Merge branch 'master' into master-手术随访

陈昶聿

6 天以前 586a386b2d779e94002c8099ff62271b0e684d88

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

@@ -4,11 +4,13 @@
import com.fasterxml.jackson.core.type.TypeReference;
import com.fasterxml.jackson.databind.ObjectMapper;
import com.ruoyi.common.core.domain.entity.SysDept;
import com.ruoyi.common.core.service.IConfigService;
import com.ruoyi.common.utils.DateUtils;
import com.ruoyi.common.utils.DtoConversionUtils;
import com.ruoyi.common.utils.SecurityUtils;
import com.ruoyi.common.utils.StringUtils;
import com.smartor.domain.*;
import com.smartor.domain.entity.ServiceSubtaskEntity;
import com.smartor.mapper.*;
import com.smartor.service.IPatMedInhospService;
import lombok.extern.slf4j.Slf4j;
@@ -40,6 +42,8 @@
    @Autowired
    private ServiceTaskdiagMapper serviceTaskdiagMapper;
    @Autowired
    private ServiceTaskoperMapper serviceTaskoperMapper;
    @Autowired
    private PatArchiveMapper patArchiveMapper;
    @Autowired
    private PatArchiveImportMapper patArchiveImportMapper;
@@ -49,8 +53,15 @@
    private ServiceSubtaskMapper serviceSubtaskMapper;
    @Autowired
    private ServiceSubtaskPreachformMapper serviceSubtaskPreachformMapper;
    @Autowired
    private PatMedOperationMapper patMedOperationMapper;
    @Autowired
    private PatMedOperationItemMapper patMedOperationItemMapper;

    @Value("${spring.profiles.active}")
    private String active;
    @Autowired
    private IConfigService iSysConfigService;


    /**
@@ -77,6 +88,16 @@
     */
    @Override
    public List<PatMedInhosp> selectPatMedInhospList(PatMedInhosp patMedInhosp) {
        if (patMedInhosp.getCry() == 0) {
            patMedInhosp.setDeptcodeList(patMedInhosp.getLeaveldeptcodes());
            patMedInhosp.setHospitaldistrictcodeList(patMedInhosp.getLeavehospitaldistrictcodes());
            patMedInhosp.setLeaveldeptcodes(null);
            patMedInhosp.setLeavehospitaldistrictcodes(null);
            patMedInhosp.setInhospstate("0");
        } else if (patMedInhosp.getCry() == 1) {
            patMedInhosp.setInhospstate("1");
        }

        List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhosp);
        for (PatMedInhosp patMedInhosp1 : patMedInhospList) {
            String tagname = patMedInhospMapper.getTagnameBypatid(patMedInhosp1.getPatid());
@@ -138,16 +159,6 @@
    public PatMedRes selectPatMedInhospListCount(PatMedReq patMedReq) {
        PatMedRes patMedRes = null;
        // 获取当前登陆人的部门权限
        if (org.springframework.util.CollectionUtils.isEmpty(patMedReq.getDeptcodeList())) {
//            Long userId = SecurityUtils.getUserId();
//            List<SysDept> sysDepts = sysUserDeptMapper.selectDeptListByUserId(userId);
//            List<String> deptCode = new ArrayList<>();
//            for (SysDept sysDept : sysDepts) {
//                deptCode.add(sysDept.getDeptId().toString());
//            }
//            patMedReq.setDeptcodeList(deptCode);
//            patMedRes = patMedInhospMapper.selectPatMedInhospCount(patMedReq);
        }
        patMedRes = patMedInhospMapper.selectPatMedInhospCount(patMedReq);
        return patMedRes;
    }
@@ -212,7 +223,91 @@

    @Override
    public int dealOutHospInfo(String config) {
        //1.入院宣教
        String helibrarySwitch = iSysConfigService.selectConfigByKey("in.helibrary.switch");
        if (StringUtils.isNotEmpty(helibrarySwitch) && "2".equals(helibrarySwitch)) {
            PatMedInhosp inhosp = new PatMedInhosp();
            inhosp.setInDeptcheckFlag("0");
            inhosp.setInhospstate("0");
            inhosp.setFuflag("1");
            List<PatMedInhosp> inPatMedInhosps = patMedInhospMapper.selectPatMedInhospList(inhosp);

