feat: 挂号，缴费费用预结算，检查单查询，定点

fix: 修复港澳台社保卡号判断，预约挂号提醒模板

app/Console/Commands/SendAppointmentReminders.php

@@ -41,8 +41,8 @@ class SendAppointmentReminders extends Command
         $this->info('Starting to send appointment reminders...');
 
         // 查询即将到期的预约记录（8小时后的预约）
-        $appointments = RegistrationRecord::where('visit_date', now()->toDate())
+        $appointments = RegistrationRecord::where('visit_date', now()->toDateString())
-            ->where('begin_time', now()->subHours(8))
+            ->where('begin_time', '>=', now()->addHours(8)->toTimeString())
             ->where('reminder_sent', 0)
             ->get();
 

app/Dictionary/Medical/OrderType.php

@@ -0,0 +1,54 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Dictionary\Medical;
+
+/**
+ * 支付类型
+ */
+enum OrderType: string
+{
+    case REG_PAY = 'RegPay';                  // 挂号支付
+
+    case MED_PAY = 'MedPay';                  // 药费支付
+
+    case DIAG_PAY = 'DiagPay';                // 诊间支付
+
+    case IN_HOSP_PAY = 'InHospPay';           // 住院费支付
+
+    case PHARMACY_PAY = 'PharmacyPay';        // 药店支付
+
+    case INSURANCE_PAY = 'InsurancePay';      // 保险费支付
+
+    case INT_REG_PAY = 'IntRegPay';           // 互联网医院挂号支付
+
+    case INT_RE_DIAG_PAY = 'IntReDiagPay';    // 互联网医院复诊支付
+
+    case INT_PSC_PAY = 'IntPscPay';           // 互联网医院处方支付
+
+    case COVID_EXAM_PAY = 'CovidExamPay';     // 新冠检测费用
+
+    case COVID_ANTIGEN_PAY = 'CvidAntigenPay';// 新冠抗原检测
+
+    /**
+     * Label string
+     * @return string
+     */
+    public function label(): string
+    {
+        return match($this) {
+            self::REG_PAY => '挂号支付',
+            self::MED_PAY => '药费支付',
+            self::DIAG_PAY => '诊间支付',
+            self::IN_HOSP_PAY => '住院费支付',
+            self::PHARMACY_PAY => '药店支付',
+            self::INSURANCE_PAY => '保险费支付',
+            self::INT_REG_PAY => '互联网医院挂号支付',
+            self::INT_RE_DIAG_PAY => '互联网医院复诊支付',
+            self::INT_PSC_PAY => '互联网医院处方支付',
+            self::COVID_EXAM_PAY => '新冠检测费用',
+            self::COVID_ANTIGEN_PAY => '新冠抗原检测',
+        };
+    }
+}

app/Dictionary/Medical/PatientProperty.php

@@ -0,0 +1,28 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Dictionary\Medical;
+
+/**
+ * 病人性质
+ */
+enum PatientProperty: int
+{
+
+    case OUTPATIENT_PLANNING = 6089; // 门诊统筹
+
+    case OUTPATIENT_MUTUAL_AID = 6095;  // 门诊共济
+
+    /**
+     * Label string
+     * @return string
+     */
+    public function label(): string
+    {
+        return match($this) {
+            self::OUTPATIENT_PLANNING => '门诊统筹',
+            self::OUTPATIENT_MUTUAL_AID => '门诊共济',
+        };
+    }
+}

app/Dictionary/Medical/PayType.php

@@ -0,0 +1,30 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Dictionary\Medical;
+
+/**
+ * 医保支付类型
+ */
+enum PayType: int
+{
+    case SELF_PAY = 0;      // 自费
+
+    case OFFLINE_MEDICARE = 1; // 线下医保
+
+    case ONLINE_MEDICARE = 2;  // 线上医保
+
+    /**
+     * Label string
+     * @return string
+     */
+    public function label(): string
+    {
+        return match($this) {
+            self::SELF_PAY => '自费',
+            self::OFFLINE_MEDICARE => '线下医保',
+            self::ONLINE_MEDICARE => '线上医保',
+        };
+    }
+}

app/Dictionary/Medical/PreSettleStatus.php

@@ -0,0 +1,30 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Dictionary\Medical;
+
+/**
+ * 医保预结算状态
+ */
+enum PreSettleStatus: int
+{
+    case NOT_NEEDED = 0;       // 无需预结算
+
+    case SETTLED = 1;          // 已预结算
+
+    case CANCELLED = 2;       // 已取消预结算
+
+    /**
+     * Label string
+     * @return string
+     */
+    public function label(): string
+    {
+        return match($this) {
+            self::NOT_NEEDED => '无需预结算',
+            self::SETTLED => '已预结算',
+            self::CANCELLED => '已取消预结算',
+        };
+    }
+}

app/Dictionary/Medical/SettleType.php

@@ -0,0 +1,27 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Dictionary\Medical;
+
+/**
+ * 医保预结算类型
+ */
+enum SettleType: int
+{
+    case CASH = 0;          // 使用现金支付
+
+    case MEDICARE_ACCOUNT = 1; // 使用医保个账支付
+
+    /**
+     * Label string
+     * @return string
+     */
+    public function label(): string
+    {
+        return match($this) {
+            self::CASH => '使用现金支付',
+            self::MEDICARE_ACCOUNT => '使用医保个账支付',
+        };
+    }
+}

app/Dictionary/Report/ImageType.php

@@ -0,0 +1,35 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Dictionary\Report;
+
+/**
+ * 检查报告影像类型
+ */
+enum ImageType: string
+{
+    case STUDY_ID = 'styid';       // 查询胶片ID (参数: studyid)
+
+    case IMAGE = 'img';             // 获取胶片图像 (参数: 胶片ID)
+
+    case IMAGE_BASE64 = 'img64';    // 获取胶片Base64编码 (参数: 胶片ID)
+
+    case PDF = 'pdf';               // 获取报告PDF文件 (参数: studyid)
+
+    case PDF_BASE64 = 'pdf64';      // 获取报告PDF的Base64编码 (参数: studyid)
+
+    /**
+     * Label string
+     */
+    public function label(): string
+    {
+        return match ($this) {
+            self::STUDY_ID => '查询胶片ID',
+            self::IMAGE => '获取胶片图像',
+            self::IMAGE_BASE64 => '获取胶片Base64编码',
+            self::PDF => '获取报告PDF文件',
+            self::PDF_BASE64 => '获取报告PDF的Base64编码',
+        };
+    }
+}

app/Http/Controllers/Outpatient/MedicalController.php

@@ -0,0 +1,110 @@
+<?php
+declare(strict_types = 1);
+
+namespace App\Http\Controllers\Outpatient;
+
+use App\Dictionary\Medical\SettleType;
+use App\Exceptions\GeneralException;
+use App\Http\Logics\Outpatient\MedicalLogic;
+use App\Http\Resources\Outpatient\Medical\PrescriptionPreSettleResource;
+use Illuminate\Http\JsonResponse;
+use Illuminate\Http\Request;
+use Illuminate\Validation\Rules\Enum;
+use Symfony\Component\HttpFoundation\Response;
+
+class MedicalController
+{
+    protected MedicalLogic $medical_logic;
+
+    /**
+     * MedicalController Construct.
+     */
+    public function __construct()
+    {
+        $this->medical_logic = new MedicalLogic();
+    }
+
+    /**
+     * 跳转免密授权页面
+     * @param Request $request
+     * @return JsonResponse
+     */
+    public function redirectAuth(Request $request): JsonResponse
+    {
+        $redirect_url = $this->medical_logic->getMiniProgramAuthRedirectUrl();
+
+        return jsonResponse(Response::HTTP_OK, 'success', [
+            // 固定跳转医保小程序APP ID
+            'app_id' => config('custom.redirect_app_id'),
+            'url'    => $redirect_url
+        ]);
+    }
+
+    /**
+     * 查询患者授权信息
+     * @param Request $request
+     * @param string $patient_id
+     * @return JsonResponse
+     * @throws GeneralException
+     */
+    public function userAuthInfo(Request $request, string $patient_id): JsonResponse
+    {
+        $validated = $request->validate([
+            'auth_code.require' => 'required',
+        ], [
+            'auth_code.required' => '查询数据参数错误',
+        ]);
+
+        $user_info = $this->medical_logic->queryPatientMedicalInsuranceAuthInfo($patient_id, $validated['auth_code']);
+
+        return jsonResponse(Response::HTTP_OK, 'success', $user_info);
+    }
+
+    /**
+     * 处方预结算
+     * @param Request $request
+     * @param string $patient_id
+     * @param string $serial_no
+     * @return JsonResponse
+     * @throws GeneralException
+     */
+    public function prescriptionPreSettle(Request $request, string $patient_id, string $serial_no): JsonResponse
+    {
+        $validated = $request->validate([
+            'settle_type' => ['required', new Enum(SettleType::class)],
+        ], [
+            'settle_type.required' => '请选择结算类型',
+            'settle_type.Illuminate\Validation\Rules\Enum' => '请选择正确的结算类型',
+        ]);
+
+        $settle_type = SettleType::from((int) $validated['settle_type']);
+
+        $response = $this->medical_logic->pendingPrescriptionPreSettle($patient_id, $serial_no, $settle_type);
+
+        return jsonResponse(Response::HTTP_OK, 'success', PrescriptionPreSettleResource::make($response)->toArray());
+    }
+
+    /**
+     * 医保支付
+     * @param Request $request
+     * @param string $patient_id
+     * @param string $serial_no
+     * @return JsonResponse
+     * @throws GeneralException
+     */
+    public function payment(Request $request, string $patient_id, string $serial_no): JsonResponse
+    {
+        $validated = $request->validate([
+            'settle_type' => ['required', new Enum(SettleType::class)],
+        ], [
+            'settle_type.required' => '请选择结算类型',
+            'settle_type.Illuminate\Validation\Rules\Enum' => '请选择正确的结算类型',
+        ]);
+
+        $settle_type = SettleType::from((int) $validated['settle_type']);
+
+        $response = $this->medical_logic->medicalPayment($patient_id, $serial_no, $settle_type);
+
+        return jsonResponse(Response::HTTP_OK, 'success', $response);
+    }
+}

app/Http/Controllers/Patient/PatientController.php

@@ -122,4 +122,18 @@ class PatientController
 
         return jsonResponse(Response::HTTP_OK, 'success', ['phone_info' => $phone_info]);
     }
+
+    /**
+     * 医保定点签约
+     * @param Request $request
+     * @param string $patient_id
+     * @return JsonResponse
+     * @throws GeneralException
+     */
+    public function designated(Request $request, string $patient_id): JsonResponse
+    {
+        $this->patient_logic->medicalDesignated($patient_id);
+
+        return jsonResponse(Response::HTTP_OK, '签约成功！');
+    }
 }

app/Http/Controllers/Registration/MedicalController.php

@@ -0,0 +1,77 @@
+<?php
+declare(strict_types = 1);
+
+namespace App\Http\Controllers\Registration;
+
+use App\Dictionary\Medical\PatientProperty;
+use App\Dictionary\Medical\SettleType;
+use App\Exceptions\GeneralException;
+use App\Http\Logics\Registration\MedicalLogic;
+use App\Http\Requests\Registration\RegisterPreSettleRequest;
+use App\Http\Resources\Registration\Medical\RegisterPreSettleResource;
+use Illuminate\Http\JsonResponse;
+use Illuminate\Http\Request;
+use Symfony\Component\HttpFoundation\Response;
+
+class MedicalController
+{
+    protected MedicalLogic $medical_logic;
+
+    /**
+     * MedicalController Construct.
+     */
+    public function __construct()
+    {
+        $this->medical_logic = new MedicalLogic();
+    }
+
+    /**
+     * 挂号预结算
+     * @param RegisterPreSettleRequest $request
+     * @param string $patient_id
+     * @return JsonResponse
+     * @throws GeneralException
+     */
+    public function registerPreSettle(RegisterPreSettleRequest $request, string $patient_id): JsonResponse
+    {
+        $patient_property = PatientProperty::from((int) $request->patient_property);
+        $settle_type = SettleType::from((int) $request->settle_type);
+
+        $response = $this->medical_logic->registerPreSettle(
+            $patient_id,
+            $request->date,
+            $request->dept_id,
+            $request->doctor_id,
+            $request->reg_id,
+            $patient_property,
+            $settle_type
+        );
+
+        return jsonResponse(Response::HTTP_OK, 'success', RegisterPreSettleResource::make($response)->toArray());
+    }
+
+    /**
+     * 医保支付
+     * @param Request $request
+     * @param string $patient_id
+     * @return JsonResponse
+     * @throws GeneralException
+     */
+    public function register(Request $request, string $patient_id): JsonResponse
+    {
+        $patient_property = PatientProperty::from((int) $request->patient_property);
+        $settle_type = SettleType::from((int) $request->settle_type);
+
+        $response = $this->medical_logic->medicalRegister(
+            $patient_id,
+            $request->date,
+            $request->dept_id,
+            $request->doctor_id,
+            $request->reg_id,
+            $patient_property,
+            $settle_type
+        );
+
+        return jsonResponse(Response::HTTP_OK, 'success', $response);
+    }
+}

app/Http/Controllers/Registration/RegisterController.php

@@ -24,7 +24,7 @@ class RegisterController
     }
 
     /**
-     * 获取挂号记录列表
+     * 挂号
      * @param RegisterRequest $request
      * @param string $patient_id 此处为 patient_number
      * @return JsonResponse

app/Http/Controllers/Report/InspectController.php

@@ -4,12 +4,13 @@ declare(strict_types = 1);
 namespace App\Http\Controllers\Report;
 
 use App\Exceptions\GeneralException;
-use App\Http\Logics\Registration\RecordLogic;
 use App\Http\Logics\Report\InspectLogic;
 use App\Http\Resources\Report\Inspect\DetailsResource;
 use App\Http\Resources\Report\Inspect\ListsResource;
 use Illuminate\Http\JsonResponse;
 use Illuminate\Http\Request;
+use Illuminate\Support\Facades\DB;
+use Illuminate\Support\Facades\Redis;
 use Symfony\Component\HttpFoundation\Response;
 
 class InspectController
@@ -24,6 +25,29 @@ class InspectController
         $this->inspect_logic = new InspectLogic();
     }
 
