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生产小结

bjmzak
DESKTOP-G961P6V\Zhh 2 years ago
parent
ba241c8bf3
commit
886cf3245b
9 changed files with 1281 additions and 99 deletions
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  1. 23
      src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisBuilder.cs
  2. 714
      src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
  3. 60
      src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs
  4. 2
      src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
  5. 12
      src/Shentun.Peis.Application/PrintReports/PrintReportAppService.cs
  6. 9
      src/Shentun.Peis.Domain/ReferenceRanges/ReferenceRangeManager.cs
  7. 11
      src/Shentun.Peis.Domain/SysParmValues/SysParmValueManager.cs
  8. 24
      src/Shentun.Peis.EntityFrameworkCore/PrintReports/PatientRegisterGuideReportRepository.cs
  9. 525
      test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs

23
src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisBuilder.cs
View File

@ -147,13 +147,9 @@ using Shentun.Peis.DiagnosisFunctions;
/// </summary>
public short? Age { get; set; }
/// <summary>
/// 诊断项目ID
/// 项目
/// </summary>
public Guid ItemId { get; set; }
/// <summary>
/// 诊断项目名称
/// </summary>
public List<ItemResultInput> Items { get; set; } = new List<ItemResultInput>();
public ItemResultInput Item { get; set; }
}
/// <summary>
@ -189,4 +185,19 @@ using Shentun.Peis.DiagnosisFunctions;
public string ItemName { get; set; }
public string Result { get; set; }
}
public class DoctorCheckItemDiagnosisResult
{
public string ItemName { get; set;}
public List<ItemDiagnosisTypeResult> ItemDiagnosisTypeResults { get; set; } = new List<ItemDiagnosisTypeResult>();
}
public class ItemDiagnosisTypeResult
{
/// <summary>
/// 诊断类型0-通过计算函数，1-通过参考范围，2-通过模板
/// </summary>
public char DiagnosisType { get; set; }
public List<string> Diagnosis { get; set; } = new List<string>();
}
}

