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危急值

master
wxd 12 months ago
parent
f77e5aa249
commit
0581aa0b53
4 changed files with 94 additions and 63 deletions
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  1. 4
      src/Shentun.Peis.Application.Contracts/DiagnosisFunctions/GetCriticalResultDto.cs
  2. 10
      src/Shentun.Peis.Application.Contracts/PhoneFollowUps/PhoneFollowUpWithCriticalItemDto.cs
  3. 110
      src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
  4. 3
      src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs

4
src/Shentun.Peis.Application.Contracts/DiagnosisFunctions/GetCriticalResultDto.cs
View File

@ -19,6 +19,8 @@ namespace Shentun.Peis.DiagnosisFunctions
public char? IsFollowUp { get; set; }
public string CriticalRangeValue { get; set; }
public string CriticalValueContent { get; set; }
}
public class GetItemCriticalResultDto
@ -32,5 +34,7 @@ namespace Shentun.Peis.DiagnosisFunctions
public char? IsFollowUp { get; set; }
public string CriticalRangeValue { get; set; }
public string CriticalValueContent { get; set; }
}
}

10
src/Shentun.Peis.Application.Contracts/PhoneFollowUps/PhoneFollowUpWithCriticalItemDto.cs
View File

@ -111,13 +111,13 @@ namespace Shentun.Peis.PhoneFollowUps
public string? MobileTelephone { get; set; }
/// <summary>
/// 单位名称
/// 部门
/// </summary>
public string CustomerOrgName { get; set; }
/// <summary>
/// 父级单位名称
/// 单位
/// </summary>
public string CustomerOrgParentName { get; set; }
@ -136,6 +136,12 @@ namespace Shentun.Peis.PhoneFollowUps
/// </summary>
public List<PhoneFollowUpSimpleDto> PhoneFollowUpDetail { get; set; }
/// <summary>
/// 危急值处理内容 多个拼合在一起
/// </summary>
public string CriticalValueContents { get; set; }
/// <summary>
/// 是否短信随访创建完成
/// </summary>

