peis/test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs

using NPOI.POIFS.Properties;
using Shentun.Peis.CustomerOrgs;
using Shentun.Peis.DiagnosisFunctions;
using Shentun.Peis.Models;
using System;
using System.Collections.Generic;
using System.Linq;
using System.Runtime.ConstrainedExecution;
using System.Text;
using System.Threading.Tasks;
using Volo.Abp.Domain.Repositories;
using Volo.Abp.Uow;
using Xunit;
using Xunit.Abstractions;

namespace Shentun.Peis
{
    public class DiagnosisFunctionAppServiceTest : PeisApplicationTestBase
    {
        private readonly IRepository<CustomerOrg, Guid> _repository;
        private readonly DiagnosisFunctionAppService _appService;
        private readonly ITestOutputHelper _output;
        private readonly IUnitOfWorkManager _unitOfWorkManager;
        public DiagnosisFunctionAppServiceTest(ITestOutputHelper testOutputHelper)
        {
            _output = testOutputHelper;
            _unitOfWorkManager = GetRequiredService<IUnitOfWorkManager>();
            _repository = GetRequiredService<IRepository<CustomerOrg, Guid>>();
            _appService = GetRequiredService<DiagnosisFunctionAppService>();
        }
        [Fact]
        public async Task GetDiagnosisResultAsync2()
        {
            using (var unitOfWork = _unitOfWorkManager.Begin(isTransactional: true))
            {
                var getDiagnosisResultRequestDto = new GetDiagnosisResultRequestDto()
                {
                    RegisterCheckId = new Guid("3a1272f5-689f-f6ea-3ab7-65e75e94b058"),
                    Items = new List<GetDiagnosisResultRequest_Item>
                    {
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a126b34-dd13-c067-7b10-56cbd5fefedb"),
                            Result = "50.1"
                        },

                        //   new GetDiagnosisResultRequest_Item()
                        //{
                        //    ItemId = new Guid("3a1203c2-6c55-b07a-79cd-bec4e231390b"),
                        //    Result = "未见异常"
                        //}
                    }
                };
                var result = await _appService.GetDoctorCheckDiagnosisResultAsync(getDiagnosisResultRequestDto);
                foreach (var item in result.DiagnosisResultDetails)
                {
                    _output.WriteLine(item.DiagnosisResult);
                }
            }
        }

        [Fact]
        public async Task GetDiagnosisResultAsync3()
        {
            using (var unitOfWork = _unitOfWorkManager.Begin(isTransactional: true))
            {
                var getDiagnosisResultRequestDto = new GetDiagnosisResultRequestDto()
                {
                    RegisterCheckId = new Guid("3a11ee70-0351-8970-5bc5-dc0f72e62339"),
                    Items = new List<GetDiagnosisResultRequest_Item>
                    {
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0c6555-0dad-55b4-b59f-b11e8074cfdd"),
                            Result = "阳性"
                        },

                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0c6558-e2a6-4aab-e6e9-d34957a7c3ed"),
                            Result = "阴性"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0c655a-1fdc-2447-6dc9-d8ec8e110d2e"),
                            Result = "阳性"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0c655c-1c9f-c8c5-150a-59b3cc351472"),
                            Result = "阴性"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0c655d-6ab7-ca7e-3920-3b493ec83192"),
                            Result = "阳性"
                        },
                    }
                };
                var result = await _appService.GetDoctorCheckDiagnosisResultAsync(getDiagnosisResultRequestDto);
                foreach (var item in result.DiagnosisResultDetails)
                {
                    _output.WriteLine(item.DiagnosisResult);
                }
            }
        }
        [Fact]
        public async Task GetDiagnosisResultAsync4()
        {
            using (var unitOfWork = _unitOfWorkManager.Begin(isTransactional: true))
            {
                var getDiagnosisResultRequestDto = new GetDiagnosisResultRequestDto()
                {
                    RegisterCheckId = new Guid("3a11ee70-034c-1ce6-40f9-7eabb02830a9"),
                    Items = new List<GetDiagnosisResultRequest_Item>
                    {
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0d2916-3706-a22a-69dd-bd80be509d07"),
                            Result = "30.5"
                        },

