package com.smartor.service.impl; import com.alibaba.fastjson.JSON; import com.alibaba.fastjson.JSONArray; import com.ruoyi.common.core.domain.entity.PatArchive; import com.ruoyi.common.core.redis.RedisCache; import com.ruoyi.common.utils.StringUtils; import com.ruoyi.inhospvisit.api.InhospVisitFacade; import com.ruoyi.inhospvisit.domain.PatMedInhosp; import com.ruoyi.outpatientvisit.domain.PatMedOuthosp; import com.ruoyi.patarchive.domain.PatSpecificArchiveGenerateConfig; import com.ruoyi.patarchive.mapper.PatArchiveMapper; import com.ruoyi.patarchive.service.IPatSpecificArchiveGenerateConfigService; import com.ruoyi.task.api.TaskSubtaskApi; import com.ruoyi.task.domain.ServiceSubtask; import com.ruoyi.task.service.IServiceSubtaskService; import com.smartor.common.SpecificArchiveConstants; import com.smartor.domain.PatChildArchive; import com.smartor.domain.PatChildArchiveDetail; import com.smartor.domain.PatMaternityArchive; import com.smartor.domain.PatMaternityArchiveDetail; import com.smartor.domain.PatSpecificArchiveGenerateLog; import com.smartor.service.IPatChildArchiveService; import com.smartor.service.IPatMaternityArchiveService; import com.smartor.service.IPatSpecificArchiveGenerateLogService; import com.smartor.service.IPatSpecificArchiveGenerateService; import lombok.extern.slf4j.Slf4j; import org.apache.commons.collections4.CollectionUtils; import org.springframework.beans.factory.annotation.Autowired; import org.springframework.beans.factory.annotation.Value; import org.springframework.stereotype.Service; import java.util.ArrayList; import java.util.Arrays; import java.util.Collections; import java.util.Date; import java.util.HashSet; import java.util.List; import java.util.Set; import java.util.concurrent.TimeUnit; import java.util.stream.Collectors; /** * 专科档案生成Service业务层处理。 * *

只处理丽水市妇幼保健院(orgid = 47226079133110211G1001):

* */ @Slf4j @Service public class PatSpecificArchiveGenerateServiceImpl implements IPatSpecificArchiveGenerateService { /** 部门类型:科室 */ private static final String DEPT_TYPE_DEPARTMENT = "1"; /** 部门类型:病区 */ private static final String DEPT_TYPE_WARD = "2"; /** 就诊类型:出院 */ private static final String HOSP_TYPE_DISCHARGE = "2"; /** 就诊类型:住院/入院 */ private static final String HOSP_TYPE_INHOSP = "6"; /** 住院随访完成状态 */ private static final Long SEND_STATE_FINISHED = 6L; /** 住院随访档案生成的最大重试次数 */ private static final int MAX_RETRY = 3; /** Redis 锁前缀 */ private static final String LOCK_PREFIX = "lock:archive:inhosp:"; @Autowired private IPatSpecificArchiveGenerateConfigService patSpecificArchiveGenerateConfigService; @Autowired private IPatMaternityArchiveService patMaternityArchiveService; @Autowired private IPatChildArchiveService patChildArchiveService; @Autowired private IPatSpecificArchiveGenerateLogService patSpecificArchiveGenerateLogService; @Autowired private PatArchiveMapper patArchiveMapper; @Autowired private IServiceSubtaskService serviceSubtaskService; @Autowired private InhospVisitFacade inhospVisitFacade; @Autowired private TaskSubtaskApi taskSubtaskApi; @Autowired private RedisCache redisCache; /** * 住院随访服务类型白名单,默认出院随访、专科随访、入院随访、手术随访。 */ @Value("${archive.inhosp.followup.service-types:2,13,18,19}") private String inhospFollowupServiceTypes; /** 住院随访生成专科档案开关,默认开启,便于按机构灰度。 */ @Value("${archive.inhosp.followup.enabled:true}") private boolean inhospFollowupEnabled; @Override public int generateByOuthosp(PatMedOuthosp patMedOuthosp, PatArchive patArchive) { if (patMedOuthosp == null) { return 0; } // 仅丽水市妇幼保健院生效,避免影响其他机构 if (!SpecificArchiveConstants.LISHUI_MCH_ORG_ID.equals(patMedOuthosp.getOrgid())) { return 0; } if (StringUtils.isBlank(patMedOuthosp.getOuthospno())) { log.warn("生成专科档案跳过:门诊编号为空,serialnum={}", patMedOuthosp.getSerialnum()); return 0; } PatArchive targetArchive = resolvePatArchive(patMedOuthosp, patArchive); if (targetArchive == null && patMedOuthosp.getPatid() != null) { targetArchive = patArchiveMapper.selectPatArchiveByPatid(patMedOuthosp.getPatid()); } Long patid = targetArchive != null ? targetArchive.getId() : patMedOuthosp.getPatid(); if (patid == null) { log.warn("生成专科档案跳过:未找到患者档案,outhospno={},patno={}", patMedOuthosp.getOuthospno(), patMedOuthosp.getPatno()); return 0; } String campusid = StringUtils.isNotBlank(patMedOuthosp.getCampusid()) ? patMedOuthosp.getCampusid() : SpecificArchiveConstants.DEFAULT_CAMPUS_ID; List configs = patSpecificArchiveGenerateConfigService.selectEffectiveConfigList(patMedOuthosp.getOrgid(), campusid); if (CollectionUtils.isEmpty(configs)) { log.debug("生成专科档案跳过:机构未配置档案生成规则,orgid={},campusid={}", patMedOuthosp.getOrgid(), campusid); return 0; } // 同一条门诊记录、同一部门分类、同一档案类型只生成一次 Set generatedKeys = new HashSet<>(); int generatedCount = 0; for (PatSpecificArchiveGenerateConfig config : configs) { if (!matchConfig(config, patMedOuthosp.getDeptcode(), null, patMedOuthosp.getIcd10code(), patMedOuthosp.getDiagname())) { continue; } String archiveType = config.getArchiveType(); String deptCategory = config.getDeptCategory(); if (StringUtils.isBlank(archiveType) || StringUtils.isBlank(deptCategory)) { log.warn("生成专科档案跳过:配置不完整,configId={},deptCategory={},archiveType={}", config.getId(), deptCategory, archiveType); continue; } String generatedKey = deptCategory + "|" + archiveType; if (!generatedKeys.add(generatedKey)) { continue; } try { if (SpecificArchiveConstants.DEPT_CATEGORY_GYNECOLOGY.equals(deptCategory)) { PatMaternityArchiveDetail detail = buildMaternityDetail(patMedOuthosp, targetArchive, config, campusid); patMaternityArchiveService.insertOrUpdateMaternityArchive(detail); generatedCount++; } else if (SpecificArchiveConstants.DEPT_CATEGORY_PEDIATRICS.equals(deptCategory)) { PatChildArchiveDetail detail = buildChildDetail(patMedOuthosp, targetArchive, config, campusid); patChildArchiveService.insertOrUpdateChildArchive(detail); generatedCount++; } else { log.warn("生成专科档案跳过:未知部门分类,configId={},deptCategory={}", config.getId(), deptCategory); } } catch (Exception e) { log.error("生成专科档案失败,configId={},outhospno={},deptCategory={},archiveType={}", config.getId(), patMedOuthosp.getOuthospno(), deptCategory, archiveType, e); } } return generatedCount; } @Override public int generateByInhospFollowup(Long subId) { if (!inhospFollowupEnabled || subId == null) { return 0; } ServiceSubtask subtask = serviceSubtaskService.selectServiceSubtaskById(subId); if (subtask == null || !SEND_STATE_FINISHED.equals(subtask.getSendstate())) { return 0; } if (!isInhospFollowup(subtask)) { return 0; } // 仅限丽水妇幼,机构为空时用住院记录/患者档案兜底 PatMedInhosp inhosp = resolveInhosp(subtask); PatArchive patArchive = resolvePatArchive(subtask.getPatid(), inhosp); String orgid = firstNotBlank(subtask.getOrgid(), inhosp == null ? null : inhosp.getOrgid(), patArchive == null ? null : patArchive.getOrgid()); if (!SpecificArchiveConstants.LISHUI_MCH_ORG_ID.equals(orgid)) { log.debug("住院随访生成专科档案跳过:非丽水妇幼机构,subId={},orgid={}", subId, orgid); return 0; } Long patid = firstNonNull(subtask.getPatid(), inhosp == null ? null : inhosp.getPatid(), patArchive == null ? null : patArchive.getId()); if (patid == null) { log.warn("住院随访生成专科档案跳过:未找到患者,subId={},inhospid={}", subId, subtask.getInhospid()); return 0; } if (patArchive == null) { patArchive = patArchiveMapper.selectPatArchiveByPatid(patid); } String campusid = firstNotBlank(subtask.getCampusid(), inhosp == null ? null : inhosp.getCampusid(), patArchive == null ? null : patArchive.getCampusid(), SpecificArchiveConstants.DEFAULT_CAMPUS_ID); boolean admission = HOSP_TYPE_INHOSP.equals(subtask.getHospType()); String deptCode = admission ? firstNotBlank(inhosp == null ? null : inhosp.getDeptcode(), subtask.getDeptcode(), subtask.getVisitDeptCode(), subtask.getLeaveldeptcode()) : firstNotBlank(inhosp == null ? null : inhosp.getLeaveldeptcode(), subtask.getLeaveldeptcode(), subtask.getVisitDeptCode(), inhosp == null ? null : inhosp.getDeptcode()); String deptName = admission ? firstNotBlank(inhosp == null ? null : inhosp.getDeptname(), subtask.getDeptname(), subtask.getVisitDeptName(), subtask.getLeaveldeptname()) : firstNotBlank(inhosp == null ? null : inhosp.getLeaveldeptname(), subtask.getLeaveldeptname(), subtask.getVisitDeptName(), inhosp == null ? null : inhosp.getDeptname()); String wardCode = admission ? firstNotBlank(inhosp == null ? null : inhosp.getHospitaldistrictcode(), subtask.getHospitaldistrictcode(), subtask.getLeavehospitaldistrictcode()) : firstNotBlank(inhosp == null ? null : inhosp.getLeavehospitaldistrictcode(), subtask.getLeavehospitaldistrictcode(), subtask.getHospitaldistrictcode()); String wardName = admission ? firstNotBlank(inhosp == null ? null : inhosp.getHospitaldistrictname(), subtask.getHospitaldistrictname(), subtask.getLeavehospitaldistrictname()) : firstNotBlank(inhosp == null ? null : inhosp.getLeavehospitaldistrictname(), subtask.getLeavehospitaldistrictname(), subtask.getHospitaldistrictname()); String icd10Code = admission ? firstNotBlank(inhosp == null ? null : inhosp.getIcd10code(), subtask.getLeaveicd10code()) : firstNotBlank(inhosp == null ? null : inhosp.getLeaveicd10code(), subtask.getLeaveicd10code(), inhosp == null ? null : inhosp.getIcd10code()); String diagName = admission ? firstNotBlank(inhosp == null ? null : inhosp.getDiagname(), subtask.getDiagname()) : firstNotBlank(inhosp == null ? null : inhosp.getLeavediagname(), subtask.getLeavediagname(), inhosp == null ? null : inhosp.getDiagname()); InhospArchiveContext context = new InhospArchiveContext(); context.subtask = subtask; context.inhosp = inhosp; context.patArchive = patArchive; context.patid = patid; context.orgid = orgid; context.campusid = campusid; context.deptCode = deptCode; context.deptName = deptName; context.wardCode = wardCode; context.wardName = wardName; context.icd10Code = icd10Code; context.diagName = diagName; context.diagTime = firstDate(subtask.getFinishtime(), inhosp == null ? null : inhosp.getEndtime()); List configs = patSpecificArchiveGenerateConfigService.selectEffectiveConfigList(orgid, campusid); if (CollectionUtils.isEmpty(configs)) { recordLog(context, null, null, null, SpecificArchiveConstants.RESULT_NO_MATCH, null, "机构未配置档案生成规则"); return 0; } Set generatedKeys = new HashSet<>(); int generatedCount = 0; boolean anyMatched = false; for (PatSpecificArchiveGenerateConfig config : configs) { String archiveType = config.getArchiveType(); String deptCategory = config.getDeptCategory(); if (StringUtils.isBlank(archiveType) || StringUtils.isBlank(deptCategory)) { log.warn("住院随访生成专科档案跳过:配置不完整,configId={},deptCategory={},archiveType={}", config.getId(), deptCategory, archiveType); continue; } if (!matchConfig(config, deptCode, wardCode, icd10Code, diagName)) { continue; } anyMatched = true; String generatedKey = deptCategory + "|" + archiveType; if (!generatedKeys.add(generatedKey)) { continue; } if (alreadyProcessed(subId, config.getId())) { continue; } String lockKey = LOCK_PREFIX + orgid + ":" + patid + ":" + deptCategory + ":" + archiveType; boolean locked = false; try { locked = redisCache.setCacheObjectIfAbsent(lockKey, "1", 30, TimeUnit.SECONDS); } catch (Exception e) { // Redis 不可用时 fail-open,依赖生成日志和数据库查询兜底,避免档案生成整体停摆 locked = true; log.warn("住院随访生成专科档案获取Redis锁异常,降级为无锁执行,subId={},lockKey={}", subId, lockKey, e); } if (!locked) { // 未拿到锁时由补偿任务重试,避免并发重复生成 log.info("住院随访生成专科档案未获取到锁,等待补偿重试,subId={},lockKey={}", subId, lockKey); recordLog(context, config, deptCategory, archiveType, SpecificArchiveConstants.RESULT_FAILED, null, "获取生成锁失败"); continue; } try { Long existingArchiveId = findExistingArchiveId(orgid, patid, deptCategory, archiveType); if (existingArchiveId != null) { recordLog(context, config, deptCategory, archiveType, SpecificArchiveConstants.RESULT_EXISTS, existingArchiveId, "患者已有对应档案,跳过生成"); continue; } Long archiveId; if (SpecificArchiveConstants.DEPT_CATEGORY_GYNECOLOGY.equals(deptCategory)) { PatMaternityArchiveDetail detail = buildInhospMaternityDetail(context, config); archiveId = (long) patMaternityArchiveService.insertOrUpdateMaternityArchive(detail); } else if (SpecificArchiveConstants.DEPT_CATEGORY_PEDIATRICS.equals(deptCategory)) { PatChildArchiveDetail detail = buildInhospChildDetail(context, config); archiveId = (long) patChildArchiveService.insertOrUpdateChildArchive(detail); } else { log.warn("住院随访生成专科档案跳过:未知部门分类,configId={},deptCategory={}", config.getId(), deptCategory); continue; } recordLog(context, config, deptCategory, archiveType, SpecificArchiveConstants.RESULT_GENERATED, archiveId, "生成成功"); generatedCount++; } catch (Exception e) { log.error("住院随访生成专科档案失败,subId={},configId={},deptCategory={},archiveType={}", subId, config.getId(), deptCategory, archiveType, e); recordLog(context, config, deptCategory, archiveType, SpecificArchiveConstants.RESULT_FAILED, null, truncateMsg(e.getMessage())); } finally { if (locked) { try { redisCache.deleteObject(lockKey); } catch (Exception e) { log.warn("住院随访生成专科档案释放Redis锁异常,lockKey={}", lockKey, e); } } } } if (!anyMatched) { recordLog(context, null, null, null, SpecificArchiveConstants.RESULT_NO_MATCH, null, "未命中科室/病区/诊断配置"); } return generatedCount; } @Override public int compensateInhospFollowups() { if (!inhospFollowupEnabled) { return 0; } List serviceTypes = parseCsv(inhospFollowupServiceTypes); if (CollectionUtils.isEmpty(serviceTypes)) { return 0; } Date startTime = new Date(System.currentTimeMillis() - 7L * 24 * 60 * 60 * 1000); List subtasks = taskSubtaskApi.findCompletedInhospFollowups( SpecificArchiveConstants.LISHUI_MCH_ORG_ID, serviceTypes, startTime, 200); if (CollectionUtils.isEmpty(subtasks)) { return 0; } int generated = 0; for (ServiceSubtask subtask : subtasks) { if (subtask.getId() == null || patSpecificArchiveGenerateLogService.existsProcessedBySourceSub( SpecificArchiveConstants.SOURCE_TYPE_INHOSP_FOLLOWUP, subtask.getId())) { continue; } try { generated += generateByInhospFollowup(subtask.getId()); } catch (Exception e) { log.error("补偿生成住院随访专科档案失败,subId={}", subtask.getId(), e); } } return generated; } /** * 判断随访子任务是否属于需要生成档案的住院随访。 */ private boolean isInhospFollowup(ServiceSubtask subtask) { if (!HOSP_TYPE_DISCHARGE.equals(subtask.getHospType()) && !HOSP_TYPE_INHOSP.equals(subtask.getHospType())) { return false; } if (StringUtils.isBlank(subtask.getServiceType())) { return false; } return parseCsv(inhospFollowupServiceTypes).contains(subtask.getServiceType().trim()); } private boolean alreadyProcessed(Long subId, Long configId) { int cid = configId == null ? SpecificArchiveConstants.NO_CONFIG_ID : configId.intValue(); PatSpecificArchiveGenerateLog old = patSpecificArchiveGenerateLogService .selectBySourceSubAndConfig(SpecificArchiveConstants.SOURCE_TYPE_INHOSP_FOLLOWUP, subId, cid); if (old == null) { return false; } if (SpecificArchiveConstants.RESULT_FAILED.equals(old.getProcessResult())) { return old.getRetryCount() != null && old.getRetryCount() >= MAX_RETRY; } return true; } /** * 查询患者是否已有对应专科档案。 * *

用户确认口径:按“专科 + 档案类型”判断。妇科、儿科分表存储,因此妇科查妇科表, * 儿科查儿科表,再按档案类型区分。

*/ private Long findExistingArchiveId(String orgid, Long patid, String deptCategory, String archiveType) { if (SpecificArchiveConstants.DEPT_CATEGORY_GYNECOLOGY.equals(deptCategory)) { PatMaternityArchive query = new PatMaternityArchive(); query.setOrgid(orgid); query.setPatid(patid); query.setArchiveType(archiveType); List list = patMaternityArchiveService.selectPatMaternityArchiveList(query); return CollectionUtils.isNotEmpty(list) ? list.get(0).getId() : null; } if (SpecificArchiveConstants.DEPT_CATEGORY_PEDIATRICS.equals(deptCategory)) { PatChildArchive query = new PatChildArchive(); query.setOrgid(orgid); query.setPatid(patid); query.setArchiveType(archiveType); List list = patChildArchiveService.selectPatChildArchiveList(query); return CollectionUtils.isNotEmpty(list) ? list.get(0).getId() : null; } return null; } /** * 判断科室/病区、诊断是否命中配置。 * *

部门条件与诊断条件为 OR 关系:任一条件命中即生成;两个集合都为空时配置无效。