+    /**
+     * 获取报告提示
+     * @return JsonResponse
+     */
+    public function tips()
+    {
+        if (Redis::exists('report.tips')) {
+            $tips_lists = Redis::get('report.tips');
+            $tips_lists = json_decode($tips_lists, true);
+        } else {
+            $tips_lists = DB::connection('mysql_admin')->table('department_tips')
+                ->select(DB::raw('ABS(dept_id) as type_id'), 'title', 'message')
+                ->whereIn('dept_id', [-2, -3])
+                ->where('is_enable', 1)
+                ->get()
+                ->toArray();
+
+            Redis::setex('report.tips', 4 * 3600, json_encode($tips_lists, JSON_UNESCAPED_UNICODE));
+        }
+
+        return jsonResponse(Response::HTTP_OK, 'success', $tips_lists);
+    }
+
     /**
      * 获取检查报告列表
      * @param Request $request

app/Http/Controllers/Test/TestController.php

@@ -5,24 +5,67 @@ namespace App\Http\Controllers\Test;
 
 use App\Dictionary\WeChat\MiniProgram\OpenApi;
 use App\Models\Order;
+use App\Models\RegistrationRecord;
 use App\Utils\Traits\HttpRequest;
 use App\Utils\Traits\SendSubscribeMessage;
+use App\Utils\Traits\UniversalEncryption;
 use Illuminate\Support\Facades\Redis;
 use UnifyPayment\Cores\Struct\RefundOrder;
 use UnifyPayment\Unify;
+use function Symfony\Component\Translation\t;
 
 class TestController
 {
+    use HttpRequest;
+    use UniversalEncryption;
     use SendSubscribeMessage;
 
     public function test(): void
     {
-        $mini = getWeChatMiniProgramApp();
+//        $json = [
-        $response = $mini->getClient()->postJson(OpenApi::CREATE_QR_CODE->value, [
+//            'ApplicationId' => '',
-            'path' => 'pagesA/register/notice?ed=show',
+//            'ApplicationSecret' => '',
-        ]);
+//            'Parameter' => [
-        dd($response->toArray());
+//                'BeginDate' => '2025-04-27',
-        //dd(json_decode('', true));
+//                'EndDate' => '2025-04-28',
+//                'CardType' => '01',
+//                'CardNo' => '65284656',
+//            ]
+//        ];
+
+        $json = [
+            "ApplicationId" => "",
+            "ApplicationSecret"=> "",
+            "Parameter"=> [
+                "HospitalId" => "",
+                "PatientId"=> "2226817",
+                "PatientName"=> "李欣茹",
+                "PayAuthNo"=> "",
+                "UldLatlnt"=> "",
+                "IsInsSelfPay"=> "0",
+                "YbPayType"=> "2",
+                "FeeRecords"=> [
+                    [
+                        "FeeNo" => "-210360897",
+                        "FeeTypeCode" => "51"
+                    ]
+                ]
+            ]
+        ];
+
+        $start_time = microtime(true);
+//        $result = $this->request('POST', 'http://192.168.61.44:8010/api/his/GetPatientInfo', [
+//            'json' => $json
+//        ]);
+        $end_time = microtime(true);
+        $use_time = sprintf("%.6f", ($start_time - $end_time));
+        recordLog('MedicalHis', json_encode([
+            'json' => $json,
+            'result' => $result,
+            'use_time' => $use_time
+        ], JSON_UNESCAPED_UNICODE));
+//        dd($result);
+
 //        $response = '1';
 //        $order = Order::where('order_id', 'WXM20250207151636790')->first();
 //        $record = $order->outpatientPaymentRecord;

app/Http/Logics/Notify/NotifyLogic.php

@@ -6,6 +6,7 @@ namespace App\Http\Logics\Notify;
 
 use App\Dictionary\Order\NotifyStatus;
 use App\Dictionary\Order\PayType;
+use App\Dictionary\Medical\PayType as MedicalPayType;
 use App\Dictionary\Order\SourceId;
 use App\Dictionary\Order\Status;
 use App\Dictionary\Order\Type;
@@ -27,8 +28,6 @@ use UnifyPayment\Cores\Struct\ConfirmOrderForEx;
 use UnifyPayment\Cores\Struct\QueryOrder;
 use UnifyPayment\Cores\Struct\RefundOrder;
 use UnifyPayment\Mock\ConfirmOrderForExHandler;
-use UnifyPayment\Mock\QueryOrderHandler;
-use UnifyPayment\Mock\RefundOrderHandler;
 use UnifyPayment\Unify;
 
 class NotifyLogic
@@ -39,6 +38,8 @@ class NotifyLogic
 
     protected Client $his_client;
 
+    protected MedicalClient $his_medical_client;
+
     protected PaymentApplication $payment_app;
 
     protected PatientModel $patient_model;
@@ -104,7 +105,12 @@ class NotifyLogic
                     $this->registrationOrderHandle($order_info, $notify);
                     break;
                 case Type::OUTPATIENT_PAYMENT->value:
-                    $this->outpatientOrderHandle($order_info, $notify);
+                    if ($order_info->pay_type === PayType::MEDICAL_INSURANCE_PAY) {
+                        // 医保支付
+                        $this->outpatientMedicalOrderHandle($order_info, $notify);
+                    } else {
+                        $this->outpatientOrderHandle($order_info, $notify);
+                    }
                     break;
                 default:
                     break;
@@ -238,6 +244,75 @@ class NotifyLogic
         }
     }
 
+    /**
+     * 门诊缴费医保订单操作
+     * @param OrderModel $order_info
+     * @param Message $notify
+     * @return void
+     * @throws GeneralException
+     */
+    public function outpatientMedicalOrderHandle(OrderModel $order_info, Message $notify): void
+    {
+        // 缴费确认
+        $record = $order_info->outpatientPaymentRecord;
+        $extra_info = json_decode($record->extra_info, true);
+
+        $time_end = date('Y-m-d H:i:s', strtotime($notify['time_end']));
+        $totalAmount = $extra_info['pre_settle_info']['TotalAmount']; // 总金额
+        $medicare_amount = bcdiv($notify['insurance_fund_fee'], '100'); // 减免金额
+        $pay_amount = bcdiv($notify['cash_fee'], '100'); // 现金金额
+        $account_amount = bcdiv($notify['insurance_self_fee'], '100'); // 个账支付金额
+
+        $fee_record = [];
+        foreach ($extra_info['']['feeRecords']['feeRecord'] as $v) {
+            $fee_record[] = [
+                'FeeNo' => $v['feeNo'],
+                'FeeTypeCode' => $v['feeTypeCode'],
+            ];
+        }
+
+        $data = [
+            $order_info->patient_id,
+            $order_info->patient_name,
+            $order_info->order_id,
+            $extra_info['pre_settle_info']['PrecalId'],
+            $time_end,
+            $totalAmount,
+            $medicare_amount,
+            $pay_amount,
+            $account_amount,
+            MedicalPayType::ONLINE_MEDICARE,
+            '03',
+            $fee_record
+        ];
+        $response = $this->his_client->confirmMedicalOutpatient(... $data);
+        $this->info('医保缴费订单出入参：'.$order_info->order_id, [$data, $response]);
+
+        // 保存返回信息
+        if (isset($response['success']) && $response['success'] === true) {
+            // 成功流程
+            $order_info->orderConfirm($order_info->order_id, $response['response']['ResultId'], $response['response']);
+
+            // 支付平台业务确认
+            $this->unifyConfirm($notify['out_trade_no'], $response['response']['ResultId'], $notify['openid'], $notify['transaction_id']);
+
+            // 推送成功
+            $this->sendOutpatientPaymentSuccessMessage($order_info);
+        } else if (isset($response['success']) && $response['success'] === false && $response['msg'] !== '服务异常') {
+            // 失败流程
+            $this->handleOrderReverse($order_info, $response['msg']);
+
+            // 推送失败
+            $this->sendOutpatientPaymentFailureMessage($order_info);
+        } else {
+            // 异常流程
+            $order_info->abnormalOrderOpera($order_info->id);
+
+            // 推送异常
+            $this->sendOutpatientPaymentFailureMessage($order_info);
+        }
+    }
+
     /**
      * 退款
      * @param string $order_id

app/Http/Logics/Outpatient/MedicalLogic.php

@@ -0,0 +1,497 @@
+<?php
+declare(strict_types = 1);
+
+namespace App\Http\Logics\Outpatient;
+
+use App\Dictionary\Medical\OrderType;
+use App\Dictionary\Medical\PayType as MedicalPayType;
+use App\Dictionary\Order\PayType as OrderPayType;
+use App\Dictionary\Medical\PreSettleStatus;
+use App\Dictionary\Medical\SettleType;
+use App\Dictionary\Order\SourceId;
+use App\Dictionary\Order\Type;
+use App\Dictionary\Patient\CardType;
+use App\Exceptions\GeneralException;
+use App\Models\Order;
+use App\Models\Patient;
+use App\Services\HisHttp\Client as HisHttpClient;
+use App\Services\HisMedicalHttp\Client as HisMedicalHttpClient;
+use App\Services\MedicalAuth\Client as AuthClient;
+use App\Utils\Statics\BuildCacheKeyName;
+use App\Utils\Traits\Logger;
+use App\Utils\Traits\MiniProgramAuth;
+use Illuminate\Auth\AuthenticationException;
+use Illuminate\Support\Facades\Redis;
+use ReflectionException;
+use Symfony\Component\HttpFoundation\Response;
+use UnifyPayment\Cores\Exceptions\InvalidConfigException;
+use UnifyPayment\Cores\Exceptions\RuntimeException;
+use UnifyPayment\Cores\Struct\CreateMedicalInsuranceOrder;
+use UnifyPayment\Unify;
+
+class MedicalLogic
+{
+    use Logger;
+    use MiniProgramAuth;
+
+    private HisHttpClient $his_client;
+
+    private HisMedicalHttpClient $his_medical_client;
+
+    private AuthClient $auth_client;
+
+    private Order $order_model;
+
+    private Patient $patient_model;
+
+    /**
+     * PaymentLogic Construct
+     * @throws AuthenticationException
+     */
+    public function __construct()
+    {
+        $this->authInitialize();
+        $this->setChannel('outpatient');
+        $this->his_client = app('HisHttpService');
+        $this->his_medical_client = app('HisMedicalHttpClient');
+        $this->auth_client = new AuthClient();
+        $this->order_model = new Order();
+        $this->patient_model = new Patient();
+    }
+
+    /**
+     * 查询患者医保授权信息
+     * @param string $patient_number
+     * @param string $auth_code 授权码
+     * @return array
+     * @throws GeneralException
+     */
+    public function queryPatientMedicalInsuranceAuthInfo(string $patient_number, string $auth_code): array
+    {
+        $patient_info = $this->getPatientInfo($this->open_id, $patient_number);
+        $patient_id = &$patient_info['patientId'];
+
+        // 获取用户pay_auth_no和经纬度
+        // $info = $this->auth_client->userQuery($auth_code, $this->open_id);
+        $info = $this->auth_client->userQuery($auth_code, 'ozOD16zPgRmjdh_O3VvtFtKaiLP0');
+        if ($info['code'] !== 0) {
+            throw new GeneralException($info['message'] ?? '获取用户医保信息异常,请稍后重新再试！', Response::HTTP_BAD_REQUEST);
+        }
+
+        $user_info = [
+            'pay_auth_no' => $info['pay_auth_no'],
+            'user_longitude_latitude' => $info['user_longitude_latitude']
+        ];
+
+        // 有效期为12小时
+        $cache_key = BuildCacheKeyName::getUserMedicalInsuranceAuthKey($this->open_id, $patient_id);
+        Redis::setex($cache_key, 12 * 60 * 60 - 500, json_encode($user_info, JSON_UNESCAPED_UNICODE));
+        return $user_info;
+    }
+
+    /**
+     * 待缴费处方预结算
+     * @param string $patient_number
+     * @param string $serial_no
+     * @param SettleType $settle_type
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function pendingPrescriptionPreSettle(string $patient_number, string $serial_no, SettleType $settle_type): mixed
+    {
+        // 患者信息
+        $patient_info = $this->getPatientInfo($this->open_id, $patient_number);
+        $patient_id = &$patient_info['patientId'];
+
+        // 医保待缴费信息
+        $medical_pending_lists = $this->getMedicalPendingPaymentDetails($patient_number, $serial_no);
+
+        // 获取缓存里的结算信息
+        $settle_cache_key = BuildCacheKeyName::getOutpatientPrescriptionPreSettleInfoKey($this->open_id, $serial_no, $settle_type->value);
+        if (Redis::exists($settle_cache_key)) {
+            $pre_settle_info = Redis::get($settle_cache_key);
+            $pre_settle_info =  json_decode($pre_settle_info, true);
+
+            $this->info('缴费预结算返回数据包(cache)', $pre_settle_info);
+            return $pre_settle_info;
+        }
+
+        // 获取患者授权信息
+        $auth_info = $this->getCacheUserMedicalInsuranceAuthInfo($patient_id);
+        // 用户经纬度
+        $user_lng_lat = $auth_info['user_longitude_latitude']['longitude']. ','. $auth_info['user_longitude_latitude']['latitude'];
+
+        $fee_record = [];
+        foreach ($medical_pending_lists['FeeRecords'] as $v) {
+            $fee_record[] = [
+                'FeeNo' => $v['FeeNo'],
+                'FeeTypeCode' => $v['FeeTypeCode'],
+            ];
+        }
+        $this->info('缴费预结算费用处方集合', $fee_record);
+
+        // 预结算
+        $pre_settle_info = $this->prescriptionPreSettle($patient_number, $patient_info['name'], $auth_info['pay_auth_no'], $user_lng_lat, $settle_type, $fee_record);
+
+        // 预结算结果
+        $pre_settle_info = reset($pre_settle_info);
+        $pre_settle_info['PreSettleAt'] = date('Y-m-d H:i:s');// 预结算时间
+        $this->info('缴费预结算返回数据包', $pre_settle_info);
+
+        // 缓存2小时
+        Redis::setex($settle_cache_key, 7200, json_encode($pre_settle_info, JSON_UNESCAPED_UNICODE));
+
+        return $pre_settle_info;
+    }
+
+    /**
+     * 医保支付
+     * @param string $patient_number
+     * @param string $serial_no
+     * @param SettleType $settle_type
+     * @param OrderPayType $pay_type
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function medicalPayment(string $patient_number, string $serial_no, SettleType $settle_type, OrderPayType $pay_type = OrderPayType::MEDICAL_INSURANCE_PAY): mixed
+    {
+        // 患者数据
+        $patient_info = $this->getPatientInfo($this->open_id, $patient_number);
+        // 医保待缴费单数据
+        $medical_pending_info = $this->getMedicalPendingPaymentDetails($patient_number, $serial_no);
+        // 用户授权数据
+        $auth_info = $this->getCacheUserMedicalInsuranceAuthInfo($patient_info['patientId']);
+        // 预结算数据
+        $pre_settle_info = $this->getPrescriptionPreSettleInfo($serial_no, $settle_type);
+
+        // 创建订单数据
+        $order_type = Type::OUTPATIENT_PAYMENT;
+        $order_id = $this->order_model->getOrderId($pay_type, 'M');
+        $total_fee = (float)(string) $pre_settle_info['TotalAmount'];
+        $reduce_fee = (float)(string) $pre_settle_info['MedicareAmount'];
+        $self_fee = (float)(string) ($settle_type === SettleType::MEDICARE_ACCOUNT ? $pre_settle_info['AccountAmount'] : $pre_settle_info['PayAmount']);
+
+        // 创建订单
+        $order = $this->createMedicalOrder($order_id, $pay_type, $total_fee, $reduce_fee, $order_type, $patient_info, $medical_pending_info, $pre_settle_info);
+
+        // 申请医保支付
+        $pay_data = $this->applyMedicalPayment($order_type, $order_id, $total_fee, $reduce_fee, $self_fee, $patient_info, $auth_info, $pre_settle_info);
+
+        // 去除支付无用数据
+        unset($pay_data['merchantId'], $pay_data['merchantName'], $pay_data['channelId'], $pay_data['channelName']);
+
+        return $pay_data;
+    }
+
+    /**
+     * 获取患者信息
+     * @param string $open_id
+     * @param string $patient_number
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function getPatientInfo(string $open_id, string $patient_number): mixed
+    {
+        $info = $this->patient_model->getBindPatientInfoByPatientNumber($open_id, $patient_number);
+        if (empty($info)) {
+            throw new GeneralException('找不到患者信息，请重新再试！', Response::HTTP_BAD_REQUEST);
+        }
+
+        $response = $this->his_client->getPatientInfo($info['patient_number'], CardType::OUTPATIENT_NO, '');
+        if (!isset($response['success']) || !$response['success']) {
+            throw new GeneralException($response['msg'] ?? '找不到患者信息，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        // 添加Patient 表ID
+        $patient_info = &$response['response'];
+        $patient_info['id'] = $info['id'];
+
+        $this->info('获取缴费患者信息', $patient_info);
+        return $patient_info;
+    }
+
+    /**
+     * 获取待缴费医保处方信息
+     * @param string $patient_number
+     * @param string $record_id
+     * @return array|mixed
+     * @throws GeneralException
+     */
+    protected function getMedicalPendingPaymentDetails(string $patient_number, string $record_id): mixed
+    {
+        $cache_key = BuildCacheKeyName::getOutpatientMedicalPendingDetailsKey($this->open_id, $patient_number, $record_id);
+
+        // 先获取缓存里的医保处方数据
+        if (Redis::exists($cache_key)) {
+            $info = Redis::get($cache_key);
+            $info = json_decode($info, true);
+
+            $this->info('获取医保待缴费处方信息(cache)', $info);
+            return $info;
+        }
+
+        $start_date = date('Y-m-d', strtotime('-7 days'));
+        $end_date = date('Y-m-d');
+        $response = $this->his_medical_client->getMedicalPendingLists($patient_number, $start_date, $end_date);
+
+        if(empty($response) || empty($response['Result'])) {
+            throw new GeneralException('暂无相关缴费记录！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        if (!isset($response['ResultCode']) || $response['ResultCode'] !== '1') {
+            throw new GeneralException($response['ErrorMsg'] ?: '暂无相关缴费记录！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        $info = [];
+        foreach ($response['Result'] as $k => $v) {
+            if ($v['DiagnosisRecordId'] === $record_id) {
+                $info = $v;
+            }
+        }
+
+        if (empty($info)) {
+            throw new GeneralException('暂无相关缴费记录！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        $this->info('获取医保待缴费处方信息', $info);
+
+        // 缓存2小时
+        Redis::setex($cache_key, 7200, json_encode($info, JSON_UNESCAPED_UNICODE));
+        return $info;
+    }
+
+    /**
+     * 处方预结算
+     * @param string $patient_number
+     * @param string $patient_name
+     * @param string $pay_auth_no
+     * @param string $user_lng_lat
+     * @param SettleType $settle_type
+     * @param array $fee_record
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function prescriptionPreSettle(string $patient_number, string $patient_name, string $pay_auth_no, string $user_lng_lat, SettleType $settle_type, array $fee_record): mixed
+    {
+        try {
+            // 缴费预结算
+            $response = $this->his_medical_client->outpatientPreSettle(
+                $patient_number,
+                $patient_name,
+                $pay_auth_no,
+                $user_lng_lat,
+                $settle_type,
+                MedicalPayType::ONLINE_MEDICARE,
+                $fee_record
+            );
+            $this->info('缴费预结算返回结果', $response);
+
+        } catch (\Exception $e) {
+            $err_msg = $e->getMessage(). ' On '. $e->getFile(). ':'. $e->getLine();
+            $this->error('缴费预结算异常, 异常消息:'. $err_msg);
+
+            throw new GeneralException('缴费预结算失败，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        // 返回 false / 没有返回预结算费用信息
+        if(empty($response) || empty($response['Result'])) {
+            throw new GeneralException('缴费预结算失败，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        if (!isset($response['ResultCode']) || $response['ResultCode'] !== '1') {
+            throw new GeneralException($response['ErrorMsg'] ?: '缴费预结算遇到未知错误，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        return $response['Result'];
+    }
+
+    /**
+     * 获取缓存里的用户医保授权信息
+     * @param string $patient_id
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function getCacheUserMedicalInsuranceAuthInfo(string $patient_id): mixed
+    {
+        $cache_key = BuildCacheKeyName::getUserMedicalInsuranceAuthKey($this->open_id, $patient_id);
+
+        // 先获取缓存里的医保处方数据
+        if (!Redis::exists($cache_key)) {
+            throw new GeneralException('请先进行医保授权！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        $auth_info = Redis::get($cache_key);
+        $auth_info =  json_decode($auth_info, true);
+
+        $this->info('用户医保授权信息数据包(cache)', $auth_info);
+        return $auth_info;
+    }
+
+    /**
+     * 获取待缴费处方预结算信息
+     * @param string $serial_no
+     * @param SettleType $settle_type
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function getPrescriptionPreSettleInfo(string $serial_no, SettleType $settle_type): mixed
+    {
+        $settle_cache_key = BuildCacheKeyName::getOutpatientPrescriptionPreSettleInfoKey($this->open_id, $serial_no, $settle_type->value);
+
+        if (!Redis::exists($settle_cache_key)) {
+            throw new GeneralException('缴费预结算信息已过期，请重新再试！');
+        }
+
+        $pre_settle_info = Redis::get($settle_cache_key);
+        $pre_settle_info =  json_decode($pre_settle_info, true);
+
+        $this->info('缴费预结算返回数据包(cache)', $pre_settle_info);
+        return $pre_settle_info;
+    }
+
+
+    /**
+     * 创建医保缴费订单表
+     * @param string $order_id
+     * @param OrderPayType $pay_type
+     * @param float $total_fee
+     * @param float $reduce_fee
+     * @param Type $order_type
+     * @param array $patient_info
+     * @param array $medical_pending_info
+     * @param array $pre_settle_info
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function createMedicalOrder(string $order_id, OrderPayType $pay_type, float $total_fee, float $reduce_fee, Type $order_type, array $patient_info, array $medical_pending_info, array $pre_settle_info): mixed
+    {
+        // 缴费记录表
+        $pay_record_data = [
+            'relate_patient_id' => $patient_info['id'],
+            'dept_id' => $medical_pending_info['DeptId'],
+            'dept_name' => $medical_pending_info['DeptName'],
+            'doctor_id' => $medical_pending_info['DoctorId'],
+            'doctor_name' => $medical_pending_info['DoctorName'],
+            'visit_date' => date('Y-m-d', strtotime($medical_pending_info['DiagnosisDate'])),
+            'total_amount' => $total_fee,
+            'pre_settle_status' => PreSettleStatus::SETTLED->value,
+            'pre_settle_at' => $pre_settle_info['PreSettleAt'],
+            'extra_info' => json_encode([
+                ... $medical_pending_info,
+                'pre_settle_info' => $pre_settle_info,
+            ], JSON_UNESCAPED_UNICODE)
+        ];
+
+        $order = $this->order_model->createOrder(
+            $patient_info['id'],
+            $order_id,
+            $pay_type,
+            $total_fee * 100,
+            $reduce_fee * 100,
+            $this->open_id,
+            $patient_info['patientId'],
+            $patient_info['name'],
+            $order_type,
+            SourceId::MINI_PROGRAM,
+            $pay_record_data
+        );
+        if (empty($order)) {
+            throw new GeneralException('创建医保缴费单失败，请重新再试！');
+        }
+
+        $this->info('创建国标医保订单订单,ID：'. $order->id);
+        return $order;
+    }
+
+    /**
+     * 申请医保支付
+     * @param Type $order_type 订单类型
+     * @param string $order_id 订单号
+     * @param float $total_fee 总金额
+     * @param float $reduce_fee 减免金额
+     * @param float $self_fee 自费金额
+     * @param array $patient_info 患者信息
+     * @param array $auth_info 用户授权信息
+     * @param array $pre_settle_info 预结算信息
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function applyMedicalPayment(Type $order_type, string $order_id, float $total_fee, float $reduce_fee, float $self_fee, array $patient_info, array $auth_info, array $pre_settle_info): mixed
+    {
+        // 患者信息
+        $patient_id = &$patient_info['patient_id'];
+        $patient_name = &$patient_info['name'];
+        $id_card_no = &$patient_info['idCardNo'];
+        // $open_id = &$this->open_id;
+        $open_id = 'ozOD16zPgRmjdh_O3VvtFtKaiLP0';
+
+        // 医保相关参数判断
+        // 医保部分扣费类型 0：统筹+个账 1：个账 2：统筹
+        $consume_type = $reduce_fee > 0 ? 2 : 0;
+        // 支付方式 1：现金 2：医保 3：现金+医保; cash_fee>0, paytype填3; cash_fee=0, paytype填2
+        $pay_type = $reduce_fee <= 0 ? 2 : 3;
+
+        // 证件号码类型
+        $card_type = getIDCardType($id_card_no);
+        switch ($card_type) {
+            default:
+            case 1:
+                $user_card_type = 1;
+                break;
+            case 2:
+                $user_card_type = match (true) {
+                    preg_match('/^HKG\d{9}$/', $id_card_no) => 6,
+                    preg_match('/^MAC\d{9}$/', $id_card_no) => 4,
+                    preg_match('/^TWN\d{9}$/', $id_card_no) => 5,
+                };
+                break;
+            case 3:
+            case 4:
+                $user_card_type = 7;
+                break;
+        }
+
+        try {
+            $order_obj = new CreateMedicalInsuranceOrder(
+                orderType: $order_type->unifyOrderType(),
+                attach: $patient_id. '|'.  $patient_name,
+                insuranceOrderType: OrderType::DIAG_PAY->value,
+                orderNo: $order_id,
+                hospitalName: '珠海市香洲区第二人民医院',
+                totalAmount: (string) $total_fee,
+                cashAmount: (string) $self_fee,
+                allowFeeChange: 0,
+                spbillCreateIp: request()->ip(),
+                openid: $open_id,
+                notifyUrl: config('custom.payment_notify_url'),
+                title: $order_type->label(),
+                payType: (string) $pay_type,
+                cityCode: config('wechat.medical.auth.city_code'),
+                consumeType: $consume_type,
+                insuranceAmount: (string) $reduce_fee,
+                userCardType: $user_card_type,
+                idCardNo: md5(strtoupper($id_card_no)),
+                name: $patient_name,
+                serialNo: $pre_settle_info['MedOrgOrd'],
+                orgNo: config('wechat.medical.auth.org_codg'),
+                requestContent: [
+                    'payAuthNo' => $auth_info['pay_auth_no'],
+                    'payOrdId' => $pre_settle_info['PayOrdId'],
+                    'setlLatlnt' => $auth_info['user_longitude_latitude']['latitude']. ','. $auth_info['user_longitude_latitude']['longitude'],
+                ],
+                channelNo: config('wechat.medical.auth.channel')
+            );
+
+            $response = Unify::pay(config('unifyTest'))->mini->medicalPay($order_obj);
+            $this->info('medical Pay 支付参数', $response);
+
+            if (!$response['success'] || empty($response['response'])) {
+                throw new GeneralException('申请医保支付失败，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+            }
+
+            return $response['response'];
+        } catch (InvalidConfigException|RuntimeException|ReflectionException $e) {
+            throw new GeneralException('申请医保支付失败，请重新再试！', Response::HTTP_INTERNAL_SERVER_ERROR);
+        }
+    }
+}

