"""中试申请单-体检 CRUD（体检信息、预约项目、实际项目）"""
from __future__ import annotations

import uuid
from datetime import datetime
from typing import Any, Dict, List, Optional

from sqlalchemy import func, or_
from sqlalchemy.orm import Session

from app.models.models import (
    BizCheckupInstitution,
    BizPilotApplication,
    BizPilotCheckup,
    BizPilotCheckupActualItem,
    BizPilotCheckupReserveItem,
    BizPilotPatient,
)


# ────────────────────────────────────────────
# Helpers
# ────────────────────────────────────────────


def _parse_optional_datetime(val: Any) -> Optional[datetime]:
    if val is None or val == "":
        return None
    if isinstance(val, datetime):
        return val
    if isinstance(val, str):
        text = val.strip()
        for fmt in ("%Y-%m-%d %H:%M:%S", "%Y-%m-%d %H:%M"):
            try:
                return datetime.strptime(text, fmt)
            except ValueError:
                continue
        try:
            return datetime.fromisoformat(text.replace("Z", "+00:00"))
        except ValueError:
            return None
    return None


# ────────────────────────────────────────────
# Helpers: _row_to_dict
# ────────────────────────────────────────────


def _generate_checkup_no(db: Session, tenant_no: str) -> str:
    today_str = datetime.now().strftime("%Y%m%d")
    prefix = f"ZSTJ{today_str}"
    existing = (
        db.query(BizPilotCheckup.checkup_status)
        .filter(
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.id.like(f"{prefix}%"),
            BizPilotCheckup.del_flag == 0,
        )
        .order_by(BizPilotCheckup.create_time.desc())
        .first()
    )
    seq = 1
    if existing:
        seq = 1
    return f"{prefix}{seq:04d}"


def _row_to_dict_checkup(row, db=None, tenant_no=None) -> Dict[str, Any]:
    d: Dict[str, Any] = {
        "id": row.id,
        "pilotApplicationId": row.pilot_application_id or "",
        "pilotPatientId": row.pilot_patient_id or "",
        "checkupInstitutionId": row.checkup_institution_id or "",
        "reserveTime": row.reserve_time.strftime("%Y-%m-%d %H:%M:%S") if row.reserve_time else "",
        "reserveFee": float(row.reserve_fee) if row.reserve_fee is not None else None,
        "actualCheckupTime": row.actual_checkup_time.strftime("%Y-%m-%d %H:%M:%S") if row.actual_checkup_time else "",
        "actualCheckupFee": float(row.actual_checkup_fee) if row.actual_checkup_fee is not None else None,
        "feeSettled": row.fee_settled if row.fee_settled is not None else 0,
        "checkupStatus": row.checkup_status or "",
        "feeStatus": row.fee_status or "",
        "checkupRemark": row.checkup_remark or "",
        "reportAttachments": row.report_attachments or "",
        "tenantNo": row.tenant_no or "",
        "remark": row.remark or "",
        "createBy": row.create_by or "",
        "createTime": row.create_time.strftime("%Y-%m-%d %H:%M:%S") if row.create_time else "",
        "updateTime": row.update_time.strftime("%Y-%m-%d %H:%M:%S") if row.update_time else "",
    }

    if db and tenant_no:
        # institutionName — lookup from BizCheckupInstitution
        if row.checkup_institution_id:
            inst = (
                db.query(BizCheckupInstitution.institution_name)
                .filter(
                    BizCheckupInstitution.id == row.checkup_institution_id,
                    BizCheckupInstitution.del_flag == 0,
                )
                .first()
            )
            d["institutionName"] = inst.institution_name if inst else ""
        else:
            d["institutionName"] = ""

        # patientName / sex / age / phoneNo — from BizPilotPatient
        if row.pilot_patient_id:
            patient = (
                db.query(BizPilotPatient)
                .filter(
                    BizPilotPatient.id == row.pilot_patient_id,
                    BizPilotPatient.del_flag == 0,
                )
                .first()
            )
            if patient:
                d["patientName"] = patient.patient_name or ""
                d["sex"] = patient.sex or ""
                d["age"] = patient.age
                d["phoneNo"] = patient.phone_no or ""
            else:
                d["patientName"] = ""
                d["sex"] = ""
                d["age"] = None
                d["phoneNo"] = ""
        else:
            d["patientName"] = ""
            d["sex"] = ""
            d["age"] = None
            d["phoneNo"] = ""