            //1.1 科室
            for (PatMedInhosp patMedInhosp1 : inPatMedInhosps) {
                //获取患者信息
                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp1.getPatid());
                if (Objects.isNull(patArchive)) {
                    patMedInhosp1.setInDeptcheckFlag("2");
                    patMedInhosp1.setLongTaskReason("患者基本信息为空");
                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                    continue;
                }
                try {
                    //根据患者所在科室，获取该科室的入院长期宣教任务
                    ServiceTaskdept serviceTaskdept = new ServiceTaskdept();
                    serviceTaskdept.setLongtask(1L);
                    serviceTaskdept.setDeptCode(patMedInhosp1.getDeptcode());
                    serviceTaskdept.setDeptType("1");
                    serviceTaskdept.setServiceType("17");
                    serviceTaskdept.setOrgid(patMedInhosp1.getOrgid());
                    List<ServiceTaskdept> serviceTaskdepts = serviceTaskdeptMapper.selectServiceTaskdeptList(serviceTaskdept);
                    //如果部门模板为空（将deptIsNull设置为true）
                    if (CollectionUtils.isEmpty(serviceTaskdepts) || serviceTaskdepts.size() == 0) {
                        PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(patMedInhosp1.getInhospid());
                        patMedInhosp1.setInDeptcheckFlag("2");
                        patMedInhosp1.setLongTaskReason(StringUtils.isNotEmpty(patMedInhosp.getLongTaskReason()) ? patMedInhosp.getLongTaskReason() + "该患者所在科室未配置入院长期宣教任务;" : "该患者所在科室未配置入院长期宣教任务;");
                        patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                    } else {
                        for (ServiceTaskdept serviceTaskdept1 : serviceTaskdepts) {
                            writeInSubTask(serviceTaskdept1.getTaskId(), true, patMedInhosp1, patArchive, 4, config);
                        }
                    }

                } catch (Exception e) {
                    log.error("人员入院科室处理出异常了：{}", e.getMessage());
                    patMedInhosp1.setInDeptcheckFlag("2");
                    patMedInhosp1.setLongTaskReason("人员入院科室处理出异常了：" + e.getMessage());
                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                }
            }


            //1.2 病区
            inhosp.setInDeptcheckFlag(null);
            inhosp.setInWardcheckFlag("0");
            List<PatMedInhosp> inPatMedInhospsWard = patMedInhospMapper.selectPatMedInhospList(inhosp);
            for (PatMedInhosp patMedInhosp1 : inPatMedInhospsWard) {
                //获取患者信息
                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp1.getPatid());
                if (Objects.isNull(patArchive)) {
                    patMedInhosp1.setInDeptcheckFlag("2");
                    patMedInhosp1.setLongTaskReason("患者基本信息为空");
                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                    continue;
                }
                //根据患者所在病区，获取该病区的入院长期宣教任务（会出现一个问题，科室和病区发的同一个模板）
                ServiceTaskdept serviceTaskWard = new ServiceTaskdept();
                serviceTaskWard.setLongtask(1L);
                serviceTaskWard.setDeptCode(patMedInhosp1.getHospitaldistrictcode());
                serviceTaskWard.setDeptType("2");
                serviceTaskWard.setServiceType("17");
                serviceTaskWard.setOrgid(patMedInhosp1.getOrgid());
                List<ServiceTaskdept> serviceTaskWardList = serviceTaskdeptMapper.selectServiceTaskdeptList(serviceTaskWard);
                //如果部门模板为空（将deptIsNull设置为true）
                if (CollectionUtils.isEmpty(serviceTaskWardList) || serviceTaskWardList.size() == 0) {
                    PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(patMedInhosp1.getInhospid());
                    patMedInhosp1.setInDeptcheckFlag("2");
                    patMedInhosp1.setLongTaskReason(patMedInhosp.getLongTaskReason() + "该患者所在病区未配置入院长期宣教任务;");
                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                } else {
                    for (ServiceTaskdept serviceTaskdept1 : serviceTaskWardList) {
                        writeInSubTask(serviceTaskdept1.getTaskId(), true, patMedInhosp1, patArchive, 5, config);
                    }
                }
            }
        }

