预约

src/Shentun.WebPeis.Application.Contracts/AppointPatientRegisters/PersonDiseaseRiskLevelDto.cs

@@ -32,6 +32,8 @@ namespace Shentun.WebPeis.AppointPatientRegisters
 
         public string DiseaseRiskLevelName { get; set; }
 
+        public int DiseaseRiskLevelDisplayOrder { get; set; }
+
         public List<RecommendMedicalPackageAsbitem> Asbitems { get; set; } = new List<RecommendMedicalPackageAsbitem>();
     }
 

src/Shentun.WebPeis.Application.Contracts/AppointPatientRegisters/RecommendMedicalPackagePatientRegisterIdInputDto.cs

@@ -15,5 +15,6 @@ namespace Shentun.WebPeis.AppointPatientRegisters
         /// 人员ID
         /// </summary>
         public Guid PersonId { get; set; }
+
     }
 }

src/Shentun.WebPeis.Application.Contracts/Persons/CreatePersonDto.cs

@@ -91,6 +91,11 @@ namespace Shentun.WebPeis.Persons
 
         public decimal? Weight { get; set; }
 
+        /// <summary>
+        /// 备孕标志
+        /// </summary>
+        public char? PregnantFlag { get; set; } = '0';
+
         /// <summary>
         /// 微信JsCode
         /// </summary>

src/Shentun.WebPeis.Application.Contracts/Persons/UpdatePersonDto.cs

@@ -88,24 +88,29 @@ namespace Shentun.WebPeis.Persons
 
         public decimal? Weight { get; set; }
 
+        /// <summary>
+        /// 备孕标志
+        /// </summary>
+        public char? PregnantFlag { get; set; } = '0';
+
         /// <summary>
         /// 短信校验码
         /// </summary>
-        public string SmsVerifyCode { get; set; }
+        public string? SmsVerifyCode { get; set; }
 
         /// <summary>
         /// 短信校验码键
         /// </summary>
-        public string SmsVerifyCodeKey { get; set; }
+        public string? SmsVerifyCodeKey { get; set; }
 
         /// <summary>
         /// 会话键
         /// </summary>
-        public string SessionKey { get; set; }
+        public string? SessionKey { get; set; }
         /// <summary>
         /// 会话键值
         /// </summary>
-        public string SessionKeyValue { get; set; }
+        public string? SessionKeyValue { get; set; }
 
     }
 }

src/Shentun.WebPeis.Application.Contracts/QuestionRegisters/PersonDiseaseRiskIdInputDto.cs

@@ -15,19 +15,19 @@ namespace Shentun.WebPeis.QuestionRegisters
         /// </summary>
         public Guid DiseaseRiskId { get; set; }
 
-        /// <summary>
-        /// 备孕标志
-        /// </summary>
-        public char PregnantFlag { get; set; }
-        /// <summary>
-        /// 身高
-        /// </summary>
+        ///// <summary>
+        ///// 备孕标志
+        ///// </summary>
+        //public char PregnantFlag { get; set; }
+        ///// <summary>
+        ///// 身高
+        ///// </summary>
 
-        public decimal? Height { get; set; }
-        /// <summary>
-        /// 体重
-        /// </summary>
+        //public decimal? Height { get; set; }
+        ///// <summary>
+        ///// 体重
+        ///// </summary>
 
-        public decimal? Weight { get; set; }
+        //public decimal? Weight { get; set; }
     }
 }

src/Shentun.WebPeis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs

@@ -690,7 +690,7 @@ namespace Shentun.WebPeis.AppointPatientRegisters
             };
 
 
-            var medicalPackageAsbitems = asbitems.Select(o=> 
+            var medicalPackageAsbitems = asbitems.Select(o =>
                                            new RecommendMedicalPackageAsbitem()
                                            {
                                                AsbitemId = o.asbitem.AsbitemId,
@@ -839,19 +839,19 @@ namespace Shentun.WebPeis.AppointPatientRegisters
 
