陈昶聿
8 天以前 608bdb9e55b95e9d4052f8c57ac4d92c9ecde5c3
smartor/src/main/java/com/smartor/service/impl/PatMedInhospServiceImpl.java
@@ -9,6 +9,7 @@
import com.ruoyi.common.utils.DtoConversionUtils;
import com.ruoyi.common.utils.SecurityUtils;
import com.ruoyi.common.utils.StringUtils;
import com.smartor.common.ScheduleSubtaskBuilder;
import com.smartor.domain.*;
import com.smartor.domain.entity.ServiceSubtaskEntity;
import com.smartor.mapper.*;
@@ -64,6 +65,13 @@
    private String active;
    @Autowired
    private IConfigService iSysConfigService;
    @Autowired
    private ServiceTaskScheduleMapper serviceTaskScheduleMapper;
    @Autowired
    private ScheduleSubtaskBuilder scheduleSubtaskBuilder;
    @Autowired
    private ServiceTaskScheduleDetailMapper serviceTaskScheduleDetailMapper;
    /**
@@ -336,133 +344,145 @@
     */
    public int dealOutHospInfoBySchedule(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());
        ServiceTask serviceTaskVo = new ServiceTask();
        serviceTaskVo.setLongTask(1);
        serviceTaskVo.setAppltype("5");
        List<ServiceTask> serviceTasks = serviceTaskMapper.selectServiceTaskList(serviceTaskVo);
        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;
            }
        if (CollectionUtils.isNotEmpty(serviceTasks)) {
            for (ServiceTask serviceTask : serviceTasks) {
                if(!ObjectUtils.isEmpty(serviceTask.getTaskid())){
                    ServiceTaskSchedule serviceTaskSchedule = new ServiceTaskSchedule();
                    ServiceTaskSchedule taskSchedule = new ServiceTaskSchedule();
                    taskSchedule.setTaskid(serviceTask.getTaskid());
                    List<ServiceTaskSchedule> serviceTaskSchedules = serviceTaskScheduleMapper.selectServiceTaskScheduleList(taskSchedule);
                    if(CollectionUtils.isNotEmpty(serviceTaskSchedules)){
                        serviceTaskSchedule = serviceTaskSchedules.get(0);
                        String deptCodes = serviceTaskSchedule.getDeptCodes();
                        String wardCodes = serviceTaskSchedule.getWardCodes();
                        String icd10Codes = serviceTaskSchedule.getIcd10Codes();
                        String opLevelCodes = serviceTaskSchedule.getOplevelCodes();
            // ── 维度1:科室 ──
            if ("0".equals(patMedInhosp1.getDeptcheckFlag())) {
                processTasksByDimension(patMedInhosp1, patArchive, config, 1);
            }
                        List<String> icd10CodeList = new ArrayList<>();
                        List<String> opLevelCodeList = new ArrayList<>();
                        List<String> deptCodeList = new ArrayList<>();
                        List<String> wardCodeList = new ArrayList<>();
            // ── 维度2:病区 ──(新华医院跳过)
            if (!active.equals("xh") && "0".equals(patMedInhosp1.getWardcheckFlag())) {
                processTasksByDimension(patMedInhosp1, patArchive, config, 2);
            }
                        /**
                         * 随访类型(1-科室,2-病区,3-疾病 4-入院科室 5-入院病区 6-手术)
                         */
                        Integer type = 1;
                        if (StringUtils.isNotEmpty(deptCodes)) {
                            type = 1;
                            deptCodeList = Arrays.asList(deptCodes.split(","));
                        }
                        if(StringUtils.isNotEmpty(wardCodes)) {
                            type = 2;
                            wardCodeList = Arrays.asList(wardCodes.split(","));
                        }
                        if(StringUtils.isNotEmpty(icd10Codes)) {
                            type = 3;
                            icd10CodeList = Arrays.asList(icd10Codes.split(","));
                        }
                        if (StringUtils.isNotEmpty(opLevelCodes)) {
                            type = 6;
                            opLevelCodeList = Arrays.asList(opLevelCodes.split(","));
                        }
                        //非手术处理方式
                        if(type != 6){
                            PatMedInhosp patMedInhospVo = new PatMedInhosp();
                            patMedInhospVo.setScheduleCheckFlag("0");
                            patMedInhospVo.setInhospstate("1");
                            patMedInhospVo.setFuflag("1");
                            patMedInhospVo.setDeptcodeList(deptCodeList);
                            patMedInhospVo.setLeavehospitaldistrictcodes(wardCodeList);
                            patMedInhospVo.setIcd10codeList(icd10CodeList);
                            List<PatMedInhosp> patList = patMedInhospMapper.selectPatMedInhospList(patMedInhospVo);
                            log.info("dealOutHospInfoBySchedule 任务组随访, taskid = {}, 扫描患者人数 {}", serviceTask.getTaskid(), patList.size());
            // ── 维度3:疾病 ──(新华医院跳过)
            if (!active.equals("xh") && "0".equals(patMedInhosp1.getDiagcheckFlag())) {
                processTasksByDimension(patMedInhosp1, patArchive, config, 3);
                            for(PatMedInhosp patMedInhosp : patList){
                                ServiceTaskScheduleDetail scheduleDetailVo = new ServiceTaskScheduleDetail();
                                scheduleDetailVo.setTaskid(serviceTask.getTaskid());
                                scheduleDetailVo.setScheduleid(serviceTaskSchedule.getId());
                                List<ServiceTaskScheduleDetail> serviceTaskScheduleDetails = serviceTaskScheduleDetailMapper.selectServiceTaskScheduleDetailList(scheduleDetailVo);
                                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp.getPatid());
