317 lines
24 KiB
Markdown
317 lines
24 KiB
Markdown
# MedicusWithClaudeSelects – SQL dotazy
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## Registrovaní pacienti
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Přesný select který Medicus používá pro záložku **Registrovaní** (zachycen přes FBScanner, dotaz č. 143).
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### Počet registrovaných pacientů
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```sql
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SELECT COUNT(*) FROM KAR
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WHERE (vyrazen = 'N')
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AND EXISTS (
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SELECT id FROM registr r
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JOIN icp i ON r.idicp = i.idicp
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WHERE r.idpac = kar.idpac
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AND (r.datum <= '2026-03-20')
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AND (r.datum_zruseni IS NULL OR r.datum_zruseni >= '2026-03-20')
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AND (r.priznak IN ('V','D','A'))
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AND (i.icp = '09305001')
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AND (i.odb = '001')
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)
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```
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Vrátí: **1618 pacientů** (ověřit na Windows).
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### Podmínky registrace – vysvětlení
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- `vyrazen = 'N'` – pacient není vyřazen z kartotéky
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- `r.datum <= dnes` – registrace již začala
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- `r.datum_zruseni IS NULL OR r.datum_zruseni >= dnes` – registrace dosud platí
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- `r.priznak IN ('V','D','A')` – aktivní příznak (ne 'Z' = zrušen, ne 'N')
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- `i.icp = '09305001'` – IČP naší ordinace
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- `i.odb = '001'` – odbornost praktický lékař
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### Skript pro Python
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Viz `count_registrovani.py` v této složce – spustit na Windows.
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### Plný select Medicusu (seznam pacientů s metadaty)
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```sql
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SELECT
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KAR.DATNAR,
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KAR.IDPAC,
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KAR.INFORMACE,
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KAR.INFORMACE_COL,
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KAR.JMENO,
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KAR.POHLAVI,
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GPP.POJ,
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KAR.POZNAMKA,
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KAR.PRIJMENI,
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KAR.PRIJMENI_UP,
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(SELECT DATUM_REGISTRACE FROM SP_GETREGDAT(kar.IDPAC)) AS REGDATUM,
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KAR.REGISTROVAL,
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(SELECT PRIZNAK FROM SP_GETREGDAT(kar.IDPAC)) AS REGPRIZNAK,
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KAR.RODCIS,
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KAR.ROZENA,
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KAR.TITUL,
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KAR.TITULZA,
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KAR.TRVOBEC,
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KAR.TRVPSC,
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KAR.TRVULICE,
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KAR.VYRAZEN
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FROM KAR
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LEFT JOIN GETPACPOJ(KAR.IDPAC, '2026-03-20') GPP ON GPP.IDPAC = KAR.IDPAC
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WHERE (vyrazen = 'N')
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AND EXISTS (
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SELECT id FROM registr r
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JOIN icp i ON r.idicp = i.idicp
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WHERE r.idpac = kar.idpac
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AND (r.datum <= '2026-03-20')
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AND (r.datum_zruseni IS NULL OR r.datum_zruseni >= '2026-03-20')
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AND (r.priznak IN ('V','D','A'))
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AND (i.icp = '09305001')
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AND (i.odb = '001')
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)
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ORDER BY KAR.PRIJMENI_UP ASC, KAR.RODCIS ASC
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```
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Poznámka: `GETPACPOJ` a `SP_GETREGDAT` jsou uložené procedury Medicusu –
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fungují v kontextu Firebird připojení přes SYSDBA/masterkey.
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---
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## Panel pacienta – hlavní UNION dotaz
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Zachycen přes Firebird AuditTrace (`default_trace.log`) při otevření karty pacienta
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(IDPAC=9733, datum 28.03.2026). Dotaz vrací **28 UNION částí** – každá část má pevnou
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strukturu sloupců: `ID, VAR1, VAR2, DATE1, DATE2, TIME1, INT1, TEXT1, NUM1, NUM2`.