        //2.出院随访
        PatMedInhosp pmks = new PatMedInhosp();
        //获取需要出院部门随访，未处理的数据
        pmks.setDeptcheckFlag("0");
@@ -241,20 +336,21 @@
                serviceTaskdept.setLongtask(1L);
                serviceTaskdept.setDeptCode(patMedInhosp1.getLeaveldeptcode());
                serviceTaskdept.setDeptType("1");
                serviceTaskdept.setServiceType("2");
                serviceTaskdept.setOrgid(patMedInhosp1.getOrgid());
                List<ServiceTaskdept> serviceTaskdepts = serviceTaskdeptMapper.selectServiceTaskdeptList(serviceTaskdept);
                //如果部门模板为空（将deptIsNull设置为true）
                if (CollectionUtils.isEmpty(serviceTaskdepts) || serviceTaskdepts.size() == 0) {
                    PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(patMedInhosp1.getInhospid());
                    patMedInhosp1.setDeptcheckFlag("2");
                    patMedInhosp1.setLongTaskReason(patMedInhosp.getLongTaskReason() + "该患者所在科室未配置长期任务;");
                    patMedInhosp1.setLongTaskReason(patMedInhosp.getLongTaskReason() + "该患者所在科室未配置离院长期任务;");
                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                } else {
                    for (ServiceTaskdept serviceTaskdept1 : serviceTaskdepts) {
                        writeInSubTask(serviceTaskdept1.getTaskId(), true, patMedInhosp1, patArchive, 1, config);
                    }
                    patMedInhosp1.setDeptcheckFlag("1");
                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
//                    patMedInhosp1.setDeptcheckFlag("1");
//                    patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
                }

            } catch (Exception e) {
@@ -291,24 +387,34 @@
                    continue;
                }
                try {
                    ServiceTaskdept serviceTaskdept = new ServiceTaskdept();
                    serviceTaskdept.setLongtask(1L);
                    serviceTaskdept.setDeptCode(pmiBQ1.getLeavehospitaldistrictcode());
                    serviceTaskdept.setDeptType("2");
                    serviceTaskdept.setOrgid(pmiBQ1.getOrgid());
                    List<ServiceTaskdept> serviceTaskdeptList = serviceTaskdeptMapper.selectServiceTaskdeptList(serviceTaskdept);
                    String errorreason = null;
                    List<ServiceTaskdept> serviceTaskdeptList = null;
                    if (!StringUtils.isEmpty(pmiBQ1.getLeavehospitaldistrictcode())) {
                        ServiceTaskdept serviceTaskdept = new ServiceTaskdept();
                        serviceTaskdept.setLongtask(1L);
                        serviceTaskdept.setDeptCode(pmiBQ1.getLeavehospitaldistrictcode());
                        serviceTaskdept.setDeptType("2");
                        serviceTaskdept.setServiceType("2");
                        serviceTaskdept.setOrgid(pmiBQ1.getOrgid());
                        serviceTaskdeptList = serviceTaskdeptMapper.selectServiceTaskdeptList(serviceTaskdept);
                        if (CollectionUtils.isEmpty(serviceTaskdeptList)) {
                            errorreason = "该患者所在病区未配置长期任务;";
                        }
                    } else {
                        errorreason = "离院病区为空;";
                    }
                    //如果部门模板为空（将deptIsNull设置为true）
                    if (CollectionUtils.isEmpty(serviceTaskdeptList) || serviceTaskdeptList.size() == 0) {
                    if (StringUtils.isNotEmpty(errorreason)) {
                        PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(pmiBQ1.getInhospid());
                        pmiBQ1.setWardcheckFlag("2");
                        pmiBQ1.setLongTaskReason(patMedInhosp.getLongTaskReason() + "该患者所在病区未配置长期任务;");
                        pmiBQ1.setLongTaskReason(StringUtils.isNotEmpty(patMedInhosp.getLongTaskReason()) ? patMedInhosp.getLongTaskReason() + errorreason : errorreason);
                        patMedInhospMapper.updatePatMedInhosp(pmiBQ1);
                    } else {
                        for (ServiceTaskdept serviceTaskdept1 : serviceTaskdeptList) {
                            writeInSubTask(serviceTaskdept1.getTaskId(), true, pmiBQ1, patArchive, 2, config);
                        }
                        pmiBQ1.setWardcheckFlag("1");
                        patMedInhospMapper.updatePatMedInhosp(pmiBQ1);
//                        pmiBQ1.setWardcheckFlag("1");
//                        patMedInhospMapper.updatePatMedInhosp(pmiBQ1);
                    }