                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0d2919-49d5-30d3-4373-b3dc1e806732"),
                            Result = "9"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0d2917-40e2-2f81-ebfc-267a9a98b02e"),
                            Result = "91.3"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0d291a-6ab5-8642-9cd3-30353ecb5d15"),
                            Result = "90"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a0d2918-344b-0373-a53c-b4888bd6b9a6"),
                            Result = "13"
                        },
                    }
                };
                var result = await _appService.GetDoctorCheckDiagnosisResultAsync(getDiagnosisResultRequestDto);
                foreach (var item in result.DiagnosisResultDetails)
                {
                    _output.WriteLine(item.DiagnosisResult);
                }
            }
        }
        [Fact]
        public async Task GetDiagnosisResultAsync5()
        {
            using (var unitOfWork = _unitOfWorkManager.Begin(isTransactional: true))
            {
                var getDiagnosisResultRequestDto = new GetDiagnosisResultRequestDto()
                {
                    RegisterCheckId = new Guid("3a123c55-07a8-b330-ac9c-52e2a05e1dba"),
                    Items = new List<GetDiagnosisResultRequest_Item>
                    {
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a1203c2-fde9-6f64-d268-54c7817fc9a4"),
                            Result = "30.5"
                        },

                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a1203c2-fefd-b6cd-2933-84860f5af7b9"),
                            Result = "9"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a1203c3-0017-e959-3735-5a3c71a9c70a"),
                            Result = "91.3"
                        },
                        new GetDiagnosisResultRequest_Item()
                        {
                            ItemId = new Guid("3a1203c3-012e-1a2e-66a8-1829caf0cd64"),
                            Result = "90"
                        },
                        //new GetDiagnosisResultRequest_Item()
                        //{
                        //    ItemId = new Guid("3a0d2918-344b-0373-a53c-b4888bd6b9a6"),
                        //    Result = "13"
                        //},
                    }
                };
                var result = await _appService.GetDoctorCheckDiagnosisResultAsync(getDiagnosisResultRequestDto);
                foreach (var item in result.DiagnosisResultDetails)
                {
                    _output.WriteLine(item.DiagnosisResult);
                }
            }
        }
        /// <summary>
        /// 体重指数测试结果
        /// </summary>
        [Fact]
        public void GetItemCalculateResultTzzsTest()
        {
            PatientItemCalculateInput patient = new PatientItemCalculateInput();
            patient.SexName = "男";
            patient.Age = 30;
            patient.Items = new List<ItemResultInput>()
            {
                new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "身高",
                    Result = "122"
                },
                 new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "体重",
                    Result = "221"
                },
                  new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "体重指数",
                }
            };
            var result = GetItemCalculateResultTzzs(patient);
            _output.WriteLine("结果：" + result);
            string code = @"
                      string result = """";
            decimal sg = 0;
            decimal tz = 0;
            foreach (var item in patient.Items)
            {
                if (item.ItemName == ""身高"")
                          {
                    if (decimal.TryParse(item.Result, out sg))
                    {
                        if (sg == 0)
                        {
                            return null;
                        }
                    }
                    else
                    {
                        return null;
                    }

                }
                if (item.ItemName == ""体重"")
                          {
                    if (decimal.TryParse(item.Result, out tz))
                    {
                        if (tz == 0)
                        {
                            return null;
                        }
                    }
                    else
                    {
                        return null;
                    }

                }
            }
            result = (tz /((sg/100) * (sg / 100))).ToString(""0.00"");
            return result;
                      ";


            DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
            result = diagnosisBuilder.GetItemCalculateResult(patient, code);
            _output.WriteLine("动态结果：" + result);


