shentun
/
peis
1
0
Fork 0
Code Issues Pull Requests Projects Releases Wiki Activity
Browse Source

危急值

master
wxd 1 year ago
parent
49ff090d4e
commit
73f1d0bf49
2 changed files with 305 additions and 369 deletions
Whitespace
Show all changes Ignore whitespace when comparing lines Ignore changes in amount of whitespace Ignore changes in whitespace at EOL
Unified View
Diff Options
Show Stats Download Patch File Download Diff File
  1. 32
      src/Shentun.Peis.Application.Contracts/DiagnosisFunctions/GetCriticalResultDto.cs
  2. 640
      src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs

32
src/Shentun.Peis.Application.Contracts/DiagnosisFunctions/GetCriticalResultDto.cs
View File

@ -0,0 +1,32 @@
using System;
using System.Collections.Generic;
using System.Text;
namespace Shentun.Peis.DiagnosisFunctions
{
public class GetCriticalResultDto
{
public Guid RegisterCheckId { get; set; }
public char? IsCritical { get; set; }
public char? IsFollowUp { get; set; }
public string CriticalRangeValue { get; set; }
public List<GetItemCriticalResultDto> ItemDetails { get; set; } = new List<GetItemCriticalResultDto>();
}
public class GetItemCriticalResultDto
{
public Guid RegisterCheckId { get; set; }
public Guid ItemId { get; set; }
public char? IsCritical { get; set; }
public char? IsFollowUp { get; set; }
public string CriticalRangeValue { get; set; }
}
}

640
src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
View File

@ -111,283 +111,6 @@ namespace Shentun.Peis.DiagnosisFunctions
} }
#region hide
///// <summary>
///// 医生诊台生成小结
///// </summary>
///// <param name="input"></param>
///// <returns></returns>
//[HttpPost("api/app/diagnosisfunction/getdiagnosisresult")]
//public async Task<List<GetDiagnosisResultDto>> GetDiagnosisResultAsync(GetDiagnosisResultRequestDto input)
//{
// var reslist = new List<GetDiagnosisResultDto>();
// var registerAsbitems = from a in await _registerAsbitemRepository.GetListAsync()
// join b in await _asbitemRepository.GetListAsync() on a.AsbitemId equals b.Id into bb
// from ab in bb.DefaultIfEmpty()
// where a.PatientRegisterId == input.PatientRegisterId
// select ab;
// foreach (var item in registerAsbitems)
// {
// if (item.IsDiagnosisFunction == 'Y' && !string.IsNullOrEmpty(item.DiagnosisFunction))
// {
// if (item.DisplayName == "身高体重")
// {
// var res = await GetDiagnosisResultInAsbitemHeightAsync(input, item.DiagnosisFunction, item.IsContinueProcess);
// if (res.Count > 0)
// {
// reslist.AddRange(res);
// }
// }
// }
// }
// return reslist;
//}
///// <summary>
///// 组合函数 身高体重 生成
///// </summary>
///// <param name="input"></param>
///// <param name="DiagnosisFunction">诊断函数</param>
///// <param name="IsContinueProcess">处理完是否继续执行项目的诊断函数</param>
///// <returns></returns>
//private async Task<List<GetDiagnosisResultDto>> GetDiagnosisResultInAsbitemHeightAsync(GetDiagnosisResultRequestDto input, string DiagnosisFunction, char IsContinueProcess)
//{
// var reslist = new List<GetDiagnosisResultDto>();
// if (input.Items.Count > 0)
// {
// var itemList = await _itemRepository.GetListAsync();
// string DiagnosisFunctionCode = DiagnosisFunction;
// foreach (var item in input.Items)
// {
// if (item.ItemId != null)
// {
// var itement = itemList.Where(m => m.Id == item.ItemId).FirstOrDefault();
// if (itement != null)
// {
// DiagnosisFunctionCode = DiagnosisFunctionCode.Replace($"[{itement.DisplayName}]", item.Result);
// }
// }
// }
// ////拼接动态代码
// //string code = @"
// // using System;
// // namespace Shentun.Peis
// // {
// // public class DiagnosisResultInAsbitemHeight
// // {
// // public string AutoDiagnosisResultInAsbitemHeight()
// // {
// // var msg="""";"
// // + DiagnosisFunctionCode + @"
