【丽水】病人出院记录查询慢问题处理

陈昶聿

昨天 0dffefa0ba7f38d54852b3c3f97158df236bfe34

 smartor/src/main/java/com/smartor/service/impl/ServiceExternalServiceImpl.java

@@ -1,21 +1,27 @@
package com.smartor.service.impl;

import cn.hutool.core.bean.BeanUtil;
import cn.hutool.json.JSON;
import cn.hutool.json.JSONUtil;
import com.google.gson.Gson;
import com.google.gson.reflect.TypeToken;
import com.ruoyi.common.core.domain.entity.SysDept;
import com.ruoyi.common.core.domain.entity.SysUser;
import com.ruoyi.common.core.domain.entity.SysUserDept;
import com.ruoyi.common.core.redis.RedisCache;
import com.ruoyi.common.exception.base.BaseException;
import com.ruoyi.common.utils.AesUtils;
import com.ruoyi.common.utils.DateUtils;
import com.ruoyi.common.utils.DtoConversionUtils;
import com.ruoyi.common.utils.StringUtils;
import com.ruoyi.common.utils.http.HttpUtils;
import com.smartor.domain.*;
import com.smartor.domain.entity.ServiceSubtaskEntity;
import com.smartor.mapper.*;
import com.smartor.service.IPatMedOuthospService;
import com.smartor.service.IServiceExternalService;
import lombok.extern.slf4j.Slf4j;
import netscape.javascript.JSObject;
import org.apache.commons.collections4.CollectionUtils;
import org.apache.commons.lang3.ObjectUtils;
import org.springframework.beans.factory.annotation.Autowired;
@@ -24,6 +30,8 @@
import org.springframework.stereotype.Service;
import org.springframework.transaction.annotation.Transactional;

import java.io.UnsupportedEncodingException;
import java.net.URLEncoder;
import java.text.ParseException;
import java.text.SimpleDateFormat;
import java.time.LocalDate;
@@ -154,7 +162,7 @@
        sysUser.setCampusid("1");
        //根据userName判断一下，是不是之前有新增
        SysUser sysUser1 = null;
        if(StringUtils.isEmpty(sysUser.getUserName()) || StringUtils.isEmpty(sysUser.getOrgid())){
        if (StringUtils.isEmpty(sysUser.getUserName()) || StringUtils.isEmpty(sysUser.getOrgid())) {
            return false;
        }
        List<SysUser> sysUserList = sysUserMapper.selectUserList(sysUser);
@@ -427,18 +435,23 @@
        Map yeWuXX = (Map) dataMap.get("YeWuXX");
        Map<String, Object> BingRenXX = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("BingRenXX") : null;
        Map<String, Object> RuKeXX = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("RuKeXX") : null;
        Map<String, Object> JiuZhenXX = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("JiuZhenXX") : null;

        List<HashMap<String, Object>> epai = ObjectUtils.isNotEmpty(yeWuXX) ? (List<HashMap<String, Object>>) BingRenXX.get("DiZhiXXList") : null;

        ExternalInHospPatientInfo externalInHospPatientInfo = BeanUtil.mapToBean(BingRenXX, ExternalInHospPatientInfo.class, true);
        ExternalInDeptPatientInfo externalInDeptPatientInfo = BeanUtil.mapToBean(RuKeXX, ExternalInDeptPatientInfo.class, true);

