代码提交

liusheng

2025-03-26 fa132afa3a6942a48002c8e36e9ee47de13ee005

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

@@ -7,18 +7,21 @@
import com.smartor.domain.*;
import com.smartor.mapper.*;
import com.smartor.service.IServiceExternalService;
import com.smartor.service.IServiceSubtaskService;
import org.springframework.beans.factory.annotation.Value;
import lombok.extern.slf4j.Slf4j;
import org.apache.commons.collections4.CollectionUtils;
import org.apache.commons.lang3.ObjectUtils;
import org.springframework.beans.factory.annotation.Autowired;
import org.springframework.beans.factory.annotation.Value;
import org.springframework.security.crypto.bcrypt.BCryptPasswordEncoder;
import org.springframework.stereotype.Service;
import org.springframework.transaction.annotation.Transactional;

import java.text.ParseException;
import java.text.SimpleDateFormat;
import java.time.LocalDate;
import java.time.Period;
import java.time.ZoneId;
import java.time.temporal.ChronoUnit;
import java.util.Date;
import java.util.HashMap;
import java.util.List;
@@ -42,6 +45,8 @@
    private BaseOrganizationMapper baseOrganizationMapper;
    @Autowired
    private PatArchiveMapper patArchiveMapper;
    @Autowired
    private PatArchivecontactMapper patArchivecontactMapper;
    @Autowired
    private PatMedInhospMapper patMedInhospMapper;
    @Autowired
@@ -218,6 +223,7 @@
            info.setGuanXiMC((String) map.get("GuanXiMC"));
            return info;
        }).collect(Collectors.toList());
        externalInHospPatientInfo.setExternalInHospPatientLiaisonInfos(epli2);

        List<ExternalInHospPatientDiagnoseInfo> hospPatientDiagnoseInfos2 = hospPatientDiagnoseInfos.stream().map(map -> {
            ExternalInHospPatientDiagnoseInfo info = new ExternalInHospPatientDiagnoseInfo();
@@ -244,8 +250,12 @@
        Map<String, Object> BingRenXX = (Map<String, Object>) yeWuXX.get("BingRenXX");
        ExternalInHospPatientInfo externalInHospPatientInfo = BeanUtil.mapToBean(BingRenXX, ExternalInHospPatientInfo.class, true);
        PatMedInhosp patMedInhosp = new PatMedInhosp();
        patMedInhosp.setInhospno(externalInHospPatientInfo.getZhuYuanHao());
        patMedInhosp.setInhospno(externalInHospPatientInfo.getBingAnHao());
        List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhosp);
        for (PatMedInhosp patMedInhosp1 : patMedInhospList) {
            String tagname = patMedInhospMapper.getTagnameBypatid(patMedInhosp1.getPatid());
            patMedInhosp1.setTagname(tagname);
        }
        if (CollectionUtils.isNotEmpty(patMedInhospList)) {
            Map<String, Object> JiuZhenXX = (Map<String, Object>) yeWuXX.get("JiuZhenXX");
            PatMedInhosp patMedInhosp1 = patMedInhospList.get(0);
@@ -265,40 +275,108 @@
        log.error("ServiceExternalServiceImpl---addOutHospInfo的新增的值为：{}", dataMap);
        Map yeWuXX = (Map) dataMap.get("YeWuXX");
        Map<String, Object> BingRenXX = (Map<String, Object>) yeWuXX.get("BingRenXX");
        List<HashMap<String, Object>> epai = (List<HashMap<String, Object>>) BingRenXX.get("DiZhiXXList");
        List<HashMap<String, Object>> epli = (List<HashMap<String, Object>>) yeWuXX.get("LianXiRList");
        ExternalInHospPatientInfo externalInHospPatientInfo = BeanUtil.mapToBean(BingRenXX, ExternalInHospPatientInfo.class, true);

