Files
lis/htdocs/app/Http/Controllers/ReportController.php
T
2026-05-21 06:37:14 +07:00

1360 lines
44 KiB
PHP

<?php
namespace App\Http\Controllers;
use Illuminate\Http\Request;
use Illuminate\Support\Facades\DB;
use App\Poli;
use App\Logbook;
use App\User;
use App\Periksa;
use App\Dokter;
use App\Pasien;
use App\Jadwalperiksa;
use App\Riwayat;
use App\RekapAntibiotik;
use App\Organisms;
use App\RekapPenerimaanSamplePrintHistory;
use DateTime;
use Carbon\Carbon;
use Session;
use Symfony\Component\HttpFoundation\StreamedResponse;
class ReportController extends Controller
{
public function index() {
if (Session::get('previlage') == ''){
return redirect('/login');
} else {
$dokterOptions = Periksa::select('dokter_id', 'nmdokter')
->whereNotNull('dokter_id')
->where('dokter_id', '<>', 0)
->whereNotNull('nmdokter')
->where('nmdokter', '<>', '')
->groupBy('dokter_id', 'nmdokter')
->orderBy('nmdokter', 'ASC')
->get();
return view('admin.report', [
'dokterOptions' => $dokterOptions
]);
}
}
public function rekapPeriksa(Request $request) {
set_time_limit(0);
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
if ($bulan == 'ALL' OR $bulan == 'Pick Month') {
$orderbydate = Periksa::selectRaw('SUM(id) as jumlah, DATE(daftar) as day')->whereYear('daftar', $tahun)->groupBy(DB::raw('daftar'))->orderBy('daftar', 'ASC')->get();
$bulan = '';
} else {
$tglcari = $tahun . '-' . str_pad($bulan, 2, '0', STR_PAD_LEFT);
$orderbydate = Periksa::selectRaw('SUM(id) as jumlah, DATE(daftar) as day')->where('day', 'LIKE', '%' . $tglcari . '%')->groupBy(DB::raw('daftar'))->orderBy('daftar', 'ASC')->get();
$bulanNames = [
'01' => 'BULAN JANUARI',
'02' => 'BULAN FEBRUARI',
'03' => 'BULAN MARET',
'04' => 'BULAN APRIL',
'05' => 'BULAN MEI',
'06' => 'BULAN JUNI',
'07' => 'BULAN JULI',
'08' => 'BULAN AGUSTUS',
'09' => 'BULAN SEPTEMBER',
'10' => 'BULAN OKTOBER',
'11' => 'BULAN NOVEMBER',
'12' => 'BULAN DESEMBER',
];
$bulan = $bulanNames[$bulan] ?? $bulan;
}
$data = [];
$data['bulan'] = $bulan;
$data['tahun'] = $tahun;
$data['orderbydate']= $orderbydate;
$generatetabel = view('cetak.rekap_periksa_table', $data)->render();
echo $generatetabel;
}
protected static function getPasienData($result) {
return [
'nama' => $result->nmpasien,
'tgl' => $result->tgllahirpasien,
'jk' => $result->jkpasien,
];
}
protected static function updateTotals($totals, $asuransi, $urgensi, $jk) {
if ($jk == 'L') {
$totals['m']++;
} else {
$totals['f']++;
}
if ($asuransi == 'JKN') {
$totals['jkn']++;
} elseif ($asuransi == 'Umum') {
$totals['umum']++;
} elseif ($asuransi == 'TAG') {
$totals['tag']++;
} elseif ($asuransi == 'GCU') {
$totals['gcu']++;
} elseif ($asuransi == 'Billing') {
$totals['bill']++;
} else {
$totals['swasta']++;
}
if ($urgensi == 'Elective') {
$totals['electiv']++;
} else {
$totals['cito']++;
}
return $totals;
}
protected static function mapResultToArray($result) {
$nmpasien = $result->nmpasien;
$tgl = $result->tgllahirpasien;
$jk = $result->jkpasien;
$jenis = $result->reques;
$tlppasien = $result->tlppasien;
$nofoto = $result->nofoto;
$verifikasi = $result->verifikasi;
$tanggal = $result->daftar;
$tanggalfoto = $result->foto;
$asuransi = $result->asuransi;
$urgensi = $result->urgensi;
$from = \Carbon\Carbon::createFromFormat('Y-m-d H:i:s', $result->daftar);
if (is_null($verifikasi)){
$verifikasi = '';
$to = '';
$durasi = 'On Progress';
} else {
$to = \Carbon\Carbon::createFromFormat('Y-m-d H:i:s', $verifikasi);
$durasi = $to->diffForHumans($from);
}
$arrayttllhr = explode("-", $tgl);
if (isset($arrayttllhr[2])){
$yy = $arrayttllhr[0];
$mm = $arrayttllhr[1];
$dd = $arrayttllhr[2];
$tgllahir = $dd.'-'.$mm.'-'.$yy;
} else { $tgllahir = $tgl; }
$arrayttl = explode(" ", $tanggal);
$tanggal = $arrayttl[0];
if ($jk == 'L') {
$l = '1';
$p = '';
} else {
$l = '';
$p = '1';
}
if ($asuransi == 'JKN') {
$jkn = '1';
$umm = '';
$swasta = '';
$gcu = '';
$tag = '';
$bill = '';
} else if ($asuransi == 'Umum') {
$jkn = '';
$umm = '1';
$swasta = '';
$gcu = '';
$tag = '';
$bill = '';
} else if ($asuransi == 'TAG') {
$jkn = '';
$umm = '';
$swasta = '';
$gcu = '';
$bill = '';
$tag = '1';
} else if ($asuransi == 'GCU') {
$jkn = '';
$umm = '';
$swasta = '';
$gcu = '1';
$tag = '';
$bill = '';
} else if ($asuransi == 'Billing') {
$jkn = '';
$umm = '';
$swasta = '';
$gcu = '';
$bill = '1';
$tag = '';
} else {
$jkn = '';
$umm = '';
$swasta = '1';
$gcu = '';
$tag = '';
$bill = '';
}
if ($urgensi == 'Elective') {
$ele = '1';
$cito = '';
} else {
$ele = '';
$cito = '1';
}
$getjennofoto = explode("-", $nofoto);
$jenis = $getjennofoto[0].' '.$jenis;
return [
'id' => $result->id,
'filefoto' => '<a href="' . url('/') . '/hasil/' . $result->nofoto . '" target="_blank">' . $result->nofoto . '</a>',
'l' => $l,
'p' => $p,
'jenis' => $jenis,
'jkn' => $jkn,
'umm' => $umm,
'gcu' => $gcu,
'tag' => $tag,
'swasta' => $swasta,