        ExternalInDeptPatientInfo externalJZInfo = BeanUtil.mapToBean(JiuZhenXX, ExternalInDeptPatientInfo.class, true);
        if(ObjectUtils.isNotEmpty(externalJZInfo)){
            externalInHospPatientInfo.setJingGuanYSID(externalJZInfo.getJingGuanYSID());
            externalInHospPatientInfo.setJingGuanYSXM(externalJZInfo.getJingGuanYSXM());
        }
        externalInHospPatientInfo.setZeRenHSID(externalInDeptPatientInfo.getZeRenHSID());
        externalInHospPatientInfo.setZeRenHSXM(externalInDeptPatientInfo.getZeRenHSXM());
        externalInHospPatientInfo.setZhuZhiYSID(externalInDeptPatientInfo.getZhuZhiYSID());
        externalInHospPatientInfo.setZhuZhiYSXM(externalInDeptPatientInfo.getZhuZhiYSXM());
        externalInHospPatientInfo.setRuYuanSJ(externalInDeptPatientInfo.getRuYuanSJ());
        externalInHospPatientInfo.setJingGuanYSID(externalInDeptPatientInfo.getJingGuanYSID());
        externalInHospPatientInfo.setJingGuanYSXM(externalInDeptPatientInfo.getJingGuanYSXM());
        externalInHospPatientInfo.setLianXiDH(ObjectUtils.isNotEmpty(BingRenXX.get("LianXiDH")) ? BingRenXX.get("LianXiDH").toString() : null);
        externalInHospPatientInfo.setDangQianCWID(ObjectUtils.isNotEmpty(BingRenXX.get("DangQianCWID")) ? BingRenXX.get("DangQianCWID").toString() : null);
        externalInHospPatientInfo.setDangQianCWMC(ObjectUtils.isNotEmpty(BingRenXX.get("DangQianCWMC")) ? BingRenXX.get("DangQianCWMC").toString() : null);
@@ -509,13 +522,20 @@
        Map yeWuXX = (Map) dataMap.get("YeWuXX");
        Map<String, Object> BingRenXX = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("BingRenXX") : null;
        Map<String, Object> ChuYuanJL = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("ChuYuanJL") : null;
        Map<String, Object> JiuZhenXX = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("JiuZhenXX") : null;
        List<HashMap<String, Object>> epai = ObjectUtils.isNotEmpty(BingRenXX) ? (List<HashMap<String, Object>>) BingRenXX.get("DiZhiXXList") : null;
        List<HashMap<String, Object>> epli = ObjectUtils.isNotEmpty(yeWuXX) ? (List<HashMap<String, Object>>) yeWuXX.get("LianXiRList") : null;
        Map<String, Object> SuiFangJH = ObjectUtils.isNotEmpty(ChuYuanJL) ? (Map<String, Object>) ChuYuanJL.get("SuiFangJH") : null;

        ExternalInHospPatientInfo externalInHospPatientInfo = BeanUtil.mapToBean(BingRenXX, ExternalInHospPatientInfo.class, true);
        ExternalInHospPatientAddrInfo externalInHospPatientAddrInfo = null;
        ExternalInHospPatientLiaisonInfo externalInHospPatientLiaisonInfo = null;

        //就诊信息
        ExternalInDeptPatientInfo externalJZInfo = BeanUtil.mapToBean(JiuZhenXX, ExternalInDeptPatientInfo.class, true);
        if(ObjectUtils.isNotEmpty(externalJZInfo)){
            externalInHospPatientInfo.setJingGuanYSID(externalJZInfo.getJingGuanYSID());
            externalInHospPatientInfo.setJingGuanYSXM(externalJZInfo.getJingGuanYSXM());
        }
        List<ExternalInHospPatientAddrInfo> epai2 = null;
        //死亡标记
        Boolean deathFlag = false;
@@ -553,9 +573,9 @@
        if (CollectionUtils.isNotEmpty(epli)) externalInHospPatientLiaisonInfo = epli2.get(0);
        List<HashMap<String, Object>> bingRenKZXXList = ObjectUtils.isNotEmpty(yeWuXX) ? (List<HashMap<String, Object>>) yeWuXX.get("BingRenKZXXList") : null;
        if (CollectionUtils.isNotEmpty(bingRenKZXXList)) {
            for(HashMap<String, Object> bingRenKZXX : bingRenKZXXList){
            for (HashMap<String, Object> bingRenKZXX : bingRenKZXXList) {
                String XiangMuDM = ObjectUtils.isNotEmpty(bingRenKZXX.get("XiangMuDM")) ? bingRenKZXX.get("XiangMuDM").toString() : null;
                if(StringUtils.isNotEmpty(XiangMuDM) && XiangMuDM.equals("DuanHaoXX")){
                if (StringUtils.isNotEmpty(XiangMuDM) && XiangMuDM.equals("DuanHaoXX")) {
                    externalInHospPatientInfo.setDuanHaoXX(ObjectUtils.isNotEmpty(bingRenKZXX.get("XiangMuZMC")) ? bingRenKZXX.get("XiangMuZMC").toString() : null);
                    break;
                }
@@ -574,7 +594,6 @@
            String tagname = patMedInhospMapper.getTagnameBypatid(patMedInhosp1.getPatid());
            patMedInhosp1.setTagname(tagname);
        }
        Map<String, Object> JiuZhenXX = ObjectUtils.isNotEmpty(yeWuXX) ? (Map<String, Object>) yeWuXX.get("JiuZhenXX") : null;
        PatMedInhosp patMedInhosp1 = new PatMedInhosp();
        if (CollectionUtils.isNotEmpty(patMedInhospList)) patMedInhosp1 = patMedInhospList.get(0);
        patMedInhosp1.setSchemestatus(2L);
@@ -591,6 +610,9 @@
            patMedInhosp1.setNurseName(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZeRenHSXM")) ? JiuZhenXX.get("ZeRenHSXM").toString() : null);
            patMedInhosp1.setNurseId(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZeRenHSID")) ? JiuZhenXX.get("ZeRenHSID").toString() : null);
            patMedInhosp1.setBedNo(ObjectUtils.isNotEmpty(JiuZhenXX.get("DangQianCWMC")) ? JiuZhenXX.get("DangQianCWMC").toString() : null);