@@ -343,28 +449,47 @@
                    continue;
                }
                try {
                    String errorIcd = null;
                    if (StringUtils.isEmpty(pmiJB.getLeaveicd10code())) {
                        continue;
                    }
                    // 根据患者的疾病，获取该疾病的长期任务
                    ServiceTaskdiag serviceTaskdiag = new ServiceTaskdiag();
                    serviceTaskdiag.setLongtask(1L);
                    serviceTaskdiag.setIcd10code(pmiJB.getLeaveicd10code());
                    serviceTaskdiag.setServiceType("2");
                    if (active.equals("nhfy")) {
                        //南华附一的icd10code有重复，所以用主诊断名称去查询
                        serviceTaskdiag.setIcd10name(pmiJB.getLeavediagname());
                        if (StringUtils.isEmpty(pmiJB.getLeavediagname())) {
                            errorIcd = "该患者主诊断名称为空;";
                        }
                    } else {
                        serviceTaskdiag.setIcd10code(pmiJB.getLeaveicd10code());
                        if (StringUtils.isEmpty(pmiJB.getLeaveicd10code())) {
                            errorIcd = "该患者主诊断ICD10码为空;";
                        }
                    }
                    serviceTaskdiag.setOrgid(pmiJB.getOrgid());

                    List<ServiceTaskdiag> serviceTaskdiags = serviceTaskdiagMapper.selectServiceTaskdiagList(serviceTaskdiag);

                    //如果部门模板为空（将deptIsNull设置为true）
                    if (CollectionUtils.isEmpty(serviceTaskdiags) || serviceTaskdiags.size() == 0) {
                    if (StringUtils.isNotEmpty(errorIcd)) {
                        PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(pmiJB.getInhospid());
                        pmiJB.setDiagcheckFlag("2");
                        pmiJB.setLongTaskReason(patMedInhosp.getLongTaskReason() + "所患的疾病未配置长期任务;");
                        pmiJB.setLongTaskReason(StringUtils.isNotEmpty(patMedInhosp.getLongTaskReason()) ? patMedInhosp.getLongTaskReason() + errorIcd : errorIcd);
                        patMedInhospMapper.updatePatMedInhosp(pmiJB);
                    } else if (CollectionUtils.isEmpty(serviceTaskdiags)) {
                        errorIcd = "该患者所在病区未配置长期任务;";
                        PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(pmiJB.getInhospid());
                        pmiJB.setDiagcheckFlag("2");
                        pmiJB.setLongTaskReason(StringUtils.isNotEmpty(patMedInhosp.getLongTaskReason()) ? patMedInhosp.getLongTaskReason() + errorIcd : errorIcd);
                        patMedInhospMapper.updatePatMedInhosp(pmiJB);
                    } else {
                        for (ServiceTaskdiag serviceTaskdept1 : serviceTaskdiags) {
                            writeInSubTask(serviceTaskdept1.getTaskId(), true, pmiJB, patArchive, 3, config);
                        }
                        pmiJB.setDiagcheckFlag("1");
                        patMedInhospMapper.updatePatMedInhosp(pmiJB);
//                        pmiJB.setDiagcheckFlag("1");
//                        patMedInhospMapper.updatePatMedInhosp(pmiJB);
                    }