'billing' => $bill,
'ele' => $ele,
'cito' => $cito,
'asuransi' => $asuransi,
'nofoto' => $result->nofoto,
'noregister' => $result->noregister,
'nmpasien' => $nmpasien,
'usia' => $result->usia,
'kesimpulan' => $result->kesimpulan,
'ruangan' => $result->ruangan,
'daftar' => $result->daftar,
'created_at' => $result->created_at,
'nmdokter' => $result->nmdokter,
'nmppdssenior' => $result->nmppdssenior,
'nmmiddleppds' => $result->nmmiddleppds,
'nmppdsjunior' => $result->nmppdsjunior,
'nmppdsmiddle2' => $result->nmppdsmiddle2,
'nmppdsjunior2' => $result->nmppdsjunior2,
'diagnosa2' => $result->diagnosa2,
'nmanalis' => $result->nmanalis,
'nmexcutor' => $result->nmexcutor,
'alamatpasien' => $result->alamatpasien,
'tgllahirpasien'=> $tgl,
'jkpasien' => $jk,
'tlppasien' => $tlppasien,
'modality' => $result->modality,
'dlp' => $result->dlp,
'kd_spesimen' => $result->kd_spesimen,
'nm_spesimen' => $result->nm_spesimen,
'status' => $result->status,
'asalpasien' => $result->asalpasien,
'nmrs' => $result->nmrs,
'berat' => $result->berat,
'klinisi' => $result->klinisi,
'klinis' => $result->klinis,
'telpon' => $tlppasien,
'verifikasi' => $result->verifikasi,
'noloket' => $result->noloket,
'foto' => $result->foto,
'export' => $result->export,
'nmdrafter' => $result->nmdrafter,
'tgldraft' => $result->tgldraft,
'baca' => $result->baca,
'nmpembaca' => $result->nmpembaca,
'tgladendum' => $result->tgladendum,
'nmadendum' => $result->nmadendum,
'durasi' => $durasi,
];
}
protected static function getTotalRow($totals) {
return [
'id' => '',
'filefoto' => '',
'noregister'=> '',
'nama' => '<strong>Total</strong>',
'l' => $totals['m'],
'p' => $totals['f'],
'jkn' => $totals['jkn'],
'umm' => $totals['umum'],
'gcu' => $totals['gcu'],
'tag' => $totals['tag'],
'swasta' => $totals['swasta'],
'billing' => $totals['bill'],
'ele' => $totals['electiv'],
'cito' => $totals['cito'],
];
}
private $listAntibiotik = [
'Oxacillin-OX',
'Cefoxitin-FOX',
'Benzylpenicillin-P',
'Ampicillin-AM',
'Azithromycin-AZM',
'Erythromycin-ERY',
'Cefazolin-CZO',
'Cefepime-FEP',
'Cefixime-CFM',
'Cefotaxime-CTX',
'Cefuroxime-CXM',
'Ceftazidime-CAZ',
'Ceftriaxone-CRO',
'Ceftazidime/Avibactam-CZA',
'Piperacilin/Tazobactam-TZP',
'Ampicillin/Sulbactam-SAM',
'Amoxicillin/Clavulanate-AMC',
'Cefoperazon/Sulbactam-SCF',
'Aztreonam-ATM',
'Ceftaroline-CPT',
'Ciprofloxacin-CIP',
'Levofloxacin-LEV',
'Moxifloxacin-MFX',
'Clindamycin-CLI',
'Colistin-CS',
'Tetracyclin-TCY',
'Tigecycline-TGC',
'Gentamicin-GM',
'Amikacin-AN',
'Meropenem-MEM',
'Imipenem-IPM',
'Doripenem-DOR',
'Ertapenem-ETP',
'Minocycline-MNO',
'Doxycycline-DOX',
'Spectinomycin-SPT',
'Trimethoprim/Sulfamethoxazole-SXT',
'Fosfomycin-FOS',
'Vancomycin-VAN',
'Linezolid-LNZ',
'Fluconazole',
'Voriconazole',
'Caspofungin',
'Micafungin',
'Amphotericin B',
'Flucytosine'
];
private function resolveTatTargetDays($modaliti2) {
return (!empty($modaliti2) && is_numeric($modaliti2) && intval($modaliti2) > 0)
? intval($modaliti2)
: 1;
}
private function getTatDeadlineDate($mulai, $targetDays) {
return Carbon::parse($mulai)->addDays(intval($targetDays))->toDateString();
}
private function getTatElapsedDays($mulai, $verifikasi) {
return Carbon::parse($mulai)->startOfDay()->diffInDays(Carbon::parse($verifikasi)->startOfDay());
}
private function resolveTatStatus($mulai, $verifikasi, $targetDays) {
$deadlineDate = $this->getTatDeadlineDate($mulai, $targetDays);
return Carbon::parse($verifikasi)->toDateString() <= $deadlineDate
? 'MEMENUHI TARGET'
: 'TIDAK MEMENUHI TARGET';
}
public function report(Request $request) {
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
$jenisreport = $request->input('jenisreport');
$dokterId = $request->input('dokter_id');
$tanggalFilter = $request->input('tanggal_filter', 'daftar');
$statusFilter = $request->input('status_filter', 'ALL');
$dateColumn = $tanggalFilter === 'verifikasi' ? 'verifikasi' : 'daftar';
$homebase = url("/");
$arraylist = [];
$limit = $request->input('limit') ?? 500;
$page = $request->input('pagenum') ?? 1;
$order = $request->input('order') ?? 'id desc';
$filterscount = $request->input('filterscount') ?? 0;
$isMdrReport = $jenisreport == 'list_hasil_mdr';
if ($jenisreport == 'biorepository'){
if ($bulan == 'ALL'){
$queryBiorepo = DB::table('db_komponenjawaban')
->select('db_komponenjawaban.*',
'periksa.nofoto',
'periksa.noregister',
'periksa.nmpasien',
'periksa.usia',
'periksa.reques',
'periksa.dlp',
'periksa.nm_spesimen',
'periksa.kd_spesimen',
DB::raw("CONCAT('<a href=\"http://10.10.123.218/hasil/', nofoto, '\" target=\"_blank\">Lihat Hasil</a>') as urlhasil"))
->leftJoin('periksa', 'db_komponenjawaban.accnumber', 'periksa.nofoto')
->whereIn('db_komponenjawaban.komponen', ['id_bakteri01', 'id_bakteri02', 'bakteri'])
->where('db_komponenjawaban.isidata', '!=', '')
->where('periksa.daftar', 'LIKE', $tahun.'-%');
