Работа над журналом для ст. мед сестер
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brusnitsyn
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<?php
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namespace App\Infrastructure\Reports\Services;
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use App\Models\Department;
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use App\Models\DepartmentPatient;
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use App\Models\DepartmentPatientOperation;
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use App\Models\MedicalHistorySnapshot;
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use App\Models\MisServiceMedical;
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use App\Models\Report;
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use App\Models\User;
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use App\Services\DateRangeService;
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use App\Services\UnifiedPatientService;
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use Illuminate\Support\Collection;
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use InvalidArgumentException;
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/**
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* Управляет manual/special пациентами отчёта и их операциями.
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*
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* Сервис держит orchestration вокруг legacy UnifiedPatientService, пока
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* patient-write сценарии постепенно выносятся из ReportService.
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*/
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class ManualPatientManagementService
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{
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public function __construct(
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private readonly DateRangeService $dateRangeService,
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private readonly UnifiedPatientService $unifiedPatientService,
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private readonly ReportReadContextResolver $contextResolver,
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) {}
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/**
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* @param array<string, mixed> $data
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*/
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public function createManualPatient(Department $department, User $user, array $data): DepartmentPatient
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{
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$report = $this->resolveReportForManualPatient($department, $user, $data);
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return $this->unifiedPatientService->createManualPatient($department, $user, $data, $report->report_id);
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}
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/**
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* @param array<string, mixed> $data
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*/
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public function setManualPatientOutcome(User $user, int $departmentPatientId, array $data): DepartmentPatient
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{
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$patient = DepartmentPatient::query()
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->where('department_patient_id', $departmentPatientId)
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->firstOrFail();
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$updatedPatient = $this->unifiedPatientService->recordManualOutcome($patient, $data);
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$this->syncManualPatientSnapshots($updatedPatient, $user, []);
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return $updatedPatient;
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}
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/**
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* @param array<string, mixed> $data
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*/
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public function updateManualPatient(User $user, int $departmentPatientId, array $data): DepartmentPatient
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{
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$patient = $this->resolveManageableManualPatient($user, $departmentPatientId);
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$updatedPatient = $this->unifiedPatientService->updateManualPatient($patient, $data);
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$this->syncManualPatientSnapshots($updatedPatient, $user, $data);
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return $updatedPatient;
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}
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public function linkManualPatientToMis(int $departmentPatientId, int $medicalHistoryId): DepartmentPatient
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{
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$patient = DepartmentPatient::query()
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->where('department_patient_id', $departmentPatientId)
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->firstOrFail();
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return $this->unifiedPatientService->linkManualPatientToMis($patient, $medicalHistoryId);
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}
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/**
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* @return Collection<int, DepartmentPatientOperation>
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*/
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public function getManualPatientOperations(User $user, int $departmentPatientId): Collection
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{
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$patient = $this->resolveManageableManualPatient($user, $departmentPatientId);
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return $patient->operations()
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->with('serviceMedical')
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->orderByDesc('started_at')
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->get();
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}
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/**
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* @param array<string, mixed> $data
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*/
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public function createManualPatientOperation(
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User $user,
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int $departmentPatientId,
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array $data
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): DepartmentPatientOperation {
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$patient = $this->resolveManageableManualPatient($user, $departmentPatientId);
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$service = $this->resolveMedicalService((int) $data['service_id']);
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return $patient->operations()->create([
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'rf_kl_service_medical_id' => $service->ServiceMedicalID,
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'service_code' => $service->ServiceMedicalCode,
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'service_name' => $service->ServiceMedicalName,
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'urgency' => $data['urgency'],
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'started_at' => $data['started_at'],
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'ended_at' => $data['ended_at'],
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'created_by' => $user->id,
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])->load('serviceMedical');
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}
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/**
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* @param array<string, mixed> $data
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*/
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public function updateManualPatientOperation(
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User $user,
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int $departmentPatientId,
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int $operationId,
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array $data
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): DepartmentPatientOperation {
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$patient = $this->resolveManageableManualPatient($user, $departmentPatientId);
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$service = $this->resolveMedicalService((int) $data['service_id']);
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$operation = $patient->operations()
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->where('department_patient_operation_id', $operationId)