                } catch (Exception e) {
@@ -373,6 +498,102 @@
                    pmiJB.setDiagcheckFlag("2");
                    pmiJB.setLongTaskReason("人员疾病处理异常：" + e.getMessage());
                    patMedInhospMapper.updatePatMedInhosp(pmiJB);
                }
            }
//            手术随访
//            PatMedInhosp pmss = new PatMedInhosp();
//            //获取需要出院疾病随访，未处理的数据
//            pmss.setOpercheckFlag("0");
//            pmss.setInhospstate("1");
//            pmss.setFuflag("1");
//            List<PatMedInhosp> patMedInhospSSs = patMedInhospMapper.selectPatMedInhospList(pmss);
//            log.info("dealOutHospInfo需要处理的出院疾病患者信息：{}", CollectionUtils.isNotEmpty(patMedInhospSSs) ? patMedInhospSSs.size() : null);
//            for (PatMedInhosp patMedInhosp1 : patMedInhospSSs) {
//                String tagname = patMedInhospMapper.getTagnameBypatid(patMedInhosp1.getPatid());
//                patMedInhosp1.setTagname(tagname);
//            }
//
//            for (PatMedInhosp pmiSS : patMedInhospSSs) {
//                //获取患者信息
//                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(pmiSS.getPatid());
//                if (Objects.isNull(patArchive)) {
//                    pmiSS.setDiagcheckFlag("2");
//                    pmiSS.setLongTaskReason("患者基本信息为空");
//                    patMedInhospMapper.updatePatMedInhosp(pmiSS);
//                    continue;
//                }
//                try {
////                    if (StringUtils.isEmpty(pmiSS.getLeaveicd10code())) {
////                        continue;
////                    }
//                    // 根据患者的疾病，获取该疾病的长期任务
//                    ServiceTaskoper serviceTaskoper = new ServiceTaskoper();
//                    serviceTaskoper.setLongtask(1L);
//                    serviceTaskoper.setOrgid(pmiSS.getOrgid());
//                    //todo
//                    serviceTaskoper.setOplevelcode("");
//
//                    List<ServiceTaskoper> serviceTaskopers = serviceTaskoperMapper.selectServiceTaskoperList(serviceTaskoper);
//                    //如果部门模板为空（将deptIsNull设置为true）
//                    if (CollectionUtils.isEmpty(serviceTaskopers) || serviceTaskopers.size() == 0) {
//                        PatMedInhosp patMedInhosp = patMedInhospMapper.selectPatMedInhospByInhospid(pmiSS.getInhospid());
//                        pmiSS.setOpercheckFlag("2");
//                        pmiSS.setLongTaskReason(patMedInhosp.getLongTaskReason() + "所患的手术未配置长期任务;");
//                        patMedInhospMapper.updatePatMedInhosp(pmiSS);
//                    } else {
//                        for (ServiceTaskoper serviceTaskoper1 : serviceTaskopers) {
//                            writeInSubTask(serviceTaskoper1.getTaskId(), true, pmiSS, patArchive, 3, config);
//                        }
//                    }
//
//                } catch (Exception e) {
//                    e.printStackTrace();
//                    log.error("人员手术处理出异常了：{}", e.getMessage());
//                    pmiSS.setOpercheckFlag("2");
//                    pmiSS.setLongTaskReason("人员手术处理异常：" + e.getMessage());
//                    patMedInhospMapper.updatePatMedInhosp(pmiSS);
//                }
//            }
//            手术随访
            PatMedOperationItem pmoi = new PatMedOperationItem();
            //获取需要出院疾病随访，未处理的数据
            pmoi.setOpercheckFlag("0");
            pmoi.setMainFlag("1");

            List<PatMedOperationItem> patMedOperationItems = patMedOperationItemMapper.selectPatMedOperationItemList(pmoi);
            log.info("dealOutHospInfo需要处理的出院手术患者信息：{}", CollectionUtils.isNotEmpty(patMedOperationItems) ? patMedOperationItems.size() : null);

            for (PatMedOperationItem opItem : patMedOperationItems) {

                try {
                    if (StringUtils.isEmpty(opItem.getOplevelcode())) {
                        continue;
                    }
                    // 根据患者的疾病，获取该疾病的长期任务
                    ServiceTaskoper serviceTaskoper = new ServiceTaskoper();
                    serviceTaskoper.setLongtask(1L);
                    serviceTaskoper.setOrgid(opItem.getOrgid());
                    serviceTaskoper.setOplevelcode(opItem.getOplevelcode());