             //----推荐组合项目
 
-            var personDiseaseRiskLevelDtos = await GetDiseaseRiskListByPersonIdAsync(input.PersonId);
+            var personDiseaseRiskLevelDtos = await GetDiseaseRiskListByPersonIdAsync(input.PersonId, input.RecommendId);
             //var pregnancyAsbitems = await _asbitemRepository.GetListAsync(o =>
             //o.ForPregnantFlag == ForPregnantFlag.PreparePregnancy || o.ForPregnantFlag == ForPregnantFlag.Pregnancy);
             //去掉基本套餐已经包含的组合项目和和怀孕禁止检查的项目
             foreach (var personDiseaseRiskLevelDto in personDiseaseRiskLevelDtos)
             {
-                for (var i = 0;  i< personDiseaseRiskLevelDto.Asbitems.Count; i++ )
+                for (var i = 0; i < personDiseaseRiskLevelDto.Asbitems.Count; i++)
                 {
                     var personDiseaseRiskLevelAsbitem = personDiseaseRiskLevelDto.Asbitems[i];
                     if (medicalPackageAsbitems.Where(o => o.AsbitemId == personDiseaseRiskLevelAsbitem.AsbitemId).Any())
                     {
                         personDiseaseRiskLevelDto.Asbitems.Remove(personDiseaseRiskLevelAsbitem);
-                        i --;
+                        i--;
                     }
 
                 }
@@ -860,7 +860,7 @@ namespace Shentun.WebPeis.AppointPatientRegisters
             var personDiseaseRiskLevelResultDtos = new List<PersonDiseaseRiskLevelDto>();
             foreach (var personDiseaseRiskLevelDto in personDiseaseRiskLevelDtos)
             {
-                if(personDiseaseRiskLevelDto.Asbitems.Where(o=>o.AsbitemRecommendLevelId == input.RecommendId).Count() > 0)
+                if (personDiseaseRiskLevelDto.Asbitems.Where(o => o.AsbitemRecommendLevelId == input.RecommendId).Count() > 0)
                 {
                     //只有有推荐的项目才进入推荐风险项目列表
                     var personDiseaseRiskLevelResultDto = new PersonDiseaseRiskLevelDto()
@@ -899,15 +899,15 @@ namespace Shentun.WebPeis.AppointPatientRegisters
                     PersonId = input.PersonId,
                     RecommendId = i + 1
                 });
-                if(i == 0)
+                if (i == 0)
                 {
                     recommendMedicalPackageDto.MedicalPackageName = "推荐必查方案";
                 }
-                else if(i == 1)
+                else if (i == 1)
                 {
                     recommendMedicalPackageDto.MedicalPackageName = "精准筛查方案";
                 }
-                else if(i == 2)
+                else if (i == 2)
                 {
                     recommendMedicalPackageDto.MedicalPackageName = "深入检查方案";
                 }
@@ -920,7 +920,7 @@ namespace Shentun.WebPeis.AppointPatientRegisters
         /// </summary>
         /// <param name="input"></param>
         /// <returns></returns>
-        private async Task<List<PersonDiseaseRiskLevelDto>> GetDiseaseRiskListByPersonIdAsync(Guid personId)
+        private async Task<List<PersonDiseaseRiskLevelDto>> GetDiseaseRiskListByPersonIdAsync(Guid personId, int recommendId = 1)
         {
             var questionRegister = (await _questionRegisterRepository.GetQueryableAsync())
                .Where(o => o.PersonId == personId)
@@ -931,7 +931,7 @@ namespace Shentun.WebPeis.AppointPatientRegisters
             {
                 return null;
             }
-
+            //获取人员所有答案和对应的组合项目
             var questionRegisterItems = (from questionRegisterItem in await _questionRegisterItemRepository.GetQueryableAsync()
                                          join questionRegisterAnswer in await _questionRegisterAnswerRrepository.GetQueryableAsync()
                                          on questionRegisterItem.QuestionRegisterItemId equals questionRegisterAnswer.QuestionRegisterItemId
@@ -941,7 +941,13 @@ namespace Shentun.WebPeis.AppointPatientRegisters
                                          on questionRegisterItem.QuestionId equals question.QuestionId
                                          join questionSubjectType in await _questionSubjectTypeRepository.GetQueryableAsync()
                                          on question.QuestionSubjectTypeId equals questionSubjectType.QuestionSubjectTypeId
-                                         where questionRegisterItem.QuestionRegisterId == questionRegister.QuestionRegisterId
+
+                                         join questionAnswerAsbitem in await _questionAnswerAsbitemRepository.GetQueryableAsync()
+                                         on questionRegisterAnswer.QuestionAnswerId equals questionAnswerAsbitem.QuestionAnswerId
+                                         join asbitem in await _asbitemRepository.GetQueryableAsync()
+                                         on questionAnswerAsbitem.AsbitemId equals asbitem.AsbitemId
+                                         where questionRegisterItem.QuestionRegisterId == questionRegister.QuestionRegisterId &&
+                                               questionAnswerAsbitem.AsbitemRecommendLevelId == recommendId
                                          orderby questionSubjectType.DisplayOrder, question.DisplayOrder
                                          select new
                                          {
@@ -949,9 +955,12 @@ namespace Shentun.WebPeis.AppointPatientRegisters
                                              question,
                                              questionRegisterItem,
                                              questionRegisterAnswer,
-                                             questionAnswer
+                                             questionAnswerAsbitem,
+                                             questionAnswer,
+                                             asbitem,
                                          }).ToList();
 
