378 lines
13 KiB
PHP
Executable File
378 lines
13 KiB
PHP
Executable File
<?php
|
|
|
|
namespace Modules\Internal\Services;
|
|
|
|
use App\Exceptions\ImportRowException;
|
|
use App\Models\Member;
|
|
use App\Models\Benefit;
|
|
use App\Models\RequestLog;
|
|
use App\Models\RequestLogBenefit;
|
|
use App\Models\Corporate;
|
|
use App\Models\Service;
|
|
use App\Models\Plan;
|
|
use Box\Spout\Writer\Common\Creator\WriterEntityFactory;
|
|
use Box\Spout\Common\Entity\Row;
|
|
use Carbon\Carbon;
|
|
use DateTime;
|
|
use DB;
|
|
|
|
class RequestLogService
|
|
{
|
|
private static $code_prefix = 'LOG';
|
|
|
|
public $doc_headers_to_field_map = [
|
|
"Record Mode" => "record_mode",
|
|
"Date Addmission" => "submission_date",
|
|
"Date Discharge" => "discharge_date",
|
|
"Member ID Peserta" => "member_id",
|
|
"Service" => "service",
|
|
"Type of Member" => "type_of_member",
|
|
"Provider Code" => "organization_id",
|
|
"End Of Claim Numbers" => "code",
|
|
"Diagnosis" => "diagnosis",
|
|
"Tgl Billing dari RS" => "approved_final_log_at",
|
|
"Total Billing" => "total_billing",
|
|
"Benefit Item" => "benefit_id",
|
|
"Amount Incurred" => "amount_incurred",
|
|
"Amount Approval" => "amount_approval",
|
|
"Amount Not Approval" => "amount_not_approval",
|
|
"Total COB" => "total_cob",
|
|
"Keterangan IGL" => "keterangan",
|
|
"Catatan FGL" => "catatan",
|
|
"QC 1" => "status_final_log",
|
|
"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
|
|
"Ingestion Status" => "ingestion_status",
|
|
|
|
];
|
|
|
|
public $field_to_doc_headers_map = [
|
|
"record_mode" => "Record Mode",
|
|
"submission_date" => "Date Addmission",
|
|
"discharge_date" => "Date Discharge",
|
|
"member_id" => "Member ID Peserta",
|
|
"service" => "Service",
|
|
"type_of_member" => "Type of Member",
|
|
"organization_id" => "Provider Code",
|
|
"code" => "End Of Claim Numbers",
|
|
"diagnosis" => "Diagnosis",
|
|
"approved_final_log_at" => "Tgl Billing dari RS",
|
|
"total_billing" => "Total Billing",
|
|
"benefit_id" => "Benefit Item",
|
|
"amount_incurred" => "Amount Incurred",
|
|
"amount_approval" => "Amount Approval",
|
|
"amount_not_approval" => "Amount Not Approval",
|
|
"total_cob" => "Total COB",
|
|
"keterangan" => "Keterangan IGL",
|
|
"catatan" => "Catatan FGL",
|
|
"status_final_log" => "QC 1" ,
|
|
"ingestion_code" => "Ingestion Code",
|
|
"ingestion_status" => "Ingestion Status",
|
|
];
|
|
|
|
public $result_doc_headers = [
|
|
"Record Mode",
|
|
"Date Addmission",
|
|
"Date Discharge",
|
|
"Member ID Peserta",
|
|
"Service",
|
|
"Type of Member",
|
|
"Provider Code",
|
|
"End Of Claim Numbers",
|
|
"Diagnosis",
|
|
"Tgl Billing dari RS",
|
|
"Total Billing",
|
|
"Benefit Item",
|
|
"Amount Incurred",
|
|
"Amount Approval",
|
|
"Amount Not Approval",
|
|
"Total COB",
|
|
"Keterangan IGL",
|
|
"Catatan FGL",
|
|
"QC 1",
|
|
"Ingestion Code",
|
|
"Ingestion Status",
|
|
];
|
|
|
|
public $listing_doc_headers = [
|
|
"Record Mode",
|
|
"Date Addmission",
|
|
"Date Discharge",
|
|
"Member ID Peserta",
|
|
"Service",
|
|
"Type of Member",
|
|
"Provider Code",
|
|
"End Of Claim Numbers",
|
|
"Diagnosis",
|
|
"Tgl Billing dari RS",
|
|
"Total Billing",
|
|
"Benefit Item",
|
|
"Amount Incurred",
|
|
"Amount Approval",
|
|
"Amount Not Approval",
|
|
"Total COB",
|
|
"Keterangan IGL",
|
|
"Catatan FGL",
|
|
"QC 1",
|
|
"Ingestion Code",
|
|
"Ingestion Status",
|
|
];
|
|
|
|
public function dateParser($date_from_row) {
|
|
|
|
if ($date_from_row instanceof DateTime) {
|
|
return $date_from_row->format('Y-m-d');
|
|
} else if ($date_from_row != null) {
|
|
if (strtotime($date_from_row)){
|
|
return date('Y-m-d', strtotime($date_from_row));
|
|
} else {
|
|
return null;
|
|
}
|
|
} else {
|
|
return null;