// // return msg;
// // }
// // }
// // }";
// //拼接动态代码
// string code = @"
// public class DiagnosisResultInAsbitemHeight
// {
// public string AutoDiagnosisResultInAsbitemHeight()
// {
// var msg="""";"
// + DiagnosisFunctionCode + @"
// return msg;
// }
// }";
// CompileHelper compileHelper = new CompileHelper();
// var assembly = compileHelper.GenerateAssemblyFromCode(code, Assembly.Load(new AssemblyName("System.Runtime")), typeof(object).Assembly);
// if (assembly != null)
// {
// // 反射获取程序集中 的类
// Type type = assembly.GetType("DiagnosisResultInAsbitemHeight");
// // 创建该类的实例
// object obj = Activator.CreateInstance(type);
// var msg = type.InvokeMember("AutoDiagnosisResultInAsbitemHeight",
// BindingFlags.Default | BindingFlags.InvokeMethod,
// null,
// obj,
// null);
// if (!string.IsNullOrEmpty(msg.ToString()))
// {
// reslist.Add(new GetDiagnosisResultDto { DiagnosisResult = msg.ToString() });
// }
// }
// }
// return reslist;
//}
#endregion
/// <summary>
/// 医生诊台生成小结
/// </summary>
/// <param name="input"></param>
/// <returns></returns>
[HttpPost("api/app/diagnosisfunction/getdiagnosisresult")]
[RemoteService(false)]
public async Task<OkObjectResult> GetDiagnosisResultAsync(GetDiagnosisResultRequestDto input)
{
throw new Exception("禁止使用");
var reslist = new List<GetDiagnosisResult_Detail>();
var suggestionlist = new List<GetDiagnosisSuggestion_Detail>();
// await GetCalculationFunctionAsync(input); //取消计算函数计算
//根据检查单ID查询
var query = (from a in await _registerCheckRepository.GetQueryableAsync()
join b in await _registerAsbitemRepository.GetQueryableAsync() on a.Id equals b.RegisterCheckId
join c in await _registerCheckItemRepository.GetQueryableAsync() on a.Id equals c.RegisterCheckId
join d in await _asbitemRepository.GetQueryableAsync() on b.AsbitemId equals d.Id
join e in (await _itemRepository.GetQueryableAsync()).Include(x => x.ReferenceRanges) on c.ItemId equals e.Id
join f in await _patientRegisterRepository.GetQueryableAsync() on b.PatientRegisterId equals f.Id
where a.Id == input.RegisterCheckId
select new { a, b, c, d, e, f }).ToList();
List<string> diagnosisTrips = new List<string>(); //异常提示
if (query.Count() > 0)
{
//组合项目数据
// var asbitem_Data = query.GroupBy(g => g.b.Id).Select(s=>new )
var asbitem_Group = query.GroupBy(g => g.b.Id);
//正常是一个，合并过项目可能存在多个
foreach (var item in asbitem_Group)
{
var asbitem_data = item.Select(s => s.d).FirstOrDefault(); //组合项目信息
var item_datas = item.Select(s => s.e).ToList(); //项目信息
var patientRegister_data = item.Select(s => s.f).FirstOrDefault();
//是否开启组合项目诊断函数
if (asbitem_data.IsDiagnosisFunction == 'Y' && !string.IsNullOrEmpty(asbitem_data.DiagnosisFunction))
{
var res = await GetDiagnosisResultInAsbitemAsync(input, asbitem_data, item_datas, patientRegister_data, diagnosisTrips);
if (res.Count > 0)
{
reslist.AddRange(res);
}
}
else
{
//查找项目诊断函数
var itemResult = await GetDiagnosisResultInItemAsync(input, item_datas, patientRegister_data, diagnosisTrips); //执行项目诊断函数
if (itemResult.Any())
{
reslist.AddRange(itemResult);
}
}
if (!reslist.Any())
{
//未生成小结，继续根据参考范围生成
foreach (var item_data in item_datas)
{
if (item_data.IsProduceSummary == 'Y')
{
string itemResult_Request = input.Items.Where(m => m.ItemId == item_data.Id).FirstOrDefault()?.Result; //项目结果
string referenceRangesResult = await GetDiagnosisResultInReferenceRangesAsync(item_data, itemResult_Request, patientRegister_data, diagnosisTrips);
if (!string.IsNullOrEmpty(referenceRangesResult))
{
if (item_data.IsNameIntoSummary == 'Y')
referenceRangesResult = item_data.DisplayName + referenceRangesResult;
reslist.Add(new GetDiagnosisResult_Detail { DiagnosisResult = referenceRangesResult });
}
}
}
}
}
}
