约 Service 实现类
 *
 * @author 马剑波
 */
@Service
@Validated
@Slf4j
public class AppointmentServiceImpl implements AppointmentService {
 
    @Resource
    private EcgConfigService ecgConfigService;
 
    @Resource
    private RemoteDataService remoteDataService;
 
    @Resource
    private QueueSequenceService queueSequenceService;
 
    @Resource
    private QueueService queueService;
 
    @Resource
    private AppointmentMapper appointmentMapper;
 
    @Override
    public Long createAppointment(AppointmentSaveReqVO createReqVO) {
        // 插入
        AppointmentDO appointment = BeanUtils.toBean(createReqVO, AppointmentDO.class);
 
        try {
            appointmentMapper.insert(appointment);
        } catch (DuplicateKeyException e) {
            throw exception(APPOINTMENT_EXIST_TODAY);
        }
 
        // 返回
        return appointment.getId();
    }
 
    @Override
    public void updateAppointment(AppointmentSaveReqVO updateReqVO) {
        // 校验存在
        validateAppointmentExists(updateReqVO.getId());
        // 更新
        AppointmentDO updateObj = BeanUtils.toBean(updateReqVO, AppointmentDO.class);
        appointmentMapper.updateById(updateObj);
    }
 
    @Override
    public void deleteAppointment(Long id) {
        // 校验存在
        validateAppointmentExists(id);
        // 删除
        appointmentMapper.deleteById(id);
    }
 
    private void validateAppointmentExists(Long id) {
        if (appointmentMapper.selectById(id) == null) {
            throw exception(APPOINTMENT_NOT_EXISTS);
        }
    }
 
    @Override
    public AppointmentDO getAppointment(Long id) {
        return appointmentMapper.selectById(id);
    }
 
    @Override
    public AppointmentDO getCurAppointmentByPatIdAndCheckType(String patId, Integer checkType) {
        AppointmentDO appointmentDO = appointmentMapper.getByPatAndCheckTypeAndBookDate(patId, checkType);
        return appointmentDO;
    }
 
    /**
     * @param patCode 编号 : !!! 不一定就是本系统的 患者编号(patID), 根源在于 检查单扫描出来的编号 不一定是 本系统的 患者编号(patID)
     * @return
     */
    @Override
    public List<AppointmentDO> queryAndCreateAppointmentByPatId(String patCode) {
        // 从医院平台查询
        List<AppointmentDO> appointmentExtermalList = getAppointmentExtermal(patCode);
 
        for (int appointmentIndex = 0; appointmentIndex < appointmentExtermalList.size(); appointmentIndex++) {
            AppointmentDO appointmentExtermal = appointmentExtermalList.get(appointmentIndex);
            if (null == appointmentExtermal) continue;
 
            // 从DB查询预约,是否已经存在
            AppointmentDO appointmentDO = appointmentMapper.getByEpisodeIdAndApplyNo(appointmentExtermal.getEpisodeId(), appointmentExtermal.getApplyNo());
            if (null == appointmentDO) {
                appointmentMapper.insert(appointmentExtermal);
            } else {
                appointmentExtermal.setId(appointmentDO.getId()); // 确保 返回值包含 appointment id
 
                // 处理第一次确认时还没有预约时间,再来确认时已有预约时间的情况
                if (appointmentDO.getBookDate() != appointmentExtermal.getBookDate()) {
                    appointmentMapper.updateById(appointmentExtermal);
                }
            }
        }
 
        // 查询[queue表]补充 book_seq_num 到返回值中
        if (!appointmentExtermalList.isEmpty()) {
            List<Long> appointIdlist = appointmentExtermalList.stream().map(appointmentDO -> appointmentDO.getId()).toList();
            List<QueueDO> simpleQueueDOList = queueService.selectBookSeqNumByAppointIdList(appointIdlist);
            if (!simpleQueueDOList.isEmpty()) {
                Map<Long, Integer> mapAppointIdVsBookSeqNo = simpleQueueDOList.stream().collect(Collectors.toMap(QueueDO::getAppointId, QueueDO::getBookSeqNum));
                appointmentExtermalList.forEach(appointmentExterma -> appointmentExterma.setBookSeqNum(mapAppointIdVsBookSeqNo.get(appointmentExterma.getId())));
            }
        }
 
