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					@ -103,6 +103,163 @@ namespace Shentun.Peis.OccupationalDiseases | 
				
			
			
		
	
		
			
				
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					            _poisonRepository = poisonRepository; | 
				
			
			
		
	
		
			
				
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					        } | 
				
			
			
		
	
		
			
				
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					        ///// <summary>
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					        ///// 创建职业病信息
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					        ///// </summary>
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					        ///// <returns></returns>
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					        //[HttpPost("api/app/OccupationalDisease/CreateOccupationalDiseaseWithDetail")]
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					        //public async Task<OccupationalDiseaseWithDetailByPatientRegisterIdDto> CreateOccupationalDiseaseWithDetailAsync(OccupationalDiseaseWithDetailInputDto input)
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					        //{
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					        //    if (input == null)
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					        //    {
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					        //        throw new UserFriendlyException("请求参数有误");
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					        //    }
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					        //    if (input.PatientRegisterId == Guid.Empty)
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					        //        throw new UserFriendlyException("人员ID不正确");
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					        //    #region 基础信息
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					        //    if (input.PatientOccupationalDisease == null)
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					        //        throw new UserFriendlyException("职业病基础信息有误");
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					        //    var patientOccupationalDiseaseInput = ObjectMapper.Map<PatientOccupationalDiseaseInputDto, PatientOccupationalDisease>(input.PatientOccupationalDisease);
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					        //    patientOccupationalDiseaseInput.PatientRegisterId = input.PatientRegisterId;
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					        //    var patientOccupationalDiseaseEnt = await _patientOccupationalDiseaseRepository.FirstOrDefaultAsync(f => f.PatientRegisterId == input.PatientRegisterId);
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					        //    if (patientOccupationalDiseaseEnt == null)
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					        //    {
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					        //        var entity = _patientOccupationalDiseaseManager.CreateAsync(patientOccupationalDiseaseInput);
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					        //        await _patientOccupationalDiseaseRepository.InsertAsync(entity, true);
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					        //    }
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					        //    else
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					        //    {
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					        //        _patientOccupationalDiseaseManager.UpdateAsync(patientOccupationalDiseaseInput, patientOccupationalDiseaseEnt);
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					        //        await _patientOccupationalDiseaseRepository.UpdateAsync(patientOccupationalDiseaseEnt, true);
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					        //    }
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					        //    #endregion
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					        //    #region 毒害因素
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					        //    var patientPoisonsInput = ObjectMapper.Map<List<PatientPoisonInputDto>, List<PatientPoison>>(input.PatientPoisons);
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					        //    await _patientPoisonRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId);
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					        //    List<PatientPoison> patientPoisonList = new List<PatientPoison>();
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					        //    foreach (var item in patientPoisonsInput)
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					        //    {
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					        //        if (patientPoisonList.Select(s => s.PoisonId).Contains(item.PoisonId))
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					        //        {
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					        //            string errPoisonName = "";
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					        //            var errPoison = await _poisonRepository.FirstOrDefaultAsync(f => f.Id == item.PoisonId);
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					        //            if (errPoison != null)
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					        //                errPoisonName = errPoison.DisplayName;
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					        //            throw new UserFriendlyException($"接害因素{errPoisonName}不能重复选择");
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					        //        }
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					        //        patientPoisonList.Add(new PatientPoison
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					        //        {
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					        //            PatientRegisterId = input.PatientRegisterId,
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					        //            PoisonId = item.PoisonId,
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					        //            OccupationalAbnormalId = item.OccupationalAbnormalId
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					        //        });
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					        //    }
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					        //    await _patientPoisonRepository.InsertManyAsync(patientPoisonList, true);
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					        //    #endregion
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					        //    #region 症状
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					        //    var patientSymptomsInput = ObjectMapper.Map<List<PatientSymptomInputDto>, List<PatientSymptom>>(input.PatientSymptoms);
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					        //    await _patientSymptomRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId);
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					        //    List<PatientSymptom> patientSymptomList = new List<PatientSymptom>();
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					        //    foreach (var item in patientSymptomsInput)
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					        //    {
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					        //        patientSymptomList.Add(new PatientSymptom
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					        //        {
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					        //            PatientRegisterId = input.PatientRegisterId,
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					        //            Degree = item.Degree,
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					        //            SymptomId = item.SymptomId,
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					        //            TimeLength = item.TimeLength
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					        //        });