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Parametry při volání:
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- `:IDPAC` – ID pacienta (např. 9733)
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- `:RODCIS` – rodné číslo pacienta (např. '0308020152')
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- `:DATUM` – dnešní datum ve formátu YYYY-MM-DD (např. '2026-03-28')
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- `:DATUM_CZ` – dnešní datum ve formátu DD.MM.YYYY (např. '28.03.2026')
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- `:ROK` – aktuální rok (např. '2026')
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### Mapování UNION části → položka panelu Medicusu
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| ID (UNION část) | Tabulka | Položka v panelu Medicusu |
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|------------------|--------------------|--------------------------------------------------|
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| `BalickyPac` | BALICKYPAC | Balíčky pacienta (aktivní/budoucí) |
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| `Dluh` | PLA / PLADET | Dluh (nezaplacené faktury po splatnosti) |
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| `SouhlasPac` | HISTDOC / SOUHLASPACSABL | Souhlasy pacienta |
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| `sCenaVykZUM` | DOKLADD / LECD | Cena výkonů v aktuálním roce (ZUM) |
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| `Registrl` | KAR | Kdo registroval pacienta |
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| `OseLekPrak` | KARUZIV_SEL | Ošetřující lékař (odb. 001/002) |
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| `SledLek` | SLEDLEK | Sledující lékař (specialista) |
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| `HistDoc` | HISTDOC | Historie dokumentů (posledních 10) |
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| `LastSms` | SMS | Datum poslední odeslané SMS |
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| `PozadLekar` | DOKLADH | Požadující lékař (EICZ) z posledního dokladu |
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| `Prilohy` | FILES | Přílohy pacienta (posledních 10) |
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| `Objednavky` | OBJOBJ | Objednávky od dnešního dne |
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| `OseLek` | KARUZIV_SEL | Všichni lékaři přiřazení ke kartě |
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| `PeProhlidky` | PREH / PREINIH | Preventivní a examinační prohlídky |
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| `Medikace` | MEDIKACE | Aktuální medikace (platná k dnešku) |
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| `NextDispenz` | DISPAC / DISSKU | Příští dispenzarizace (s termínem) |
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| `Dispenz` | DISPAC / DISSKU | Dispenzarizace – všechny záznamy |
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| `Prohlidky` | PREPRI / PREINIH | Preventivní prohlídky – záznamy |
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| `NextOck` | OCKPRI / KLK | Příští očkování (plánované) |
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| `LastVykon` | DOKLADD / DOKLADH | Poslední výkon (kód + datum) |
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| `LastDekurs` | DEKURS | Poslední dekurz (datum) |
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| `Karta` | KAR | Informace a poznámka z karty |
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| `Saldo` | PACIENT_SALDO(SP) | Saldo pacienta (funkce) |
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| `Anamneza` | ANAMNEZA | Anamnéza + krevní skupina |
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| `Ockovani` | OCKZAZ | Očkovací záznamy (max 20, seskupeno po látce) |
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| `NeschopenOd` | NES | Aktuální neschopenka (od – do) |
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| `Alergie` | ANAMNEZA | Alergie (z posledního záznamu anamnézy) |
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| `Pojistovna` | ICP / ICZ | IDICP naší ordinace pro pojišťovnu pacienta |
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### SQL dotaz (parametrizovaný)
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```sql
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SELECT
