/// <summary>
/// 职工生育预结算
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public WorkerHospitalizationPreSettlementDto WorkerBirthPreSettlement(WorkerBirthPreSettlementParam param)
{
WorkerHospitalizationPreSettlementDto data = null;
var xmlStr = XmlHelp.SaveXml(param);
if (!xmlStr)
{
throw new Exception("职工生育预结算保存参数出错");
}
int result = MedicalInsuranceDll.CallService_cxjb("SYBX002");
if (result != 1)
{
throw new Exception("职工生育预结算执行出错!!!");
}
var dataIni = XmlHelp.DeSerializerModel(new WorkerBirthPreSettlementJsonDto(), true);
if (dataIni != null)
{
data = AutoMapper.Mapper.Map <WorkerHospitalizationPreSettlementDto>(dataIni);
}
return(data);
}
/// <summary>
/// 职工生育预结算
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public WorkerHospitalizationPreSettlementDto WorkerBirthPreSettlement(WorkerBirthPreSettlementUiParam param)
{
//获取操作人员信息
var userBase = _serviceBasicService.GetUserBaseInfo(param.UserId);
userBase.TransKey = param.TransKey;
var queryResidentParam = new QueryMedicalInsuranceResidentInfoParam()
{
BusinessId = param.BusinessId,
OrganizationCode = userBase.OrganizationCode
};
var infoData = new GetInpatientInfoParam()
{
User = userBase,
BusinessId = param.BusinessId,
};
//获取his结算
var settlementData = _serviceBasicService.GetHisHospitalizationSettlement(infoData);
//获取医保病人信息
var residentData = _medicalInsuranceSqlRepository.QueryMedicalInsuranceResidentInfo(queryResidentParam);
if (string.IsNullOrWhiteSpace(settlementData.LeaveHospitalDate))
{
throw new Exception("当前病人在基层中未办理出院,不能办理医保预结算!!!");
}
var preSettlement = new WorkerBirthPreSettlementParam()
{
MedicalCategory = param.MedicalCategory,
FetusNumber = param.FetusNumber,
MedicalInsuranceHospitalizationNo = residentData.MedicalInsuranceHospitalizationNo,
LeaveHospitalDate = Convert.ToDateTime(settlementData.LeaveHospitalDate).ToString("yyyyMMdd"),
};
//获取诊断
var diagnosisData = CommonHelp.GetDiagnosis(param.DiagnosisList);
preSettlement.AdmissionMainDiagnosisIcd10 = diagnosisData.AdmissionMainDiagnosisIcd10;
preSettlement.DiagnosisIcd10Two = diagnosisData.DiagnosisIcd10Two;
preSettlement.DiagnosisIcd10Three = diagnosisData.DiagnosisIcd10Three;
//医保结算
var resultData = _workerMedicalInsuranceRepository.WorkerBirthPreSettlement(preSettlement);
//报销金额 =统筹支付+补充医疗保险支付金额+专项基金支付金额+
//公务员补贴+公务员补助+其它支付金额
decimal reimbursementExpenses = resultData.BasicOverallPay + resultData.SupplementPayAmount + resultData.SpecialFundPayAmount
+ resultData.CivilServantsSubsidies + resultData.CivilServantsSubsidy + resultData.OtherPaymentAmount;
var updateParam = new UpdateMedicalInsuranceResidentSettlementParam()
{
ReimbursementExpensesAmount = CommonHelp.ValueToDouble(reimbursementExpenses),
SelfPayFeeAmount = resultData.CashPayment,
OtherInfo = JsonConvert.SerializeObject(resultData),
Id = residentData.Id,
UserId = userBase.UserId,
SettlementNo = resultData.DocumentNo,
MedicalInsuranceAllAmount = resultData.TotalAmount,
PreSettlementTransactionId = userBase.TransKey,
MedicalInsuranceState = MedicalInsuranceState.MedicalInsurancePreSettlement
};
//存入中间库
_medicalInsuranceSqlRepository.UpdateMedicalInsuranceResidentSettlement(updateParam);
var logParam = new AddHospitalLogParam()
{
JoinOrOldJson = JsonConvert.SerializeObject(param),
ReturnOrNewJson = JsonConvert.SerializeObject(resultData),
User = userBase,
Remark = "职工生育住院病人预结算"
};
_systemManageRepository.AddHospitalLog(logParam);
return(resultData);
}