        // 不从DB查询
        //List<AppointmentDO> appointmentDOList = appointmentMapper.getCurrentPatId( patCode );
        //return 0 == appointmentDOList.size() ? null : appointmentDOList.get(0);
 
        return appointmentExtermalList;
    }
 
    @Override
    public PageResult<AppointmentDO> getAppointmentPage(AppointmentPageReqVO pageReqVO) {
        return appointmentMapper.selectPage(pageReqVO);
    }
 
    @Override
    public List<AppointmentDO> getAppointmentExtermal(String patId) {
        return appointmentMapper.getCurrentPatId(patId);
    }
 
//    @Override
//    public List<AppointmentDO> getAppointmentExtermal(String patId) {
//        List<AppointmentDO> curAppointDOList = new ArrayList<AppointmentDO>();
//
//        RestApiReqBodyVo reqBodyVo = new RestApiReqBodyVo();
//        if (18 == patId.length()) {
//            reqBodyVo.setSfzh( patId );
//        } else {
//            reqBodyVo.setMzzyh(patId);
//        }
//
//        // QueryRisReportList   queryEcgRequest
//        RestApiResult<AppointmentExternal> result = remoteDataService.httpApi("queryEcgRequest", "ECG", "ECG", reqBodyVo);
//        if (0 == result.getRow().size()) {
//            return curAppointDOList;
//        }
//
//        for (int appointIndex=0; appointIndex < result.getRow().size(); appointIndex++ ) {
//            AppointmentExternal appointmentExternal = result.getRow().get( appointIndex );
//
//            AppointmentDO appointmentDO = BeanUtils.toBean(appointmentExternal, AppointmentDO.class);
//            appointmentDO.setApplyNo( appointmentExternal.getReqIdeApplyno() );
//            appointmentDO.setEpisodeId( appointmentExternal.getEpisodeID() );
//            appointmentDO.setPatSrc( getCorrespondingPatientSource(appointmentExternal.getAdmTypeCode()) );
//            appointmentDO.setPatId(appointmentExternal.getPatientID()); // 内容为 身份证号 或 门诊住院号
//            appointmentDO.setPatName(appointmentExternal.getPatName());
//            appointmentDO.setPatGender(Byte.valueOf(appointmentExternal.getPatgender()));
//            appointmentDO.setPatBirthday(DateUtils.ofUTC(appointmentExternal.getEncPatBirthDate()).toLocalDate());
//            appointmentDO.setPatIdentityId(appointmentExternal.getIdentityID());
//            appointmentDO.setPatAddr(appointmentExternal.getAddress());
//            appointmentDO.setPatDeptCode(appointmentExternal.getPatLocDeptCode());
//            appointmentDO.setPatDeptDesc(appointmentExternal.getPatLocDeptDesc());
//            appointmentDO.setPatWardCode(appointmentExternal.getPatLocWardCode());
//            appointmentDO.setPatWardDesc(appointmentExternal.getPatLocWardDesc());
//            appointmentDO.setPatMobile(appointmentExternal.getPhone());
//            appointmentDO.setPatBedNo(appointmentExternal.getEnBedno());
//            appointmentDO.setBookCheckType(getCorrespondingCheckType(appointmentExternal.getPlanDefItemList().getPlanDefItem().getPlanDefItemcode()));
//            appointmentDO.setBookTime(DateUtils.ofUTC(appointmentExternal.getReqAuthoredOn()));  // 开单时间
//            appointmentDO.setBookSrc( 0 );
//
//            // 光开单的情况,没有预约时间
//            if (null != appointmentExternal.getReqExtBooktime() ) {
//                appointmentDO.setBookDate(DateUtils.ofUTC(appointmentExternal.getReqExtBooktime()).toLocalDate());
//                LocalDateTime bookStartTime = DateUtils.ofUTC(appointmentExternal.getReqExtBooktime());
//                LocalDateTime bookEndTime = bookStartTime.plusMinutes( ecgConfigService.getTimeslotLength());
//                appointmentDO.setBookTimeslot((bookStartTime.getHour() * 100 + bookStartTime.getMinute()) * 10000 + bookEndTime.getHour() * 100 + bookEndTime.getMinute());
//            }
//
//            appointmentDO.setPaid( 0 );
//
//            curAppointDOList.add( appointmentDO );
//        }
//
//        return curAppointDOList;
//    }
 