if (!empty($dokterId) && $dokterId != 'ALL' && $dokterId != '0') {
$queryBiorepo->where('periksa.dokter_id', $dokterId);
}
$lists = $queryBiorepo->orderBy('periksa.id', 'DESC')->get();
} else {
$queryBiorepo = DB::table('db_komponenjawaban')
->select('db_komponenjawaban.*',
'periksa.nofoto',
'periksa.noregister',
'periksa.nmpasien',
'periksa.usia',
'periksa.reques',
'periksa.dlp',
'periksa.nm_spesimen',
'periksa.kd_spesimen',
DB::raw("CONCAT('<a href=\"http://10.10.123.218/hasil/', nofoto, '\" target=\"_blank\">Lihat Hasil</a>') as urlhasil"))
->leftJoin('periksa', 'db_komponenjawaban.accnumber', 'periksa.nofoto')
->whereIn('db_komponenjawaban.komponen', ['id_bakteri01', 'id_bakteri02', 'bakteri'])
->where('db_komponenjawaban.isidata', '!=', '')
->where('periksa.daftar', 'LIKE', $tahun.'-'.$bulan.'-%');
if (!empty($dokterId) && $dokterId != 'ALL' && $dokterId != '0') {
$queryBiorepo->where('periksa.dokter_id', $dokterId);
}
$lists = $queryBiorepo->orderBy('periksa.id', 'DESC')->get();
}
echo json_encode($lists);
} else {
$query = Periksa::select('id', 'poli_id', 'nofoto', 'noregister', 'nmpasien', 'tlppasien', 'tgllahirpasien', 'usia', 'alamatpasien', 'ktp', 'jkpasien', 'bpjs', 'asuransi', 'urgensi', 'asalpasien', 'klinisi', 'klinis', 'nmanalis', 'nmppdssenior', 'kd_spesimen', 'nm_spesimen', 'dlp', 'diagnosa2', 'mulai', 'verifikasi', 'status', 'reques', 'nmdokter', 'daftar')
->whereYear($dateColumn, $tahun);
if ($bulan !== 'ALL') {
$query->whereMonth($dateColumn, $bulan);
}
if (!empty($dokterId) && $dokterId != 'ALL' && $dokterId != '0') {
$query->where('dokter_id', $dokterId);
}
if ($statusFilter === 'Selesai') {
$query->where('status', 'LIKE', '%Selesai%');
}
if ($isMdrReport) {
$query->whereExists(function ($subquery) {
$subquery->select(DB::raw(1))
->from('db_komponenjawaban')
->whereColumn('db_komponenjawaban.accnumber', 'periksa.nofoto')
->whereIn('db_komponenjawaban.komponen', ['bakterisir', 'id_bakterisir01', 'id_bakterisir02'])
->whereNotNull('db_komponenjawaban.isidata')
->where('db_komponenjawaban.isidata', '!=', '');
});
}
$periksaCursor = $query->orderBy($dateColumn, 'ASC')->cursor();
$hasil = [];
$acc = [];
$poli_ids = [];
foreach ($periksaCursor as $r) {
$acc[] = $r->nofoto;
$poli_ids[] = $r->poli_id;
$hasil[] = $r;
}
if (empty($hasil)) {
return response()->json([]);
}
$komponen = DB::table('db_komponenjawaban')
->select('accnumber','komponen','isidata')
->whereIn('accnumber', array_unique($acc))
->whereIn('komponen', [
'id_bakteri01','id_bakteri02','bakteri',
'bakterisir','id_bakterisir01','id_bakterisir02'
])
->get()
->groupBy('accnumber');
$poli = DB::table('poli')
->select('id','subpoli','modaliti2')
->whereIn('id', array_unique($poli_ids))
->get()
->keyBy('id');
foreach ($hasil as $row) {
$k = $komponen[$row->nofoto] ?? collect([]);
$row->id_bakteri01 = optional($k->firstWhere('komponen','id_bakteri01'))->isidata;
$row->id_bakteri02 = optional($k->firstWhere('komponen','id_bakteri02'))->isidata;
$row->bakteri = optional($k->firstWhere('komponen','bakteri'))->isidata;
$row->hasil_mdr = $k->whereIn('komponen', ['bakterisir', 'id_bakterisir01', 'id_bakterisir02'])
->pluck('isidata')
->filter(function ($value) {
return trim(strip_tags((string) $value)) !== '';
})
->unique()
->implode('; ');
$row->filefoto = "<a href='".url('/hasil/'.$row->nofoto)."'>$row->nofoto</a>";
$p = $poli[$row->poli_id] ?? null;
$row->subpoli = $p->subpoli ?? null;
$row->modaliti2 = $this->resolveTatTargetDays($p->modaliti2 ?? '1');
if (!empty($row->verifikasi)) {
$selisih = $this->getTatElapsedDays($row->mulai, $row->verifikasi);
$row->selisih_hari = $selisih;
$row->status_target = $this->resolveTatStatus($row->mulai, $row->verifikasi, $row->modaliti2);
} else {
$row->selisih_hari = null;
$row->status_target = "TIDAK ADA HASIL";
}
}
if ($jenisreport == 'rekaptat') {
$rekap = collect($hasil)->groupBy('kd_spesimen')->map(function($g){
return [
'jenis_pemeriksaan' => $g->first()->kd_spesimen,
'memenuhi' => $g->where('status_target','MEMENUHI TARGET')->count(),
'tidak_memenuhi' => $g->where('status_target','TIDAK MEMENUHI TARGET')->count(),
'tidak_ada_hasil' => $g->where('status_target','TIDAK ADA HASIL')->count(),
'total' => $g->count(),
];
})->values();
return response()->json($rekap);
}
return response()->json($hasil);
}
}
public function genRekapAntibiotik(Request $request) {
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
if ($tahun == '' OR is_null($tahun)){
$getarray = explode('?', $bulan);
$bulan = $getarray[0] ?? date('m');
$tahun = $getarray[1] ?? date('Y');
$bulan = str_replace('bulan=', '', $bulan);
$tahun = str_replace('tahun=', '', $tahun);
}
$listAntibiotik = $this->getDynamicAntibioticHeaders($bulan, $tahun);
$query = Periksa::query()->whereYear('daftar', $tahun);
if ($bulan != 'ALL' && $bulan != 'Pick Month') {
$query->whereMonth('daftar', $bulan);
}