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cast('BalickyPac' as varchar(11)) as ID, substring(cast(BPAC.KOD as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(BPAC.CENPASMO as VARCHAR(70)) from 1 for 30) as VAR2, cast(BPAC.DATUMOD as DATE) as DATE1, cast(BPAC.DATUMDO as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from BALICKYPAC BPAC left join SP_BALICKYPAC_PRIZNAK(BPAC.ID, ':DATUM_CZ') PRI on 1 = 1 where BPAC.IDPAC = :IDPAC and PRI.PRIZNAK in ('A', 'B')
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UNION SELECT
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cast('Dluh' as varchar(11)) as ID, substring(cast(P.MENA as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast((SUM(P.CENA - P.SLEVAC) - (SUM(P.PLATBA) + SUM((COALESCE((select SUM(case ZD.TYP when 'R' then ZD.CELKEM else -ZD.CELKEM end) from PLADET ZD where ZD.IDPLA = P.IDPLA and (ZD.TYP <> P.DOKLADTYP) and (ZD.TYP <> '|') and ((ZD.CENA < 0) or (ZD.TYP = 'R'))), 0))))) as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 FROM PLA P WHERE (P.IDPAC = :IDPAC) AND (P.DOKLADTYP = 'F') AND (P.STORNO IS NULL) AND (P.NENISALDO = 'F') AND ((P.SPLATNOST IS NULL) OR (P.SPLATNOST < ':DATUM')) AND (P.VALID = 'F') GROUP BY P.MENA
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UNION SELECT
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cast('SouhlasPac' as varchar(11)) as ID, substring(cast(case when S.NAZEV is null then case when H.TYP = 'ZSOUPOS' then 'Souhlas/Nesouhlas s poskytnutím zdravotních služeb nezletilému' when H.TYP = 'ZSOUPOZ' then 'Souhlas zákonného zástupce nezletilého pacienta staršího 15ti let' when H.TYP = 'ZSOUPO2' then 'Nesouhlas s poskytnutím zdravotních služeb - povinné očkování' when H.TYP = 'ZPOSIN2' then 'Určení osoby oprávněné dle zákona o zdravotních službách' when H.TYP = 'OdmPece' then 'Prohlášení o odmítnutí zdravotní péče pacientem - Negativní revers' end else S.NAZEV end as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(H.DATUM as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from HISTDOC H left join SOUHLASPACSABL S on H.IDSOUHLASPACSABL = S.ID where H.TYP in ('IndSou', 'ZSOUPOS', 'ZSOUPOZ', 'ZSOUPO2', 'ZPOSIN2', 'OdmPece') and H.IDPACI = :IDPAC
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UNION SELECT
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cast('sCenaVykZUM' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(coalesce(sum(cenabod),0) + coalesce(sum(cenamat),0) as NUMERIC(15,2)) as NUM1, cast((select coalesce(sum(cena),0) from LECD d where d.RODCIS = ':RODCIS' and extract(year from d.DATOSE) = ':ROK' and ((d.KAT is null) or (d.KAT <> 'N')) and exists (select h.IDLEC from LECH h where h.IDLEC = d.IDLEC and h.POJ = '207' and h.ICZ in ('09305001'))) as NUMERIC(15,2)) as NUM2 from DOKLADD d where d.RODCIS = ':RODCIS' and extract(year from d.DATOSE) = ':ROK' and ((d.KAT is null) or (d.KAT <> 'N' and d.KAT <> 'K' and d.KAT <> 'A')) and exists (select h.IDHLAV from DOKLADH h where h.IDHLAV = d.IDHLAV and h.POJ = '207' and h.ICZ in ('09305001'))
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UNION SELECT
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cast('Registrl' as varchar(11)) as ID, substring(cast(REGISTROVAL as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from KAR where IDPAC = :IDPAC
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UNION SELECT
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cast('OseLekPrak' as varchar(11)) as ID, substring(cast(F_CONCAT(PRIJMENI, F_CONCAT(JMENO, TITUL, ', '), ' ') as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(TITUL2 as VARCHAR(70)) from 1 for 30) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(CAST(ODBORN as INTEGER) as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 FROM KARUZIV_SEL(:IDPAC, 'T') WHERE ODBORN in ('001', '002')
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UNION SELECT
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cast('SledLek' as varchar(11)) as ID, substring(cast(KOD as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(LEK as VARCHAR(70)) from 1 for 30) as VAR2, cast(DATUM as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from SLEDLEK where IDPAC = :IDPAC and DATUM <= ':DATUM'
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UNION SELECT
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first 10 cast('HistDoc' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(DATUM as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from HISTDOC where IDPACI = :IDPAC and STAV is NULL and IDZARPR = 2 and IDODDPR = 2 and IDPRACPR = 2
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UNION SELECT
