Добавлено сохранение правок поверх МИС

Добавлено версионирование сохраненных правок Добавлено сохранение отчета мед. сестры
2026-05-04 22:23:21 +09:00
parent 7a58812072
commit 82673f385b
9 changed files with 241 additions and 23 deletions
--- a/app/Http/Controllers/Api/NurseController.php
+++ b/app/Http/Controllers/Api/NurseController.php
@@ -4,14 +4,16 @@ namespace App\Http\Controllers\Api;

 use App\Http\Controllers\Controller;
 use App\Models\MedicalHistory;
+use App\Models\MedicalHistoryCorrection;
 use App\Models\MedicalHistoryNurse;
+use App\Models\UnifiedMedicalHistory;
 use Illuminate\Http\Request;

 class NurseController extends Controller
 {
    public function getPatient($id, Request $request)
    {
-        return MedicalHistory::where('id', $id)->first();
+        return UnifiedMedicalHistory::where('id', $id)->first();
    }

    public function searchPatients(Request $request)
@@ -54,4 +56,31 @@ class NurseController extends Controller
            'data' => $result,
        ], 201);
    }
+
+    public function storeCorrection($id, Request $request)
+    {
+        $data = $request->validate([
+            'medical_card_number' => 'nullable',
+            'full_name' => 'nullable',
+            'birth_date' => 'nullable',
+            'recipient_date' => 'nullable',
+            'extract_date' => 'nullable',
+            'death_date' => 'nullable',
+            'male' => 'nullable',
+            'urgency_id' => 'nullable',
+            'hospital_result_id' => 'nullable',
+            'visit_result_id' => 'nullable',
+            'mis_user_id' => 'nullable',
+            'comment' => 'nullable',
+        ]);
+
+        $data['medical_history_id'] = $id;
+        $data['user_id'] = auth()->user()->id;
+
+        $result = MedicalHistoryCorrection::create($data);
+
+        return response()->json([
+            'data' => $result,
+        ], 201);
+    }
 }
--- a/app/Http/Controllers/Web/NurseReportController.php
+++ b/app/Http/Controllers/Web/NurseReportController.php
@@ -5,7 +5,7 @@ namespace App\Http\Controllers\Web;
 use App\Http\Controllers\Controller;
 use App\Models\Department;
 use App\Services\DateRangeService;
-use App\Services\MedicalHistoryService;
+use App\Services\UnifiedMedicalHistoryService;
 use Illuminate\Http\Request;
 use Illuminate\Support\Facades\Auth;
 use Inertia\Inertia;
@@ -14,7 +14,7 @@ class NurseReportController extends Controller
 {
    public function __construct(
        protected DateRangeService $dateRangeService,
-        protected MedicalHistoryService $medicalHistoryService
+        protected UnifiedMedicalHistoryService $unifiedMedicalHistoryService
    )
    {}

@@ -30,11 +30,11 @@ class NurseReportController extends Controller
        $department = Department::where('department_id', $departmentId)->firstOrFail();
        $dateRange = $this->dateRangeService->getDateRangeFromRequest($request, $user);

-        $inDepartmentHistories = $this->medicalHistoryService->getDepartmentHistories($dateRange, $department->rf_mis_department_id);
-        $recipientHistories = $this->medicalHistoryService->getRecipientHistories($dateRange, $department->rf_mis_department_id);
-        $dischargedHistories = $this->medicalHistoryService->getDischargedHistories($dateRange, $department->rf_mis_department_id);
-        $deceasedHistories = $this->medicalHistoryService->getDeceasedHistories($dateRange, $department->rf_mis_department_id);
-        $transferredHistories = $this->medicalHistoryService->getTransferredHistories($dateRange, $department->rf_mis_department_id);
+        $inDepartmentHistories = $this->unifiedMedicalHistoryService->getDepartmentHistories($dateRange, $department->rf_mis_department_id);
+        $recipientHistories = $this->unifiedMedicalHistoryService->getRecipientHistories($dateRange, $department->rf_mis_department_id);
+        $dischargedHistories = $this->unifiedMedicalHistoryService->getDischargedHistories($dateRange, $department->rf_mis_department_id);
+        $deceasedHistories = $this->unifiedMedicalHistoryService->getDeceasedHistories($dateRange, $department->rf_mis_department_id);
+        $transferredHistories = $this->unifiedMedicalHistoryService->getTransferredHistories($dateRange, $department->rf_mis_department_id);

