312 lines
11 KiB
PHP
312 lines
11 KiB
PHP
<?php
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namespace Modules\Internal\Services;
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use App\Exceptions\ImportRowException;
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use App\Models\Member;
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use App\Models\Benefit;
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use App\Models\RequestLog;
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use App\Models\RequestLogBenefit;
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use App\Models\Corporate;
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use App\Models\Service;
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use App\Models\Plan;
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use Box\Spout\Writer\Common\Creator\WriterEntityFactory;
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use Box\Spout\Common\Entity\Row;
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use Carbon\Carbon;
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use DateTime;
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use DB;
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class RequestLogService
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{
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private static $code_prefix = 'LOG';
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public $doc_headers_to_field_map = [
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"Date Of Request" => "submission_date",
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"Date Addmission" => "submission_date",
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"Member ID Peserta" => "member_id",
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"Type of patient" => "service",
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"Provider Name" => "organization_id",
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"End Of Claim Numbers" => "code",
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"Remarks" => "keterangan",
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"Diagnosis" => "catatan",
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"Tgl Billing dari RS" => "approved_final_log_at",
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"Benefit Item" => "benefit_id",
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"Total Billing" => "total_billing",
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"Amount Approval" => "amount_approval",
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"Amount Not Approval" => "amount_not_approval",
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"QC 1" => "status_final_log",
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"Ingestion Code" => "ingestion_code", // TODO I think this should not be here because if user uploading result then ingestion code and status will be filled
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"Ingestion Status" => "ingestion_status",
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];
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public $field_to_doc_headers_map = [
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"submission_date" => "Date Of Request",
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"submission_date" => "Date Addmission",
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"member_id" => "Member ID Peserta",
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"service" => "Type of patient",
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"organization_id" => "Provider Name",
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"code" => "End Of Claim Numbers",
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"keterangan" => "Remarks",
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"catatan" => "Diagnosis",
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"approved_final_log_at" => "Tgl Billing dari RS",
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"benefit_id" => "Benefit Item",
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"total_billing" => "Total Billing",
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"amount_approval" => "Amount Approval",
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"amount_not_approval" => "Amount Not Approval",
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"status_final_log" => "QC 1" ,
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"ingestion_code" => "Ingestion Code",
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"ingestion_status" => "Ingestion Status",
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];
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public $result_doc_headers = [
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"Date Of Request",
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"Date Addmission",
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"Member ID Peserta",
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"Type of patient",
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"Provider Name",
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"End Of Claim Numbers",
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"Remarks",
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"Diagnosis",
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"Tgl Billing dari RS",
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"Benefit Item",
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"Total Billing",
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"Amount Approval",
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"Amount Not Approval",
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"QC 1",
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"Ingestion Code",
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"Ingestion Status",
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];
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public $listing_doc_headers = [
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"Date Of Request",
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"Date Addmission",
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"Member ID Peserta",
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"Type of patient",
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"Provider Name",
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"End Of Claim Numbers",
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"Remarks",
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"Diagnosis",
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"Tgl Billing dari RS",
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"Benefit Item",
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"Total Billing",
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"Amount Approval",
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"Amount Not Approval",
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"QC 1",
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"Ingestion Code",
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"Ingestion Status",
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];
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public function dateParser($date_from_row) {
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if ($date_from_row instanceof DateTime) {
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return $date_from_row->format('Y-m-d');
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} else if ($date_from_row != null) {
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return date('Y-m-d', strtotime($date_from_row));
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} else {
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return null;
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}
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}
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public function dateParserCode($date_from_row) {
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if ($date_from_row instanceof DateTime) {
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return $date_from_row->format('ymd');
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} else if ($date_from_row != null) {
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return date('ymd', strtotime($date_from_row));
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} else {
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return null;
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}
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}
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public function handleImportRow($row)
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{
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try {
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// Memulai transaksi
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DB::beginTransaction();
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$member = Member::with('currentCorporate')->where(['member_id' => $row['member_id']])->first();
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// // Validate If Exist Member
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if (!$member) {
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throw new ImportRowException(__('MEMBER_NOT_FOUND', [
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'member_id' => $row['member_id'],
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]), 0, null, $row);
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}
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// Membuat singkatan dari nama rumah sakit
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$singkatan = "";
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$words = explode(' ', $row['organization_id']);
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foreach ($words as $word) {
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$singkatan .= strtoupper(substr($word, 0, 1));
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}
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// Membuat kode organisasi
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$kodeOrganisasi = "ORG000" . $singkatan;
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// Insert data ke tabel organizations
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$organization = DB::table('organizations')->where('code', $kodeOrganisasi)->first();
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// dd( $organization);
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if ($organization) {
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$organization_id = $organization->id;
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} else {
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$organization_id = DB::table('organizations')
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->insertGetId([
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'name' => $row['organization_id'],
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'code' => $kodeOrganisasi,