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first 1 cast('LastSms' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(MAX(SENDTIME) as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from SMS where PACID = :IDPAC and SENDTIME is not NULL and not(STATUS in (100,1000))
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UNION SELECT
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first 1 cast('PozadLekar' as varchar(11)) as ID, substring(cast(H.EICZ as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(H.EODZ as VARCHAR(70)) from 1 for 30) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from DOKLADH H where H.IDHLAV = (select first 1 I.IDHLAV from DOKLADH I where I.RODCIS = ':RODCIS' and I.EICZ is not NULL order by I.IDHLAV desc)
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UNION SELECT
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first 10 cast('Prilohy' as varchar(11)) as ID, substring(cast(FILENAME as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from FILES where IDPAC = :IDPAC
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UNION SELECT
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first 10 cast('Objednavky' as varchar(11)) as ID, substring(cast(F_CONCAT(U.PRIJMENI, F_CONCAT(U.JMENO, U.TITUL, ', '), ' ') as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(PRAC as VARCHAR(70)) from 1 for 30) as VAR2, cast(DATUM as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(CAS as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from OBJOBJ O join PRACOVISTE P on (P.ID = O.IDPRAC) join UZIVATEL U on (U.IDUZI = O.IDUZI) where IDPAC = :IDPAC and DATUM >= ':DATUM_CZ'
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UNION SELECT
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cast('OseLek' as varchar(11)) as ID, substring(cast(F_CONCAT(PRIJMENI, F_CONCAT(JMENO, TITUL, ', '), ' ') as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(TITUL2 as VARCHAR(70)) from 1 for 30) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 FROM KARUZIV_SEL(:IDPAC, 'T')
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UNION SELECT
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cast('PeProhlidky' as varchar(11)) as ID, substring(cast(NAZEV as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(DATUM as DATE) as DATE1, cast(TERMIN as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from PREH join PREINIH on (PREH.IDPREINI = PREINIH.IDPREINI) where IDPAC = :IDPAC
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UNION SELECT
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cast('Medikace' as varchar(11)) as ID, substring(cast(NAZ as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(PLATI_OD as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from MEDIKACE where IDPAC = :IDPAC and PLATI_OD <= ':DATUM_CZ' and (PLATI_DO >= ':DATUM_CZ' or PLATI_DO is NULL)
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UNION SELECT
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cast('NextDispenz' as varchar(11)) as ID, substring(cast(NAZEV as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(SKUPINA as VARCHAR(70)) from 1 for 30) as VAR2, cast(PRISTI as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from DISPAC join DISSKU on (DISSKU.IDDIS = DISPAC.IDDIS) where IDPAC = :IDPAC and PRISTI is not NULL
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UNION SELECT
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cast('Dispenz' as varchar(11)) as ID, substring(cast(NAZEV as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(SKUPINA as VARCHAR(70)) from 1 for 30) as VAR2, cast(DATZAR as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from DISPAC join DISSKU on (DISSKU.IDDIS = DISPAC.IDDIS) where IDPAC = :IDPAC
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UNION SELECT
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cast('Prohlidky' as varchar(11)) as ID, substring(cast(NAZEV as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(DATUM as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from PREPRI join PREINIH on (PREPRI.IDPREINI = PREINIH.IDPREINI) where IDPAC = :IDPAC and datum is not null
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UNION SELECT
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cast('NextOck' as varchar(11)) as ID, substring(cast(coalesce(NAZ,ZKRATKA) as VARCHAR(254)) from 1 for 250) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(DATUMD as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from OCKPRI o left join KLK k on o.ZKRATKA = k.KOD where IDPAC = :IDPAC