//无结果 加未见异常
if (!reslist.Any())
reslist.Add(new GetDiagnosisResult_Detail { DiagnosisResult = "未见异常" });
else
{
//小结内容去重
reslist = reslist.Where((x, i) => reslist.FindIndex(z => z.DiagnosisResult == x.DiagnosisResult) == i).ToList();
//生成建议
var suggestion_query = from a in await _suggestionRepository.GetQueryableAsync()
join b in await _diagnosisRepository.GetQueryableAsync() on a.DiagnosisId equals b.Id
where reslist.Select(s => s.DiagnosisResult).Contains(b.DisplayName)
select a;
if (suggestion_query.Count() > 0)
{
suggestionlist = suggestion_query.Select(s => new GetDiagnosisSuggestion_Detail
{
DiagnosisSuggestion = s.SuggestionContent
}).ToList();
}
}
string diagnosisTrip = "";
if (diagnosisTrips.Any())
{
diagnosisTrip = string.Join(",", diagnosisTrips.Distinct().ToList());
}
var resdto = new GetDiagnosisResultDto
{
DiagnosisResultDetails = reslist,
DiagnosisSuggestionDetails = suggestionlist,
};
if (!string.IsNullOrEmpty(diagnosisTrip))
{
return new OkObjectResult(CustomerReturnValue.CreateInstance(0, diagnosisTrip, resdto));
}
else
{
return new OkObjectResult(CustomerReturnValue.CreateInstance(1, "Success", resdto));
}
}
/// <summary> /// <summary>
/// 生成小结 /// 生成小结
/// </summary> /// </summary>
@ -539,26 +262,12 @@ namespace Shentun.Peis.DiagnosisFunctions
#region 处理危急值函数 #region 处理危急值函数
var isCritical = await GetPatientRegisterIsCriticalAsync(doctorCheckDiagnosisInput, resultDto);
var isFollowUp = false;
if (!isCritical)
{
//随访
isFollowUp = await GetPatientRegisterIsFollowUpAsync(doctorCheckDiagnosisInput, resultDto);
}
else
{
isFollowUp = true;
}
List<GetCriticalResultDto> criticalResultDtoList = new List<GetCriticalResultDto>();
var isCritical = await GetPatientRegisterIsCriticalAsync(doctorCheckDiagnosisInput, resultDto, criticalResultDtoList);
var isFollowUp = await GetPatientRegisterIsFollowUpAsync(doctorCheckDiagnosisInput, resultDto, criticalResultDtoList);
await HandCriticalResult(criticalResultDtoList, query[0].patientRegister.Id);
if (isCritical || isFollowUp)
{
//await CreateFollowUpAsync(query.First().patientRegister.Id); //标记危急值 生成随访记录
await _followUpAppService.CreateAsync(new PatientRegisterIdInputDto
{
PatientRegisterId = query.First().patientRegister.Id
});
}
#endregion #endregion
return resultDto; return resultDto;
@ -1095,44 +804,6 @@ namespace Shentun.Peis.DiagnosisFunctions
#endregion #endregion
/// <summary>
/// 执行组合项目 诊断函数
/// </summary>
/// <param name="input"></param>
/// <param name="asbitem_data"></param>
/// <param name="item_datas"></param>
/// <param name="patientRegister_data"></param>
/// <param name="diagnosisTrips"></param>
/// <returns></returns>
private async Task<List<GetDiagnosisResult_Detail>> GetDiagnosisResultInAsbitemAsync(GetDiagnosisResultRequestDto input, Asbitem asbitem_data, List<Item> item_datas, PatientRegister patientRegister_data, List<string> diagnosisTrips)
{
var reslist = new List<GetDiagnosisResult_Detail>();
if (input.Items.Count > 0)
{
//执行函数 返回结果
string DiagnosisFunctionResult_Asbitem = GetCodeResult(input, asbitem_data.DiagnosisFunction, item_datas);
if (!string.IsNullOrEmpty(DiagnosisFunctionResult_Asbitem))
{
reslist.Add(new GetDiagnosisResult_Detail
{
DiagnosisResult = DiagnosisFunctionResult_Asbitem
});
}
//是否继续执行项目诊断函数
if (asbitem_data.IsContinueProcess == 'Y')
{
var itemResult = await GetDiagnosisResultInItemAsync(input, item_datas, patientRegister_data, diagnosisTrips); //执行项目诊断函数
if (itemResult.Any())
{
reslist.AddRange(itemResult);
}
}
}
return reslist;
}
@ -1582,14 +1253,16 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary> /// </summary>
