处理患者再入院状态代码提交

liusheng

2026-09-28 138f31f7ed04842abca552dc8eaa912b3191e059

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

@@ -8,6 +8,7 @@
import com.ruoyi.common.core.domain.entity.SysUser;
import com.ruoyi.common.core.domain.entity.SysUserDept;
import com.ruoyi.common.core.domain.entity.SysUserRole;
import com.ruoyi.common.utils.DateUtils;
import com.ruoyi.common.utils.StringUtils;
import com.smartor.common.enums.EmergencyLevelEnum;
import com.smartor.common.enums.ImportFlagEnum;
@@ -85,6 +86,12 @@

    @Value("${spring.profiles.active}")
    private String active;
    @Autowired
    private ServiceSubtaskServiceImpl serviceSubtaskServiceImpl;
    @Autowired
    private ServiceSubtaskMapper serviceSubtaskMapper;
    @Autowired
    private PatMedInhospMapper patMedInhospMapper;

    @Override
    public List<ServiceSLTDInhospResDTO> queryHealthcareRecordList(ServiceSLTDInhospReqVO reqVO) {
@@ -709,6 +716,44 @@
                    queryInhosp.setInhospstate("1");
                    patMedInhospList = patMedInhospService.selectPatMedInhosp(queryInhosp);
                    if (CollectionUtils.isNotEmpty(patMedInhospList)) {
                        //如果不为空，则将入院时间进行更新
                        PatMedInhosp pmOut = patMedInhospList.get(0);
                        //本次入院数据（这里 existingInhosps 必为空，取 existingInhosps.get(0) 会下标越界）
                        PatMedInhosp pmIn = patMedInhosp;
                        pmOut.setStarttime(pmIn.getStarttime());
                        pmOut.setUpdateTime(new Date());
                        patMedInhospService.updatePatMedInhosp(pmOut);
                        //省立同德需要将开始日期与入院日期相等的任务，改成不执行
                        try {
                            if ("sltd".equals(active) && DateUtils.isSameDay(pmOut.getStarttime(), pmIn.getEndtime())) {
                                ServiceSubtask serviceSubtask = new ServiceSubtask();
                                serviceSubtask.setInhospid(pmOut.getInhospid());
                                serviceSubtask.setSendstate(4L);
                                serviceSubtaskMapper.updateServiceSubtaskByCondition(serviceSubtask);
                            }
                            //通过入院时间，和患者的编号去查一下出院时间，是否存在，如果存在，则该患者是再入院的，需要改成不执行
                            //出院时间只比较到天，不比较时分秒
                            if (pmIn.getStarttime() != null) {
                                Date dayStart = DateUtils.truncate(pmIn.getStarttime(), Calendar.DAY_OF_MONTH);
                                Date dayEnd = DateUtils.addDays(dayStart, 1);
                                List<PatMedInhosp> outInhosps = patMedInhospMapper.selectOutInhospByPatnoAndOutDate(
                                        StringUtils.trim(pmIn.getPatno()), dayStart, dayEnd);
                                if (CollectionUtils.isNotEmpty(outInhosps)) {
                                    //存在出院记录，说明该患者是再入院，把上一次出院产生的子任务改成不执行
                                    ServiceSubtask outSubtask = new ServiceSubtask();
                                    outSubtask.setInhospid(outInhosps.get(0).getInhospid());
                                    outSubtask.setSendstate(4L);
                                    outSubtask.setRemark("患者再入院");
                                    outSubtask.setUpdateTime(new Date());
                                    serviceSubtaskMapper.updateServiceSubtaskByCondition(outSubtask);
                                    log.info("患者再入院，将上次出院记录的子任务改为不执行：patno={}, 出院inhospid={}, 出院时间={}, 本次入院时间={}",
                                            pmIn.getPatno(), outInhosps.get(0).getInhospid(), outInhosps.get(0).getEndtime(), pmIn.getStarttime());
                                }
                            }

                        } catch (Exception e) {
                            log.error("将出院时间等于入院时间的inhospid的任务更新失败了, inhospid={}", pmOut.getInhospid(), e);
                        }
                        return;
                    }
                }