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->firstOrFail();
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$operation->update([
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'rf_kl_service_medical_id' => $service->ServiceMedicalID,
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'service_code' => $service->ServiceMedicalCode,
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'service_name' => $service->ServiceMedicalName,
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'urgency' => $data['urgency'],
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'started_at' => $data['started_at'],
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'ended_at' => $data['ended_at'],
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]);
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return $operation->fresh()->load('serviceMedical');
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}
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public function deleteManualPatientOperation(User $user, int $departmentPatientId, int $operationId): void
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{
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$patient = $this->resolveManageableManualPatient($user, $departmentPatientId);
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$patient->operations()
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->where('department_patient_operation_id', $operationId)
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->firstOrFail()
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->delete();
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}
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private function resolveManageableManualPatient(User $user, int $departmentPatientId): DepartmentPatient
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{
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$query = DepartmentPatient::query()
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->where('department_patient_id', $departmentPatientId)
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->whereIn('source_type', ['manual', 'special']);
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if (! $user->isAdmin() && ! $user->isHeadOfDepartment()) {
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$query->where('rf_department_id', $user->department->department_id);
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}
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return $query->firstOrFail();
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}
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/**
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* @param array<string, mixed> $data
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*/
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private function syncManualPatientSnapshots(DepartmentPatient $patient, User $user, array $data): void
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{
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$reportIds = $patient->rf_report_id
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? [$patient->rf_report_id]
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: (isset($data['startAt'], $data['endAt']) && $data['startAt'] && $data['endAt']
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? $this->contextResolver
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->getReportsForDateRange(
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$patient->rf_department_id,
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$this->dateRangeService->getNormalizedDateRange(
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$user,
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(string) $data['startAt'],
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(string) $data['endAt']
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)
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)
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->pluck('report_id')
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->values()
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->all()
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: []);
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if (empty($reportIds)) {
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return;
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}
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MedicalHistorySnapshot::query()
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->whereIn('rf_report_id', $reportIds)
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->where('rf_department_patient_id', $patient->department_patient_id)
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->update([
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'patient_kind' => $patient->patient_kind,
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'full_name' => $patient->full_name,
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'birth_date' => $patient->birth_date,
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'diagnosis_code' => $patient->diagnosis_code,
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'diagnosis_name' => $patient->diagnosis_name,
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'admitted_at' => $patient->admitted_at,
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'outcome_type' => $patient->is_current ? null : $patient->outcome_type,
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'outcome_at' => $patient->is_current ? null : $patient->outcome_at,
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'updated_at' => now(),
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]);
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}
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/**
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* @param array<string, mixed> $data
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*/
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private function resolveReportForManualPatient(Department $department, User $user, array $data): Report
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{
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$reportId = $data['report_id'] ?? null;
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if ($reportId) {
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return Report::query()
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->where('report_id', $reportId)
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->where('rf_department_id', $department->department_id)
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->firstOrFail();
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}
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if (! isset($data['startAt'], $data['endAt']) || ! $data['startAt'] || ! $data['endAt']) {
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throw new InvalidArgumentException('Не указан отчет или диапазон для привязки спецконтингента');
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}
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$dateRange = $this->dateRangeService->getNormalizedDateRange(
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$user,
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(string) $data['startAt'],
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(string) $data['endAt']
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);
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$existingReport = Report::query()
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->where('rf_department_id', $department->department_id)
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->exactPeriod($dateRange->startSql(), $dateRange->endSql())
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->first();
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if ($existingReport) {
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return $existingReport;
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}
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return Report::query()->create([
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'rf_department_id' => $department->department_id,
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'rf_user_id' => $user->id,
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'rf_lpudoctor_id' => $data['user_id'] ?? $user->rf_lpudoctor_id,
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'sent_at' => $dateRange->endSql(),
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'created_at' => $dateRange->endSql(),
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'period_start' => $dateRange->startSql(),
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'period_end' => $dateRange->endSql(),
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'status' => 'draft',
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]);
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}
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private function resolveMedicalService(int $serviceId): MisServiceMedical
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{
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return MisServiceMedical::query()
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->where('ServiceMedicalID', $serviceId)
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->firstOrFail();
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}
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}
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