对照

src/Shentun.Peis.Application/ColumnReferences/ColumnReferenceAppService.cs

@@ -295,6 +295,33 @@ namespace Shentun.Peis.ColumnReferences
             var className = config.GetSection("Interface").GetSection("ClassName").Value;
             var list = await ReflectionHelper.InvokeAsync<List<ColumnReferenceCodeValue>>(assemblyName, className, [parmValue], "GetAppCodeValuesAsync");
 
+            if (list.Count > 0)
+            {
+                //对照数据
+                var columnReferenceInterfaceList = (from columnReferenceCode in await _columnReferenceCodeRepository.GetQueryableAsync()
+                                                    join columnReferenceInterface in await _columnReferenceInterfaceRepository.GetQueryableAsync() on columnReferenceCode.Id equals columnReferenceInterface.ColumnReferenceCodeId
+                                                    where columnReferenceCode.ColumnReferenceId == input.Id
+                                                    select new
+                                                    {
+                                                        columnReferenceCode,
+                                                        columnReferenceInterface
+                                                    }).ToList();
+
+                foreach (var item in list)
+                {
+                    var dzList = columnReferenceInterfaceList.Where(m => m.columnReferenceCode.CodeValue == item.CodeValue).Select(s => s.columnReferenceInterface.InterfaceCodeValue).ToList();
+                    if (dzList.Any())
+                    {
+                        item.Exter1 = "Y";
+                        item.Exter2 = dzList.Count.ToString();
+                    }
+                    else
+                    {
+                        item.Exter1 = "N";
+                        item.Exter2 = "0";
+                    }
+                }
+            }
             return list;
         }
 

src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs

@@ -171,7 +171,8 @@ namespace Shentun.Peis.DiagnosisFunctions
             {
                 SexId = query[0].patientRegister.SexId,
                 SexName = _cacheService.GetSexNameAsync(query[0].patientRegister.SexId).GetAwaiter().GetResult(),
-                Age = query[0].patientRegister.Age
+                Age = query[0].patientRegister.Age,
+                SexHormoneTermId = query[0].patientRegister.SexHormoneTermId
             };
             foreach (var item in query)
             {
@@ -546,6 +547,20 @@ namespace Shentun.Peis.DiagnosisFunctions
                         doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
                     }
                 }
+                else if (item.ReferenceRangeTypeFlag == ItemReferenceRangeTypeFlag.SexHormone && doctorCheckDiagnosisInput.SexHormoneTermId != null)
+                {
+                    //性激素参考范围
+                    var referenceRangeDiagnosis = await GetItemDiagnosisBySexHormoneReferenceRanges(doctorCheckDiagnosisInput.SexHormoneTermId, doctorCheckDiagnosisInput.Age, item);
+                    if (!string.IsNullOrWhiteSpace(referenceRangeDiagnosis))
+                    {
+                        var itemDiagnosisTypeResult = new ItemDiagnosisTypeResult()
+                        {
+                            DiagnosisType = '1'
+                        };
+                        itemDiagnosisTypeResult.Diagnosis.Add(referenceRangeDiagnosis);
+                        doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
+                    }
+                }
                 else
                 {
 
@@ -759,6 +774,52 @@ namespace Shentun.Peis.DiagnosisFunctions
             return diagnosis;
         }
 