app/Http/Logics/Outpatient/PaymentLogic.php

@@ -8,11 +8,10 @@ use App\Dictionary\Order\SourceId;
 use App\Dictionary\Order\Type;
 use App\Dictionary\Patient\CardType;
 use App\Exceptions\GeneralException;
-use App\Http\Resources\Outpatient\Pending\PendingListsResource;
 use App\Models\Order;
 use App\Models\Patient;
 use App\Services\HisHttp\Client;
-use App\Utils\Traits\BuildCacheKeyName;
+use App\Utils\Statics\BuildCacheKeyName;
 use App\Utils\Traits\Logger;
 use App\Utils\Traits\MiniProgramAuth;
 use Illuminate\Auth\AuthenticationException;
@@ -22,14 +21,12 @@ use Symfony\Component\HttpFoundation\Response;
 use UnifyPayment\Cores\Exceptions\InvalidConfigException;
 use UnifyPayment\Cores\Exceptions\RuntimeException;
 use UnifyPayment\Cores\Struct\CreateOrder;
-use UnifyPayment\Mock\CreateOrderHandler;
 use UnifyPayment\Unify;
 
 class PaymentLogic
 {
     use Logger;
     use MiniProgramAuth;
-    use BuildCacheKeyName;
 
     private Client $his_client;
 
@@ -119,8 +116,8 @@ class PaymentLogic
     protected function getPendingPrescriptionDetails(string $patient_id, string $serial_no,  string $prescription_ids): array
     {
         // 缓存键值
-        $pending_lists_cache_key = $this->getOutpatientPendingListsKey($this->open_id, $patient_id);
+        $pending_lists_cache_key = BuildCacheKeyName::getOutpatientPendingListsKey($this->open_id, $patient_id);
-        $pending_details_cache_key = $this->getOutpatientPendingDetailsKey($this->open_id, $patient_id, $serial_no);
+        $pending_details_cache_key = BuildCacheKeyName::getOutpatientPendingDetailsKey($this->open_id, $patient_id, $serial_no);
 
         // 获取缓存
         if (Redis::exists($pending_lists_cache_key)) {

app/Http/Logics/Outpatient/PendingLogic.php

@@ -6,7 +6,7 @@ namespace App\Http\Logics\Outpatient;
 use App\Exceptions\GeneralException;
 use App\Models\Patient;
 use App\Services\HisHttp\Client;
-use App\Utils\Traits\BuildCacheKeyName;
+use App\Utils\Statics\BuildCacheKeyName;
 use App\Utils\Traits\Logger;
 use App\Utils\Traits\MiniProgramAuth;
 use Illuminate\Auth\AuthenticationException;
@@ -18,7 +18,6 @@ class PendingLogic
 {
     use Logger;
     use MiniProgramAuth;
-    use BuildCacheKeyName;
 
     private Client $his_client;
 
@@ -58,7 +57,7 @@ class PendingLogic
         }
 
         // 缓存2小时
-        Redis::setnx($this->getOutpatientPendingListsKey($this->open_id, $patient_id), 7200, json_encode($response, JSON_UNESCAPED_UNICODE));
+        Redis::setex(BuildCacheKeyName::getOutpatientPendingListsKey($this->open_id, $patient_id), 7200, json_encode($response, JSON_UNESCAPED_UNICODE));
         return $response;
     }
 
@@ -85,7 +84,7 @@ class PendingLogic
         }
 
         // 缓存2小时
-        Redis::setnx($this->getOutpatientPendingDetailsKey($this->open_id, $patient_id, $serial_no), 7200, json_encode($response, JSON_UNESCAPED_UNICODE));
+        Redis::setex(BuildCacheKeyName::getOutpatientPendingDetailsKey($this->open_id, $patient_id, $serial_no), 7200, json_encode($response, JSON_UNESCAPED_UNICODE));
         return $response;
     }
 
@@ -99,7 +98,7 @@ class PendingLogic
     protected function getCachePendingLists(string $patient_id, string $serial_no): mixed
     {
         // 缓存键值
-        $cache_key = $this->getOutpatientPendingListsKey($this->open_id, $patient_id);
+        $cache_key = BuildCacheKeyName::getOutpatientPendingListsKey($this->open_id, $patient_id);
 
         // 获取缓存
         if (Redis::exists($cache_key)) {

app/Http/Logics/Outpatient/RecordLogic.php

@@ -6,7 +6,7 @@ namespace App\Http\Logics\Outpatient;
 use App\Exceptions\GeneralException;
 use App\Models\Patient;
 use App\Services\HisHttp\Client;
-use App\Utils\Traits\BuildCacheKeyName;
+use App\Utils\Statics\BuildCacheKeyName;
 use App\Utils\Traits\Logger;
 use App\Utils\Traits\MiniProgramAuth;
 use Illuminate\Auth\AuthenticationException;
@@ -17,7 +17,6 @@ class RecordLogic
 {
     use Logger;
     use MiniProgramAuth;
-    use BuildCacheKeyName;
 
     private Patient $patient_model;
 
@@ -66,7 +65,7 @@ class RecordLogic
         }
 
         // 缓存2小时
-        $cache_key = $this->getOutpatientPendingListsKey($this->open_id, $patient_id);
+        $cache_key = BuildCacheKeyName::getOutpatientPendingListsKey($this->open_id, $patient_id);
         Redis::setex($cache_key, 2 * 60 * 60, json_encode($response, JSON_UNESCAPED_UNICODE));
         return $response;
     }
@@ -103,7 +102,7 @@ class RecordLogic
      */
     protected function getCacheRecordInfo(string $patient_id, string $serial_no): mixed
     {
-        $cache_key = $this->getOutpatientPendingDetailsKey($this->open_id, $patient_id, $serial_no);
+        $cache_key = BuildCacheKeyName::getOutpatientPendingDetailsKey($this->open_id, $patient_id, $serial_no);
         $record_info = Redis::get($cache_key);
 
         if (empty($record_info)) {

app/Http/Logics/Patient/PatientLogic.php

@@ -9,6 +9,7 @@ use App\Dictionary\WeChat\MiniProgram\OpenApi;
 use App\Exceptions\GeneralException;
 use App\Models\Patient;
 use App\Services\HisHttp\Client;
+use App\Services\HisMedicalHttp\Client as MedicalClient;
 use App\Utils\Traits\Logger;
 use App\Utils\Traits\MiniProgramAuth;
 use App\Utils\Traits\SendSubscribeMessage;
@@ -27,6 +28,8 @@ class PatientLogic
 
     private Client $his_client;
 