$orderbydate = $query->paginate(50);
$orderbydate->appends(['bulan' => $bulan, 'tahun' => $tahun]);
$pageIds = $orderbydate->pluck('id')->toArray();
$antibiotikLookup = $this->mapAntibiotikData($pageIds);
return view('admin.rekapantibiotik', [
'orderbydate' => $orderbydate,
'antibiotikLookup' => $antibiotikLookup,
'listAntibiotik' => $listAntibiotik,
'bulan' => $bulan,
'tahun' => $tahun
]);
}
private function mapAntibiotikData($orderIds) {
$raw = RekapAntibiotik::whereIn('orderid', $orderIds)->get();
$lookup = [];
foreach($raw as $row) {
$lookup[$row->orderid][$row->antibiotic] = $row->interpretation;
}
return $lookup;
}
private function getDynamicAntibioticHeaders($bulan, $tahun) {
$query = DB::table('rekapantibiotik')
->join('periksa', 'rekapantibiotik.orderid', '=', 'periksa.id')
->whereYear('periksa.daftar', $tahun);
if ($bulan != 'ALL' && $bulan != 'Pick Month') {
$query->whereMonth('periksa.daftar', $bulan);
}
return $query->distinct()
->orderBy('rekapantibiotik.antibiotic', 'ASC')
->pluck('rekapantibiotik.antibiotic')
->toArray();
}
private function getGlassReportHeaders() {
$tableC = [
'ID Rumah Sakit',
'Nama Pasien',
'No Rekam Medis',
'Jenis Kelamin',
'Tanggal Lahir',
'Usia',
'Ruang Rawat',
'Tanggal Pasien Masuk',
'Tanggal Pengambilan Spesimen',
'Specimen Origin',
'Jenis Spesimen',
];
$tableAAntibiotics = [
'Cefoxitin',
'Oxacillin',
'Penicillin',
'Ampicillin',
'Amoxicillin',
'Cefazolin',
'Cefuroxime',
'Cefixime',
'Cefotaxime',
'Ceftriaxone',
'Ceftazidime',
'Cefepime',
'Ceftaroline',
'Ertapenem',
'Imipenem',
'Meropenem',
'Aztreonam',
'Amoxicillin-clavulanate',
'Ampicillin-sulbactam',
'Piperacillin-tazobactam',
'Ceftazidime-avibactam',
'Gentamicin',
'Amikacin',
'Ciprofloxacin',
'Levofloxacin',
'Moxifloxacin',
'Trimethoprim-sulfamethoxazole',
'Azithromycin',
'Clarithromycin',
'Erythromycin',
'Clindamycin',
'Tetracycline',
'Minocycline',
'Doxycycline',
'Colistin',
'Vancomycin',
'Linezolid',
'Tigecycline',
'Daptomycin',
'Nitrofurantoin',
'Fosfomycin',
];
$tableBAntibiotics = [
'Fluconazole',
'Voriconazole',
'Amphotericin B',
'Micafungin',
'Caspofungin',
'Flucytosine',
];
return [
'A' => array_merge($tableC, ['Nama Spesies Bakteri', 'Pertumbuhan Bakteri', 'SIR Bakteri', 'ESBL', 'MRSA'], $tableAAntibiotics, $tableBAntibiotics),
'C' => array_merge($tableC, ['Pertumbuhan Bakteri']),
'A_antibiotics' => $tableAAntibiotics,
'B_antibiotics' => $tableBAntibiotics,
];
}
private function getGlassReportAntibioticAliases() {
return [
'Cefoxitin' => ['cefoxitin', 'cefoxitinscreen'],
'Oxacillin' => ['oxacillin'],
'Penicillin' => ['penicillin', 'benzylpenicillin'],
'Ampicillin' => ['ampicillin'],
'Amoxicillin' => ['amoxicillin'],
'Cefazolin' => ['cefazolin', 'cefazolinurine', 'cefazolinother'],
'Cefuroxime' => ['cefuroxime', 'cefuroximeiv', 'cefuroximeoral'],
'Cefixime' => ['cefixime'],
'Cefotaxime' => ['cefotaxime'],
'Ceftriaxone' => ['ceftriaxone'],
'Ceftazidime' => ['ceftazidime'],
'Cefepime' => ['cefepime'],
'Ceftaroline' => ['ceftaroline'],
'Ertapenem' => ['ertapenem'],
'Imipenem' => ['imipenem'],
'Meropenem' => ['meropenem'],
'Aztreonam' => ['aztreonam'],
'Amoxicillin-clavulanate' => ['amoxicillinclavulanate', 'amoxicillinclavulanicacid'],
'Ampicillin-sulbactam' => ['ampicillinsulbactam'],
'Piperacillin-tazobactam' => ['piperacillintazobactam'],
'Ceftazidime-avibactam' => ['ceftazidimeavibactam'],
'Gentamicin' => ['gentamicin'],
'Amikacin' => ['amikacin'],
'Ciprofloxacin' => ['ciprofloxacin'],
'Levofloxacin' => ['levofloxacin'],
'Moxifloxacin' => ['moxifloxacin'],
'Trimethoprim-sulfamethoxazole' => ['trimethoprimsulfamethoxazole', 'trimetrophimesulfamethoxazole'],
'Azithromycin' => ['azithromycin'],
'Clarithromycin' => ['clarithromycin'],
'Erythromycin' => ['erythromycin'],
'Clindamycin' => ['clindamycin'],
'Tetracycline' => ['tetracycline', 'tetracyclinescreenonly', 'tetracyclineu'],
'Minocycline' => ['minocycline'],
'Doxycycline' => ['doxycycline'],
'Colistin' => ['colistin'],
'Vancomycin' => ['vancomycin'],
'Linezolid' => ['linezolid'],
'Tigecycline' => ['tigecycline'],
'Daptomycin' => ['daptomycin'],
'Nitrofurantoin' => ['nitrofurantoin'],
'Fosfomycin' => ['fosfomycin'],
'Fluconazole' => ['fluconazole'],
'Voriconazole' => ['voriconazole'],
'Amphotericin B' => ['amphotericinb'],
'Micafungin' => ['micafungin'],
'Caspofungin' => ['caspofungin'],
'Flucytosine' => ['flucytosine'],
];
}
private function normalizeGlassReportValue($value) {
return preg_replace('/[^a-z0-9]+/', '', strtolower(strip_tags((string) $value)));
}
private function pickGlassReportResistanceValue($row, $header) {
$rawResistance = $row->resistence ?? $row->resistance ?? null;
$rawInterpretation = $row->interpretation ?? null;
$resistance = trim((string) $rawResistance);
$interpretation = trim((string) $rawInterpretation);
if ($resistance === '') {
return $interpretation;
}