110
src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
View File

@ -1930,10 +1930,8 @@ namespace Shentun.Peis.DiagnosisFunctions
GetDiagnosisResultDto resultDto,
GetCriticalResultDto criticalResultDto)
{
var isCritical = false;
var isFollowUp = false;
GetAsbitemCriticalFunction(doctorCheckDiagnosisInput, criticalResultDto, isCritical, isFollowUp);
GetAsbitemCriticalFunction(doctorCheckDiagnosisInput, criticalResultDto);
var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync();
@ -1941,6 +1939,10 @@ namespace Shentun.Peis.DiagnosisFunctions
//检索小结
foreach (var diagnosisResult in resultDto.DiagnosisResultDetails)
{
var isCritical = false;
var isFollowUp = false;
if (!isCritical)
{
var criticalKeyCount = criticalFollowValueList.Count(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.Critical
@ -1949,7 +1951,7 @@ namespace Shentun.Peis.DiagnosisFunctions
{
isCritical = true;
isFollowUp = true;
UpdateRegisterCheckCriticalResult(criticalResultDto, doctorCheckDiagnosisInput.Asbitems.FirstOrDefault().RegisterCheckId, 'Y', 'Y', diagnosisResult.DiagnosisResult);
UpdateRegisterCheckCriticalResult(criticalResultDto, doctorCheckDiagnosisInput.Asbitems.FirstOrDefault().RegisterCheckId, 'Y', 'Y', diagnosisResult.DiagnosisResult, "");
}
}
if (!isFollowUp)
@ -1959,7 +1961,7 @@ namespace Shentun.Peis.DiagnosisFunctions
if (followUpKeyCount > 0)
{
isFollowUp = true;
UpdateRegisterCheckCriticalResult(criticalResultDto, doctorCheckDiagnosisInput.Asbitems.FirstOrDefault().RegisterCheckId, null, 'Y', diagnosisResult.DiagnosisResult);
UpdateRegisterCheckCriticalResult(criticalResultDto, doctorCheckDiagnosisInput.Asbitems.FirstOrDefault().RegisterCheckId, null, 'Y', diagnosisResult.DiagnosisResult, "");
}
}
}
@ -1972,10 +1974,7 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalResultDto"></param>
/// <param name="isCritical"></param>
/// <param name="isFollowUp"></param>
/// <returns></returns>
private void GetAsbitemCriticalFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, GetCriticalResultDto criticalResultDto, bool isCritical, bool isFollowUp)
private void GetAsbitemCriticalFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, GetCriticalResultDto criticalResultDto)
{
var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput()
{
@ -1997,25 +1996,25 @@ namespace Shentun.Peis.DiagnosisFunctions
foreach (var asbitem in doctorCheckDiagnosisInput.Asbitems)
{
var isCritical = false;
if (asbitem.IsCriticalValueFunction == 'Y' && !string.IsNullOrWhiteSpace(asbitem.CriticalValueFunction))
{
var isCriticalTemp = diagnosisBuilder.GetAsbitemCriticalResult(patientAsbitemDiagnosisInput, asbitem.CriticalValueFunction);
if (isCriticalTemp)
{
isCritical = true;
isFollowUp = true;
UpdateRegisterCheckCriticalResult(criticalResultDto, asbitem.RegisterCheckId, 'Y', 'Y', "");
UpdateRegisterCheckCriticalResult(criticalResultDto, asbitem.RegisterCheckId, 'Y', 'Y', "", "");
break;
}
}
if (asbitem.IsFollowUpFunction == 'Y' && !string.IsNullOrWhiteSpace(asbitem.FollowUpFunction))
if (asbitem.IsFollowUpFunction == 'Y' && !string.IsNullOrWhiteSpace(asbitem.FollowUpFunction) && !isCritical)
{
var isFollowUpTemp = diagnosisBuilder.GetAsbitemFollowUpResult(patientAsbitemDiagnosisInput, asbitem.FollowUpFunction);
if (isFollowUpTemp)
{
isFollowUp = true;
UpdateRegisterCheckCriticalResult(criticalResultDto, asbitem.RegisterCheckId, null, 'Y', "");
UpdateRegisterCheckCriticalResult(criticalResultDto, asbitem.RegisterCheckId, null, 'Y', "", "");
}
}
}
@ -2042,10 +2041,7 @@ namespace Shentun.Peis.DiagnosisFunctions
GetDiagnosisResultDto resultDto,
GetCriticalResultDto criticalResultDto)
{
var isCritical = false;
var isFollowUp = false;
await GetItemCriticalFunction(doctorCheckDiagnosisInput, criticalResultDto, isCritical, isFollowUp);
await GetItemCriticalFunction(doctorCheckDiagnosisInput, criticalResultDto);
}
@ -2054,14 +2050,10 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalResultDto"></param>
/// <param name="isCritical"></param>
/// <param name="isFollowUp"></param>
/// <returns></returns>
private async Task GetItemCriticalFunction(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
GetCriticalResultDto criticalResultDto,
bool isCritical,
bool isFollowUp
GetCriticalResultDto criticalResultDto
)
{
@ -2077,6 +2069,8 @@ namespace Shentun.Peis.DiagnosisFunctions
foreach (var item in doctorCheckDiagnosisInput.Items)
{
var isCritical = false;
var isFollowUp = false;
if (string.IsNullOrWhiteSpace(item.Result))
{
continue;
@ -2099,20 +2093,20 @@ namespace Shentun.Peis.DiagnosisFunctions
{
isCritical = true;
isFollowUp = true;