+    private MedicalClient $his_medical_client;
+
     private Patient $patient_model;
 
     /**
@@ -38,6 +41,7 @@ class PatientLogic
         $this->authInitialize();
         $this->patient_model = new Patient();
         $this->his_client = app('HisHttpService');
+        $this->his_medical_client = app('HisMedicalHttpClient');
     }
 
     /**
@@ -299,4 +303,32 @@ class PatientLogic
             throw new GeneralException('获取手机号码失败，请稍后再试！', Response::HTTP_BAD_REQUEST);
         }
     }
+
+    /**
+     * 医保定点签约
+     * @param string $patient_number
+     * @return bool
+     * @throws GeneralException
+     */
+    public function medicalDesignated(string $patient_number): bool
+    {
+        $info = $this->patient_model->getBindPatientInfoByPatientNumber($this->open_id, $patient_number);
+        if (empty($info)) {
+            throw new GeneralException('该就诊卡不存在!');
+        }
+
+        // 获取患者信息
+        $response = $this->his_client->getPatientInfo($info['patient_number'], CardType::OUTPATIENT_NO, '');
+        if (!isset($response['success']) || !$response['success']) {
+            throw new GeneralException($response['msg'] ?? '找不到该就诊卡！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        $patient_info = &$response['response'];
+        $result = $this->his_medical_client->medicalDesignated('02', $patient_info['iDCardNo']);
+        if (!isset($result['ResultCode']) || $result['ResultCode'] !== '1') {
+            throw new GeneralException($result['ErrorMsg'] ?? '医保定点签约失败，请稍后再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        return true;
+    }
 }

app/Http/Logics/Registration/MedicalLogic.php

@@ -0,0 +1,504 @@
+<?php
+declare(strict_types = 1);
+
+namespace App\Http\Logics\Registration;
+
+use App\Dictionary\Medical\OrderType;
+use App\Dictionary\Medical\PatientProperty;
+use App\Dictionary\Medical\PayType as MedicalPayType;
+use App\Dictionary\Order\PayType;
+use App\Dictionary\Order\PayType as OrderPayType;
+use App\Dictionary\Medical\PreSettleStatus;
+use App\Dictionary\Medical\SettleType;
+use App\Dictionary\Order\SourceId;
+use App\Dictionary\Order\Type;
+use App\Dictionary\Patient\CardType;
+use App\Exceptions\GeneralException;
+use App\Models\Admin\Department;
+use App\Models\Order;
+use App\Models\Patient;
+use App\Services\HisHttp\Client as HisHttpClient;
+use App\Services\HisMedicalHttp\Client as HisMedicalHttpClient;
+use App\Services\MedicalAuth\Client as AuthClient;
+use App\Utils\Statics\BuildCacheKeyName;
+use App\Utils\Traits\Logger;
+use App\Utils\Traits\MiniProgramAuth;
+use Illuminate\Auth\AuthenticationException;
+use Illuminate\Support\Facades\Redis;
+use ReflectionException;
+use Symfony\Component\HttpFoundation\Response;
+use UnifyPayment\Cores\Exceptions\InvalidConfigException;
+use UnifyPayment\Cores\Exceptions\RuntimeException;
+use UnifyPayment\Cores\Struct\CreateMedicalInsuranceOrder;
+use UnifyPayment\Unify;
+
+class MedicalLogic
+{
+    use Logger;
+    use MiniProgramAuth;
+
+    private HisHttpClient $his_client;
+
+    private HisMedicalHttpClient $his_medical_client;
+
+    private AuthClient $auth_client;
+
+    private Order $order_model;
+
+    private Patient $patient_model;
+
+    /**
+     * PaymentLogic Construct
+     * @throws AuthenticationException
+     */
+    public function __construct()
+    {
+        $this->authInitialize();
+        $this->setChannel('registration');
+        $this->his_client = app('HisHttpService');
+        $this->his_medical_client = app('HisMedicalHttpClient');
+        $this->auth_client = new AuthClient();
+        $this->order_model = new Order();
+        $this->patient_model = new Patient();
+    }
+
+    /**
+     * 挂号预结算
+     * @param string $patient_number
+     * @param string $date
+     * @param string $dept_id
+     * @param string $doctor_id
+     * @param string $reg_id
+     * @param PatientProperty $patient_property
+     * @param SettleType $settle_type
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function registerPreSettle(string $patient_number, string $date, string $dept_id, string $doctor_id, string $reg_id, PatientProperty $patient_property, SettleType $settle_type): mixed
+    {
+        // 患者信息
+        $patient_info = $this->getPatientInfo($this->open_id, $patient_number);
+        $patient_id = &$patient_info['patientId'];
+
+        // 获取挂号号源信息
+        $schedule_info = $this->getRegisterScheduleDetails($date, $dept_id, $doctor_id, $reg_id);
+
+        // 获取缓存里的结算信息
+        $settle_cache_key = BuildCacheKeyName::getRegistrationPreSettleInfoKey($this->open_id, $reg_id, $patient_property->value, $settle_type->value);
+        if (Redis::exists($settle_cache_key)) {
+            $pre_settle_info = Redis::get($settle_cache_key);
+            $pre_settle_info =  json_decode($pre_settle_info, true);
+
+            $this->info('挂号预结算返回数据包(cache)', $pre_settle_info);
+            return $pre_settle_info;
+        }
+
+        // 获取患者授权信息
+        $auth_info = $this->getCacheUserMedicalInsuranceAuthInfo($patient_id);
+        // 用户经纬度
+        $user_lng_lat = $auth_info['user_longitude_latitude']['longitude']. ','. $auth_info['user_longitude_latitude']['latitude'];
+
+        // 预结算
+        $pre_settle_info = $this->registrationPreSettle(
+            $patient_number,
+            $patient_info['name'],
+            $schedule_info['scheduleInfo']['feeRecord'],
+            $schedule_info['scheduleInfo']['feeRecord'],
+            $reg_id,
+            $patient_property,
+            $auth_info['pay_auth_no'],
+            $user_lng_lat
+        );
+
+        // 预结算结果
+        $pre_settle_info = reset($pre_settle_info);
+        $pre_settle_info['PreSettleAt'] = date('Y-m-d H:i:s');// 预结算时间
+        $this->info('挂号预结算返回数据包', $pre_settle_info);
+
+        // 缓存2小时
+        Redis::setex($settle_cache_key, 7200, json_encode($pre_settle_info, JSON_UNESCAPED_UNICODE));
+
+        return $pre_settle_info;
+    }
+
+    /**
+     * 医保支付
+     * @param string $patient_number
+     * @param string $date
+     * @param string $dept_id
+     * @param string $doctor_id
+     * @param string $reg_id
+     * @param PatientProperty $patient_property
+     * @param SettleType $settle_type
+     * @param OrderPayType $pay_type
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function medicalRegister(string $patient_number, string $date, string $dept_id, string $doctor_id, string $reg_id, PatientProperty $patient_property, SettleType $settle_type, OrderPayType $pay_type = OrderPayType::MEDICAL_INSURANCE_PAY): mixed
+    {
+        // 患者数据
+        $patient_info = $this->getPatientInfo($this->open_id, $patient_number);
+        // 挂号号源信息
+        $medical_pending_info = $this->getRegisterScheduleDetails($date, $dept_id, $doctor_id, $reg_id);
+        // 用户授权数据
+        $auth_info = $this->getCacheUserMedicalInsuranceAuthInfo($patient_info['patientId']);
+        // 预结算数据
+        $pre_settle_info = $this->getRegistrationPreSettleInfo($reg_id, $patient_property, $settle_type);
+
+        // 创建订单数据
+        $order_type = $date === date('Y-m-d') ? Type::TODAY_REGISTRATION : Type::APPOINTMENT_REGISTRATION;
+        $order_id = $this->order_model->getOrderId($pay_type, 'M');
+        $total_fee = (float)(string) $pre_settle_info['TotalAmount'];
+        $reduce_fee = (float)(string) $pre_settle_info['MedicareAmount'];
+        $self_fee = (float)(string) ($settle_type === SettleType::MEDICARE_ACCOUNT ? $pre_settle_info['AccountAmount'] : $pre_settle_info['PayAmount']);
+
+        // 创建订单
+        $order = $this->createMedicalOrder($order_id, $pay_type, $total_fee, $reduce_fee, $order_type, $patient_info, $medical_pending_info, $pre_settle_info);
+
+        // 申请医保支付
+        $pay_data = $this->applyMedicalPayment($order_type, $order_id, $total_fee, $reduce_fee, $self_fee, $patient_info, $auth_info, $pre_settle_info);
+
+        // 去除支付无用数据
+        unset($pay_data['merchantId'], $pay_data['merchantName'], $pay_data['channelId'], $pay_data['channelName']);
+
+        return $pay_data;
+    }
+
+    /**
+     * 获取患者信息
+     * @param string $open_id
+     * @param string $patient_number
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function getPatientInfo(string $open_id, string $patient_number): mixed
+    {
+        $info = $this->patient_model->getBindPatientInfoByPatientNumber($open_id, $patient_number);
+        if (empty($info)) {
+            throw new GeneralException('找不到患者信息，请重新再试！', Response::HTTP_BAD_REQUEST);
+        }
+
+        $response = $this->his_client->getPatientInfo($info['patient_number'], CardType::OUTPATIENT_NO, '');
+        if (!isset($response['success']) || !$response['success']) {
+            throw new GeneralException($response['msg'] ?? '找不到患者信息，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        // 添加Patient 表ID
+        $patient_info = &$response['response'];
+        $patient_info['id'] = $info['id'];
+
+        $this->info('获取缴费患者信息', $patient_info);
+        return $patient_info;
+    }
+
+    /**
+     * 获取挂号信息(实时，不取缓存)
+     * @param string $date
+     * @param string $dept_id
+     * @param string $doctor_id
+     * @param string $reg_id
+     * @return array
+     * @throws GeneralException
+     */
+    protected function getRegisterScheduleDetails(string $date, string $dept_id, string $doctor_id, string $reg_id): array
+    {
+        // 获取排班医生信息
+        $is_today = $dept_id === date('Y-m-d') ? '3' : '1';
+        $schedule_info = $this->his_client->getDoctorLists($dept_id, $is_today, '', $date);
+        if (!isset($schedule_info['success']) || !$schedule_info['success']) {
+            throw new GeneralException($schedule_info['msg'] ?? '找不到该号源，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        // 获取号源信息
+        foreach ($schedule_info['response'] as $v) {
+            if ($v['doctId'] === $doctor_id) {
+                foreach ($v['doctotVisitInfoList'] as $v2) {
+                    if ($v2['regId'] === $reg_id && $v2['visitDate'] === $date) {
+                        $v['scheduleInfo'] = $v2;
+                        unset($v['doctotVisitInfoList']);
+                        $info = $v;
+                    }
+                }
+            }
+        }
+
+        if (empty($info)) {
+            throw new GeneralException('找不到该号源，请重新再试！', Response::HTTP_BAD_REQUEST);
+        }
+
+        if (!isset($info['scheduleInfo']['regCount']) || $info['scheduleInfo']['regCount'] <= 0) {
+            throw new GeneralException('该号源已挂完，请重新选择号源！', Response::HTTP_BAD_REQUEST);
+        }
+
+        // 获取科室名称
+        /*if (Redis::exists('departments.'. $date)) {
+            $dept_lists = Redis::get('departments.'. $date);
+            $dept_lists = json_decode($dept_lists, true);
+        } else {
+            $dept_lists = $this->his_client->getDepType('', '','01', $date);
+
+            if (!isset($dept_lists['success']) || !$dept_lists['success']) {
+                throw new GeneralException($schedule_info['msg'] ?? '找不到该号源，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+            }
+        }
+
+        foreach ($dept_lists['response'] as $v) {
+            if ($v['typeId'] === $dept_id) {
+                $info['dept_id'] = $v['typeId'];
+                $info['dept_name'] = $v['typeName'];
+            }
+        }*/
+
+        // 获取科室名称
+        $department_info = Department::where('dept_id', $dept_id)->where('is_enable', 1)->first();
+        if (!$department_info){
+            throw new GeneralException($schedule_info['msg'] ?? '找不到该号源，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        $info['dept_id'] = $department_info['dept_id'];
+        $info['dept_name'] = $department_info['dept_name'];
+
+        $this->info('挂号排班信息', $info);
+        return $info;
+    }
+
+    /**
+     * 挂号预结算
+     * @param string $patient_number
+     * @param string $patient_name
+     * @param string $total_fee
+     * @param string $fee_code
+     * @param string $reg_id
+     * @param PatientProperty $patient_property
+     * @param string $pay_auth_no
+     * @param string $user_lng_lat
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function registrationPreSettle(string $patient_number, string $patient_name, string $total_fee, string $fee_code, string $reg_id, PatientProperty $patient_property, string $pay_auth_no, string $user_lng_lat): mixed
+    {
+        try {
+            // 挂号预结算
+            $response = $this->his_medical_client->registrationPreSettle(
+                $patient_number,
+                $patient_name,
+                $total_fee,
+                $fee_code,
+                $reg_id,
+                $patient_property,
+                $pay_auth_no,
+                $user_lng_lat,
+            );
+            $this->info('挂号预结算返回结果', $response);
+
+        } catch (\Exception $e) {
+            $err_msg = $e->getMessage(). ' On '. $e->getFile(). ':'. $e->getLine();
+            $this->error('挂号预结算异常, 异常消息:'. $err_msg);
+
+            throw new GeneralException('挂号预结算失败，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        // 返回 false / 没有返回预结算费用信息
+        if(empty($response) || empty($response['Result'])) {
+            throw new GeneralException('挂号预结算失败，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        if (!isset($response['ResultCode']) || $response['ResultCode'] !== '1') {
+            throw new GeneralException($response['ErrorMsg'] ?: '挂号预结算遇到未知错误，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        return $response['Result'];
+    }
+
+    /**
+     * 获取缓存里的用户医保授权信息
+     * @param string $patient_id
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function getCacheUserMedicalInsuranceAuthInfo(string $patient_id): mixed
+    {
+        $cache_key = BuildCacheKeyName::getUserMedicalInsuranceAuthKey($this->open_id, $patient_id);
+
+        // 先获取缓存里的医保处方数据
+        if (!Redis::exists($cache_key)) {
+            throw new GeneralException('请先进行医保授权！', Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+
+        $auth_info = Redis::get($cache_key);
+        $auth_info =  json_decode($auth_info, true);
+
+        $this->info('用户医保授权信息数据包(cache)', $auth_info);
+        return $auth_info;
+    }
+
+    /**
+     * 获取挂号预结算信息
+     * @param string $reg_id
+     * @param PatientProperty $patient_property
+     * @param SettleType $settle_type
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function getRegistrationPreSettleInfo(string $reg_id, PatientProperty $patient_property, SettleType $settle_type): mixed
+    {
+        $settle_cache_key = BuildCacheKeyName::getRegistrationPreSettleInfoKey($this->open_id, $reg_id, $patient_property->value, $settle_type->value);
+
+        if (!Redis::exists($settle_cache_key)) {
+            throw new GeneralException('挂号预结算信息已过期，请重新再试！');
+        }
+
+        $pre_settle_info = Redis::get($settle_cache_key);
+        $pre_settle_info =  json_decode($pre_settle_info, true);
+
+        $this->info('挂号预结算返回数据包(cache)', $pre_settle_info);
+        return $pre_settle_info;
+    }
+
+    /**
+     * 创建医保挂号订单表
+     * @param string $order_id
+     * @param OrderPayType $pay_type
+     * @param float $total_fee
+     * @param float $reduce_fee
+     * @param Type $order_type
+     * @param array $patient_info
+     * @param array $schedule_info
+     * @param array $pre_settle_info
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function createMedicalOrder(string $order_id, PayType $pay_type, float $total_fee, float $reduce_fee, Type $order_type, array $patient_info, array $schedule_info, array $pre_settle_info): mixed
+    {
+        // 挂号记录表
+        $reg_record_data = [
+            'relate_patient_id' => $patient_info['id'],
+            'reg_id' => $schedule_info['scheduleInfo']['regId'],
+            'dept_id' => $schedule_info['dept_id'],
+            'dept_name' => $schedule_info['dept_name'],
+            'dept_location' => '',
+            'doctor_id' => $schedule_info['doctId'],
+            'doctor_name' => $schedule_info['doctName'],
+            'visit_date' => date('Y-m-d', strtotime($schedule_info['scheduleInfo']['visitDate'])),
+            'begin_time' => $schedule_info['scheduleInfo']['startTime'],
+            'end_time' => $schedule_info['scheduleInfo']['endTime'],
+            'lock_status' => 0,
+            'extra_info' => json_encode([
+                ... $schedule_info,
+                'pre_settle_info' => $pre_settle_info,
+            ], JSON_UNESCAPED_UNICODE)
+        ];
+
+        $order = $this->order_model->createOrder(
+            $patient_info['id'],
+            $order_id,
+            $pay_type,
+            $total_fee * 100,
+            $reduce_fee * 100,
+            $this->open_id,
+            $patient_info['patientId'],
+            $patient_info['name'],
+            $order_type,
+            SourceId::MINI_PROGRAM,
+            $reg_record_data
+        );
+        if (empty($order)) {
+            throw new GeneralException('创建医保挂号单失败，请重新再试！');
+        }
+
+        $this->info('创建国标医保订单订单,ID：'. $order->id);
+        return $order;
+    }
+
+    /**
+     * 申请医保支付
+     * @param Type $order_type 订单类型
+     * @param string $order_id 订单号
+     * @param float $total_fee 总金额
+     * @param float $reduce_fee 减免金额
+     * @param float $self_fee 自费金额
+     * @param array $patient_info 患者信息
+     * @param array $auth_info 用户授权信息
+     * @param array $pre_settle_info 预结算信息
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function applyMedicalPayment(Type $order_type, string $order_id, float $total_fee, float $reduce_fee, float $self_fee, array $patient_info, array $auth_info, array $pre_settle_info): mixed
+    {
+        // 患者信息
+        $patient_id = &$patient_info['patient_id'];
+        $patient_name = &$patient_info['name'];
+        $id_card_no = &$patient_info['idCardNo'];
+        // $open_id = &$this->open_id;
+        $open_id = 'ozOD16zPgRmjdh_O3VvtFtKaiLP0';
+
+        // 医保相关参数判断
+        // 医保部分扣费类型 0：统筹+个账 1：个账 2：统筹
+        $consume_type = $reduce_fee > 0 ? 2 : 0;
+        // 支付方式 1：现金 2：医保 3：现金+医保; cash_fee>0, paytype填3; cash_fee=0, paytype填2
+        $pay_type = $reduce_fee <= 0 ? 2 : 3;
+
+        // 证件号码类型
+        $card_type = getIDCardType($id_card_no);
+        switch ($card_type) {
+            default:
+            case 1:
+                $user_card_type = 1;
+                break;
+            case 2:
+                $user_card_type = match (true) {
+                    preg_match('/^HKG\d{9}$/', $id_card_no) => 6,
+                    preg_match('/^MAC\d{9}$/', $id_card_no) => 4,
+                    preg_match('/^TWN\d{9}$/', $id_card_no) => 5,
+                };
+                break;
+            case 3:
+            case 4:
+                $user_card_type = 7;
+                break;
+        }
+
+        try {
+            $order_obj = new CreateMedicalInsuranceOrder(
+                orderType: $order_type->unifyOrderType(),
+                attach: $patient_id. '|'.  $patient_name,
+                insuranceOrderType: OrderType::DIAG_PAY->value,
+                orderNo: $order_id,
+                hospitalName: '珠海市香洲区第二人民医院',
+                totalAmount: (string) $total_fee,
+                cashAmount: (string) $self_fee,
+                allowFeeChange: 0,
+                spbillCreateIp: request()->ip(),
+                openid: $open_id,
+                notifyUrl: config('custom.payment_notify_url'),
+                title: $order_type->label(),
+                payType: (string) $pay_type,
+                cityCode: config('wechat.medical.auth.city_code'),
+                consumeType: $consume_type,
+                insuranceAmount: (string) $reduce_fee,
+                userCardType: $user_card_type,
+                idCardNo: md5(strtoupper($id_card_no)),
+                name: $patient_name,
+                serialNo: $pre_settle_info['MedOrgOrd'],
+                orgNo: config('wechat.medical.auth.org_codg'),
+                requestContent: [
+                    'payAuthNo' => $auth_info['pay_auth_no'],
+                    'payOrdId' => $pre_settle_info['PayOrdId'],
+                    'setlLatlnt' => $auth_info['user_longitude_latitude']['latitude']. ','. $auth_info['user_longitude_latitude']['longitude'],
+                ],
+                channelNo: config('wechat.medical.auth.channel')
+            );
+
+            $response = Unify::pay(config('unifyTest'))->mini->medicalPay($order_obj);
+            $this->info('medical Pay 支付参数', $response);
+
+            if (!$response['success'] || empty($response['response'])) {
+                throw new GeneralException('申请医保支付失败，请重新再试！', Response::HTTP_SERVICE_UNAVAILABLE);
+            }
+
+            return $response['response'];
+        } catch (InvalidConfigException|RuntimeException|ReflectionException $e) {
+            throw new GeneralException('申请医保支付失败，请重新再试！', Response::HTTP_INTERNAL_SERVER_ERROR);
+        }
+    }
+}