        PatMedInhosp patMedInhosp = new PatMedInhosp();
        patMedInhosp.setInhospno(externalInHospPatientInfo.getZhuYuanHao());
        List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhosp);
        if (CollectionUtils.isNotEmpty(patMedInhospList)) {
            Map<String, Object> JiuZhenXX = (Map<String, Object>) yeWuXX.get("JiuZhenXX");
            PatMedInhosp patMedInhosp1 = patMedInhospList.get(0);
            patMedInhosp1.setSchemestatus(2L);
            try {
                patMedInhosp1.setEndtime(new SimpleDateFormat("yyyy-MM-dd HH:mm:ss").parse(JiuZhenXX.get("ChuYuanSJ").toString()));
            } catch (ParseException e) {
                e.printStackTrace();
            }
            patMedInhosp1.setOperator(JiuZhenXX.get("CaoZuoRXM").toString());
            patMedInhosp1.setOperatorId(JiuZhenXX.get("CaoZuoRID").toString());
            patMedInhosp1.setUpdateTime(new Date());
            patMedInhosp1.setUpdateTime(new Date());

            patMedInhosp1.setLeavehospitaldistrictcode(externalInHospPatientInfo.getDangQianBQID());
            patMedInhosp1.setLeavehospitaldistrictname(externalInHospPatientInfo.getDangQianBQMC());
            patMedInhosp1.setLeaveldeptname(externalInHospPatientInfo.getDangQianKSMC());
            patMedInhosp1.setLeaveldeptcode(externalInHospPatientInfo.getDangQianKSID());
            List<HashMap<String, Object>> zhenDuanList = (List<HashMap<String, Object>>) yeWuXX.get("ZhenDuanList");
            List<ExternalInHospPatientDiagnoseInfo> hospPatientDiagnoseInfos2 = zhenDuanList.stream().map(map -> {
                ExternalInHospPatientDiagnoseInfo info = new ExternalInHospPatientDiagnoseInfo();
                info.setZhenDuanID((String) map.get("ZhenDuanID"));
                info.setZhenDuanMC((String) map.get("ZhenDuanMC"));
        ExternalInHospPatientAddrInfo externalInHospPatientAddrInfo = null;
        ExternalInHospPatientLiaisonInfo externalInHospPatientLiaisonInfo = null;
        List<ExternalInHospPatientAddrInfo> epai2 = null;
        if (CollectionUtils.isNotEmpty(epai)) {
            epai2 = epai.stream().map(map -> {
                ExternalInHospPatientAddrInfo info = new ExternalInHospPatientAddrInfo();
                info.setDiZhiLX((String) map.get("DiZhiLX")); // 假设字段类型是 Integer
                info.setDiZhiXX((String) map.get("DiZhiXX"));
                info.setShengFenDM((String) map.get("ShengFenDM"));
                info.setShengFenMC((String) map.get("ShengFenMC"));
                info.setShiDiQDM((String) map.get("ShiDiQDM"));
                info.setShiDiQMC((String) map.get("ShiDiQMC"));
                info.setXianQuDM((String) map.get("XianQuDM"));
                info.setXianQuMC((String) map.get("XianQuMC"));
                info.setXiangZhenDM((String) map.get("XiangZhenDM"));
                info.setXiangZhenMC((String) map.get("XiangZhenMC"));
                info.setCunJiDM((String) map.get("CunJiDM"));
                info.setQiTaXX((String) map.get("QiTaXX"));
                info.setYouBian((String) map.get("YouBian"));
                return info;
            }).collect(Collectors.toList());
            patMedInhosp1.setLeaveicd10code(StringUtils.isNotEmpty(patMedInhosp1.getLeaveicd10code()) ? patMedInhosp1.getLeaveicd10code() + "," + hospPatientDiagnoseInfos2.get(0).getZhenDuanID() : hospPatientDiagnoseInfos2.get(0).getZhenDuanID());
            patMedInhosp1.setLeavediagname(StringUtils.isNotEmpty(patMedInhosp1.getLeavediagname()) ? patMedInhosp1.getLeavediagname() + "," + hospPatientDiagnoseInfos2.get(0).getZhenDuanMC() : hospPatientDiagnoseInfos2.get(0).getZhenDuanMC());
            patMedInhosp1.setInhospstate("1");
        }
        List<ExternalInHospPatientLiaisonInfo> epli2 = null;
        if (CollectionUtils.isNotEmpty(epli)) {
            epli2 = epli.stream().map(map -> {
                ExternalInHospPatientLiaisonInfo info = new ExternalInHospPatientLiaisonInfo();
                info.setLianXiRXM((String) map.get("LianXiRXM"));
                info.setLianXiRDH((String) map.get("LianXiRDH"));
                info.setGuanXiDM((String) map.get("GuanXiDM"));
                info.setGuanXiMC((String) map.get("GuanXiMC"));
                return info;
            }).collect(Collectors.toList());
        }
        if (CollectionUtils.isNotEmpty(epai)) externalInHospPatientAddrInfo = epai2.get(0);
        if (CollectionUtils.isNotEmpty(epli)) externalInHospPatientLiaisonInfo = epli2.get(0);
        //新增患者基本信息新增或修改
        PatArchive patArchive = addPatArchive(externalInHospPatientInfo, externalInHospPatientAddrInfo, externalInHospPatientLiaisonInfo);

