* добавил удаление карты, если она была добавлена не из МИС

* добавил диалог при удалении карты
* добавил сохранение движения
* добавил вывод сохраненного отчета
* изменил логику сохранения отчета
This commit is contained in:
brusnitsyn
2026-05-06 17:03:41 +09:00
parent fe2264dfce
commit 2026a1ca9f
22 changed files with 928 additions and 195 deletions

View File

@@ -3,10 +3,13 @@
namespace App\Services;
use App\Models\ReportNurse;
use App\Models\ReportNurseMigrationPatient;
use App\Models\ReportNursePatient;
use App\Models\UnifiedMedicalHistory;
use App\Models\User;
use Illuminate\Database\Eloquent\Builder;
use Illuminate\Support\Carbon;
use Illuminate\Support\Facades\DB;
class NurseReportService
{
@@ -47,7 +50,13 @@ class NurseReportService
'rf_user_id' => $user->id,
];
$report = ReportNurse::create($data);
$report = ReportNurse::updateOrCreate(
[
'report_date' => $data['report_date'], 'period_start' => $data['period_start'],
'period_end' => $data['period_end']
],
$data
);
return $report;
}
@@ -92,52 +101,164 @@ class NurseReportService
->latest('ingoing_date'); // если несколько, берём последнее
}]);
$rawSql = $query->toRawSql();
// Получаем данные (chunk для памяти, если пациентов > 1000)
$patients = $query->cursor();
$savedCount = 0;
$reportData = [];
foreach ($patients as $patient) {
// Подготовка данных для сохранения (денормализация)
$data = [
'report_nurse_id' => $reportNurse->id,
'source_type' => $patient->source_type,
'original_id' => $patient->original_id,
'medical_card_number' => $patient->medical_card_number,
'full_name' => $patient->full_name,
'birth_date' => $patient->birth_date,
'recipient_date' => $patient->recipient_date,
'extract_date' => $patient->extract_date,
'death_date' => $patient->death_date,
'male' => $patient->male,
'urgency_id' => $patient->urgency_id,
'hospital_result_id' => $patient->hospital_result_id,
'visit_result_id' => $patient->visit_result_id,
'comment' => $patient->comment,
'user_id' => $userId,
];
// UPSERT: обновляем если запись с таким ключом уже есть, иначе вставляем
\DB::table('report_nurse_patients')->upsert(
[$data],
['report_nurse_id', 'source_type', 'original_id'], // уникальные ключи
[
'medical_card_number', 'full_name', 'birth_date', 'recipient_date', 'extract_date', 'death_date',
'male', 'urgency_id', 'hospital_result_id', 'visit_result_id', 'comment', 'user_id'
] // обновляемые поля
);
$savedCount++;
$reportData[] = $data;
}
$savedStats = $this->saveReportSnapshot($reportNurse->id, $patients, $userId);
return [
'saved_count' => $savedCount,
...$savedStats,
'report_date' => $dateRange->startSql(),
'department_id' => $departmentId,
];
}
public function saveReportSnapshot(int $reportNurseId, iterable $patients, int $userId): array
{
if (empty($patients)) {
return ['saved_patients' => 0, 'saved_migrations' => 0];
}
$patientBatch = [];
$migrationBatch = [];
$batchSize = 100;
foreach ($patients as $patient) {
// Подготовка данных пациента
$patientBatch[] = [
'report_nurse_id' => $reportNurseId,
'source_type' => $patient->source_type,
'original_id' => $patient->original_id,
'medical_card_number' => $patient->medical_card_number,
'full_name' => $patient->full_name,
'birth_date' => $patient->birth_date,
'recipient_date' => $patient->recipient_date,
'extract_date' => $patient->extract_date,
'death_date' => $patient->death_date,
'male' => $patient->male,
'urgency_id' => $patient->urgency_id,
'hospital_result_id' => $patient->hospital_result_id,
'visit_result_id' => $patient->visit_result_id,
'comment' => $patient->comment,
'user_id' => $userId,
];
// Подготовка данных миграции (если есть)
if (!empty($patient->latestMigration)) {
$migrationBatch[] = [
// Временный ключ для связи с пациентом (заполним после первого upsert)
