igg4-miniprogram/src/doctor/pages/d_patientDetail/index.ts

import dayjs from 'dayjs'

const app = getApp<IAppOption>()

let echarts: any = null

const MEDICATIONS_MAP: Record<number, string> = {
  1: '没有使用激素',
  2: '激素',
  3: '免疫抑制剂',
  4: '靶向CD19生物制剂',
  5: '靶向CD20生物制剂',
  99: '其他',
}

const IMMUNOSUPPRESSANT_MAP: Record<number, string> = {
  1: '吗替麦考酚酯',
  2: '替唑嘌呤',
  3: '环磷酰胺',
  4: '来氟米特',
  5: '甲氨蝶呤',
  6: '环孢素A',
  7: '他克莫司',
  8: '艾拉莫德',
  99: '其他',
}

Page({
  data: {
    toastShow: false,
    toastType: 'patientDetailSafeDoctor',
    toastParams: {} as any,

    showTel: false,

    doctor: {},
    hospital: {},

    id: '',
    remark: '',
    detail: {} as any,

    popupRemarkShow: false,
    remarkFocus: false,

    popupEditShow: false,

    antibodyTypeRangeList: [
      {
        id: '1',
        value: 'AchR',
      },
      {
        id: '2',
        value: 'MuSK',
      },
      {
        id: '3',
        value: 'LRP4',
      },
      {
        id: '4',
        value: 'RyR',
      },
    ],
    thyroidAbnormalRangeList: [
      {
        id: '1',
        value: '是',
      },
      {
        id: '2',
        value: '否',
      },
    ],
    previousConvulsionRangeList: [
      {
        id: '1',
        value: '是',
      },
      {
        id: '2',
        value: '否',
      },
    ],
    traditionalImmunosuppressantRangeList: [
      {
        id: '1',
        value: '他克莫司',
      },
      {
        id: '2',
        value: '硫唑嘌呤',
      },
      {
        id: '3',
        value: '吗替麦考酚酯',
      },
      {
        id: '4',
        value: '其它',
      },
    ],
    medicalInsuranceTypeRangeList: [
      {
        id: '1',
        value: '城市职工',
      },
      {
        id: '2',
        value: '城市居民',
      },
      {
        id: '3',
        value: '新农合',
      },
    ],

    ageRangeMap: {
      1: '<40岁',
      2: '40-49岁',
      3: '50-59岁',
      4: '60-69岁',
      5: '70-79岁',
      6: '80岁以上',
    },
    diagnosisTimeRangeMap: {
      1: '6个月以内',
      2: '6个月-3年',
      3: '3年以上',
    },

    // 图表筛选
    yearOptions: [
      { label: '按年', value: 1 },
      { label: '按次', value: 2 },
    ] as { label: string; value: number }[],
    selected: 1,
    selectedLabel: '按年',
    BeginMonth: dayjs().subtract(1, 'year').add(1, 'month').format('YYYY-MM'),
    EndMonth: dayjs().format('YYYY-MM'),
    chartUnit: '',
    chartList: [] as any[],

    // 病历报告
    caseReportList: [
      {
        icon: 'icon142.png',
        name: '门诊病历及处方',
        content: '医生手写或电脑打印的病历、处方',
        imageField: 'outpatientRecord',
      },
      { icon: 'icon127.png', name: '检验报告', content: '抽血检测的IgG4、IgG、ESR等', imageField: 'labReport' },
      {
        icon: 'icon128.png',
        name: '影像学检查',
        content: '超声/CT/MRI的描述结论、电子胶片',
        imageField: 'imagingExam',
      },
      {
        icon: 'icon129.png',
        name: '病理诊断及活检',
        content: '受累组织穿刺或切除免疫组化报告',
        imageField: 'pathology',
      },
      {
        icon: 'icon130.png',
        name: '外周血免疫功能评估',
        content: '免疫细胞亚群、淋巴细胞比例测定',
        imageField: 'immuneFunction',
      },
    ],

    // Tab 切换
    currentTab: 0,

    // 就诊记录列表
    recordList: [] as any[],
    recordPagination: { count: 0, page: 1, pages: 1 },

