Добавил проверку источника при добавлении пациента и вывод отчетов выбранной мед. сестры

2026-06-03 13:56:05 +09:00
parent e758769035
commit 720ca1b39a
8 changed files with 121 additions and 28 deletions
--- a/app/Http/Controllers/Api/NurseController.php
+++ b/app/Http/Controllers/Api/NurseController.php
@@ -26,7 +26,13 @@ class NurseController extends Controller
 {
    public function getPatient($id, Request $request)
    {
-        return Cache::remember("nurse_patient:{$id}", 120, function () use ($id, $request) {
+        $patientSource = $request->query('patient_source', 'manual');
+        if ($patientSource === 'manual') {
+            return Cache::remember("nurse_patient:manual:{$id}", 120, function () use ($id, $request) {
+                return UnifiedMedicalHistory::where('id', $id)->first();
+            });
+        }
+        return Cache::remember("nurse_patient:mis:{$id}", 120, function () use ($id, $request) {
            return MisMKSB::where('MedicalHistoryID', $id)->select(MisMKSB::workColumns())->first();
        });
    }
@@ -202,6 +208,11 @@ class NurseController extends Controller
            $reportNurseId = $request->input('report_nurse_id');
            $this->syncNurseSnapshot($originalId, $data, $migrationData, $departmentId, $reportNurseId);

+            if (Cache::has("nurse_patient:manual:{$id}"))
+                Cache::forget("nurse_patient:manual:{$id}");
+            if (Cache::has("nurse_patient:mis:{$id}"))
+                Cache::forget("nurse_patient:mis:{$id}");
+
            return response()->json([
                'data' => $historyCorrection,
            ], 201);
--- a/app/Http/Controllers/Web/NurseReportController.php
+++ b/app/Http/Controllers/Web/NurseReportController.php
@@ -35,6 +35,7 @@ class NurseReportController extends Controller
        $departmentId = $request->query('departmentId') ? (int) $request->query('departmentId') : null;
        $department = Department::where('department_id', $departmentId)->firstOrFail();
        $dateRange = $this->dateRangeService->getDateRangeFromRequest($request, $user);
+        $isRangeOneDay = $this->dateRangeService->isRangeOneDay($dateRange->startDate, $dateRange->endDate);

        // Проверяем, есть ли отчет за этот период
        $isPastPeriod = $this->dateRangeService->isPastPeriod($dateRange);
@@ -43,9 +44,42 @@ class NurseReportController extends Controller
            ->where('period_end', '<=', $dateRange->endSql())
            ->exists();

-        $hasReport = $existsReport && $isPastPeriod;
+        $isCurrentPeriod = !$isPastPeriod;

-        $data = $this->unifiedMedicalHistoryService->getGroupedHistories($dateRange, $department->rf_mis_department_id);
+        $reportsNurse = ReportNurse::where('rf_department_id', $departmentId)
+            ->where('period_start', '>=', $dateRange->startSql())
+            ->where('period_end', '<=', $dateRange->endSql())
+            ->where('rf_lpudoctor_id', $selectedUserId)
+            ->orderBy('period_end', 'desc')
+            ->with(['doctor'])
+            ->get();
+
+        $hasNurseReport = $reportsNurse->count() > 0;
+        $reportNurseIds = $reportsNurse->pluck('id')->toArray();
+
+        // Получаем пациентов (источник зависит от периода)
+        if ($isCurrentPeriod) {
+            // Для текущего периода - пациенты из МИС
+            $patients = $this->unifiedMedicalHistoryService->getGroupedHistories(
+                $dateRange,
+                $department->rf_mis_department_id,
+            );
+
+            $latestReport = $reportsNurse->first();
+        } else {
+            // Для прошедшего периода - данные из отчета
+            $patients = $hasNurseReport
+                ? $this->nurseMedicalHistoryService->getGroupedHistories(
+                    $dateRange,
+                    $department->rf_mis_department_id,
+                    $reportNurseIds
+                )
+                : [];
+
+            $latestReport = $reportsNurse->first();
+        }
+
+        //$data = $this->unifiedMedicalHistoryService->getGroupedHistories($dateRange, $department->rf_mis_department_id);