/// <param name="doctorCheckDiagnosisInput"></param> /// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="resultDto"></param> /// <param name="resultDto"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns> /// <returns></returns>
public async Task<bool> GetPatientRegisterIsCriticalAsync( public async Task<bool> GetPatientRegisterIsCriticalAsync(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
GetDiagnosisResultDto resultDto)
GetDiagnosisResultDto resultDto,
List<GetCriticalResultDto> criticalResultDtoList)
{ {
var isCritical = false; var isCritical = false;
isCritical = await GetAsbitemCriticalFunction(doctorCheckDiagnosisInput);
isCritical = GetAsbitemCriticalFunction(doctorCheckDiagnosisInput, criticalResultDtoList);
if (isCritical) if (isCritical)
{ {
@ -1599,7 +1272,7 @@ namespace Shentun.Peis.DiagnosisFunctions
var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.Critical); var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.Critical);
//检索项目函数+关键字 //检索项目函数+关键字
isCritical = await GetItemCriticalFunction(doctorCheckDiagnosisInput, criticalFollowValueList);
isCritical = GetItemCriticalFunction(doctorCheckDiagnosisInput, criticalFollowValueList, criticalResultDtoList);
if (isCritical) if (isCritical)
{ {
@ -1627,14 +1300,16 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary> /// </summary>
/// <param name="doctorCheckDiagnosisInput"></param> /// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="resultDto"></param> /// <param name="resultDto"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns> /// <returns></returns>
public async Task<bool> GetPatientRegisterIsFollowUpAsync( public async Task<bool> GetPatientRegisterIsFollowUpAsync(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
GetDiagnosisResultDto resultDto)
GetDiagnosisResultDto resultDto,
List<GetCriticalResultDto> criticalResultDtoList)
{ {
var isCritical = false; var isCritical = false;
isCritical = await GetAsbitemFollowUpFunction(doctorCheckDiagnosisInput);
isCritical = GetAsbitemFollowUpFunction(doctorCheckDiagnosisInput, criticalResultDtoList);
if (isCritical) if (isCritical)
{ {
@ -1644,7 +1319,7 @@ namespace Shentun.Peis.DiagnosisFunctions
var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.FollowUp); var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.FollowUp);
//检索项目函数+关键字 //检索项目函数+关键字
isCritical = await GetItemFollowUpFunction(doctorCheckDiagnosisInput, criticalFollowValueList);
isCritical = GetItemFollowUpFunction(doctorCheckDiagnosisInput, criticalFollowValueList, criticalResultDtoList);
if (isCritical) if (isCritical)
{ {
@ -1666,8 +1341,9 @@ namespace Shentun.Peis.DiagnosisFunctions
/// 组合项目危急值函数 /// 组合项目危急值函数
/// </summary> /// </summary>
/// <param name="doctorCheckDiagnosisInput"></param> /// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns> /// <returns></returns>
private async Task<bool> GetAsbitemCriticalFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput)
private bool GetAsbitemCriticalFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, List<GetCriticalResultDto> criticalResultDtoList)
{ {
bool isCritical = false; bool isCritical = false;
var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput() var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput()
@ -1695,9 +1371,14 @@ namespace Shentun.Peis.DiagnosisFunctions
isCritical = diagnosisBuilder.GetAsbitemCriticalResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction); isCritical = diagnosisBuilder.GetAsbitemCriticalResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction);
if (isCritical) if (isCritical)
{ {
await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, 'Y', 'Y', "");
//await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
break; break;
} }
else
{
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, 'N', null, "");
