/// <summary>
/// 特列说明性医嘱删除
/// </summary>
/// <param name="record">特列说明性医嘱</param>
/// <param name="empid">操作员ID</param>
private void spcialOrderDelete(IPD_OrderRecord record, int empid)
{
if (record.OrderType == 7)
{
//转科医嘱
List <IPD_TransDept> trans = NewObject <IPD_TransDept>().getlist <IPD_TransDept>(" orderid=" + record.OrderID + " and patlistid=" + record.PatListID + " and cancelFlag=0 and finishflag=0");
if (trans == null || trans.Count == 0)
{
throw new Exception("转科信息不存在或已经完成，不能删除");
}
IPD_TransDept tranDept = trans[0];
tranDept.CancelFlag = 1;
tranDept.CancelDate = DateTime.Now;
tranDept.CancelEmpID = empid;
this.BindDb(tranDept);
tranDept.save();
//医嘱自动停的恢复
List <IPD_OrderRecord> records = NewObject <IPD_OrderRecord>().getlist <IPD_OrderRecord>(" patlistid=" + record.PatListID + " and orderStatus=3 and AutoEndFlag=1");
foreach (IPD_OrderRecord ipdrecord in records)
{
ipdrecord.OrderStatus = 2;
ipdrecord.AutoEndFlag = 0;
ipdrecord.EOrderDoc = 0;
ipdrecord.EOrderDate = Convert.ToDateTime("1900-01-01 00:00:00.000");
ipdrecord.TeminalNum = 0;
this.BindDb(ipdrecord);
ipdrecord.save();
}
}
else if (record.OrderType == 6 || record.OrderType == 5)
{
//医嘱自动停的恢复
List <IPD_OrderRecord> records = NewObject <IPD_OrderRecord>().getlist <IPD_OrderRecord>(" patlistid=" + record.PatListID + " and orderStatus=3 and AutoEndFlag=1");
foreach (IPD_OrderRecord ipdrecord in records)
{
ipdrecord.OrderStatus = 2;
ipdrecord.AutoEndFlag = 0;
ipdrecord.EOrderDoc = 0;
ipdrecord.EOrderDate = Convert.ToDateTime("1900-01-01 00:00:00.000");
ipdrecord.TeminalNum = 0;
this.BindDb(ipdrecord);
ipdrecord.save();
}
IP_PatList plist = NewObject <IP_PatList>().getmodel(record.PatListID) as IP_PatList;
//plist.Status = 2;
plist.IsLeaveHosOrder = 0;
plist.LeaveHDate = Convert.ToDateTime("1900-01-01 00:00:00.000");
plist.OutSituation = "0";
this.BindDb(plist);
plist.save();
List <IPD_Diagnosis> diags = NewObject <IPD_Diagnosis>().getlist <IPD_Diagnosis>(" orderid=" + record.OrderID);
foreach (IPD_Diagnosis diag in diags)
{
diag.delete();
}
}
}
/// <summary>
/// 转科医嘱
/// </summary>
/// <param name="patlistid">病人ID</param>
/// <param name="list">需自动停嘱对象</param>
/// <param name="transDate">转科日期</param>
/// <param name="transDeptID">转科科室</param>
/// <param name="oprator">操作员</param>
/// <param name="spciRecord">转科医嘱对象</param>
public void TransDeptOrder(int patlistid, List <IPD_OrderRecord> list, DateTime transDate, int transDeptID, int oprator, IPD_OrderRecord spciRecord)
{
//医嘱自动停保存
foreach (IPD_OrderRecord record in list)
{
this.BindDb(record);
record.save();
}
IP_PatList patlist = NewObject <IP_PatList>().getmodel(patlistid) as IP_PatList;
if (patlist.Status != 2 || patlist.IsLeaveHosOrder == 1)
{
throw new Exception("病人状态已经不在床或已经开出院医嘱，不能开转科医嘱");
}
List <IPD_TransDept> listTrans = NewObject <IPD_TransDept>().getlist <IPD_TransDept>(" patlistid=" + patlistid + " and cancelFlag=0 and finishFlag=0");
if (listTrans.Count > 0)
{
throw new Exception("该病人存在未完成的转科医嘱，不能再开转科医嘱");
}
SerialNumberSource serialNumberSource = NewObject <SerialNumberSource>();
string groupID = serialNumberSource.GetSerialNumber(SnType.医嘱组号);
//生成说明性临嘱保存
spciRecord.GroupID = Convert.ToInt32(groupID);
spciRecord.PatDeptID = patlist.CurrDeptID;
spciRecord.WardID = patlist.CurrWardID;
spciRecord.Dosage = 1;
this.BindDb(spciRecord);
spciRecord.save();
//转入信息保存
IPD_TransDept transDept = new IPD_TransDept();
transDept.Operator = oprator;
transDept.PatListID = patlistid;
transDept.OldDeptID = patlist.CurrDeptID;
transDept.NewDeptID = transDeptID;
transDept.TransDate = transDate;
transDept.OrderID = spciRecord.OrderID;
transDept.OperDate = DateTime.Now;
transDept.FinishFlag = 0;
this.BindDb(transDept);
transDept.save();
}
/// <summary>
/// 保存床位分配数据
/// </summary>
/// <param name="tempDt">病人入院登记信息</param>
/// <param name="bedId">床位ID</param>
/// <param name="wardId">病区ID</param>
/// <param name="bedNo">床位号</param>