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					        //    }
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					        //    await _patientSymptomRepository.InsertManyAsync(patientSymptomList, true);
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					        //    #endregion
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					        //    #region 职业病史
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					        //    var patientOccupationalMedicalHistorysInput = ObjectMapper.Map<List<PatientOccupationalMedicalHistoryInputDto>, List<PatientOccupationalMedicalHistory>>(input.PatientOccupationalMedicalHistorys);
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					        //    await _patientOccupationalMedicalHistoryRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId);
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					        //    List<PatientOccupationalMedicalHistory> patientOccupationalMedicalHistoryList = new List<PatientOccupationalMedicalHistory>();
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					        //    foreach (var item in patientOccupationalMedicalHistorysInput)
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					        //    {
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					        //        patientOccupationalMedicalHistoryList.Add(new PatientOccupationalMedicalHistory
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					        //        {
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					        //            PatientRegisterId = input.PatientRegisterId,
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					        //            DiagnosisDate = item.DiagnosisDate,
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					        //            DiagnosisHospital = item.DiagnosisHospital,
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					        //            IsRecovery = item.IsRecovery,
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					        //            OccupationalDisease = item.OccupationalDisease,
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					        //            TreatmentMethods = item.TreatmentMethods
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					        //        });
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					        //    }
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					        //    await _patientOccupationalMedicalHistoryRepository.InsertManyAsync(patientOccupationalMedicalHistoryList, true);
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					        //    #endregion
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					        //    #region 既往病史
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					        //    var patientPastMedicalHistorysInput = ObjectMapper.Map<List<PatientPastMedicalHistoryInputDto>, List<PatientPastMedicalHistory>>(input.PatientPastMedicalHistorys);
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					        //    await _patientPastMedicalHistoryRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId);
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					        //    List<PatientPastMedicalHistory> PatientPastMedicalHistoryList = new List<PatientPastMedicalHistory>();
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					        //    foreach (var item in patientPastMedicalHistorysInput)
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					        //    {
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					        //        PatientPastMedicalHistoryList.Add(new PatientPastMedicalHistory
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					        //        {
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					        //            PatientRegisterId = input.PatientRegisterId,
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					        //            DiagnosisDate = item.DiagnosisDate,
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					        //            DiagnosisHospital = item.DiagnosisHospital,
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					        //            IsRecovery = item.IsRecovery,
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					        //            OccupationalDisease = item.OccupationalDisease,
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					        //            TreatmentMethods = item.TreatmentMethods
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					        //        });
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					        //    }
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					        //    await _patientPastMedicalHistoryRepository.InsertManyAsync(PatientPastMedicalHistoryList, true);
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					        //    #endregion
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					        //    #region 职业史
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					        //    var patientOccupationalHistorysInput = ObjectMapper.Map<List<PatientOccupationalHistoryInputDto>, List<PatientOccupationalHistory>>(input.PatientOccupationalHistorys);
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					        //    await _patientOccupationalHistoryRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId);
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					        //    List<PatientOccupationalHistory> patientOccupationalHistoryList = new List<PatientOccupationalHistory>();
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					        //    foreach (var item in patientOccupationalHistorysInput)
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					        //    {
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					        //        patientOccupationalHistoryList.Add(new PatientOccupationalHistory
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					        //        {
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					        //            PatientRegisterId = input.PatientRegisterId,
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					        //            BeginDate = item.BeginDate,
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					        //            EndDate = item.EndDate,
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					        //            Org = item.Org,
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					        //            Poison = item.Poison,
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					        //            ProtectiveMeasures = item.ProtectiveMeasures,
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					        //            WorkShop = item.WorkShop,
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					        //            WorkType = item.WorkType
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					        //        });
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					        //    }
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					        //    await _patientOccupationalHistoryRepository.InsertManyAsync(patientOccupationalHistoryList, true);
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					        //    #endregion
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					        //    return await GetOccupationalDiseaseWithDetailByPatientRegisterIdAsync(new PatientRegisterIdInputDto
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					        //    {
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					        //        PatientRegisterId = input.PatientRegisterId
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					        //    });
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					        //}
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					        /// <summary>
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					        /// 创建职业病信息
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					        /// </summary>
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					| 
						