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UNION SELECT
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first 1 cast('LastVykon' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, substring(cast(D.KOD as VARCHAR(70)) from 1 for 30) as VAR2, cast(D.DATOSE as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from DOKLADD D where D.ID = (select first 1 dd.id from dokladd dd join dokladh dh on (dh.idhlav = dd.idhlav) where dd.rodcis = ':RODCIS' and (dh.hodb = '001' or dh.hodb is null) order by dd.datose desc)
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UNION SELECT
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first 1 cast('LastDekurs' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(MAX(DATUM) as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from DEKURS where IDPAC = :IDPAC and (IDPRAC = 2 or IDPRAC = -1)
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UNION SELECT
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first 1 cast('Karta' as varchar(11)) as ID, substring(cast(INFORMACE as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(CIZINEC as VARCHAR(70)) from 1 for 30) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(INFORMACE_COL as INTEGER) as INT1, POZNAMKA as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from KAR where IDPAC = :IDPAC
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||
|
||
UNION SELECT
|
||
first 1 cast('Saldo' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(SALDO as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from PACIENT_SALDO(:IDPAC, 1, 0, 0)
|
||
|
||
UNION SELECT
|
||
first 1 cast('Anamneza' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, substring(cast(KREVSKUP as VARCHAR(70)) from 1 for 30) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, ANAMNEZA as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from ANAMNEZA where ID = (select first 1 ID from ANAMNEZA where IDPAC = :IDPAC order by DATUM DESC, ID desc)
|
||
|
||
UNION SELECT
|
||
first 20 cast('Ockovani' as varchar(11)) as ID, substring(cast(ockzaz.LATKA as VARCHAR(254)) from 1 for 250) as VAR1, substring(cast(ockzaz.ZKRATKA as VARCHAR(70)) from 1 for 30) as VAR2, cast(max(ockzaz.DATUM) as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from ockzaz where ockzaz.idpac = :IDPAC group by ockzaz.ZKRATKA, ockzaz.LATKA
|
||
|
||
UNION SELECT
|
||
first 1 cast('NeschopenOd' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(MAX(ZACNES) as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from NES where (IDPAC = :IDPAC) and (ZACNES <= ':DATUM_CZ') and ((KONNES is NULL) or (KONNES > ':DATUM_CZ')) and (STORNO = 'F')
|
||
|
||
UNION SELECT
|
||
first 1 cast('Alergie' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(NULL as INTEGER) as INT1, ALERGIE as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from ANAMNEZA where IDPAC = :IDPAC and ID = (select first 1 ID from ANAMNEZA where IDPAC = :IDPAC and DATUM <= ':DATUM_CZ' order by DATUM desc, ID desc)
|
||
|
||
UNION SELECT
|
||
first 1 cast('Pojistovna' as varchar(11)) as ID, cast(NULL as VARCHAR(254)) as VAR1, cast(NULL as VARCHAR(70)) as VAR2, cast(NULL as DATE) as DATE1, cast(NULL as DATE) as DATE2, cast(NULL as TIMESTAMP) as TIME1, cast(P.IDICP as INTEGER) as INT1, NULL as TEXT1, cast(NULL as NUMERIC(15,2)) as NUM1, cast(NULL as NUMERIC(15,2)) as NUM2 from ICP P join ICZ Z on (Z.IDICZ = P.IDICZ) where Z.POJ = '207' and P.ODB = '001'
|
||
```
|
||
|
||
---
|
||
|
||
## Ošetřující lékař pacienta
|
||
|
||
### Kde je uložen
|
||
|
||
Ošetřující lékař není přímo v tabulce `KAR`. Je uložen v tabulce **`KARUZIV`** a čte se
|
||
přes stored procedure **`KARUZIV_SEL`**.
|
||
|
||
### Tabulka KARUZIV
|
||
|
||
Vazba pacient → lékař. Jeden pacient může mít více záznamů (více lékařů/pracovišť).
|
||
|
||
| Sloupec | Popis |
|
||
|------------|-------|
|
||
| `IDPAC` | FK na KAR – pacient |
|
||
| `IDLEKAR` | FK na LEKARI – externí lékař (specialista, cizí ordinace) |
|
||
| `IDUZI` | FK na UZIVATEL – interní uživatel Medicusu (vlastní lékař) |
|
||
| `IDPRAC` | FK na PRACOVISTE – pracoviště |
|
||
| `IDODD` | FK na ODDEL – oddělení |
|
||
| `AUTOMAT` | `'F'` = ručně přiřazen, `'T'` = automaticky |
|
||
|
||
Pokud je vyplněn `IDLEKAR` → jde se do tabulky `LEKARI` (cizí lékaři).
|
||
Pokud je vyplněn `IDUZI` → jde se do tabulky `UZIVATEL` (lékaři v Medicusu).
|
||
|
||
### Tabulka REGISTR
|
||
|
||
Druhý zdroj – registrace pacienta u lékaře/pojišťovny.