}
} }
} }
@ -1709,10 +1390,12 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary> /// </summary>
/// <param name="doctorCheckDiagnosisInput"></param> /// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalFollowValueList"></param> /// <param name="criticalFollowValueList"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns> /// <returns></returns>
private async Task<bool> GetItemCriticalFunction(
private bool GetItemCriticalFunction(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
List<CriticalFollowValue> criticalFollowValueList
List<CriticalFollowValue> criticalFollowValueList,
List<GetCriticalResultDto> criticalResultDtoList
) )
{ {
bool isCritical = false; bool isCritical = false;
@ -1746,9 +1429,15 @@ namespace Shentun.Peis.DiagnosisFunctions
if (isCritical) if (isCritical)
{ {
await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'Y', "");
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'Y', 'Y', "");
//await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'Y', "");
break; break;
} }
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'N', null, "");
}
} }
@ -1763,9 +1452,14 @@ namespace Shentun.Peis.DiagnosisFunctions
isCritical = _registerCheckItemManager.GetNumberResultIsCritical(item.Result, referenceRange.CriticalRangeValue); isCritical = _registerCheckItemManager.GetNumberResultIsCritical(item.Result, referenceRange.CriticalRangeValue);
if (isCritical) if (isCritical)
{ {
await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'Y', "");
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'Y', 'Y', referenceRange.CriticalRangeValue);
//await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'Y', "");
break; break;
} }
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'N', null, "");
}
} }
} }
#endregion #endregion
@ -1783,9 +1477,14 @@ namespace Shentun.Peis.DiagnosisFunctions
if (isCritical) if (isCritical)
{ {
await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'Y', isCriticalFollowValue.DisplayName);
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'Y', 'Y', isCriticalFollowValue.DisplayName);
//await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'Y', isCriticalFollowValue.DisplayName);
break; break;
} }
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'N', null, "");
}
} }
@ -1797,8 +1496,9 @@ namespace Shentun.Peis.DiagnosisFunctions
/// 组合项目随访函数 /// 组合项目随访函数
/// </summary> /// </summary>
/// <param name="doctorCheckDiagnosisInput"></param> /// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns> /// <returns></returns>
private async Task<bool> GetAsbitemFollowUpFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput)
private bool GetAsbitemFollowUpFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, List<GetCriticalResultDto> criticalResultDtoList)
{ {
bool isFollowUp = false; bool isFollowUp = false;
var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput() var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput()
@ -1826,24 +1526,30 @@ namespace Shentun.Peis.DiagnosisFunctions
isFollowUp = diagnosisBuilder.GetAsbitemFollowUpResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction); isFollowUp = diagnosisBuilder.GetAsbitemFollowUpResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction);
if (isFollowUp) if (isFollowUp)
{ {
await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, null, 'Y', "");
//await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
break; break;
} }
else
{
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, null, 'N', "");
}
} }
} }
return isFollowUp; return isFollowUp;
} }
/// <summary> /// <summary>
/// 项目随访函数 /// 项目随访函数
/// </summary> /// </summary>
