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/MetrikaService.php
+++ b/app/Services/MetrikaService.php
@@ -0,0 +1,76 @@
+<?php
+
+namespace App\Services;
+
+use App\Models\Report;
+use Illuminate\Support\Carbon;
+use Illuminate\Support\Facades\DB;
+
+class MetrikaService
+{
+    /**
+     * Рассчитать предоперационный койко-день из снапшотов
+     */
+    public function calculatePreoperativeDaysFromSnapshots(
+        array $departmentIds,
+        string $startDate,
+        string $endDate
+    ): array
+    {
+        if (empty($departmentIds)) {
+            return [];
+        }
+
+        try {
+            // Получаем снапшоты с операциями
+            $results = DB::table('medical_history_snapshots as mhs')
+                ->join('reports as r', 'mhs.rf_report_id', '=', 'r.report_id')
+                ->join('stt_migrationpatient as mp', 'mhs.rf_medicalhistory_id', '=', 'mp.rf_MedicalHistoryID')
+                ->join('stt_surgicaloperation as so', 'mhs.rf_medicalhistory_id', '=', 'so.rf_MedicalHistoryID')
+                ->whereIn('r.rf_department_id', $departmentIds)
+                ->whereDate('r.sent_at', '>=', $startDate)
+                ->whereDate('r.sent_at', '<=', $endDate)
+                ->whereIn('mhs.patient_type', ['discharged', 'deceased'])
+                ->select(
+                    'r.rf_department_id',
+                    'mp.rf_MedicalHistoryID',
+                    DB::raw('MIN(mp."DateIngoing") as admission_date'),
+                    DB::raw('MIN(so."Date") as first_operation_date')
+                )
+                ->groupBy('r.rf_department_id', 'mp.rf_MedicalHistoryID')
+                ->havingRaw('MIN(so."Date") IS NOT NULL')
+                ->get()
+                ->groupBy('rf_department_id');
+
+            $preoperativeDays = [];
+            foreach ($departmentIds as $deptId) {
+                if (!isset($results[$deptId]) || $results[$deptId]->isEmpty()) {
+                    $preoperativeDays[$deptId] = 0;
+                    continue;
+                }
+
+                $totalDays = 0;
+                $count = 0;
+
+                foreach ($results[$deptId] as $item) {
+                    $admission = Carbon::parse($item->admission_date);
+                    $operation = Carbon::parse($item->first_operation_date);
+                    $days = $admission->diffInDays($operation);
+
+                    if ($days >= 0) {
+                        $totalDays += $days;
+                        $count++;
+                    }
+                }
+
+                $preoperativeDays[$deptId] = $count > 0 ? round($totalDays / $count, 1) : 0;
+            }
+
+            return $preoperativeDays;
+
+        } catch (\Exception $e) {
+            \Log::error("Error in calculatePreoperativeDaysFromSnapshots: " . $e->getMessage());
+            return array_fill_keys($departmentIds, 0);
+        }
+    }
+}