        }

        /// <summary>
        /// 体重指数
        /// </summary>
        /// <param name="patient"></param>
        /// <returns></returns>
        public string GetItemCalculateResultTzzs(PatientItemCalculateInput patient)
        {
            string result = "";
            decimal sg = 0;
            decimal tz = 0;

            foreach (var item in patient.Items)
            {
                if (item.ItemName == "身高")
                {
                    if (decimal.TryParse(item.Result, out sg))
                    {
                        if (sg == 0)
                        {
                            return null;
                        }
                    }
                    else
                    {
                        return null;
                    }

                }
                if (item.ItemName == "体重")
                {
                    if (decimal.TryParse(item.Result, out tz))
                    {
                        if (tz == 0)
                        {
                            return null;
                        }
                    }
                    else
                    {
                        return null;
                    }

                }
            }
            result = (tz / ((sg / 100) * (sg / 100))).ToString("0.00");
            return result;
        }

        [Fact]
        public void GetItemDiagnosisResultXYTest()
        {
            PatientItemDiagnosisInput patient = new PatientItemDiagnosisInput();
            patient.SexName = "男";
            patient.Age = 30;
            patient.Item = new ItemResultInput()
            {
                ItemId = Guid.NewGuid(),
                ItemName = "血压",
                Result = "180/110"
            };
            var result = GetItemDiagnosisResultXY(patient);
            _output.WriteLine("结果：" + result);
            string code = @"
                      string result = """";
            decimal szyDecimal = 0;
            decimal ssyDecimal = 0;
            var itemResult = patient.Item.Result;
            if (string.IsNullOrWhiteSpace(itemResult))
            {
                return null;
            }
            if (itemResult == ""/"")
                return null;
            var pos = itemResult.IndexOf(""/"");
            var szy = itemResult.Substring(0, pos);
            var ssy = itemResult.Substring(pos + 1);
            if (!decimal.TryParse(szy, out szyDecimal))
            {
                return null;
            }

            if (!decimal.TryParse(ssy, out ssyDecimal))
            {
                return null;
            }
            if (szyDecimal > 180 || ssyDecimal > 110)
            {
                return ""Ⅲ级高血压"";
            }
            if (szyDecimal > 160 || ssyDecimal > 100)
            {
                return ""Ⅱ级高血压"";
            }
            if (szyDecimal > 140 || ssyDecimal > 90)
            {
                return ""Ⅰ级高血压"";
            }
            return result;
                      ";


            DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
            result = diagnosisBuilder.GetItemDiagnosisResult(patient, code);
            _output.WriteLine("动态结果：" + result);


        }

        /// <summary>
        /// 
        /// </summary>
        /// <param name="patient"></param>
        /// <returns></returns>
        public string GetItemDiagnosisResultXY(PatientItemDiagnosisInput patient)
        {
            string result = "";
            decimal szyDecimal = 0;
            decimal ssyDecimal = 0;
            var itemResult = patient.Item.Result;
            if (string.IsNullOrWhiteSpace(itemResult))
            {
                return null;
            }
            if (itemResult == "/")
                return null;
            var pos = itemResult.IndexOf("/");
            var szy = itemResult.Substring(0, pos);
            var ssy = itemResult.Substring(pos + 1);
            if (!decimal.TryParse(szy, out szyDecimal))
            {
                return null;
            }

            if (!decimal.TryParse(ssy, out ssyDecimal))
            {
                return null;
            }
            if (szyDecimal > 180 || ssyDecimal > 110)
            {
                return "Ⅲ级高血压";
            }
            if (szyDecimal > 160 || ssyDecimal > 100)
            {
                return "Ⅱ级高血压";
            }
            if (szyDecimal > 140 || ssyDecimal > 90)
            {
                return "Ⅰ级高血压";
            }
            return result;
        }


