陈昶聿
4 天以前 b65c4cdd68b72771634fcfd52709edfd77d7abc6
smartor/src/main/java/com/smartor/service/impl/PatMedInhospServiceImpl.java
@@ -11,6 +11,7 @@
import com.ruoyi.common.utils.StringUtils;
import com.smartor.common.ScheduleSubtaskBuilder;
import com.smartor.domain.*;
import com.smartor.domain.DTO.PatMedInhospDTO;
import com.smartor.domain.entity.ServiceSubtaskEntity;
import com.smartor.mapper.*;
import com.smartor.service.IPatMedInhospService;
@@ -55,7 +56,7 @@
    @Autowired
    private ServiceSubtaskPreachformMapper serviceSubtaskPreachformMapper;
    @Autowired
    private PatMedOperationMapper patMedOperationMapper;
    private ServiceTaskmedicalMapper serviceTaskmedicalMapper;
    @Autowired
    private PatMedOperationItemMapper patMedOperationItemMapper;
    @Autowired
@@ -98,14 +99,18 @@
     */
    @Override
    public List<PatMedInhosp> selectPatMedInhospList(PatMedInhosp patMedInhosp) {
        if (patMedInhosp.getCry() == 0) {
        if (patMedInhosp.getCry() != null && 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) {
        } else if (patMedInhosp.getCry() != null && patMedInhosp.getCry() == 1) {
            patMedInhosp.setInhospstate("1");
        } else if (patMedInhosp.getCry() != null && patMedInhosp.getCry() == 2) {
            patMedInhosp.setInhospstate("2");
        } else if (patMedInhosp.getCry() != null && patMedInhosp.getCry() == 3) {
            patMedInhosp.setInhospstate("3");
        }
        List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhosp);
@@ -114,6 +119,24 @@
            patMedInhosp1.setTagname(tagname);
        }
        return patMedInhospList;
    }
    @Override
    public List<PatMedInhospDTO> selectPatMedInhospByApplication(PatMedInhosp patMedInhosp) {
        List<PatMedInhosp> patMedInhosps = selectPatMedInhospList(patMedInhosp);
        if (!org.springframework.util.CollectionUtils.isEmpty(patMedInhosps)) {
            return null;
        }
        List<PatMedInhospDTO> patMedInhospDTOList = DtoConversionUtils.sourceToTarget(patMedInhosps, PatMedInhospDTO.class);
        for (PatMedInhospDTO pmd : patMedInhospDTOList) {
            ServiceSubtaskEntity serviceSubtask = new ServiceSubtaskEntity();
            serviceSubtask.setServiceType("4");
            serviceSubtask.setInhospid(pmd.getInhospid());
            List<ServiceSubtask> serviceSubtasks = serviceSubtaskMapper.selectServiceSubtaskList(serviceSubtask);
            if (CollectionUtils.isNotEmpty(serviceSubtasks)) pmd.setFinishFlag("1");
        }
        return patMedInhospDTOList;
    }
    @Override
@@ -233,17 +256,18 @@
    @Override
    public int dealOutHospInfo(String config) {
        PatMedInhosp pmks = new PatMedInhosp();
        pmks.setDeptcheckFlag("0");
        pmks.setInhospstate("1");
        pmks.setFuflag("1");
        List<PatMedInhosp> patMedInhosps = patMedInhospMapper.selectPatMedInhospList(pmks);
        //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) {
            for (PatMedInhosp patMedInhosp1 : patMedInhosps) {
                //获取患者信息
                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp1.getPatid());
                if (Objects.isNull(patArchive)) {
@@ -283,9 +307,10 @@
            //1.2 病区
            inhosp.setInDeptcheckFlag(null);
            inhosp.setInWardcheckFlag("0");
            List<PatMedInhosp> inPatMedInhospsWard = patMedInhospMapper.selectPatMedInhospList(inhosp);
            pmks.setInDeptcheckFlag(null);
            pmks.setInWardcheckFlag("0");
            pmks.setDeptcheckFlag(null);
            List<PatMedInhosp> inPatMedInhospsWard = patMedInhospMapper.selectPatMedInhospList(pmks);
            for (PatMedInhosp patMedInhosp1 : inPatMedInhospsWard) {
                //获取患者信息
                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp1.getPatid());
@@ -317,9 +342,42 @@
            }
        }
        //2.出院随访 - 基于规则的任务生成
        addSubTaskByRule(config);
        //根据患者所在病区,获取该病区的长期任务,新华医院可以先不用根据病区和疾病来做
        //2.药品宣教
        for (PatMedInhosp patMedInhosp : patMedInhosps) {
            String medicalCode = patMedInhosp.getMedicalCode();
            if (StringUtils.isNotEmpty(medicalCode)) {
                String[] split = medicalCode.split(",");
                // 防御性编程:确保 medicalCompany 和 medicalName 不为 null
                String medicalCompanyStr = patMedInhosp.getMedicalCompany() != null ? patMedInhosp.getMedicalCompany() : "";
                String medicalNameStr = patMedInhosp.getMedicalName() != null ? patMedInhosp.getMedicalName() : "";
                String[] medicalCompanyArray = medicalCompanyStr.split(",");
                String[] medicalNameArray = medicalNameStr.split(",");
                for (int i = 0; i < split.length; i++) {
                    ServiceTaskmedical serviceTaskmedical = new ServiceTaskmedical();
                    //拿药品编码和公司去查
                    serviceTaskmedical.setMedicalCode(split[i]);
