controllers/dialysis_api_controller.go

@@ -434,6 +434,99 @@ func (c *DialysisApiController) PostPrescription() {
 		DialysisRemark:             dialysis_remark,
 	}
 
+	//长沙南雅医院，自动生成抗凝剂的临时处方
+	if adminUserInfo.CurrentOrgId == 10340 {
+		advice := models.DoctorAdvice{
+			UserOrgId:             adminUserInfo.CurrentOrgId,
+			PatientId:             patient,
+			GroupNo:               0,
+			AdviceType:            2,
+			AdviceDate:            recordDate.Unix(),
+			StartTime:             recordDate.Unix() + 7*60*60, // 根据排班班次，给默认时间
+			AdviceName:            "",                          // 根据抗凝剂转换为中文 + 首剂 + 维持 + 总量
+			AdviceDesc:            "",
+			ReminderDate:          0,
+			SingleDose:            0,
+			SingleDoseUnit:        "",
+			DrugSpec:              0,
+			DrugSpecUnit:          "",
+			PrescribingNumber:     0, // 前端传过来的开药数量
+			PrescribingNumberUnit: "支",
+			DeliveryWay:           "静脉注射",
+			ExecutionFrequency:    "上机前",
+			AdviceDoctor:          0,
+			Status:                1,
+			CreatedTime:           time.Now().Unix(),
+			UpdatedTime:           time.Now().Unix(),
+			IsPrescription:        1,
+		}
+		// 查询排班信息
+		schedulePatient, _ := service.GetScheduleByPatient(patient, recordDate.Unix(), adminUserInfo.CurrentOrgId)
+		if schedulePatient.ID > 0 {
+			if schedulePatient.ScheduleType == 1 {
+				advice.StartTime = recordDate.Unix() + 7*60*60
+			}
+
+			if schedulePatient.ScheduleType == 2 {
+				advice.StartTime = recordDate.Unix() + 11*60*60
+			}
+		}
+		// 抗凝剂名称
+		switch anticoagulant {
+		case 1:
+			advice.AdviceName = "无肝素"
+			break
+		case 2:
+			advice.AdviceName = "普通肝素"
+			break
+		case 3:
+			advice.AdviceName = "低分子肝素"
+			break
+		case 4:
+			advice.AdviceName = "阿加曲班"
+			break
+		case 5:
+			advice.AdviceName = "枸橼酸钠"
+			break
+		case 6:
+			advice.AdviceName = "低分子肝素钙"
+			break
+		case 7:
+			advice.AdviceName = "低分子肝素钠"
+			break
+		case 8:
+			advice.AdviceName = "依诺肝素"
+			break
+		case 9:
+			advice.AdviceName = "达肝素"
+			break
+		case 10:
+			advice.AdviceName = "体外抗凝"
+			break
+		case 11:
+			advice.AdviceName = "那曲肝素"
+			break
+		case 12:
+			advice.AdviceName = "无抗凝剂"
+			break
+		}
+		advice.AdviceDesc = "首剂" + strconv.FormatFloat(anticoagulant_shouji, 'f', -1, 64) + "维持" + strconv.FormatFloat(anticoagulant_weichi, 'f', -1, 64) + "总量" + strconv.FormatFloat(anticoagulant_zongliang, 'f', -1, 64)
+		if appRole.UserType == 2 || appRole.UserType == 1 {
+			advice.AdviceDoctor = appRole.AdminUserId
+		}
+
+		// 患者的临时医嘱里查找是否有抗凝剂临时医嘱
+		advicePrescription, _ := service.GetAdvicesByPrescription(adminUserInfo.CurrentOrgId, patient, recordDate.Unix())
+		if advicePrescription.ID > 0 {
+			// 修改患者临时医嘱里的抗凝剂医嘱
+			advice.ID = advicePrescription.ID
+			service.UpdateDoctorAdvice(&advice)
+		} else {
+			// 新增患者临时医嘱里的抗凝剂医嘱
+			service.CreateDoctorAdvice(&advice)
+		}
+	}
+
 	if appRole.UserType == 2 || appRole.UserType == 1 {
 		prescription.PrescriptionDoctor = appRole.AdminUserId
 	}

models/dialysis.go

@@ -458,6 +458,7 @@ type DoctorAdvice struct {
 	IsMedicine            int64           `gorm:"column:is_medicine" json:"is_medicine" form:"is_medicine"`
 	PushStartTime         int64           `gorm:"column:push_start_time" json:"push_start_time" form:"push_start_time"`
 	IsSettle              int64           `gorm:"column:is_settle" json:"is_settle" form:"is_settle"`
+	IsPrescription        int64           `gorm:"column:is_prescription" json:"is_prescription" form:"is_prescription"`
 }
 
 func (DoctorAdvice) TableName() string {

service/inspection_service.go

@@ -33,6 +33,10 @@ func GetAdvices(orgid int64, patientid int64, recorddate int64) (advcie []*model
 	err = XTReadDB().Model(&models.DoctorAdvice{}).Where("patient_id = ? and user_org_id = ? and record_date = ? and status =1", patientid, orgid, recorddate).Find(&advcie).Error
 	return
 }
+func GetAdvicesByPrescription(orgid int64, patientid int64, recorddate int64) (advcie *models.DoctorAdvice, err error) {
+	err = XTReadDB().Model(&models.DoctorAdvice{}).Where("patient_id = ? and user_org_id = ? and record_date = ? and status =1 and is_prescription = 1", patientid, orgid, recorddate).Find(&advcie).Error
+	return
+}
 
 func CreatePatientInspection(inspectins []models.Inspection) (err error) {
 	if len(inspectins) == 0 {