                    List<ServiceTaskoper> serviceTaskopers = serviceTaskoperMapper.selectServiceTaskoperList(serviceTaskoper);
                    //如果部门模板为空（将deptIsNull设置为true）
                    if (CollectionUtils.isEmpty(serviceTaskopers) || serviceTaskopers.size() == 0) {
                        PatMedOperationItem patMedOperationItem = patMedOperationItemMapper.selectPatMedOperationItemById(opItem.getId());
                        patMedOperationItem.setOpercheckFlag("2");
                        patMedOperationItem.setLongTaskReason(patMedOperationItem.getLongTaskReason() + "所患的手术未配置长期任务;");
                        patMedOperationItemMapper.updatePatMedOperationItem(patMedOperationItem);
                    } else {
                        for (ServiceTaskoper serviceTaskoper1 : serviceTaskopers) {
                            writeInSubTaskForOp(serviceTaskoper1.getTaskId(), true, opItem, config);
                        }
                    }

                } catch (Exception e) {
                    e.printStackTrace();
                    log.error("人员手术处理出异常了：{}", e.getMessage());
                    opItem.setOpercheckFlag("2");
                    opItem.setLongTaskReason("人员手术处理异常：" + e.getMessage());
                    patMedOperationItemMapper.updatePatMedOperationItem(opItem);
                }
            }
        }
@@ -388,6 +609,143 @@
        }
        return 1;
    }

    /**
     * 多维度随访
     *
     * @param config
     * @return
     */
    public int dealOutHospInfoByDimension(String config) {
        // 一次性查出所有需要处理的出院患者（三个维度任意一个未完成）
        List<PatMedInhosp> patList = patMedInhospMapper.selectNeedProcessList();
        log.info("【统一扫描】待处理患者数：{}", patList.size());

        for (PatMedInhosp patMedInhosp1 : patList) {
            PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp1.getPatid());
            if (Objects.isNull(patArchive)) {
                // 三个维度都标记为失败
                markAllFlagsAsError(patMedInhosp1, "患者基本信息为空");
                continue;
            }

            // ── 维度1：科室 ──
            if ("0".equals(patMedInhosp1.getDeptcheckFlag())) {
                processTasksByDimension(patMedInhosp1, patArchive, config, 1);
            }

            // ── 维度2：病区 ──（新华医院跳过）
            if (!active.equals("xh") && "0".equals(patMedInhosp1.getWardcheckFlag())) {
                processTasksByDimension(patMedInhosp1, patArchive, config, 2);
            }

            // ── 维度3：疾病 ──（新华医院跳过）
            if (!active.equals("xh") && "0".equals(patMedInhosp1.getDiagcheckFlag())) {
                processTasksByDimension(patMedInhosp1, patArchive, config, 3);
            }
        }
        return 1;
    }

    /**
     * 按维度找到所有匹配长期任务，批量生成 subtask
     * type: 1=科室, 2=病区, 3=疾病
     */
    private void processTasksByDimension(PatMedInhosp patMedInhosp1, PatArchive patArchive, String config, int type) {
        List<Long> matchedTaskIds = findMatchingTaskIds(patMedInhosp1, type);

        if (CollectionUtils.isEmpty(matchedTaskIds)) {
            String reason = getDimensionReason(type);
            markFlagAsNoConfig(patMedInhosp1, type, reason);
            return;
        }

        // 一条 inhosp 记录 → 多个匹配任务 → 多条 subtask
        for (Long taskId : matchedTaskIds) {
            writeInSubTask(taskId, true, patMedInhosp1, patArchive, type, config);
        }
    }

    private String getDimensionReason(int type) {
        switch (type) {
            case 1: { // 科室
                return "未找到科室匹配的长期任务";
            }
            case 2: { // 病区
                return "未找到病区匹配的长期任务";
            }
            case 3: { // 疾病
                return "未找到疾病匹配的长期任务";
            }
        }
        return "多维长期任务-匹配类型为空";
    }

    private void markFlagAsNoConfig(PatMedInhosp patMedInhosp, int type, String reason) {
        switch (type) {
            case 1: { // 科室
                patMedInhosp.setDeptcheckFlag("2");
                patMedInhosp.setRemark(reason);
                patMedInhospMapper.updatePatMedInhosp(patMedInhosp);
                break;
            }
            case 2: { // 病区
                patMedInhosp.setWardcheckFlag("2");
                patMedInhosp.setRemark(reason);
                patMedInhospMapper.updatePatMedInhosp(patMedInhosp);
                break;
            }
            case 3: { // 疾病
                patMedInhosp.setDiagcheckFlag("2");
                patMedInhosp.setRemark(reason);
                patMedInhospMapper.updatePatMedInhosp(patMedInhosp);
                break;
            }
        }