            patMedInhosp1.setManagementDoctorCode(ObjectUtils.isNotEmpty(JiuZhenXX.get("JingGuanYSID")) ? JiuZhenXX.get("JingGuanYSID").toString() : null);
            patMedInhosp1.setManagementDoctor(ObjectUtils.isNotEmpty(JiuZhenXX.get("JingGuanYSXM")) ? JiuZhenXX.get("JingGuanYSXM").toString() : null);

            //离院方式代码 1-医瞩离院 2-医嘱转院 3-医嘱转社区卫生服务机构/乡镇卫生院
            // 4-非医嘱离院 5-死亡 9-其他 10-介入室 20-手术室
@@ -610,7 +632,7 @@
        patMedInhosp1.setDeptcode(externalInHospPatientInfo.getDangQianKSID());

        if (ObjectUtils.isNotEmpty(SuiFangJH)) {
            patMedInhosp1.setFuflag(ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangBS")) ? SuiFangJH.get("SuiFangBS").toString() : null);
            patMedInhosp1.setFuflag(ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangBS")) ? SuiFangJH.get("SuiFangBS").toString() : "1");
            if (ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangRQ"))) {
                try {
                    SimpleDateFormat simpleDateFormat = new SimpleDateFormat("yyyy-MM-dd HH:mm:ss");
@@ -644,9 +666,10 @@
        patMedInhosp1.setInhospstate("1");
        if (deathFlag) {
            //病人死亡无须随访
            patMedInhosp1.setFuflag("1");
            patMedInhosp1.setFuflag("0");
            //更新病人 notrequiredFlag
            patArchive.setNotrequiredFlag("1");
            patArchive.setNotrequiredreason("患者已离世");
            patArchiveMapper.updatePatArchive(patArchive);
            //对已经生成的随访任务进行处理
            ServiceSubtaskEntity serviceSubtaskVO = new ServiceSubtaskEntity();
@@ -654,8 +677,8 @@
            serviceSubtaskVO.setSendstate(2L);
            List<ServiceSubtask> serviceSubtaskList = serviceSubtaskMapper.selectServiceSubtaskList(serviceSubtaskVO);
            for (ServiceSubtask serviceSubtask : serviceSubtaskList) {
                serviceSubtask.setSendstate(6L);
                serviceSubtask.setRemark(serviceSubtask.getRemark() + ";病人已死亡，不随访");
                serviceSubtask.setSendstate(4L);
                serviceSubtask.setRemark(serviceSubtask.getRemark() + ";患者已离世，不随访");
                serviceSubtaskMapper.updateServiceSubtask(serviceSubtask);
            }
        }
@@ -666,7 +689,7 @@
            patMedInhosp1.setCampusid("1");
            if (CollectionUtils.isNotEmpty(noLongTask) && noLongTask.contains(patMedInhosp1.getOrgid())) {
                //不需要长期任务随访
                patMedInhosp1.setFuflag("1");
                patMedInhosp1.setFuflag("0");
            }
            int i = patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
            if (i != 1) return false;
@@ -689,7 +712,7 @@
            patMedInhosp1.setCreateTime(new Date());
            if (CollectionUtils.isNotEmpty(noLongTask) && noLongTask.contains(patMedInhosp1.getOrgid())) {
                //不需要长期任务随访
                patMedInhosp1.setFuflag("1");
                patMedInhosp1.setFuflag("0");
            }