714
src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
View File

@ -1,19 +1,30 @@
using Microsoft.AspNetCore.Authorization;
using Microsoft.AspNetCore.Mvc;
using Microsoft.CodeAnalysis;
using Microsoft.CodeAnalysis.CSharp.Syntax;
using Microsoft.EntityFrameworkCore;
using NPOI.DDF;
using NUglify.Helpers;
using Shentun.Peis.Enums;
using Shentun.Peis.Models;
using Shentun.Peis.Sexs;
using Shentun.Peis.SumDiagnosises;
using Shentun.Peis.SysParmValues;
using System;
using System.Collections.Generic;
using System.Linq;
using System.Reflection;
using System.Text;
using System.Text.RegularExpressions;
using System.Threading.Tasks;
using TencentCloud.Cdn.V20180606.Models;
using TencentCloud.Pts.V20210728.Models;
using Volo.Abp;
using Volo.Abp.Application.Services;
using Volo.Abp.Domain.Repositories;
using Volo.Abp.Uow;
using Xceed.Document.NET;
using static Microsoft.EntityFrameworkCore.DbLoggerCategory;
namespace Shentun.Peis.DiagnosisFunctions
@ -34,7 +45,14 @@ namespace Shentun.Peis.DiagnosisFunctions
private readonly IRepository<ItemResultMatch, Guid> _itemResultMatchRepository;
private readonly IRepository<Suggestion, Guid> _suggestionRepository;
private readonly CacheService _cacheService;
private SysParmValueManager _sysParmValueManager;
private string _isAddAbnormalResult;
private string _isAddReferenceRange;
private string _isAutoAddSuffix;
private string _lowerSuffix;
private string _highSuffix;
string[] _numArry = { "①", "②", "③", "④", "⑤", "⑥", "⑦", "⑧", "⑨", "⑩",
"⑪", "⑫", "⑬", "⑭", "⑮", "⑯", "⑰", "⑱", "⑲", "⑳" };
public DiagnosisFunctionAppService(
IRepository<PatientRegister, Guid> patientRegisterRepository,
IRepository<RegisterCheckAsbitem, Guid> registerAsbitemRepository,
@ -47,8 +65,9 @@ namespace Shentun.Peis.DiagnosisFunctions
IRepository<ItemResultTemplate, Guid> itemResultTemplateRepository,
IRepository<ItemResultMatch, Guid> itemResultMatchRepository,
IRepository<Suggestion, Guid> suggestionRepository,
CacheService cacheService)
CacheService cacheService,
SysParmValueManager sysParmValueManager)
{
this._patientRegisterRepository = patientRegisterRepository;
this._registerAsbitemRepository = registerAsbitemRepository;
@ -62,6 +81,8 @@ namespace Shentun.Peis.DiagnosisFunctions
this._itemResultMatchRepository = itemResultMatchRepository;
this._suggestionRepository = suggestionRepository;
_cacheService = cacheService;
_sysParmValueManager = sysParmValueManager;
}
@ -228,7 +249,7 @@ namespace Shentun.Peis.DiagnosisFunctions
List<string> diagnosisTrips = new List<string>(); //异常提示
if (query.Count > 0)
if (query.Count() > 0)
{
@ -340,7 +361,671 @@ namespace Shentun.Peis.DiagnosisFunctions
}
}
public async Task<GetDiagnosisResultDto> GetDiagnosisResultAsync2(GetDiagnosisResultRequestDto input)
{
var reslist = new List<GetDiagnosisResult_Detail>();
var suggestionlist = new List<GetDiagnosisSuggestion_Detail>();
//根据检查单ID查询
var query = (from registerCheck in await _registerCheckRepository.GetQueryableAsync()
join registerAsbitem in await _registerAsbitemRepository.GetQueryableAsync() on registerCheck.Id equals registerAsbitem.RegisterCheckId
join registerCheckItem in await _registerCheckItemRepository.GetQueryableAsync() on registerCheck.Id equals registerCheckItem.RegisterCheckId
join asbitem in await _asbitemRepository.GetQueryableAsync() on registerAsbitem.AsbitemId equals asbitem.Id
join item in (await _itemRepository.GetQueryableAsync()).Include(x => x.ReferenceRanges).Include(x => x.ItemResultMatches).Include(x => x.ItemResultTemplates)
on registerCheckItem.ItemId equals item.Id
join patientRegister in await _patientRegisterRepository.GetQueryableAsync() on registerCheck.PatientRegisterId equals patientRegister.Id
where registerCheck.Id == input.RegisterCheckId
select new { registerCheck, registerAsbitem, registerCheckItem, asbitem, item, patientRegister }).ToList();
var resultDto = new GetDiagnosisResultDto
{
DiagnosisResultDetails = reslist,
DiagnosisSuggestionDetails = suggestionlist,
};
if (query.Count() == 0)
{
return resultDto;
}
await LoadSysParm(query[0].patientRegister.MedicalCenterId);
/*处理逻辑:
* 1、处理组合项目诊断函数，如果继续处理走下一步,只处理不合并组合项目的，合并组合项目的不支持
* 2、处理项目诊断函数，如果继续处理走下一步
* 3、如果是数字型结果，并且有参考范围则处理数字型参考范围，处理完毕后后续几步不处理
* 4、如果是字符型结果则从结果模板和结果匹配中去找到对应的诊断，如果都没有生成诊断，则根据结果直接生成诊断
* 5、如果没有诊断，返回组合项目默认结果
* */
//设置基本参数
var doctorCheckDiagnosisInput = new DoctorCheckDiagnosisInput()
{
SexId = query[0].patientRegister.SexId,
SexName = _cacheService.GetSexNameAsync(query[0].patientRegister.SexId).Result,
Age = query[0].patientRegister.Age
};
foreach (var item in query)
{
if (doctorCheckDiagnosisInput.Asbitems.Where(o => o.AsbitemId == item.asbitem.Id).Count() == 0)
{
var asbitemInput = new AsbitemInput()
{
AsbitemId = item.asbitem.Id,
AsbitemName = item.asbitem.DisplayName,
IsDiagnosisFunction = item.asbitem.IsDiagnosisFunction,
DiagnosisFunction = item.asbitem.DiagnosisFunction,
IsContinueProcess = item.asbitem.IsContinueProcess,
DefaultResult = item.asbitem.DefaultResult,
};
doctorCheckDiagnosisInput.Asbitems.Add(asbitemInput);
}
if (doctorCheckDiagnosisInput.Items.Where(o => o.ItemId == item.item.Id).Count() == 0)
{
var inputItem = input.Items.Where(o => o.ItemId == item.item.Id).FirstOrDefault();
var inputResult = "";
if(inputItem != null)
{
inputResult = inputItem.Result;
}
var itemInput = new ItemInput()
{
ItemId = item.item.Id,
ItemName = item.item.DisplayName,
IsDiagnosisFunction = item.item.IsDiagnosisFunction,
DiagnosisFunction = item.item.DiagnosisFunction,
IsContinueProcess = item.item.IsContinueProcess,
IsNameIntoSummary = item.item.IsNameIntoSummary,
IsProduceSummary = item.item.IsProduceSummary,
ReferenceRangeTypeFlag = item.item.ReferenceRangeTypeFlag,