        [Fact]
        public void GetItemDiagnosisResultTzzsTest()
        {
            PatientItemDiagnosisInput patient = new PatientItemDiagnosisInput();
            patient.SexName = "男";
            patient.Age = 30;
            patient.Item = new ItemResultInput()
            {
                ItemId = Guid.NewGuid(),
                ItemName = "体重指数",
                Result = "25"
            };
            var result = GetItemDiagnosisResultTzzs(patient);
            _output.WriteLine("结果：" + result);
            string code = @"
                     string result = """";
            decimal tzzsDecimal = 0;
         
            var itemResult = patient.Item.Result;
            if (string.IsNullOrWhiteSpace(itemResult))
            {
                return null;
            }
         
         
            if (!decimal.TryParse(itemResult, out tzzsDecimal))
            {
                return null;
            }

         
            if (tzzsDecimal > 24 )
            {
                return ""超重"";
            }
            if (tzzsDecimal < 18)
            {
                return ""营养不良"";
            }
            return result;;
                      ";


            DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
            result = diagnosisBuilder.GetItemDiagnosisResult(patient, code);
            _output.WriteLine("动态结果：" + result);


        }

        public string GetItemDiagnosisResultTzzs(PatientItemDiagnosisInput patient)
        {
            string result = "";
            decimal tzzsDecimal = 0;

            var itemResult = patient.Item.Result;
            if (string.IsNullOrWhiteSpace(itemResult))
            {
                return null;
            }


            if (!decimal.TryParse(itemResult, out tzzsDecimal))
            {
                return null;
            }


            if (tzzsDecimal > 24)
            {
                return "超重";
            }
            if (tzzsDecimal < 18)
            {
                return "营养不良";
            }
            return result;
        }
        /// <summary>
        /// 乙肝五项
        /// </summary>
        [Fact]
        public void GetAsbitemDiagnosisResultYgwxTest()
        {
            var patient = new PatientAsbitemDiagnosisInput();
            patient.SexName = "男";
            patient.Age = 30;
            patient.Items = new List<ItemResultInput>()
            {
                new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "乙肝表面抗原(HBsAg)",
                    Result = "阳性"
                },
                 new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "乙肝表面抗体(抗-HBs)",
                    Result = "阴性"
                },
                  new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "乙肝e抗原(HBeAg)",
                    Result = "阳性"
                },
                    new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "乙肝e抗体(抗-HBe)",
                    Result = "阴性"
                },
                      new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "乙肝核心抗体(抗-HBc)",
                    Result = "阳性"
                }
            };
            var result = GetAsbitemDiagnosisResultYgwx(patient);
            _output.WriteLine("结果：" + result);
            string code = @"
                      string msg = null;
            string result1 = """";
            string result2= """";
            string result3 = """";
            string result4 = """";
            string result5 = """";
            foreach (var item in patient.Items)
            {
                if(item.ItemName == ""乙肝表面抗原(HBsAg)"")
                {
                    result1 = item.Result;
                }
                if (item.ItemName == ""乙肝表面抗体(抗-HBs)"")
                {
                    result2 = item.Result;
                }
                if (item.ItemName == ""乙肝e抗原(HBeAg)"")
                {
                    result3 = item.Result;
                }
                if (item.ItemName == ""乙肝e抗体(抗-HBe)"")
                {
                    result4 = item.Result;
                }
                if (item.ItemName == ""乙肝核心抗体(抗-HBc)"")
                {
                    result5 = item.Result;
                }

