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brusnitsyn
2026-04-24 16:46:10 +09:00
parent fd0e6ee817
commit 63daa62888
87 changed files with 1380 additions and 791 deletions
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100
app/Services/PatientService.php
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@@ -6,7 +6,6 @@ use App\Models\MisMedicalHistory;
use App\Models\MisMigrationPatient;
use App\Models\MisReanimation;
use App\Models\MisSurgicalOperation;
use App\Models\ObservationPatient;
class PatientService
{
@@ -14,8 +13,7 @@ class PatientService
protected OutcomePatientService $outcomePatientService,
protected RecipientPatientService $recipientPatientService,
protected CurrentPatientService $currentPatientService
)
{ }
) {}
/**
* Получить плановых или экстренных пациентов
@@ -63,6 +61,7 @@ class PatientService
return $res->get()
->map(function ($patient) use ($recipientIds) {
$patient->is_recipient_today = in_array($patient->MedicalHistoryID, $recipientIds, true);
return $patient;
});
@@ -94,7 +93,10 @@ class PatientService
$allIds = array_unique(array_merge($recipientIds, $currentIds));
if (empty($allIds)) {
if ($countOnly) return 0;
if ($countOnly) {
return 0;
}
return collect();
}
@@ -179,10 +181,11 @@ class PatientService
])
->orderBy('DateRecipient', 'DESC');
return $res->get()
->map(function ($patient) use ($recipientIds) {
$patient->is_recipient_today = in_array($patient->MedicalHistoryID, $recipientIds);
return $patient;
return $res->get()
->map(function ($patient) use ($recipientIds) {
$patient->is_recipient_today = in_array($patient->MedicalHistoryID, $recipientIds);
return $patient;
});
}
@@ -195,7 +198,7 @@ class PatientService
$q->where('rf_department_id', $departmentId);
});
if (!$onlyIds) {
if (! $onlyIds) {
$query->with(['observationPatient' => function ($query) use ($departmentId) {
$query->where('rf_department_id', $departmentId)
->select(['rf_medicalhistory_id', 'observation_patient_id', 'comment']);
@@ -203,8 +206,9 @@ class PatientService
->orderBy('DateRecipient', 'DESC');
}
if ($onlyIds) $patients = $query->pluck('MedicalHistoryID');
else {
if ($onlyIds) {
$patients = $query->pluck('MedicalHistoryID');
} else {
$query->with([
'outcomeMigration.mainDiagnosis.mkb',
]);
@@ -216,6 +220,7 @@ class PatientService
->pluck('comment')
->filter()
->implode('; ');
return $patient;
});
}
@@ -233,28 +238,58 @@ class PatientService
}
/**
* Получить пациентов, находящихся в реанимации на конец периода
* Получить пациентов с записями в реанимации по отделению
*/
public function getReanimationPatients(
int $branchId,
DateRange $dateRange,
bool $onlyIds = false
) {
$medicalHistoryIds = MisReanimation::query()
$currentIds = $this->getAllPatientsInDepartment(
true,
$branchId,
$dateRange,
false,
true,
false
)->all();
$outcomeIds = $this->getOutcomePatients(
$branchId,
$dateRange,
'all',
true
)->all();
$reportCohortIds = array_values(array_unique(array_merge($currentIds, $outcomeIds)));
if (empty($reportCohortIds)) {
return collect();
}
$reanimationByMedicalHistory = MisReanimation::query()
->join('stt_migrationpatient as mp', 'mp.MigrationPatientID', '=', 'stt_reanimation.rf_MigrationPatientID')
->where('stt_reanimation.rf_StationarBranchID', $branchId)
->where('mp.rf_StationarBranchID', $branchId)
->where('mp.rf_MedicalHistoryID', '<>', 0)
->where('stt_reanimation.DateIn', '<=', $dateRange->endSql())
->where(function ($query) use ($dateRange) {
$query->where('stt_reanimation.DateOut', '>=', $dateRange->endSql())
->orWhereNull('stt_reanimation.DateOut')
->orWhereDate('stt_reanimation.DateOut', '1900-01-01')
->orWhereDate('stt_reanimation.DateOut', '2222-01-01');
})
->distinct()
->pluck('mp.rf_MedicalHistoryID')
->toArray();
->whereIn('mp.rf_MedicalHistoryID', $reportCohortIds)
->selectRaw('
mp."rf_MedicalHistoryID" as medical_history_id,
MAX(stt_reanimation."DateIn") as reanimation_date_in,
BOOL_OR(COALESCE(stt_reanimation."isComplete", false)) as reanimation_is_complete
')
->groupBy('mp.rf_MedicalHistoryID')
->get();
$medicalHistoryIds = $reanimationByMedicalHistory
->pluck('medical_history_id')
->map(fn ($id) => (int) $id)
->values()
->all();
$reanimationDateByMedicalHistory = $reanimationByMedicalHistory
->pluck('reanimation_date_in', 'medical_history_id');
$reanimationCompleteByMedicalHistory = $reanimationByMedicalHistory
->pluck('reanimation_is_complete', 'medical_history_id');
if (empty($medicalHistoryIds)) {
return collect();
@@ -312,7 +347,16 @@ class PatientService
},
])
->orderBy('DateRecipient', 'DESC')
->get();
->get()
->map(function ($patient) use ($reanimationDateByMedicalHistory, $reanimationCompleteByMedicalHistory) {
$reanimationDateIn = $reanimationDateByMedicalHistory->get($patient->MedicalHistoryID);
if ($reanimationDateIn) {
$patient->DateRecipient = $reanimationDateIn;
}
$patient->reanimation_is_complete = (bool) $reanimationCompleteByMedicalHistory->get($patient->MedicalHistoryID, false);
return $patient;
});
}
/**
@@ -325,9 +369,9 @@ class PatientService
bool $countOnly = false
) {
$query = MisSurgicalOperation::where('rf_StationarBranchID', $branchId)
->completed()
->where('Date', '>=', $dateRange->startSql())
->where('Date', '<=', $dateRange->endSql());
->completed()
->where('Date', '>=', $dateRange->startSql())
->where('Date', '<=', $dateRange->endSql());
if ($type === 'plan') {
$query->where('rf_TypeSurgOperationInTimeID', 6);