    // 导出PPT
    pptGenerating: false,
  },
  ecDataTrendComponent: null as any,
  async onLoad(option) {
    this.setData({
      id: option.id,
    })
    echarts = await require.async('../../../resource/components/echart/echarts.js')
    this.ecDataTrendComponent = this.selectComponent('#chart1')
    app.waitLogin().then(async (_res) => {
      app.mpBehavior({ doctor: true, PageName: 'PG_DoctorPatientDetail', detailId: this.data.id })
      this.getDoctorDetail()
      await this.getDetail()
      this.getIndicatorHistory()
      this.getRecordList(true)
    })
  },

  // ========== Tab 切换 ==========

  handleTabChange(e: any) {
    const { index } = e.currentTarget.dataset
    const tab = Number(index)
    if (tab === this.data.currentTab) return
    this.setData({ currentTab: tab })
    wx.pageScrollTo({ scrollTop: 0, duration: 200 })
    // 切换到就诊记录时如果列表为空则请求
    if (tab === 1 && !this.data.recordList.length) {
      this.getRecordList(true)
    }
    // 切换到基本信息时重新获取图表组件并渲染
    if (tab === 0 && this.data.chartList.length) {
      setTimeout(() => {
        this.ecDataTrendComponent = this.selectComponent('#chart1')
        this.initChart(this.data.chartList)
      }, 100)
    }
  },

  // ========== 图表筛选 ==========

  handleChange(e: any) {
    const idx = Number(e.detail.value)
    const selected = this.data.yearOptions[idx]
    if (!selected) return
    const isByYear = selected.value === 1
    this.setData({
      selected: selected.value,
      selectedLabel: selected.label,
      BeginMonth: isByYear ? dayjs().subtract(1, 'year').add(1, 'month').format('YYYY-MM') : '',
      EndMonth: isByYear ? dayjs().format('YYYY-MM') : '',
    })
    this.getIndicatorHistory()
  },

  handleBeginDateChange(e: any) {
    const BeginMonth = e.detail.value
    this.setData({ BeginMonth })
    if (this.data.EndMonth) {
      this.getIndicatorHistory()
    }
  },

  handleEndDateChange(e: any) {
    const EndMonth = e.detail.value
    this.setData({ EndMonth })
    if (this.data.BeginMonth) {
      this.getIndicatorHistory()
    }
  },

  // ========== 指标趋势图表 ==========

  initChart(defaultList: any[] = []) {
    if (!defaultList.length) return
    if (!echarts || !this.ecDataTrendComponent) {
      this.ecDataTrendComponent = this.selectComponent('#chart1')
      if (!echarts || !this.ecDataTrendComponent) return
    }

    const list = defaultList

    this.ecDataTrendComponent.init((canvas: any, width: number, height: number, dpr: number) => {
      const chart = echarts.init(canvas, null, {
        width,
        height,
        devicePixelRatio: dpr,
      })
      canvas.setChart(chart)

      const color = 'rgba(22, 121, 203, 1)'

      const option: any = {
        tooltip: {
          show: false,
          trigger: 'axis',
          axisPointer: { type: 'shadow' },
          confine: true,
          backgroundColor: 'rgba(0, 0, 0, 0.5)',
          textStyle: { color: '#fff', fontSize: 10 },
          order: 'seriesDesc',
        },
        grid: {
          top: '30',
          left: '0',
          right: '0',
          bottom: '10',
          containLabel: true,
        },
        xAxis: [
          {
            type: 'category',
            axisTick: { alignWithLabel: true },
            axisLine: {
              lineStyle: { color: 'rgba(34, 34, 34, 0.20)', type: 'dashed' },
            },
            data: list.map((item: any) => dayjs(item.visitDate).format('MM-DD')),
          },
        ],
        yAxis: [
          {
            type: 'value',
            minInterval: 1,
            axisLabel: { color: 'rgba(34, 34, 34, 0.40)' },
            splitLine: {
              lineStyle: { color: 'rgba(34, 34, 34, 0.20)', type: 'dashed' },
            },
          },
        ],
        series: [
          {
            name: 'IgG4',
            data: list.length ? list.map((item: any) => item.value) : [0],
            barWidth: '16',
            label: {
              show: true,
              position: 'top',
              color,
            },
            type: 'line',
            symbol: 'circle',
            symbolSize: 8,
            showSymbol: list.length >= 1,
            connectNulls: true,
            z: 10,
            itemStyle: {
              color,
            },
            markLine: {
              symbol: ['none', 'none'],
              data: [
                {
                  name: '135 安全区',
                  yAxis: 135,
                  label: {
                    formatter: '{b}',
                    position: 'insideMiddle',
                    color,
                    fontSize: '10',
                  },
                  lineStyle: {
                    cap: '',
                    color,
                    type: 'dashed',
                  },
                },
              ],
            },
            markArea: {
              itemStyle: {
                color: 'rgba(22, 121, 203, 0.16)',
              },
              data: [[{ yAxis: 0 }, { yAxis: 135 }]],
            },
          },
        ],
        dataZoom: {
          type: 'inside',
          startValue: 0,
          endValue: 4,
          filterMode: 'none',
        },
      }