DefaultResult = item.item.DefaultResult,
Result = inputResult,
DisplayOrder = item.item.DisplayOrder,
ItemResultMatches = item.item.ItemResultMatches.ToList(),
ItemResultTemplates = item.item.ItemResultTemplates.ToList(),
ReferenceRanges = item.item.ReferenceRanges.ToList()
};
doctorCheckDiagnosisInput.Items.Add(itemInput);
}
}
doctorCheckDiagnosisInput.Items = doctorCheckDiagnosisInput.Items.OrderBy(o=>o.DisplayOrder).ToList();
//处理组合项目诊断函数
List<string> diagnosisList = new List<string>();
List<string> asbitemDiagnosisList;
var isContinueProcess = GetAsbitemDiagnosisByFunction(doctorCheckDiagnosisInput, out asbitemDiagnosisList);
diagnosisList.AddRange(asbitemDiagnosisList);
if (isContinueProcess)
{
//处理项目诊断
var itemDiagnosisList = await GetItemDiagnosis(doctorCheckDiagnosisInput);
var itemDiagnosisStringList = GetItemDiagnosisStringList(itemDiagnosisList);
diagnosisList.AddRange(itemDiagnosisStringList);
}
//设置返回值
//去掉空结果数据
diagnosisList = diagnosisList.Where(o => !string.IsNullOrWhiteSpace(o)).ToList();
//去掉重复结果数据
diagnosisList = diagnosisList.Distinct().ToList();
if (!diagnosisList.Any())
{
//设置组合项目默认小结
diagnosisList.Add(doctorCheckDiagnosisInput.Asbitems[0].DefaultResult);
}
foreach(var diagnosis in diagnosisList)
{
var getDiagnosisResult_Detail = new GetDiagnosisResult_Detail()
{
DiagnosisResult = diagnosis
};
resultDto.DiagnosisResultDetails.Add(getDiagnosisResult_Detail);
}
return resultDto;
}
private List<string> GetItemDiagnosisStringList(List<DoctorCheckItemDiagnosisResult> itemDiagnosisList)
{
var diagnosisList = new List<string>();
foreach (var itemDiagnosis in itemDiagnosisList)
{
if (!itemDiagnosis.ItemDiagnosisTypeResults.Any())
{
continue;
}
string diagnosis = "";
foreach (var itemDiagnosisType in itemDiagnosis.ItemDiagnosisTypeResults)
{
if (itemDiagnosisType.DiagnosisType == '1')
{
//数字型检验参考范围
diagnosisList.AddRange(itemDiagnosisType.Diagnosis);
}
else
{
if (itemDiagnosisType.Diagnosis.Count() > _numArry.Count())
{
throw new UserFriendlyException($"诊断数量超过{_numArry.Count()}个，不支持");
}
if (itemDiagnosisType.Diagnosis.Count() == 0)
{
continue;
}
for (int i = 0; i < itemDiagnosisType.Diagnosis.Count(); i++)
{
if (string.IsNullOrWhiteSpace(itemDiagnosisType.Diagnosis[i]))
{
continue;
}
diagnosis = diagnosis + _numArry[i] + itemDiagnosisType.Diagnosis[i] + ";";
}
}
}
if (!string.IsNullOrWhiteSpace(diagnosis))
{
diagnosis = itemDiagnosis.ItemName + ";" + diagnosis;
diagnosisList.Add(diagnosis);
}
}
return diagnosisList;
}
/// <summary>
/// 加载系统参数
/// </summary>
/// <param name="medicalCenterId"></param>
/// <returns></returns>
private async Task LoadSysParm(Guid medicalCenterId)
{
_isAddAbnormalResult = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(
medicalCenterId, "doctor_check_lis_summary_mode_add_abnormal_result");
_isAddReferenceRange = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(
medicalCenterId, "doctor_check_lis_summary_mode_add_reference_range");
_isAutoAddSuffix = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(
medicalCenterId, "doctor_check_lis_summary_mode_auto_add_suffix");
_lowerSuffix = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(
medicalCenterId, "doctor_check_lis_summary_mode_lower_suffix");
_highSuffix = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(
medicalCenterId, "doctor_check_lis_summary_mode_high_suffix");
}
/// <summary>
/// 获取组合项目诊断通过诊断函数
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <param name="diagnosisList"></param>
/// <returns></returns>
private bool GetAsbitemDiagnosisByFunction(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput, out List<string> diagnosisList)
{
var patientAsbitemDiagnosisInput = new PatientAsbitemDiagnosisInput()
{
SexName = doctorCheckDiagnosisInput.SexName,
Age = doctorCheckDiagnosisInput.Age
};
foreach (var item in doctorCheckDiagnosisInput.Items)
{
var itemResult = new ItemResultInput()
{
ItemId = item.ItemId,
ItemName = item.ItemName,
Result = item.Result
};
patientAsbitemDiagnosisInput.Items.Add(itemResult);
}
var diagnosisBuilder = new DiagnosisBuilder();
diagnosisList = new List<string>();
bool isContinueProcess = true;
foreach (var asbitem in doctorCheckDiagnosisInput.Asbitems)
{
if (asbitem.IsDiagnosisFunction == 'Y' && !string.IsNullOrWhiteSpace(asbitem.DiagnosisFunction))
{
var diagnosis = diagnosisBuilder.GetAsbitemDiagnosisResult(patientAsbitemDiagnosisInput, asbitem.DiagnosisFunction);
diagnosisList.Add(diagnosis);
if (asbitem.IsContinueProcess != 'Y')
{
//有一个不允许继续处理，则不允许继续处理
isContinueProcess = false;
}
}
}
return isContinueProcess;
}
/// <summary>
/// 获取项目诊断
/// </summary>
/// <param name="doctorCheckDiagnosisInput"></param>
/// <returns></returns>
private async Task<List<DoctorCheckItemDiagnosisResult>> GetItemDiagnosis(DoctorCheckDiagnosisInput doctorCheckDiagnosisInput)
{
var patientItemDiagnosisInput = new PatientItemDiagnosisInput()
{
SexName = doctorCheckDiagnosisInput.SexName,
Age = doctorCheckDiagnosisInput.Age
};
var diagnosisBuilder = new DiagnosisBuilder();
var diagnosisList = new List<DoctorCheckItemDiagnosisResult>();
foreach (var item in doctorCheckDiagnosisInput.Items)
{
if (string.IsNullOrWhiteSpace(item.Result))
{
continue;
}
if (string.IsNullOrWhiteSpace(item.DefaultResult) && item.Result == item.DefaultResult)
{
continue;
}
if (item.IsProduceSummary != 'Y')
{
continue;
}
var doctorCheckItemDiagnosisResult = new DoctorCheckItemDiagnosisResult()
{
ItemName = item.ItemName,
};
diagnosisList.Add(doctorCheckItemDiagnosisResult);
if (item.IsDiagnosisFunction == 'Y' && !string.IsNullOrWhiteSpace(item.DiagnosisFunction))
{
var itemResult = new ItemResultInput()
{
ItemId = item.ItemId,
ItemName = item.ItemName,