    @Override
    @Transactional(rollbackFor = Exception.class)
    public Integer appoitmentConfirm(AppointmentConfirmReqVO confirmReqVO) {
        AppointmentDO appointment = getAppointment(confirmReqVO.getId());
        if (null == appointment) throw exception(PATIENT_NOT_EXISTS);
 
        // 手动预约,直接设置预约日期为当天
        if (confirmReqVO.getIsVip() == 1) {
            appointment.setBookDate(LocalDate.now());
        }
 
        if (!DateUtils.isToday(appointment.getBookDate())) throw exception(APPOINTMENT_NOT_TODAY);
 
 
        Integer newSeqNo = null;
        if (confirmReqVO.getIsVip() == 0) {
            newSeqNo = queueSequenceService.distributeSeqNo(confirmReqVO.getBookCheckType(), confirmReqVO.getBookTimeslot());
        } else {
            newSeqNo = queueSequenceService.distributeVipSeqNo(confirmReqVO.getBookCheckType(), confirmReqVO.getBookTimeslot());
        }
 
        try {
            QueueSaveReqVO queueSaveReqVO = new QueueSaveReqVO();
            queueSaveReqVO.setApplyNo(appointment.getApplyNo());
            queueSaveReqVO.setEpisodeId(appointment.getEpisodeId());
            queueSaveReqVO.setAppointId(appointment.getId());
            queueSaveReqVO.setPatId(appointment.getPatId());
            queueSaveReqVO.setPatName(appointment.getPatName());
            queueSaveReqVO.setPatGender(appointment.getPatGender());
            queueSaveReqVO.setBookDate(appointment.getBookDate());
            queueSaveReqVO.setBookTimeslot(confirmReqVO.getBookTimeslot()); /*appointment.getBookTimeslot()*/
            queueSaveReqVO.setBookCheckType(appointment.getBookCheckType());
            queueSaveReqVO.setBookSeqNum(newSeqNo);
            queueSaveReqVO.setIsVip(confirmReqVO.getIsVip());
            queueSaveReqVO.setPassed((byte) 0);
            queueSaveReqVO.setExpired((byte) 0);
            queueSaveReqVO.setPatDetails(getPatDetails(appointment));
            queueService.queue(queueSaveReqVO);
        } catch (DuplicateKeyException duplicateKeyException) {
            throw exception(APPOINTMENT_HAVE_QUEUED);
        }
 
        return newSeqNo;
    }
 
    private PatDetails getPatDetails(AppointmentDO appointment) {
        PatDetails patDetails = new PatDetails();
        patDetails.setAppointmentId(appointment.getId());
        patDetails.setId(appointment.getPatId());
        patDetails.setName(appointment.getPatName());
        patDetails.setMobile(appointment.getPatMobile());
        patDetails.setDeptCode(appointment.getPatDeptCode());
        patDetails.setDeptDesc(appointment.getPatDeptDesc());
        patDetails.setWardCode(appointment.getPatWardCode());
        patDetails.setWardDesc(appointment.getPatWardDesc());
        patDetails.setBedNo(appointment.getPatBedNo());
        patDetails.setSource(appointment.getPatSrc());
        return patDetails;
    }
 