        PatMedInhosp patMedInhosp = new PatMedInhosp();
        patMedInhosp.setInhospno(externalInHospPatientInfo.getBingAnHao());
        List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhosp);
        for (PatMedInhosp patMedInhosp1 : patMedInhospList) {
            String tagname = patMedInhospMapper.getTagnameBypatid(patMedInhosp1.getPatid());
            patMedInhosp1.setTagname(tagname);
        }
        Map<String, Object> JiuZhenXX = (Map<String, Object>) yeWuXX.get("JiuZhenXX");
        PatMedInhosp patMedInhosp1 = new PatMedInhosp();
        if (CollectionUtils.isNotEmpty(patMedInhospList)) patMedInhosp1 = patMedInhospList.get(0);
        patMedInhosp1.setSchemestatus(2L);
        try {
            patMedInhosp1.setEndtime(new SimpleDateFormat("yyyy-MM-dd HH:mm:ss").parse(JiuZhenXX.get("ChuYuanSJ").toString()));
        } catch (ParseException e) {
            e.printStackTrace();
        }
        patMedInhosp1.setOperator(JiuZhenXX.get("CaoZuoRXM").toString());
        patMedInhosp1.setOperatorId(JiuZhenXX.get("CaoZuoRID").toString());
        patMedInhosp1.setUpdateTime(new Date());
        patMedInhosp1.setDrname(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZhuZhiYSXM")) ? JiuZhenXX.get("ZhuZhiYSXM").toString() : null);
        patMedInhosp1.setDrcode(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZhuZhiYSID")) ? JiuZhenXX.get("ZhuZhiYSID").toString() : null);
        patMedInhosp1.setNurseName(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZeRenHSXM")) ? JiuZhenXX.get("ZeRenHSXM").toString() : null);
        patMedInhosp1.setNurseId(ObjectUtils.isNotEmpty(JiuZhenXX.get("ZeRenHSID")) ? JiuZhenXX.get("ZeRenHSID").toString() : null);
        patMedInhosp1.setBedNo(ObjectUtils.isNotEmpty(JiuZhenXX.get("DangQianCWMC")) ? JiuZhenXX.get("DangQianCWMC").toString() : null);
        patMedInhosp1.setTelcode(patArchive.getTelcode());
        patMedInhosp1.setLeavehospitaldistrictcode(externalInHospPatientInfo.getDangQianBQID());
        patMedInhosp1.setLeavehospitaldistrictname(externalInHospPatientInfo.getDangQianBQMC());
        patMedInhosp1.setLeaveldeptname(externalInHospPatientInfo.getDangQianKSMC());
        patMedInhosp1.setDeptname(externalInHospPatientInfo.getDangQianKSMC());
        patMedInhosp1.setLeaveldeptcode(externalInHospPatientInfo.getDangQianKSID());
        patMedInhosp1.setDeptcode(externalInHospPatientInfo.getDangQianKSID());
        List<HashMap<String, Object>> zhenDuanList = (List<HashMap<String, Object>>) yeWuXX.get("ZhenDuanList");
        List<ExternalInHospPatientDiagnoseInfo> hospPatientDiagnoseInfos2 = zhenDuanList.stream().map(map -> {
            ExternalInHospPatientDiagnoseInfo info = new ExternalInHospPatientDiagnoseInfo();
            info.setZhenDuanID((String) map.get("ZhenDuanID"));
            info.setZhenDuanMC((String) map.get("ZhenDuanMC"));
            return info;
        }).collect(Collectors.toList());
        patMedInhosp1.setLeaveicd10code(StringUtils.isNotEmpty(patMedInhosp1.getLeaveicd10code()) ? patMedInhosp1.getLeaveicd10code() + "," + hospPatientDiagnoseInfos2.get(0).getZhenDuanID() : hospPatientDiagnoseInfos2.get(0).getZhenDuanID());
        patMedInhosp1.setLeavediagname(StringUtils.isNotEmpty(patMedInhosp1.getLeavediagname()) ? patMedInhosp1.getLeavediagname() + "," + hospPatientDiagnoseInfos2.get(0).getZhenDuanMC() : hospPatientDiagnoseInfos2.get(0).getZhenDuanMC());