|
|
}
|
|
|
|
}
|
|
|
|
public function dateParserCode($date_from_row) {
|
|
|
|
if ($date_from_row instanceof DateTime) {
|
|
return $date_from_row->format('ymd');
|
|
} else if ($date_from_row != null) {
|
|
return date('ymd', strtotime($date_from_row));
|
|
} else {
|
|
return null;
|
|
}
|
|
|
|
}
|
|
|
|
public function handleImportRow($row)
|
|
{
|
|
try {
|
|
// Memulai transaksi
|
|
DB::beginTransaction();
|
|
$member = Member::with('currentCorporate')->where(['member_id' => $row['member_id']])->first();
|
|
|
|
// // Validate If Exist Member
|
|
if (!$member) {
|
|
throw new ImportRowException(__('MEMBER_NOT_FOUND', [
|
|
'member_id' => $row['member_id'],
|
|
]), 0, null, $row);
|
|
}
|
|
|
|
$dateSubmission = $this->dateParser($row['submission_date']);
|
|
if (!$dateSubmission){
|
|
throw new ImportRowException(__('Format Date Invalid'), 0, null, $row);
|
|
}
|
|
|
|
if (!$row['organization_id']){
|
|
throw new ImportRowException(__('Provider Required'), 0, null, $row);
|
|
}
|
|
|
|
if (!$row['record_mode']){
|
|
throw new ImportRowException(__('Record Mode Required'), 0, null, $row);
|
|
}
|
|
|
|
// Membuat singkatan dari nama rumah sakit
|
|
// $singkatan = "";
|
|
// $words = explode(' ', $row['organization_id']);
|
|
|
|
// foreach ($words as $word) {
|
|
// $singkatan .= strtoupper(substr($word, 0, 1));
|
|
// }
|
|
|
|
// Membuat kode organisasi
|
|
// $kodeOrganisasi = "ORG000" . $singkatan;
|
|
// Insert data ke tabel organizations
|
|
$organization = DB::table('organizations')->where('code', $row['organization_id'])->first();
|
|
|
|
if (!$organization){
|
|
throw new ImportRowException(__('Provider Not Found'), 0, null, $row);
|
|
}
|
|
|
|
// if ($organization) {
|
|
$organization_id = $organization->id;
|
|
// } else {
|
|
// $organization_id = DB::table('organizations')
|
|
// ->insertGetId([
|
|
// 'name' => $row['organization_id'],
|
|
// 'code' => $kodeOrganisasi,
|
|
// 'type' => 'hospital',
|
|
// 'created_at' => now(),
|
|
// 'created_by' => auth()->user()->id
|
|
// ]);
|
|
// }
|
|
|
|
$data = [
|
|
'source' => 'H',
|
|
// 'provideCode' => $kodeOrganisasi ,
|
|
'provideCode' => $organization->code ,
|
|
'date' => $this->dateParserCode($row['submission_date']),
|
|
'policy' => $member->currentPolicy->code,
|
|
'member_code' => $row['member_id']
|
|
];
|
|
|
|
$code = $this->makeCode($row['code'], $data);
|
|
if ($row['status_final_log'] == 'Y'){
|
|
$status = 'approved';
|
|
} else if ($row['status_final_log'] == 'C'){
|
|
$status = 'canceled';
|
|
} else {
|
|
$status = 'requested';
|
|
}
|
|
|
|
$service = Service::where('name', $row['service'])->first();
|
|
if ($service){
|
|
$serviceCode = $service->code;
|
|
} else {
|
|
$serviceCode = 'Unk';
|
|
}
|
|
|
|
$benefit = Benefit::where('code', $row['benefit_id'])->first();
|
|
|
|
if (!$benefit){
|
|
$statusFinalLog = 'requested';
|
|
$final_log = 0;
|
|
} else {
|
|
$statusFinalLog = $status;
|
|
$final_log = 1;
|
|
}
|
|
|
|
if ($row['total_billing']){ // header
|
|
$data = [
|
|
'code' => $code,
|
|
'member_id' => $member->id,
|
|
'submission_date' => $row['submission_date'],
|
|
'discharge_date' => $row['discharge_date'],
|
|
'payment_type' => 'cashless',
|
|
'status' => $status,
|
|
'status_final_log' => $statusFinalLog,
|
|
'final_log' =>$final_log,
|
|
'import_system' =>TRUE,
|
|
'catatan' => $row['catatan'],
|
|
'type_of_member' => $row['type_of_member'],
|
|
'total_cob' => $row['total_cob'],
|
|
'keterangan' => $row['keterangan'],
|
|
'policy_id' => $member->currentPolicy->id ?? null,
|
|
'organization_id' => $organization_id,
|
|
'diagnosis' => $row['diagnosis'],
|
|
'service_code' => $serviceCode,
|
|
'approved_final_log_at' => $row['approved_final_log_at'],
|
|
];
|
|
} else { // item