        # applicationNo / channelName — from BizPilotApplication
        if row.pilot_application_id:
            app = (
                db.query(BizPilotApplication)
                .filter(
                    BizPilotApplication.id == row.pilot_application_id,
                    BizPilotApplication.del_flag == 0,
                )
                .first()
            )
            if app:
                d["applicationNo"] = app.application_no or ""
                d["channelName"] = app.channel_name or ""
            else:
                d["applicationNo"] = ""
                d["channelName"] = ""
        else:
            d["applicationNo"] = ""
            d["channelName"] = ""

        # reserveItemCount
        reserve_count = (
            db.query(func.count(BizPilotCheckupReserveItem.id))
            .filter(
                BizPilotCheckupReserveItem.pilot_checkup_id == row.id,
                BizPilotCheckupReserveItem.tenant_no == tenant_no,
                BizPilotCheckupReserveItem.del_flag == 0,
            )
            .scalar()
        ) or 0
        d["reserveItemCount"] = reserve_count

        # actualItemCount
        actual_count = (
            db.query(func.count(BizPilotCheckupActualItem.id))
            .filter(
                BizPilotCheckupActualItem.pilot_checkup_id == row.id,
                BizPilotCheckupActualItem.tenant_no == tenant_no,
                BizPilotCheckupActualItem.del_flag == 0,
            )
            .scalar()
        ) or 0
        d["actualItemCount"] = actual_count

    return d


def _row_to_dict_reserve_item(row) -> Dict[str, Any]:
    return {
        "id": row.id,
        "pilotCheckupId": row.pilot_checkup_id or "",
        "projectName": row.project_name or "",
        "projectFee": float(row.project_fee) if row.project_fee is not None else None,
        "orderNum": row.order_num if row.order_num is not None else 0,
        "remark": row.remark or "",
        "createTime": row.create_time.strftime("%Y-%m-%d %H:%M:%S") if row.create_time else "",
        "updateTime": row.update_time.strftime("%Y-%m-%d %H:%M:%S") if row.update_time else "",
    }


def _row_to_dict_actual_item(row) -> Dict[str, Any]:
    return {
        "id": row.id,
        "pilotCheckupId": row.pilot_checkup_id or "",
        "projectName": row.project_name or "",
        "projectFee": float(row.project_fee) if row.project_fee is not None else None,
        "orderNum": row.order_num if row.order_num is not None else 0,
        "remark": row.remark or "",
        "createTime": row.create_time.strftime("%Y-%m-%d %H:%M:%S") if row.create_time else "",
        "updateTime": row.update_time.strftime("%Y-%m-%d %H:%M:%S") if row.update_time else "",
    }


# ────────────────────────────────────────────
# Checkup CRUD
# ────────────────────────────────────────────


def get_checkup_by_application(
    db: Session, application_id: str, tenant_no: str
) -> Optional[Dict[str, Any]]:
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.pilot_application_id == application_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        return None
    return _row_to_dict_checkup(row, db, tenant_no)


def get_checkup_by_id(
    db: Session, checkup_id: str, tenant_no: str
) -> Optional[Dict[str, Any]]:
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.id == checkup_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        return None
    return _row_to_dict_checkup(row, db, tenant_no)


def create_checkup(
    db: Session,
    application_id: str,
    data: dict,
    tenant_no: str,
    user_id: str,
) -> Dict[str, Any]:
    now = datetime.now()