        patMedInhosp1.setDiagname(StringUtils.isNotEmpty(patMedInhosp1.getLeavediagname()) ? patMedInhosp1.getLeavediagname() + "," + hospPatientDiagnoseInfos2.get(0).getZhenDuanMC() : hospPatientDiagnoseInfos2.get(0).getZhenDuanMC());
        //     patMedInhosp1.setIcd10code(StringUtils.isNotEmpty(patMedInhosp1.getLeavediagname()) ? patMedInhosp1.getLeavediagname() + "," + hospPatientDiagnoseInfos2.get(0).getZhenDuanMC() : hospPatientDiagnoseInfos2.get(0).getZhenDuanMC());
        patMedInhosp1.setInhospstate("1");
        if (CollectionUtils.isNotEmpty(patMedInhospList)) {
            patMedInhosp1.setUpdateTime(new Date());
            patMedInhosp1.setOrgid(BingRenXX.get("ZuZhiJGID").toString());
            int i = patMedInhospMapper.updatePatMedInhosp(patMedInhosp1);
            if (i != 1) return false;
        } else {
            patMedInhosp1.setHospitalname(BingRenXX.get("ZuZhiJGMC").toString());
            patMedInhosp1.setHospitalcode(BingRenXX.get("ZuZhiJGID").toString());
            patMedInhosp1.setLeavehospitaldistrictname(BingRenXX.get("DangQianBQMC").toString());
            patMedInhosp1.setLeavehospitaldistrictcode(BingRenXX.get("DangQianBQID").toString());
            patMedInhosp1.setPatid(patArchive.getId());
            patMedInhosp1.setPatname(patArchive.getName());
            patMedInhosp1.setOrgid(BingRenXX.get("ZuZhiJGID").toString());
            patMedInhosp1.setPatno(BingRenXX.get("BingRenID").toString());
            patMedInhosp1.setInhospno(BingRenXX.get("BingAnHao").toString());
            patMedInhosp1.setSerialnum(BingRenXX.get("BingAnHao").toString());
            patMedInhosp1.setCreateTime(new Date());
            int i = patMedInhospMapper.insertPatMedInhosp(patMedInhosp1);
            if (i != 1) return false;
        }
        return true;
@@ -311,8 +389,12 @@
        Map<String, Object> BingRenXX = (Map<String, Object>) yeWuXX.get("BingRenXX");
        ExternalInHospPatientInfo externalInHospPatientInfo = BeanUtil.mapToBean(BingRenXX, ExternalInHospPatientInfo.class, true);
        PatMedInhosp patMedInhosp = new PatMedInhosp();
        patMedInhosp.setInhospno(externalInHospPatientInfo.getZhuYuanHao());
        patMedInhosp.setInhospno(externalInHospPatientInfo.getBingAnHao());
        List<PatMedInhosp> patMedInhospList = patMedInhospMapper.selectPatMedInhospList(patMedInhosp);
        for (PatMedInhosp patMedInhosp1 : patMedInhospList) {
            String tagname = patMedInhospMapper.getTagnameBypatid(patMedInhosp1.getPatid());
            patMedInhosp1.setTagname(tagname);
        }
        if (CollectionUtils.isNotEmpty(patMedInhospList)) {
            Map<String, Object> JiuZhenXX = (Map<String, Object>) yeWuXX.get("JiuZhenXX");
            PatMedInhosp patMedInhosp1 = patMedInhospList.get(0);
@@ -330,11 +412,17 @@
    public Boolean addFinshJZInfo(Map dataMap) {
        log.error("ServiceExternalServiceImpl---addFinshJZInfo的新增的值为：{}", dataMap);
        Map yeWuXX = (Map) dataMap.get("YeWuXX");
        Map XiaoXiTou = (Map) dataMap.get("XiaoXiTou");
        String FaSongJGID = ObjectUtils.isNotEmpty(XiaoXiTou.get("FaSongJGID")) ? XiaoXiTou.get("FaSongJGID").toString() : null;