                    // 防止下标越界:如果数组长度不一致,取最小长度
                    if (i < medicalCompanyArray.length) {
                        serviceTaskmedical.setMedicalName(medicalCompanyArray[i]);
                    } else {
                        log.warn("【药品宣教】药品编码{}对应的公司信息下标越界,medicalCompany 数组长度={}, 当前索引={}", split[i], medicalCompanyArray.length, i);
                        serviceTaskmedical.setMedicalName(""); // 越界时设置为空
                    }
                    List<ServiceTaskmedical> serviceTaskmedicals = serviceTaskmedicalMapper.selectServiceTaskmedicalList(serviceTaskmedical);
                    if (CollectionUtils.isNotEmpty(serviceTaskmedicals)) {
                        PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp.getPatid());
                        writeInSubTask(serviceTaskmedicals.get(0).getTaskId(), false, patMedInhosp, patArchive, 0, config);
                    }
                    //查不到的药品就是不需要宣教的,就不管了
                }
            }
        }
        //3.出院随访 - 基于规则的任务生成
        // 获取所有需要处理的出院患者(科室维度未处理)
        addSubTaskByRule(config, patMedInhosps);
        if (!active.equals("xh")) {
            addOperationSubTask(config);
        }
@@ -349,7 +407,7 @@
        serviceTaskVo.setAppltype("5");
        List<ServiceTask> serviceTasks = serviceTaskMapper.selectServiceTaskList(serviceTaskVo);
        if (CollectionUtils.isEmpty(serviceTasks)) {
        if (CollectionUtils.isNotEmpty(serviceTasks)) {
            for (ServiceTask serviceTask : serviceTasks) {
                if(!ObjectUtils.isEmpty(serviceTask.getTaskid())){
                    ServiceTaskSchedule serviceTaskSchedule = new ServiceTaskSchedule();
@@ -364,56 +422,119 @@
                        String opLevelCodes = serviceTaskSchedule.getOplevelCodes();
                        List<String> icd10CodeList = new ArrayList<>();
                        List<String> opLevelList = new ArrayList<>();
                        List<String> opLevelCodeList = new ArrayList<>();
                        List<String> deptCodeList = new ArrayList<>();
                        List<String> wardCodeList = new ArrayList<>();
                        /**
                         * 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(","));
                            deptCodeList = new ArrayList<>(Arrays.asList(deptCodes.split(",")));
                        }
                        if(StringUtils.isNotEmpty(wardCodes)) {
                            type = 2;
                            wardCodeList = Arrays.asList(wardCodes.split(","));
                            wardCodeList = new ArrayList<>(Arrays.asList(wardCodes.split(",")));
                        }
                        if(StringUtils.isNotEmpty(icd10Codes)) {
                            type = 3;
                            icd10CodeList = Arrays.asList(icd10Codes.split(","));
                            icd10CodeList = new ArrayList<>(Arrays.asList(icd10Codes.split(",")));
                        }
                        if (StringUtils.isNotEmpty(opLevelCodes)) {
                            opLevelList = Arrays.asList(opLevelCodes.split(","));
                            type = 6;
                            opLevelCodeList = new ArrayList<>(Arrays.asList(opLevelCodes.split(",")));
                        }
                        PatMedInhosp patMedInhospVo = new PatMedInhosp();
                        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());
                        //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.setLeaveldeptcodes(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());
                        for(PatMedInhosp patMedInhosp : patList){
                            ServiceTaskScheduleDetail scheduleDetailVo = new ServiceTaskScheduleDetail();
                            scheduleDetailVo.setTaskid(serviceTask.getTaskid());
                            scheduleDetailVo.setScheduleid(serviceTaskSchedule.getId());
                            List<ServiceTaskScheduleDetail> serviceTaskScheduleDetails = serviceTaskScheduleDetailMapper.selectServiceTaskScheduleDetailList(scheduleDetailVo);
                            for(PatMedInhosp patMedInhosp : patList){
                                ServiceTaskScheduleDetail scheduleDetailVo = new ServiceTaskScheduleDetail();
                                scheduleDetailVo.setTaskid(serviceTask.getTaskid());
                                scheduleDetailVo.setScheduleid(serviceTaskSchedule.getId());
                                List<ServiceTaskScheduleDetail> serviceTaskScheduleDetails = serviceTaskScheduleDetailMapper.selectServiceTaskScheduleDetailList(scheduleDetailVo);
                            List<ServiceSubtaskPreachform> serviceSubtaskPreachformList = new ArrayList<>();
                            PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp.getPatid());