        return Inertia::render('Nurse/Report/Index', [
            'inDepartmentHistories' => $inDepartmentHistories,
--- a/app/Models/MedicalHistoryCorrection.php
+++ b/app/Models/MedicalHistoryCorrection.php
@@ -18,6 +18,9 @@ class MedicalHistoryCorrection extends Model
        'urgency_id',
        'hospital_result_id',
        'visit_result_id',
+        'user_id',
+        'mis_user_id',
+        'comment',
    ];

    protected $casts = [
--- a/app/Models/UnifiedMedicalHistory.php
+++ b/app/Models/UnifiedMedicalHistory.php
@@ -6,7 +6,7 @@ use Illuminate\Database\Eloquent\Model;

 class UnifiedMedicalHistory extends MaterializedViewModel
 {
-    protected $table = 'v_unified_medical_history';
+    protected $table = 'v_unified_medical_history_nurse';
    protected $primaryKey = 'id';

    protected $casts = [
@@ -16,4 +16,31 @@ class UnifiedMedicalHistory extends MaterializedViewModel
        'death_date' => 'datetime',
        'male' => 'boolean',
    ];
+
+    public function migrations(): \Illuminate\Database\Eloquent\Relations\HasMany|MedicalHistory
+    {
+        return $this->hasMany(MigrationPatient::class, 'medical_history_id', 'id');
+    }
+
+    public function operations(): \Illuminate\Database\Eloquent\Relations\HasMany|MedicalHistory
+    {
+        return $this->hasMany(SurgicalOperation::class, 'medical_history_id', 'id');
+    }
+
+    public function latestMigration()
+    {
+        return $this->hasOne(MigrationPatient::class, 'medical_history_id', 'id')
+            ->latest('ingoing_date');
+    }
+
+    public function operationsInDepartment($query, $departmentId)
+    {
+        return $this->operations()->where('department_id', $departmentId);
+    }
+
+    // Скоупы
+    public function scopeUrgency($query, $typeId) // 1 = Экстренно, 2 = Планово
+    {
+        return $query->where('urgency_id', $typeId);
+    }
 }
--- a/app/Services/UnifiedMedicalHistoryService.php
+++ b/app/Services/UnifiedMedicalHistoryService.php
@@ -0,0 +1,118 @@
+<?php
+
+namespace App\Services;
+
+use App\Models\MedicalHistory;
+use App\Models\MigrationPatient;
+use App\Models\UnifiedMedicalHistory;
+use Illuminate\Support\Carbon;
+
+class UnifiedMedicalHistoryService
+{
+    public function getHistories(DateRange $dateRange, int $departmentId)
+    {
+        $query = UnifiedMedicalHistory::query();
+
+        $query->where('recipient_date', '>=', $dateRange->startSql())
+            ->where('recipient_date', '<', $dateRange->endSql())
+            // 1. Оставляем только тех пациентов, у которых БЫЛО движение в этом отделении
+            ->whereHas('latestMigration', fn($q) => $q->where('department_id', $departmentId))
+
+            // 2. Загружаем ТОЛЬКО последнее движение в этом отделении (не все миграции)
+            ->with(['latestMigration' => fn($q) => $q->where('department_id', $departmentId)]);
+
+        $result = $query->paginate();
+
+        return $result;
+    }
+
+    public function getUrgencyHistory(DateRange $dateRange, int $departmentId, int $urgencyId)
+    {
+        $query = UnifiedMedicalHistory::query();
+
+        $query->where('recipient_date', '>=', $dateRange->startSql())
+            ->where('recipient_date', '<', $dateRange->endSql())
+            ->urgency($urgencyId)
+            ->whereHas('migrations', function ($m) use ($departmentId) {
+                $m->where('department_id', $departmentId);
+            })
+            ->with([
+                'migrations' => fn ($m) => $m->where('department_id', $departmentId),
+                'migrations.operations'
+            ]);
+
+        $result = $query->paginate();
+
+        return $result;
+    }
+
+    public function getDepartmentHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->current($dateRange);
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->current($dateRange); // подгружаем только отфильтрованные движения
+            }])
+            ->get()
+            // Сортировка по дате поступления в отделение (поле дочерней таблицы)
+            ->sortByDesc(fn ($mh) => $mh->latestMigration->ingoing_date ?? $mh->recipient_date)
+            ->values();
+    }
+
+    /**
+     * Получить карты поступившие сегодня
+     * @param DateRange $dateRange
+     * @param int $departmentId
+     */
+    public function getRecipientHistories(DateRange $dateRange, int $departmentId)
+    {
+        $now = Carbon::now();
+
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->admitted($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+
+    public function getDischargedHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->discharged($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+
+    public function getDeceasedHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->deceased($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+
+    public function getTransferredHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->transferred($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+}
--- a/database/migrations/2026_05_04_215241_change_mis_user_id_column_in_medical_history_corrections_table.php
+++ b/database/migrations/2026_05_04_215241_change_mis_user_id_column_in_medical_history_corrections_table.php
@@ -0,0 +1,28 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+return new class extends Migration
+{
+    /**
+     * Run the migrations.
+     */
+    public function up(): void
+    {
+        Schema::table('medical_history_corrections', function (Blueprint $table) {
+            $table->integer('mis_user_id')->nullable()->change();
+        });
+    }
+
+    /**
+     * Reverse the migrations.
+     */
+    public function down(): void
+    {
+        Schema::table('medical_history_corrections', function (Blueprint $table) {
+            $table->integer('mis_user_id')->change();
+        });
+    }
+};
--- a/resources/js/Pages/Nurse/Components/EditMedicalHistoryModal.vue
+++ b/resources/js/Pages/Nurse/Components/EditMedicalHistoryModal.vue
@@ -64,13 +64,18 @@ const visitResultOptions = [
 ]