      chart.setOption(option)
      return chart
    })
  },

  getIndicatorHistory() {
    const data: Record<string, any> = {
      patientId: this.data.id,
      indicatorField: 'igG4',
    }
    const { BeginMonth, EndMonth, selected } = this.data

    if (BeginMonth && EndMonth && selected === 1) {
      data.yearStart = Number(BeginMonth.substring(0, 4))
      data.yearEnd = Number(EndMonth.substring(0, 4))
    }

    wx.ajax({
      method: 'GET',
      url: '?r=igg4/doctor/medical-visit/indicator-history',
      data,
    }).then((res: any) => {
      if (!res) return
      this.setData({
        chartUnit: res.unit || 'mg/dL',
        chartList: res.list || [],
      })
      this.initChart(res.list || [])
    })
  },

  // ========== 就诊记录列表 ==========

  getRecordList(reset = false) {
    const page = reset ? 1 : this.data.recordPagination.page
    wx.ajax({
      method: 'GET',
      url: '?r=igg4/doctor/medical-visit/list',
      data: {
        patientId: this.data.id,
        page,
        pageSize: 10,
      },
    }).then((res: any) => {
      if (!res) return
      const list = (res.list || []).map((item: any) => ({
        ...item,
        medicationLabels: (item.medicationsUsed || []).map((id: number) => MEDICATIONS_MAP[id]).filter(Boolean),
        immunosuppressantLabels: (item.immunosuppressantName || [])
          .map((id: number) => IMMUNOSUPPRESSANT_MAP[id])
          .filter(Boolean),
      }))

      this.setData({
        recordList: reset ? list : [...this.data.recordList, ...list],
        recordPagination: {
          count: res.totalCount || 0,
          page: res.page || 1,
          pages: res.pages || 1,
        },
      })
    })
  },

  // ========== 患者详情 ==========

  getDoctorDetail() {
    wx.ajax({
      method: 'GET',
      url: '?r=igg4/doctor/account/info',
      data: {},
    }).then((res) => {
      this.setData({
        doctor: res.doctor,
        hospital: res.hospital,
        toastShow: true,
        toastType: 'patientDetailSafeDoctor',
        toastParams: {
          Name: res.doctor.Name,
          HospitalName: res.hospital.Name,
        },
      })
    })
  },
  getDetail() {
    return wx
      .ajax({
        method: 'GET',
        url: '?r=igg4/doctor/patient/info',
        data: { patientId: this.data.id },
      })
      .then((res) => {
        if (res.LastAdlTime) {
          res.LastAdlTimeName = dayjs(res.LastAdlTime).from(dayjs().format('YYYY-MM-DD')).replace(' ', '')
        }
        if (res.LastUseDrugsTime) {
          res.LastUseDrugsTimeName =
            dayjs().format('YYYY-MM-DD') === res.LastUseDrugsTime
              ? ''
              : dayjs(res.LastUseDrugsTime).from(dayjs().format('YYYY-MM-DD')).replace(' ', '')
        }
        res.AgeRangeName = this.data.ageRangeMap[res.AgeRange] || ''
        res.DiagnosisTimeRangeName = this.data.diagnosisTimeRangeMap[res.DiagnosisTimeRange] || ''
        if (res.HealthQA && res.HealthQA.hasSubmitted && res.HealthQA.questions) {
          res.HealthQA.questions.forEach((q: any) => {
            q.isAnswerArray = Array.isArray(q.AnswerText)
            if (q.isAnswerArray) {
              q.AnswerTextArr = q.AnswerText.filter((a: any) => a !== null && a !== undefined && a !== '其他')
              q.AnswerTextStr = q.AnswerTextArr.join('、') + (q.OtherText ? `（${q.OtherText}）` : '')
            } else {
              q.AnswerTextStr = q.AnswerText || ''
              if (q.AnswerTextStr && q.OtherText) {
                q.AnswerTextStr += `（${q.OtherText}）`
              }
            }
          })
        }
        wx.setNavigationBarTitle({
          title: res.Name ? `${res.Name}的患者详情` : '患者详情',
        })
        this.setData({
          detail: {
            ...res,
            hideTelephone: res.Telephone ? res.Telephone.replace(/(\d{3})\d{4}(\d{4})/, '$1****$2') : '',
          },
        })
      })
  },
  handleRemark() {
    this.setData({
      popupRemarkShow: true,
      remark: this.data.detail.DoctorRemark,
    })
    setTimeout(() => {
      this.setData({
        remarkFocus: true,
      })
    }, 300)
  },
  handleRemarkClose() {
    this.setData({
      popupRemarkShow: false,
      remarkFocus: false,
      remark: '',
    })
  },
  handleRemarkSubmit() {
    if (!this.data.remark) {
      wx.showToast({
        icon: 'none',
        title: '请输入备注',
      })
      return
    }
    wx.ajax({
      method: 'POST',
      url: '?r=igg4/doctor/patient/remark',
      data: {
        PatientId: this.data.id,
        DoctorRemark: this.data.remark,
      },
    }).then((_res) => {
      this.handleRemarkClose()
      this.getDetail()
    })
  },