    row = BizPilotCheckup(
        id=uuid.uuid4().hex,
        pilot_application_id=application_id,
        pilot_patient_id=data.get("pilotPatientId") or None,
        checkup_institution_id=data.get("checkupInstitutionId") or "",
        reserve_time=_parse_optional_datetime(data.get("reserveTime")),
        reserve_fee=data.get("reserveFee") if data.get("reserveFee") is not None else None,
        actual_checkup_time=data.get("actualCheckupTime") or None,
        actual_checkup_fee=data.get("actualCheckupFee") if data.get("actualCheckupFee") is not None else None,
        fee_settled=0,
        checkup_status="dtj",
        fee_status="wjs",
        checkup_remark=data.get("checkupRemark") or "",
        report_attachments=data.get("reportAttachments") or "",
        tenant_no=tenant_no,
        order_num=0,
        remark=data.get("remark") or "",
        create_by=user_id,
        create_dept_id="",
        create_time=now,
        update_by=user_id,
        update_time=now,
        del_flag=0,
    )
    db.add(row)
    db.commit()
    db.refresh(row)
    return _row_to_dict_checkup(row, db, tenant_no)


def update_checkup(
    db: Session, checkup_id: str, data: dict, tenant_no: str
) -> Dict[str, Any]:
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.id == checkup_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        raise ValueError("体检信息不存在")

    fields = {
        "checkupInstitutionId": "checkup_institution_id",
        "reserveTime": "reserve_time",
        "reserveFee": "reserve_fee",
        "actualCheckupTime": "actual_checkup_time",
        "actualCheckupFee": "actual_checkup_fee",
        "checkupRemark": "checkup_remark",
        "reportAttachments": "report_attachments",
        "remark": "remark",
    }
    for camel, snake in fields.items():
        if camel in data and data[camel] is not None:
            val = data[camel]
            if snake in ("reserve_time", "actual_checkup_time"):
                val = _parse_optional_datetime(val)
            setattr(row, snake, val)

    row.update_time = datetime.now()
    db.commit()
    db.refresh(row)
    return _row_to_dict_checkup(row, db, tenant_no)


def soft_delete_checkup(db: Session, checkup_id: str, tenant_no: str) -> None:
    now = datetime.now()
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.id == checkup_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        raise ValueError("体检信息不存在")

    row.del_flag = 1
    row.update_time = now

    # Cascade soft-delete to reserve items
    db.query(BizPilotCheckupReserveItem).filter(
        BizPilotCheckupReserveItem.pilot_checkup_id == checkup_id,
        BizPilotCheckupReserveItem.tenant_no == tenant_no,
        BizPilotCheckupReserveItem.del_flag == 0,
    ).update({"del_flag": 1, "update_time": now}, synchronize_session=False)

    # Cascade soft-delete to actual items
    db.query(BizPilotCheckupActualItem).filter(
        BizPilotCheckupActualItem.pilot_checkup_id == checkup_id,
        BizPilotCheckupActualItem.tenant_no == tenant_no,
        BizPilotCheckupActualItem.del_flag == 0,
    ).update({"del_flag": 1, "update_time": now}, synchronize_session=False)

    db.commit()


def mark_checkup_checked(
    db: Session, checkup_id: str, tenant_no: str, user_id: str
) -> Dict[str, Any]:
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.id == checkup_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        raise ValueError("体检信息不存在")
    if row.checkup_status != "dtj":
        raise ValueError("当前状态不允许标记已体检")

    row.checkup_status = "ytj"
    if not row.actual_checkup_time:
        row.actual_checkup_time = datetime.now()
    row.update_by = user_id
    row.update_time = datetime.now()
    db.commit()
    db.refresh(row)
    return _row_to_dict_checkup(row, db, tenant_no)


def settle_checkup_fee(
    db: Session, checkup_id: str, tenant_no: str, user_id: str
) -> Dict[str, Any]:
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.id == checkup_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        raise ValueError("体检信息不存在")
    if row.fee_status != "wjs":
        raise ValueError("当前状态不允许结算")

    row.fee_status = "yjs"
    row.fee_settled = 1
    row.update_by = user_id
    row.update_time = datetime.now()
    db.commit()
    db.refresh(row)
    return _row_to_dict_checkup(row, db, tenant_no)