 const submit = () => {
-
+    axios.post(`/api/nurse/patients/${form.value.patient_id}/correction`, {
+        ...form.value
+    }).then(res => {
+        console.log(res)
+    })
 }

 const fetchPatient = async (historyId) => {
    loading.value = true
    await axios.get(`/api/nurse/patients/${historyId}`)
        .then(res => {
+            form.value.patient_id = historyId
            form.value.full_name = res.data.full_name
            form.value.urgency_id = res.data.urgency_id
            form.value.visit_result_id = res.data.visit_result_id
--- a/resources/js/Pages/Nurse/Report/Index.vue
+++ b/resources/js/Pages/Nurse/Report/Index.vue
@@ -5,8 +5,8 @@ import AppContainer from "../../../Components/AppContainer.vue";
 import AppPanel from "../../../Components/AppPanel.vue";
 import DatePickerQuery from "../../../Components/DatePickerQuery.vue";
 import UrgencyBadge from "../../../Components/UrgencyBadge.vue";
-import {computed, h, ref, shallowRef} from "vue"
-import {TbArrowMoveRight, TbArrowMoveUp, TbEdit, TbCirclePlus, TbPencil} from 'vue-icons-plus/tb'
+import {h, ref, shallowRef} from "vue"
+import {TbCirclePlus, TbPencil} from 'vue-icons-plus/tb'
 import {useAuthStore} from "../../../Stores/auth.js";
 import AddMedicalHistoryModal from "../Components/AddMedicalHistoryModal.vue";
 import EditMedicalHistoryModal from "../Components/EditMedicalHistoryModal.vue";
@@ -84,6 +84,10 @@ const onClickEditButton = (historyId) => {
    editHistoryId.value = historyId
 }