						
						
							
								
							
						
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					@ -119,139 +276,253 @@ namespace Shentun.Peis.OccupationalDiseases | 
				
			
			
		
	
		
			
				
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					                throw new UserFriendlyException("人员ID不正确"); | 
				
			
			
		
	
		
			
				
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					            #region 基础信息
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					            if (input.PatientOccupationalDisease == null) | 
				
			
			
		
	
		
			
				
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					                throw new UserFriendlyException("职业病基础信息有误"); | 
				
			
			
		
	
		
			
				
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					            var patientOccupationalDiseaseInput = ObjectMapper.Map<PatientOccupationalDiseaseInputDto, PatientOccupationalDisease>(input.PatientOccupationalDisease); | 
				
			
			
		
	
		
			
				
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					            if (input.IsPatientOccupationalDiseaseUpdate == 'Y') | 
				
			
			
		
	
		
			
				
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					            { | 
				
			
			
		
	
		
			
				
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					                if (input.PatientOccupationalDisease == null) | 
				
			
			
		
	
		
			
				
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					                    throw new UserFriendlyException("职业病基础信息有误"); | 
				
			
			
		
	
		
			
				
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					            patientOccupationalDiseaseInput.PatientRegisterId = input.PatientRegisterId; | 
				
			
			
		
	
		
			
				
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					                var patientOccupationalDiseaseInput = ObjectMapper.Map<PatientOccupationalDiseaseInputDto, PatientOccupationalDisease>(input.PatientOccupationalDisease); | 
				
			
			
		
	
		
			
				
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					            var patientOccupationalDiseaseEnt = await _patientOccupationalDiseaseRepository.FirstOrDefaultAsync(f => f.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
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					            if (patientOccupationalDiseaseEnt == null) | 
				
			
			
		
	
		
			
				
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					            { | 
				
			
			
		
	
		
			
				
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					                patientOccupationalDiseaseInput.PatientRegisterId = input.PatientRegisterId; | 
				
			
			
		
	
		
			
				
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					                var entity = _patientOccupationalDiseaseManager.CreateAsync(patientOccupationalDiseaseInput); | 
				
			
			
		
	
		
			
				
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					                await _patientOccupationalDiseaseRepository.InsertAsync(entity, true); | 
				
			
			
		
	
		
			
				
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					            } | 
				
			
			
		
	
		
			
				
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					            else | 
				
			
			
		
	
		
			
				
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					            { | 
				
			
			
		
	
		
			
				
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					                _patientOccupationalDiseaseManager.UpdateAsync(patientOccupationalDiseaseInput, patientOccupationalDiseaseEnt); | 
				
			
			
		
	
		
			
				
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					                await _patientOccupationalDiseaseRepository.UpdateAsync(patientOccupationalDiseaseEnt, true); | 
				
			
			
		
	
		
			
				
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					                var patientOccupationalDiseaseEnt = await _patientOccupationalDiseaseRepository.FirstOrDefaultAsync(f => f.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
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					 | 
				