        $currentReport = ReportNurse::where('rf_department_id', $departmentId)
            ->where('period_start', '>=', $dateRange->startSql())
@@ -56,7 +90,8 @@ class NurseReportController extends Controller
        $isRangeOneDay = $this->dateRangeService->isRangeOneDay($dateRange->startDate, $dateRange->endDate);

        return Inertia::render('Nurse/Report/Index', [
-            'patients' => $data,
+            'patients' => $patients,
+            'latestReport' => $latestReport ?? null,
            'reportNurseId' => $currentReport?->id,
            'canSaveReport' => $isRangeOneDay && $user->currentRoleCan('nurse.report.create'),
            'canEditPastReport' => $user->currentRoleCan('nurse.report.edit.past'),
--- a/app/Models/ReportNurse.php
+++ b/app/Models/ReportNurse.php
@@ -39,4 +39,9 @@ class ReportNurse extends Model
    {
        return $this->belongsTo(ReportStatus::class);
    }
+
+    public function doctor()
+    {
+        return $this->belongsTo(MisLpuDoctor::class, 'rf_lpudoctor_id', 'LPUDoctorID');
+    }
 }
--- a/app/Services/NurseReportService.php
+++ b/app/Services/NurseReportService.php
@@ -50,6 +50,12 @@ class NurseReportService
            'rf_user_id' => $user->id,
        ];

+        $existsReport = ReportNurse::where('period_start', $data['period_start'])
+            ->where('period_end', $data['period_end'])
+            ->exists();
+
+        if ($existsReport) unset($data['rf_lpudoctor_id']);
+
        $report = ReportNurse::updateOrCreate(
            [
                'report_date'      => $data['report_date'],
--- a/resources/js/Pages/Nurse/Components/ActionsColumnDataTable.vue
+++ b/resources/js/Pages/Nurse/Components/ActionsColumnDataTable.vue
@@ -14,7 +14,7 @@ const props = defineProps({
 const emits = defineEmits(['clickEdit', 'clickDelete'])

 const onClickEdit = () => {
-    emits('clickEdit', props.row.id)
+    emits('clickEdit', props.row)
 }
 const onClickDelete = () => {
    emits('clickDelete', props.row.id)
--- a/resources/js/Pages/Nurse/Components/AddMedicalHistoryModal.vue
+++ b/resources/js/Pages/Nurse/Components/AddMedicalHistoryModal.vue
@@ -168,7 +168,7 @@ const search = (search) => {

 const onChangeSearch = (historyId) => {
    loadingChangeSelect.value = true
-    axios.get(`/api/nurse/patients/${historyId}`).then(res => {
+    axios.get(`/api/nurse/patients/${historyId}?patient_source=mis`).then(res => {
        form.value.medical_card_number = res.data.medical_card_number
        form.value.full_name = res.data.full_name
        form.value.urgency_id = res.data.urgency_id
--- a/resources/js/Pages/Nurse/Components/EditMedicalHistoryModal.vue
+++ b/resources/js/Pages/Nurse/Components/EditMedicalHistoryModal.vue
@@ -27,6 +27,10 @@ const props = defineProps({
    reportNurseId: {
        type: Number,
        default: null
+    },
+    patientSource: {
+        type: String,
+        default: 'manual'
    }
 })

@@ -126,7 +130,7 @@ const submit = async () => {

 const fetchPatient = async (historyId) => {
    loading.value = true
-    await axios.get(`/api/nurse/patients/${historyId}`)
+    await axios.get(`/api/nurse/patients/${historyId}?patient_source=${props.patientSource}`)
        .then(res => {
            form.value.patient_source = res.data.source_type
            form.value.patient_id = historyId
--- a/resources/js/Pages/Nurse/Report/Index.vue
+++ b/resources/js/Pages/Nurse/Report/Index.vue
@@ -1,6 +1,6 @@
 <script setup>
 import AppLayout from "../../../Layouts/AppLayout.vue";
-import {NFlex, NTag, NDataTable, NButton, NTabs, NTabPane} from 'naive-ui'
+import {NFlex, NTag, NDataTable, NButton, NTabs, NTabPane, NSpace} from 'naive-ui'
 import AppContainer from "../../../Components/AppContainer.vue";
 import AppPanel from "../../../Components/AppPanel.vue";
 import ShiftPickerQuery from "../../../Components/ShiftPickerQuery.vue";
@@ -43,7 +43,11 @@ const props = defineProps({
    dates: {
        type: Array,
        default: []
-    }
+    },
+    latestReport: {
+        type: Object,
+        default: () => ({ })
+    },
 })

 const canEdit = computed(() => props.canSaveReport || props.canEditPastReport)
@@ -51,6 +55,7 @@ const canEdit = computed(() => props.canSaveReport || props.canEditPastReport)
 const showAddMedicalHistoryModal = shallowRef(false)
 const showEditMedicalHistoryModal = shallowRef(false)
 const editHistoryId = ref(null)
+const patientSource = ref(null)
 const authStore = useAuthStore()
 const userDepartment = authStore.userDepartment
 const loading = ref(false)
@@ -64,20 +69,30 @@ const patientsByGroup = computed(() => {
        recipient: [],
        discharged: [],
        transferred: [],
-    };
-
-    for (const p of props.patients.data) {
-        // Группировка по срочности
-        if (p.patient_urgency === 'urgent') groups.urgent.push(p);
-        else if (p.patient_urgency === 'planned') groups.planned.push(p);
-
-        // Группировка по статусу (дублирование нужно, если один пациент может быть в двух таблицах)
-        if (groups.hasOwnProperty(p.patient_status)) {
-            groups[p.patient_status].push(p);
-        }
+        reanimations: [],
+        observables: []
    }