    @Override
    public Long handleAppointmentCreate(Map<String, Object> dataMap) {
        if (dataMap == null) {
            throw exception(APPOINTMENT_CREATE_FAIL);
        }
 
        try {
            // 创建AppointmentDO对象
            AppointmentDO appointment = new AppointmentDO();
 
            // 从dataMap中提取数据
            Map<String, Object> encounter = extractEncounter(dataMap);
            if (encounter == null) {
                throw exception(APPOINTMENT_CREATE_FAIL);
            }
 
            // 设置就诊流水号
            Optional.ofNullable(encounter.get("id")).map(id -> (Map<String, Object>) id).map(id -> (List<?>) id.get("item")).filter(items -> items.size() > 1).map(items -> (Map<String, Object>) items.get(1)).map(item -> (String) item.get("extension")).ifPresent(appointment::setEpisodeId);
 
            Optional.ofNullable(encounter.get("location")).map(location -> (Map<String, Object>) location).map(location -> (Map<String, Object>) location.get("serviceDeliveryLocation")).map(serviceDeliveryLocation -> (Map<String, Object>) serviceDeliveryLocation.get("location")).map(location -> (Map<String, Object>) location.get("id")).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(appointment::setPatBedNo);
 
 
            // 设置患者来源类型
            Optional.ofNullable(encounter.get("code")).map(code -> (Map<String, Object>) code).map(code -> (String) code.get("code")).map(Integer::parseInt).ifPresent(appointment::setPatSrc);
 
            // 设置患者信息
            Optional.ofNullable(encounter.get("subject")).map(subject -> (Map<String, Object>) subject).map(subject -> (Map<String, Object>) subject.get("patient")).map(patient -> (Map<String, Object>) patient.get("patientPerson")).ifPresent(patientPerson -> {
                // 设置患者ID
                Optional.ofNullable(encounter.get("subject")).map(subject -> (Map<String, Object>) subject).map(subject -> (Map<String, Object>) subject.get("patient")).map(patient -> (Map<String, Object>) patient.get("id")).map(id -> (Map<String, Object>) id).map(id -> (List<?>) id.get("item")).filter(items -> items.size() > 1).map(items -> (Map<String, Object>) items.get(1)).map(item -> (String) item.get("extension")).ifPresent(appointment::setPatId);
 
                // 设置患者姓名
                Optional.ofNullable(patientPerson.get("name")).map(name -> (Map<String, Object>) name).map(name -> (Map<String, Object>) name.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(appointment::setPatName);
 
                // 设置患者手机和电话
                Optional.ofNullable(patientPerson.get("telecom")).map(telecom -> (Map<String, Object>) telecom).map(telecom -> (Map<String, Object>) telecom.get("item")).map(item -> (String) item.get("value")).ifPresent(phone -> {
                    appointment.setPatMobile(phone);
                    appointment.setPatPhone(phone);
                });
 
                // 设置患者性别
                Optional.ofNullable(patientPerson.get("administrativeGenderCode")).map(genderCode -> (Map<String, Object>) genderCode).map(genderCode -> (String) genderCode.get("code")).map(Byte::parseByte).ifPresent(appointment::setPatGender);
 
                // 设置患者生日
                Optional.ofNullable(patientPerson.get("birthTime")).map(birthTime -> (Map<String, Object>) birthTime).map(birthTime -> (String) birthTime.get("value")).map(birthdayStr -> LocalDate.parse(birthdayStr, DateTimeFormatter.ofPattern("yyyyMMdd"))).ifPresent(appointment::setPatBirthday);
 
                // 设置患者地址
                Optional.ofNullable(patientPerson.get("addr")).map(addr -> (Map<String, Object>) addr).map(addr -> (Map<String, Object>) addr.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(appointment::setPatAddr);
 
                // 设置患者身份证号
                Optional.ofNullable(patientPerson.get("id")).map(id -> (Map<String, Object>) id).map(id -> (List<?>) id.get("item")).filter(items -> !items.isEmpty()).map(items -> (Map<String, Object>) items.get(0)).map(item -> (String) item.get("extension")).ifPresent(appointment::setPatIdentityId);
            });
 
