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危急值

master
wxd 1 year ago
parent
49ff090d4e
commit
73f1d0bf49
2 changed files with 305 additions and 369 deletions
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  1. 32
      src/Shentun.Peis.Application.Contracts/DiagnosisFunctions/GetCriticalResultDto.cs
  2. 642
      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; }
}
}

642
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>
/// 生成小结
/// </summary>
@ -539,26 +262,12 @@ namespace Shentun.Peis.DiagnosisFunctions
#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
return resultDto;
@ -1095,44 +804,6 @@ namespace Shentun.Peis.DiagnosisFunctions
#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>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="resultDto"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns>
public async Task<bool> GetPatientRegisterIsCriticalAsync(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
GetDiagnosisResultDto resultDto)
GetDiagnosisResultDto resultDto,
List<GetCriticalResultDto> criticalResultDtoList)
{
var isCritical = false;
isCritical = await GetAsbitemCriticalFunction(doctorCheckDiagnosisInput);
isCritical = GetAsbitemCriticalFunction(doctorCheckDiagnosisInput, criticalResultDtoList);
if (isCritical)
{
@ -1599,7 +1272,7 @@ namespace Shentun.Peis.DiagnosisFunctions
var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.Critical);
//检索项目函数+关键字
isCritical = await GetItemCriticalFunction(doctorCheckDiagnosisInput, criticalFollowValueList);
isCritical = GetItemCriticalFunction(doctorCheckDiagnosisInput, criticalFollowValueList, criticalResultDtoList);
if (isCritical)
{
@ -1627,14 +1300,16 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="resultDto"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns>
public async Task<bool> GetPatientRegisterIsFollowUpAsync(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
GetDiagnosisResultDto resultDto)
GetDiagnosisResultDto resultDto,
List<GetCriticalResultDto> criticalResultDtoList)
{
var isCritical = false;
isCritical = await GetAsbitemFollowUpFunction(doctorCheckDiagnosisInput);
isCritical = GetAsbitemFollowUpFunction(doctorCheckDiagnosisInput, criticalResultDtoList);
if (isCritical)
{
@ -1644,7 +1319,7 @@ namespace Shentun.Peis.DiagnosisFunctions
var criticalFollowValueList = await _criticalFollowValueRepository.GetListAsync(m => m.CriticalFollowValueFlag == CriticalFollowValueFlag.FollowUp);
//检索项目函数+关键字
isCritical = await GetItemFollowUpFunction(doctorCheckDiagnosisInput, criticalFollowValueList);
isCritical = GetItemFollowUpFunction(doctorCheckDiagnosisInput, criticalFollowValueList, criticalResultDtoList);
if (isCritical)
{
@ -1666,8 +1341,9 @@ namespace Shentun.Peis.DiagnosisFunctions
/// 组合项目危急值函数
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns>
private async Task<bool> GetAsbitemCriticalFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput)
private bool GetAsbitemCriticalFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, List<GetCriticalResultDto> criticalResultDtoList)
{
bool isCritical = false;
var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput()
@ -1695,9 +1371,14 @@ namespace Shentun.Peis.DiagnosisFunctions
isCritical = diagnosisBuilder.GetAsbitemCriticalResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction);
if (isCritical)
{
await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, 'Y', 'Y', "");
//await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
break;
}
else
{
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, 'N', null, "");
}
}
}
@ -1709,10 +1390,12 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalFollowValueList"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns>
private async Task<bool> GetItemCriticalFunction(
private bool GetItemCriticalFunction(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
List<CriticalFollowValue> criticalFollowValueList
List<CriticalFollowValue> criticalFollowValueList,
List<GetCriticalResultDto> criticalResultDtoList
)
{
bool isCritical = false;
@ -1746,9 +1429,15 @@ namespace Shentun.Peis.DiagnosisFunctions
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;
}
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'N', null, "");
}
}
@ -1763,9 +1452,14 @@ namespace Shentun.Peis.DiagnosisFunctions
isCritical = _registerCheckItemManager.GetNumberResultIsCritical(item.Result, referenceRange.CriticalRangeValue);
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;
}
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, 'N', null, "");
}
}
}
#endregion
@ -1783,9 +1477,14 @@ namespace Shentun.Peis.DiagnosisFunctions
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;
}
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
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns>
private async Task<bool> GetAsbitemFollowUpFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput)
private bool GetAsbitemFollowUpFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, List<GetCriticalResultDto> criticalResultDtoList)
{
bool isFollowUp = false;
var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput()
@ -1826,24 +1526,30 @@ namespace Shentun.Peis.DiagnosisFunctions
isFollowUp = diagnosisBuilder.GetAsbitemFollowUpResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction);
if (isFollowUp)
{
await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, null, 'Y', "");
//await CreateRegisterCheckCritical(asbitem.RegisterCheckId, 'Y', "");
break;
}
else
{
UpdateRegisterCheckCriticalResult(criticalResultDtoList, asbitem.RegisterCheckId, null, 'N', "");
}
}
}
return isFollowUp;
}
/// <summary>
/// 项目随访函数
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="criticalFollowValueList"></param>
/// <param name="criticalResultDtoList"></param>
/// <returns></returns>
private async Task<bool> GetItemFollowUpFunction(
private bool GetItemFollowUpFunction(
DoctorCheckDiagnosisInput doctorCheckDiagnosisInput,
List<CriticalFollowValue> criticalFollowValueList
List<CriticalFollowValue> criticalFollowValueList,
List<GetCriticalResultDto> criticalResultDtoList
)
{
bool isFollowUp = false;
@ -1877,9 +1583,14 @@ namespace Shentun.Peis.DiagnosisFunctions
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;
}
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'N', "");
}
}
@ -1895,9 +1606,14 @@ namespace Shentun.Peis.DiagnosisFunctions
isFollowUp = _registerCheckItemManager.GetNumberResultIsFollow(item.Result, referenceRange.FollowUpRangeValue);
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;
}
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'N', "");
}
}
}
#endregion
@ -1912,9 +1628,14 @@ namespace Shentun.Peis.DiagnosisFunctions
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;
}
else
{
UpdateRegisterCheckItemCriticalResult(criticalResultDtoList, item.RegisterCheckId, item.ItemId, null, 'N', "");
}
}
@ -1948,9 +1669,10 @@ namespace Shentun.Peis.DiagnosisFunctions
/// <param name="registerCheckId"></param>
/// <param name="itemId"></param>
/// <param name="isCriticalValue"></param>
/// <param name="isFollowUp"></param>
/// <param name="CriticalRangeValue"></param>
/// <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
&& m.ItemId == itemId);
@ -1963,16 +1685,18 @@ namespace Shentun.Peis.DiagnosisFunctions
registerCheckItemEnt.CriticalValueCreatorId = _currentUser.Id;
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 CreateRegisterCheckCritical(registerCheckId, isCriticalValue, CriticalRangeValue);
}
/// <summary>
@ -1980,30 +1704,210 @@ namespace Shentun.Peis.DiagnosisFunctions
/// </summary>
/// <param name="registerCheckId"></param>
/// <param name="isCriticalValue"></param>
/// <param name="isFollowUp"></param>
/// <param name="CriticalRangeValue"></param>
/// <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);
if (registerCheckEnt != null)
{
registerCheckEnt.CriticalRangeValue = CriticalRangeValue;
if (isCriticalValue == 'Y')
{
registerCheckEnt.CriticalValueCreatorId = _currentUser.Id;
registerCheckEnt.CriticalValueCreationTime = DateTime.Now;
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);
}
}
/// <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

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