            int i = patMedInhospMapper.insertPatMedInhosp(patMedInhosp1);
@@ -768,7 +791,7 @@
        patMedInhosp1.setDeptcode(externalInHospPatientInfo.getDangQianKSID());

        if (ObjectUtils.isNotEmpty(SuiFangJH)) {
            patMedInhosp1.setFuflag(ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangBS")) ? SuiFangJH.get("SuiFangBS").toString() : null);
            patMedInhosp1.setFuflag(ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangBS")) ? SuiFangJH.get("SuiFangBS").toString() : "1");
            if (ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangRQ"))) {
                try {
                    SimpleDateFormat simpleDateFormat = new SimpleDateFormat("yyyy-MM-dd HH:mm:ss");
@@ -811,7 +834,7 @@
            patMedInhosp1.setOrgid(ObjectUtils.isNotEmpty(BingRenXX) && ObjectUtils.isNotEmpty(BingRenXX.get("ZuZhiJGID")) ? BingRenXX.get("ZuZhiJGID").toString() : null);
            if (CollectionUtils.isNotEmpty(noLongTask) && noLongTask.contains(patMedInhosp1.getOrgid())) {
                //不需要长期任务随访
                patMedInhosp1.setFuflag("1");
                patMedInhosp1.setFuflag("0");
            }
            int i = patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
            if (i != 1) return false;
@@ -834,7 +857,7 @@
            patMedInhosp1.setCreateTime(new Date());
            if (CollectionUtils.isNotEmpty(noLongTask) && noLongTask.contains(patMedInhosp1.getOrgid())) {
                //不需要长期任务随访
                patMedInhosp1.setFuflag("1");
                patMedInhosp1.setFuflag("0");
            }
            int i = patMedInhospMapper.insertPatMedInhosp(patMedInhosp1);
            if (i != 1) return false;
@@ -973,6 +996,9 @@
            patMedInhosp1.setNurseName(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZeRenHSXM")) ? JiuZhenXX.get("ZeRenHSXM").toString() : null);
            patMedInhosp1.setNurseId(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZeRenHSID")) ? JiuZhenXX.get("ZeRenHSID").toString() : null);
            patMedInhosp1.setBedNo(ObjectUtils.isNotEmpty(JiuZhenXX.get("DangQianCWMC")) ? JiuZhenXX.get("DangQianCWMC").toString() : null);

            patMedInhosp1.setManagementDoctorCode(ObjectUtils.isNotEmpty(JiuZhenXX.get("JingGuanYSID")) ? JiuZhenXX.get("JingGuanYSID").toString() : null);
            patMedInhosp1.setManagementDoctor(ObjectUtils.isNotEmpty(JiuZhenXX.get("JingGuanYSXM")) ? JiuZhenXX.get("JingGuanYSXM").toString() : null);
        }
        patMedInhosp1.setUpdateTime(new Date());
        patMedInhosp1.setTelcode(patArchive.getTelcode());
@@ -984,7 +1010,7 @@
        patMedInhosp1.setDeptcode(externalInHospPatientInfo.getDangQianKSID());

        if (ObjectUtils.isNotEmpty(SuiFangJH)) {
            patMedInhosp1.setFuflag(ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangBS")) ? SuiFangJH.get("SuiFangBS").toString() : null);
            patMedInhosp1.setFuflag(ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangBS")) ? SuiFangJH.get("SuiFangBS").toString() : "1");
            if (ObjectUtils.isNotEmpty(SuiFangJH.get("SuiFangRQ"))) {
                try {
                    SimpleDateFormat simpleDateFormat = new SimpleDateFormat("yyyy-MM-dd HH:mm:ss");
@@ -1041,6 +1067,13 @@
            int i = patMedInhospMapper.insertPatMedInhosp(patMedInhosp1);
            if (i != 1) return false;
        }