# ────────────────────────────────────────────
# Reserve Items CRUD
# ────────────────────────────────────────────


def list_reserve_items(
    db: Session, checkup_id: str, tenant_no: str
) -> List[Dict[str, Any]]:
    rows = (
        db.query(BizPilotCheckupReserveItem)
        .filter(
            BizPilotCheckupReserveItem.pilot_checkup_id == checkup_id,
            BizPilotCheckupReserveItem.tenant_no == tenant_no,
            BizPilotCheckupReserveItem.del_flag == 0,
        )
        .order_by(
            BizPilotCheckupReserveItem.order_num.asc(),
            BizPilotCheckupReserveItem.create_time.asc(),
        )
        .all()
    )
    return [_row_to_dict_reserve_item(r) for r in rows]


def save_reserve_items(
    db: Session,
    checkup_id: str,
    items_json: list,
    tenant_no: str,
    user_id: str,
) -> List[Dict[str, Any]]:
    now = datetime.now()

    # Soft-delete existing items
    db.query(BizPilotCheckupReserveItem).filter(
        BizPilotCheckupReserveItem.pilot_checkup_id == checkup_id,
        BizPilotCheckupReserveItem.tenant_no == tenant_no,
        BizPilotCheckupReserveItem.del_flag == 0,
    ).update({"del_flag": 1, "update_time": now}, synchronize_session=False)

    # Insert new items
    for idx, item in enumerate(items_json):
        row = BizPilotCheckupReserveItem(
            id=uuid.uuid4().hex,
            pilot_checkup_id=checkup_id,
            project_name=item.get("projectName") or item.get("project_name") or "",
            project_fee=item.get("projectFee") if item.get("projectFee") is not None else (
                item.get("project_fee") if item.get("project_fee") is not None else None
            ),
            tenant_no=tenant_no,
            order_num=idx + 1,
            remark=item.get("remark") or "",
            create_by=user_id,
            create_dept_id="",
            create_time=now,
            update_by=user_id,
            update_time=now,
            del_flag=0,
        )
        db.add(row)

    db.commit()
    return list_reserve_items(db, checkup_id, tenant_no)


def delete_reserve_item(db: Session, item_id: str, tenant_no: str) -> None:
    row = (
        db.query(BizPilotCheckupReserveItem)
        .filter(
            BizPilotCheckupReserveItem.id == item_id,
            BizPilotCheckupReserveItem.tenant_no == tenant_no,
            BizPilotCheckupReserveItem.del_flag == 0,
        )
        .first()
    )
    if not row:
        raise ValueError("预约项目不存在")

    row.del_flag = 1
    row.update_time = datetime.now()
    db.commit()


# ────────────────────────────────────────────
# Actual Items CRUD
# ────────────────────────────────────────────


def list_actual_items(
    db: Session, checkup_id: str, tenant_no: str
) -> List[Dict[str, Any]]:
    rows = (
        db.query(BizPilotCheckupActualItem)
        .filter(
            BizPilotCheckupActualItem.pilot_checkup_id == checkup_id,
            BizPilotCheckupActualItem.tenant_no == tenant_no,
            BizPilotCheckupActualItem.del_flag == 0,
        )
        .order_by(
            BizPilotCheckupActualItem.order_num.asc(),
            BizPilotCheckupActualItem.create_time.asc(),
        )
        .all()
    )
    return [_row_to_dict_actual_item(r) for r in rows]


def save_actual_items(
    db: Session,
    checkup_id: str,
    items_json: list,
    tenant_no: str,
    user_id: str,
) -> List[Dict[str, Any]]:
    now = datetime.now()

    # Soft-delete existing items
    db.query(BizPilotCheckupActualItem).filter(
        BizPilotCheckupActualItem.pilot_checkup_id == checkup_id,
        BizPilotCheckupActualItem.tenant_no == tenant_no,
        BizPilotCheckupActualItem.del_flag == 0,
    ).update({"del_flag": 1, "update_time": now}, synchronize_session=False)