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'type' => 'hospital',
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'created_at' => now(),
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'created_by' => auth()->user()->id
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]);
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}
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$data = [
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'source' => 'H',
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'provideCode' => $kodeOrganisasi ,
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'date' => $this->dateParserCode($row['submission_date']),
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'policy' => $member->currentPolicy->code,
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'member_code' => $row['member_id']
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];
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$code = $this->makeCode($row['code'], $data);
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$status = $row['status_final_log'] == 'Y' ? 'approved' : 'requested';
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$service = Service::where('name', $row['service'])->first();
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if ($service){
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$serviceCode = $service->code;
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} else {
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$serviceCode = 'Unk';
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}
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$benefit = Benefit::where('code', $row['benefit_id'])->first();
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if (!$benefit){
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$statusFinalLog = 'requested';
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$final_log = 0;
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} else {
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$statusFinalLog = $status;
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$final_log = 1;
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}
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if ($row['catatan']){
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$data = [
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'code' => $code,
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'member_id' => $member->id,
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'submission_date' => $row['submission_date'],
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'discharge_date' => $row['submission_date'],
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'payment_type' => 'cashless',
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'status' => $status,
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'status_final_log' => $statusFinalLog,
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'final_log' =>$final_log,
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'import_system' =>TRUE,
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// 'catatan' => $row['catatan'],
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'keterangan' => $row['keterangan'],
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'policy_id' => $member->currentPolicy->id ?? null,
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'organization_id' => $organization_id,
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'diagnosis' => $row['catatan'],
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'service_code' => $serviceCode,
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'approved_final_log_at' => $row['approved_final_log_at'],
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];
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} else {
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$data = [
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'code' => $code,
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'member_id' => $member->id,
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'submission_date' => $row['submission_date'],
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'discharge_date' => $row['submission_date'],
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'payment_type' => 'cashless',
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'status' => $status,
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'status_final_log' => $statusFinalLog,
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'final_log' =>$final_log,
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'import_system' =>TRUE,
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// 'catatan' => $row['catatan'],
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'keterangan' => $row['keterangan'],
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'policy_id' => $member->currentPolicy->id ?? null,
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'organization_id' => $organization_id,
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'service_code' => $serviceCode,
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'approved_final_log_at' => $row['approved_final_log_at'],
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];
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}
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$requestLog = RequestLog::updateOrCreate(
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[
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'code' => $code,
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],
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$data);
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if ($benefit) { // jika tidak ada benefit nya maka belum ngisi benefit nya
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// Delete item
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if ($row['total_billing']){
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RequestLogBenefit::where('request_log_id', '=', $requestLog->id)->delete();
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}
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// Insert Item
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RequestLogBenefit::create(
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[
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'request_log_id' => $requestLog->id,
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'benefit_id' => $benefit->id,
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'amount_incurred' => ($row['amount_not_approval'] ? $row['amount_not_approval'] : 0) + $row['amount_approval'] ,
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'amount_approved' => $row['amount_approval'],
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'amount_not_approved' => $row['amount_not_approval'] ?? 0,
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'excess_paid' => $row['amount_not_approval'],
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'created_by' => auth()->user()->id,
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]);
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}
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// Commit transaksi
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DB::commit();
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} catch (\Exception $e) {
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DB::rollback();
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throw new ImportRowException($e->getMessage(), $e->getCode(), $e, $row);
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}
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$row['ingestion_code'] = "200";
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$row['ingestion_status'] = "SUCCESS";
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return $row;
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}
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// This returning row with format or order as it is
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public function makeResultRow($row_data)
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{
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$cells = [];
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foreach ($row_data as $cellValue) {
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$cells[] = WriterEntityFactory::createCell($cellValue);
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}
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return $cells;
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}
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// This returning row with format or order following $result_doc_headers
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public function makeResultRowWithResultFormat($row_data)
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{
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$cells = [];
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foreach ($this->result_doc_headers as $header) {
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$value = $row_data[$this->doc_headers_to_field_map[$header]] ?? null;
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if (is_string($value)) {
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$cells[] = WriterEntityFactory::createCell($value);
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}
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else if ($value instanceof DateTime) {
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$cells[] = WriterEntityFactory::createCell(Carbon::parse($value)->format('Ymd'));
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}
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else {
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$cells[] = WriterEntityFactory::createCell($value);
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}
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}
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return $cells;
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}
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public function makeCode($next_number, $data)
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{
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$sparator = '.';
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// Pastikan $next_number adalah integer positif
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$next_number = max(1, (int) $next_number);
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// Menghasilkan kode dengan format yang diinginkan
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return self::$code_prefix . $sparator. $data['source'] . $sparator. $data['provideCode'] . $sparator. $data['date'] . $sparator . $data['policy'] . $sparator. $data['member_code'] . $sparator. str_pad($next_number, 5, '0', STR_PAD_LEFT);
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}
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}
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