Result = item.Result
};
patientItemDiagnosisInput.Item = itemResult;
//通过计算获取诊断
var diagnosis = diagnosisBuilder.GetItemDiagnosisResult(patientItemDiagnosisInput, item.DiagnosisFunction);
var itemDiagnosisTypeResult = new ItemDiagnosisTypeResult()
{
DiagnosisType = '0'
};
itemDiagnosisTypeResult.Diagnosis.Add(diagnosis);
doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
}
if (item.IsDiagnosisFunction == 'Y' && item.IsContinueProcess != 'Y')
{
continue;
}
//通过参考范围获取诊断
if(item.ReferenceRangeTypeFlag == ItemReferenceRangeTypeFlag.Number)
{
var referenceRangeDiagnosis = await GetItemDiagnosisByReferenceRanges(doctorCheckDiagnosisInput.SexId, doctorCheckDiagnosisInput.Age, item);
if (!string.IsNullOrWhiteSpace(referenceRangeDiagnosis))
{
var itemDiagnosisTypeResult = new ItemDiagnosisTypeResult()
{
DiagnosisType = '1'
};
itemDiagnosisTypeResult.Diagnosis.Add(referenceRangeDiagnosis);
doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
}
}
else
{
//通过结果模板获取诊断
var templateList = await GetItemDiagnosisByTemplate(item);
var itemDiagnosisTypeResult = new ItemDiagnosisTypeResult()
{
DiagnosisType = '2'
};
itemDiagnosisTypeResult.Diagnosis.AddRange(templateList);
//通过匹配关系获取诊断
var matcheList = await GetItemDiagnosisByMatche(item);
itemDiagnosisTypeResult.Diagnosis.AddRange(matcheList);
if (!templateList.Any() && !matcheList.Any())
{
//获取异常结果
itemDiagnosisTypeResult.Diagnosis.Add(item.Result);
}
//去掉重复诊断
itemDiagnosisTypeResult.Diagnosis = itemDiagnosisTypeResult.Diagnosis.Distinct().ToList();
doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
}
}
return diagnosisList;
}
/// <summary>
/// 通过参考范围获取项目诊断列表
/// </summary>
/// <param name="sexId"></param>
/// <param name="age"></param>
/// <param name="itemInput"></param>
/// <returns></returns>
private async Task<string> GetItemDiagnosisByReferenceRanges(char sexId, short? age, ItemInput itemInput)
{
var diagnosisList = new List<string>();
if (string.IsNullOrWhiteSpace(itemInput.Result))
{
return null;
}
decimal resultDecimal;
if (!decimal.TryParse(itemInput.Result, out resultDecimal))
{
return null;
}
var referenceRangeList = itemInput.ReferenceRanges.Where(o => o.ReferenceRangeTypeFlag == ItemReferenceRangeTypeFlag.Number).ToList();
if (!referenceRangeList.Any())
{
return null;
}
if (age == null)
{
age = 30;
}
var referenceRange = referenceRangeList.Where(o => o.ForSexId == sexId && age >= o.AgeLowerLimit && age <= o.AgeUpperLimit).FirstOrDefault();
if (referenceRange == null)
{
referenceRange = referenceRangeList.Where(o => o.ForSexId == ForSexFlag.All && age >= o.AgeLowerLimit && age <= o.AgeUpperLimit).FirstOrDefault();
if (referenceRange == null)
{
return null;
}
}
string lowReferenceRangeValueStr;
string hegihtReferenceRangeValueStr;
decimal lowReferenceRangeValue;
decimal hegihtReferenceRangeValue;
string diagnosis = null;
var pos = referenceRange.ReferenceRangeValue.IndexOf("-");
if (pos > 0)
{
//参考范围形式：10-30
lowReferenceRangeValueStr = referenceRange.ReferenceRangeValue.Substring(0, pos);
hegihtReferenceRangeValueStr = referenceRange.ReferenceRangeValue.Substring(pos + 1);
if (!decimal.TryParse(lowReferenceRangeValueStr, out lowReferenceRangeValue))
{
return null;
}
if (!decimal.TryParse(hegihtReferenceRangeValueStr, out hegihtReferenceRangeValue))
{
return null;
}
if (resultDecimal < lowReferenceRangeValue)
{
diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, true, referenceRange);
}
else if (resultDecimal > hegihtReferenceRangeValue)
{
diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, false, referenceRange);
}
return diagnosis;
}
pos = referenceRange.ReferenceRangeValue.IndexOf(">=");
var charLength = ">=".Length;
if (pos == 0)
{
pos = referenceRange.ReferenceRangeValue.IndexOf("≥");
charLength = "≥".Length;
if (pos == 0)
{
pos = referenceRange.ReferenceRangeValue.IndexOf("≧");
charLength = "≧".Length;
}
}
if (pos > 0)
{
//参考范围形式：>=
lowReferenceRangeValueStr = referenceRange.ReferenceRangeValue.Substring(pos + charLength);
if (!decimal.TryParse(lowReferenceRangeValueStr, out lowReferenceRangeValue))
{
return null;
}
if (resultDecimal < lowReferenceRangeValue)
{
diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, true, referenceRange);
}
return diagnosis;
}
pos = referenceRange.ReferenceRangeValue.IndexOf(">");
charLength = ">".Length;
if (pos > 0)
{
//参考范围形式：>
lowReferenceRangeValueStr = referenceRange.ReferenceRangeValue.Substring(pos + charLength);
if (!decimal.TryParse(lowReferenceRangeValueStr, out lowReferenceRangeValue))
{
return null;
}
if (resultDecimal <= lowReferenceRangeValue)
{
diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, true, referenceRange);
}
return diagnosis;
}
pos = referenceRange.ReferenceRangeValue.IndexOf("<=");
charLength = "<=".Length;
if (pos == 0)
{
pos = referenceRange.ReferenceRangeValue.IndexOf("≤");
charLength = "≤".Length;
if (pos == 0)
{
pos = referenceRange.ReferenceRangeValue.IndexOf("≦");
charLength = "≦".Length;
}
}
if (pos > 0)
{
//参考范围形式：<=
hegihtReferenceRangeValueStr = referenceRange.ReferenceRangeValue.Substring(pos + charLength);
if (!decimal.TryParse(hegihtReferenceRangeValueStr, out hegihtReferenceRangeValue))
{
return null;
}
if (resultDecimal >= hegihtReferenceRangeValue)
{
diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, false, referenceRange);
}
return diagnosis;
}
pos = referenceRange.ReferenceRangeValue.IndexOf("<");
charLength = "<".Length;
if (pos > 0)
{
//参考范围形式：<
hegihtReferenceRangeValueStr = referenceRange.ReferenceRangeValue.Substring(pos + charLength);
if (!decimal.TryParse(hegihtReferenceRangeValueStr, out hegihtReferenceRangeValue))
{
return null;
}
if (resultDecimal >= hegihtReferenceRangeValue)
{
diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, false, referenceRange);
}
return diagnosis;
}
return diagnosis;
}
private async Task<string> GetNumberDiagnosis(string itemName, string result, bool isLower,
ReferenceRange referenceRange)
{
string diagnosis = null;
if (isLower)
{
if (referenceRange.LowerDiagnosisId != null && referenceRange.LowerDiagnosisId != Guid.Empty)
{
var diagnosisEntity = await _diagnosisRepository.FindAsync(o => o.Id == referenceRange.LowerDiagnosisId);
if (diagnosisEntity != null)
{
diagnosis = diagnosisEntity.DisplayName + "↓";
}
else
{
if (_isAutoAddSuffix == "Y")
{
diagnosis = itemName + _lowerSuffix + "↓";
}
}
}
else
{
if (_isAutoAddSuffix == "Y")
{
diagnosis = itemName + _lowerSuffix + "↓";
}
}
}
else
{
if (referenceRange.UpperDiagnosisId != null && referenceRange.UpperDiagnosisId != Guid.Empty)
{
var diagnosisEntity = await _diagnosisRepository.FindAsync(o => o.Id == referenceRange.UpperDiagnosisId);
if (diagnosisEntity != null)
{
diagnosis = diagnosisEntity.DisplayName + "↑";
}
else
{
if (_isAutoAddSuffix == "Y")
{
diagnosis = itemName + _highSuffix + "↑";
}
}
}
else
{
if (_isAutoAddSuffix == "Y")
{
diagnosis = itemName + _highSuffix + "↑";
}
}
}
if (!string.IsNullOrWhiteSpace(diagnosis))
{
if (_isAddAbnormalResult == "Y")
{
diagnosis = diagnosis + "(结果:" + result + ",参考范围:" + referenceRange.ReferenceRangeValue + ")";
}
}
return diagnosis;
}
/// <summary>
/// 通过模板获取诊断
/// </summary>
/// <param name="itemInput"></param>
/// <returns></returns>
private async Task<List<string>> GetItemDiagnosisByTemplate(ItemInput itemInput)
{
List<string> diagnosisList = new List<string>();
//将结果解析到数组中
string[] resultArry = GetResultArry(itemInput.Result);
//结果模板中的结果去掉数字，* /等符号
foreach (var template in itemInput.ItemResultTemplates)
{
if (!string.IsNullOrWhiteSpace(template.Result))
{
template.Result = Regex.Replace(template.Result, @"\d+", "").Replace("*", "").Replace("/", "").Replace(" ", "");
}
}
foreach (var resultSplit in resultArry)
{
if (string.IsNullOrWhiteSpace(resultSplit) || resultSplit.StartsWith("余未见异常"))
{
continue;
}
var templatesList = itemInput.ItemResultTemplates.Where(o => o.Result == resultSplit && o.IsResultIntoSummary == 'Y').ToList();
foreach (var template in templatesList)
{
if (template != null && template.DiagnosisId != null && template.DiagnosisId != Guid.Empty)
{
var temp_diagnosis = await _diagnosisRepository.FirstOrDefaultAsync(m => m.Id == template.DiagnosisId);
if (temp_diagnosis != null)
{
diagnosisList.Add(temp_diagnosis.DisplayName);
}
}
else
{
diagnosisList.Add(resultSplit);
}
}
}
return diagnosisList.Distinct().ToList();
}
/// <summary>
/// 获取项目诊断通过匹配关系
/// </summary>
/// <param name="itemInput"></param>
/// <returns></returns>
private async Task<List<string>> GetItemDiagnosisByMatche(ItemInput itemInput)
{
List<string> diagnosisList = new List<string>();
//将结果解析到数组中
string[] resultArry = GetResultArry(itemInput.Result);
foreach (var resultSplit in resultArry)
{
if (string.IsNullOrWhiteSpace(resultSplit) || resultSplit.StartsWith("余未见异常"))
{
continue;
}
var templatesList = itemInput.ItemResultMatches.Where(o => resultSplit.Contains(o.Result)).ToList();
foreach (var template in templatesList)
{
if (template != null && template.DiagnosisId != Guid.Empty)
{
var temp_diagnosis = await _diagnosisRepository.FirstOrDefaultAsync(m => m.Id == template.DiagnosisId);
if (temp_diagnosis != null)
{
diagnosisList.Add(temp_diagnosis.DisplayName);
}
}
}
}
return diagnosisList.Distinct().ToList();
}
/// <summary>
/// 去掉结果中的数字符号和分号
/// </summary>
/// <param name="result"></param>
/// <returns></returns>
private string[] GetResultArry(string result)
{
result = result.Trim().Replace("；", ";");
foreach (var num in _numArry)
{
result = result.Replace(num, "");
}
//将结果通过英文；解析到数组中
string[] resultArry = result.Split(";");
return resultArry;
}
#region 执行项目计算函数
/// <summary>
@ -351,20 +1036,20 @@ namespace Shentun.Peis.DiagnosisFunctions
[HttpPost("api/app/diagnosisfunction/getcalculationfunctionresult")]
public async Task<GetDiagnosisResultRequestDto> GetCalculationFunctionResultAsync(GetDiagnosisResultRequestDto input)
{
await GetCalculationFunctionAsync(input);
await GetItemResultByCalculationFunctionAsync(input);
return input;
}
private async Task GetCalculationFunctionAsync(GetDiagnosisResultRequestDto input)
private async Task GetItemResultByCalculationFunctionAsync(GetDiagnosisResultRequestDto input)
{
//根据检查单ID查询
var list = (
from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
join registerCheck in await _registerCheckRepository.GetQueryableAsync()
on patientRegister.Id equals registerCheck.PatientRegisterId
join registerCheckItem in await _registerCheckItemRepository.GetQueryableAsync()
join registerCheckItem in await _registerCheckItemRepository.GetQueryableAsync()
on registerCheck.Id equals registerCheckItem.RegisterCheckId
join item in await _itemRepository.GetQueryableAsync()
join item in await _itemRepository.GetQueryableAsync()
on registerCheckItem.ItemId equals item.Id
where registerCheck.Id == input.RegisterCheckId
select new
@ -397,11 +1082,11 @@ namespace Shentun.Peis.DiagnosisFunctions
{
//计算函数
//计算结果
string CalculationFunctionValue = diagnosisBuilder.GetItemCalculateResult(patientItemCalculateInput, item.Item.CalculationFunction);
//CalculationFunctionValue = GetCodeResult(input, item.CalculationFunction, list);
input.Items.Where(m => m.ItemId == item.Id).FirstOrDefault().Result = CalculationFunctionValue; //赋值
input.Items.Where(m => m.ItemId == item.Item.Id).FirstOrDefault().Result = CalculationFunctionValue; //赋值
}
}
@ -886,12 +1571,7 @@ namespace Shentun.Peis.DiagnosisFunctions
return tempcode;
}
}
}
}
}