$normalizedResistance = $this->normalizeGlassReportValue($resistance);
$normalizedAntibiotic = $this->normalizeGlassReportValue($row->antibiotic ?? '');
$normalizedHeader = $this->normalizeGlassReportValue($header);
if ($normalizedResistance === $normalizedAntibiotic || $normalizedResistance === $normalizedHeader) {
return $interpretation;
}
return $resistance;
}
private function getGlassReportOrigin($row) {
if (empty($row->daftar) || empty($row->mulai)) {
return '';
}
try {
$selisihHari = Carbon::parse($row->daftar)->diffInDays(Carbon::parse($row->mulai));
return $selisihHari >= 3 ? 'Hospital Origin' : 'Community Origin';
} catch (\Throwable $e) {
return '';
}
}
private function buildGlassReportBaseRow($row) {
$jenisSpesimen = trim(implode(' ', array_filter([
$row->kd_spesimen ?? '',
$row->nm_spesimen ?? '',
])));
return [
$row->nmrs ?? '',
$row->nmpasien ?? '',
$row->noregister ?? '',
$row->jkpasien ?? '',
$row->tgllahirpasien ?? '',
$row->usia ?? '',
$row->asalpasien ?? '',
$row->daftar ?? '',
$row->mulai ?? '',
$this->getGlassReportOrigin($row),
$jenisSpesimen,
];
}
private function getGlassReportLookups($rows) {
$orderIds = $rows->pluck('id')->filter()->values()->all();
$accnumbers = $rows->pluck('nofoto')->filter()->values()->all();
$komponen = DB::table('db_komponenjawaban')
->select('accnumber', 'komponen', 'isidata')
->whereIn('accnumber', $accnumbers)
->whereIn('komponen', ['bakteri', 'id_bakteri01', 'id_bakteri02', 'id_mikroorganisme', 'id_biakankultur', 'bakterisir', 'id_bakterisir01', 'id_bakterisir02'])
->whereNotNull('isidata')
->where('isidata', '!=', '')
->get()
->groupBy('accnumber');
$antibiotik = RekapAntibiotik::query()
->whereIn('orderid', $orderIds)
->get(['orderid', 'antibiotic', 'resistance', 'interpretation'])
->groupBy('orderid');
return [
'komponen' => $komponen,
'antibiotik' => $antibiotik,
];
}
private function splitGlassReportRows($rows, $lookups) {
$headers = $this->getGlassReportHeaders();
$aliases = $this->getGlassReportAntibioticAliases();
$tables = ['A' => [], 'C' => []];
foreach ($rows as $row) {
$baseRow = $this->buildGlassReportBaseRow($row);
$komponenRows = $lookups['komponen'][$row->nofoto] ?? collect([]);
$antibioticRows = $lookups['antibiotik'][$row->id] ?? collect([]);
$speciesNames = [];
$growthValue = '';
$sirValues = [
'bakteri' => '',
'id_bakteri01' => '',
'id_bakteri02' => '',
];
foreach ($komponenRows as $komponenRow) {
$value = trim(strip_tags((string) $komponenRow->isidata));
if ($value === '') {
continue;
}
if (in_array($komponenRow->komponen, ['bakteri', 'id_bakteri01', 'id_bakteri02'], true) && stripos($value, 'Ditemukan morfologi') === false) {
$speciesNames[] = [
'name' => $value,
'component' => $komponenRow->komponen,
];
}
if ($komponenRow->komponen === 'id_biakankultur' && $growthValue === '') {
$growthValue = $value;
}
if ($komponenRow->komponen === 'bakterisir' && $sirValues['bakteri'] === '') {
$sirValues['bakteri'] = $value;
}
if ($komponenRow->komponen === 'id_bakterisir01' && $sirValues['id_bakteri01'] === '') {
$sirValues['id_bakteri01'] = $value;
}
if ($komponenRow->komponen === 'id_bakterisir02' && $sirValues['id_bakteri02'] === '') {
$sirValues['id_bakteri02'] = $value;
}
}
$speciesNames = array_values(array_filter($speciesNames, function ($value) {
return trim((string) ($value['name'] ?? '')) !== '';
}));
$antibioticValues = [];
foreach ($antibioticRows as $antibioticRow) {
$matchedHeader = null;
$normalizedAntibiotic = $this->normalizeGlassReportValue($antibioticRow->antibiotic ?? '');
$normalizedResistance = $this->normalizeGlassReportValue($antibioticRow->resistance ?? '');
foreach ($aliases as $header => $variants) {
if (in_array($normalizedAntibiotic, $variants, true) || in_array($normalizedResistance, $variants, true)) {
$matchedHeader = $header;
break;
}
}
if ($matchedHeader === null || isset($antibioticValues[$matchedHeader])) {
continue;
}
$antibioticValues[$matchedHeader] = $this->pickGlassReportResistanceValue($antibioticRow, $matchedHeader);
}
$hasJenisSpesimen = trim((string) ($baseRow[10] ?? '')) !== '';
if (!empty($speciesNames) && $hasJenisSpesimen) {
foreach ($speciesNames as $speciesData) {
$sirKey = $speciesData['component'] ?? 'bakteri';
$sirValue = $sirValues[$sirKey] ?? '';
$tableRow = array_merge($baseRow, [
$speciesData['name'] ?? '',
$growthValue,
$sirValue,
$row->id_esbl ?? '',
$row->id_mrsa ?? '',
]);
foreach ($headers['A_antibiotics'] as $antibioticHeader) {
$tableRow[] = $antibioticValues[$antibioticHeader] ?? '';
}
foreach ($headers['B_antibiotics'] as $antibioticHeader) {
$tableRow[] = $antibioticValues[$antibioticHeader] ?? '';
}
$tables['A'][] = $tableRow;
}
continue;
}
$tables['C'][] = array_merge($baseRow, [$growthValue]);
}
return $tables;
}
public function genGlassReport(Request $request) {
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
if ($tahun == '' OR is_null($tahun)){