*/ private boolean matchConfig(PatSpecificArchiveGenerateConfig config, String deptCode, String wardCode, String icd10Code, String diagName) { List deptCodes = parseCodes(config.getDeptCodes()); List icd10Codes = parseCodes(config.getIcd10Codes()); if (CollectionUtils.isEmpty(deptCodes) && CollectionUtils.isEmpty(icd10Codes)) { return false; } boolean deptMatched = false; if (CollectionUtils.isNotEmpty(deptCodes)) { if (DEPT_TYPE_DEPARTMENT.equals(config.getDeptType())) { deptMatched = containsIgnoreCase(deptCodes, deptCode); } else if (DEPT_TYPE_WARD.equals(config.getDeptType())) { deptMatched = containsIgnoreCase(deptCodes, wardCode); } } boolean diagnosisMatched = false; if (CollectionUtils.isNotEmpty(icd10Codes)) { diagnosisMatched = icd10Codes.stream().anyMatch(code -> { if (equalsIgnoreCase(code, icd10Code)) { return true; } // 部分 HIS 数据只有诊断名称没有诊断码,此时允许按诊断名称兜底匹配 return StringUtils.isBlank(icd10Code) && equalsIgnoreCase(code, diagName); }); } return deptMatched || diagnosisMatched; } private PatMaternityArchiveDetail buildMaternityDetail(PatMedOuthosp patMedOuthosp, PatArchive patArchive, PatSpecificArchiveGenerateConfig config, String campusid) { PatMaternityArchiveDetail detail = new PatMaternityArchiveDetail(); detail.setArchiveType(config.getArchiveType()); detail.setFollowupPeriod(config.getFollowupPeriod()); detail.setSourceType(SpecificArchiveConstants.SOURCE_TYPE_OUTHOSP); detail.setSourceBizId(patMedOuthosp.getId()); detail.setSourceBizNo(patMedOuthosp.getOuthospno()); fillCommonDetail(detail, patMedOuthosp, patArchive, campusid); if (patArchive != null) { detail.setAddress(patArchive.getPlaceOfResidence()); } return detail; } private PatChildArchiveDetail buildChildDetail(PatMedOuthosp patMedOuthosp, PatArchive patArchive, PatSpecificArchiveGenerateConfig config, String campusid) { PatChildArchiveDetail detail = new PatChildArchiveDetail(); detail.setArchiveType(config.getArchiveType()); detail.setFollowupPeriod(config.getFollowupPeriod()); detail.setSourceType(SpecificArchiveConstants.SOURCE_TYPE_OUTHOSP); detail.setSourceBizId(patMedOuthosp.getId()); detail.setSourceBizNo(patMedOuthosp.getOuthospno()); fillCommonChildDetail(detail, patMedOuthosp, patArchive, campusid); detail.setParentPhone(patArchive != null ? firstNotBlank(patArchive.getTelcode(), patMedOuthosp.getTelcode()) : patMedOuthosp.getTelcode()); if (patArchive != null) { detail.setParentAddress(patArchive.getPlaceOfResidence()); } // 营养性疾病档案同步诊断信息,方便列表直接展示 if ("1".equals(config.getArchiveType())) { detail.setNutritionIcd10Code(patMedOuthosp.getIcd10code()); detail.setNutritionDiagName(patMedOuthosp.getDiagname()); } return detail; } private PatMaternityArchiveDetail buildInhospMaternityDetail(InhospArchiveContext context, PatSpecificArchiveGenerateConfig config) { PatMaternityArchiveDetail detail = new PatMaternityArchiveDetail(); detail.setArchiveType(config.getArchiveType()); detail.setFollowupPeriod(config.getFollowupPeriod()); detail.setSourceType(SpecificArchiveConstants.SOURCE_TYPE_INHOSP_FOLLOWUP); detail.setSourceBizId(inInhospid(context)); detail.setSourceBizNo(inInhospno(context)); detail.setSourceSubId(context.subtask.getId()); detail.setOuthospno(null); detail.setInhospno(inInhospno(context)); detail.setSerialnum(inSerialnum(context)); detail.setPatid(context.patid); detail.setPatname(firstNotBlank(context.patArchive == null ? null : context.patArchive.getName(), context.inhosp == null ? null : context.inhosp.getPatname())); detail.setBirthdate(context.patArchive == null ? null : context.patArchive.getBirthdate()); detail.setIdcardno(firstNotBlank(context.patArchive == null ? null : context.patArchive.getIdcardno(), context.inhosp == null ? null : context.inhosp.getIdcardno())); detail.setPhone(firstNotBlank(context.patArchive == null ? null : context.patArchive.getTelcode(), context.inhosp == null ? null : context.inhosp.getTelcode())); detail.setSex(firstNonNull(context.patArchive == null ? null : context.patArchive.getSex(), context.inhosp == null ? null : context.inhosp.getSex(), context.subtask.getSex())); detail.setDiagTime(context.diagTime); detail.setArchiveTime(new Date()); detail.setDoctorCode(inDrcode(context)); detail.setDoctorName(inDrname(context)); detail.setManagementDoctorCode(firstNotBlank(context.inhosp == null ? null : context.inhosp.getManagementDoctorCode(), inDrcode(context))); detail.setManagementDoctorName(firstNotBlank(context.inhosp == null ? null : context.inhosp.getManagementDoctor(), inDrname(context))); detail.setFirstDoctorCode(inDrcode(context)); detail.setFirstDoctorName(inDrname(context)); detail.setDeptcode(context.deptCode); detail.setDeptname(context.deptName); detail.setWardcode(context.wardCode); detail.setWardname(context.wardName); detail.setIcd10code(context.icd10Code); detail.setDiagname(context.diagName); detail.setAddress(context.patArchive == null ? null : context.patArchive.getPlaceOfResidence()); detail.setRegisterUser("住院随访"); detail.setOrgid(context.orgid); detail.setCampusid(context.campusid); detail.setDelFlag("0"); return detail; } private PatChildArchiveDetail buildInhospChildDetail(InhospArchiveContext context, PatSpecificArchiveGenerateConfig config) { PatChildArchiveDetail detail = new PatChildArchiveDetail(); detail.setArchiveType(config.getArchiveType()); detail.setFollowupPeriod(config.getFollowupPeriod()); detail.setSourceType(SpecificArchiveConstants.SOURCE_TYPE_INHOSP_FOLLOWUP); detail.setSourceBizId(inInhospid(context)); detail.setSourceBizNo(inInhospno(context)); detail.setSourceSubId(context.subtask.getId()); detail.setOuthospno(null); detail.setInhospno(inInhospno(context)); detail.setSerialnum(inSerialnum(context)); detail.setPatid(context.patid); detail.setPatname(firstNotBlank(context.patArchive == null ? null : context.patArchive.getName(), context.inhosp == null ? null : context.inhosp.getPatname())); detail.setBirthdate(context.patArchive == null ? null : context.patArchive.getBirthdate()); detail.setIdcardno(firstNotBlank(context.patArchive == null ? null : context.patArchive.getIdcardno(), context.inhosp == null ? null : context.inhosp.getIdcardno())); detail.setPhone(firstNotBlank(context.patArchive == null ? null : context.patArchive.getTelcode(), context.inhosp == null ? null : context.inhosp.getTelcode())); detail.setSex(firstNonNull(context.patArchive == null ? null : context.patArchive.getSex(), context.inhosp == null ? null : context.inhosp.getSex(), context.subtask.getSex())); detail.setDiagTime(context.diagTime); detail.setArchiveTime(new Date()); detail.setDoctorCode(inDrcode(context)); detail.setDoctorName(inDrname(context)); detail.setManagementDoctorCode(firstNotBlank(context.inhosp == null ? null : context.inhosp.getManagementDoctorCode(), inDrcode(context))); detail.setManagementDoctorName(firstNotBlank(context.inhosp == null ? null : context.inhosp.getManagementDoctor(), inDrname(context))); detail.setDeptcode(context.deptCode); detail.setDeptname(context.deptName); detail.setWardcode(context.wardCode); detail.setWardname(context.wardName); detail.setIcd10code(context.icd10Code); detail.setDiagname(context.diagName); detail.setParentPhone(firstNotBlank(context.patArchive == null ? null : context.patArchive.getTelcode(), context.inhosp == null ? null : context.inhosp.getTelcode())); detail.setParentAddress(context.patArchive == null ? null : context.patArchive.getPlaceOfResidence()); if ("1".equals(config.getArchiveType())) { detail.setNutritionIcd10Code(context.icd10Code); detail.setNutritionDiagName(context.diagName); } detail.setRegisterUser("住院随访"); detail.setOrgid(context.orgid); detail.setCampusid(context.campusid); detail.setDelFlag("0"); return detail; } private void fillCommonDetail(PatMaternityArchiveDetail detail, PatMedOuthosp patMedOuthosp, PatArchive patArchive, String campusid) { detail.setOuthospno(patMedOuthosp.getOuthospno()); detail.setSerialnum(patMedOuthosp.getSerialnum()); detail.setPatid(patArchive != null ? patArchive.getId() : patMedOuthosp.getPatid()); detail.setPatname(patArchive != null ? firstNotBlank(patArchive.getName(), patMedOuthosp.getPatname()) : patMedOuthosp.getPatname()); detail.setBirthdate(patArchive != null ? patArchive.getBirthdate() : null); detail.setIdcardno(patArchive != null ? firstNotBlank(patArchive.getIdcardno(), patMedOuthosp.getIdcardno()) : patMedOuthosp.getIdcardno()); detail.setPhone(patArchive != null ? firstNotBlank(patArchive.getTelcode(), patMedOuthosp.getTelcode()) : patMedOuthosp.getTelcode()); detail.setSex(patArchive != null && patArchive.getSex() != null ? patArchive.getSex() : patMedOuthosp.getSex()); detail.setDiagTime(patMedOuthosp.getAdmitdate()); detail.setArchiveTime(new Date()); detail.setDoctorCode(patMedOuthosp.getDrcode()); detail.setDoctorName(patMedOuthosp.getDrname()); detail.setManagementDoctorCode(patMedOuthosp.getDrcode()); detail.setManagementDoctorName(patMedOuthosp.getDrname()); detail.setFirstDoctorCode(patMedOuthosp.getDrcode()); detail.setFirstDoctorName(patMedOuthosp.getDrname()); detail.setDeptcode(patMedOuthosp.getDeptcode()); detail.setDeptname(patMedOuthosp.getDeptname()); detail.setIcd10code(patMedOuthosp.getIcd10code()); detail.setDiagname(patMedOuthosp.getDiagname()); detail.setRegisterUser(patMedOuthosp.getDrname()); detail.setOrgid(patMedOuthosp.getOrgid()); detail.setCampusid(campusid); detail.setDelFlag("0"); } private void fillCommonChildDetail(PatChildArchiveDetail detail, PatMedOuthosp patMedOuthosp, PatArchive patArchive, String campusid) { detail.setOuthospno(patMedOuthosp.getOuthospno()); detail.setSerialnum(patMedOuthosp.getSerialnum()); detail.setPatid(patArchive != null ? patArchive.getId() : patMedOuthosp.getPatid()); detail.setPatname(patArchive != null ? firstNotBlank(patArchive.getName(), patMedOuthosp.getPatname()) : patMedOuthosp.getPatname()); detail.setBirthdate(patArchive != null ? patArchive.getBirthdate() : null); detail.setIdcardno(patArchive != null ? firstNotBlank(patArchive.getIdcardno(), patMedOuthosp.getIdcardno()) : patMedOuthosp.getIdcardno()); detail.setPhone(patArchive != null ? firstNotBlank(patArchive.getTelcode(), patMedOuthosp.getTelcode()) : patMedOuthosp.getTelcode()); detail.setSex(patArchive != null && patArchive.getSex() != null ? patArchive.getSex() : patMedOuthosp.getSex()); detail.setDiagTime(patMedOuthosp.getAdmitdate()); detail.setArchiveTime(new Date()); detail.setDoctorCode(patMedOuthosp.getDrcode()); detail.setDoctorName(patMedOuthosp.getDrname()); detail.setManagementDoctorCode(patMedOuthosp.getDrcode()); detail.setManagementDoctorName(patMedOuthosp.getDrname()); detail.setDeptcode(patMedOuthosp.getDeptcode()); detail.setDeptname(patMedOuthosp.getDeptname()); detail.setIcd10code(patMedOuthosp.getIcd10code()); detail.setDiagname(patMedOuthosp.getDiagname()); detail.setRegisterUser(patMedOuthosp.getDrname()); detail.setOrgid(patMedOuthosp.getOrgid()); detail.setCampusid(campusid); detail.setDelFlag("0"); } private PatArchive resolvePatArchive(PatMedOuthosp patMedOuthosp, PatArchive patArchive) { if (patArchive != null && patArchive.getId() != null) { return patArchive; } PatArchive query = new PatArchive(); if (StringUtils.isNotBlank(patMedOuthosp.getPatno())) { query.setPatientno(patMedOuthosp.getPatno()); } else if (StringUtils.isNotBlank(patMedOuthosp.getIdcardno())) { query.setIdcardno(patMedOuthosp.getIdcardno()); } else { return null; } query.setOrgid(patMedOuthosp.getOrgid()); List archives = patArchiveMapper.selectPatArchiveList(query); return CollectionUtils.isNotEmpty(archives) ? archives.get(0) : null; } private PatArchive resolvePatArchive(Long patid, PatMedInhosp inhosp) { if (patid != null) { PatArchive archive = patArchiveMapper.selectPatArchiveByPatid(patid); if (archive != null) { return archive; } } Long inhospPatid = inhosp == null ? null : inhosp.getPatid(); return inhospPatid == null ? null : patArchiveMapper.selectPatArchiveByPatid(inhospPatid); } private PatMedInhosp resolveInhosp(ServiceSubtask subtask) { if (subtask.getInhospid() != null) { PatMedInhosp inhosp = inhospVisitFacade.selectPatMedInhospByInhospid(subtask.getInhospid()); if (inhosp != null) { return inhosp; } } if (StringUtils.isNotBlank(subtask.getHospno())) { PatMedInhosp query = new PatMedInhosp(); query.setInhospno(subtask.getHospno()); query.setOrgid(subtask.getOrgid()); List list = inhospVisitFacade.selectPatMedInhosp(query); if (CollectionUtils.isNotEmpty(list)) { return list.get(0); } } return null; } private void recordLog(InhospArchiveContext context, PatSpecificArchiveGenerateConfig config, String