				 | 
				
					                if (patientOccupationalDiseaseEnt == null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var entity = _patientOccupationalDiseaseManager.CreateAsync(patientOccupationalDiseaseInput); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    await _patientOccupationalDiseaseRepository.InsertAsync(entity, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                else | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    _patientOccupationalDiseaseManager.UpdateAsync(patientOccupationalDiseaseInput, patientOccupationalDiseaseEnt); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    await _patientOccupationalDiseaseRepository.UpdateAsync(patientOccupationalDiseaseEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #endregion
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #region 毒害因素
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            var patientPoisonsInput = ObjectMapper.Map<List<PatientPoisonInputDto>, List<PatientPoison>>(input.PatientPoisons); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientPoisonRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            List<PatientPoison> patientPoisonList = new List<PatientPoison>(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            foreach (var item in patientPoisonsInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            if (input.IsPatientPoisonsUpdate == 'Y') | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                if (patientPoisonList.Select(s => s.PoisonId).Contains(item.PoisonId)) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var patientPoisonsInput = ObjectMapper.Map<List<PatientPoisonInputDto>, List<PatientPoison>>(input.PatientPoisons); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //当前数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<PatientPoison> patientPoisonList = await _patientPoisonRepository.GetListAsync(m => m.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<Guid> newPoisonIds = new List<Guid>();  //新数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                foreach (var item in patientPoisonsInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    string errPoisonName = ""; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var errPoison = await _poisonRepository.FirstOrDefaultAsync(f => f.Id == item.PoisonId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    if (errPoison != null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        errPoisonName = errPoison.DisplayName; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    throw new UserFriendlyException($"接害因素{errPoisonName}不能重复选择"); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    newPoisonIds.Add(item.PoisonId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var isPatientPoison = await _patientPoisonRepository.FirstOrDefaultAsync(f => f.PatientRegisterId == input.PatientRegisterId && f.PoisonId == item.PoisonId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    if (isPatientPoison == null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        var patientPoisonEnt = new PatientPoison | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            PoisonId = item.PoisonId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            OccupationalAbnormalId = item.OccupationalAbnormalId | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        }; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientPoisonRepository.InsertAsync(patientPoisonEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    else | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        isPatientPoison.OccupationalAbnormalId = item.OccupationalAbnormalId; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientPoisonRepository.UpdateAsync(isPatientPoison, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                patientPoisonList.Add(new PatientPoison | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    PoisonId = item.PoisonId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    OccupationalAbnormalId = item.OccupationalAbnormalId | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                }); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientPoisonRepository.InsertManyAsync(patientPoisonList, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //需要删除的数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var deletePatientPoisonList = patientPoisonList.Where(m => !newPoisonIds.Contains(m.PoisonId)).ToList(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                await _patientPoisonRepository.DeleteManyAsync(deletePatientPoisonList); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #endregion
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #region 症状
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            var patientSymptomsInput = ObjectMapper.Map<List<PatientSymptomInputDto>, List<PatientSymptom>>(input.PatientSymptoms); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientSymptomRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            List<PatientSymptom> patientSymptomList = new List<PatientSymptom>(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            foreach (var item in patientSymptomsInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            if (input.IsPatientSymptomsUpdate == 'Y') | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                patientSymptomList.Add(new PatientSymptom | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var patientSymptomsInput = ObjectMapper.Map<List<PatientSymptomInputDto>, List<PatientSymptom>>(input.PatientSymptoms); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //当前数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<PatientSymptom> patientSymptomList = await _patientSymptomRepository.GetListAsync(m => m.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<Guid> newSymptomIds = new List<Guid>();  //新数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                foreach (var item in patientSymptomsInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    Degree = item.Degree, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    SymptomId = item.SymptomId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    TimeLength = item.TimeLength | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                }); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    newSymptomIds.Add(item.SymptomId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var isPatientSymptom = await _patientSymptomRepository.FirstOrDefaultAsync(f => f.PatientRegisterId == input.PatientRegisterId && f.SymptomId == item.SymptomId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    if (isPatientSymptom == null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        var patientSymptomEnt = new PatientSymptom | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            Degree = item.Degree, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            SymptomId = item.SymptomId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            TimeLength = item.TimeLength | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        }; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientSymptomRepository.InsertAsync(patientSymptomEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    else | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        isPatientSymptom.Degree = item.Degree; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        isPatientSymptom.TimeLength = item.TimeLength; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientSymptomRepository.UpdateAsync(isPatientSymptom, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientSymptomRepository.InsertManyAsync(patientSymptomList, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //需要删除的数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var deletePatientSymptomList = patientSymptomList.Where(m => !newSymptomIds.Contains(m.SymptomId)).ToList(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                await _patientSymptomRepository.DeleteManyAsync(deletePatientSymptomList); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #endregion
