Files
onboard/app/Services/NurseMedicalHistoryService.php
brusnitsyn 739168d427 Обновлен стартовый экран
Переписаны запросы для статистики, отчетов
Добавлена интеграция отчета сестры
2026-05-28 22:10:00 +09:00

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<?php
namespace App\Services;
use App\Models\MedicalHistory;
use App\Models\MigrationPatient;
use App\Models\ReportNursePatient;
use App\Models\UnifiedMedicalHistory;
use App\Services\Classification\PatientStatusClassifier;
use Illuminate\Support\Carbon;
use Illuminate\Support\Collection;
class NurseMedicalHistoryService
{
public function getGroupedHistories(DateRange $dateRange, int $departmentId, ?array $reportIds = null): array
{
$startYear = $dateRange->startDate->copy()->startOfYear()->format('Y-m-d');
$periodMigrationFilter = function ($q) use ($departmentId, $dateRange, $startYear) {
$q->where('department_id', $departmentId)
->where('ingoing_date', '<=', $dateRange->endSql())
->where(function ($sub) use ($dateRange, $startYear) {
$sub->whereNull('out_date')
->where('ingoing_date', '>', $startYear);
$sub->orWhere(function ($sub2) use ($dateRange, $startYear) {
$sub2->whereNotNull('out_date')
->where('out_date', '>', $dateRange->startSql())
->where('out_date', '>', $startYear);
});
});
};
$departmentMigrationFilter = function ($q) use ($departmentId) {
$q->where('department_id', $departmentId)
->orderByDesc('ingoing_date');
};
// 1. Один запрос: получаем "сырые" данные (без вычисляемых статусов)
$all = ReportNursePatient::query()
->when($reportIds, function ($query, $reportIds) {
return $query->whereIn('report_nurse_id', $reportIds);
})
->whereHas('migrations', $periodMigrationFilter)
->with([
'latestMigration' => $periodMigrationFilter,
'migrations' => $departmentMigrationFilter,
'operations' => function ($q) use ($departmentId, $dateRange) {
$q->where('department_id', $departmentId)
->where('start_date', '>=', $dateRange->startSql())
->where('start_date', '<', $dateRange->endSql())
// Только операции пока пациент реально лежал в отделении
->whereExists(function ($sub) use ($departmentId) {
$sub->select(\DB::raw(1))
->from('mv_migrationpatient_details')
->where('department_id', $departmentId)
->whereColumn('medical_history_id', 'mv_surgical_operations.medical_history_id')
->whereColumn('ingoing_date', '<=', 'mv_surgical_operations.start_date')
->where(function ($q2) {
$q2->whereNull('out_date')
->orWhereColumn('out_date', '>=', 'mv_surgical_operations.start_date');
});
});
}
])
->selectRaw('DISTINCT ON (original_id) report_nurse_patients.*')
->orderBy('original_id')
->orderBy('report_nurse_id', 'desc')
->get();
// 2. Добавляем вычисляемые поля и превращаем в плоский массив
$prepared = $all->map(function (ReportNursePatient $h) use ($dateRange) {
$patientStatus = PatientStatusClassifier::classify($h, $dateRange);
$patientUrgency = null;
$patientReanimation = null;
if (!in_array($patientStatus, [
PatientStatusClassifier::STATUS_DECEASED,
PatientStatusClassifier::STATUS_DISCHARGED,
PatientStatusClassifier::STATUS_TRANSFERRED
])) {
$patientUrgency = PatientStatusClassifier::classifyUrgency($h->urgency_id);
}
return [
// Все исходные поля модели (автоматически через toArray)
...$h->toArray(),
// + вычисляемые мета-поля для фронтенда
'patient_status' => $patientStatus,
'patient_urgency' => $patientUrgency,
'in_reanimation' => $patientReanimation,
'admitted_today' => PatientStatusClassifier::classifyAdmitted($h->latestMigration?->ingoing_date, $dateRange),
];
});
// 3. Сортировка
$sortBy = 'recipient_date';
$sortOrder = 'desc';
$sorted = $prepared->sortBy($sortBy, SORT_REGULAR, $sortOrder === 'desc')->values();
// 4. Возвращаем плоский массив + метаданные для фронтенда
$countInDepartment = $sorted->where('patient_status', 'in_department')->count();
$countRecipient = $sorted->where('patient_status', 'recipient')->count();
$countDischarged = $sorted->where('patient_status', 'discharged')->count();
$countDeceased = $sorted->where('patient_status', 'deceased')->count();
$countUrgent = $sorted->where('patient_urgency', 'urgent')->count();
$countPlanned = $sorted->where('patient_urgency', 'planned')->count();
$countReanimations = $sorted->where('in_reanimation', true)->count();
// 4. Возвращаем плоский массив + метаданные для фронтенда
return [
'data' => $sorted->toArray(),
'meta' => [
'total' => $sorted->count(),
'sortBy' => $sortBy,
'sortOrder' => $sortOrder,
'counts' => [
'in_department' => $countInDepartment + $countRecipient,
'recipient' => $countRecipient,
'discharged' => $countDischarged + $countDeceased,
'deceased' => $countDeceased,
'urgent' => $countUrgent,
'planned' => $countPlanned,
'reanimations' => $countReanimations,
]
]
];
}
public function getHistories(DateRange $dateRange, int $departmentId)
{
$query = ReportNursePatient::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 = ReportNursePatient::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 $departmentId)
{
return ReportNursePatient::query()
->whereHas('migrations', function ($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)
{
$now = Carbon::now();
return ReportNursePatient::query()
->whereHas('migrations', function ($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 $departmentId)
{
return ReportNursePatient::query()
->whereHas('migrations', function ($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 $departmentId)
{
return ReportNursePatient::query()
->whereHas('migrations', function ($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 $departmentId)
{
return ReportNursePatient::query()
->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
$q->department($departmentId)->transferred($dateRange->startSql(), $dateRange->endSql());
})
->with(['latestMigration' => function ($q) use ($departmentId) {
$q->department($departmentId);
}])
->get();
}
}