9836d2bdab
비급여(MPRE_TYPE='9') 처방의 매출금액:
- V1: PRICE_T에 비급여 총액이 들어감
- V2: TOT_PRICE는 조제료만, EXE_PRICE에 비급여 총액
수정:
- PRICE_T = CASE WHEN MPRE_TYPE='9' THEN EXE_PRICE ELSE TOT_PRICE END
검증 (2026년 3월):
- V1 비급여 매출: 3,804,250
- V2 비급여 매출: 3,804,250
- 차이: 0 ✅
240 lines
8.0 KiB
Python
240 lines
8.0 KiB
Python
# -*- coding: utf-8 -*-
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"""
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PMPLUS20 통계 쿼리 (v2)
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테이블 매핑 (PharmIT3000 → PMPLUS20):
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- PM_PRES.PS_MAIN → PM_MAIN.TBSID040_03 (처방 헤더)
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- PM_PRES.CD_SUNAB → PM_MAIN.TBSIR000_01 (수납/결제, DRUG_SEQ로 JOIN)
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컬럼 매핑:
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- PreSerial → DRUG_SEQ
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- INDATE → SUNAB_DT
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- PRICE_T → TOT_PRICE, PRICE_C → INS_PRICE, PRICE_P → EXE_PRICE, PRICE_N → REAL_PRICE
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- S_Prep → INS_PREP_PRICE
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- Drug_T4 → NON_DRUG_PRICE + EXP_EXE_PRICE
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- PreGubun → MPRE_TYPE + MPRE_TYPE_GUBUN 조합 (아래 매핑 참고)
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- Holiday → HD_ADD + PRES_TIME_GUBUN 조합
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- Appr_Gubun → APPR_GUBUN (값 동일)
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- nAPPROVAL_NUM → CARD_ADM_NO
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보험구분 매핑 (V1 PreGubun ↔ V2):
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- '0' ← MPRE_TYPE='0' (건강보험)
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- '1' ← MPRE_TYPE='1' (의료급여1종)
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- '2' ← MPRE_TYPE='2' (산재)
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- '3' ← MPRE_TYPE='3' (의료급여2종)
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- '7' ← MPRE_TYPE='4' + MPRE_TYPE_GUBUN='C' (차상위1)
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- 'E' ← MPRE_TYPE='4' + MPRE_TYPE_GUBUN='E' (보훈)
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- 'F' ← MPRE_TYPE='4' + MPRE_TYPE_GUBUN='F' (차상위2)
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- '9' ← MPRE_TYPE='9' (비급여)
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주의:
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- PRES_GUBUN='E' (재고보정) 레코드 제외 필요
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- MPRE_TYPE='4'는 특수보험 그룹, MPRE_TYPE_GUBUN으로 세부 구분
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"""
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import pyodbc
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from datetime import date
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from config import PMPLUS20_CONFIG as CFG
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def get_connection():
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conn_str = (
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f"DRIVER={{ODBC Driver 17 for SQL Server}};"
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f"SERVER={CFG['server']};"
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f"DATABASE={CFG['database']};"
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f"UID={CFG['username']};"
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f"PWD={CFG['password']};"
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f"TrustServerCertificate=yes;"
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f"Connection Timeout=30;"
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)
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return pyodbc.connect(conn_str)
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def query(sql, params=None):
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"""쿼리 실행 후 dict 리스트 반환"""
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conn = get_connection()
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cursor = conn.cursor()
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cursor.execute(sql, params or ())
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columns = [col[0] for col in cursor.description]
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rows = [dict(zip(columns, row)) for row in cursor.fetchall()]
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conn.close()
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return rows
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def get_sales_stats(date_from: str, date_to: str) -> dict:
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"""
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매출 통계 조회 (PMPLUS20 버전)
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Args:
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date_from: 시작일 (YYYYMMDD)
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date_to: 종료일 (YYYYMMDD)
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Returns:
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dict: {total, by_gubun, by_age, by_time, by_pay, by_hosp}
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Note:
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TBSID040_03(처방헤더) + TBSIR000_01(수납) 매핑 확정 (2026-04-01)
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"""
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sql = """
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SELECT
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m.DRUG_SEQ AS PreSerial,
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CASE
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WHEN m.MPRE_TYPE = '4' AND m.MPRE_TYPE_GUBUN = 'E' THEN 'E' -- 보훈
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WHEN m.MPRE_TYPE = '4' AND m.MPRE_TYPE_GUBUN = 'F' THEN 'F' -- 차상위2
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WHEN m.MPRE_TYPE = '4' AND m.MPRE_TYPE_GUBUN = 'C' THEN '7' -- 차상위1
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ELSE ISNULL(m.MPRE_TYPE, '0')
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END AS PreGubun,
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m.PAT_JUMIN_NO AS PaNum,
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m.YOYANG_NM AS OrderName,
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CASE
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WHEN m.HD_ADD = '2' AND m.PRES_TIME_GUBUN = '1' THEN '4'
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WHEN m.HD_ADD = '2' THEN '2'
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WHEN m.PRES_TIME_GUBUN = '1' THEN '3'
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ELSE '1'
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END AS Holiday,
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-- 비급여(MPRE_TYPE='9')는 TOT_PRICE가 아닌 EXE_PRICE가 매출금액
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CASE
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WHEN m.MPRE_TYPE = '9' THEN m.EXE_PRICE
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ELSE m.TOT_PRICE
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END AS PRICE_T,
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(ISNULL(m.NON_DRUG_PRICE, 0) + ISNULL(m.EXP_EXE_PRICE, 0)) AS Drug_T4,
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m.INS_PREP_PRICE AS S_Prep,
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m.INS_PRICE AS PRICE_C,
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m.EXE_PRICE AS PRICE_P,
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m.REAL_PRICE AS PRICE_N,
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ISNULL(n.APPR_GUBUN, '') AS Appr_Gubun,
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ISNULL(n.CARD_ADM_NO, '') AS nAPPROVAL_NUM
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FROM PM_MAIN..TBSID040_03 m
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LEFT JOIN PM_MAIN..TBSIR000_01 n ON n.DRUG_SEQ = m.DRUG_SEQ
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WHERE m.SUNAB_DT BETWEEN ? AND ?