    # Insert new items
    for idx, item in enumerate(items_json):
        row = BizPilotCheckupActualItem(
            id=uuid.uuid4().hex,
            pilot_checkup_id=checkup_id,
            project_name=item.get("projectName") or item.get("project_name") or "",
            project_fee=item.get("projectFee") if item.get("projectFee") is not None else (
                item.get("project_fee") if item.get("project_fee") is not None else None
            ),
            tenant_no=tenant_no,
            order_num=idx + 1,
            remark=item.get("remark") or "",
            create_by=user_id,
            create_dept_id="",
            create_time=now,
            update_by=user_id,
            update_time=now,
            del_flag=0,
        )
        db.add(row)

    db.commit()
    return list_actual_items(db, checkup_id, tenant_no)


def delete_actual_item(db: Session, item_id: str, tenant_no: str) -> None:
    row = (
        db.query(BizPilotCheckupActualItem)
        .filter(
            BizPilotCheckupActualItem.id == item_id,
            BizPilotCheckupActualItem.tenant_no == tenant_no,
            BizPilotCheckupActualItem.del_flag == 0,
        )
        .first()
    )
    if not row:
        raise ValueError("实际项目不存在")

    row.del_flag = 1
    row.update_time = datetime.now()
    db.commit()


# ────────────────────────────────────────────
# Checkup List (Paginated)
# ────────────────────────────────────────────


def list_checkups_paginated(
    db: Session,
    tenant_no: str,
    page: int = 1,
    page_size: int = 10,
    checkup_status: Optional[str] = None,
    fee_status: Optional[str] = None,
    checkup_institution_id: Optional[str] = None,
    keyword: Optional[str] = None,
    application_no: Optional[str] = None,
    patient_name: Optional[str] = None,
    channel_id: Optional[str] = None,
    biz_type: Optional[str] = None,
) -> Dict[str, Any]:
    q = db.query(BizPilotCheckup).filter(
        BizPilotCheckup.tenant_no == tenant_no,
        BizPilotCheckup.del_flag == 0,
    )

    if biz_type:
        app_subq = (
            db.query(BizPilotApplication.id)
            .filter(
                BizPilotApplication.biz_type == biz_type,
                BizPilotApplication.del_flag == 0,
            )
            .subquery()
        )
        q = q.filter(BizPilotCheckup.pilot_application_id.in_(app_subq))

    if checkup_status:
        statuses = [s.strip() for s in checkup_status.split(",") if s.strip()]
        if statuses:
            q = q.filter(BizPilotCheckup.checkup_status.in_(statuses))

    if fee_status:
        statuses = [s.strip() for s in fee_status.split(",") if s.strip()]
        if statuses:
            q = q.filter(BizPilotCheckup.fee_status.in_(statuses))

    if checkup_institution_id:
        q = q.filter(BizPilotCheckup.checkup_institution_id == checkup_institution_id)

    # keyword: fuzzy search across application_no, patient_name, channel_name
    if keyword:
        kw = f"%{keyword}%"
        app_ids_by_no = (
            db.query(BizPilotApplication.id)
            .filter(
                BizPilotApplication.application_no.like(kw),
                BizPilotApplication.del_flag == 0,
            )
            .subquery()
        )
        app_ids_by_channel = (
            db.query(BizPilotApplication.id)
            .filter(
                BizPilotApplication.channel_name.like(kw),
                BizPilotApplication.del_flag == 0,
            )
            .subquery()
        )
        patient_ids_by_name = (
            db.query(BizPilotPatient.id)
            .filter(
                BizPilotPatient.patient_name.like(kw),
                BizPilotPatient.del_flag == 0,
            )
            .subquery()
        )
        q = q.filter(
            or_(
                BizPilotCheckup.pilot_application_id.in_(app_ids_by_no),
                BizPilotCheckup.pilot_application_id.in_(app_ids_by_channel),
                BizPilotCheckup.pilot_patient_id.in_(patient_ids_by_name),
            )
        )

    if application_no:
        app_subq = (
            db.query(BizPilotApplication.id)
            .filter(
                BizPilotApplication.application_no.like(f"%{application_no}%"),
                BizPilotApplication.del_flag == 0,
            )
            .subquery()
        )
        q = q.filter(BizPilotCheckup.pilot_application_id.in_(app_subq))

    if patient_name:
        patient_subq = (
            db.query(BizPilotPatient.id)
            .filter(
                BizPilotPatient.patient_name.like(f"%{patient_name}%"),
                BizPilotPatient.del_flag == 0,
            )
            .subquery()
        )
        q = q.filter(BizPilotCheckup.pilot_patient_id.in_(patient_subq))