app/Http/Logics/Report/InspectLogic.php

@@ -8,12 +8,13 @@ use App\Dictionary\Order\SourceId;
 use App\Dictionary\Order\Status;
 use App\Dictionary\Order\Type;
 use App\Dictionary\Patient\CardType;
+use App\Dictionary\Report\ImageType;
 use App\Exceptions\GeneralException;
 use App\Models\Order;
 use App\Models\Patient;
 use App\Models\RegistrationRecord;
 use App\Services\HisHttp\Client;
-use App\Utils\Traits\BuildCacheKeyName;
+use App\Utils\Statics\BuildCacheKeyName;
 use App\Utils\Traits\Logger;
 use App\Utils\Traits\MiniProgramAuth;
 use App\Utils\Traits\SendSubscribeMessage;
@@ -29,7 +30,6 @@ class InspectLogic
 {
     use Logger;
     use MiniProgramAuth;
-    use BuildCacheKeyName;
 
     private Client $his_client;
 
@@ -67,7 +67,7 @@ class InspectLogic
             throw new GeneralException($response['msg'] ?? '找不到该就诊卡！', Response::HTTP_SERVICE_UNAVAILABLE);
         }
 
-        Redis::setex($this->getInspectReportListsKey($this->open_id, $patient_info['patient_id']), 3600, json_encode($response['response'], JSON_UNESCAPED_UNICODE));
+        Redis::setex(BuildCacheKeyName::getInspectReportListsKey($this->open_id, $patient_info['patient_id']), 3600, json_encode($response['response'], JSON_UNESCAPED_UNICODE));
         return $response['response'];
     }
 
@@ -82,7 +82,10 @@ class InspectLogic
     {
         $patient_info = $this->getPatientInfo($this->open_id, $patient_number);
 
-        $report_lists_cache_key = $this->getInspectReportListsKey($this->open_id, $patient_info['patient_id']);
+        // 缓存键名
+        $report_lists_cache_key = BuildCacheKeyName::getInspectReportListsKey($this->open_id, $patient_info['patient_id']);
+        $report_images_cache_key = BuildCacheKeyName::getInspectReportDetailsImagesKey($this->open_id, $patient_info['patient_id'], $serial_no);
+
         if (!Redis::exists($report_lists_cache_key)) {
             throw new GeneralException('找不到报告详情，请重新再试！', Response::HTTP_BAD_REQUEST);
         }
@@ -102,6 +105,24 @@ class InspectLogic
             throw new GeneralException('找不到报告详情，请重新再试！', Response::HTTP_BAD_REQUEST);
         }
 
+        $images = [];
+        if (!Redis::exists($report_images_cache_key)) {
+            $image_response = $this->his_client->getInspectReportImages(ImageType::IMAGE,$serial_no);
+
+            if (isset($image_response['success']) && $image_response['success']) {
+                $images = $image_response['response']['fileBase64'];
+            }
+
+            // 缓存图片base64进去
+            if (!empty($images)) {
+                Redis::setex($report_images_cache_key, 3600, json_encode($images, JSON_UNESCAPED_UNICODE));
+            }
+        } else {
+            $images = Redis::get($report_images_cache_key);
+            $images = json_decode($images, true);
+        }
+
+        $info['pacs'] = $images;
         return $info;
     }
 

app/Http/Requests/Patient/BindPatientRequest.php

@@ -3,6 +3,7 @@
 namespace App\Http\Requests\Patient;
 
 use App\Dictionary\Patient\IdentifyCardType;
+use Dflydev\DotAccessData\Data;
 use Illuminate\Contracts\Validation\ValidationRule;
 use Illuminate\Foundation\Http\FormRequest;
 

app/Http/Requests/Registration/RegisterPreSettleRequest.php

@@ -0,0 +1,77 @@
+<?php
+
+namespace App\Http\Requests\Registration;
+
+use App\Dictionary\Medical\PatientProperty;
+use App\Dictionary\Medical\SettleType;
+use Illuminate\Contracts\Validation\ValidationRule;
+use Illuminate\Foundation\Http\FormRequest;
+use Illuminate\Validation\Rules\Enum;
+
+class RegisterPreSettleRequest extends FormRequest
+{
+    /**
+     * Determine if the user is authorized to make this request.
+     */
+    public function authorize(): bool
+    {
+        return true;
+    }
+
+    /**
+     * Get the validation rules that apply to the request.
+     *
+     * @return array<string, ValidationRule|array|string>
+     */
+    /**
+     * 规则
+     * @return array
+     */
+    public function rules(): array
+    {
+        return [
+            'date' => 'required|date_format:Y-m-d||after_or_equal:today',
+            'dept_id' => 'required',
+            'doctor_id' => 'required',
+            'reg_id' => 'required',
+            'patient_property' => ['required', new Enum(PatientProperty::class)],
+            'settle_type' => ['required', new Enum(SettleType::class)],
+        ];
+    }
+
+    /**
+     * 错误提示语句
+     * @return array
+     */
+    public function messages(): array
+    {
+        return [
+            'date.required' => '必须选择挂号日期',
+            'date.date_format' => '必须选择挂号日期',
+            'date.after_or_equal' => '挂号日期不得小于今天',
+            'dept_id.required' => '必须选择挂号科室',
+            'doctor_id.required' => '必须选择挂号医生',
+            'reg_id.required' => '必须选择挂号时间段',
+            'patient_property.required' => '请选择病人性质',
+            'patient_property.Illuminate\Validation\Rules\Enum' => '请选择正确的病人性质',
+            'settle_type.required' => '请选择结算类型',
+            'settle_type.Illuminate\Validation\Rules\Enum' => '请选择正确的结算类型',
+        ];
+    }
+
+    /**
+     * 字段名称
+     * @return array
+     */
+    public function attributes(): array
+    {
+        return [
+            'date' => '挂号日期',
+            'dept_id' => '挂号科室',
+            'doctor_id' => '挂号医生',
+            'reg_id' => '挂号时间段',
+            'patient_property' => '病人性质',
+            'settle_type' => '结算类型',
+        ];
+    }
+}

app/Http/Resources/Outpatient/Medical/PrescriptionPreSettleResource.php

@@ -0,0 +1,37 @@
+<?php
+declare(strict_types = 1);
+
+namespace App\Http\Resources\Outpatient\Medical;
+
+use Illuminate\Http\Request;
+use Illuminate\Http\Resources\Json\JsonResource;
+
+class PrescriptionPreSettleResource extends JsonResource
+{
+    /**
+     * Transform the resource into an array.
+     *
+     * @return array<string, mixed>
+     */
+    public function toArray(Request $request = null): array
+    {
+        if (empty($this->resource)) {
+            return [];
+        }
+
+        return [
+            // 总金额
+            'total_amt' => (float) $this->resource['TotalAmount'],
+            // 减免金额
+            'medical_amt' => (float) $this->resource['MedicareAmount'],
+            // 现金金额
+            'pay_amt' => (float) $this->resource['PayAmount'],
+            // 个人账户支付金额
+            'account_amt' => (float) $this->resource['AccountAmount'],
+            // 其他优惠金额
+            'other_amt'  => 0,
+            // 加收费费用描述
+            'extra_fee_desc' => $this->resource['ExtraFeeDesc'] ?? ''
+        ];
+    }
+}

app/Http/Resources/Registration/Medical/RegisterPreSettleResource.php

@@ -0,0 +1,37 @@
+<?php
+declare(strict_types = 1);
+
+namespace App\Http\Resources\Registration\Medical;
+
+use Illuminate\Http\Request;
+use Illuminate\Http\Resources\Json\JsonResource;
+
+class RegisterPreSettleResource extends JsonResource
+{
+    /**
+     * Transform the resource into an array.
+     *
+     * @return array<string, mixed>
+     */
+    public function toArray(Request $request = null): array
+    {
+        if (empty($this->resource)) {
+            return [];
+        }
+
+        return [
+            // 总金额
+            'total_amt' => (float) $this->resource['TotalAmount'],
+            // 减免金额
+            'medical_amt' => (float) $this->resource['MedicareAmount'],
+            // 现金金额
+            'pay_amt' => (float) $this->resource['PayAmount'],
+            // 个人账户支付金额
+            'account_amt' => (float) $this->resource['AccountAmount'],
+            // 其他优惠金额
+            'other_amt'  => 0,
+            // 加收费费用描述
+            'extra_fee_desc' => $this->resource['ExtraFeeDesc'] ?? ''
+        ];
+    }
+}

app/Jobs/SendWeChatMessageJob.php

@@ -152,6 +152,12 @@ class SendWeChatMessageJob implements ShouldQueue, ShouldBeUnique
      */
     public function failed(string $fail_reason): void
     {
+        // 错误信息截断
+        if (!empty($fail_reason) && strlen($fail_reason) >= 180) {
+            $fail_reason = mb_substr($fail_reason, 0, 180);
+            $fail_reason .= '...';
+        }
+
         $this->message->status = MessageStatus::FAILURE->value;
         $this->message->fail_reason = $fail_reason;
         $this->message->save();

app/Models/Order.php

@@ -112,7 +112,7 @@ class Order extends Model
     /**
      * 获取订单ID
      * @param PayType $pay_type 支付类型
-     * @param string $user W 微信 D 大机器 X 小机器 H his
+     * @param string $user W 微信 M 小程序 D 大机器 X 小机器 H his
      * @return string
      */
     public function getOrderId(PayType $pay_type, string $user = 'D'): string

app/Providers/AppServiceProvider.php

@@ -4,6 +4,7 @@ namespace App\Providers;
 
 use App\Services\HisSoap\Client as HisSoapClient;
 use App\Services\HisHttp\Client as HisHttpClient;
+use App\Services\HisMedicalHttp\Client as HisMedicalHttpClient;
 use Illuminate\Support\Facades\Route;
 use Illuminate\Routing\UrlGenerator;
 use Illuminate\Support\Facades\Schema;
@@ -64,5 +65,10 @@ class AppServiceProvider extends ServiceProvider
         $this->app->singleton('HisHttpService', function () {
             return new HisHttpClient();
         });
+
+        // His平台服务 - medical http
+        $this->app->singleton('HisMedicalHttpClient', function () {
+            return new HisMedicalHttpClient();
+        });
     }
 }

app/Services/HealthRecordAuth/Client.php

@@ -7,6 +7,9 @@ use App\Utils\SM4;
 use App\Utils\Traits\HttpRequest;
 use Exception;
 
+/**
+ * 广东省健康档案授权
+ */
 class Client
 {
     use HttpRequest;

app/Services/HisHttp/Client.php

@@ -3,8 +3,11 @@ declare(strict_types=1);
 
 namespace App\Services\HisHttp;
 
