【丽水】 同一 inhospid + taskid 已存在未删除的首次随访（upid 为空）时，不再插入，避免出现两条首次随访

陈昶聿

12 小时以前 d047a35e640a59e02a422d9a9a62c752c88b69b5

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

@@ -99,6 +99,8 @@
     */
    @Override
    public List<PatMedInhosp> selectPatMedInhospList(PatMedInhosp patMedInhosp) {
        //入院床位排序只在「在院」查询（cry=0）下生效，其它查询一律忽略，保证原有排序不变
        patMedInhosp.setBedSort(normalizeBedSort(patMedInhosp.getCry(), patMedInhosp.getBedSort()));
        if (patMedInhosp.getCry() != null && patMedInhosp.getCry() == 0) {
            patMedInhosp.setDeptcodeList(patMedInhosp.getLeaveldeptcodes());
            patMedInhosp.setHospitaldistrictcodeList(patMedInhosp.getLeavehospitaldistrictcodes());
@@ -119,6 +121,24 @@
            patMedInhosp1.setTagname(tagname);
        }
        return patMedInhospList;
    }

    /**
     * 归一化入院床位排序参数
     * <p>
     * asc / 1 -> asc（床位正序），desc / 2 -> desc（床位倒序），其余（含不传）-> null（不排序）。
     * 只对「在院」患者查询（cry=0）生效，出院/转科等查询忽略该参数。
     *
     * @param cry     出入院标识：0入院 1出院 2转科 3预入院
     * @param bedSort 前端传入的床位排序值
     * @return 归一化后的排序值（asc / desc / null）
     */
    private String normalizeBedSort(Integer cry, String bedSort) {
        if (cry == null || cry != 0 || StringUtils.isEmpty(bedSort)) return null;
        String value = bedSort.trim().toLowerCase();
        if ("asc".equals(value) || "1".equals(value)) return "asc";
        if ("desc".equals(value) || "2".equals(value)) return "desc";
        return null;
    }

    @Override
@@ -500,7 +520,9 @@
                                pmoi.setDeptCodes(deptCodeList);
                                pmoi.setWardCodes(wardCodeList);
                                pmoi.setOpLevelCodes(opLevelCodeList);
                                List<PatMedOperationItem> patMedOperationItems = patMedOperationItemMapper.selectOperationItemList(pmoi);

                                //每次查询只查最大的手术等级记录
                                List<PatMedOperationItem> patMedOperationItems = patMedOperationItemMapper.selectOperationItemListMaxLevel(pmoi);
                                for (PatMedOperationItem patMedOperationItem : patMedOperationItems) {
                                    PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedOperationItem.getPatid());
                                    if (Objects.isNull(patArchive)) {
@@ -686,6 +708,29 @@
        //记录insertServiceSubtask语句返回状态
        Integer i = 0;
        try {
            // 兜底：任务模板修改会重置 pat_med_inhosp 的处理标记，但已完成的首访不会删除。
            // 同一 inhospid + taskid 已存在未删除的首次随访（upid 为空）时，不再插入，避免出现两条首次随访。
            if (check
                    && ("2".equals(serviceTask.getServiceType()) || "13".equals(serviceTask.getServiceType()))
                    && (type == 1 || type == 2 || type == 3)) {
                ServiceSubtaskEntity firstQuery = new ServiceSubtaskEntity();
                firstQuery.setInhospid(patMedInhosp1.getInhospid());
                firstQuery.setTaskid(taskid);
                List<ServiceSubtask> firstList = serviceSubtaskMapper.selectServiceSubtaskList(firstQuery);
                boolean firstExists = CollectionUtils.isNotEmpty(firstList)
                        && firstList.stream().anyMatch(item -> item.getUpid() == null);
                if (firstExists) {
                    log.info("患者{}已存在首次随访任务，跳过重复生成, taskid={}, type={}",
                            patMedInhosp1.getInhospid(), taskid, type);
                    PatMedInhosp flagUpdate = new PatMedInhosp();
                    flagUpdate.setInhospid(patMedInhosp1.getInhospid());
                    if (type == 1) flagUpdate.setDeptcheckFlag("1");
                    if (type == 2) flagUpdate.setWardcheckFlag("1");
                    if (type == 3) flagUpdate.setDiagcheckFlag("1");
                    patMedInhospMapper.updatePatMedInhosp(flagUpdate);
                    return;
                }
            }
            //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）
@@ -897,7 +942,7 @@