|
|
$data = [
|
|
// 'code' => $code,
|
|
// 'member_id' => $member->id,
|
|
// 'submission_date' => $row['submission_date'],
|
|
// 'discharge_date' => $row['discharge_date'],
|
|
// 'payment_type' => 'cashless',
|
|
// 'status' => $status,
|
|
// 'status_final_log' => $statusFinalLog,
|
|
// 'final_log' =>$final_log,
|
|
// 'import_system' =>TRUE,
|
|
// 'catatan' => $row['catatan'],
|
|
// 'type_of_member' => $row['type_of_member'],
|
|
// 'total_cob' => $row['total_cob'],
|
|
// 'diagnosis' => $row['diagnosis'],
|
|
// 'keterangan' => $row['keterangan'],
|
|
// 'policy_id' => $member->currentPolicy->id ?? null,
|
|
// 'organization_id' => $organization_id,
|
|
// 'service_code' => $serviceCode,
|
|
// 'approved_final_log_at' => $row['approved_final_log_at'],
|
|
];
|
|
}
|
|
|
|
if ($row['record_mode'] == 1){
|
|
$requestLog = RequestLog::create(
|
|
// [
|
|
// 'member_id' => $member->id,
|
|
// 'submission_date' => $row['submission_date'],
|
|
// 'organization_id' => $organization_id,
|
|
// ],
|
|
$data
|
|
);
|
|
} else if ($row['record_mode'] == 2) {
|
|
$requestLog = RequestLog::updateOrCreate(
|
|
[
|
|
'member_id' => $member->id,
|
|
'submission_date' => $row['submission_date'],
|
|
'organization_id' => $organization_id,
|
|
],
|
|
$data
|
|
);
|
|
}
|
|
|
|
if ($benefit) { // jika tidak ada benefit nya maka belum ngisi benefit nya
|
|
// Delete item
|
|
if ($row['total_billing']){
|
|
RequestLogBenefit::where('request_log_id', '=', $requestLog->id)->delete();
|
|
}
|
|
// Insert Item
|
|
RequestLogBenefit::create(
|
|
[
|
|
'request_log_id' => $requestLog->id,
|
|
'benefit_id' => $benefit->id,
|
|
// 'amount_incurred' => ($row['amount_approval'] ? $row['amount_approval'] : 0) + ($row['amount_not_approval'] ? $row['amount_not_approval'] : 0) ,
|
|
'amount_incurred' => $row['amount_incurred'] ,
|
|
'amount_approved' => $row['amount_approval'] ?? 0,
|
|
'amount_not_approved' => $row['amount_not_approval'] ?? 0,
|
|
'excess_paid' => $row['amount_not_approval'] ?? 0,
|
|
'created_by' => auth()->user()->id,
|
|
|
|
]);
|
|
}
|
|
// Commit transaksi
|
|
DB::commit();
|
|
} catch (\Exception $e) {
|
|
DB::rollback();
|
|
throw new ImportRowException($e->getMessage(), $e->getCode(), $e, $row);
|
|
}
|
|
|
|
$row['ingestion_code'] = "200";
|
|
$row['ingestion_status'] = "SUCCESS";
|
|
|
|
return $row;
|
|
}
|
|
|
|
// This returning row with format or order as it is
|
|
public function makeResultRow($row_data)
|
|
{
|
|
$cells = [];
|
|
foreach ($row_data as $cellValue) {
|
|
$cells[] = WriterEntityFactory::createCell($cellValue);
|
|
}
|
|
|
|
return $cells;
|
|
}
|
|
|
|
// This returning row with format or order following $result_doc_headers
|
|
public function makeResultRowWithResultFormat($row_data)
|
|
{
|
|
$cells = [];
|
|
foreach ($this->result_doc_headers as $header) {
|
|
$value = $row_data[$this->doc_headers_to_field_map[$header]] ?? null;
|
|
if (is_string($value)) {
|
|
$cells[] = WriterEntityFactory::createCell($value);
|
|
}
|
|
else if ($value instanceof DateTime) {
|
|
$cells[] = WriterEntityFactory::createCell(Carbon::parse($value)->format('Ymd'));
|
|
}
|
|
else {
|
|
$cells[] = WriterEntityFactory::createCell($value);
|
|
}
|
|
}
|
|
|
|
return $cells;
|
|
}
|
|
|
|
|
|
public function makeCode($next_number, $data)
|
|
{
|
|
$sparator = '.';
|
|
// Pastikan $next_number adalah integer positif
|
|
$next_number = max(1, (int) $next_number);
|
|
// Menghasilkan kode dengan format yang diinginkan
|
|
return self::$code_prefix . $sparator. $data['source'] . $sparator. $data['provideCode'] . $sparator. $data['date'] . $sparator . $data['policy'] . $sparator. $data['member_code'] . $sparator. str_pad($next_number, 6, '0', STR_PAD_LEFT);
|
|
}
|
|
|
|
}
|