            // 设置科室和病区信息
            Optional.ofNullable(encounter.get("location")).map(location -> (Map<String, Object>) location).map(location -> (Map<String, Object>) location.get("serviceDeliveryLocation")).map(location -> (Map<String, Object>) location.get("serviceProviderOrganization")).ifPresent(org -> {
                // 设置科室代码和名称
                Optional.ofNullable(org.get("id")).map(id -> (Map<String, Object>) id).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(appointment::setPatDeptCode);
 
                Optional.ofNullable(org.get("name")).map(name -> (Map<String, Object>) name).map(name -> (Map<String, Object>) name.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(appointment::setPatDeptDesc);
 
                // 设置病区代码和名称
                Optional.ofNullable(org.get("asOrganizationPartOf")).map(wardOrg -> (Map<String, Object>) wardOrg).map(wardOrg -> (Map<String, Object>) wardOrg.get("wholeOrganization")).ifPresent(wardOrg -> {
                    Optional.ofNullable(wardOrg.get("id")).map(id -> (Map<String, Object>) id).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(appointment::setPatWardCode);
 
                    Optional.ofNullable(wardOrg.get("name")).map(name -> (Map<String, Object>) name).map(name -> (Map<String, Object>) name.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(appointment::setPatWardDesc);
                });
            });
 
            // 设置支付状态
            Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("zdy")).map(zdy -> {
                Object payStatus = zdy.get("PayStatus");
                if (payStatus != null) {
                    try {
                        return Integer.parseInt(payStatus.toString());
                    } catch (NumberFormatException e) {
                        log.warn("PayStatus转换失败: {}", payStatus);
                        return null;
                    }
                }
                return null;
            }).ifPresent(appointment::setPaid);
            // 设置申请单号
            Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("id")).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(appointment::setApplyNo);
 
            //设置检查类型
//            String checkType = Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("component2")).map(component2 -> (Map<String, Object>) component2.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("code")).map(code -> (String) code.get("code")).orElseThrow(() -> exception(APPOINTMENT_CREATE_FAIL));
            String checkType = Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("component2")).map(component2 -> (Map<String, Object>) component2.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("code")).map(code -> (String) code.get("code")).orElseThrow(() -> exception(APPOINTMENT_CREATE_FAIL));
            if (checkType != null || checkType != "")
                appointment.setBookCheckType(Integer.valueOf(HisCheckCodeEnum.getByCode(checkType.substring(1))));
 
            // 将AppointmentDO转换为AppointmentSaveReqVO并保存
            AppointmentSaveReqVO saveReqVO = BeanUtils.toBean(appointment, AppointmentSaveReqVO.class);
            return createAppointment(saveReqVO);
        } catch (Exception e) {
            log.error("[handleAppointmentCreate][处理预约创建失败 dataMap({})]", dataMap, e);
            throw exception(APPOINTMENT_CREATE_FAIL);
        }
    }
 
    @Override
    public void handleAppointmentUpdate(Map<String, Object> dataMap) {
        if (dataMap == null) {
            throw exception(APPOINTMENT_UPDATE_FAIL);
        }
 
        try {
            // 从dataMap中提取申请单号
            String applyNo = Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("id")).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).orElseThrow(() -> exception(APPOINTMENT_CREATE_FAIL));
 
            // 查询现有预约记录
            AppointmentDO existingAppointment = appointmentMapper.getByApplyNo(applyNo);
 
            // 如果记录不存在,则调用handleAppointmentCreate进行新增
            if (existingAppointment == null) {
                handleAppointmentCreate(dataMap);
                return;
            }
 
            // 从dataMap中提取数据
            Map<String, Object> encounter = extractEncounter(dataMap);
            if (encounter == null) {
                throw exception(APPOINTMENT_CREATE_FAIL);
            }
 