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, 'Y', 'Y', "");
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, 'Y', 'Y', "", "");
continue;
}
}
#endregion
#region 随访函数
if (item.IsFollowUpFunction == 'Y' && !string.IsNullOrWhiteSpace(item.FollowUpFunction))
if (item.IsFollowUpFunction == 'Y' && !string.IsNullOrWhiteSpace(item.FollowUpFunction) && !isFollowUp)
{
var isFollowUpTemp = diagnosisBuilder.GetItemCriticalResult(patientItemDiagnosisInput, item.FollowUpFunction);
if (isFollowUpTemp)
{
isFollowUp = true;
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, null, 'Y', "");
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, null, 'Y', "", "");
}
}
#endregion
@ -2122,7 +2116,9 @@ namespace Shentun.Peis.DiagnosisFunctions
if (referenceRange == null)
{
referenceRange = item.ReferenceRanges.Where(o => o.ForSexId == ForSexFlag.All && doctorCheckDiagnosisInput.Age >= o.AgeLowerLimit && doctorCheckDiagnosisInput.Age <= o.AgeUpperLimit).FirstOrDefault();
if (referenceRange != null && !string.IsNullOrWhiteSpace(referenceRange.CriticalRangeValue))
}
if (referenceRange != null && !string.IsNullOrWhiteSpace(referenceRange.CriticalRangeValue) && !isCritical)
{
var isCriticalTemp = _registerCheckItemManager.GetNumberResultIsCritical(item.Result, referenceRange.CriticalRangeValue);
@ -2130,7 +2126,8 @@ namespace Shentun.Peis.DiagnosisFunctions
{
isCritical = true;
isFollowUp = true;
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, 'Y', 'Y', referenceRange.CriticalRangeValue);
string criticalValueContent = $"{item.ItemName}异常（结果{item.Result} {item.Unit},危急值范围{referenceRange.CriticalRangeValue}）";
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, 'Y', 'Y', referenceRange.CriticalRangeValue, criticalValueContent);
continue;
}
}
@ -2141,14 +2138,15 @@ namespace Shentun.Peis.DiagnosisFunctions
if (isFollowUpTemp)
{
isFollowUp = true;
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, null, 'Y', referenceRange.FollowUpRangeValue);
}
string criticalValueContent = $"{item.ItemName}异常（结果{item.Result} {item.Unit},随访范围{referenceRange.FollowUpRangeValue}）";
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, null, 'Y', referenceRange.FollowUpRangeValue, criticalValueContent);
}
}
#endregion
#region 关键字
if (!isCritical)
{
var criticalKeyCount = criticalFollowValueList.Count(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.Critical
@ -2157,9 +2155,10 @@ namespace Shentun.Peis.DiagnosisFunctions
{
isCritical = true;
isFollowUp = true;
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, 'Y', 'Y', item.Result);
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, 'Y', 'Y', item.Result, "");
}
}
if (!isFollowUp)
{
var followUpKeyCount = criticalFollowValueList.Count(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.FollowUp
@ -2167,9 +2166,10 @@ namespace Shentun.Peis.DiagnosisFunctions
if (followUpKeyCount > 0)
{
isFollowUp = true;
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, null, 'Y', item.Result);
UpdateRegisterCheckItemCriticalResult(criticalResultDto, item.RegisterCheckId, item.ItemId, null, 'Y', item.Result, "");
}
}
#endregion
}
@ -2189,7 +2189,8 @@ namespace Shentun.Peis.DiagnosisFunctions
/// <param name="isCritical"></param>
/// <param name="isFollowUp"></param>
/// <param name="criticalRangeValue"></param>
private void UpdateRegisterCheckCriticalResult(GetCriticalResultDto criticalResultDto, Guid registerCheckId, char? isCritical, char? isFollowUp, string criticalRangeValue)
/// <param name="criticalValueContent"></param>
private void UpdateRegisterCheckCriticalResult(GetCriticalResultDto criticalResultDto, Guid registerCheckId, char? isCritical, char? isFollowUp, string criticalRangeValue, string criticalValueContent)
{
if (criticalResultDto.AsbitemDetails.Where(m => m.RegisterCheckId == registerCheckId).Count() == 0)
{
@ -2216,6 +2217,10 @@ namespace Shentun.Peis.DiagnosisFunctions
{
asbitemDetail.CriticalRangeValue = criticalRangeValue;
}
if (!string.IsNullOrWhiteSpace(criticalValueContent) && string.IsNullOrWhiteSpace(asbitemDetail.CriticalValueContent))
{
asbitemDetail.CriticalValueContent = criticalValueContent;
}
}
}
}
@ -2230,7 +2235,8 @@ namespace Shentun.Peis.DiagnosisFunctions
/// <param name="isCritical"></param>
/// <param name="isFollowUp"></param>
/// <param name="criticalRangeValue"></param>
private void UpdateRegisterCheckItemCriticalResult(GetCriticalResultDto criticalResultDto, Guid registerCheckId, Guid itemId, char? isCritical, char? isFollowUp, string criticalRangeValue)
/// <param name="criticalValueContent"></param>