        //离院方式代码 1-医瞩离院 2-医嘱转院 3-医嘱转社区卫生服务机构/乡镇卫生院
        // 4-非医嘱离院 5-死亡 9-其他 10-介入室 20-手术室
        String liYuanQxdm = ObjectUtils.isNotEmpty(JiuZhenXX.get("LiYuanQXDM")) ? JiuZhenXX.get("LiYuanQXDM").toString() : null;
        if (ObjectUtils.isNotEmpty(liYuanQxdm) && ("5").equals(liYuanQxdm)) {
            deathPatProcess(liYuanQxdm,patMedInhosp1);
        }
        return true;
    }

@@ -1082,6 +1115,13 @@
                } catch (ParseException e) {
                    e.printStackTrace();
                }
            }

            //离院方式代码 1-医瞩离院 2-医嘱转院 3-医嘱转社区卫生服务机构/乡镇卫生院
            // 4-非医嘱离院 5-死亡 9-其他 10-介入室 20-手术室
            String liYuanQxdm = ObjectUtils.isNotEmpty(JiuZhenXX.get("LiYuanQXDM")) ? JiuZhenXX.get("LiYuanQXDM").toString() : null;
            if (ObjectUtils.isNotEmpty(liYuanQxdm) && ("5").equals(liYuanQxdm)) {
                deathPatProcess(liYuanQxdm,patMedInhosp1);
            }
            return true;
        } else {
@@ -1174,7 +1214,7 @@
                patMedOuthosp.setDrcode(externalDiagnosisInfo.getZhenDuanYSID());
                patMedOuthosp.setDrname(externalDiagnosisInfo.getZhenDuanYSXM());
                patMedOuthosp.setIcd10code(externalDiagnosisInfo.getIcd10());
                patMedOuthosp.setFuflag("0");
                patMedOuthosp.setFuflag("1");
            }
        }
        for (ExternalWZInfo externalWZInfo : ExternalWZInfoList) {
@@ -1191,7 +1231,7 @@
            patMedOuthosp.setUpdateTime(new Date());
            if (CollectionUtils.isNotEmpty(noLongTask) && noLongTask.contains(patMedOuthosp.getOrgid())) {
                //不需要长期任务随访，由医生自己去随访（丽水中医院首次提出）
                patMedOuthosp.setFuflag("1");
                patMedOuthosp.setFuflag("0");
            }
            i = patMedOuthospService.updatePatMedOuthosp(patMedOuthosp);
        } else {
@@ -1199,7 +1239,7 @@
            patMedOuthosp.setUpdateTime(new Date());
            if (CollectionUtils.isNotEmpty(noLongTask) && noLongTask.contains(patMedOuthosp.getOrgid())) {
                //不需要长期任务随访
                patMedOuthosp.setFuflag("1");
                patMedOuthosp.setFuflag("0");
            }
            i = patMedOuthospService.insertPatMedOuthosp(patMedOuthosp);

@@ -1414,7 +1454,7 @@
            Boolean addMianTableFalg = true;
            for (ExternalOperationDetail externalOperationDetail : externalOperationDetails) {
                PatMedOperationItem patMedOperationItem = new PatMedOperationItem();
                patMedOperationItem.setOpid(patMedOperation.getId());
                patMedOperationItem.setOpid(patMedOperation.getOpid());
                patMedOperationItem.setOpcode(externalOperationDetail.getShouShuMCID());
                patMedOperationItem.setOpdesc(externalOperationDetail.getShouShuMC());
                patMedOperationItem.setMainFlag(externalOperationDetail.getZhuShouSBZ());
@@ -1854,6 +1894,22 @@
        return true;
    }

