/// <summary>
/// 医保信息回写至基层系统
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public UserInfoDto GetUserBaseInfo(string param)
{
var data = _systemManageRepository.QueryHospitalOperator(new QueryHospitalOperatorParam()
{
UserId = param
});
if (string.IsNullOrWhiteSpace(data.HisUserAccount))
{
throw new Exception("当前用户未授权,基层账户信息,请重新授权!!!");
}
else
{
var inputParam = new UserInfoParam()
{
UserName = data.HisUserAccount,
Pwd = data.HisUserPwd,
ManufacturerNumber = data.ManufacturerNumber,
};
string inputParamJson = JsonConvert.SerializeObject(inputParam, Formatting.Indented);
var verificationCode = GetVerificationCode("01", inputParamJson);
return(verificationCode);
}
}
/// <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);
}