        //封装serviceSubtask
        ServiceSubtask serviceSubtask = boxedServiceSubtaskForOp(serviceTask, patMedInhospList.get(0), patMedOperationItem, patArchive, config);
        if (ObjectUtils.isEmpty(serviceSubtask)) {
        if (ObjectUtils.isEmpty(serviceSubtask) || Objects.isNull(serviceSubtask.getTaskid())) {
            return;
        }
        if (StringUtils.isNotEmpty(patMedOperationItem.getLeaveldeptcode())) {
@@ -972,24 +1017,32 @@
                patMedOperationItem2.setId(patMedOperationItem.getId());
                patMedOperationItem2.setOpercheckFlag("2");
                patMedOperationItem2.setLongTaskReason("生成子任务失败 4;");
                patMedOperationItem2.setUpdateTime(new Date());
                patMedOperationItemMapper.updatePatMedOperationItem(patMedOperationItem2);
            }
        } catch (Exception e) {
            //出错回滚事务

            log.info("生成子任务报错回滚sserviceSubtask的taskid为：{},patid为：{}", serviceSubtask.getTaskid(), serviceSubtask.getPatid());
            log.error("生成子任务报错回滚sserviceSubtask的taskid为：{},patid为：{},手术详情ID为：{}",
                    serviceSubtask.getTaskid(), serviceSubtask.getPatid(), patMedOperationItem.getId(), e);
            PatMedOperationItem patMedOperationItem2 = new PatMedOperationItem();
            patMedOperationItem2.setId(patMedOperationItem.getId());
            patMedOperationItem2.setOpercheckFlag("2");
            patMedOperationItem2.setUpdateTime(new Date());
            patMedOperationItem2.setLongTaskReason("生成子任务报错回滚 4;");
            patMedOperationItemMapper.updatePatMedOperationItem(patMedOperationItem2);
            e.printStackTrace();
        }
    }

    private Integer addServiceSubtaskPreachform(ServiceSubtask serviceSubtask, String sendstate) {
    @Override
    public Integer addServiceSubtaskPreachform(ServiceSubtask serviceSubtask, String sendstate) {
        //将preachformDesc的json对象，放到list集合中
        ServiceTask serviceTask = serviceTaskMapper.selectServiceTaskByTaskid(serviceSubtask.getTaskid());
        if (Objects.isNull(serviceTask)) {
            log.error("addServiceSubtaskPreachform taskid={} 查不到任务，跳过preachform子表生成", serviceSubtask.getTaskid());
            return 0;
        }
        String preachformDesc = serviceTask.getPreachformDesc();

        ObjectMapper objectMapper = new ObjectMapper();
@@ -1000,6 +1053,11 @@
                });
            } catch (JsonProcessingException e) {
                log.error("preachform转List<ServiceSubtaskPreachform>报错了：{}", e.getMessage());
            }
            if (CollectionUtils.isEmpty(serviceSubtaskPreachformList)) {
                log.error("preachformDesc解析后为空，跳过preachform子表生成，taskid为：{}，preachformDesc为：{}",
                        serviceSubtask.getTaskid(), preachformDesc);
                return 0;
            }
            for (ServiceSubtaskPreachform serviceSubtaskPreachform : serviceSubtaskPreachformList) {
                serviceSubtaskPreachform.setTaskid(serviceSubtask.getTaskid());
@@ -1032,6 +1090,8 @@
//        }
        ServiceSubtask serviceSubtask = DtoConversionUtils.sourceToTarget(serviceTask, ServiceSubtask.class);
        serviceSubtask.setTaskid(serviceTask.getTaskid());
        serviceSubtask.setOrgid(serviceTask.getOrgid());
        serviceSubtask.setCampusid(serviceTask.getCampusid());
        if (StringUtils.isNotEmpty(serviceTask.getLibtemplateid()))
            serviceSubtask.setLibtemplateid(Long.valueOf(serviceTask.getLibtemplateid()));
        serviceSubtask.setNurseId(patMedInhosp1.getNurseId());
@@ -1143,6 +1203,8 @@
    private ServiceSubtask boxedServiceSubtaskForOp(ServiceTask serviceTask, PatMedInhosp patMedInhosp1, PatMedOperationItem patMedOperationItem, PatArchive patArchive, String config) {
        ServiceSubtask serviceSubtask = DtoConversionUtils.sourceToTarget(serviceTask, ServiceSubtask.class);
        serviceSubtask.setTaskid(serviceTask.getTaskid());
        serviceSubtask.setOrgid(serviceTask.getOrgid());
        serviceSubtask.setCampusid(serviceTask.getCampusid());
        if (StringUtils.isNotEmpty(serviceTask.getLibtemplateid()))
            serviceSubtask.setLibtemplateid(Long.valueOf(serviceTask.getLibtemplateid()));
        serviceSubtask.setNurseId(patMedInhosp1.getNurseId());
@@ -1194,7 +1256,7 @@
//            patMedInhosp1.setRemark(patMedInhosp1.getRemark() + "& 该患者手术出院时间为空,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();
            return null;
        }
        serviceSubtask.setLongSendTime(newDate);
        serviceSubtask.setVisitTime(newDate);
@@ -1285,7 +1347,8 @@
        pmoi.setOpercheckFlag("0");
        pmoi.setMainFlag("1");