        Map<String, Object> BingRenXX = (Map<String, Object>) yeWuXX.get("BingRenXX");
        Map<String, Object> JiuZhenXX = (Map<String, Object>) yeWuXX.get("JiuZhenXX");
        List<HashMap<String, Object>> ZhenDuanList = (List<HashMap<String, Object>>) yeWuXX.get("ZhenDuanList");
        List<HashMap<String, Object>> externalWZInfos = (List<HashMap<String, Object>>) yeWuXX.get("WenZhenList");
        ExternalInHospPatientInfo externalInHospPatientInfo = BeanUtil.mapToBean(BingRenXX, ExternalInHospPatientInfo.class, true);
        //病人信息里没有组织机构ID
        externalInHospPatientInfo.setZuZhiJGID(FaSongJGID);

        ExternalJZInfo externalJZInfo = BeanUtil.mapToBean(JiuZhenXX, ExternalJZInfo.class, true);
        List<ExternalDiagnosisInfo> externalDiagnosisInfoList = ZhenDuanList.stream().map(map -> {
            ExternalDiagnosisInfo info = new ExternalDiagnosisInfo();
@@ -366,9 +454,6 @@
        patMedOuthosp.setDeptname(externalJZInfo.getJiuZhenKSMC());
        patMedOuthosp.setDeptcode(externalJZInfo.getJiuZhenKSID());
        patMedOuthosp.setAdmitdate(externalJZInfo.getJiuZhenRQ());

        Map XiaoXiTou = (Map) dataMap.get("XiaoXiTou");
        String FaSongJGID = XiaoXiTou.get("FaSongJGID").toString();
        patMedOuthosp.setOrgid(FaSongJGID);

        for (ExternalDiagnosisInfo externalDiagnosisInfo : externalDiagnosisInfoList) {
@@ -377,6 +462,7 @@
                patMedOuthosp.setIcd10code(externalDiagnosisInfo.getZhenDuanID());
                patMedOuthosp.setDrcode(externalDiagnosisInfo.getZhenDuanYSID());
                patMedOuthosp.setDrname(externalDiagnosisInfo.getZhenDuanYSXM());
                patMedOuthosp.setIcd10code(externalDiagnosisInfo.getIcd10());
            }
        }
        for (ExternalWZInfo externalWZInfo : ExternalWZInfoList) {
@@ -405,19 +491,23 @@
        String FaSongJGID = XiaoXiTou.get("FaSongJGID").toString();
        Icd10 icd10 = new Icd10();
        icd10.setIcdcode(externalDiseaseInfo.getIcD10());
        icd10.setDelFlag("0");
        icd10.setOrgid(FaSongJGID);
        //通过icdCode查询一下，是否存在
        List<Icd10> icd10s = icd10Mapper.selectIcd10List(icd10);
        icd10.setHisIcdid(externalDiseaseInfo.getJiBingID());
        icd10.setIcdname(externalDiseaseInfo.getJiBingMC());
        icd10.setGuid(externalDiseaseInfo.getZuZhiJGID());
        icd10.setLastflag(externalDiseaseInfo.getMOJIBZ());
        icd10.setChimedflag("" + externalDiseaseInfo.getZhongYiZDBZ());
        icd10.setOrgid(FaSongJGID);
//        icd10Association.setIcd10AssortName(externalDiseaseInfo.getJiBingFLMC());
//        icd10Association.setChineseMedicineDiagnoseSign(externalDiseaseInfo.getZhongYiZDBZ());
//        icd10Association.setChineseMedicineDiagnoseAssortCode(externalDiseaseInfo.getZhongYiZDFLDM());
//        icd10Association.setChineseMedicineDiagnoseAssortName(externalDiseaseInfo.getZhongYiZDFLMC());
//        icd10Association.setOutpatientUseAssort(externalDiseaseInfo.getMenZhenSYBZ());
//        icd10Association.setInpatientUseAssort(externalDiseaseInfo.getZhuYuanSYBZ());
        icd10Mapper.insertIcd10(icd10);
        if (CollectionUtils.isNotEmpty(icd10s)) {
            icd10.setUpdateTime(new Date());
            icd10.setIcdid(icd10s.get(0).getIcdid());
            icd10Mapper.updateIcd10(icd10);
        } else {
            icd10.setCreateTime(new Date());
            icd10Mapper.insertIcd10(icd10);
        }
        return true;
    }