            }
            switch (result1 + "","" + result2 + "","" + result3 + "","" + result4 + "","" + result5)
            {
                case ""阳性,阴性,阳性,阴性,阳性"":
                    msg = ""乙肝五项检查大三阳"";
                    break;
                case ""阳性,阴性,阴性,阳性,阳性"":
                    msg = ""乙肝五项检查小三阳"";
                    break;
                case ""阳性,阴性,阳性,阴性,阴性"":
                    msg = ""乙肝五项检查第一项，第三项阳性"";
                    break;
                case ""阴性,阴性,阳性,阳性,阳性"":
                    msg = ""乙肝两对半三,四,五阳性"";
                    break;
                case ""阳性,阴性,阴性,阴性,阳性"":
                    msg = ""乙肝五项检查第一项，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阳性,阳性"":
                    msg = ""乙肝五项检查第四项，第五项阳性"";
                    break;
                case ""阳性,阴性,阳性,阳性,阴性"":
                    msg = ""乙肝两对半一,三,四阳性"";
                    break;
                case ""阴性,阴性,阳性,阴性,阳性"":
                    msg = ""乙肝五项检查第三项，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阴性,阴性"":
                    msg = ""乙肝五项全阴"";
                    break;
                case ""阴性,阳性,阴性,阴性,阴性"":
                    msg = ""乙肝表面抗体阳性"";
                    break;
                case ""阳性,阴性,阴性,阴性,阴性"":
                    msg = ""乙肝表面抗原阳性"";
                    break;
                case ""阴性,阳性,阴性,阳性,阳性"":
                    msg = ""乙肝五项检查第二，第四，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阳性,阴性"":
                    msg = ""乙肝e抗体阳性"";
                    break;
                case ""阳性,阴性,阴性,阳性,阴性"":
                    msg = ""乙肝五项检查第一项，第四项阳性"";
                    break;
                case ""阴性,阳性,阴性,阴性,阳性"":
                    msg = ""乙肝五项检查第二项，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阴性,阳性"":
                    msg = ""乙肝核心抗体阳性"";
                    break;
                case ""阴性,弱阳性,阴性,阴性,阴性"":
                    msg = ""乙肝表面抗体弱阳性"";
                    break;
                case ""阴性,弱阳性,阴性,阴性,阳性"":
                    msg = ""乙肝五项检查第二项弱阳性，第五项阳性"";
                    break;
                default:
                    msg = """";
                    break;
            }
            return msg;
                      ";


            DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
            result = diagnosisBuilder.GetAsbitemDiagnosisResult(patient, code);
            _output.WriteLine("动态结果：" + result);


        }

        public string GetAsbitemDiagnosisResultYgwx(PatientAsbitemDiagnosisInput patient)
        {
            string msg = null;
            string result1 = "";
            string result2 = "";
            string result3 = "";
            string result4 = "";
            string result5 = "";
            foreach (var item in patient.Items)
            {
                if (item.ItemName == "乙肝表面抗原(HBsAg)")
                {
                    result1 = item.Result;
                }
                if (item.ItemName == "乙肝表面抗体(抗-HBs)")
                {
                    result2 = item.Result;
                }
                if (item.ItemName == "乙肝e抗原(HBeAg)")
                {
                    result3 = item.Result;
                }
                if (item.ItemName == "乙肝e抗体(抗-HBe)")
                {
                    result4 = item.Result;
                }
                if (item.ItemName == "乙肝核心抗体(抗-HBc)")
                {
                    result5 = item.Result;
                }

