Профиль хирургии

2026-03-25 17:37:32 +09:00
parent 52a80ccd3b
commit f566ab96df
75 changed files with 3841 additions and 1009 deletions
--- a/app/Services/MetricCalculators/AverageBedDaysCalculator.php
+++ b/app/Services/MetricCalculators/AverageBedDaysCalculator.php
@@ -0,0 +1,47 @@
+<?php
+// app/Services/MetricCalculators/AverageBedDaysCalculator.php
+
+namespace App\Services\MetricCalculators;
+
+use App\Services\Base\BaseMetricService;
+use App\Contracts\MetricCalculatorInterface;
+use Illuminate\Support\Facades\DB;
+
+class AverageBedDaysCalculator extends BaseMetricService implements MetricCalculatorInterface
+{
+    public function getMetricId(): int
+    {
+        return 18;
+    }
+
+    public function calculate(array $departmentIds, string $startDate, string $endDate): array
+    {
+        if (empty($departmentIds)) {
+            return [];
+        }
+
+        $results = DB::table('reports as r')
+            ->join('metrika_results as mr', 'r.report_id', '=', 'mr.rf_report_id')
+            ->whereIn('r.rf_department_id', $departmentIds)
+            ->where('mr.rf_metrika_item_id', 18)
+//            ->whereBetween('r.created_at', [$startDate, $endDate])
+            ->where('r.sent_at', '>', $startDate)
+            ->where('r.sent_at', '<=', $endDate)
+            ->select(
+                'r.rf_department_id',
+                DB::raw('AVG(CAST(mr.value AS DECIMAL)) as avg_value')
+            )
+            ->groupBy('r.rf_department_id')
+            ->get()
+            ->keyBy('rf_department_id');
+
+        $averages = [];
+        foreach ($departmentIds as $deptId) {
+            $averages[$deptId] = isset($results[$deptId])
+                ? round((float)$results[$deptId]->avg_value, 1)
+                : 0;
+        }
+
+        return $averages;
+    }
+}
--- a/app/Services/MetricCalculators/LethalityCalculator.php
+++ b/app/Services/MetricCalculators/LethalityCalculator.php
@@ -0,0 +1,58 @@
+<?php
+// app/Services/MetricCalculators/LethalityCalculator.php
+
+namespace App\Services\MetricCalculators;
+
+use App\Services\Base\BaseMetricService;
+use App\Contracts\MetricCalculatorInterface;
+use Illuminate\Support\Facades\DB;
+
+class LethalityCalculator extends BaseMetricService implements MetricCalculatorInterface
+{
+    public function getMetricId(): int
+    {
+        return 19;
+    }
+
+    public function calculate(array $departmentIds, string $startDate, string $endDate): array
+    {
+        if (empty($departmentIds)) {
+            return [];
+        }
+
+        $results = DB::table('reports as r')
+            ->join('metrika_results as mr', 'r.report_id', '=', 'mr.rf_report_id')
+            ->whereIn('r.rf_department_id', $departmentIds)
+            ->whereIn('mr.rf_metrika_item_id', [7, 9])
+//            ->whereBetween('r.created_at', [$startDate, $endDate])
+            ->where('r.sent_at', '>', $startDate)
+            ->where('r.sent_at', '<=', $endDate)
+            ->select(
+                'r.rf_department_id',
+                'mr.rf_metrika_item_id',
+                DB::raw('SUM(CAST(mr.value AS INTEGER)) as total')
+            )
+            ->groupBy('r.rf_department_id', 'mr.rf_metrika_item_id')
+            ->get()
+            ->groupBy('rf_department_id');
+
+        $lethality = [];
+        foreach ($departmentIds as $deptId) {
+            $deceased = 0;
+            $discharged = 0;
+
+            if (isset($results[$deptId])) {
+                foreach ($results[$deptId] as $item) {
+                    if ($item->rf_metrika_item_id == 9) $deceased = (int)$item->total;
+                    else $discharged = (int)$item->total;
+                }
+            }
+
+            $lethality[$deptId] = ($discharged > 0 && $deceased > 0)
+                ? round(($deceased / $discharged) * 100, 1)