+
+        /// <summary>
+        /// 通过性激素参考范围获取项目诊断列表
+        /// </summary>
+        /// <param name="sexHormoneTermId"></param>
+        /// <param name="age"></param>
+        /// <param name="itemInput"></param>
+        /// <returns></returns>
+        private async Task<string> GetItemDiagnosisBySexHormoneReferenceRanges(Guid? sexHormoneTermId, short? age, ItemInput itemInput)
+        {
+            var diagnosisList = new List<string>();
+            if (string.IsNullOrWhiteSpace(itemInput.Result))
+            {
+                return null;
+            }
+
+            var referenceRangeList = itemInput.ReferenceRanges.Where(o => o.ReferenceRangeTypeFlag == ItemReferenceRangeTypeFlag.SexHormone).ToList();
+            if (!referenceRangeList.Any())
+            {
+                return null;
+            }
+            if (age == null)
+            {
+                age = 30;
+            }
+            var referenceRange = referenceRangeList.Where(o => o.SexHormoneTermId == sexHormoneTermId && age >= o.AgeLowerLimit && age <= o.AgeUpperLimit).FirstOrDefault();
+            if (referenceRange == null)
+            {
+                return null;
+            }
+
+            string diagnosis = null;
+           
+            string resultStatusId = _registerCheckItemManager.GetNumberResultStatusId(itemInput.Result, referenceRange.ReferenceRangeValue);
+            if (resultStatusId == ResultStatusFlag.Low)
+            {
+                diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, itemInput.Unit, true, referenceRange);
+            }
+            else if (resultStatusId == ResultStatusFlag.High)
+            {
+                diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, itemInput.Unit, false, referenceRange);
+            }
+
+            return diagnosis;
+        }
+
         /// <summary>
         /// 获取参考范围值跟结果  用于诊断函数
         /// </summary>

src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs

@@ -13,6 +13,8 @@ namespace Shentun.Peis.DiagnosisFunctions
         public char SexId { get; set; }
         public string SexName { get; set; }
         public short? Age { get; set; }
+
+        public Guid? SexHormoneTermId { get; set; }
         public List<AsbitemInput> Asbitems { get; set; } = new List<AsbitemInput>();
         public List<ItemInput> Items { get; set; } = new List<ItemInput> { };
     }

src/Shentun.Peis.Application/PeisReports/PeisReportAppService.cs

@@ -305,6 +305,9 @@ namespace Shentun.Peis.PeisReports
                 //    sumquery = sumquery.Where(m => m.a.CompleteFlag != PatientRegisterCompleteFlag.PreRegistration);
                 //}
 
+                if (input.SexId != null)
+                    sumquery = sumquery.Where(m => m.a.SexId == input.SexId);
+
                 if (input.IsAudit != null)
                 {
                     sumquery = sumquery.Where(m => m.a.IsAudit == input.IsAudit);

src/Shentun.Peis.Domain/RegisterCheckAsbitems/RegisterCheckAsbitem.cs

@@ -120,6 +120,7 @@ namespace Shentun.Peis.Models
         /// <summary>
         /// 体检中心ID
         /// </summary>
+        [Column("medical_center_id")]
         public Guid MedicalCenterId { get; set; }
 
 

src/Shentun.Peis.EntityFrameworkCore/Migrations/20260209102535_update_register_check_asbitem_medical_center_id_xx.cs

@@ -0,0 +1,25 @@
+using Microsoft.EntityFrameworkCore.Migrations;
+
+#nullable disable
+
+namespace Shentun.Peis.Migrations
+{
+    public partial class update_register_check_asbitem_medical_center_id_xx : Migration
+    {
+        protected override void Up(MigrationBuilder migrationBuilder)
+        {
+            migrationBuilder.RenameColumn(
+                name: "MedicalCenterId",
+                table: "register_check_asbitem",
+                newName: "medical_center_id");
+        }
+
+        protected override void Down(MigrationBuilder migrationBuilder)
+        {
+            migrationBuilder.RenameColumn(
+                name: "medical_center_id",
+                table: "register_check_asbitem",
+                newName: "MedicalCenterId");
+        }
+    }
+}

src/Shentun.Peis.EntityFrameworkCore/Migrations/PeisDbContextModelSnapshot.cs

@@ -9319,6 +9319,7 @@ namespace Shentun.Peis.Migrations
                         .ValueGeneratedOnAdd()
                         .HasColumnType("uuid")
                         .HasDefaultValue(new Guid("00000000-0000-0000-0000-000000000000"))
+                        .HasColumnName("medical_center_id")
                         .HasComment("体检中心id");
 
                     b.Property<Guid>("PatientRegisterId")