+const submit = () => {
+    // TODO: сохранение отчета и пациентов
+}
+
 const formattedLabel = (word, count) => {
    return `${word} (${count})`
 }
@@ -97,7 +101,7 @@ const formattedLabel = (word, count) => {
                    <NTag type="info" :bordered="false">
                        {{ userDepartment.name_full }}
                    </NTag>
-                    <DatePickerQuery :date="dates" />
+                    <DatePickerQuery :date="dates" class="text-lg!" />
                </NFlex>
            </AppPanel>
            <AppPanel header="Пациенты в отделении" header-include-body>
@@ -116,44 +120,47 @@ const formattedLabel = (word, count) => {
                        <NDataTable :columns="columns"
                                    :data="inDepartmentHistories"
                                    table-layout="fixed"
-                                    max-height="calc(100vh - 375px)"
-                                    min-height="calc(100vh - 375px)"
+                                    max-height="calc(100vh - 435px)"
+                                    min-height="calc(100vh - 435px)"
                        />
                    </NTabPane>
                    <NTabPane name="income" :tab="formattedLabel('Поступившие', recipientHistories.length)">
                        <NDataTable :columns="columns"
                                    :data="recipientHistories"
                                    table-layout="fixed"
-                                    max-height="calc(100vh - 375px)"
-                                    min-height="calc(100vh - 375px)"
+                                    max-height="calc(100vh - 435px)"
+                                    min-height="calc(100vh - 435px)"
                        />
                    </NTabPane>
                    <NTabPane name="outcome" :tab="formattedLabel('Выписанные', dischargedHistories.length)">
                        <NDataTable :columns="columns"
                                    :data="dischargedHistories"
                                    table-layout="fixed"
-                                    max-height="calc(100vh - 375px)"
-                                    min-height="calc(100vh - 375px)"
+                                    max-height="calc(100vh - 435px)"
+                                    min-height="calc(100vh - 435px)"
                        />
                    </NTabPane>
                    <NTabPane name="dead" :tab="formattedLabel('Умершие', deceasedHistories.length)">
                        <NDataTable :columns="columns"
                                    :data="deceasedHistories"
                                    table-layout="fixed"
-                                    max-height="calc(100vh - 375px)"
-                                    min-height="calc(100vh - 375px)"
+                                    max-height="calc(100vh - 435px)"
+                                    min-height="calc(100vh - 435px)"
                        />
                    </NTabPane>
                    <NTabPane name="transfer" :tab="formattedLabel('Переведенные', transferredHistories.length)">
                        <NDataTable :columns="columns"
                                    :data="transferredHistories"
                                    table-layout="fixed"
-                                    max-height="calc(100vh - 375px)"
-                                    min-height="calc(100vh - 375px)"
+                                    max-height="calc(100vh - 435px)"
+                                    min-height="calc(100vh - 435px)"
                        />
                    </NTabPane>
                </NTabs>
            </AppPanel>
+            <NButton secondary size="large">
+                Сохранить отчет
+            </NButton>
        </AppContainer>
        <AddMedicalHistoryModal v-model:show="showAddMedicalHistoryModal" />
        <EditMedicalHistoryModal v-model:show="showEditMedicalHistoryModal" :history-id="editHistoryId" />
--- a/routes/api.php
+++ b/routes/api.php
@@ -96,6 +96,7 @@ Route::middleware(['auth:sanctum'])->group(function () {
        Route::prefix('patients')->group(function () {
            Route::prefix('{id}')->group(function () {
                Route::get('/', [\App\Http\Controllers\Api\NurseController::class, 'getPatient']);
+                Route::post('/correction', [\App\Http\Controllers\Api\NurseController::class, 'storeCorrection']);
            });
            Route::post('/search', [\App\Http\Controllers\Api\NurseController::class, 'searchPatients']);
            Route::post('/', [\App\Http\Controllers\Api\NurseController::class, 'storePatient']);