private void UpdateRegisterCheckItemCriticalResult(GetCriticalResultDto criticalResultDto, Guid registerCheckId, Guid itemId, char? isCritical, char? isFollowUp, string criticalRangeValue, string criticalValueContent)
{
//先增加registerCheck
@ -2261,6 +2267,10 @@ namespace Shentun.Peis.DiagnosisFunctions
{
itemDetail.CriticalRangeValue = criticalRangeValue;
}
if (!string.IsNullOrWhiteSpace(criticalValueContent) && string.IsNullOrWhiteSpace(itemDetail.CriticalValueContent))
{
itemDetail.CriticalValueContent = criticalValueContent;
}
}
}
@ -2280,12 +2290,12 @@ namespace Shentun.Peis.DiagnosisFunctions
{
foreach (var asbitemDetail in criticalResultDto.AsbitemDetails)
{
await CreateRegisterCheckCritical(asbitemDetail.RegisterCheckId, asbitemDetail.IsCritical, asbitemDetail.IsFollowUp, asbitemDetail.CriticalRangeValue);
await CreateRegisterCheckCritical(asbitemDetail.RegisterCheckId, asbitemDetail.IsCritical, asbitemDetail.IsFollowUp, asbitemDetail.CriticalRangeValue, asbitemDetail.CriticalValueContent);
}
foreach (var itemDetails in criticalResultDto.ItemDetails)
foreach (var itemDetail in criticalResultDto.ItemDetails)
{
await CreateRegisterCheckItemCritical(itemDetails.RegisterCheckId, itemDetails.ItemId, itemDetails.IsCritical, itemDetails.IsFollowUp, itemDetails.CriticalRangeValue);
await CreateRegisterCheckItemCritical(itemDetail.RegisterCheckId, itemDetail.ItemId, itemDetail.IsCritical, itemDetail.IsFollowUp, itemDetail.CriticalRangeValue,itemDetail.CriticalValueContent);
}
if (criticalResultDto.AsbitemDetails.Count > 0 || criticalResultDto.ItemDetails.Count > 0)
@ -2307,7 +2317,6 @@ namespace Shentun.Peis.DiagnosisFunctions
// });
//}
}
/// <summary>
/// 生成registerCheck表危急值相关数据
/// </summary>
@ -2315,13 +2324,14 @@ namespace Shentun.Peis.DiagnosisFunctions
/// <param name="isCriticalValue"></param>
/// <param name="isFollowUp"></param>
/// <param name="CriticalRangeValue"></param>
/// <param name="criticalValueContent"></param>
/// <returns></returns>
private async Task CreateRegisterCheckCritical(Guid registerCheckId, char? isCriticalValue, char? isFollowUp, string CriticalRangeValue)
private async Task CreateRegisterCheckCritical(Guid registerCheckId, char? isCriticalValue, char? isFollowUp, string CriticalRangeValue, string criticalValueContent)
{
var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(m => m.Id == registerCheckId);
if (registerCheckEnt != null)
{
if (!string.IsNullOrWhiteSpace(CriticalRangeValue))
if (string.IsNullOrWhiteSpace(registerCheckEnt.CriticalRangeValue) && !string.IsNullOrWhiteSpace(CriticalRangeValue))
{
registerCheckEnt.CriticalRangeValue = CriticalRangeValue;
}
@ -2338,11 +2348,15 @@ namespace Shentun.Peis.DiagnosisFunctions
registerCheckEnt.IsFollowUp = isFollowUp;
}
if (string.IsNullOrWhiteSpace(registerCheckEnt.CriticalValueContent)&&!string.IsNullOrWhiteSpace(criticalValueContent))
{
registerCheckEnt.CriticalValueContent = criticalValueContent;
}
await _registerCheckRepository.UpdateAsync(registerCheckEnt);
}
}
/// <summary>
/// 生成明细表危急值相关数据
/// </summary>
@ -2350,17 +2364,18 @@ namespace Shentun.Peis.DiagnosisFunctions
/// <param name="itemId"></param>
/// <param name="isCriticalValue"></param>
/// <param name="isFollowUp"></param>
/// <param name="CriticalRangeValue"></param>
/// <param name="criticalRangeValue"></param>
/// <param name="criticalValueContent"></param>
/// <returns></returns>
private async Task CreateRegisterCheckItemCritical(Guid registerCheckId, Guid itemId, char? isCriticalValue, char? isFollowUp, string CriticalRangeValue)
private async Task CreateRegisterCheckItemCritical(Guid registerCheckId, Guid itemId, char? isCriticalValue, char? isFollowUp, string criticalRangeValue,string criticalValueContent)
{
var registerCheckItemEnt = await _registerCheckItemRepository.FirstOrDefaultAsync(m => m.RegisterCheckId == registerCheckId
&& m.ItemId == itemId);
if (registerCheckItemEnt != null)
{
if (!string.IsNullOrWhiteSpace(CriticalRangeValue))
if (string.IsNullOrWhiteSpace(registerCheckItemEnt.CriticalRangeValue) && !string.IsNullOrWhiteSpace(criticalRangeValue))
{
registerCheckItemEnt.CriticalRangeValue = CriticalRangeValue;
registerCheckItemEnt.CriticalRangeValue = criticalRangeValue;
}
if (isCriticalValue == 'Y')
@ -2376,6 +2391,11 @@ namespace Shentun.Peis.DiagnosisFunctions
registerCheckItemEnt.IsFollowUp = isFollowUp;
}
if (string.IsNullOrWhiteSpace(registerCheckItemEnt.CriticalValueContent) && !string.IsNullOrWhiteSpace(criticalValueContent))
{
registerCheckItemEnt.CriticalValueContent = criticalValueContent;
}
await _registerCheckItemRepository.UpdateAsync(registerCheckItemEnt);
}