$getarray = explode('?', $bulan);
$bulan = $getarray[0] ?? date('m');
$tahun = $getarray[1] ?? date('Y');
$bulan = str_replace('bulan=', '', $bulan);
$tahun = str_replace('tahun=', '', $tahun);
}
$query = Periksa::query()->where('dlp', 'Kultur')->whereNotNull('dokter_id')->whereYear('daftar', $tahun);
if ($bulan != 'ALL' && $bulan != 'Pick Month') {
$query->whereMonth('daftar', $bulan);
}
$orderbydate = $query->orderBy('daftar', 'ASC')->orderBy('id', 'ASC')->paginate(50);
$orderbydate->appends(['bulan' => $bulan, 'tahun' => $tahun]);
$pageIds = $orderbydate->pluck('id')->toArray();
$antibiotikLookup = $this->mapAntibiotikData($pageIds);
$glassRows = $orderbydate->getCollection();
$glassLookups = $this->getGlassReportLookups($glassRows);
$glassTables = $this->splitGlassReportRows($glassRows, $glassLookups);
$glassHeaders = $this->getGlassReportHeaders();
return view('admin.glassreport', [
'orderbydate' => $orderbydate,
'antibiotikLookup' => $antibiotikLookup,
'jsonantibiotik' => $this->listAntibiotik,
'glassTables' => $glassTables,
'glassHeaders' => $glassHeaders,
'bulan' => $bulan,
'tahun' => $tahun
]);
}
public function exportGlassReport(Request $request) {
// Set memory limit sementara untuk proses export berat, tapi streaming tetap kuncinya
ini_set('memory_limit', '512M');
ini_set('max_execution_time', 300); // 5 menit
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
// Logic cleaning input...
if (strpos($bulan, 'bulan=') !== false) {
$parts = explode('?', $bulan);
$bulan = str_replace('bulan=', '', $parts[0]);
$tahun = str_replace('tahun=', '', $parts[1] ?? date('Y'));
}
$response = new StreamedResponse(function() use ($bulan, $tahun) {
$handle = fopen('php://output', 'w');
$headers = $this->getGlassReportHeaders();
$tables = [
'A' => [],
'C' => [],
];
// Query Tanpa Get() tapi Chunk()
$query = Periksa::query()->where('dlp', 'Kultur')->whereNotNull('dokter_id')->whereYear('daftar', $tahun);
if ($bulan != 'ALL' && $bulan != 'Pick Month') {
$query->whereMonth('daftar', $bulan);
}
// Proses per 500 data agar RAM stabil
$query->orderBy('id')->chunk(500, function($rows) use (&$tables) {
$lookups = $this->getGlassReportLookups($rows);
$chunkTables = $this->splitGlassReportRows($rows, $lookups);
foreach (['A', 'C'] as $tableKey) {
foreach ($chunkTables[$tableKey] as $tableRow) {
$tables[$tableKey][] = $tableRow;
}
}
});
foreach (['A', 'C'] as $tableKey) {
fputcsv($handle, ['TABEL '.$tableKey]);
fputcsv($handle, $headers[$tableKey]);
foreach ($tables[$tableKey] as $tableRow) {
fputcsv($handle, $tableRow);
}
fputcsv($handle, []);
}
fclose($handle);
});
$response->headers->set('Content-Type', 'text/csv');
$response->headers->set('Content-Disposition', 'attachment; filename="GlassReport_'.$bulan.'_'.$tahun.'.csv"');
return $response;
}
public function exportRekapAntibiotik(Request $request) {
ini_set('memory_limit', '512M');
ini_set('max_execution_time', 600); // 10 menit jika data besar
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
if (strpos($bulan, 'bulan=') !== false) {
$parts = explode('?', $bulan);
$bulan = str_replace('bulan=', '', $parts[0]);
$tahun = str_replace('tahun=', '', $parts[1] ?? date('Y'));
}
$listAntibiotik = $this->getDynamicAntibioticHeaders($bulan, $tahun);
$response = new StreamedResponse(function() use ($bulan, $tahun, $listAntibiotik) {
$handle = fopen('php://output', 'w');
$staticHeaders = [
'No', 'Status', 'No.RM', 'Name', 'Order', 'Gender', 'Date',
'Urgensi', 'Comming From', 'Code', 'Spesimen', 'Finish',
'BHP Media', 'BHP Pot Sputum', 'BHP Pot Urine', 'BHP Oshe',
'BHP Obyek Glass', 'BHP Botol BD', 'BHP Parafilm', 'BHP Tips',
'BHP Cotton Swab', 'BHP Ab Tambahan', 'ESBL', 'MRSA'
];
fputcsv($handle, array_merge($staticHeaders, $listAntibiotik));
$query = Periksa::query()->whereYear('daftar', $tahun);
if ($bulan != 'ALL' && $bulan != 'Pick Month') {
$query->whereMonth('daftar', $bulan);
}
$query->chunk(500, function($rows) use ($handle, $listAntibiotik) {
$chunkIds = $rows->pluck('id')->toArray();
$antibiotikLookup = $this->mapAntibiotikData($chunkIds);
foreach ($rows as $row) {
$csvRow = [
$row->noloket,
$row->status,
$row->noregister,
$row->nmpasien,
$row->reques,
$row->jkpasien,
$row->daftar,
$row->urgensi,
$row->asalpasien,
$row->kd_spesimen,
$row->nm_spesimen,
$row->updated_at,
$row->bhp_media,
$row->bhp_potsputum,
$row->bhp_poturine,
$row->bhp_oshe,
$row->bhp_obyekglass,
$row->bhp_botolbd,
$row->bhp_parafilm,
$row->bhp_tips,
$row->bhp_cottonswab,
$row->bhp_antibiotiktambahan,
$row->id_esbl,
$row->id_mrsa
];
foreach ($listAntibiotik as $headerAb) {
$val = $antibiotikLookup[$row->id][$headerAb] ?? '';
$csvRow[] = $val;
}
fputcsv($handle, $csvRow);
}
});
fclose($handle);
});
$response->headers->set('Content-Type', 'text/csv');
$response->headers->set('Content-Disposition', 'attachment; filename="RekapAntibiotik_'.$bulan.'_'.$tahun.'.csv"');