            }
            switch (result1 + "," + result2 + "," + result3 + "," + result4 + "," + result5)
            {
                case "阳性,阴性,阳性,阴性,阳性":
                    msg = "乙肝五项检查大三阳";
                    break;
                case "阳性,阴性,阴性,阳性,阳性":
                    msg = "乙肝五项检查小三阳";
                    break;
                case "阳性,阴性,阳性,阴性,阴性":
                    msg = "乙肝五项检查第一项，第三项阳性";
                    break;
                case "阴性,阴性,阳性,阳性,阳性":
                    msg = "乙肝两对半三,四,五阳性";
                    break;
                case "阳性,阴性,阴性,阴性,阳性":
                    msg = "乙肝五项检查第一项，第五项阳性";
                    break;
                case "阴性,阴性,阴性,阳性,阳性":
                    msg = "乙肝五项检查第四项，第五项阳性";
                    break;
                case "阳性,阴性,阳性,阳性,阴性":
                    msg = "乙肝两对半一,三,四阳性";
                    break;
                case "阴性,阴性,阳性,阴性,阳性":
                    msg = "乙肝五项检查第三项，第五项阳性";
                    break;
                case "阴性,阴性,阴性,阴性,阴性":
                    msg = "乙肝五项全阴";
                    break;
                case "阴性,阳性,阴性,阴性,阴性":
                    msg = "乙肝表面抗体阳性";
                    break;
                case "阳性,阴性,阴性,阴性,阴性":
                    msg = "乙肝表面抗原阳性";
                    break;
                case "阴性,阳性,阴性,阳性,阳性":
                    msg = "乙肝五项检查第二，第四，第五项阳性";
                    break;
                case "阴性,阴性,阴性,阳性,阴性":
                    msg = "乙肝e抗体阳性";
                    break;
                case "阳性,阴性,阴性,阳性,阴性":
                    msg = "乙肝五项检查第一项，第四项阳性";
                    break;
                case "阴性,阳性,阴性,阴性,阳性":
                    msg = "乙肝五项检查第二项，第五项阳性";
                    break;
                case "阴性,阴性,阴性,阴性,阳性":
                    msg = "乙肝核心抗体阳性";
                    break;
                case "阴性,弱阳性,阴性,阴性,阴性":
                    msg = "乙肝表面抗体弱阳性";
                    break;
                case "阴性,弱阳性,阴性,阴性,阳性":
                    msg = "乙肝五项检查第二项弱阳性，第五项阳性";
                    break;
                default:
                    msg = "";
                    break;
            }
            return msg;
        }

        [Fact]
        public void GetAsbitemDiagnosisResultTzzsTest()
        {
            var patient = new PatientAsbitemDiagnosisInput();
            patient.SexName = "男";
            patient.Age = 30;
            patient.Items = new List<ItemResultInput>()
            {
                new ItemResultInput()
                {
                    ItemId = Guid.NewGuid(),
                    ItemName = "体重指数",
                    Result = "18"
                }
            };
            var result = GetAsbitemDiagnosisResultTzzs(patient);
            _output.WriteLine("结果：" + result);
            return;
            string code = @"
                      string msg = null;
            string result1 = """";
            string result2= """";
            string result3 = """";
            string result4 = """";
            string result5 = """";
            foreach (var item in patient.Items)
            {
                if(item.ItemName == ""乙肝表面抗原(HBsAg)"")
                {
                    result1 = item.Result;
                }
                if (item.ItemName == ""乙肝表面抗体(抗-HBs)"")
                {
                    result2 = item.Result;
                }
                if (item.ItemName == ""乙肝e抗原(HBeAg)"")
                {
                    result3 = item.Result;
                }
                if (item.ItemName == ""乙肝e抗体(抗-HBe)"")
                {
                    result4 = item.Result;
                }
                if (item.ItemName == ""乙肝核心抗体(抗-HBc)"")
                {
                    result5 = item.Result;
                }