3
src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
View File

@ -291,7 +291,7 @@ namespace Shentun.Peis.PhoneFollowUps
PersonnelTypeName = _cacheService.GetPersonnelTypeNameAsync(s.FirstOrDefault().patientRegister.PersonnelTypeId).GetAwaiter().GetResult(),
SexName = _cacheService.GetSexNameAsync(s.FirstOrDefault().patientRegister.SexId).GetAwaiter().GetResult(),
Telephone = s.FirstOrDefault().patient.Telephone,
PhoneFollowUpDetail = s.Where(m => m.phoneFollowUpEmpty != null).GroupBy(g => g.phoneFollowUpEmpty).Select(ss => new PhoneFollowUpSimpleDto
PhoneFollowUpDetail = s.Where(m => m.phoneFollowUpEmpty != null).GroupBy(g => g.phoneFollowUpEmpty).OrderBy(o => o.Key.PlanFollowDate).Select(ss => new PhoneFollowUpSimpleDto
{
FollowUpContent = ss.Key.FollowUpContent,
IsComplete = ss.Key.IsComplete,
@ -312,6 +312,7 @@ namespace Shentun.Peis.PhoneFollowUps
IsCriticalValue = ss.Key.IsCriticalValue == null ? 'N' : ss.Key.IsCriticalValue.Value,
IsReview = ss.Key.IsReview == null ? 'N' : ss.Key.IsReview.Value
}).ToList(),
CriticalValueContents = string.Join("\n", s.Where(m => !string.IsNullOrWhiteSpace(m.registerCheck.CriticalValueContent)).Select(ss => ss.registerCheck.CriticalValueContent).Distinct()) + "\n" + string.Join("\n", s.Where(m => !string.IsNullOrWhiteSpace(m.registerCheckItem.CriticalValueContent)).Select(ss => ss.registerCheckItem.CriticalValueContent).Distinct()),
IsPhoneComplete = s.Key.IsPhoneComplete,
IsSmsComplete = s.Key.IsSmsComplete
}).ToList();

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