60
src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs
View File

@ -0,0 +1,60 @@
using Org.BouncyCastle.Bcpg.OpenPgp;
using Shentun.Peis.Models;
using System;
using System.Collections.Generic;
using System.Linq;
using System.Text;
using System.Threading.Tasks;
namespace Shentun.Peis.DiagnosisFunctions
{
public class DoctorCheckDiagnosisInput
{
public char SexId { get; set; }
public string SexName { get; set; }
public short? Age { get; set; }
public List<AsbitemInput> Asbitems { get; set; } = new List<AsbitemInput>();
public List<ItemInput> Items { get; set; } = new List<ItemInput> { };
}
public class AsbitemInput
{
/// <summary>
/// 组合项目ID
/// </summary>
public Guid AsbitemId { get; set; }
/// <summary>
/// 组合项目名称
/// </summary>
public string AsbitemName { get; set; }
public char IsDiagnosisFunction { get; set; }
public string DiagnosisFunction { get; set; }
public char IsContinueProcess { get; set; }
public string DefaultResult { get; set; }
}
public class ItemInput
{
/// <summary>
/// 项目ID
/// </summary>
public Guid ItemId { get; set; }
/// <summary>
/// 项目名称
/// </summary>
public string ItemName { get; set; }
public char IsDiagnosisFunction { get; set; }
public string DiagnosisFunction { get; set; }
public char IsContinueProcess { get; set; }
public char IsNameIntoSummary { get; set; }
public char IsProduceSummary { get; set; }
public char ReferenceRangeTypeFlag { get; set; }
public string DefaultResult { get; set; }
public string Result { get; set; }
public int DisplayOrder { get; set; }
public List<ItemResultMatch> ItemResultMatches { get; set; }
public List<ItemResultTemplate> ItemResultTemplates { get; set; }
public List<ReferenceRange> ReferenceRanges { get; set; }
}
}

2
src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
View File

@ -556,7 +556,7 @@ namespace Shentun.Peis.PatientRegisters
PatientRegister ent = null;
if (!string.IsNullOrWhiteSpace(input.PatientRegisterNo))
{
ent = query.Where(m => m.PatientRegisterNo == input.PatientRegisterNo).First();
ent = query.Where(m => m.PatientRegisterNo == input.PatientRegisterNo).FirstOrDefault();
if (ent == null)
{
throw new UserFriendlyException("未找到人员信息");

12
src/Shentun.Peis.Application/PrintReports/PrintReportAppService.cs
View File

@ -140,9 +140,9 @@ namespace Shentun.Peis.PrintReports
{
#region 系统参数配置
var MedicalCenterAddress = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(patientRegisterEnt.MedicalCenterId, "medical_center_address");
var MedicalCenterFax = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(patientRegisterEnt.MedicalCenterId, "medical_center_fax");
var MedicalCenterTelphone = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(patientRegisterEnt.MedicalCenterId, "medical_center_telphone");
var MedicalCenterAddress = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(patientRegisterEnt.MedicalCenterId, "medical_center_address");
var MedicalCenterFax = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(patientRegisterEnt.MedicalCenterId, "medical_center_fax");
var MedicalCenterTelphone = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(patientRegisterEnt.MedicalCenterId, "medical_center_telphone");
#endregion
msg = new PeisReportDto
@ -153,7 +153,7 @@ namespace Shentun.Peis.PrintReports
MedicalCenterTelphone = MedicalCenterTelphone,
detailedResultsListDtos = new List<DetailedResultsListDto>(),
MedicalCenterAddress = MedicalCenterAddress,
MedicalStartDate = DataHelper.ConversionDateToString(patientRegisterEnt.MedicalStartDate),
MedicalStartDate = patientRegisterEnt.MedicalStartDate.ToString(),
OrganizationUnitId = patientRegisterEnt.MedicalCenterId,
OrganizationUnitName = organizationUnitList.Where(m => m.Id == patientRegisterEnt.MedicalCenterId).Select(s => s.DisplayName).FirstOrDefault(),
PatientName = patientRegisterEnt.PatientName,
@ -162,7 +162,7 @@ namespace Shentun.Peis.PrintReports
resultStatusDtos = new List<ResultStatuses.ResultStatusDto>(),
sumSuggestionHeaderOrContentDtos = new List<SumSuggestionHeaderOrContentDto>(),
SexName = sexList.Where(m => m.Id == patientRegisterEnt.SexId).Select(s => s.DisplayName).FirstOrDefault(),
SummaryDate = DataHelper.ConversionDateToString(patientRegisterEnt.SummaryDate),
SummaryDate = patientRegisterEnt.SummaryDate.ToString(),
sumSummaryHeaderOrContentDtos = new List<SumSummaryHeaderOrContentDto>()
};
@ -256,7 +256,7 @@ namespace Shentun.Peis.PrintReports
{
AsbitemName = string.Join(",", s.RegisterCheckAsbitems.Select(rs => rs.Asbitem.DisplayName).ToList()),
ItemTypeName = string.Join(",", s.RegisterCheckAsbitems.Select(rs => rs.Asbitem.ItemType.DisplayName).ToList()),
CheckDate = DataHelper.ConversionDateToString(s.CheckDate),
CheckDate = s.CheckDate.ToString(),
CheckDoctorName = EntityHelper.GetCheckDoctorName(s.CheckDoctorId, userlist),
Items = s.RegisterCheckItems.Select(sa => new DetailedResultsList_Asbitem_Item
{