  handleEditUser() {
    this.setData({
      popupEditShow: true,
    })
  },
  handleUserCancel() {
    this.setData({
      popupEditShow: false,
    })
  },
  handleUserSubmit() {
    this.handleUserCancel()
    this.handlePatientUpdate()
  },
  handleRadio(e) {
    const { id, key } = e.currentTarget.dataset
    this.setData({
      [`detail.${key}`]: id,
    })
  },
  handlePatientUpdate() {
    const { detail } = this.data
    wx.ajax({
      method: 'POST',
      url: '?r=igg4/doctor/patient/update',
      data: {
        PatientId: detail.PatientId,
        AntibodyType: detail.AntibodyType,
        ThyroidAbnormal: detail.ThyroidAbnormal,
        PreviousConvulsion: detail.PreviousConvulsion,
        TraditionalImmunosuppressant: detail.TraditionalImmunosuppressant,
        MedicalInsuranceType: detail.MedicalInsuranceType,
      },
    }).then(() => {
      wx.showToast({
        icon: 'none',
        title: '更新成功',
      })
      this.getDetail()
    })
  },
  handleSend() {
    wx.navigateTo({
      url: `/doctor/pages/d_interactiveDoctor/index?patientId=${this.data.detail.PatientId}`,
    })
  },

  handleToggleTel() {
    this.setData({
      showTel: !this.data.showTel,
    })
  },
  handleToastOk() {
    this.setData({
      toastShow: false,
    })
  },
  handleToastCancel() {
    wx.navigateBack()
  },

  // ========== 病历报告导航 ==========

  handleDetail(e: any) {
    const { name, imagefield } = e.currentTarget.dataset
    wx.navigateTo({
      url: `/doctor/pages/d_caseReport/index?name=${name}&imageField=${imagefield}&patientId=${this.data.id}`,
    })
  },

  // ========== 导出PPT ==========

  handleGeneratePdf() {
    if (this.data.pptGenerating) return
    this.setData({ pptGenerating: true })
    const patientId = this.data.id
    const downloadUrl = `${app.globalData.url}?r=igg4/doctor/medical-visit/export-ppt&loginState=${app.globalData.loginState}&patientId=${patientId}`
    wx.downloadFile({
      url: downloadUrl,
      success: (res) => {
        if (res.statusCode === 200) {
          wx.shareFileMessage({
            filePath: res.tempFilePath,
            fileName: 'medical-visit.pptx',
            success: () => {
              wx.showToast({ title: '分享成功', icon: 'success' })
              this.setData({ pptGenerating: false })
            },
            fail: () => {
              wx.showToast({ title: '分享失败', icon: 'none' })
              this.setData({ pptGenerating: false })
            },
          })
        } else {
          wx.showToast({ title: '下载失败', icon: 'none' })
          this.setData({ pptGenerating: false })
        }
      },
      fail: () => {
        wx.showToast({ title: '下载失败', icon: 'none' })
        this.setData({ pptGenerating: false })
      },
    })
  },

  // ========== 分页加载 ==========

  onReachBottom() {
    const { page, pages } = this.data.recordPagination
    if (page < pages) {
      this.setData({ 'recordPagination.page': page + 1 })
      this.getRecordList()
    }
  },
})