/// <param name="empId">操作员ID</param>
/// <returns>错误消息</returns>
public string SaveBedAllocation(DataTable tempDt, int bedId, int wardId, string bedNo, int empId)
{
// 验证床位是否已被占用
bool result = NewObject <IIPManageDao>().IsBedOccupy(bedId, 0, string.Empty);
if (result)
{
int patStatus = Convert.ToInt32(tempDt.Rows[0]["Status"]);
// 出院召回病人修改病人出院医嘱状态
if (patStatus == 3)
{
NewDao <IIPManageDao>().UpdatePatOrder(int.Parse(tempDt.Rows[0]["PatListID"].ToString()));
}
else if (patStatus == -1)
{
// 转科病人，修改转科表数据
IPD_TransDept transDept = (IPD_TransDept)NewObject <IPD_TransDept>().getmodel(tempDt.Rows[0]["ID"]);
transDept.OperDate = DateTime.Now;
transDept.Operator = empId;
transDept.FinishFlag = 1;
this.BindDb(transDept);
transDept.save();
}
// 修改病人入院登记数据
NewDao <IIPManageDao>().UpdatePatList(
bedNo,
int.Parse(tempDt.Rows[0]["CurrDoctorID"].ToString()),
int.Parse(tempDt.Rows[0]["CurrNurseID"].ToString()),
int.Parse(tempDt.Rows[0]["PatListID"].ToString()));
// 修改床位数据
NewDao <IIPManageDao>().UpdatePatBedInfo(
int.Parse(tempDt.Rows[0]["PatListID"].ToString()),
tempDt.Rows[0]["PatName"].ToString(),
tempDt.Rows[0]["Sex"].ToString(),
int.Parse(tempDt.Rows[0]["CurrDeptID"].ToString()),
int.Parse(tempDt.Rows[0]["CurrDoctorID"].ToString()),
int.Parse(tempDt.Rows[0]["CurrNurseID"].ToString()),
bedId);
// 新增床位分配日志数据
IP_BedLog bedLog = new IP_BedLog();
bedLog.BedID = bedId; // 床位ID
bedLog.BedNo = bedNo;
bedLog.WardID = wardId;
bedLog.PatListID = int.Parse(tempDt.Rows[0]["PatListID"].ToString());
bedLog.PatName = tempDt.Rows[0]["PatName"].ToString();
bedLog.PatSex = tempDt.Rows[0]["Sex"].ToString();
bedLog.PatDeptID = int.Parse(tempDt.Rows[0]["CurrDeptID"].ToString());
bedLog.PatDoctorID = int.Parse(tempDt.Rows[0]["CurrDoctorID"].ToString());
bedLog.PatNurseID = int.Parse(tempDt.Rows[0]["CurrNurseID"].ToString());
bedLog.AssignDate = DateTime.Now;
bedLog.AssignEmpID = empId;
this.BindDb(bedLog);
bedLog.save();
// 生成床位费用
SaveBedFeeData(bedId, bedLog.PatListID, false, empId);
}
else
{
return("当前床位已分配病人或被停用，请重新选择床位！");
}
return(string.Empty);
}
/// <summary>
/// 定义病人出院
/// </summary>
/// <param name="wardId">病区ID</param>
/// <param name="patListID">病人登记ID</param>
/// <param name="checkFlg">是否检查通过</param>
/// <param name="deptID">转科新科室Id</param>
/// <returns>出院报表数据</returns>
public DataTable PatientOutHospital(int wardId, int patListID, out bool checkFlg, int deptID)
{
bool isNotStopOrder = true;
DataTable resultDt = new DataTable();
// 检查所有医嘱是否已停
DataTable notExecOrder = NewDao <IIPManageDao>().GetNotExecOrder(patListID);
if (notExecOrder.Rows.Count > 0)
{
resultDt.Merge(notExecOrder);
isNotStopOrder = false;
}
// 检查所有账单有没有停用
DataTable notStopOrderDt = NewDao <IIPManageDao>().GetNotStopOrder(patListID);
if (notStopOrderDt.Rows.Count > 0)
{
resultDt.Merge(notStopOrderDt);
isNotStopOrder = false;
}
// 检查所有药品是否已统领
DataTable notGuideOrderDt = NewDao <IIPManageDao>().GetNotGuideOrder(patListID);
if (notGuideOrderDt.Rows.Count > 0)
{
resultDt.Merge(notGuideOrderDt);
isNotStopOrder = false;
}
// 取系统参数验证是否允许没发完药可以出院
string result = NewObject <SysConfigManagement>().GetSystemConfigValue("IsMedicine");
if (result == "1")
{
// 检查所有统领药品是否已发药 （根据参数配置是否需要验证）
DataTable notDispDrugDt = NewDao <IIPManageDao>().GetNotDispDrugList(patListID);
if (notDispDrugDt.Rows.Count > 0)
{
resultDt.Merge(notDispDrugDt);
isNotStopOrder = false;
}
}
if (!isNotStopOrder)
{
checkFlg = false;
return(resultDt);
}
// 清空床位信息
NewDao <IIPManageDao>().PatOutHospitalUpdateBedData(wardId, patListID);
if (deptID == 0)
{
// 修改病人状态、出院时间
NewDao <IIPManageDao>().PatOutHospitalUpdatePatListData(patListID);
// 获取出院通知单基本数据
DataTable patListDt = NewDao <IIPManageDao>().GetPatOutHospitalData(patListID);
resultDt.Merge(patListDt);
}
else
{
// 修改病人当前科室
IPD_TransDept transDept = (IPD_TransDept)NewObject <IPD_TransDept>().getmodel(patListID);
NewDao <IIPManageDao>().UpdatepatCurrDept(patListID, deptID);
}
checkFlg = true;
return(resultDt);
}