9
src/Shentun.Peis.Domain/ReferenceRanges/ReferenceRangeManager.cs
View File

@ -142,15 +142,18 @@ namespace Shentun.Peis.ReferenceRanges
{
throw new ArgumentException($"适用性别参数为:{entity.ForSexId},是无效值,只能为'{ForSexFlag.All}','{ForSexFlag.Male}','{ForSexFlag.Female}'");
}
if (entity.AgeLowerLimit >= 0 && entity.AgeLowerLimit < 200)
if (entity.AgeLowerLimit < 0 || entity.AgeLowerLimit > 200)
{
throw new ArgumentException($"年龄下限参数为:{entity.AgeLowerLimit},是无效值,值只能为0~200之间");
}
if (entity.AgeUpperLimit >= 0 && entity.AgeUpperLimit < 200)
if (entity.AgeUpperLimit < 0 || entity.AgeUpperLimit > 200)
{
throw new ArgumentException($"年龄上限参数为:{entity.AgeUpperLimit},是无效值,值只能为0~200之间");
}
if (entity.AgeLowerLimit > entity.AgeUpperLimit)
{
throw new ArgumentException($"年龄下限不能大于上限值");
}
}
}

11
src/Shentun.Peis.Domain/SysParmValues/SysParmValueManager.cs
View File

@ -68,10 +68,10 @@ namespace Shentun.Peis.SysParmValues
/// 根据体检中心获取系统参数值（优先找体检中心的参数，未找到获取全局参数）
/// 如果is_public=Y或者只有一个体检中心，只取公共参数值，如果is_public=N并且有多个体检中心，优先取体检中心值，如果体检中心没记录行或者其中的值为空，则取公共参数
/// </summary>
/// <param name="OrganizationUnitId">体检中心ID</param>
/// <param name="medicalCenterId">体检中心ID</param>
/// <param name="SysParmId">系统参数ID</param>
/// <returns></returns>
public async Task<string> GetSysParmValueInOrganizationUnitId(Guid OrganizationUnitId, string SysParmId)
public async Task<string> GetSysParmValueInMedicalCenterId(Guid medicalCenterId, string SysParmId)
{
string msg = "";
@ -100,11 +100,12 @@ namespace Shentun.Peis.SysParmValues
var sysParmValueList = await _sysParmValueRepository.GetListAsync(m => m.SysParmId == SysParmId);
if (sysParmValueList.Any())
{
if (sysParmValueList.Where(m => m.MedicalCenterId == OrganizationUnitId).Count() > 0)
if (sysParmValueList.Where(m => m.MedicalCenterId == medicalCenterId).Count() > 0)
{
msg = sysParmValueList.Where(m => m.MedicalCenterId == OrganizationUnitId).FirstOrDefault().ParmValue;
msg = sysParmValueList.Where(m => m.MedicalCenterId == medicalCenterId).FirstOrDefault().ParmValue;
}
else if (sysParmValueList.Where(m => m.MedicalCenterId == Guid.Empty).Count() > 0)
if (string.IsNullOrWhiteSpace(msg) && sysParmValueList.Where(m => m.MedicalCenterId == Guid.Empty).Count() > 0)
{
msg = sysParmValueList.Where(m => m.MedicalCenterId == Guid.Empty).FirstOrDefault().ParmValue;
}

24
src/Shentun.Peis.EntityFrameworkCore/PrintReports/PatientRegisterGuideReportRepository.cs
View File

@ -61,16 +61,16 @@ namespace Shentun.Peis.PrintReports
#region 系统参数配置
var MedicalCenterAddress = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(OrOrganizationUnitId, "medical_center_address");
var MedicalCenterFax = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(OrOrganizationUnitId, "medical_center_fax");
var MedicalCenterTelphone = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(OrOrganizationUnitId, "medical_center_telphone");
var MedicalCenterAddress = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(OrOrganizationUnitId, "medical_center_address");
var MedicalCenterFax = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(OrOrganizationUnitId, "medical_center_fax");
var MedicalCenterTelphone = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(OrOrganizationUnitId, "medical_center_telphone");
#endregion
var dbContext = await GetDbContextAsync();
var customerOrgList = await _customerOrgRepository.GetListAsync();
var customerOrgList =await _customerOrgRepository.GetListAsync();
var query = from a in dbContext.PatientRegisters
join b in dbContext.Sexes on a.SexId equals b.Id
@ -89,9 +89,9 @@ namespace Shentun.Peis.PrintReports
Age = a.Age,
PatientRegisterId = a.Id,
CustomerOrgGroupName = ac.DisplayName,
CustomerOrgName = EntityHelper.GetCustomerOrgParentNameNoSql(customerOrgList, a.CustomerOrgId),
CustomerOrgShortName = EntityHelper.GetCustomerOrgParentShortNameNoSql(customerOrgList, a.CustomerOrgId),
DepartmentName = EntityHelper.GetCustomerOrgNameNoSql(customerOrgList, a.CustomerOrgId),
CustomerOrgName = EntityHelper.GetCustomerOrgParentNameNoSql(customerOrgList,a.CustomerOrgId),
CustomerOrgShortName = EntityHelper.GetCustomerOrgParentShortNameNoSql(customerOrgList,a.CustomerOrgId),
DepartmentName = EntityHelper.GetCustomerOrgNameNoSql(customerOrgList,a.CustomerOrgId),
IdNo = e.IdNo,
JobCardNo = a.JobCardNo,
MedicalCardNo = a.MedicalCardNo,
@ -108,7 +108,7 @@ namespace Shentun.Peis.PrintReports
SexName = b.DisplayName,
// Photo = string.IsNullOrEmpty(a.Photo) ? "" : ImageHelper.GetImageBase64StringAsync(a.Photo),
Photo = string.IsNullOrEmpty(a.Photo) ? "" : ApiUrl + a.Photo,
MedicalStartDate = DataHelper.ConversionDateToString(a.MedicalStartDate),
MedicalStartDate = Convert.ToDateTime(a.MedicalStartDate.ToString()).ToString("yyyy-MM-dd"),
OrganizationUnitId = a.MedicalCenterId,
OrganizationUnitName = ag.DisplayName,
Detail = PatientRegisterGuideAsbitem(a.Id, OrOrganizationUnitId, a.SexId)
@ -126,9 +126,9 @@ namespace Shentun.Peis.PrintReports
#region 系统参数配置
var MedicalCenterAddress = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(OrOrganizationUnitId, "medical_center_address");
var MedicalCenterFax = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(OrOrganizationUnitId, "medical_center_fax");
var MedicalCenterTelphone = await _sysParmValueManager.GetSysParmValueInOrganizationUnitId(OrOrganizationUnitId, "medical_center_telphone");
var MedicalCenterAddress = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(OrOrganizationUnitId, "medical_center_address");
var MedicalCenterFax = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(OrOrganizationUnitId, "medical_center_fax");
var MedicalCenterTelphone = await _sysParmValueManager.GetSysParmValueInMedicalCenterId(OrOrganizationUnitId, "medical_center_telphone");
#endregion
var dbContext = await GetDbContextAsync();
@ -171,7 +171,7 @@ namespace Shentun.Peis.PrintReports
SexName = b.DisplayName,
// Photo = string.IsNullOrEmpty(a.Photo) ? "" : ImageHelper.GetImageBase64StringAsync( a.Photo),
Photo = string.IsNullOrEmpty(a.Photo) ? "" : ApiUrl + a.Photo,
MedicalStartDate = DataHelper.ConversionDateToString(a.MedicalStartDate),
MedicalStartDate = Convert.ToDateTime(a.MedicalStartDate.ToString()).ToString("yyyy-MM-dd"),
OrganizationUnitId = a.MedicalCenterId,
OrganizationUnitName = ag.DisplayName,
Detail = PatientRegisterGuideAsbitem(a.Id, OrOrganizationUnitId, a.SexId)