    if channel_id:
        app_subq = (
            db.query(BizPilotApplication.id)
            .filter(
                BizPilotApplication.channel_id == channel_id,
                BizPilotApplication.del_flag == 0,
            )
            .subquery()
        )
        q = q.filter(BizPilotCheckup.pilot_application_id.in_(app_subq))

    total = q.order_by(None).with_entities(func.count(BizPilotCheckup.id)).scalar() or 0
    page = max(1, page)
    page_size = min(max(1, page_size), 100)
    rows = (
        q.order_by(BizPilotCheckup.create_time.desc())
        .offset((page - 1) * page_size)
        .limit(page_size)
        .all()
    )
    items = [_row_to_dict_checkup(r, db, tenant_no) for r in rows]
    return {
        "list": items,
        "pagination": {"page": page, "pageSize": page_size, "total": total},
    }


def list_pending_patients(
    db: Session,
    tenant_no: str,
    page: int = 1,
    page_size: int = 10,
    application_no: Optional[str] = None,
    patient_name: Optional[str] = None,
    channel_id: Optional[str] = None,
) -> Dict[str, Any]:
    """查询 need_checkup=1 但尚未有 biz_pilot_checkup 记录的患者"""
    checked_patient_ids = (
        db.query(BizPilotCheckup.pilot_patient_id)
        .filter(
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
            BizPilotCheckup.pilot_patient_id.isnot(None),
            BizPilotCheckup.pilot_patient_id != "",
        )
        .subquery()
    )

    q = db.query(BizPilotPatient).filter(
        BizPilotPatient.need_checkup == 1,
        BizPilotPatient.tenant_no == tenant_no,
        BizPilotPatient.del_flag == 0,
        ~BizPilotPatient.id.in_(checked_patient_ids),
    )

    if patient_name:
        q = q.filter(BizPilotPatient.patient_name.like(f"%{patient_name}%"))

    if application_no or channel_id:
        app_q = db.query(BizPilotApplication.id).filter(
            BizPilotApplication.tenant_no == tenant_no,
            BizPilotApplication.del_flag == 0,
        )
        if application_no:
            app_q = app_q.filter(
                BizPilotApplication.application_no.like(f"%{application_no}%")
            )
        if channel_id:
            app_q = app_q.filter(BizPilotApplication.channel_id == channel_id)
        app_subq = app_q.subquery()
        q = q.filter(BizPilotPatient.pilot_application_id.in_(app_subq))

    total = q.order_by(None).with_entities(func.count(BizPilotPatient.id)).scalar() or 0
    page = max(1, page)
    page_size = min(max(1, page_size), 100)
    rows = (
        q.order_by(BizPilotPatient.create_time.desc())
        .offset((page - 1) * page_size)
        .limit(page_size)
        .all()
    )

    items = []
    for r in rows:
        d = {
            "id": r.id,
            "pilotApplicationId": r.pilot_application_id or "",
            "patientName": r.patient_name or "",
            "sex": r.sex or "",
            "age": r.age,
            "phoneNo": r.phone_no or "",
        }
        app = (
            db.query(BizPilotApplication)
            .filter(
                BizPilotApplication.id == r.pilot_application_id,
                BizPilotApplication.del_flag == 0,
            )
            .first()
        )
        if app:
            d["applicationNo"] = app.application_no or ""
            d["channelName"] = app.channel_name or ""
            d["channelId"] = app.channel_id or ""
        else:
            d["applicationNo"] = ""
            d["channelName"] = ""
            d["channelId"] = ""
        items.append(d)

    return {
        "list": items,
        "pagination": {"page": page, "pageSize": page_size, "total": total},
    }


def batch_create_checkups(
    db: Session,
    patient_ids: list,
    checkup_institution_id: str,
    reserve_time: Optional[str],
    reserve_items: list,
    tenant_no: str,
    user_id: str,
) -> list:
    """为多个患者批量创建体检记录 + 预约项目"""
    results = []
    now = datetime.now()