/// <param name="doctorCheckDiagnosisInput"></param> /// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalFollowValueList"></param> /// <param name="criticalFollowValueList"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns> /// <returns></returns>
private async Task<bool> GetItemFollowUpFunction(
private bool GetItemFollowUpFunction(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
List<CriticalFollowValue> criticalFollowValueList
List<CriticalFollowValue> criticalFollowValueList,
List<GetCriticalResultDto> criticalResultDtoList
) )
{ {
bool isFollowUp = false; bool isFollowUp = false;
@ -1877,9 +1583,14 @@ namespace Shentun.Peis.DiagnosisFunctions
if (isFollowUp) if (isFollowUp)
{ {
await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'N', "");
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'Y', "");
// await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'N', "");
break; break;
} }
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'N', "");
}
} }
@ -1895,9 +1606,14 @@ namespace Shentun.Peis.DiagnosisFunctions
isFollowUp = _registerCheckItemManager.GetNumberResultIsFollow(item.Result, referenceRange.FollowUpRangeValue); isFollowUp = _registerCheckItemManager.GetNumberResultIsFollow(item.Result, referenceRange.FollowUpRangeValue);
if (isFollowUp) if (isFollowUp)
{ {
await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'N', referenceRange.FollowUpRangeValue);
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'Y', referenceRange.FollowUpRangeValue);
//await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'N', referenceRange.FollowUpRangeValue);
break; break;
} }
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'N', "");
}
} }
} }
#endregion #endregion
@ -1912,9 +1628,14 @@ namespace Shentun.Peis.DiagnosisFunctions
if (isFollowUp) if (isFollowUp)
{ {
await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'N', isCriticalFollowValue.DisplayName);
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'Y', isCriticalFollowValue.DisplayName);
// await CreateRegisterCheckItemCritical(item.RegisterCheckId, item.ItemId, 'N', isCriticalFollowValue.DisplayName);
break; break;
} }
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'N', "");
}
} }
@ -1948,9 +1669,10 @@ namespace Shentun.Peis.DiagnosisFunctions
/// <param name="registerCheckId"></param> /// <param name="registerCheckId"></param>
/// <param name="itemId"></param> /// <param name="itemId"></param>
/// <param name="isCriticalValue"></param> /// <param name="isCriticalValue"></param>
/// <param name="isFollowUp"></param>
/// <param name="CriticalRangeValue"></param> /// <param name="CriticalRangeValue"></param>
/// <returns></returns> /// <returns></returns>
private async Task CreateRegisterCheckItemCritical(Guid registerCheckId, Guid itemId, char isCriticalValue, string CriticalRangeValue)
private async Task CreateRegisterCheckItemCritical(Guid registerCheckId, Guid itemId, char? isCriticalValue, char? isFollowUp, string CriticalRangeValue)
{ {
var registerCheckItemEnt = await _registerCheckItemRepository.FirstOrDefaultAsync(m => m.RegisterCheckId == registerCheckId var registerCheckItemEnt = await _registerCheckItemRepository.FirstOrDefaultAsync(m => m.RegisterCheckId == registerCheckId
&& m.ItemId == itemId); && m.ItemId == itemId);
@ -1963,16 +1685,18 @@ namespace Shentun.Peis.DiagnosisFunctions
registerCheckItemEnt.CriticalValueCreatorId = _currentUser.Id; registerCheckItemEnt.CriticalValueCreatorId = _currentUser.Id;
registerCheckItemEnt.CriticalValueCreationTime = DateTime.Now; registerCheckItemEnt.CriticalValueCreationTime = DateTime.Now;
} }
registerCheckItemEnt.FollowUpCreatorId = _currentUser.Id;