+use App\Dictionary\Medical\PayType as MedicalPayType;
+use App\Dictionary\Medical\SettleType;
 use App\Dictionary\Patient\CardType;
 use App\Dictionary\Patient\Sex;
+use App\Dictionary\Report\ImageType;
 use App\Exceptions\GeneralException;
 use App\Utils\Traits\Logger;
 use App\Utils\Transfer\HisHttpClient\ClientFactory;
@@ -24,7 +27,7 @@ class Client
      */
     public function __construct()
     {
-        $his_name = 'his_api';
+        $his_name = 'his_http';
         $this->service = ClientFactory::getClientTransfer($his_name);
         $this->setChannel($his_name);
     }
@@ -675,5 +678,23 @@ class Client
         ]);
     }
 
+    /**
+     * 获取检查报告影像结果
+     * @param ImageType $type 选择查询的类型， styid=查询胶片id,入参(studyid)； img=获取胶片,入参(胶片id)； img64=获取胶片base64编码,入参(胶片id)； pdf=获取报告pdf文件,入参(studyid)； pdf64=获取报告pdf的base64编码,入参(studyid)
+     * @param string $report_id 根据类型字段选择入参 styid,pdf,pdf64入参为studyid；img，img64为胶片id；
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function getInspectReportImages(ImageType $type, string $report_id): mixed
+    {
+        return $this->requestHandle('POST', 'QueryImageReport', [
+            'json' => [
+                'fileType' => $type,
+                'reportId' => $report_id,
+                ... $this->commonRequestData()
+            ]
+        ]);
+    }
+
     // Inspect/Check Module End
 }

app/Services/HisMedicalHttp/Client.php

@@ -0,0 +1,293 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Services\HisMedicalHttp;
+
+use App\Dictionary\Medical\PatientProperty;
+use App\Dictionary\Medical\PayType as MedicalPayType;
+use App\Dictionary\Medical\SettleType;
+use App\Exceptions\GeneralException;
+use App\Utils\Traits\Logger;
+use App\Utils\Transfer\HisMedicalHttpClient\ClientFactory;
+use App\Utils\Transfer\HttpTransferAbstract;
+use Exception;
+use Symfony\Component\HttpFoundation\Response;
+
+class Client
+{
+    use Logger;
+
+    // his服务
+    private HttpTransferAbstract $service;
+
+    /**
+     * Client  Construct
+     */
+    public function __construct()
+    {
+        $his_name = 'his_medical_http';
+        $this->service = ClientFactory::getClientTransfer($his_name);
+        $this->setChannel($his_name);
+    }
+
+    /**
+     * 公共入参
+     * @return array
+     */
+    protected function commonRequestData(): array
+    {
+        return [];
+    }
+
+    /**
+     * 请求
+     * @param string $method_name
+     * @param string $request_name
+     * @param array $params
+     * @return mixed
+     * @throws GeneralException
+     */
+    protected function requestHandle(string $method_name, string $request_name, array $params): mixed
+    {
+        try {
+            return $this->service
+                ->transferMethod($method_name, $request_name, $params)
+                ->getResult();
+
+        } catch (Exception $e) {
+            $err_msg = "{$e->getMessage()} ON {$e->getFile()}:{$e->getLine()}";
+            $this->error('调用api接口失败, 错误消息:' . $err_msg, $params);
+
+            throw new GeneralException($e->getMessage(), Response::HTTP_SERVICE_UNAVAILABLE);
+        }
+    }
+
+    /**
+     * 医保定点签约
+     * @param string $cert_type
+     * @param string $cert_no
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function medicalDesignated(string $cert_type, string $cert_no): mixed
+    {
+        // 调用请求处理方法
+        return $this->requestHandle('POST', 'HospRedesignated', [
+            'json' => [
+                'ApplicationId' => '',
+                'ApplicationSecret' => '',
+                'Parameter' => [
+                    'mdtrt_cert_type' => $cert_type,
+                    'mdtrt_cert_no' => $cert_no
+                ]
+            ]
+        ]);
+    }
+
+    /**
+     * 挂号预结算
+     * @param string $patient_number 门诊号码
+     * @param string $patient_name 患者名称
+     * @param string $total_fee 挂号总金额
+     * @param string $fee_code 费用代码
+     * @param string $reg_id 挂号号源ID
+     * @param PatientProperty $patient_property 病人性质
+     * @param string $pay_auth_no 支付授权码
+     * @param string $lat_lnt 经纬度信息
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function registrationPreSettle(
+        string $patient_number,
+        string $patient_name,
+        string $total_fee,
+        string $fee_code,
+        string $reg_id,
+        PatientProperty $patient_property,
+        string $pay_auth_no,
+        string $lat_lnt,
+    ): mixed
+    {
+        // 调用请求处理方法
+        return $this->requestHandle('POST', 'GetPrecalculatedFeeGh', [
+            'json' => [
+                'ApplicationId' => '',
+                'ApplicationSecret' => '',
+                'Parameter' => [
+                    'PatientId' => $patient_number,
+                    'PatientName' => $patient_name,
+                    'TotalFee' => $total_fee,
+                    'FeeCode' => $fee_code,
+                    'RegId' => $reg_id,
+                    'Brxz' => $patient_property->value,
+                    'PayAuthNo' => $pay_auth_no,
+                    'UldLatlnt' => $lat_lnt,
+                ]
+//                'hospitalId' => '',
+//                'PatientId' => $patient_number,
+//                'PatientName' => $patient_name,
+//                'TotalFee' => '01',
+//                'FeeCode' => $fee_code,
+//                'RegId' => $reg_id,
+//                'Brxz' => $patient_property,
+//                'PayAuthNo' => $pay_auth_no,
+//                'UldLatlnt' => $lat_lnt,
+//                ... $this->commonRequestData()
+            ]
+        ]);
+    }
+
+    /**
+     * 查询就诊记录中的所有诊疗单据
+     * @param string $patient_number 就诊卡号
+     * @param string $start_date 查询开始日期 yyyy-MM-dd
+     * @param string $end_date 查询结束日期 yyyy-MM-dd
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function getMedicalPendingLists(
+        string $patient_number,
+        string $start_date,
+        string $end_date
+    ): mixed
+    {
+        // 调用请求处理方法
+        return $this->requestHandle('POST', 'GetUnpayedList', [
+            'json' => [
+                 'ApplicationId' => '',
+                 'ApplicationSecret' => '',
+                 'Parameter' => [
+                     'BeginDate' => $start_date,
+                     'EndDate' => $end_date,
+                     'CardType' => '01',
+                     'CardId' => $patient_number
+                 ]
+
+//                'hospitalId' => '',
+//                'beginDate' => $start_date,
+//                'endDate' => $end_date,
+//                'cardType' => '01',
+//                'cardId' => $patient_number,
+//                ... $this->commonRequestData()
+            ]
+        ]);
+    }
+
+    /**
+     * 门诊缴费预结算
+     * @param string $patient_number 门诊号码
+     * @param string $patient_name 患者名称
+     * @param string $pay_auth_no 支付授权码
+     * @param string $lat_lnt 经纬度信息
+     * @param SettleType $settle_type 结算类型（是否使用个账）
+     * @param MedicalPayType $pay_type 医保支付类型
+     * @param array $fee_records 处方数组集合 [0 => ["FeeNo"=>"", "FeeTypeCode"=>""], 1 => ...]
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function outpatientPreSettle(
+        string $patient_number,
+        string $patient_name,
+        string $pay_auth_no,
+        string $lat_lnt,
+        SettleType $settle_type,
+        MedicalPayType $pay_type,
+        array $fee_records
+    ): mixed
+    {
+        // 调用请求处理方法
+        return $this->requestHandle('POST', 'GetPrecalculatedFee', [
+            'json' => [
+                'ApplicationId' => '',
+                'ApplicationSecret'=> '',
+                'Parameter'=> [
+                    'HospitalId' => '',
+                    'PatientId'=> $patient_number,
+                    'PatientName'=> $patient_name,
+                    'PayAuthNo'=> $pay_auth_no,
+                    'UldLatlnt'=> $lat_lnt,
+                    'IsInsSelfPay'=> $settle_type->value,
+                    'YbPayType'=> $pay_type->value,
+                    'FeeRecords'=> $fee_records
+                ]
+//                'hospitalId' => '',
+//                'patientId' => $patient_number,
+//                'patientName' => $patient_name,
+//                'payAuthNo' => $pay_auth_no,
+//                'uldLatlnt' => $lat_lnt,
+//                'isInsSelfPay' => $settle_type->value,
+//                'ybPayType' => $pay_type->value,
+//                'payType' => '03',
+//                'feeRecord' => $fee_records,
+//                ... $this->commonRequestData()
+            ]
+        ]);
+    }
+
+    /**
+     * 确认医保缴费
+     * @param string $patient_number 门诊号码
+     * @param string $patient_name 患者名称
+     * @param string $trade_no 订单唯一标识
+     * @param string $precal_id 预结算ID
+     * @param string $trade_date 支付时间 yyyy-MM-dd HH:mm:ss
+     * @param string $total_amount 总金额 单位元
+     * @param string $medicare_amount 统筹金额 单位元
+     * @param string $pay_amount 现金金额 单位元
+     * @param string $account_amount 个帐金额 单位元
+     * @param MedicalPayType $pay_type 医保支付类型
+     * @param array $fee_records 处方数组集合 [0 => ['FeeNo"=>"", "FeeTypeCode"=>""], 1 => ...]
+     * @return mixed
+     * @throws GeneralException
+     */
+    public function confirmMedicalOutpatient(
+        string $patient_number,
+        string $patient_name,
+        string $trade_no,
+        string $precal_id,
+        string $trade_date,
+        string $total_amount,
+        string $medicare_amount,
+        string $pay_amount,
+        string $account_amount,
+        MedicalPayType $pay_type,
+        array $fee_records
+    ): mixed
+    {
+        return $this->requestHandle('POST', 'NotifyPayed', [
+            'json' => [
+                'ApplicationId' => '',
+                'ApplicationSecret'=> '',
+                'Parameter'=> [
+                    'HospitalId' => '',
+                    'PatientId'=> $patient_number,
+                    'PatientName'=> $patient_name,
+                    'TradeNo' => $trade_no,
+                    'PrecalId' => $precal_id,
+                    'TradeDate' => $trade_date,
+                    'TotalAmount' => $total_amount,
+                    'MedicareAmount' => $medicare_amount,
+                    'PayAmount' => $pay_amount,
+                    'AccountAmount' => $account_amount,
+                    'YbPayType' => $pay_type->value,
+                    'PayType' => '03',
+                    'FeeRecord' => $fee_records,
+                ]
+//                'hospitalId' => '',
+//                'patientId' => $patient_number,
+//                'patientName' => $patient_name,
+//                'tradeNo' => $trade_no,
+//                'precalId' => $precal_id,
+//                'tradeDate' => $trade_date,
+//                'totalAmount' => $total_amount,
+//                'medicareAmount' => $medicare_amount,
+//                'payAmount' => $pay_amount,
+//                'accountAmount' => $account_amount,
+//                'ybPayType' => $pay_type->value,
+//                'payType' => '03',
+//                'feeRecord' => $fee_records,
+//                ... $this->commonRequestData()
+            ]
+        ]);
+    }
+}

app/Services/MedicalAuth/Client.php

@@ -5,10 +5,8 @@ declare(strict_types=1);
 namespace App\Services\MedicalAuth;
 
 use App\Utils\Traits\HttpRequest;
+use App\Utils\Traits\Logger;
 use Exception;
-use GuzzleHttp\Exception\GuzzleException;
-use JsonException;
-use Psr\Http\Message\ResponseInterface;
 // use JetBrains\PhpStorm\ArrayShape;
 
 /**
@@ -16,9 +14,10 @@ use Psr\Http\Message\ResponseInterface;
  *
  * @link https://yb.qq.com/yibao-payment/doc?nodeId=83679977515675648
  */
-class Authorization
+class Client
 {
 
+    use Logger;
     use HttpRequest;
 
     /**
@@ -105,9 +104,9 @@ class Authorization
      * @param array $params
      * @param string $method
      * @param array $options
-     * @return ResponseInterface|string[]
+     * @return array|mixed
      */
-    protected function requestHanle(string $endpoint, array $params = [], string $method = 'post', array $options = [])
+    protected function requestHandle(string $endpoint, array $params = [], string $method = 'post', array $options = []): mixed
     {
         $timestamp = $this->getMillisecond();
         $params = array_merge([
@@ -121,64 +120,42 @@ class Authorization
         ], $options);
 
         try {
-            $response = $this->request($endpoint, $method, $params);
+            $response = $this->request($method, $endpoint, $params);
 
             $this->writerLog($endpoint, $params, $response);
 
             return $response;
 
         } catch (Exception $e) {
+            $err_msg = "{$e->getMessage()} ON {$e->getFile()}:{$e->getLine()}";
+            $this->info($endpoint, $params, $err_msg);
+
             return [
                 'code' => -1,
-                //'message' => "{$e->getMessage()} ON {$e->getFile()}:{$e->getLine()}"
+                //'message' => $err_msg
                 'message' => $e->getMessage()
             ];
         }
     }
 
     /**
-     * 记录日志
+     * 获取小程序授权跳转地址
-     * @param string $request_url
-     * @param mixed $request_data
-     * @param mixed $response
-     * @return void
-     */
-    private function writerLog(string $request_url, mixed $request_data, mixed $response): void
-    {
-        //写入日志
-        $log_content = [
-            '[REQUEST TIME] ' . date('Y-m-d H:i:s'),
-            '[REQUEST URL] ' . $request_url,
-            '[REQUEST PARAM] ' . json_encode($request_data, JSON_UNESCAPED_UNICODE),
-            '[RESPONSE PARAM] ' . json_encode($response, JSON_UNESCAPED_UNICODE),
-            "\r\n",
-        ];
-
-        recordLog('authorization', implode("\r\n", $log_content));
-    }
-
-    /**
-     * 获取授权跳转地址
-     * @param string $return_url 回调地址
      * @return string
      */
-    public function getAuthRedirectUrl(string $return_url): string
+    public function getMiniProgramAuthRedirectUrl(): string
     {
-        $url = '/oauth/code';
+        $url = 'auth/pages/bindcard/auth/index';
         $data = [
-            'authType' => 2,
+            'openType' => 'getAuthCode',
-            'isDepart' => 2,
-            'bizType' => '04107',
-            'appid' => $this->config['app_id'],
             'cityCode' => $this->config['city_code'],
             'channel' => $this->config['channel'],
             'orgChnlCrtfCodg' => $this->config['org_chnl_crtf_codg'],
             'orgCodg' => $this->config['org_codg'],
+            'bizType' => '04107',
             'orgAppId' => $this->config['org_app_id'],
-            'redirectUrl' => $return_url
         ];
 
-        $redirect_url = $this->auth_host . $url . '?' . http_build_query($data);
+        $redirect_url = $url . '?' . http_build_query($data);
 
         $this->writerLog($url, $data, '');
 
@@ -189,10 +166,9 @@ class Authorization
      * 查询用户授权
      * @param string $auth_code
      * @param string $open_id
-     * @return ResponseInterface|string[]
+     * @return mixed
-     * @throws GuzzleException
      */
-    public function userQuery(string $auth_code, string $open_id): array|ResponseInterface
+    public function userQuery(string $auth_code, string $open_id): mixed
     {
         $uri = '/api/mipuserquery/userQuery/' . $this->config['partner_id'];
         $param = [
@@ -200,6 +176,6 @@ class Authorization
             'openid' => $open_id,
         ];
 
-        return $this->requestHanle($uri, $param);
+        return $this->requestHandle($uri, $param);
     }
 }

app/Utils/Helpers.php

@@ -1,5 +1,6 @@
 <?php
 
+use App\Dictionary\Patient\IdentifyCardType;
 use EasyWeChat\MiniApp\Application as MiniApplication;
 use EasyWeChat\Pay\Application as PayApplication;
 use Illuminate\Http\JsonResponse;
@@ -207,7 +208,7 @@ if (!function_exists('getIDCardType')) {
         }
 