            // 更新就诊流水号
            Optional.ofNullable(encounter.get("id")).map(id -> (Map<String, Object>) id).map(id -> (List<?>) id.get("item")).filter(items -> items.size() > 1).map(items -> (Map<String, Object>) items.get(1)).map(item -> (String) item.get("extension")).ifPresent(existingAppointment::setEpisodeId);
 
            // 设置床位号
            Optional.ofNullable(encounter.get("location")).map(location -> (Map<String, Object>) location).map(location -> (Map<String, Object>) location.get("serviceDeliveryLocation")).map(serviceDeliveryLocation -> (Map<String, Object>) serviceDeliveryLocation.get("location")).map(location -> (Map<String, Object>) location.get("id")).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(existingAppointment::setPatBedNo);
 
 
            // 更新患者来源类型
            Optional.ofNullable(encounter.get("code")).map(code -> (Map<String, Object>) code).map(code -> (String) code.get("code")).map(Integer::parseInt).ifPresent(existingAppointment::setPatSrc);
 
            // 更新患者信息
            Optional.ofNullable(encounter.get("subject")).map(subject -> (Map<String, Object>) subject).map(subject -> (Map<String, Object>) subject.get("patient")).map(patient -> (Map<String, Object>) patient.get("patientPerson")).ifPresent(patientPerson -> {
                // 更新患者ID
                Optional.ofNullable(encounter.get("subject")).map(subject -> (Map<String, Object>) subject).map(subject -> (Map<String, Object>) subject.get("patient")).map(patient -> (Map<String, Object>) patient.get("id")).map(id -> (Map<String, Object>) id).map(id -> (List<?>) id.get("item")).filter(items -> items.size() > 1).map(items -> (Map<String, Object>) items.get(1)).map(item -> (String) item.get("extension")).ifPresent(existingAppointment::setPatId);
 
                // 更新患者姓名
                Optional.ofNullable(patientPerson.get("name")).map(name -> (Map<String, Object>) name).map(name -> (Map<String, Object>) name.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(existingAppointment::setPatName);
 
                // 更新患者手机和电话
                Optional.ofNullable(patientPerson.get("telecom")).map(telecom -> (Map<String, Object>) telecom).map(telecom -> (Map<String, Object>) telecom.get("item")).map(item -> (String) item.get("value")).ifPresent(phone -> {
                    existingAppointment.setPatMobile(phone);
                    existingAppointment.setPatPhone(phone);
                });
 
                // 更新患者性别
                Optional.ofNullable(patientPerson.get("administrativeGenderCode")).map(genderCode -> (Map<String, Object>) genderCode).map(genderCode -> (String) genderCode.get("code")).map(Byte::parseByte).ifPresent(existingAppointment::setPatGender);
 
                // 更新患者生日
                Optional.ofNullable(patientPerson.get("birthTime")).map(birthTime -> (Map<String, Object>) birthTime).map(birthTime -> (String) birthTime.get("value")).map(birthdayStr -> LocalDate.parse(birthdayStr, DateTimeFormatter.ofPattern("yyyyMMdd"))).ifPresent(existingAppointment::setPatBirthday);
 
                // 更新患者地址
                Optional.ofNullable(patientPerson.get("addr")).map(addr -> (Map<String, Object>) addr).map(addr -> (Map<String, Object>) addr.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(existingAppointment::setPatAddr);
 
                // 更新患者身份证号
                Optional.ofNullable(patientPerson.get("id")).map(id -> (Map<String, Object>) id).map(id -> (List<?>) id.get("item")).filter(items -> !items.isEmpty()).map(items -> (Map<String, Object>) items.get(0)).map(item -> (String) item.get("extension")).ifPresent(existingAppointment::setPatIdentityId);
            });
 