525
test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs
View File

@ -5,6 +5,7 @@ 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 TencentCloud.Ame.V20190916.Models;
@ -28,6 +29,172 @@ namespace Shentun.Peis
_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("3a11eeb9-81e2-44bc-fd9d-72ca7d3ef9a6"),
Items = new List<GetDiagnosisResultRequest_Item>
{
new GetDiagnosisResultRequest_Item()
{
ItemId = new Guid("3a11eeb8-716b-6103-9e89-dbd9df85227f"),
Result = "180/110"
},
new GetDiagnosisResultRequest_Item()
{
ItemId = new Guid("3a0c5186-2920-6492-c8bf-5908fe6bda56"),
Result = "肥胖;其它病"
}
}
};
var result = await _appService.GetDiagnosisResultAsync2(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.GetDiagnosisResultAsync2(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.GetDiagnosisResultAsync2(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("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.GetDiagnosisResultAsync2(getDiagnosisResultRequestDto);
foreach (var item in result.DiagnosisResultDetails)
{
_output.WriteLine(item.DiagnosisResult);
}
}
}
/// <summary>
/// 体重指数测试结果
/// </summary>
@ -58,7 +225,7 @@ namespace Shentun.Peis
}
};
var result = GetItemCalculateResultTzzs(patient);
_output.WriteLine("结果："+result);
_output.WriteLine("结果：" + result);
string code = @"
string result = """";
decimal sg = 0;
@ -102,12 +269,12 @@ namespace Shentun.Peis
DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
result = diagnosisBuilder.GetItemCalculateResult(patient, code);
result = diagnosisBuilder.GetItemCalculateResult(patient, code);
_output.WriteLine("动态结果：" + result);
}
/// <summary>
/// 体重指数
/// </summary>
@ -118,10 +285,11 @@ namespace Shentun.Peis
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)
@ -136,7 +304,7 @@ namespace Shentun.Peis
}
if (item.ItemName == "体重")
{
{
if (decimal.TryParse(item.Result, out tz))
{
if (tz == 0)
@ -151,7 +319,111 @@ namespace Shentun.Peis
}
}
result = (tz /((sg/100) * (sg / 100))).ToString("0.00");
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;
}
@ -159,7 +431,7 @@ namespace Shentun.Peis
/// 乙肝五项
/// </summary>
[Fact]
public void GetAsbitemDiagnosisResultTest()
public void GetAsbitemDiagnosisResultYgwxTest()
{
var patient = new PatientAsbitemDiagnosisInput();
patient.SexName = "男";
@ -169,62 +441,128 @@ namespace Shentun.Peis
new ItemResultInput()
{
ItemId = Guid.NewGuid(),
ItemName = "身高",
Result = "122"
ItemName = "乙肝表面抗原(HBsAg)",
Result = "阳性"
},
new ItemResultInput()
{
ItemId = Guid.NewGuid(),
ItemName = "体重",
Result = "221"
ItemName = "乙肝表面抗体(抗-HBs)",
Result = "阴性"
},
new ItemResultInput()
{
ItemId = Guid.NewGuid(),
ItemName = "体重指数",
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 = GetAsbitemDiagnosisResult(patient);
var result = GetAsbitemDiagnosisResultYgwx(patient);
_output.WriteLine("结果：" + result);
string code = @"
string result = """";
decimal sg = 0;
decimal tz = 0;
string msg = null;
string result1 = """";
string result2= """";
string result3 = """";
string result4 = """";
string result5 = """";
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 == ""乙肝表面抗原(HBsAg)"")
{
result1 = item.Result;
}
if (item.ItemName == ""体重"")
{
if (decimal.TryParse(item.Result, out tz))
{
if (tz == 0)
{
return null;
}
}
else
{
return null;
}
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;
}
}
result = (tz /((sg/100) * (sg / 100))).ToString(""0.00"");
return 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;
";
@ -235,10 +573,99 @@ namespace Shentun.Peis
}
public string GetAsbitemDiagnosisResult(PatientAsbitemDiagnosisInput patient)
public string GetAsbitemDiagnosisResultYgwx(PatientAsbitemDiagnosisInput patient)
{
string result = "";
return result;
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;
}
}
}
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