/// <summary>
/// 职工住院预结算
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public WorkerHospitalizationPreSettlementDto WorkerHospitalizationPreSettlement(UiBaseDataParam 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预结算
var hisPreSettlementData = _serviceBasicService.GetHisHospitalizationPreSettlement(infoData);
var preSettlementData = hisPreSettlementData.PreSettlementData.FirstOrDefault();
//获取医保病人信息
var residentData = _medicalInsuranceSqlRepository.QueryMedicalInsuranceResidentInfo(queryResidentParam);
//获取医院等级
var gradeData = _systemManageRepository.QueryHospitalOrganizationGrade(userBase.OrganizationCode);
if (string.IsNullOrWhiteSpace(preSettlementData.EndDate))
{
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!!!");
}
//获取医保账号
var userData = _systemManageRepository.QueryHospitalOperator(
new QueryHospitalOperatorParam()
{
UserId = param.UserId
});
var preSettlement = new WorkerHospitalizationPreSettlementParam()
{
User = userBase,
Id = residentData.Id,
BusinessId = param.BusinessId,
MedicalInsuranceHospitalizationNo = residentData.MedicalInsuranceHospitalizationNo,
LeaveHospitalDate = Convert.ToDateTime(preSettlementData.EndDate).ToString("yyyyMMdd"),
AdministrativeArea = gradeData.AdministrativeArea,
Operators = preSettlementData.Operator,
IsHospitalizationFrequency = "0",
OrganizationCode = gradeData.MedicalInsuranceAccount,
};
//医保结算
var resultData = _workerMedicalInsuranceRepository.WorkerHospitalizationPreSettlement(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 = "职工住院病人预结算"
};
_systemManageRepository.AddHospitalLog(logParam);
return(resultData);
}
/// <summary>
/// 职工住院预结算
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public WorkerHospitalizationPreSettlementDto WorkerHospitalizationPreSettlement(WorkerHospitalizationPreSettlementParam param)
{
//社保住院号
var documentNo = new byte[1024];
//发生费用金额
var totalAmount = new byte[1024];
//基本统筹支付
var basicOverallPay = new byte[1024];
//补充医疗保险支付金额
var supplementPayAmount = new byte[1024];
//专项基金支付金额
var specialFundPayAmount = new byte[1024];
//公务员补贴
var civilServantsSubsidies = new byte[1024];
//公务员补助
var civilServantsSubsidy = new byte[1024];
//其它支付金额
var otherPaymentAmount = new byte[1024];
//账户支付
var accountPayment = new byte[1024];
//现金支付
var cashPayment = new byte[1024];
//起付金额
var paidAmount = new byte[1024];
// 备注
var remark = new byte[1024];
//返回状态
var resultState = new byte[1024];
//消息
var msg = new byte[1024];
WorkerMedicalInsurance.WorkerHospitalizationPreSettlement
(param.OrganizationCode,
param.MedicalInsuranceHospitalizationNo,
param.AdministrativeArea,
param.IsHospitalizationFrequency,
param.Operators,
param.LeaveHospitalDate,
totalAmount,
basicOverallPay,
supplementPayAmount,
specialFundPayAmount,
civilServantsSubsidies,
civilServantsSubsidy,
otherPaymentAmount,
accountPayment,
cashPayment,
paidAmount,
documentNo,
remark,
resultState,
msg
);
if (CommonHelp.StrToTransCoding(resultState) != "1")
{
throw new Exception(CommonHelp.StrToTransCoding(msg));
}
var resultData = new WorkerHospitalizationPreSettlementDto()
{
DocumentNo = CommonHelp.StrToTransCoding(documentNo),
TotalAmount = Convert.ToDecimal(CommonHelp.StrToTransCoding(totalAmount)),
BasicOverallPay = Convert.ToDecimal(CommonHelp.StrToTransCoding(basicOverallPay)),
SupplementPayAmount = Convert.ToDecimal(CommonHelp.StrToTransCoding(supplementPayAmount)),
SpecialFundPayAmount = Convert.ToDecimal(CommonHelp.StrToTransCoding(specialFundPayAmount)),
CivilServantsSubsidies = Convert.ToDecimal(CommonHelp.StrToTransCoding(civilServantsSubsidies)),
CivilServantsSubsidy = Convert.ToDecimal(CommonHelp.StrToTransCoding(civilServantsSubsidy)),
OtherPaymentAmount = Convert.ToDecimal(CommonHelp.StrToTransCoding(otherPaymentAmount)),
AccountPayment = Convert.ToDecimal(CommonHelp.StrToTransCoding(accountPayment)),
CashPayment = Convert.ToDecimal(CommonHelp.StrToTransCoding(cashPayment)),
PaidAmount = Convert.ToDecimal(CommonHelp.StrToTransCoding(paidAmount)),
Remark = CommonHelp.StrToTransCoding(cashPayment),
};
return(resultData);
}