registerCheckItemEnt.FollowUpCreationTime = DateTime.Now;
registerCheckItemEnt.IsCriticalValueAudit = 'N';
registerCheckItemEnt.IsReview = 'N';
registerCheckItemEnt.IsFollowUp = 'Y';
if (isFollowUp == 'Y')
{
registerCheckItemEnt.FollowUpCreatorId = _currentUser.Id;
registerCheckItemEnt.FollowUpCreationTime = DateTime.Now;
}
//registerCheckItemEnt.IsCriticalValueAudit = 'N';
//registerCheckItemEnt.IsReview = 'N';
registerCheckItemEnt.IsFollowUp = isFollowUp;
await _registerCheckItemRepository.UpdateAsync(registerCheckItemEnt); await _registerCheckItemRepository.UpdateAsync(registerCheckItemEnt);
} }
await CreateRegisterCheckCritical(registerCheckId, isCriticalValue, CriticalRangeValue);
} }
/// <summary> /// <summary>
@ -1980,9 +1704,10 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary> /// </summary>
/// <param name="registerCheckId"></param> /// <param name="registerCheckId"></param>
/// <param name="isCriticalValue"></param> /// <param name="isCriticalValue"></param>
/// <param name="isFollowUp"></param>
/// <param name="CriticalRangeValue"></param> /// <param name="CriticalRangeValue"></param>
/// <returns></returns> /// <returns></returns>
private async Task CreateRegisterCheckCritical(Guid registerCheckId, char isCriticalValue, string CriticalRangeValue)
private async Task CreateRegisterCheckCritical(Guid registerCheckId, char? isCriticalValue, char? isFollowUp, string CriticalRangeValue)
{ {
var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(m => m.Id == registerCheckId); var registerCheckEnt = await _registerCheckRepository.FirstOrDefaultAsync(m => m.Id == registerCheckId);
if (registerCheckEnt != null) if (registerCheckEnt != null)
@ -1995,15 +1720,194 @@ namespace Shentun.Peis.DiagnosisFunctions
registerCheckEnt.CriticalValueCreationTime = DateTime.Now; registerCheckEnt.CriticalValueCreationTime = DateTime.Now;
registerCheckEnt.IsCriticalValue = isCriticalValue; registerCheckEnt.IsCriticalValue = isCriticalValue;
} }
registerCheckEnt.FollowUpCreatorId = _currentUser.Id;
registerCheckEnt.FollowUpCreationTime = DateTime.Now;
registerCheckEnt.IsCriticalValueAudit = 'N';
registerCheckEnt.IsReview = 'N';
registerCheckEnt.IsFollowUp = 'Y';
if (isFollowUp == 'Y')
{
registerCheckEnt.FollowUpCreatorId = _currentUser.Id;
registerCheckEnt.FollowUpCreationTime = DateTime.Now;
}
//registerCheckEnt.IsCriticalValueAudit = 'N';
//registerCheckEnt.IsReview = 'N';
registerCheckEnt.IsFollowUp = isFollowUp;
await _registerCheckRepository.UpdateAsync(registerCheckEnt); await _registerCheckRepository.UpdateAsync(registerCheckEnt);
} }
} }
/// <summary>
/// 临时更新危急值状态 registerCheck
/// </summary>
/// <param name="criticalResultDtoList"></param>
/// <param name="registerCheckId"></param>
/// <param name="isCritical"></param>
/// <param name="isFollowUp"></param>
/// <param name="criticalRangeValue"></param>
private void UpdateRegisterCheckCriticalResult(List<GetCriticalResultDto> criticalResultDtoList, Guid registerCheckId, char? isCritical, char? isFollowUp, string criticalRangeValue)
{
if (criticalResultDtoList.Where(m => m.RegisterCheckId == registerCheckId).Count() == 0)
{
criticalResultDtoList.Add(new GetCriticalResultDto
{
RegisterCheckId = registerCheckId
});
}
else
{
foreach (var criticalResultDto in criticalResultDtoList)
{
if (criticalResultDto.RegisterCheckId == registerCheckId)
{
if (isCritical != null && criticalResultDto.IsCritical != 'Y')
{
criticalResultDto.IsCritical = isCritical;
}
if (isFollowUp != null && criticalResultDto.IsFollowUp != 'Y')
{
criticalResultDto.IsFollowUp = isFollowUp;
}
if (!string.IsNullOrWhiteSpace(criticalRangeValue))
{
criticalResultDto.CriticalRangeValue = criticalRangeValue;
}
}
}
}
}
/// <summary>