            // 更新科室和病区信息
            Optional.ofNullable(encounter.get("location")).map(location -> (Map<String, Object>) location).map(location -> (Map<String, Object>) location.get("serviceDeliveryLocation")).map(location -> (Map<String, Object>) location.get("serviceProviderOrganization")).ifPresent(org -> {
                // 更新科室代码和名称
                Optional.ofNullable(org.get("id")).map(id -> (Map<String, Object>) id).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(existingAppointment::setPatDeptCode);
 
                Optional.ofNullable(org.get("name")).map(name -> (Map<String, Object>) name).map(name -> (Map<String, Object>) name.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(existingAppointment::setPatDeptDesc);
 
                // 更新病区代码和名称
                Optional.ofNullable(org.get("asOrganizationPartOf")).map(wardOrg -> (Map<String, Object>) wardOrg).map(wardOrg -> (Map<String, Object>) wardOrg.get("wholeOrganization")).ifPresent(wardOrg -> {
                    Optional.ofNullable(wardOrg.get("id")).map(id -> (Map<String, Object>) id).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).ifPresent(existingAppointment::setPatWardCode);
 
                    Optional.ofNullable(wardOrg.get("name")).map(name -> (Map<String, Object>) name).map(name -> (Map<String, Object>) name.get("item")).map(item -> (Map<String, Object>) item.get("part")).map(part -> (String) part.get("value")).ifPresent(existingAppointment::setPatWardDesc);
                });
            });
 
            // 更新支付状态
            Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("zdy")).map(zdy -> {
                Object payStatus = zdy.get("PayStatus");
                if (payStatus != null) {
                    try {
                        return Integer.parseInt(payStatus.toString());
                    } catch (NumberFormatException e) {
                        log.warn("PayStatus转换失败: {}", payStatus);
                        return null;
                    }
                }
                return null;
            }).ifPresent(existingAppointment::setPaid);
            //设置检查类型
            String checkType = Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("component2")).map(component2 -> (Map<String, Object>) component2.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("code")).map(code -> (String) code.get("code")).orElseThrow(() -> exception(APPOINTMENT_CREATE_FAIL));
            if (checkType != null || checkType != "")
                existingAppointment.setBookCheckType(Integer.valueOf(HisCheckCodeEnum.getByCode(checkType.substring(1))));
 
            // 将AppointmentDO转换为AppointmentSaveReqVO并更新
            AppointmentSaveReqVO updateReqVO = BeanUtils.toBean(existingAppointment, AppointmentSaveReqVO.class);
            updateAppointment(updateReqVO);
        } catch (Exception e) {
            log.error("[handleAppointmentUpdate][申请单更新失败 dataMap({})]", dataMap, e);
            throw exception(APPOINTMENT_UPDATE_FAIL);
        }
    }
 
    @Override
    public void handleAppointmentStateUpdate(Map<String, Object> dataMap) {
        if (dataMap == null) {
            throw exception(APPOINTMENT_STATUS_UPDATE_FAIL);
        }
        // 从dataMap中提取申请单号
        String applyNo = Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("placerGroup")).map(placerGroup -> (Map<String, Object>) placerGroup.get("component2")).map(component2 -> (Map<String, Object>) component2.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("id")).map(id -> (Map<String, Object>) id.get("item")).map(item -> (String) item.get("extension")).orElseThrow(() -> exception(APPOINTMENT_CREATE_FAIL));
 
        // 查询现有预约记录
        AppointmentDO existingAppointment = appointmentMapper.getByApplyNo(applyNo);
 
        // 如果记录不存在,则调用handleAppointmentCreate进行新增
        if (existingAppointment == null) {
            handleAppointmentCreate(dataMap);
            return;
        }
 
 
        // 从dataMap中提取申请单号
        String status = Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("placerGroup")).map(placerGroup -> (Map<String, Object>) placerGroup.get("component2")).map(component2 -> (Map<String, Object>) component2.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("component1")).map(component1 -> (Map<String, Object>) component1.get("processStep")).map(processStep -> (Map<String, Object>) processStep.get("code")).map(code -> (Map<String, Object>) code.get("displayName")).map(displayName -> (String) displayName.get("value")).orElseThrow(() -> exception(APPOINTMENT_CREATE_FAIL));
 
        existingAppointment.setStatus(status);
        // 将AppointmentDO转换为AppointmentSaveReqVO并更新
        AppointmentSaveReqVO updateReqVO = BeanUtils.toBean(existingAppointment, AppointmentSaveReqVO.class);
        updateAppointment(updateReqVO);
    }
 