|
||
|
||
| Sloupec | Popis |
|
||
|------------------|-------|
|
||
| `IDPAC` | FK na KAR |
|
||
| `IDICP` | FK na ICP – identifikace pracoviště/pojišťovny |
|
||
| `IDUZI` | FK na UZIVATEL – lékař (nepovinný, dohledává se přes ICP) |
|
||
| `DATUM` | Datum začátku registrace |
|
||
| `DATUM_ZRUSENI` | Datum zrušení (NULL = stále platná) |
|
||
| `PRIZNAK` | `'V'`/`'D'`/`'A'` = aktivní; `'Z'`/`'N'` = zrušená/neaktivní |
|
||
|
||
### Stored procedure KARUZIV_SEL(IIDPAC, INCL_AUTOMAT)
|
||
|
||
Parametry:
|
||
- `IIDPAC` – IDPAC pacienta
|
||
- `INCL_AUTOMAT` – `'T'` = vrátit i automaticky přiřazené, `'F'` = jen ruční
|
||
|
||
Vrací sloupce: `ID, IDPAC, IDODD, ODD, IDUZI, IDPRAC, IDLEKAR, AUTOMAT, TITUL, PRIJMENI, JMENO, TITUL2, ODBORN`
|
||
|
||
**Logika (3 průchody):**
|
||
|
||
1. `KARUZIV` kde `AUTOMAT = 'F'` – ručně přiřazení lékaři
|
||
2. `KARUZIV` kde `AUTOMAT = 'T'` – automaticky přiřazení (jen pokud `INCL_AUTOMAT = 'T'`)
|
||
3. `REGISTR` – aktivní registrace (datum platný, `PRIZNAK` ≠ `'Z'`/`'N'`, nezrušená)
|
||
- přes `IDICP` → `ICP` → `PRACOVISTE` → `PRACUZIV` → `UZIVATEL`
|
||
|
||
### Použití v panelu pacienta (UNION dotaz)
|
||
|
||
```sql
|
||
-- Ošetřující lékař praktický (odbornost 001 nebo 002)
|
||
SELECT ... FROM KARUZIV_SEL(:IDPAC, 'T') WHERE ODBORN in ('001', '002')
|
||
-- → UNION část ID = 'OseLekPrak'
|
||
|
||
-- Všichni lékaři přiřazení ke kartě
|
||
SELECT ... FROM KARUZIV_SEL(:IDPAC, 'T')
|
||
-- → UNION část ID = 'OseLek'
|
||
```
|
||
|
||
### Zapojené tabulky (přehled)
|
||
|
||
```
|
||
KAR
|
||
└── KARUZIV ──► LEKARI (externí lékaři, specialisté)
|
||
└► UZIVATEL (interní lékaři v Medicusu)
|
||
└► PRACOVISTE (pracoviště / odbornost)
|
||
└► ODDEL (oddělení)
|
||
└── REGISTR ──► ICP (identifikace pracoviště)
|
||
└► PRACOVISTE ──► PRACUZIV ──► UZIVATEL
|
||
```
|
||
|
||
### Barevné rozlišení v GUI Medicusu
|
||
|
||
- **Černá** = záznam pochází z `KARUZIV` (explicitně přiřazený ošetřující lékař, `IDUZI` vyplněno)
|
||
- **Červená** = záznam pochází z `REGISTR` (registrující lékař – SP vrací `ID = 0 - REGISTR.ID`)
|
||
- **Červená (ext.)** = záznam z `KARUZIV` kde je vyplněno `IDLEKAR` (externí lékař z tabulky `LEKARI`)
|
||
|
||
### Duplikát ošetřujícího lékaře – known issue
|
||
|
||
`KARUZIV_SEL` prochází **vždy oba zdroje** (KARUZIV i REGISTR) bez ohledu na to, zda už byl lékař nalezen. Pokud má pacient záznam v KARUZIV (černá) i v REGISTR (červená) se stejným lékařem, zobrazí se **dvakrát**.
|
||
|
||
Příčina: SP neobsahuje podmínku „přeskoč REGISTR, pokud KARUZIV již vrátil výsledky".
|
||
|
||
**Stav ordinace Buzalková (duben 2026):**
|
||
- Všech 1620 registrovaných pacientů má v `KARUZIV` záznam IDUZI=4 (Michaela, černá)
|
||
- 1537 pacientů má v `REGISTR` IDUZI=4 (Michaela, červená) → duplikát
|
||
- Chování je konzistentní, ale GUI zobrazuje oba řádky – čeká se na vyjádření supportu Medicusu
|
||
|
||
**Možná řešení (zatím neaplikováno):**
|
||
- A) Smazat KARUZIV záznamy → zůstane jen červená z REGISTR (jeden řádek)
|
||
- B) Nastavit REGISTR.IDUZI zpět na NULL → REGISTR path hledá přes PRACOVISTE (najde Michalu jako první NOSVYK='A') → duplikát stále, ale přes jiný lookup
|
||
- C) Řešení přes support Medicusu
|