        List<PatMedOperationItem> patMedOperationItems = patMedOperationItemMapper.selectOperationItemList(pmoi);
        //每次查询只查最大的手术等级记录
        List<PatMedOperationItem> patMedOperationItems = patMedOperationItemMapper.selectOperationItemListMaxLevel(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) {
@@ -1325,6 +1388,7 @@
                    PatMedOperationItem patMedOperationItem = patMedOperationItemMapper.selectPatMedOperationItemById(opItem.getId());
                    patMedOperationItem.setOpercheckFlag("2");
                    patMedOperationItem.setLongTaskReason("所患的手术未配置长期任务;");
                    patMedOperationItem.setUpdateTime(new Date());
                    patMedOperationItemMapper.updatePatMedOperationItem(patMedOperationItem);
                } else {
                    for (ServiceTaskoper serviceTaskoper : serviceTaskopers) {
@@ -1335,6 +1399,7 @@
            } catch (Exception e) {
                e.printStackTrace();
                log.error("人员手术处理出异常了：{}", e.getMessage());
                opItem.setUpdateTime(new Date());
                opItem.setOpercheckFlag("2");
                opItem.setLongTaskReason("人员手术处理异常");
                patMedOperationItemMapper.updatePatMedOperationItem(opItem);
@@ -1913,5 +1978,30 @@
        return generatedCount;
    }

    @Override
    public void dealIcd10Subtask(PatMedInhosp pmks, String config) {
        pmks.setDiagcheckFlag("0");
        pmks.setInhospstate("1");
        pmks.setFuflag("1");
        List<PatMedInhosp> patMedInhosps = patMedInhospMapper.selectPatMedInhospList(pmks);
        log.info("dealIcd10Subtask 待处理出院疾病患者数：{}", CollectionUtils.isEmpty(patMedInhosps) ? 0 : patMedInhosps.size());
        if (CollectionUtils.isNotEmpty(patMedInhosps)) {
            int matchedTaskCount = 0;
            for (PatMedInhosp patMedInhosp : patMedInhosps) {
                // 获取患者基本信息，档案不存在时直接标记失败，避免后续空指针
                PatArchive patArchive = patArchiveMapper.selectPatArchiveByPatid(patMedInhosp.getPatid());
                if (Objects.isNull(patArchive)) {
                    PatMedInhosp updateObj = new PatMedInhosp();
                    updateObj.setInhospid(patMedInhosp.getInhospid());
                    updateObj.setDiagcheckFlag("2");
                    updateObj.setLongTaskReason("患者基本信息为空");
                    patMedInhospMapper.updatePatMedInhosp(updateObj);
                    continue;
                }
                matchedTaskCount += addIcd10SubTaskForPatient(patMedInhosp, patArchive, config);
            }
            log.info("dealIcd10Subtask 处理完成，待处理：{}，匹配疾病长期任务次数：{}", patMedInhosps.size(), matchedTaskCount);
        }
    }

}