/// <summary> /// 医保出院费用结算 /// </summary> /// <param name="param"></param> /// <param name="infoParam"></param> /// <returns></returns> public HospitalizationPresettlementDto LeaveHospitalSettlement(LeaveHospitalSettlementParam param, LeaveHospitalSettlementInfoParam infoParam) { HospitalizationPresettlementDto data = null; var xmlStr = XmlHelp.SaveXml(param); if (!xmlStr) { return(data); } int result = MedicalInsuranceDll.CallService_cxjb("CXJB010"); if (result != 1) { throw new Exception("居民住院结算执行失败!!!"); } var dataIni = XmlHelp.DeSerializerModel(new HospitalizationPresettlementJsonDto(), true); data = AutoMapper.Mapper.Map <HospitalizationPresettlementDto>(dataIni); //报销金额 =统筹支付+补充险支付+生育补助+民政救助+民政重大疾病救助+精准扶贫+民政优抚+其它支付 decimal reimbursementExpenses = data.BasicOverallPay + data.SupplementPayAmount + data.BirthAAllowance + data.CivilAssistancePayAmount + data.CivilAssistanceSeriousIllnessPayAmount + data.AccurateAssistancePayAmount + data.CivilServicessistancePayAmount + data.OtherPaymentAmount; data.ReimbursementExpenses = reimbursementExpenses; return(data); }
/// <summary> /// 居民住院结算 /// </summary> /// <param name="param"></param> /// <returns></returns> public HospitalizationPresettlementDto LeaveHospitalSettlement(LeaveHospitalSettlementUiParam param) { // 获取操作人员信息 var userBase = _webserviceBasicService.GetUserBaseInfo(param.UserId); var queryResidentParam = new QueryMedicalInsuranceResidentInfoParam() { BusinessId = param.BusinessId, OrganizationCode = userBase.OrganizationCode }; userBase.TransKey = param.TransKey; var infoData = new GetInpatientInfoParam() { User = userBase, BusinessId = param.BusinessId, }; //获取his结算 var hisSettlement = _webserviceBasicService.GetHisHospitalizationSettlement(infoData); //获取医保病人信息 var residentData = _medicalInsuranceSqlRepository.QueryMedicalInsuranceResidentInfo(queryResidentParam); if (residentData.MedicalInsuranceState != MedicalInsuranceState.MedicalInsurancePreSettlement) { throw new Exception("当前病人未办理预结算,不能办理结算!!!"); } if (residentData.MedicalInsuranceState == MedicalInsuranceState.HisSettlement) { throw new Exception("当前病人已办理医保结算,不能办理再次结算!!!"); } var inpatientInfoParam = new QueryInpatientInfoParam() { BusinessId = param.BusinessId }; //获取住院病人 var inpatientInfoData = _hisSqlRepository.QueryInpatientInfo(inpatientInfoParam); if (inpatientInfoData == null) { throw new Exception("该病人未在中心库中,请检查是否办理医保入院!!!"); } var settlementParam = new LeaveHospitalSettlementParam() { MedicalInsuranceHospitalizationNo = residentData.MedicalInsuranceHospitalizationNo, LeaveHospitalDate = Convert.ToDateTime(hisSettlement.LeaveHospitalDate).ToString("yyyyMMdd"), UserId = hisSettlement.LeaveHospitalOperator, LeaveHospitalInpatientState = param.LeaveHospitalInpatientState, }; //获取诊断 var diagnosisData = CommonHelp.GetDiagnosis(param.DiagnosisList); settlementParam.LeaveHospitalMainDiagnosisIcd10 = diagnosisData.AdmissionMainDiagnosisIcd10; settlementParam.LeaveHospitalDiagnosisIcd10Two = diagnosisData.DiagnosisIcd10Two; settlementParam.LeaveHospitalDiagnosisIcd10Three = diagnosisData.DiagnosisIcd10Three; settlementParam.LeaveHospitalMainDiagnosis = diagnosisData.DiagnosisDescribe; var infoParam = new LeaveHospitalSettlementInfoParam() { User = userBase, Id = residentData.Id, InsuranceNo = residentData.InsuranceNo, BusinessId = inpatientInfoData.BusinessId, IdCardNo = inpatientInfoData.IdCardNo, }; //医保执行 var data = _residentMedicalInsuranceRepository.LeaveHospitalSettlement(settlementParam, infoParam); if (data == null) { throw new Exception("居民住院结算反馈失败"); } var updateData = new UpdateMedicalInsuranceResidentSettlementParam() { UserId = userBase.UserId, ReimbursementExpensesAmount = CommonHelp.ValueToDouble(data.ReimbursementExpenses), SelfPayFeeAmount = data.CashPayment, OtherInfo = JsonConvert.SerializeObject(data), Id = residentData.Id, SettlementNo = data.DocumentNo, MedicalInsuranceAllAmount = data.TotalAmount, SettlementTransactionId = userBase.UserId, MedicalInsuranceState = MedicalInsuranceState.MedicalInsuranceSettlement }; //存入中间层 _medicalInsuranceSqlRepository.UpdateMedicalInsuranceResidentSettlement(updateData); //添加日志 var logParam = new AddHospitalLogParam() { JoinOrOldJson = JsonConvert.SerializeObject(param), ReturnOrNewJson = JsonConvert.SerializeObject(data), User = userBase, Remark = "居民住院结算", RelationId = residentData.Id, BusinessId = param.BusinessId, }; var userInfoData = _residentMedicalInsuranceRepository.GetUserInfo(new ResidentUserInfoParam() { IdentityMark = residentData.IdentityMark, AfferentSign = residentData.AfferentSign, }); // 回参构建 var xmlData = new HospitalSettlementXml() { MedicalInsuranceHospitalizationNo = residentData.MedicalInsuranceHospitalizationNo, CashPayment = data.CashPayment, SettlementNo = data.DocumentNo, PaidAmount = data.PaidAmount, AllAmount = data.TotalAmount, PatientName = userInfoData.PatientName, AccountBalance = userInfoData.WorkersInsuranceBalance, AccountAmountPay = 0, }; var strXmlBackParam = XmlSerializeHelper.HisXmlSerialize(xmlData); var saveXml = new SaveXmlDataParam() { User = userBase, MedicalInsuranceBackNum = data.DocumentNo, MedicalInsuranceCode = "41", BusinessId = param.BusinessId, BackParam = strXmlBackParam }; //结算存基层 _webBasicRepository.SaveXmlData(saveXml); var updateParamData = new UpdateMedicalInsuranceResidentSettlementParam() { UserId = param.UserId, Id = residentData.Id, MedicalInsuranceState = MedicalInsuranceState.HisSettlement, IsHisUpdateState = true }; // 更新中间层 _medicalInsuranceSqlRepository.UpdateMedicalInsuranceResidentSettlement(updateParamData); //结算后保存信息 var saveParam = AutoMapper.Mapper.Map <SaveInpatientSettlementParam>(hisSettlement); saveParam.Id = (Guid)inpatientInfoData.Id; saveParam.User = userBase; saveParam.LeaveHospitalDiagnosisJson = JsonConvert.SerializeObject(param.DiagnosisList); _hisSqlRepository.SaveInpatientSettlement(saveParam); return(data); }