                                if (Objects.isNull(patArchive)) {
                                    continue;
                                }
                                //封装serviceSubtask
                                ServiceSubtask serviceSubtask = boxedServiceSubtask(serviceTask, patMedInhosp, patArchive, config, type);
                                List<Map<String, Object>> preachformList = new ArrayList<>();
                                if(StringUtils.isNotEmpty(serviceTask.getPreachformDesc())){
                                    try {
                                        ObjectMapper objectMapper = new ObjectMapper();
                                        preachformList = objectMapper.readValue(serviceTask.getPreachformDesc(), List.class);
                                    }catch (Exception e){
                                        log.error("任务组preachformDesc解析失败,taskid={},inhospid={}", serviceTask.getTaskid(), patMedInhosp.getInhospid());
                                    }
                                }
                                scheduleSubtaskBuilder.buildSubtasksForPatient(serviceTask, serviceTaskSchedule, serviceTaskScheduleDetails, serviceSubtask, preachformList);
                                //置首轮纳入标记,避免下次扫描重复生成(后续轮次由 rollTaskGroupCycle 负责)
                                PatMedInhosp flagUpd = new PatMedInhosp();
                                flagUpd.setInhospid(patMedInhosp.getInhospid());
                                flagUpd.setScheduleCheckFlag("1");
                                patMedInhospMapper.updatePatMedInhosp(flagUpd);
                            }
                        }else {
                            //任务组 - 手术随访
                            if(CollectionUtils.isNotEmpty(opLevelCodeList)){
                                //目前仅限单一手术等级
                                String opLevelCode = opLevelCodeList.get(0);
                                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");
                                pmoi.setOplevelcode(opLevelCode);
                                pmoi.setDeptCodes(deptCodeList);
                                pmoi.setWardCodes(wardCodeList);
                                List<PatMedOperationItem> patMedOperationItems = patMedOperationItemMapper.selectOperationItemList(pmoi);
                                for(PatMedOperationItem patMedOperationItem : patMedOperationItems){
                                    PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedOperationItem.getPatid());
                                    if (Objects.isNull(patArchive)) {
                                        continue;
                                    }
                                    PatMedInhosp patMedInhospVo = new PatMedInhosp();
                                    patMedInhospVo.setPatid((patMedOperationItem.getPatid()));
                                    patMedInhospVo.setScheduleCheckFlag("0");
                                    patMedInhospVo.setInhospstate("1");
                                    patMedInhospVo.setFuflag("1");
                                    List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhospVo);
                                    if(CollectionUtils.isNotEmpty(patMedInhospList)){
                                        ServiceTaskScheduleDetail scheduleDetailVo = new ServiceTaskScheduleDetail();
                                        scheduleDetailVo.setTaskid(serviceTask.getTaskid());
                                        scheduleDetailVo.setScheduleid(serviceTaskSchedule.getId());
                                        List<ServiceTaskScheduleDetail> serviceTaskScheduleDetails = serviceTaskScheduleDetailMapper.selectServiceTaskScheduleDetailList(scheduleDetailVo);
                                        //封装serviceSubtask
                                        ServiceSubtask serviceSubtask = boxedServiceSubtaskForOp(serviceTask, patMedInhospList.get(0), patMedOperationItem, patArchive, config);
                                        List<Map<String, Object>> preachformList = new ArrayList<>();
                                        if(StringUtils.isNotEmpty(serviceTask.getPreachformDesc())){
                                            try {
                                                ObjectMapper objectMapper = new ObjectMapper();
                                                preachformList = objectMapper.readValue(serviceTask.getPreachformDesc(), List.class);
                                            }catch (Exception e){
                                                log.error("任务组(手术)preachformDesc解析失败,taskid={}", serviceTask.getTaskid());
                                            }
                                        }
                                        scheduleSubtaskBuilder.buildSubtasksForPatient(serviceTask, serviceTaskSchedule, serviceTaskScheduleDetails, serviceSubtask, preachformList);
                                        //置首轮纳入标记,避免重复生成
                                        PatMedInhosp flagUpd = new PatMedInhosp();
                                        flagUpd.setInhospid(patMedInhospList.get(0).getInhospid());
                                        flagUpd.setScheduleCheckFlag("1");
                                        patMedInhospMapper.updatePatMedInhosp(flagUpd);
                                    }
                                }
                            }
                        }
                    }
                }
            }
        }
        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();
    }