                            if (Objects.isNull(patArchive)) {
                                break;
                                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);
                            }
                            //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){
                                    break;
                        }else {
                            //任务组 - 手术随访
                            if(CollectionUtils.isNotEmpty(opLevelCodeList)){
                                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.setDeptCodes(deptCodeList);
                                pmoi.setWardCodes(wardCodeList);
                                pmoi.setOpLevelCodes(opLevelCodeList);
                                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);
                                    }
                                }
                            }
                            scheduleSubtaskBuilder.buildSubtasksForPatient(serviceTask, serviceTaskSchedule, serviceTaskScheduleDetails, serviceSubtask, preachformList);
                        }
                    }
                }
@@ -484,7 +605,7 @@
     * @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 4-入院科室 5-入院病区)
     * @param type          随访类型(0-宣教,1-科室,2-病区,3-疾病 4-入院科室 5-入院病区)
     * @param config        配置信息 visit.early.day
     */
    //将患者放到subtask中
@@ -765,12 +886,12 @@
        if (ObjectUtils.isEmpty(serviceSubtask)) {
            return;
        }
        if(StringUtils.isNotEmpty(patMedOperationItem.getDeptcode())){
            serviceSubtask.setVisitDeptCode(patMedOperationItem.getDeptcode());
            serviceSubtask.setVisitDeptName(patMedOperationItem.getDeptname());
        }else {
            serviceSubtask.setVisitDeptCode(patMedOperationItem.getHospitaldistrictcode());
            serviceSubtask.setVisitDeptName(patMedOperationItem.getHospitaldistrictname());
        if (StringUtils.isNotEmpty(patMedOperationItem.getLeaveldeptcode())) {
            serviceSubtask.setVisitDeptCode(patMedOperationItem.getLeaveldeptcode());
            serviceSubtask.setVisitDeptName(patMedOperationItem.getLeaveldeptname());
        } else {
            serviceSubtask.setVisitDeptCode(patMedOperationItem.getLeavehospitaldistrictcode());
            serviceSubtask.setVisitDeptName(patMedOperationItem.getLeavehospitaldistrictname());
        }
        //记录insertServiceSubtask语句返回状态
        Integer i = 0;
@@ -889,7 +1010,8 @@
    //封装serviceSubtask
    private ServiceSubtask boxedServiceSubtask(ServiceTask serviceTask, PatMedInhosp patMedInhosp1, PatArchive patArchive, String config, Integer type) {
    @Override
    public ServiceSubtask boxedServiceSubtask(ServiceTask serviceTask, PatMedInhosp patMedInhosp1, PatArchive patArchive, String config, Integer type) {
        //增加serviceTask判空
//        if(Objects.isNull(serviceTask)){
//            return null;
@@ -927,6 +1049,7 @@
        serviceSubtask.setSex(patArchive.getSex());
        serviceSubtask.setAge(patArchive.getAge());
        serviceSubtask.setSendstate(2L);
        serviceSubtask.setCampusid(patMedInhosp1.getCampusid());
        serviceSubtask.setManagementDoctor(patMedInhosp1.getManagementDoctor());
        serviceSubtask.setManagementDoctorCode(patMedInhosp1.getManagementDoctorCode());
        serviceSubtask.setStarttime(patMedInhosp1.getStarttime());
@@ -1157,8 +1280,11 @@
                serviceTaskoper.setOplevelcode(opItem.getOplevelcode());
                //根据科室、病区过滤
                serviceTaskoper.setDeptCode(opItem.getDeptcode());
                serviceTaskoper.setWardCode(opItem.getHospitaldistrictcode());
                if(StringUtils.isNotEmpty(opItem.getLeaveldeptcode())){
                    serviceTaskoper.setDeptCode(opItem.getLeaveldeptcode());
                }else {
                    serviceTaskoper.setWardCode(opItem.getLeavehospitaldistrictcode());
                }
                List<ServiceTaskoper> serviceTaskopers = serviceTaskoperMapper.selectServiceTaskoperList(serviceTaskoper);
                //如果部门模板为空(将deptIsNull设置为true)
@@ -1442,15 +1568,7 @@
     * 根据患者离院科室或病区查询service_task_rule,获取deptRule、wradRule、diagRule
     * 根据规则值决定调用哪个方法生成随访任务
     */
    private void addSubTaskByRule(String config) {
        // 获取所有需要处理的出院患者(科室维度未处理)
        PatMedInhosp pmks = new PatMedInhosp();
        pmks.setDeptcheckFlag("0");
        pmks.setInhospstate("1");
        pmks.setFuflag("1");
        List<PatMedInhosp> patMedInhosps = patMedInhospMapper.selectPatMedInhospList(pmks);
        log.info("【基于规则】需要处理的出院患者信息:{}", CollectionUtils.isNotEmpty(patMedInhosps) ? patMedInhosps.size() : null);
    private void addSubTaskByRule(String config, List<PatMedInhosp> patMedInhosps) {
        for (PatMedInhosp patMedInhosp1 : patMedInhosps) {
            // 获取患者基本信息
            PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp1.getPatid());