-    return groups;
+    const patients = props.patients?.data ?? []
+
+    for (const raw of patients) {
+        const p = raw
+        const flags = p.period_flags ?? {}
+        const isCurrentAtEnd = flags.current_at_end ?? ['in_department', 'recipient'].includes(p.patient_status)
+
+        // Группировка по срочности за период: пациент должен состоять на конец периода.
+        if (isCurrentAtEnd && (flags.urgent ?? p.patient_urgency === 'urgent')) groups.urgent.push(p)
+        else if (isCurrentAtEnd && (flags.planned ?? p.patient_urgency === 'planned')) groups.planned.push(p)
+
+        // Событийная группировка за период. Один пациент может быть в нескольких группах.
+        if (flags.recipient ?? p.patient_status === 'recipient') groups.recipient.push(p)
+        if (flags.current_at_end ?? p.patient_status === 'in_department') groups.in_department.push(p)
+        if (flags.discharged ?? p.patient_status === 'discharged') groups.discharged.push(p)
+        if (flags.deceased ?? p.patient_status === 'deceased') groups.deceased.push(p)
+        if (flags.transferred ?? p.patient_status === 'transferred') groups.transferred.push(p)
+    }
+
+    return groups
 })

 const columns = [
@@ -115,16 +130,17 @@ const columns = [
                    row: row,
                    canEdit: canEdit.value,
                    onClickDelete: (historyId) => onClickDeleteButton(historyId),
-                    onClickEdit: (historyId) => onClickEditButton(historyId),
+                    onClickEdit: (row) => onClickEditButton(row),
                }
            )
        }
    }
 ]

-const onClickEditButton = (historyId) => {
+const onClickEditButton = (row) => {
    showEditMedicalHistoryModal.value = true
-    editHistoryId.value = historyId
+    editHistoryId.value = row.id
+    patientSource.value = row.source
 }

 const onClickDeleteButton = async (historyId) => {
@@ -158,6 +174,17 @@ const submit = () => {
    })
 }

+const reportCreator = computed(() => {
+    if (props.latestReport === null) return ''
+    if (props.latestReport.doctor.LPUDoctorID === 0) return 'Отчет создан системой'
+    else return `Отчет создан: ${props.latestReport.doctor.FAM_V} ${props.latestReport.doctor.IM_V} ${props.latestReport.doctor.OT_V}`
+})
+const reportCreatorType = computed(() => {
+    if (props.latestReport === null) return 'warning'
+    if (props.latestReport.doctor.LPUDoctorID === 0) return 'error'
+    else return 'warning'
+})
+
 const formattedLabel = (word, count) => {
    return `${word} (${count})`
 }
@@ -168,9 +195,14 @@ const formattedLabel = (word, count) => {
        <AppContainer>
            <AppPanel>
                <NFlex justify="space-between" align="center">
-                    <NTag type="info" :bordered="false">
-                        {{ department?.name_full ?? userDepartment.name_full }}
-                    </NTag>
+                    <NSpace>
+                        <NTag type="info" :bordered="false">
+                            {{ department?.name_full ?? userDepartment.name_full }}
+                        </NTag>
+                        <NTag v-if="props.latestReport" :type="reportCreatorType" :bordered="false">
+                            {{ reportCreator }}
+                        </NTag>
+                    </NSpace>
                    <DatePickerQuery :date="dates" :is-head-or-admin="true" class="text-lg!" hint />
                </NFlex>
            </AppPanel>
@@ -238,7 +270,7 @@ const formattedLabel = (word, count) => {
            </NButton>
        </AppContainer>
        <AddMedicalHistoryModal v-model:show="showAddMedicalHistoryModal" />
-        <EditMedicalHistoryModal v-model:show="showEditMedicalHistoryModal" :history-id="editHistoryId" :report-nurse-id="props.reportNurseId" />
+        <EditMedicalHistoryModal v-model:show="showEditMedicalHistoryModal" :history-id="editHistoryId" :patient-source="patientSource" :report-nurse-id="props.reportNurseId" />
    </AppLayout>
 </template>