@@ -523,7 +613,7 @@
        patMedOperation.setPatname(externalInHospPatientInfo.getXingMing());
        patMedOperation.setVisitid(null);
        patMedOperation.setSerialnum(externalInHospPatientInfo.getZhuYuanHao());
        patMedOperation.setInhospno(externalInHospPatientInfo.getZhuYuanHao());
        patMedOperation.setInhospno(externalInHospPatientInfo.getBingAnHao());
        patMedOperation.setHospitalname(externalInHospPatientInfo.getZuZhiJGMC());
        patMedOperation.setHospitalcode(externalInHospPatientInfo.getZuZhiJGID());
        patMedOperation.setDeptid(externalOperationInfo.getShouShuKSID());
@@ -546,13 +636,33 @@
                patMedOperation.setDelFlag("1");
                //同时去查询，是否在subtask中生成任务，如果生成出得立马删除
            }
            patMedOperation.setUpdateTime(new Date());
            patMedOperationMapper.updatePatMedOperation(patMedOperation);
        } else patMedOperationMapper.insertPatMedOperation(patMedOperation);
        } else {
            patMedOperation.setCreateTime(new Date());
            patMedOperationMapper.insertPatMedOperation(patMedOperation);
        }
        log.error("-----patMedOperation的主键id为：{}", patMedOperation.getId());

        if (ObjectUtils.isNotEmpty(ssxx)) {
            Map<String, Object> ShouShuMXList = (Map<String, Object>) ssxx.get("ShouShuMXList");
            List<ExternalOperationDetail> externalOperationDetails = BeanUtil.mapToBean(ShouShuMXList, List.class, true);
            List<HashMap<String, Object>> ShouShuMXList = (List<HashMap<String, Object>>) ssxx.get("ShouShuMXList");

            List<ExternalOperationDetail> externalOperationDetails = ShouShuMXList.stream().map(map -> {
                ExternalOperationDetail info = new ExternalOperationDetail();
                info.setShouShuMCID((String) map.get("ShouShuMCID"));
                info.setShouShuMC((String) map.get("ShouShuMC"));
                info.setZhuShouSBZ((String) map.get("ZhuShouSBZ"));
                info.setQieKouLBDM((String) map.get("QieKouLBDM"));
                info.setQieKouLBMC((String) map.get("QieKouLBMC"));
                info.setShouShuJBDM((String) map.get("ShouShuJBDM"));
                info.setShouShuJBMC((String) map.get("ShouShuJBMC"));
                info.setShouShuBW((String) map.get("ShouShuBW"));
                info.setBiaoZhunBM((String) map.get("BiaoZhunBM"));
                info.setShouShuMCQZ((String) map.get("ShouShuMCQZ"));
                info.setShouShuMCHZ((String) map.get("ShouShuMCHZ"));
                return info;
            }).collect(Collectors.toList());

            //addMianTableFalg是否需要将主手术的信息放到PatMedOperation表中（只有第一个主手术信息需要放，后面的都不需要放了，也就是说，第一个放完后，就要把这个flag改成false）
            Boolean addMianTableFalg = true;
            for (ExternalOperationDetail externalOperationDetail : externalOperationDetails) {
@@ -572,10 +682,11 @@
                    patMedOperation.setOpcode(externalOperationDetail.getShouShuMCID());
                    patMedOperation.setOpdesc(externalOperationDetail.getShouShuMC());
//                    patMedOperation.setOpid(externalOperationDetail.getShouShuJBDM());
                    patMedOperation.setUpdateTime(new Date());
                    patMedOperationMapper.updatePatMedOperation(patMedOperation);
                    addMianTableFalg = false;
                }

                patMedOperationItem.setCreateTime(new Date());
                patMedOperationItemMapper.insertPatMedOperationItem(patMedOperationItem);
            }
        }
@@ -584,10 +695,22 @@