/// 临时更新危急值状态 registerCheckItem
/// </summary>
/// <param name="criticalResultDtoList"></param>
/// <param name="registerCheckId"></param>
/// <param name="itemId"></param>
/// <param name="isCritical"></param>
/// <param name="isFollowUp"></param>
/// <param name="criticalRangeValue"></param>
private void UpdateRegisterCheckItemCriticalResult(List<GetCriticalResultDto> criticalResultDtoList, Guid registerCheckId, Guid itemId, char? isCritical, char? isFollowUp, string criticalRangeValue)
{
//先增加registerCheck
if (criticalResultDtoList.Where(m => m.RegisterCheckId == registerCheckId).Count() == 0)
{
criticalResultDtoList.Add(new GetCriticalResultDto
{
RegisterCheckId = registerCheckId
});
}
foreach (var criticalResultDto in criticalResultDtoList)
{
if (criticalResultDto.RegisterCheckId == registerCheckId)
{
if (criticalResultDto.ItemDetails.Where(m => m.ItemId == itemId).Count() == 0)
{
var itemCriticalResultDto = new GetItemCriticalResultDto();
itemCriticalResultDto.RegisterCheckId = registerCheckId;
itemCriticalResultDto.ItemId = itemId;
if (isFollowUp != null && itemCriticalResultDto.IsFollowUp != 'Y')
{
itemCriticalResultDto.IsFollowUp = isFollowUp;
}
if (isCritical != null && itemCriticalResultDto.IsCritical != 'Y')
{
itemCriticalResultDto.IsCritical = isCritical;
}
if (!string.IsNullOrWhiteSpace(criticalRangeValue))
{
itemCriticalResultDto.CriticalRangeValue = criticalRangeValue;
}
criticalResultDto.ItemDetails.Add(itemCriticalResultDto);
}
else
{
foreach (var itemCriticalResultDto in criticalResultDto.ItemDetails)
{
if (itemCriticalResultDto.ItemId == itemId)
{
itemCriticalResultDto.RegisterCheckId = registerCheckId;
itemCriticalResultDto.ItemId = itemId;
if (isFollowUp != null && itemCriticalResultDto.IsFollowUp != 'Y')
{
itemCriticalResultDto.IsFollowUp = isFollowUp;
}
if (isCritical != null && itemCriticalResultDto.IsCritical != 'Y')
{
itemCriticalResultDto.IsCritical = isCritical;
}
if (!string.IsNullOrWhiteSpace(criticalRangeValue))
{
itemCriticalResultDto.CriticalRangeValue = criticalRangeValue;
}
}
}
}
}
}
}
/// <summary>
/// 处理危急值记录
/// </summary>
/// <param name="criticalResultDtoList"></param>
/// <param name="patientRegisterId"></param>
/// <returns></returns>
private async Task HandCriticalResult(List<GetCriticalResultDto> criticalResultDtoList, Guid patientRegisterId)
{
bool isCreateFollowUp = false;
foreach (var criticalResultDto in criticalResultDtoList)
{
foreach (var itemCriticalResultDto in criticalResultDto.ItemDetails)
{
if (itemCriticalResultDto.IsCritical == 'Y' || itemCriticalResultDto.IsFollowUp == 'Y')
{
isCreateFollowUp = true;
if (itemCriticalResultDto.IsCritical == 'Y')
{
criticalResultDto.IsCritical = itemCriticalResultDto.IsCritical;
}
if (itemCriticalResultDto.IsFollowUp == 'Y')
{
criticalResultDto.IsFollowUp = itemCriticalResultDto.IsFollowUp;
}
}
await CreateRegisterCheckItemCritical(itemCriticalResultDto.RegisterCheckId, itemCriticalResultDto.ItemId, itemCriticalResultDto.IsCritical, itemCriticalResultDto.IsFollowUp, itemCriticalResultDto.CriticalRangeValue);
}
if (criticalResultDto.IsCritical == 'Y' || criticalResultDto.IsFollowUp == 'Y')
{
isCreateFollowUp = true;
}
await CreateRegisterCheckCritical(criticalResultDto.RegisterCheckId, criticalResultDto.IsCritical, criticalResultDto.IsFollowUp, criticalResultDto.CriticalRangeValue);
}
if (isCreateFollowUp)
{
//增加随访主表记录
await _followUpAppService.CreateAsync(new PatientRegisterIdInputDto
{
PatientRegisterId = patientRegisterId
});
}
else
{
//删除随访表记录
await _followUpAppService.DeleteByPatientRegisterId(new PatientRegisterIdInputDto
{
PatientRegisterId = patientRegisterId
});
}
}
#endregion #endregion

Write Preview
Loading…
Cancel
Save