'_temp_key' => [
'report_nurse_id' => $reportNurseId,
'source_type' => $patient->source_type,
'original_id' => $patient->original_id,
],
'ingoing_date' => $patient->latestMigration->ingoing_date,
'out_date' => $patient->latestMigration->out_date,
'diagnosis_id' => $patient->latestMigration->diagnosis_id,
'diagnosis_code' => $patient->latestMigration->diagnosis_code,
'diagnosis_name' => $patient->latestMigration->diagnosis_name,
'interrupted_event_id' => $patient->latestMigration->interrupted_event_id,
'stationar_branch_id' => $patient->latestMigration->stationar_branch_id,
'department_id' => $patient->latestMigration->department_id,
'visit_result_id' => $patient->latestMigration->visit_result_id,
'stat_cure_result_id' => $patient->latestMigration->stat_cure_result_id,
'user_id' => $patient->latestMigration->user_id,
'mis_user_id' => $patient->latestMigration->mis_user_id,
'comment' => $patient->latestMigration->comment,
];
}
// Пакетная запись каждые $batchSize записей
if (count($patientBatch) >= $batchSize) {
[$savedP, $savedM] = $this->upsertBatches($reportNurseId, $patientBatch, $migrationBatch);
$patientBatch = [];
$migrationBatch = [];
}
}
// Сохраняем остаток
[$savedP, $savedM] = $this->upsertBatches($reportNurseId, $patientBatch, $migrationBatch);
return ['saved_patients' => $savedP, 'saved_migrations' => $savedM];
}
/**
* Вспомогательный метод: выполняет upsert для пациентов и миграций
*/
private function upsertBatches(int $reportNurseId, array $patientBatch, array $migrationBatch): array
{
if (empty($patientBatch)) {
return [0, 0];
}
$savedPatients = 0;
$savedMigrations = 0;
DB::transaction(function () use ($reportNurseId, $patientBatch, $migrationBatch, &$savedPatients, &$savedMigrations) {
// UPSERT пациентов
$patientUniqueBy = ['report_nurse_id', 'source_type', 'original_id'];
$patientUpdateColumns = array_diff(array_keys($patientBatch[0]), $patientUniqueBy);
DB::table('report_nurse_patients')->upsert(
$patientBatch,
$patientUniqueBy,
$patientUpdateColumns
);
$savedPatients = count($patientBatch);
// Получаем ID сохранённых пациентов для связи с миграциями
if (!empty($migrationBatch)) {
// Извлекаем уникальные ключи для поиска
$tempKeys = array_map(fn($m) => $m['_temp_key'], $migrationBatch);
// Получаем реальные ID из БД
$patientIds = DB::table('report_nurse_patients')
->whereIn('report_nurse_id', [$reportNurseId])
->get()
->pluck('id', 'original_id') // key=original_id, value=id
->toArray();
// Формируем финальный массив миграций с реальными medical_history_id
$finalMigrations = [];
foreach ($migrationBatch as $m) {
$tempKey = $m['_temp_key'];
$originalId = $tempKey['original_id'];
if (isset($patientIds[$originalId])) {
$finalMigrations[] = [
'medical_history_id' => $patientIds[$originalId], // Реальный ID
'ingoing_date' => $m['ingoing_date'],
'out_date' => $m['out_date'],
'diagnosis_id' => $m['diagnosis_id'],
'diagnosis_code' => $m['diagnosis_code'],
'diagnosis_name' => $m['diagnosis_name'],
'interrupted_event_id' => $m['interrupted_event_id'],
'stationar_branch_id' => $m['stationar_branch_id'],
'department_id' => $m['department_id'],
'visit_result_id' => $m['visit_result_id'],
'stat_cure_result_id' => $m['stat_cure_result_id'],
'user_id' => $m['user_id'],
'mis_user_id' => $m['mis_user_id'],
'comment' => $m['comment'],
];
}
}
if (!empty($finalMigrations)) {
// UPSERT миграций
$migrationUniqueBy = ['medical_history_id'];
$migrationUpdateColumns = array_diff(array_keys($finalMigrations[0]), $migrationUniqueBy);
DB::table('report_nurse_migration_patients')->upsert(
$finalMigrations,
$migrationUniqueBy,
$migrationUpdateColumns
);
$savedMigrations = count($finalMigrations);
}
}
});
return [$savedPatients, $savedMigrations];
}
}