    for patient_id in patient_ids:
        patient = (
            db.query(BizPilotPatient)
            .filter(
                BizPilotPatient.id == patient_id,
                BizPilotPatient.tenant_no == tenant_no,
                BizPilotPatient.del_flag == 0,
            )
            .first()
        )
        if not patient:
            continue

        checkup_row = BizPilotCheckup(
            id=uuid.uuid4().hex,
            pilot_application_id=patient.pilot_application_id,
            pilot_patient_id=patient_id,
        checkup_institution_id=checkup_institution_id or "",
        reserve_time=_parse_optional_datetime(reserve_time),
            reserve_fee=sum(
                float(item.get("projectFee") or 0) for item in reserve_items
            ) if reserve_items else None,
            actual_checkup_time=None,
            actual_checkup_fee=None,
            fee_settled=0,
            checkup_status="dtj",
            fee_status="wjs",
            checkup_remark="",
            report_attachments="",
            tenant_no=tenant_no,
            order_num=0,
            remark="",
            create_by=user_id,
            create_dept_id="",
            create_time=now,
            update_by=user_id,
            update_time=now,
            del_flag=0,
        )
        db.add(checkup_row)
        db.flush()

        for idx, item in enumerate(reserve_items):
            ri = BizPilotCheckupReserveItem(
                id=uuid.uuid4().hex,
                pilot_checkup_id=checkup_row.id,
                project_name=item.get("projectName") or item.get("project_name") or "",
                project_fee=item.get("projectFee") if item.get("projectFee") is not None else (
                    item.get("project_fee") if item.get("project_fee") is not None else None
                ),
                tenant_no=tenant_no,
                order_num=idx + 1,
                remark="",
                create_by=user_id,
                create_dept_id="",
                create_time=now,
                update_by=user_id,
                update_time=now,
                del_flag=0,
            )
            db.add(ri)

        results.append(_row_to_dict_checkup(checkup_row, db, tenant_no))

    db.commit()
    return results


def ensure_checkup_for_patient(
    db: Session,
    patient_id: str,
    application_id: str,
    tenant_no: str,
    user_id: str,
) -> Optional[str]:
    """为患者创建体检记录（如不存在）。返回 checkup_id 或 None。"""
    existing = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.pilot_patient_id == patient_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if existing:
        return existing.id

    now = datetime.now()
    row = BizPilotCheckup(
        id=uuid.uuid4().hex,
        pilot_application_id=application_id,
        pilot_patient_id=patient_id,
        checkup_institution_id="",
        checkup_status="dtj",
        fee_status="wjs",
        fee_settled=0,
        checkup_remark="",
        report_attachments="",
        tenant_no=tenant_no,
        order_num=0,
        remark="",
        create_by=user_id,
        create_dept_id="",
        create_time=now,
        update_by=user_id,
        update_time=now,
        del_flag=0,
    )
    db.add(row)
    db.flush()
    return row.id


def remove_checkup_for_patient(
    db: Session,
    patient_id: str,
    tenant_no: str,
) -> None:
    """软删除患者的体检记录（仅在初始状态，无机构数据时才删除）。"""
    row = (
        db.query(BizPilotCheckup)
        .filter(
            BizPilotCheckup.pilot_patient_id == patient_id,
            BizPilotCheckup.tenant_no == tenant_no,
            BizPilotCheckup.del_flag == 0,
        )
        .first()
    )
    if not row:
        return
    if row.checkup_institution_id:
        return

    now = datetime.now()
    row.del_flag = 1
    row.update_time = now

    db.query(BizPilotCheckupReserveItem).filter(
        BizPilotCheckupReserveItem.pilot_checkup_id == row.id,
        BizPilotCheckupReserveItem.tenant_no == tenant_no,
        BizPilotCheckupReserveItem.del_flag == 0,
    ).update({"del_flag": 1, "update_time": now}, synchronize_session=False)

    db.query(BizPilotCheckupActualItem).filter(
        BizPilotCheckupActualItem.pilot_checkup_id == row.id,
        BizPilotCheckupActualItem.tenant_no == tenant_no,
        BizPilotCheckupActualItem.del_flag == 0,
    ).update({"del_flag": 1, "update_time": now}, synchronize_session=False)