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #region 职业病史
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            var patientOccupationalMedicalHistorysInput = ObjectMapper.Map<List<PatientOccupationalMedicalHistoryInputDto>, List<PatientOccupationalMedicalHistory>>(input.PatientOccupationalMedicalHistorys); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientOccupationalMedicalHistoryRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            List<PatientOccupationalMedicalHistory> patientOccupationalMedicalHistoryList = new List<PatientOccupationalMedicalHistory>(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            foreach (var item in patientOccupationalMedicalHistorysInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            if (input.IsPatientOccupationalMedicalHistorysUpdate == 'Y') | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                patientOccupationalMedicalHistoryList.Add(new PatientOccupationalMedicalHistory | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var patientOccupationalMedicalHistorysInput = ObjectMapper.Map<List<PatientOccupationalMedicalHistoryInputDto>, List<PatientOccupationalMedicalHistory>>(input.PatientOccupationalMedicalHistorys); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<PatientOccupationalMedicalHistory> patientOccupationalMedicalHistoryList = await _patientOccupationalMedicalHistoryRepository.GetListAsync(m => m.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<Guid> newPatientOccupationalMedicalHistoryIds = new List<Guid>();  //新数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                foreach (var item in patientOccupationalMedicalHistorysInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    DiagnosisDate = item.DiagnosisDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    DiagnosisHospital = item.DiagnosisHospital, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    IsRecovery = item.IsRecovery, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    OccupationalDisease = item.OccupationalDisease, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    TreatmentMethods = item.TreatmentMethods | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                }); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var oldPatientOccupationalMedicalHistoryEnt = await _patientOccupationalMedicalHistoryRepository.FirstOrDefaultAsync(f => f.Id == item.Id); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    if (item.Id == Guid.Empty || oldPatientOccupationalMedicalHistoryEnt == null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        var patientOccupationalMedicalHistoryEnt = new PatientOccupationalMedicalHistory | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            DiagnosisDate = item.DiagnosisDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            DiagnosisHospital = item.DiagnosisHospital, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            IsRecovery = item.IsRecovery, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            OccupationalDisease = item.OccupationalDisease, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            TreatmentMethods = item.TreatmentMethods | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        }; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientOccupationalMedicalHistoryRepository.InsertAsync(patientOccupationalMedicalHistoryEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    else | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        newPatientOccupationalMedicalHistoryIds.Add(item.Id); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalMedicalHistoryEnt.DiagnosisDate = item.DiagnosisDate; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalMedicalHistoryEnt.DiagnosisHospital = item.DiagnosisHospital; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalMedicalHistoryEnt.IsRecovery = item.IsRecovery; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalMedicalHistoryEnt.OccupationalDisease = item.OccupationalDisease; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalMedicalHistoryEnt.TreatmentMethods = item.TreatmentMethods; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientOccupationalMedicalHistoryRepository.InsertManyAsync(patientOccupationalMedicalHistoryList, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientOccupationalMedicalHistoryRepository.UpdateAsync(oldPatientOccupationalMedicalHistoryEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //需要删除的数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var deletePatientOccupationalMedicalHistoryList = patientOccupationalMedicalHistoryList.Where(m => !newPatientOccupationalMedicalHistoryIds.Contains(m.Id)).ToList(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                await _patientOccupationalMedicalHistoryRepository.DeleteManyAsync(deletePatientOccupationalMedicalHistoryList); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #endregion
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #region 既往病史
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            var patientPastMedicalHistorysInput = ObjectMapper.Map<List<PatientPastMedicalHistoryInputDto>, List<PatientPastMedicalHistory>>(input.PatientPastMedicalHistorys); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientPastMedicalHistoryRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            List<PatientPastMedicalHistory> PatientPastMedicalHistoryList = new List<PatientPastMedicalHistory>(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            foreach (var item in patientPastMedicalHistorysInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            if (input.IsPatientPastMedicalHistorysUpdate == 'Y') | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                PatientPastMedicalHistoryList.Add(new PatientPastMedicalHistory | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var patientPastMedicalHistorysInput = ObjectMapper.Map<List<PatientPastMedicalHistoryInputDto>, List<PatientPastMedicalHistory>>(input.PatientPastMedicalHistorys); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<PatientPastMedicalHistory> patientPastMedicalHistoryList = await _patientPastMedicalHistoryRepository.GetListAsync(m => m.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<Guid> newPatientPastMedicalHistoryIds = new List<Guid>();  //新数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                foreach (var item in patientPastMedicalHistorysInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    DiagnosisDate = item.DiagnosisDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    DiagnosisHospital = item.DiagnosisHospital, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    IsRecovery = item.IsRecovery, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    OccupationalDisease = item.OccupationalDisease, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    TreatmentMethods = item.TreatmentMethods | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                }); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var oldPatientPastMedicalHistoryEnt = await _patientPastMedicalHistoryRepository.FirstOrDefaultAsync(f => f.Id == item.Id); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientPastMedicalHistoryRepository.InsertManyAsync(PatientPastMedicalHistoryList, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    if (item.Id == Guid.Empty || oldPatientPastMedicalHistoryEnt == null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        var patientPastMedicalHistoryEnt = new PatientPastMedicalHistory | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            DiagnosisDate = item.DiagnosisDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            DiagnosisHospital = item.DiagnosisHospital, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            IsRecovery = item.IsRecovery, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            OccupationalDisease = item.OccupationalDisease, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            TreatmentMethods = item.TreatmentMethods | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        }; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientPastMedicalHistoryRepository.InsertAsync(patientPastMedicalHistoryEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    else | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        newPatientPastMedicalHistoryIds.Add(item.Id); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientPastMedicalHistoryEnt.DiagnosisDate = item.DiagnosisDate; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientPastMedicalHistoryEnt.DiagnosisHospital = item.DiagnosisHospital; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientPastMedicalHistoryEnt.IsRecovery = item.IsRecovery; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientPastMedicalHistoryEnt.OccupationalDisease = item.OccupationalDisease; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientPastMedicalHistoryEnt.TreatmentMethods = item.TreatmentMethods; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientPastMedicalHistoryRepository.UpdateAsync(oldPatientPastMedicalHistoryEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //需要删除的数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var deletePatientPastMedicalHistoryList = patientPastMedicalHistoryList.Where(m => !newPatientPastMedicalHistoryIds.Contains(m.Id)).ToList(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                await _patientPastMedicalHistoryRepository.DeleteManyAsync(deletePatientPastMedicalHistoryList); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #endregion
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #region 职业史
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            var patientOccupationalHistorysInput = ObjectMapper.Map<List<PatientOccupationalHistoryInputDto>, List<PatientOccupationalHistory>>(input.PatientOccupationalHistorys); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientOccupationalHistoryRepository.DeleteAsync(d => d.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            List<PatientOccupationalHistory> patientOccupationalHistoryList = new List<PatientOccupationalHistory>(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            foreach (var item in patientOccupationalHistorysInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            if (input.IsPatientOccupationalHistorysUpdate == 'Y') | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                patientOccupationalHistoryList.Add(new PatientOccupationalHistory | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var patientOccupationalHistorysInput = ObjectMapper.Map<List<PatientOccupationalHistoryInputDto>, List<PatientOccupationalHistory>>(input.PatientOccupationalHistorys); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<PatientOccupationalHistory> patientOccupationalHistoryList = await _patientOccupationalHistoryRepository.GetListAsync(m => m.PatientRegisterId == input.PatientRegisterId); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                List<Guid> newPatientOccupationalHistoryIds = new List<Guid>();  //新数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                foreach (var item in patientOccupationalHistorysInput) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    BeginDate = item.BeginDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    EndDate = item.EndDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    Org = item.Org, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    Poison = item.Poison, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    ProtectiveMeasures = item.ProtectiveMeasures, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    WorkShop = item.WorkShop, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    WorkType = item.WorkType | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                }); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    var oldPatientOccupationalHistoryEnt = await _patientOccupationalHistoryRepository.FirstOrDefaultAsync(f => f.Id == item.Id); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    if (item.Id == Guid.Empty || oldPatientOccupationalHistoryEnt == null) | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        var patientOccupationalHistoryEnt = new PatientOccupationalHistory | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            PatientRegisterId = input.PatientRegisterId, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            BeginDate = item.BeginDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            EndDate = item.EndDate, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            Org = item.Org, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            Poison = item.Poison, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            ProtectiveMeasures = item.ProtectiveMeasures, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            WorkShop = item.WorkShop, | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                            WorkType = item.WorkType | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        }; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientOccupationalHistoryRepository.InsertAsync(patientOccupationalHistoryEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    else | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    { | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        newPatientOccupationalHistoryIds.Add(item.Id); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.BeginDate = item.BeginDate; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.EndDate = item.EndDate; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.Org = item.Org; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.Poison = item.Poison; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.ProtectiveMeasures = item.ProtectiveMeasures; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.WorkShop = item.WorkShop; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        oldPatientOccupationalHistoryEnt.WorkType = item.WorkType; | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            await _patientOccupationalHistoryRepository.InsertManyAsync(patientOccupationalHistoryList, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                        await _patientOccupationalHistoryRepository.UpdateAsync(oldPatientOccupationalHistoryEnt, true); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                    } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                //需要删除的数据
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                var deletePatientOccupationalHistoryList = patientOccupationalHistoryList.Where(m => !newPatientOccupationalHistoryIds.Contains(m.Id)).ToList(); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					                await _patientOccupationalHistoryRepository.DeleteManyAsync(deletePatientOccupationalHistoryList); | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            #endregion
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					            return await GetOccupationalDiseaseWithDetailByPatientRegisterIdAsync(new PatientRegisterIdInputDto | 
				
			
			
		
	
	
		
			
				
					| 
						
						
						
							
								
							
						
					 | 
				
				 | 
				
					@ -261,6 +532,7 @@ namespace Shentun.Peis.OccupationalDiseases | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					        } | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					        /// <summary>
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					        /// 获取职业病信息 根据人员登记ID
 | 
				
			
			
		
	
		
			
				
					 | 
					 | 
				
				 | 
				
					        /// </summary>
 | 
				
			
			
		
	
	
		
			
				
					| 
						
							
								
							
						
						
						
					 | 
				
				 | 
				
					
  |