    @Override
    public Map<String, Object> query360PatInfolwl(Long patid, SysUser sysUser) {
        PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patid);
        Map<String, String> headers = buildRequestHeaders();
        Map<String, Object> requestParams = buildRequestParams(sysUser,patArchive);
        String result = HttpUtils.sendPostByHeader("http://cfdata.nhyfy.cn/kapi/hbos-h360/open/getNoLoginUrl", new Gson().toJson(requestParams), headers);
        log.info("============result的值为：{}",result);
        Gson gson = new Gson();
        Map<String, Object> map = null;
        if (result != null) {
            map = gson.fromJson(result, new TypeToken<Map<String, Object>>() {
            }.getType());
        }
        return map;
    }

    private Boolean getType(String type, Map dataMap) {
        switch (type) {
            case "BR_DA_DangAnJL":
@@ -2030,4 +2086,76 @@
        return ageMap;
    }


    private Map<String, String> buildRequestHeaders() {
        Map<String, String> headers = new HashMap<>();
        headers.put("Content-Type", "application/json");
        headers.put("app-key", "ak-0p5Qi0J1I4AL67ztEYQL1j9v");
        return headers;
    }

    private Map<String, Object> buildRequestParams(SysUser sysUser,PatArchive patArchive) {
        Map<String, Object> requestParams = new HashMap<>();
        requestParams.put("key",  sysUser.getUserName());
        requestParams.put("windowOpen", false);
        requestParams.put("isShowHeader", false);
        requestParams.put("encode", 1);

        Map<String, Object> params = new HashMap<>();
        //病历号
        params.put("patientMainIndexNum", patArchive.getPatientno());
        params.put("sourceSystem", "pacs");
        params.put("workId", sysUser.getUserName());
        params.put("workName", sysUser.getNickName());
        params.put("hisDepName", sysUser.getDeptName());
        params.put("hisDepCode", sysUser.getDeptCode());
        params.put("hisOrgName", "南华大学附属第一医院");
        params.put("hisOrgCode", "20001001");
        params.put("hisHosName", "南华大学附属第一医院");
        params.put("hisHosCode", "30001002");
        requestParams.put("params", params);
        return requestParams;
    }

    /**
     * 死亡患者处理
     * @param liYuanQxdm
     * @param patMedInhosp
     * @return
     */
    private int deathPatProcess(String liYuanQxdm, PatMedInhosp patMedInhosp){
        //死亡标记
        Boolean deathFlag = false;
        //判断病人是否死亡
        if (ObjectUtils.isNotEmpty(liYuanQxdm) && ("5").equals(liYuanQxdm)) {
            deathFlag = true;
        }
        PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp.getPatid());
        if(ObjectUtils.isNotEmpty(patArchive)) {
            patMedInhosp.setInhospstate("1");
            if (deathFlag) {
                //病人死亡无须随访
                patMedInhosp.setFuflag("0");
                //更新病人 notrequiredFlag
                patArchive.setNotrequiredFlag("1");
                patArchive.setNotrequiredreason("患者已离世");
                patArchiveMapper.updatePatArchive(patArchive);
                //对已经生成的随访任务进行处理
                ServiceSubtaskEntity serviceSubtaskVO = new ServiceSubtaskEntity();
                serviceSubtaskVO.setPatid(patArchive.getId());
                serviceSubtaskVO.setSendstate(2L);
                List<ServiceSubtask> serviceSubtaskList = serviceSubtaskMapper.selectServiceSubtaskList(serviceSubtaskVO);
                for (ServiceSubtask serviceSubtask : serviceSubtaskList) {
                    serviceSubtask.setSendstate(4L);
                    serviceSubtask.setRemark(serviceSubtask.getRemark() + ";患者已离世，不随访");
                    serviceSubtaskMapper.updateServiceSubtask(serviceSubtask);
                }
            } else {
                return 0;
            }
        }else {
            return -1;
        }
        return 1;
    }
}