            }
            switch (result1 + "","" + result2 + "","" + result3 + "","" + result4 + "","" + result5)
            {
                case ""阳性,阴性,阳性,阴性,阳性"":
                    msg = ""乙肝五项检查大三阳"";
                    break;
                case ""阳性,阴性,阴性,阳性,阳性"":
                    msg = ""乙肝五项检查小三阳"";
                    break;
                case ""阳性,阴性,阳性,阴性,阴性"":
                    msg = ""乙肝五项检查第一项，第三项阳性"";
                    break;
                case ""阴性,阴性,阳性,阳性,阳性"":
                    msg = ""乙肝两对半三,四,五阳性"";
                    break;
                case ""阳性,阴性,阴性,阴性,阳性"":
                    msg = ""乙肝五项检查第一项，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阳性,阳性"":
                    msg = ""乙肝五项检查第四项，第五项阳性"";
                    break;
                case ""阳性,阴性,阳性,阳性,阴性"":
                    msg = ""乙肝两对半一,三,四阳性"";
                    break;
                case ""阴性,阴性,阳性,阴性,阳性"":
                    msg = ""乙肝五项检查第三项，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阴性,阴性"":
                    msg = ""乙肝五项全阴"";
                    break;
                case ""阴性,阳性,阴性,阴性,阴性"":
                    msg = ""乙肝表面抗体阳性"";
                    break;
                case ""阳性,阴性,阴性,阴性,阴性"":
                    msg = ""乙肝表面抗原阳性"";
                    break;
                case ""阴性,阳性,阴性,阳性,阳性"":
                    msg = ""乙肝五项检查第二，第四，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阳性,阴性"":
                    msg = ""乙肝e抗体阳性"";
                    break;
                case ""阳性,阴性,阴性,阳性,阴性"":
                    msg = ""乙肝五项检查第一项，第四项阳性"";
                    break;
                case ""阴性,阳性,阴性,阴性,阳性"":
                    msg = ""乙肝五项检查第二项，第五项阳性"";
                    break;
                case ""阴性,阴性,阴性,阴性,阳性"":
                    msg = ""乙肝核心抗体阳性"";
                    break;
                case ""阴性,弱阳性,阴性,阴性,阴性"":
                    msg = ""乙肝表面抗体弱阳性"";
                    break;
                case ""阴性,弱阳性,阴性,阴性,阳性"":
                    msg = ""乙肝五项检查第二项弱阳性，第五项阳性"";
                    break;
                default:
                    msg = """";
                    break;
            }
            return msg;
                      ";


            DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
            result = diagnosisBuilder.GetAsbitemDiagnosisResult(patient, code);
            _output.WriteLine("动态结果：" + result);


        }
        public string GetAsbitemDiagnosisResultTzzs(PatientAsbitemDiagnosisInput patient)
        {
            string msg = null;
            string result1 = "";
            string result2 = "";
            string result3 = "";
            string result4 = "";
            string result5 = "";
            foreach (var item in patient.Items)
            {
                if (item.ItemName == "体重指数")
                {
                    result1 = item.Result;
                }

            }
            var tzzsPre = "体重指数:";
            if (double.TryParse(result1, out var tzzsResult))
            {
                if (tzzsResult < 18.5)
                {
                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：体重过低";
                }
                else if (tzzsResult >= 24.9 && tzzsResult < 28)
                {
                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：超重";
                }
                else if (tzzsResult >= 28 && tzzsResult < 29.9)
                {
                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（轻度）";
                }
                else if (tzzsResult >= 29.9 && tzzsResult < 34.9)
                {
                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（中度）";
                }
                else if (tzzsResult >= 34.9)
                {
                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（重度）";
                }
                else
                {
                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：正常";
                }
            }
            return msg;
        }

        public string GetAsbitemDiagnosisResultTzzs2(PatientAsbitemDiagnosisInput patient)
        {
            string msg = null;
            decimal sg = 0;
            decimal tz = 0;
            string tzStr = "";
            string sgStr = "";
            foreach (var item in patient.Items)
            {
                if (item.ItemName == "身高")
                {
                    sgStr = item.Result;
                }
                if (item.ItemName == "体重")
                {
                    tzStr = item.Result;
                }

            }
            if (!decimal.TryParse(sgStr, out sg))
            {
                return "";
            }
            if (!decimal.TryParse(tzStr, out tz))
            {
                return "";
            }
            var tzzsResult = (double)(tz / ((sg / 100) * (sg / 100)));
            var tzzsPre = "体重指数:";

            if (tzzsResult < 18.5)
            {
                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：体重过低";
            }
            else if (tzzsResult >= 24.9 && tzzsResult < 28)
            {
                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：超重";
            }
            else if (tzzsResult >= 28 && tzzsResult < 29.9)
            {
                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：肥胖症（轻度）";
            }
            else if (tzzsResult >= 29.9 && tzzsResult < 34.9)
            {
                msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（中度）";
            }
            else if (tzzsResult >= 34.9)
            {
                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：肥胖症（重度）";
            }
            else
            {
                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：正常";
            }

            return msg;
        }
    }
}