    }

    private void markAllFlagsAsError(PatMedInhosp patMedInhosp, String reason) {
        patMedInhosp.setDeptcheckFlag("2");
        patMedInhosp.setWardcheckFlag("2");
        patMedInhosp.setDiagcheckFlag("2");
        patMedInhosp.setRemark(reason);
        patMedInhospMapper.updatePatMedInhosp(patMedInhosp);
    }

    /**
     * 根据维度类型查询匹配的长期任务 ID 列表
     */
    private List<Long> findMatchingTaskIds(PatMedInhosp patMedInhosp1, int type) {
        switch (type) {
            case 1: { // 科室
                ServiceTaskdept query = new ServiceTaskdept();
                query.setLongtask(1L);
                query.setDeptCode(patMedInhosp1.getLeaveldeptcode());
                query.setDeptType("1");
                query.setOrgid(patMedInhosp1.getOrgid());
                return serviceTaskdeptMapper.selectServiceTaskdeptList(query).stream().map(ServiceTaskdept::getTaskId).collect(Collectors.toList());
            }
            case 2: { // 病区
                ServiceTaskdept query = new ServiceTaskdept();
                query.setLongtask(1L);
                query.setDeptCode(patMedInhosp1.getLeavehospitaldistrictcode());
                query.setDeptType("2");
                query.setOrgid(patMedInhosp1.getOrgid());
                return serviceTaskdeptMapper.selectServiceTaskdeptList(query).stream().map(ServiceTaskdept::getTaskId).collect(Collectors.toList());
            }
            case 3: { // 疾病
                if (StringUtils.isEmpty(patMedInhosp1.getLeaveicd10code())) return Collections.emptyList();
                ServiceTaskdiag query = new ServiceTaskdiag();
                query.setLongtask(1L);
                query.setIcd10code(patMedInhosp1.getLeaveicd10code());
                query.setOrgid(patMedInhosp1.getOrgid());
                return serviceTaskdiagMapper.selectServiceTaskdiagList(query).stream().map(ServiceTaskdiag::getTaskId).collect(Collectors.toList());
            }
        }
        return Collections.emptyList();
    }


//
//    @Override
@@ -547,6 +905,14 @@
        return calendar.getTime();
    }

    /**
     * @param taskid        任务id
     * @param check         是否需要校验
     * @param patMedInhosp1 病人出入院信息
     * @param patArchive    病人信息
     * @param type          随访类型(1-科室，2-病区，3-疾病）
     * @param config        配置信息 visit.early.day
     */
    //将患者放到subtask中
    private void writeInSubTask(Long taskid, Boolean check, PatMedInhosp patMedInhosp1, PatArchive patArchive, Integer type, String config) {
        String longTaskReason = patMedInhosp1.getLongTaskReason();
@@ -600,12 +966,12 @@
            //先判断一下，是否需要校验
            if (check && (Objects.isNull(serviceSubtask.getTaskSituation()) || serviceSubtask.getTaskSituation() != 6)) {
                //在新增之前，先通过患者ID，sendstate=2查询一下，在所有长期任务中，是不是还有该患者待执行的任务，有的话,比较之前的endtime是否小于当前的endtaime,如果之前的小于现在的，则直接将之前的停掉（原因再入院）
                ServiceSubtaskVO subtask = new ServiceSubtaskVO();
                ServiceSubtaskEntity subtask = new ServiceSubtaskEntity();
                subtask.setPatid(patArchive.getId());
                subtask.setSendstate(2L);
                subtask.setTaskid(taskid);
                List<ServiceSubtask> selectServiceSubtaskList = serviceSubtaskMapper.selectServiceSubtaskList(subtask);
                log.info("该患者待执行的任务:{}", CollectionUtils.isNotEmpty(selectServiceSubtaskList) ? selectServiceSubtaskList.size() : null);
//                log.info("该患者待执行的任务:{}", CollectionUtils.isNotEmpty(selectServiceSubtaskList) ? selectServiceSubtaskList.size() : null);
                if (CollectionUtils.isNotEmpty(selectServiceSubtaskList) && selectServiceSubtaskList.size() > 0) {
                    for (ServiceSubtask serviceSubtask1 : selectServiceSubtaskList) {
                        if (Objects.isNull(serviceSubtask1.getLongSendTime())) {
@@ -834,13 +1200,16 @@
        if (!Objects.isNull(patMedInhosp1.getEndtime())) {
            newDate = addDays(patMedInhosp1.getEndtime(), serviceTask.getSendDay().intValue());
        } else {
            patMedInhosp1.setDeptcheckFlag("2");
            patMedInhosp1.setRemark(patMedInhosp1.getRemark() + "& 该患者疾病出院时间为空,出院记录ID为:" + patMedInhosp1.getInhospid());
            patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
            //如果出院时间为空，则返回一个新对象
            return new ServiceSubtask();
        }
        serviceSubtask.setLongSendTime(newDate);
        serviceSubtask.setVisitTime(newDate);