deptCategory, String archiveType, String result, Long archiveId, String msg) { PatSpecificArchiveGenerateLog log = new PatSpecificArchiveGenerateLog(); log.setSourceType(SpecificArchiveConstants.SOURCE_TYPE_INHOSP_FOLLOWUP); log.setSourceBizId(inInhospid(context)); log.setSourceBizNo(inInhospno(context)); log.setSourceSubId(context.subtask.getId()); log.setPatid(context.patid); log.setOrgid(context.orgid); log.setCampusid(context.campusid); log.setDeptCategory(deptCategory); log.setArchiveType(archiveType); log.setConfigId(config == null || config.getId() == null ? SpecificArchiveConstants.NO_CONFIG_ID : config.getId().intValue()); log.setArchiveId(archiveId); log.setProcessResult(result); log.setProcessMsg(msg); PatSpecificArchiveGenerateLog old = patSpecificArchiveGenerateLogService.selectBySourceSubAndConfig( log.getSourceType(), log.getSourceSubId(), log.getConfigId()); int retry = old == null || old.getRetryCount() == null ? 0 : old.getRetryCount(); if (SpecificArchiveConstants.RESULT_FAILED.equals(result)) { retry++; } log.setRetryCount(retry); patSpecificArchiveGenerateLogService.saveOrUpdate(log); } private Long inInhospid(InhospArchiveContext context) { return firstNonNull(context.inhosp == null ? null : context.inhosp.getInhospid(), context.subtask.getInhospid()); } private String inInhospno(InhospArchiveContext context) { return firstNotBlank(context.inhosp == null ? null : context.inhosp.getInhospno(), context.subtask.getHospno()); } private String inSerialnum(InhospArchiveContext context) { return context.inhosp == null ? null : context.inhosp.getSerialnum(); } private String inDrcode(InhospArchiveContext context) { return firstNotBlank(context.inhosp == null ? null : context.inhosp.getDrcode(), context.subtask.getDrcode()); } private String inDrname(InhospArchiveContext context) { return firstNotBlank(context.inhosp == null ? null : context.inhosp.getDrname(), context.subtask.getDrname()); } private List parseCodes(String raw) { if (StringUtils.isBlank(raw)) { return Collections.emptyList(); } String value = raw.trim(); try { JSONArray array = JSON.parseArray(value); if (array != null) { List result = new ArrayList<>(); for (Object item : array) { if (item != null && StringUtils.isNotBlank(String.valueOf(item))) { result.add(String.valueOf(item).trim()); } } return result; } } catch (Exception e) { log.warn("解析档案生成配置集合失败,按逗号分隔处理:{}", raw); } return Arrays.stream(value.split(",")) .map(String::trim) .filter(StringUtils::isNotBlank) .collect(Collectors.toList()); } private List parseCsv(String raw) { if (StringUtils.isBlank(raw)) { return Collections.emptyList(); } return Arrays.stream(raw.split(",")) .map(String::trim) .filter(StringUtils::isNotBlank) .collect(Collectors.toList()); } private String firstNotBlank(String... values) { if (values == null) { return null; } for (String value : values) { if (StringUtils.isNotBlank(value)) { return value; } } return null; } private T firstNonNull(T... values) { if (values == null) { return null; } for (T value : values) { if (value != null) { return value; } } return null; } private Date firstDate(Date first, Date second) { return first != null ? first : second; } private boolean containsIgnoreCase(List source, String target) { if (StringUtils.isBlank(target)) { return false; } return source.stream().anyMatch(item -> equalsIgnoreCase(item, target)); } private boolean equalsIgnoreCase(String first, String second) { return first != null && second != null && first.trim().equalsIgnoreCase(second.trim()); } private String truncateMsg(String msg) { if (msg == null) { return null; } return msg.length() <= 900 ? msg : msg.substring(0, 900); } /** * 住院随访生成档案时用到的上下文。 */ private static class InhospArchiveContext { private ServiceSubtask subtask; private PatMedInhosp inhosp; private PatArchive patArchive; private Long patid; private String orgid; private String campusid; private String deptCode; private String deptName; private String wardCode; private String wardName; private String icd10Code; private String diagName; private Date diagTime; } }