 
    /**
     * 从dataMap中提取encounter数据
     */
    private Map<String, Object> extractEncounter(Map<String, Object> dataMap) {
        return Optional.ofNullable(dataMap.get("controlActProcess")).map(controlActProcess -> (Map<String, Object>) controlActProcess).map(controlActProcess -> (Map<String, Object>) controlActProcess.get("subject")).map(subject -> (Map<String, Object>) subject.get("observationRequest")).map(observationRequest -> (Map<String, Object>) observationRequest.get("componentOf1")).map(componentOf1 -> (Map<String, Object>) componentOf1.get("encounter")).orElse(null);
    }
 
    @Override
    public void handleCheckAppointmentUpdate(Map<String, Object> dataMap) {
        // 从dataMap中获取controlActProcess
        Map<String, Object> controlActProcess = (Map<String, Object>) dataMap.get("controlActProcess");
        Map<String, Object> subject = (Map<String, Object>) controlActProcess.get("subject");
        Map<String, Object> actAppointment = (Map<String, Object>) subject.get("actAppointment");
 
        // 获取申请编号
        List<Map<String, Object>> referencedOrders = (List<Map<String, Object>>) actAppointment.get("referencedOrder");
        String applyNo = null;
        if (!CollectionUtils.isEmpty(referencedOrders)) {
            Map<String, Object> actOrder = (Map<String, Object>) referencedOrders.get(0).get("actOrder");
            Map<String, Object> id = (Map<String, Object>) actOrder.get("id");
            applyNo = (String) id.get("extension");
        }
 
        if (applyNo == null) {
            log.warn("[handleCheckAppointmentUpdate][未找到申请编号]");
            return;
        }
 
        // 根据applyNo查询预约记录
        AppointmentDO appointment = appointmentMapper.getByApplyNo(applyNo);
        if (appointment == null) {
            log.warn("[handleCheckAppointmentUpdate][未找到预约记录 applyNo({})]", applyNo);
            return;
        }
 
        // 获取预约时间
        Map<String, Object> effectiveTime = (Map<String, Object>) actAppointment.get("effectiveTime");
        Map<String, Object> any = (Map<String, Object>) effectiveTime.get("any");
        String bookTimeStr = (String) any.get("value");
 
        // 获取预约来源
        Map<String, Object> code = (Map<String, Object>) actAppointment.get("code");
        String bookSrc = (String) code.get("code");
 
        // 解析预约时间
        LocalDateTime bookTime = LocalDateTime.parse(bookTimeStr, DateTimeFormatter.ofPattern("yyyyMMddHHmmss"));
        LocalDate bookDate = bookTime.toLocalDate();
 
        // 获取时间段
        String timeRange = (String) ((Map<String, Object>) actAppointment.get("ZDY")).get("time");
        String[] time1 = timeRange.split(" ");
        String[] times = time1[1].split("-");
        String startTime = times[0].trim();
        String endTime = times[1].trim();
 
        // 转换时间段格式为hhmmhhmm
        int bookTimeslot = Integer.parseInt(startTime.replace(":", "")) * 10000 + Integer.parseInt(endTime.replace(":", ""));
 
        // 更新预约信息
        appointment.setBookDate(bookDate);
        appointment.setBookTimeslot(bookTimeslot);
        appointment.setBookTime(bookTime);
        appointment.setBookSrc(Integer.parseInt(bookSrc));
 
        // 保存更新
        appointmentMapper.updateById(appointment);
    }
 
    public AppointmentDO getByApplyNo(String applyNo) {
        return appointmentMapper.getByApplyNo(applyNo);
    }
}