return $response;
}
private function getZnReportKomponenList() {
return [
'id_pewarnaanziehlnielsen',
'id_pewarnaanziehlnielsensewaktu',
'lsg_pewarnaanziehlnielsen',
'lsg_pewarnaanziehlnielsensewaktu',
'hasilpemeriksaantbbiakan_pagi',
'hasilpemeriksaantbbiakan_sewaktu',
'hasilpemeriksaantmikroskopis_hasilpagi',
'hasilpemeriksaantmikroskopis_hasilsewaktu',
];
}
private function normalizeZnReportValue($value) {
$value = trim(strip_tags((string) $value));
$value = preg_replace('/\s+/', ' ', $value);
$upperValue = strtoupper($value);
if ($upperValue === 'NEG') {
return 'Tidak ditemukan Bakteri Tahan Asam (BTA)';
}
if ($upperValue === '1-9') {
return 'Ditemukan Bakteri Tahan Asam 0-9 BTA (scanty)';
}
if ($value === '+') {
return 'Ditemukan Bakteri Tahan Asam (BTA) 1+';
}
if ($value === '++') {
return 'Ditemukan Bakteri Tahan Asam (BTA) 2+';
}
if ($value === '+++') {
return 'Ditemukan Bakteri Tahan Asam (BTA) 3+';
}
return $value;
}
private function periksaHasZnReportValue($periksa, $nilai, $komponenList) {
return $periksa->komponen
->whereIn('komponen', $komponenList)
->filter(function ($komponen) use ($nilai) {
return $this->normalizeZnReportValue($komponen->isidata) === $nilai;
})
->count() > 0;
}
public function genZNreport(Request $request) {
$data = [];
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
if ($tahun == '' OR is_null($tahun)){
$getarray = explode('?', $bulan);
$bulan = $getarray[0] ?? date('m');
$tahun = $getarray[1] ?? date('Y');
$bulan = str_replace('bulan=', '', $bulan);
$tahun = str_replace('tahun=', '', $tahun);
}
$komponenList = $this->getZnReportKomponenList();
$nilaiList = Organisms::where('kelompok', 'Pewarnaan Ziehl Nielsen')->pluck('name')->toArray();
if ($bulan == '' OR $bulan == 'ALL'){
$periksa = Periksa::with(['komponen' => function($q) use ($komponenList){
$q->whereIn('komponen', $komponenList);
}])
->whereYear('mulai', $tahun)
->get();
} else {
$periksa = Periksa::with(['komponen' => function($q) use ($komponenList){
$q->whereIn('komponen', $komponenList);
}])
->whereMonth('mulai', $bulan)
->whereYear('mulai', $tahun)
->get();
}
$kdSpesimenList = $periksa
->pluck('kd_spesimen')
->unique()
->values();
$rekapLaki = [];
$rekapPerempuan = [];
foreach ($nilaiList as $nilai) {
foreach ($kdSpesimenList as $spesimen) {
$rekapLaki[$nilai][$spesimen] = $periksa
->where('kd_spesimen', $spesimen)
->where('jkpasien', 'L')
->filter(function($px) use ($nilai, $komponenList){
return $this->periksaHasZnReportValue($px, $nilai, $komponenList);
})->count();
$rekapPerempuan[$nilai][$spesimen] = $periksa
->where('kd_spesimen', $spesimen)
->where('jkpasien', 'P')
->filter(function($px) use ($nilai, $komponenList){
return $this->periksaHasZnReportValue($px, $nilai, $komponenList);
})->count();
}
}
$chartL = [];
$chartP = [];
foreach ($nilaiList as $nilai) {
$chartL[] = array_sum($rekapLaki[$nilai]);
$chartP[] = array_sum($rekapPerempuan[$nilai]);
}
return view('cetak.znreport', compact(
'rekapLaki',
'rekapPerempuan',
'kdSpesimenList',
'nilaiList',
'bulan',
'tahun',
'chartL',
'chartP'
));
}
public function genTATreport(Request $request) {
$data = [];
$bulan = $request->input('bulan');
$tahun = $request->input('tahun');
if ($tahun == '' OR is_null($tahun)){
$getarray = explode('?', $bulan);
$bulan = $getarray[0] ?? date('m');
$tahun = $getarray[1] ?? date('Y');
$bulan = str_replace('bulan=', '', $bulan);
$tahun = str_replace('tahun=', '', $tahun);
}
$query = Periksa::select('*');
if ($bulan !== 'ALL') {
$query->whereMonth('mulai', $bulan);
}
$periksa = $query->whereYear('mulai', $tahun)->orderBy('mulai', 'ASC')->get();
if ($periksa->count() == 0) {
return response()->json([]);
}
$accnumbers = $periksa->pluck('nofoto')->toArray();
$komponen = DB::table('db_komponenjawaban')->whereIn('accnumber', $accnumbers)->whereIn('komponen', ['id_bakteri01','id_bakteri02','id_mikroorganisme'])->get()->groupBy('accnumber');
$poli = DB::table('poli')->whereIn('id', $periksa->pluck('poli_id'))->get()->keyBy('id');
$hasil = $periksa->map(function($row) use ($komponen, $poli){
$k = $komponen[$row->nofoto] ?? collect([]);
$row->id_bakteri01 = optional($k->firstWhere('komponen', 'id_bakteri01'))->isidata;
$row->id_bakteri02 = optional($k->firstWhere('komponen', 'id_bakteri02'))->isidata;
$row->bakteri = optional($k->firstWhere('komponen', 'bakteri'))->isidata;
$row->filefoto = "<a href='".url('/hasil/'.$row->nofoto)."'>$row->nofoto</a>";
$p = $poli[$row->poli_id] ?? null;
$row->subpoli = $p->subpoli ?? null;
$target = $p->modaliti2 ?? '1';
$row->modaliti2 = $target;
if (!empty($row->verifikasi)) {
$selisih_hari = Carbon::parse($row->mulai)->diffInDays(Carbon::parse($row->verifikasi));
$target = intval($target);
$hari = intval($selisih_hari);
$row->selisih_hari = $selisih_hari;
if ($hari <= $target) {
$row->status_target = "MEMENUHI TARGET";