         // 港澳台 社保卡号
-        if (preg_match("/^[HKG|MAC|TWN][0-9]{9}$/", $id_card)) {
+        if (preg_match("/^(HKG|MAC|TWN)[0-9]{9}$/", $id_card)) {
             return 2;
         }
 

app/Utils/Statics/BuildCacheKeyName.php

@@ -0,0 +1,101 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Utils\Statics;
+
+class BuildCacheKeyName
+{
+    /**
+     * 获取 检验报告列表 缓存建名
+     * @param string $open_id
+     * @param string $patient_id
+     * @return string
+     */
+    public static function getInspectReportListsKey(string $open_id, string $patient_id): string
+    {
+        return 'report.inspect.'. $open_id. '.'. $patient_id;
+    }
+
+    /**
+     * 获取 检验报告详情图片 缓存建名
+     * @param string $open_id
+     * @param string $patient_id
+     * @param string $serial_no
+     * @return string
+     */
+    public static function getInspectReportDetailsImagesKey(string $open_id, string $patient_id, string $serial_no): string
+    {
+        return 'report.inspect.'. $open_id. '.'. $patient_id. '.images.'. $serial_no;
+    }
+
+    /**
+     * 获取 门诊待缴费列表 缓存键名
+     * @param string $open_id
+     * @param string $patient_id
+     * @return string
+     */
+    public static function getOutpatientPendingListsKey(string $open_id, string $patient_id): string
+    {
+        return 'outpatient.pending.'. $open_id. '.'. $patient_id;
+    }
+
+    /**
+     * 获取 门诊待缴费详情 缓存键名
+     * @param string $open_id
+     * @param string $patient_id
+     * @param string $serial_no
+     * @return string
+     */
+    public static function getOutpatientPendingDetailsKey(string $open_id, string $patient_id, string $serial_no): string
+    {
+        return 'outpatient.pending.'. $open_id.'.'. $patient_id. '.'. $serial_no;
+    }
+
+    /**
+     * 获取 门诊医保待缴费详情 缓存键名
+     * @param string $open_id
+     * @param string $patient_id
+     * @param string $serial_no
+     * @return string
+     */
+    public static function getOutpatientMedicalPendingDetailsKey(string $open_id, string $patient_id, string $serial_no): string
+    {
+        return 'outpatient.medical.pending.'. $open_id.'.'. $patient_id. '.'. $serial_no;
+    }
+
+    /**
+     * 获取用户 免密授权 缓存键名
+     * @param string $open_id
+     * @param string $patient_id
+     * @return string
+     */
+    public static function getUserMedicalInsuranceAuthKey(string $open_id, string $patient_id): string
+    {
+        return 'medical.user.info.'. $open_id.'.'. $patient_id;
+    }
+
+    /**
+     * 获取挂号预结算详情缓存键名
+     * @param string $open_id
+     * @param string $reg_id
+     * @param int $patient_property
+     * @param int $settle_type
+     * @return string
+     */
+    public static function getRegistrationPreSettleInfoKey(string $open_id, string $reg_id, int $patient_property, int $settle_type): string
+    {
+        return "registration.medical.pre_settle_info.{$open_id}.{$reg_id}.{$patient_property}.{$settle_type}";
+    }
+
+    /**
+     * 获取缴费预结算详情缓存键名
+     * @param string $open_id
+     * @param string $record_id
+     * @param int $settle_type 0 医保统筹 1 自费支付
+     * @return string
+     */
+    public static function getOutpatientPrescriptionPreSettleInfoKey(string $open_id, string $record_id, int $settle_type): string
+    {
+        return "outpatient.medical.pre_settle_info.{$open_id}.{$record_id}.{$settle_type}";
+    }
+}

app/Utils/Traits/BuildCacheKeyName.php

@@ -1,52 +0,0 @@
-<?php
-declare(strict_types=1);
-
-namespace App\Utils\Traits;
-
-trait BuildCacheKeyName
-{
-    /**
-     * 获取 检验报告列表 缓存建名
-     * @param string $open_id
-     * @param string $patient_id
-     * @return string
-     */
-    public function getInspectReportListsKey(string $open_id, string $patient_id): string
-    {
-        return 'report.inspect.'. $open_id. '.'. $patient_id;
-    }
-
-    /**
-     * 获取 门诊待缴费列表 缓存键名
-     * @param string $open_id
-     * @param string $patient_id
-     * @return string
-     */
-    public function getOutpatientPendingListsKey(string $open_id, string $patient_id): string
-    {
-        return 'outpatient.pending.'. $open_id. '.'. $patient_id;
-    }
-
-    /**
-     * 获取 门诊待缴费详情 缓存键名
-     * @param string $open_id
-     * @param string $patient_id
-     * @param string $serial_no
-     * @return string
-     */
-    public function getOutpatientPendingDetailsKey(string $open_id, string $patient_id, string $serial_no): string
-    {
-        return 'outpatient.pending.'. $open_id.'.'. $patient_id. '.'. $serial_no;
-    }
-
-    /**
-     * 获取用户 免密授权 缓存键名
-     * @param string $open_id
-     * @param string $patient_id
-     * @return string
-     */
-    public function getUserMedicalInsuranceAuthKey(string $open_id, string $patient_id): string
-    {
-        return 'medical.user.info.'. $open_id.'.'. $patient_id;
-    }
-}

app/Utils/Traits/SendSubscribeMessage.php

@@ -221,7 +221,7 @@ trait SendSubscribeMessage
 
         // 获取取药或执行地址
         $extra_info = json_decode($record->extra_info, true);
-        $pay_address = $extra_info['confirm_response']['phyAddress'] ?? '';
+        $pay_address = $extra_info['confirm_response']['phyAddress'] ?? ' ';
         $subscribe_id = SubscribeId::OUTPATIENT_PAYMENT_SUCCESS;
         $data = [
             'touser' => $order->open_id,

app/Utils/Traits/UniversalEncryption.php

@@ -3,6 +3,7 @@
 declare(strict_types=1);
 
 namespace App\Utils\Traits;
+
 trait UniversalEncryption
 {
     private string $key;

app/Utils/Transfer/HisMedicalHttpClient/ClientFactory.php

@@ -0,0 +1,25 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Utils\Transfer\HisMedicalHttpClient;
+
+use App\Utils\Transfer\HttpTransferAbstract;
+
+class ClientFactory
+{
+
+    /**
+     * Get Client Transfer Class
+     * @param string $name
+     * @return HttpTransferAbstract
+     */
+    public static function getClientTransfer(string $name): HttpTransferAbstract
+    {
+        $is_mock = config('hisservice.'. $name. '.is_mock');
+
+        return match ($is_mock) {
+            false => new ClientHttpTransfer($name),
+            true => new ClientMockHttpTransfer($name),
+        };
+    }
+}

app/Utils/Transfer/HisMedicalHttpClient/ClientHttpTransfer.php

@@ -0,0 +1,62 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Utils\Transfer\HisMedicalHttpClient;
+
+use App\Utils\Transfer\HttpTransferAbstract;
+use Exception;
+use JsonException;
+use Psr\Http\Message\ResponseInterface;
+
+class ClientHttpTransfer extends HttpTransferAbstract
+{
+
+    /**
+     * MediWayTransfer Construct
+     * @param string $his_name
+     */
+    public function __construct(string $his_name = "")
+    {
+        parent::__construct($his_name);
+    }
+
+    /**
+     * 初始化
+     */
+    public function initialize(): void
+    {
+        parent::initialize();
+    }
+
+    /**
+     * 设置客户端选项
+     * @return array
+     */
+    public function ClientHeaders(): array
+    {
+        return [];
+    }
+
+    /**
+     * 响应格式化
+     * @return mixed
+     */
+    public function responseFormat(): mixed
+    {
+        $response = $this->transfer_response;
+        if ($this->transfer_response instanceof ResponseInterface) {
+            $response = $this->transfer_response->getBody()->getContents();
+        }
+
+        try {
+            return json_decode($response, true, JSON_THROW_ON_ERROR);
+        } catch (JsonException|Exception $e) {
+            return [
+                'ResultCode' => 0,
+                'ErrorMsg' => '解析JSON失败',
+                'ErrorMsgDev' => $e->getMessage(),
+                'Result' => $data
+            ];
+        }
+    }
+}

app/Utils/Transfer/HisMedicalHttpClient/ClientMockHttpTransfer.php

@@ -0,0 +1,128 @@
+<?php
+declare(strict_types=1);
+
+namespace App\Utils\Transfer\HisMedicalHttpClient;
+
+use App\Exceptions\GeneralException;
+use App\Utils\Transfer\HttpTransferAbstract;
+use Exception;
+use Random\RandomException;
+
+class ClientMockHttpTransfer extends HttpTransferAbstract
+{
+    /**
+     * ClientMockTransfer Construct
+     * @param string $his_name
+     */
+    public function __construct(string $his_name = "")
+    {
+        parent::__construct($his_name);
+    }
+
+    /**
+     * 设置客户端选项
+     * @return array
+     */
+    public function clientHeaders(): array
+    {
+        return [];
+    }
+
+    /**
+     * @param string $class_name
+     * @return $this
+     */
+    public function transferClass(string $class_name): static
+    {
+        return $this;
+    }
+
+    /**
+     * @throws GeneralException
+     */
+    public function transferMethod(string $method, string $request_name, array $request_data = []): self
+    {
+        // 使用 match 替代 switch
+        return match ($request_name) {
+            'GetPrecalculatedFeeGh' => $this->mockGetPrecalculatedFeeGh($request_data),
+            'GetUnpayedList' => $this->mockGetUnpayedList($request_data),
+            'GetPrecalculatedFee' => $this->mockGetPrecalculatedFee($request_data),
+            'NotifyPayed' => $this->mockNotifyPayed($request_data),
+            default => throw new GeneralException("Method '{$request_name}' not found"),
+        };
+    }
+
+    /**
+     * 响应格式化
+     * @return mixed
+     * @throws Exception
+     */
+    public function responseFormat(): mixed
+    {
+        try {
+            // 此处为json格式
+            return json_decode((string)$this->transfer_response, true);
+        } catch (Exception $e) {
+            throw new Exception($e->getMessage());
+        }
+    }
+
+    /**
+     * 获取返回值
+     * @param bool $is_format
+     * @return mixed
+     * @throws Exception
+     */
+    public function getResult(bool $is_format = true): mixed
+    {
+        return $this->responseFormat($this->transfer_response);
+    }
+
+    /**
+     * mockGetPrecalculatedFeeGh
+     * @param array $params
+     * @return self
+     */
+    private function mockGetPrecalculatedFeeGh(array $params): self
+    {
+        $this->transfer_response = '';
+
+        return $this;
+    }
+
+    /**
+     * mockRegisterCard
+     * @param array $params
+     * @return self
+     */
+    private function mockGetUnpayedList(array $params): self
+    {
+        $this->transfer_response = '';
+
+        return $this;
+    }
+
+    /**
+     * mockGetPrecalculatedFee
+     * @param array $params
+     * @return self
+     */
+    private function mockGetPrecalculatedFee(array $params): self
+    {
+        $this->transfer_response = '';
+
+        return $this;
+    }
+
+    /**
+     * mockNotifyPayed
+     * @param array $params
+     * @return self
+     */
+    private function mockNotifyPayed(array $params): self
+    {
+        $this->transfer_response = '';
+
+        return $this;
+    }
+}

config/custom.php

@@ -10,5 +10,7 @@ return [
     // 跳转小程序类型：developer为开发版；trial为体验版；formal为正式版；默认为正式版
     'mini_program_message_state' => 'developer',
     // 支付通知地址
-    'payment_notify_url' => env('APP_URL'). '/Api/notify'
+    'payment_notify_url' => env('APP_URL'). '/Api/notify',
+    // 免密授权跳转小程序APP ID
+    'redirect_app_id' => 'wxe183cd55df4b4369'
 ];

config/hisservice.php

@@ -12,8 +12,8 @@ return [
         // 是否模拟数据
         'is_mock'                 => true,
     ],
-    // HIS API服务 -- 方鼎中间件转发
+    // HIS HTTP服务 -- 方鼎中间件转发
-    'his_api' => [
+    'his_http' => [
         // 测试地址
         'url'                     => 'http://192.168.61.45:8809/api/WeChatDomain/',
         // 不记录日志的请求数组
@@ -24,5 +24,18 @@ return [
         'options'                 => [
             'timeout'             => 60
         ]
-    ]
+    ],
+    // HIS Medical HTTP服务
+    'his_medical_http' => [
+        // 测试地址
+        'url'                     => 'http://192.168.61.44:8010/api/his/',
+        // 不记录日志的请求数组
+        'not_log_arr'             => [''],
+        // 是否模拟数据
+        'is_mock'                 => true,
+        // guzzle/client options
+        'options'                 => [
+            'timeout'             => 60
+        ]
+    ],
 ];

config/logging.php

@@ -174,6 +174,15 @@ return [
             'max_files' => 360,
         ],
 
+        // HisMedicalApi
+        'his_medical_http' => [
+            'driver' => 'custom',
+            'via' => GeneralDailyLogger::class,
+            'service_type' => 'HisMedicalHttpLog',
+            'level' => Level::Info,
+            'max_files' => 360,
+        ],
+
         // 挂号日志
         'registration' => [
             'driver' => 'custom',
@@ -217,7 +226,9 @@ return [
             'service_type' => 'SendWeChatMessage',
             'level' => Level::Info,
             'max_files' => 0,
-        ]
+        ],
+
+        //
     ],
 
 ];

config/unify.php

@@ -16,9 +16,9 @@ return [
     | apiSecret: 应用秘钥
     |
     */
-    'domain' => 'http://fangding.picp.vip:7878/',
+    'domain' => 'http://localhost:9040/',
 
-    'apiSecret' => '16f62721-c156-4514-8743-bd969bed32af',
+    'apiSecret' => 'a2800bac-3384-4ad3-9002-89af6c44a3ab',
 
     /*
     |--------------------------------------------------------------------------
@@ -36,11 +36,11 @@ return [
     'channels' => [
 