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AND m.PRES_GUBUN != 'E'
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"""
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try:
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rows = query(sql, (date_from, date_to))
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except Exception as e:
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return {
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'error': str(e),
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'note': 'PMPLUS20 쿼리 오류. TBSID040_03/TBSIR000_01 테이블 확인 필요.'
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}
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ref_date = date(
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int(date_to[:4]),
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int(date_to[4:6]),
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int(date_to[6:8]),
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)
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# 집계
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result = {
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'total': _empty_row(),
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'by_gubun': {},
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'by_age': {'old': _empty_row(), 'infant': _empty_row(), 'mid': _empty_row()},
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'by_time': {'overtime': _empty_row(), 'saturday': _empty_row(), 'normal': _empty_row()},
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'by_pay': {'card': _empty_row(), 'cash': _empty_row(), 'paper': _empty_row()},
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'by_hosp': {},
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}
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for r in rows:
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gubun = str(r.get('PreGubun') or '0')
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holiday = str(r.get('Holiday') or '1')
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price_t = int(r.get('PRICE_T') or 0)
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drug_t4 = int(r.get('Drug_T4') or 0)
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s_prep = int(r.get('S_Prep') or 0)
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price_c = int(r.get('PRICE_C') or 0)
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price_p = int(r.get('PRICE_P') or 0)
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price_n = int(r.get('PRICE_N') or 0)
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appr_gubun = str(r.get('Appr_Gubun') or '')
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order_name = str(r.get('OrderName') or '기타')
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panum = str(r.get('PaNum') or '')
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sales_amt = price_t + drug_t4
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if gubun == '9':
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ins_prep, ins_drug = 0, 0
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nonins_prep = max(0, price_n - drug_t4 - price_p) if drug_t4 > 0 else 0
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nonins_drug = drug_t4
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else:
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ins_prep, ins_drug = s_prep, price_t - s_prep
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nonins_prep = max(0, price_n - drug_t4 - price_p) if drug_t4 > 0 else 0
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nonins_drug = drug_t4
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args = (sales_amt, ins_prep, ins_drug, nonins_prep, nonins_drug, 0, price_c, price_p, price_n)
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_add(result['total'], *args)
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if gubun not in result['by_gubun']:
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result['by_gubun'][gubun] = _empty_row()
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_add(result['by_gubun'][gubun], *args)
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age = _calc_age(panum, ref_date)
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if age is None or (6 <= age < 65):
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_add(result['by_age']['mid'], *args)
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elif age >= 65:
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_add(result['by_age']['old'], *args)
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else:
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_add(result['by_age']['infant'], *args)
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hd_add = holiday in ('2', '4')
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overtime = holiday in ('3', '4')
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if hd_add:
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_add(result['by_time']['saturday'], *args)
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elif overtime:
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_add(result['by_time']['overtime'], *args)
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else:
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_add(result['by_time']['normal'], *args)
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if appr_gubun == '1':
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_add(result['by_pay']['card'], *args)
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elif appr_gubun == '2':
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_add(result['by_pay']['cash'], *args)
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else:
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_add(result['by_pay']['paper'], *args)
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if order_name not in result['by_hosp']:
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result['by_hosp'][order_name] = _empty_row()
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_add(result['by_hosp'][order_name], *args)
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return result
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def _empty_row():
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return dict(cnt=0, sales_amt=0, ins_prep=0, ins_drug=0,
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nonins_prep=0, nonins_drug=0, nonins_margin=0,
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claim_amt=0, copay=0, receipt=0)
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def _add(d, sales_amt, ins_prep, ins_drug, nonins_prep, nonins_drug,
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nonins_margin, claim_amt, copay, receipt):
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d['cnt'] += 1
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d['sales_amt'] += sales_amt
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d['ins_prep'] += ins_prep
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d['ins_drug'] += ins_drug
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d['nonins_prep'] += nonins_prep
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d['nonins_drug'] += nonins_drug
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d['nonins_margin'] += nonins_margin
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d['claim_amt'] += claim_amt
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d['copay'] += copay
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d['receipt'] += receipt
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def _calc_age(panum: str, ref_date: date) -> int | None:
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"""주민번호 → 나이"""
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if not panum or len(panum) < 7:
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return None
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birth6 = panum[:6]
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gender = panum[6]
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if not birth6.isdigit():
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return None
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yy, mm, dd = int(birth6[:2]), int(birth6[2:4]), int(birth6[4:6])
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if gender in ('1', '2'):
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year = 1900 + yy
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elif gender in ('3', '4'):
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year = 2000 + yy
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else:
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year = 1900 + yy
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try:
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bday = date(year, mm, dd)
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return ref_date.year - bday.year - (
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(ref_date.month, ref_date.day) < (bday.month, bday.day))
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except ValueError:
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return None
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