+                : 0;
+        }
+
+        return $lethality;
+    }
+}
--- a/app/Services/MetricCalculators/PreoperativeDaysCalculator.php
+++ b/app/Services/MetricCalculators/PreoperativeDaysCalculator.php
@@ -0,0 +1,99 @@
+<?php
+// app/Services/MetricCalculators/PreoperativeDaysCalculator.php
+
+namespace App\Services\MetricCalculators;
+
+use App\Services\Base\BaseMetricService;
+use App\Contracts\MetricCalculatorInterface;
+use App\Models\MedicalHistorySnapshot;
+use App\Models\Report;
+use Carbon\Carbon;
+use Illuminate\Support\Facades\DB;
+
+class PreoperativeDaysCalculator extends BaseMetricService implements MetricCalculatorInterface
+{
+    public function getMetricId(): int
+    {
+        return 21;
+    }
+
+    public function calculate(array $departmentIds, string $startDate, string $endDate): array
+    {
+        if (empty($departmentIds)) {
+            return [];
+        }
+
+        // Получаем отчеты за период
+        $reports = Report::whereIn('rf_department_id', $departmentIds)
+            ->where('sent_at', '>', $startDate)
+            ->where('sent_at', '<=', $endDate)
+//            ->whereBetween('created_at', [$startDate, $endDate])
+            ->get(['report_id', 'rf_department_id'])
+            ->keyBy('report_id');
+
+        if ($reports->isEmpty()) {
+            return array_fill_keys($departmentIds, 0);
+        }
+
+        $reportIds = $reports->keys()->toArray();
+
+        // Получаем пациентов из снапшотов
+        $snapshots = MedicalHistorySnapshot::whereIn('rf_report_id', $reportIds)
+            ->whereIn('patient_type', ['discharged', 'deceased'])
+            ->get(['rf_report_id', 'rf_medicalhistory_id']);
+
+        if ($snapshots->isEmpty()) {
+            return array_fill_keys($departmentIds, 0);
+        }
+
+        $historyIds = $snapshots->pluck('rf_medicalhistory_id')->unique()->toArray();
+
+        // Получаем первые операции и первые поступления одним запросом
+        $operations = DB::table('stt_surgicaloperation as so')
+            ->join('stt_migrationpatient as mp', 'so.rf_MedicalHistoryID', '=', 'mp.rf_MedicalHistoryID')
+            ->whereIn('so.rf_MedicalHistoryID', $historyIds)
+            ->whereNotNull('so.Date')
+            ->whereNotNull('mp.DateIngoing')
+            ->select(
+                'so.rf_MedicalHistoryID',
+                DB::raw('MIN(so."Date") as first_operation'),
+                DB::raw('MIN(mp."DateIngoing") as first_admission')
+            )
+            ->groupBy('so.rf_MedicalHistoryID')
+            ->get()
+            ->keyBy('rf_MedicalHistoryID');
+
+        // Группируем по отделениям
+        $results = [];
+        foreach ($snapshots as $snapshot) {
+            $deptId = $reports[$snapshot->rf_report_id]->rf_department_id;
+            $historyId = $snapshot->rf_medicalhistory_id;
+
+            if (!isset($operations[$historyId])) {
+                continue;
+            }
+
+            $op = $operations[$historyId];
+            $days = Carbon::parse($op->first_admission)
+                ->diffInDays(Carbon::parse($op->first_operation));
+
+            if ($days >= 0) {
+                if (!isset($results[$deptId])) {
+                    $results[$deptId] = ['total' => 0, 'count' => 0];
+                }
+                $results[$deptId]['total'] += $days;
+                $results[$deptId]['count']++;
+            }
+        }
+
+        // Усредняем по отделениям
+        $preoperative = [];
+        foreach ($departmentIds as $deptId) {
+            $preoperative[$deptId] = isset($results[$deptId]) && $results[$deptId]['count'] > 0
+                ? round($results[$deptId]['total'] / $results[$deptId]['count'], 1)
+                : 0;
+        }
+
+        return $preoperative;
+    }
+}