         'default' => [
-            'merchantId' => 'ZHXZEY20250124',
+            'merchantId' => 'ZHXZEY20250228',
-            'secret' => '94aaadd840a3b97c6bbee4f440b986ce',
+            'secret' => '2a62ff796006a7a2b2d06e40ea240de9',
             'channelId' => 'FD001',
             'operatorId' => [
-                'MN001',
+                'MINI001',
             ],
         ]
 

config/unifytest.php

@@ -0,0 +1,113 @@
+<?php
+
+namespace UnifyPayment;
+
+use Monolog\Formatter\LineFormatter;
+use Monolog\Handler\RotatingFileHandler;
+use Monolog\Logger;
+
+return [
+
+    /*
+    |--------------------------------------------------------------------------
+    | Request Platform Config
+    |--------------------------------------------------------------------------
+    | domain：支付平台地址。
+    | apiSecret: 应用秘钥
+    |
+    */
+    'domain' => 'http://localhost:7878/',
+
+    'apiSecret' => 'ed147e09-4e8a-4fe4-8c72-3394b97264f0',
+
+    /*
+    |--------------------------------------------------------------------------
+    | Payment Channels Config
+    |--------------------------------------------------------------------------
+    |
+    | 统一支付平台支付渠道配置参数
+    | merchantId: 商户号
+    | secret: 秘钥
+    | channelId: 支付渠道
+    | operatorId: [ 操作员1 , 操作员2 ]
+    |
+    */
+
+    'channels' => [
+
+        'default' => [
+            'merchantId' => 'ZHXZEY20250228',
+            'secret' => '2a62ff796006a7a2b2d06e40ea240de9',
+            'channelId' => 'FD013',
+            'operatorId' => [
+                'MINI001',
+            ],
+        ]
+
+    ],
+
+    /*
+    |--------------------------------------------------------------------------
+    | Logger Config
+    |--------------------------------------------------------------------------
+    |
+    | 详细使用方式见 MonoLog 文档：https://github.com/Seldaek/monolog/blob/2.x/README.md
+    | format:
+    |		LineFormatter  字符串
+    | 		JsonFormatter  Json
+    | 		...
+    | handler:
+    |		StreamHandler 单个文件
+    | 		RotatingFileHandler 每日记录一次
+    | 		RedisHandler Redis
+    |		...
+    | handler_with:
+    | 		RotatingFileHandler:
+    |			file 文件名称
+    |			max_files 最大记录日志文件数量，0为无限制
+    |			level 日志记录等级
+    |		OtherHandler详见MonoLog文档
+    |		...
+    |
+    */
+
+    'log' => [
+        // 时区
+        'timezone' => 'Asia/Shanghai',
+        // 日期格式
+        'date_format' => 'Y-m-d H:i:s',
+        // 格式化器
+        'formatter' => LineFormatter::class,
+        // 对应格式化器构造参数
+        'formatter_with' => [
+            // 输出格式字符串
+            'output' => "[%datetime%] %channel%.%level_name%: %message% %context% %extra%\n\n"
+        ],
+        // 处理器
+        'handler' => RotatingFileHandler::class,
+        // 对应处理器构造参数
+        'handler_with' => [
+            // 文件
+            'file' => storage_path('logs/UnifyLog/payment.log'),
+            // 最大文件 0 无限制
+            'max_files' => 0,
+            // 记录等级
+            'level' => Logger::DEBUG
+        ]
+    ],
+
+    /*
+    |--------------------------------------------------------------------------
+    | Http Client Config
+    |--------------------------------------------------------------------------
+    |
+    | 详细使用方式见 Guzzle 文档：https://guzzle-cn.readthedocs.io/zh_CN/latest/request-options.html
+    |
+    */
+    'http' => [
+        'verify' => false,
+        'timeout' => 20,
+        'connect_timeout' => 5.0,
+    ]
+];
+

config/wechat.php

@@ -155,5 +155,27 @@ return [
             'timeout' => 5.0,
             // 'base_uri' => 'https://api.mch.weixin.qq.com/', // 如果你在国外想要覆盖默认的 url 的时候才使用，根据不同的模块配置不同的 uri
         ],
-    ]
+    ],
+
+    'medical' => [
+        /*
+        |--------------------------------------------------------------------------
+        | Medical Auth 配置
+        |--------------------------------------------------------------------------
+        |
+        | 医保免密授权对应配置数据
+        | 详见：https://yb.qq.com/yibao-payment/doc?nodeId=83679977515675648
+        |
+        */
+        'auth' =>[
+            'app_id'             => env('WECHAT_MEDICAL_AUTH_APP_ID', ''),// AppID
+            'partner_id'         => env('WECHAT_MEDICAL_AUTH_PARTNER_ID', ''), // 合作方ID
+            'partner_secret'     => env('WECHAT_MEDICAL_AUTH_PARTNER_SECRET', ''), // 合作方秘钥
+            'city_code'          => env('WECHAT_MEDICAL_AUTH_CITY_CODE', ''), // 城市ID 香洲区
+            'channel'            => env('WECHAT_MEDICAL_AUTH_CHANNEL', ''), // 渠道号（微信医保平台分配）
+            'org_chnl_crtf_codg' => env('WECHAT_MEDICAL_AUTH_ORG_CHNL_CRTF_CODG', ''), // 机构渠道认证编码
+            'org_codg'           => env('WECHAT_MEDICAL_AUTH_ORG_CODG', ''), // 定点医药机构编码
+            'org_app_id'         => env('WECHAT_MEDICAL_AUTH_ORG_APP_ID', ''), // 定点医药机构应用ID
+        ],
+    ],
 ];

packagist/unify_payment/src/Cores/BasicClient.php

@@ -243,6 +243,8 @@ class BasicClient
             throw new RuntimeException('Generate Sign Error:' . $e->getMessage());
         }
 
+        Log::debug('Generate Sign Content', [$data, $buff]);
+
         return trim($buff);
     }
 

packagist/unify_payment/src/Mock/CreateMedicalInsuranceOrderHandler.php

@@ -0,0 +1,49 @@
+<?php
+
+declare(strict_types=1);
+
+namespace UnifyPayment\Mock;
+
+class CreateMedicalInsuranceOrderHandler extends ResponseHandler
+{
+    /**
+     * @return array
+     */
+    public function success(): array
+    {
+        $channelId = 'FD00' . $this->faker->randomDigit();
+
+        $data = array_merge($this->getSuccessHeaderData('Query Success.'), [
+            'response' => [
+                'payUrl' => $this->faker->url(),
+                'medTransId' => 'M'. $this->faker->time('ymdhis'). $this->faker->regexify('[0-9]{5}'),
+                'payAppId' => 'wx' . $this->faker->regexify('[0-9a-z]{15}'),
+                'orderNo' => 'FD' . $channelId . $this->faker->time('YmdHis') . $this->faker->regexify('[0-9]{5}'),
+                'merchantId' => 'STZL' . $this->faker->time('Ymd'),
+                'merchantName' => $this->faker->company(),
+                'channelId' => $channelId,
+                'channelName' => '微信移动医保'
+            ]
+        ]);
+
+        return [
+            self::SUCCESS_CODE,
+            self::JSON_HEADER,
+            json_encode($data, JSON_UNESCAPED_UNICODE)
+        ];
+    }
+
+    /**
+     * @return array
+     */
+    public function failure(): array
+    {
+        $data = $this->getFailureHeaderData($this->faker->sentence());
+
+        return [
+            self::FAILURE_CODE,
+            self::JSON_HEADER,
+            json_encode($data, JSON_UNESCAPED_UNICODE)
+        ];
+    }
+}

packagist/unify_payment/src/Modules/Pay/MiniProgramClient.php

@@ -8,6 +8,7 @@ use ReflectionException;
 use UnifyPayment\Cores\BasicClient;
 use UnifyPayment\Cores\Exceptions\InvalidConfigException;
 use UnifyPayment\Cores\Exceptions\RuntimeException;
+use UnifyPayment\Cores\Struct\CreateMedicalInsuranceOrder;
 use UnifyPayment\Cores\Struct\CreateOrder;
 
 class MiniProgramClient extends BasicClient
@@ -24,7 +25,7 @@ class MiniProgramClient extends BasicClient
      * @throws InvalidConfigException
      * @throws RuntimeException
      */
-    public function jsapi(CreateOrder $order)
+    public function jsapi(CreateOrder $order): array|string
     {
         $this->payload = array_merge($this->payload, $order->toArray());
         $this->payload['sign'] = $this->generateSign($this->payload);
@@ -32,4 +33,22 @@ class MiniProgramClient extends BasicClient
         return $this->request('post', '/index.php/api/pay/miniapp');
     }
 
+    /**
+     * WeChat Mini Program Medical Insurance Payment
+     *
+     * @param CreateMedicalInsuranceOrder $order
+     *
+     * @return array|string
+     *
+     * @throws InvalidConfigException
+     * @throws ReflectionException
+     * @throws RuntimeException
+     */
+    public function medicalPay(CreateMedicalInsuranceOrder $order): array|string
+    {
+        $this->payload = array_merge($this->payload, $order->toArray());
+        $this->payload['sign'] = $this->generateSign($this->payload);
+
+        return $this->request('post', '/index.php/api/pay/mpInsurance');
+    }
 }

packagist/unify_payment/src/Modules/Pay/OfficialAccountClient.php

@@ -8,6 +8,7 @@ use ReflectionException;
 use UnifyPayment\Cores\BasicClient;
 use UnifyPayment\Cores\Exceptions\InvalidConfigException;
 use UnifyPayment\Cores\Exceptions\RuntimeException;
+use UnifyPayment\Cores\Struct\CreateMedicalInsuranceOrder;
 use UnifyPayment\Cores\Struct\CreateOrder;
 
 class OfficialAccountClient extends BasicClient
@@ -24,11 +25,30 @@ class OfficialAccountClient extends BasicClient
      * @throws InvalidConfigException
      * @throws RuntimeException
      */
-    public function jsapi(CreateOrder $order)
+    public function jsapi(CreateOrder $order): array|string
     {
         $this->payload = array_merge($this->payload, $order->toArray());
         $this->payload['sign'] = $this->generateSign($this->payload);
 
         return $this->request('post', '/index.php/api/pay/mp');
     }
+
+    /**
+     * WeChat Official Account Medical Insurance Payment
+     *
+     * @param CreateMedicalInsuranceOrder $order
+     *
+     * @return array|string
+     *
+     * @throws InvalidConfigException
+     * @throws ReflectionException
+     * @throws RuntimeException
+     */
+    public function medicalPay(CreateMedicalInsuranceOrder $order): array|string
+    {
+        $this->payload = array_merge($this->payload, $order->toArray());
+        $this->payload['sign'] = $this->generateSign($this->payload);
+
+        return $this->request('post', '/index.php/api/pay/mpInsurance');
+    }
 }

packagist/unify_payment/tests/PayTest.php

@@ -1,7 +1,9 @@
 <?php
 
+use UnifyPayment\Cores\Struct\CreateMedicalInsuranceOrder;
 use UnifyPayment\Cores\Struct\CreateOrder;
 use UnifyPayment\Factory;
+use UnifyPayment\Mock\CreateMedicalInsuranceOrderHandler;
 use UnifyPayment\Mock\CreateOrderHandler;
 
 class PayTest extends TestCase
@@ -28,6 +30,26 @@ class PayTest extends TestCase
 		], array_keys($response['response']));
 	}
 
+    public function testMiniProgramMedicalPay()
+    {
+        $order = new CreateMedicalInsuranceOrder('DiagPay', 'ow_gnt5QQQ-Qby1234567890', '202204022005169952975171534816', '某某附属医院', '70', '1', 'https://kyey.test.com/pay/notify/wechatINSUNotify', '门诊缴费', 'https://kyey.test.com/wehospital/payment/paymentindex', '2', 'H53011234567', '20220402200530', '530100', '202204022005169952975171534816', '1', '0ef5c63f34237aeba58d0a6f97f66c13', '姓x', '4', '70', '0', '{"payAuthNo":"AUTH530100202204022006310000034","payOrdId":"ORD530100202204022006350000021","setlLatlnt":"102.682296,25.054260"}', 'AAGN9uhZc5EGyRdairKW7Qnu', 'bd787ae69021fbd7d0b86d080b007bad', '127.0.0.1');
+
+        $mockHandler = new CreateMedicalInsuranceOrderHandler(true);
+        $response = Factory::pay($this->getConfig())->mini->setMockHandler([$mockHandler])->medicalPay($order);
+
+        $this->assertArrayHasKey('response', $response);
+        $this->assertEquals([
+            'payUrl',
+            'medTransId',
+            'payAppId',
+            'orderNo',
+            'merchantId',
+            'merchantName',
+            'channelId',
+            'channelName'
+        ], array_keys($response['response']));
+    }
+
 	public function testOfficialAccountJsapi()
 	{
 		$order = new CreateOrder('当天挂号', 'FD2022080310000055123451223', 0.01, '1', '002197|公众号', 'A', 'ovIGQwOy1e-Zptyug20l5hqI0P5Q', 'https://www.baidu.com');
@@ -49,4 +71,24 @@ class PayTest extends TestCase
 			'channelName'
 		], array_keys($response['response']));
 	}
+
+    public function testOfficialAccountMedicalPay()
+    {
+        $order = new CreateMedicalInsuranceOrder('DiagPay', 'ow_gnt5QQQ-Qby1234567890', '202204022005169952975171534816', '某某附属医院', '70', '1', 'https://kyey.test.com/pay/notify/wechatINSUNotify', '门诊缴费', 'https://kyey.test.com/wehospital/payment/paymentindex', '2', 'H53011234567', '20220402200530', '530100', '202204022005169952975171534816', '1', '0ef5c63f34237aeba58d0a6f97f66c13', '姓x', '4', '70', '0', '{"payAuthNo":"AUTH530100202204022006310000034","payOrdId":"ORD530100202204022006350000021","setlLatlnt":"102.682296,25.054260"}', 'AAGN9uhZc5EGyRdairKW7Qnu', 'bd787ae69021fbd7d0b86d080b007bad', '127.0.0.1');
+
+        $mockHandler = new CreateMedicalInsuranceOrderHandler(true);
+        $response = Factory::pay($this->getConfig())->official->setMockHandler([$mockHandler])->medicalPay($order);
+
+        $this->assertArrayHasKey('response', $response);
+        $this->assertEquals([
+            'payUrl',
+            'medTransId',
+            'payAppId',
+            'orderNo',
+            'merchantId',
+            'merchantName',
+            'channelId',
+            'channelName'
+        ], array_keys($response['response']));
+    }
 }

routes/api.php

@@ -4,11 +4,12 @@ use App\Http\Controllers\Auth\AuthController;
 use App\Http\Controllers\Hospital\IntroduceController;
 use App\Http\Controllers\Message\TriggerController;
 use App\Http\Controllers\Notify\NotifyController;
-use App\Http\Controllers\Outpatient\MedicalController;
+use App\Http\Controllers\Outpatient\MedicalController as OutpatientMedicalController;
 use App\Http\Controllers\Outpatient\PaymentController;
 use App\Http\Controllers\Outpatient\PendingController;
 use App\Http\Controllers\Outpatient\RecordController as OutpatientRecordController;
 use App\Http\Controllers\Patient\PatientController;
+use App\Http\Controllers\Registration\MedicalController as RegistrationMedicalController;
 use App\Http\Controllers\Registration\RecordController as RegistrationRecordController;
 use App\Http\Controllers\Registration\RegisterController;
 use App\Http\Controllers\Registration\ScheduleController;
@@ -40,6 +41,9 @@ Route::middleware(['apiLog'])->group(function() {
 
             // 获取手机号码
             Route::get('/phone', [PatientController::class, 'getPhoneNumber']);
+
+            // 定点签约
+            Route::post('/{patient_id}/designate', [PatientController::class, 'designated']);
         });
 
         // 挂号模块
@@ -49,14 +53,19 @@ Route::middleware(['apiLog'])->group(function() {
             Route::get('/doctor', [ScheduleController::class, 'doctor']);
             Route::post('/{patient_id}/register', [RegisterController::class, 'register']);
 
+            // 医保预结算
+            Route::post('/{patient_id}/medical/settle', [RegistrationMedicalController::class, 'registerPreSettle']);
+            // 医保支付
+            Route::post('/{patient_id}/medical/payment', [RegistrationMedicalController::class, 'register']);
+
             Route::get('/{patient_id}/record', [RegistrationRecordController::class, 'lists']);
             Route::post('/{patient_id}/record/{serial_no}/refund', [RegistrationRecordController::class, 'refund']);
         });
 
         // 医保模块
         Route::prefix('Medical')->group(function () {
-            Route::get('/auth/path', [MedicalController::class, 'redirectAuth']);
+            Route::get('/auth/path', [OutpatientMedicalController::class, 'redirectAuth']);
-            Route::post('/auth/{patient_id}/info', [MedicalController::class, 'userAuthInfo']);
+            Route::post('/auth/{patient_id}/info', [OutpatientMedicalController::class, 'userAuthInfo']);
         });
 
         // 缴费模块
@@ -65,6 +74,11 @@ Route::middleware(['apiLog'])->group(function() {
             Route::get('/{patient_id}/pending/{serial_no}/', [PendingController::class, 'details']);
             Route::post('/{patient_id}/pending/{serial_no}/payment', [PaymentController::class, 'payment']);
 
+            // 医保预结算
+            Route::post('/{patient_id}/pending/{serial_no}/medical/settle', [OutpatientMedicalController::class, 'prescriptionPreSettle']);
+            // 医保支付
+            Route::post('/{patient_id}/pending/{serial_no}/medical/payment', [OutpatientMedicalController::class, 'payment']);
+
             Route::get('/{patient_id}/record', [OutpatientRecordController::class, 'lists']);
             Route::get('/{patient_id}/record/{serial_no}/', [OutpatientRecordController::class, 'details']);
         });
@@ -77,6 +91,7 @@ Route::middleware(['apiLog'])->group(function() {
 
         // 报告相关模块
         Route::prefix('Report')->group(function () {
+            Route::get('/tips', [InspectController::class, 'tips']);
             Route::get('/{patient_id}/inspect', [InspectController::class, 'lists']);
             Route::get('/{patient_id}/inspect/{serial_no}/', [InspectController::class, 'details']);
         });