        if (patMedInhosp1.getFudate() != null) serviceSubtask.setVisitTime(patMedInhosp1.getFudate());
//        if (patMedInhosp1.getFudate() != null && !patMedInhosp1.getOrgid().equals("47255004333112711A1001")) serviceSubtask.setVisitTime(patMedInhosp1.getFudate());
        //如果是通知的话，需要提前几天将通过短信发出去（具体几天，这个可以配置在sys_conf表中）
        if ("3".equals(serviceTask.getType())) {
            serviceSubtask.setVisitTime(minusDay(newDate, StringUtils.isNotEmpty(config) ? Integer.parseInt(config) : 0));
@@ -894,7 +1263,7 @@
        for (PatMedInhosp patMedInhosp1 : patMedInhospList) {
            try {
                //获取当前入院患者的待执行的出院子任务随访信息
                ServiceSubtaskVO subtask = new ServiceSubtaskVO();
                ServiceSubtaskEntity subtask = new ServiceSubtaskEntity();
                subtask.setPatid(patMedInhosp1.getPatid());
                subtask.setSendstate(2L);
                List<ServiceSubtask> selectServiceSubtaskList = serviceSubtaskMapper.selectServiceSubtaskList(subtask);
@@ -905,20 +1274,25 @@
                            //不是长期任务，不处理
                            continue;
                        }
                        if (serviceSubtask1.getEndtime().before(patMedInhosp1.getStarttime())) {
                            //如果当前循环的子任务的出院时间在“准备新增的子任务”的出院时间之前，则将循环的子任务停掉
//                            log.error("患者再入院的serviceSubtask1为:{}", serviceSubtask1);
                            serviceSubtask1.setSendstate(4L);
                            serviceSubtask1.setRemark("患者再入院");
                            serviceSubtask1.setResult("error");
//                            serviceSubtask1.setFinishtime(new Date());
                            serviceSubtaskMapper.updateServiceSubtask(serviceSubtask1);
                        //景宁 出院首次（7天）随访一定要做
                        boolean firstVisit = false;
                        if (serviceSubtask1.getOrgid().equals("47255004333112711A1001") && serviceSubtask1.getVisitCount() != null && serviceSubtask1.getVisitCount() == 1) {
                            firstVisit = true;
                        }
                        if (!firstVisit) {
                            if (serviceSubtask1.getEndtime().before(patMedInhosp1.getStarttime())) {
                                //如果当前循环的子任务的出院时间在“准备新增的子任务”的出院时间之前，则将循环的子任务停掉
//                            log.error("患者再入院的serviceSubtask1为:{}", serviceSubtask1);
                                serviceSubtask1.setSendstate(4L);
                                serviceSubtask1.setIsVisitAgain(2);
                                serviceSubtask1.setRemark("患者再入院");
                                serviceSubtask1.setResult("error");
                                serviceSubtaskMapper.updateServiceSubtask(serviceSubtask1);
                            }
                        }

                    }
                }
                //将患入的入院数据设置为已处理
                //更新状态值 patMedInhosp1.setDeptcheckFlag("0");
                //patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
            } catch (Exception e) {
                log.error("入院数据信息出异常了：{},{}", patMedInhosp1, e.getMessage());
            }