    //新增患者基本信息
    private PatArchive addPatArchive(ExternalInHospPatientInfo externalInHospPatientInfo, ExternalInHospPatientAddrInfo externalInHospPatientAddrInfo, ExternalInHospPatientLiaisonInfo externalInHospPatientLiaisonInfo) {
        Date parse = null;
        String chuShengRQ = externalInHospPatientInfo.getChuShengRQ();
        if (StringUtils.isNotEmpty(chuShengRQ)) {
            SimpleDateFormat simpleDateFormat = new SimpleDateFormat("yyyy-MM-dd hh:mm:ss");
            try {
                parse = simpleDateFormat.parse(chuShengRQ);
            } catch (ParseException e) {
                e.printStackTrace();
            }
        }
        PatArchive patArchive = new PatArchive();
        patArchive.setIdcardno(externalInHospPatientInfo.getZhengJianHM());
        patArchive.setOrgid(externalInHospPatientInfo.getZuZhiJGID());
        List<PatArchive> patArchives = patArchiveMapper.selectPatArchiveList(patArchive);
        patArchive.setPatientno(externalInHospPatientInfo.getJiuZhenKH());
        patArchive.setBirthdate(parse);
        patArchive.setPatidHis(externalInHospPatientInfo.getBingRenID());
        patArchive.setSourcefrom(1);
        patArchive.setPattype("2");
@@ -597,37 +720,66 @@
        patArchive.setNation(externalInHospPatientInfo.getMinZuMC());
        patArchive.setNativePlace(externalInHospPatientInfo.getGuoJiMC());
        if (ObjectUtils.isNotEmpty(externalInHospPatientAddrInfo)) {
            String por = externalInHospPatientAddrInfo.getShengFenMC() + externalInHospPatientAddrInfo.getShiDiQMC() + externalInHospPatientAddrInfo.getXianQuMC() + externalInHospPatientAddrInfo.getXiangZhenMC() + externalInHospPatientAddrInfo.getCunJiMC() + externalInHospPatientAddrInfo.getQiTaXX();
            patArchive.setPlaceOfResidence(por.replace(null, ""));
            String bp = externalInHospPatientAddrInfo.getShengFenMC() + externalInHospPatientAddrInfo.getShiDiQMC() + externalInHospPatientAddrInfo.getXianQuMC() + externalInHospPatientAddrInfo.getXiangZhenMC() + externalInHospPatientAddrInfo.getCunJiMC() + externalInHospPatientAddrInfo.getQiTaXX();
            patArchive.setBirthplace(bp.replace(null, ""));
            String por = null;
            if (StringUtils.isNotEmpty(externalInHospPatientAddrInfo.getDiZhiXX())) {
                por = externalInHospPatientAddrInfo.getDiZhiXX();
            } else {
                por = externalInHospPatientAddrInfo.getShengFenMC() + externalInHospPatientAddrInfo.getShiDiQMC() + externalInHospPatientAddrInfo.getXianQuMC() + externalInHospPatientAddrInfo.getXiangZhenMC() + externalInHospPatientAddrInfo.getCunJiMC() + externalInHospPatientAddrInfo.getQiTaXX();
            }
            patArchive.setPlaceOfResidence(por.replace("null", ""));
            patArchive.setBirthplace(por.replace("null", ""));
        }
        patArchive.setBirthdate(externalInHospPatientInfo.getChuShengRQ());
        patArchive.setAge(externalInHospPatientInfo.getNianLing());
        patArchive.setAgeUnit(externalInHospPatientInfo.getNianLingDW());

        if (ObjectUtils.isNotEmpty(parse)) {
            Map<String, String> map = calculateAge(parse.toInstant().atZone(ZoneId.systemDefault()).toLocalDate(), LocalDate.now());
            patArchive.setAge(ObjectUtils.isNotEmpty(map.get("age")) ? Long.valueOf(map.get("age")) : null);
            patArchive.setAgeUnit(map.get("ageUnit"));
            patArchive.setAge2(ObjectUtils.isNotEmpty(map.get("age2")) ? Long.valueOf(map.get("age2")) : null);
            patArchive.setAgeUnit2(map.get("ageUnit2"));

