Добавил сохранение отчета дежурного на основе отчета мед. сестры
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brusnitsyn
@@ -10,6 +10,7 @@ use App\Models\MetrikaResult;
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use App\Models\ObservableMedicalHistory;
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use App\Models\ReportDuty;
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use App\Models\ReportNurse;
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use App\Models\ReportNursePatient;
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use App\Models\UnifiedMedicalHistory;
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use App\Models\User;
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use App\Services\Classification\PatientStatusClassifier;
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@@ -80,9 +81,37 @@ class DutyReportService
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{
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$departmentId = $departmentId ?? $reportDuty->department->rf_mis_department_id;
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$userId = $userId ?? $reportDuty->rf_user_id;
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// Если за этот же период есть отчет медсестры - берём пациентов (и метрики) из него
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$nurseReport = ReportNurse::where('rf_department_id', $reportDuty->rf_department_id)
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->where('period_start', $reportDuty->period_start)
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->where('period_end', $reportDuty->period_end)
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->latest('id')
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->first();
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if ($nurseReport) {
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$patients = $this->getPatientsFromNurseReport($nurseReport, $dateRange);
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} else {
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$patients = $this->getPatientsFromMis($dateRange, $departmentId);
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}
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$savedStats = $this->saveReportSnapshot($reportDuty->id, $patients, $userId, $departmentId, $dateRange);
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return [
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...$savedStats,
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'report_date' => $dateRange->startSql(),
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'department_id' => $departmentId,
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];
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}
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/**
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* Снимок пациентов из МИС (используется, если нет отчета медсестры за период)
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*/
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private function getPatientsFromMis(DateRange $dateRange, int $departmentId)
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{
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$startYear = Carbon::now()->startOfYear()->format('Y-m-d');
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$patients = MedicalHistory::query()
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return MedicalHistory::query()
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->whereHas('migrations', function ($q) use ($departmentId, $dateRange, $startYear) {
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$q->where('department_id', $departmentId)
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->where('ingoing_date', '<=', $dateRange->endSql())
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@@ -160,14 +189,75 @@ class DutyReportService
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'in_observable' => PatientStatusClassifier::classifyObservable($h->observable, $dateRange),
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];
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});
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}
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$savedStats = $this->saveReportSnapshot($reportDuty->id, $patients, $userId, $departmentId, $dateRange);
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/**
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* Снимок пациентов из отчета медсестры за тот же период/отделение
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*/
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private function getPatientsFromNurseReport(ReportNurse $nurseReport, DateRange $dateRange)
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{
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return ReportNursePatient::query()
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->where('report_nurse_id', $nurseReport->id)
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->with(['migrations', 'operations', 'latestMigration'])
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->get()
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->map(function (ReportNursePatient $h) use ($dateRange) {
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$patientStatus = PatientStatusClassifier::classify($h, $dateRange);
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$periodFlags = PatientStatusClassifier::classifyPeriodFlags($h, $dateRange);
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$patientUrgency = null;
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$patientReanimation = null;
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if (!in_array($patientStatus, [
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PatientStatusClassifier::STATUS_DECEASED,
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PatientStatusClassifier::STATUS_DISCHARGED,
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PatientStatusClassifier::STATUS_TRANSFERRED
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])) {
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$patientUrgency = PatientStatusClassifier::classifyUrgency($h->urgency_id);
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$patientReanimation = false; // в отчете медсестры данные о реанимации не фиксируются
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}
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return [
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...$savedStats,
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'report_date' => $dateRange->startSql(),
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'department_id' => $departmentId,
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];
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return [
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'id' => $h->original_id,
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'source_type' => $h->source_type,
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'medical_card_number' => $h->medical_card_number,
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'full_name' => $h->full_name,
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'birth_date' => $h->birth_date,
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'recipient_date' => $h->recipient_date,
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'extract_date' => $h->extract_date,
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'death_date' => $h->death_date,
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'male' => $h->male,
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'urgency_id' => $h->urgency_id,
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'hospital_result_id' => $h->hospital_result_id,
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'visit_result_id' => $h->visit_result_id,
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'comment' => $h->comment,
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'migrations' => $h->migrations->map(fn ($m) => [
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'id' => $m->original_id,
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'ingoing_date' => $m->ingoing_date,
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'out_date' => $m->out_date,
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'diagnosis_id' => $m->diagnosis_id,
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'diagnosis_code' => $m->diagnosis_code,
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'diagnosis_name' => $m->diagnosis_name,
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'interrupted_event_id' => $m->interrupted_event_id,
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'stationar_branch_id' => $m->stationar_branch_id,
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'department_id' => $m->department_id,
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'visit_result_id' => $m->visit_result_id,
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'stat_cure_result_id' => $m->stat_cure_result_id,
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'user_id' => $m->user_id,
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'mis_user_id' => $m->mis_user_id,
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'comment' => $m->comment,
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'reanimations' => [],
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])->toArray(),
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'operations' => $h->operations->toArray(),
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// + вычисляемые мета-поля для фронтенда
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'patient_status' => $patientStatus,
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'patient_urgency' => $patientUrgency,
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'period_flags' => $periodFlags,
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'in_reanimation' => $patientReanimation,
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'admitted_today' => PatientStatusClassifier::classifyAdmitted($h->latestMigration?->ingoing_date, $dateRange),
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'in_observable' => false,
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];
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});
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}
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public function saveReportSnapshot(
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@@ -239,7 +329,7 @@ class DutyReportService
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$patientData = [
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'report_duty_id' => $reportDutyId,
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'source_type' => 'mis',
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'source_type' => $patient['source_type'] ?? 'mis',
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'original_id' => $patient['id'],
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'medical_card_number' => $patient['medical_card_number'],
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'full_name' => $patient['full_name'],
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@@ -270,7 +360,7 @@ class DutyReportService
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$migrationItem = [
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'_temp_key' => [
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'report_duty_id' => $reportDutyId,
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'source_type' => 'mis',
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'source_type' => $patient['source_type'] ?? 'mis',
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'original_id' => $patient['id'],
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],
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'original_id' => $migration['id'],
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