} else {
$row->status_target = "TIDAK MEMENUHI TARGET";
}
} else {
$row->selisih_hari = null;
$row->status_target = "TIDAK ADA HASIL";
}
return $row;
});
$rekap = $hasil->groupBy('kd_spesimen')->map(function($group){
return [
'jenis_pemeriksaan' => $group->first()->kd_spesimen,
'memenuhi' => $group->where('status_target', 'MEMENUHI TARGET')->count(),
'tidak_memenuhi' => $group->where('status_target', 'TIDAK MEMENUHI TARGET')->count(),
'tidak_ada_hasil' => $group->where('status_target', 'TIDAK ADA HASIL')->count(),
'total' => $group->count()
];
})->values();
return view('cetak.tatreport', [
'bulan' => $bulan,
'tahun' => $tahun,
'detail' => $hasil,
'rekap' => $rekap
]);
}
public function genRekapPenerimaanSample(Request $request) {
$data = [];
$tanggal = $request->input('tanggal');
$tanggal = str_replace('tanggal=', '', $tanggal);
$query = Periksa::select('*');
$periksa = $query->whereDate('daftar', $tanggal)->orderBy('id', 'ASC')->get();
if ($periksa->count() == 0) {
return response()->json([]);
}
$histories = RekapPenerimaanSamplePrintHistory::whereDate('tanggal', $tanggal)
->orderBy('printed_at', 'DESC')
->orderBy('id', 'DESC')
->get()
->map(function ($h) {
$rowIds = json_decode($h->row_ids, true);
$rowsPayload = json_decode($h->rows_payload, true);
return [
'id' => $h->id,
'printed_by_id' => $h->printed_by_id,
'printed_by_name' => $h->printed_by_name,
'printed_at' => $h->printed_at,
'printed_at_label' => $h->printed_at ? Carbon::parse($h->printed_at)->format('Y-m-d H:i:s') : '-',
'row_ids' => is_array($rowIds) ? $rowIds : [],
'rows_payload' => is_array($rowsPayload) ? $rowsPayload : [],
'total_rows' => is_array($rowIds) ? count($rowIds) : 0,
];
})
->values();
return view('cetak.rekappenerimaansample', [
'tanggal' => $tanggal,
'detail' => $periksa,
'printHistories' => $histories
]);
}
public function markRekapPenerimaanSamplePrinted(Request $request) {
$userId = Session::get('id');
$userNama = Session::get('nama');
if (empty($userId)) {
return response()->json([
'status' => 'error',
'message' => 'Session login tidak valid.'
], 401);
}
$ids = $request->input('ids', []);
if (!is_array($ids) || count($ids) === 0) {
return response()->json([
'status' => 'error',
'message' => 'Data yang dipilih tidak valid.'
], 422);
}
$ids = collect($ids)
->filter(function ($id) {
return is_numeric($id);
})
->map(function ($id) {
return intval($id);
})
->unique()
->values()
->toArray();
if (count($ids) === 0) {
return response()->json([
'status' => 'error',
'message' => 'Data yang dipilih tidak valid.'
], 422);
}
$tanggal = $request->input('tanggal');
$tanggal = !empty($tanggal) ? $tanggal : null;
$printableIds = Periksa::whereIn('id', $ids)
->where(function ($query) {
$query->whereNull('ppdsjunior2')
->orWhere('ppdsjunior2', 0);
})
->pluck('id')
->toArray();
if (count($printableIds) === 0) {
return response()->json([
'status' => 'error',
'message' => 'Semua data yang dipilih sudah pernah dicetak.'
], 422);
}
if (count($printableIds) > 0) {
Periksa::whereIn('id', $printableIds)->update([
'ppdsjunior2' => $userId,
'nmppdsjunior2' => $userNama,
'updated_at' => date('Y-m-d H:i:s'),
]);
}
// Ambil data setelah update supaya payload cetak (petugas) sesuai yang tampil di tabel
$rowsToPrint = Periksa::whereIn('id', $printableIds)
->orderBy('id', 'ASC')
->get()
->map(function ($row) {
$petugas = trim(($row->nmppdsmiddle2 ?? '').' '.($row->nmppdsjunior2 ?? ''));
$status = trim((string)($row->status ?? ''));
if ($status === '') {
$status = '-';
}
return [
'id' => $row->id,
'noregister' => $row->noregister ?? '',
'nmpasien' => $row->nmpasien ?? '',
'nofoto' => $row->nofoto ?? '',
'asalpasien' => $row->asalpasien ?? '',
'daftar' => $row->daftar ?? '',
'reques' => $row->reques ?? '',
'kd_spesimen' => $row->kd_spesimen ?? '',
'nm_spesimen' => $row->nm_spesimen ?? '',
'status' => $status,
'tgldraft' => $row->tgldraft ?? '',
'petugas' => $petugas,
];
})
->values()
->toArray();
$history = RekapPenerimaanSamplePrintHistory::create([
'tanggal' => $tanggal,
'printed_by_id' => $userId,
'printed_by_name' => $userNama,
'printed_at' => Carbon::now()->format('Y-m-d H:i:s'),
'row_ids' => json_encode(array_values($printableIds)),
'rows_payload' => json_encode($rowsToPrint),
'created_at' => date('Y-m-d H:i:s'),
'updated_at' => date('Y-m-d H:i:s'),
]);
$historyResponse = [
'id' => $history->id,
'printed_by_id' => $history->printed_by_id,
'printed_by_name' => $history->printed_by_name,
'printed_at' => $history->printed_at,
'printed_at_label' => Carbon::parse($history->printed_at)->format('Y-m-d H:i:s'),
'row_ids' => $printableIds,
'rows_payload' => $rowsToPrint,
'total_rows' => count($printableIds),
];
return response()->json([
'status' => 'success',
'message' => 'Status cetak berhasil diperbarui.',
'affected_ids'=> $printableIds,
'printed_by' => $userNama,
'history' => $historyResponse
]);
}
}