        }

        patArchive.setTelcode(externalInHospPatientInfo.getLianXiDH());
        if (StringUtils.isEmpty(externalInHospPatientInfo.getLianXiDH()))
            patArchive.setTelcode(externalInHospPatientInfo.getLianXiRDH());
        patArchive.setRelativetelcode(externalInHospPatientInfo.getLianXiRDH());
        patArchive.setGuid(externalInHospPatientInfo.getZuZhiJGID());
        patArchive.setOrgid(externalInHospPatientInfo.getZuZhiJGID());
        if (ObjectUtils.isNotEmpty(externalInHospPatientLiaisonInfo))
            patArchive.setRelativetelcode(externalInHospPatientLiaisonInfo.getLianXiRDH());
        patArchive.setInhospno(externalInHospPatientInfo.getZhuYuanHao());
        patArchive.setInhospno(externalInHospPatientInfo.getBingAnHao());
        patArchive.setCreateTime(new Date());
        patArchive.setIdcardtype(externalInHospPatientInfo.getZhengJianLXMC());
        if (CollectionUtils.isNotEmpty(patArchives)) {
            //如果不为空，直接将查询出来的对象返回
            PatArchive patArchive1 = patArchives.get(0);
            String orgid = patArchive1.getOrgid();
            if (StringUtils.isNotEmpty(orgid)) {
                orgid = orgid + "," + externalInHospPatientInfo.getZuZhiJGID();
                patArchive.setOrgid(orgid);
                patArchive.setId(patArchive1.getId());
                patArchiveMapper.updatePatArchive(patArchive);
                return patArchive;
            }
        }
        patArchiveMapper.insertPatArchiveSingle(patArchive);
        //新属信息
        if (ObjectUtils.isNotEmpty(externalInHospPatientInfo.getExternalInHospPatientLiaisonInfos())) {
            for (ExternalInHospPatientLiaisonInfo external : externalInHospPatientInfo.getExternalInHospPatientLiaisonInfos()) {
                PatArchivecontact patArchivecontact = new PatArchivecontact();
                patArchivecontact.setPatid(patArchive.getId());
                patArchivecontact.setContactname(external.getLianXiRXM());
                patArchivecontact.setOrgid(patArchive.getOrgid());
                List<PatArchivecontact> patArchivecontacts = patArchivecontactMapper.selectPatArchivecontactList(patArchivecontact);
                patArchivecontact.setContactway(external.getLianXiRDH());
                patArchivecontact.setRelation(external.getGuanXiMC());
                if (CollectionUtils.isEmpty(patArchivecontacts))
                    patArchivecontactMapper.insertPatArchivecontact(patArchivecontact);
                else {
                    patArchivecontact.setId(patArchivecontacts.get(0).getId());
                    patArchivecontactMapper.updatePatArchivecontact(patArchivecontact);
                }
            }
        }


        return patArchive;
    }

@@ -635,7 +787,8 @@
    private Boolean addPadInhospInfo(ExternalInHospPatientInfo externalInHospPatientInfo, PatArchive patArchive, ExternalInHospPatientDiagnoseInfo externalInHospPatientDiagnoseInfo) {
        PatMedInhosp patMedInhosp = new PatMedInhosp();
        if (ObjectUtils.isNotEmpty(externalInHospPatientInfo)) {
            patMedInhosp.setInhospno(externalInHospPatientInfo.getZhuYuanHao());
            //医院那边说要用病案号，不要用住院号
            patMedInhosp.setInhospno(externalInHospPatientInfo.getBingAnHao());
            patMedInhosp.setSerialnum(externalInHospPatientInfo.getZhuYuanHao());
            patMedInhosp.setHospitalname(externalInHospPatientInfo.getZuZhiJGMC());
            patMedInhosp.setHospitalcode(externalInHospPatientInfo.getZuZhiJGID());
@@ -801,4 +954,56 @@
        return true;
    }

    public Map<String, String> calculateAge(LocalDate birthdate, LocalDate today) {
        if (birthdate == null || today.isBefore(birthdate)) {
            return null;
        }
        Map<String, String> ageMap = new HashMap<>();

        Period period = Period.between(birthdate, today);
        long totalDays = ChronoUnit.DAYS.between(birthdate, today);
        long totalMonths = ChronoUnit.MONTHS.between(birthdate, today);

        int years = period.getYears();
        int months = period.getMonths();
        int days = period.getDays();

        String ageUnit;
        Integer age;
        String ageUnit2 = null;
        Integer age2 = null;

        if (totalDays < 30) {
            // 小于 1 个月，按天计算
            ageUnit = "天";
            age = (int) totalDays;
            ageMap.put("age", age != null ? age.toString() : null);
            ageMap.put("ageUnit", ageUnit);
            ageMap.put("age2", null);
            ageMap.put("ageUnit2", null);
        } else if (totalMonths < 12) {
            // 小于 1 年，按月 + 天计算
            ageUnit = "月";
            age = (int) totalMonths;
            ageUnit2 = "天";
            age2 = days;
            ageMap.put("age", age != null ? age.toString() : null);
            ageMap.put("ageUnit", ageUnit);
            ageMap.put("age2", age2 != null ? age2.toString() : null);
            ageMap.put("ageUnit2", ageUnit2);
        } else {
            // 大于 1 年，按年 + 月计算
            ageUnit = "岁";
            age = years;
            ageUnit2 = "月";
            age2 = months;
            ageMap.put("age", age != null ? age.toString() : null);
            ageMap.put("ageUnit", ageUnit);
            ageMap.put("age2", age2 != null ? age2.toString() : null);
            ageMap.put("ageUnit2", ageUnit2);
        }

        return ageMap;
    }

}