+            //获取所有疾病风险基础字典
             var diseaseRisks = (from diseaseRisk in await _diseaseRiskRepository.GetQueryableAsync()
                                 join diseaseRiskLevel in await _diseaseRiskLevelRepository.GetQueryableAsync()
                                 on diseaseRisk.DiseaseRiskId equals diseaseRiskLevel.DiseaseRiskId into emptyDiseaseRiskLevel
@@ -967,6 +976,121 @@ namespace Shentun.WebPeis.AppointPatientRegisters
                                     haveQuestionAnswerRiskLevel
                                 }).ToList();
 
+            //获取人员所有答案
+            var questionAnswers = questionRegisterItems.GroupBy(o => o.questionAnswer)
+                .Select(x => new QuestionAnswer
+                {
+                    QuestionAnswerId = x.Key.QuestionAnswerId,
+                    QuestionAnswerName = x.Key.QuestionAnswerName,
+                    DisplayOrder = x.Key.DisplayOrder,
+                }).OrderBy(m => m.DisplayOrder).ToList();
+
+            //获取答案对应的所有风险级别和组合项目
+            var personDiseaseRiskLevels = new List<PersonDiseaseRiskLevelDto>();
+            foreach (var questionAnswer in questionAnswers)
+            {
+                //获取答案对应的所有组合项目
+                var questionAnswerAsbitems = questionRegisterItems.Where(o => o.questionAnswer.QuestionAnswerId == questionAnswer.QuestionAnswerId)
+                    .Select(o => new RecommendMedicalPackageAsbitem()
+                    {
+                        AsbitemId = o.asbitem.AsbitemId,
+                        AsbitemName = o.asbitem.AsbitemName,
+                        ShortName = o.asbitem.ShortName,
+                        Price = o.asbitem.Price,
+                        ClinicalMeaning = o.asbitem.ClinicalMeaning,
+                        Warn = o.asbitem.Warn,
+                        DisplayOrder = o.asbitem.DisplayOrder,
+                        AsbitemRecommendLevelId = o.questionAnswerAsbitem.AsbitemRecommendLevelId
+                    }
+                       ).ToList();
+
+                //获取答案对应的所有风险级别
+                var personDiseaseRiskLevelDtos = diseaseRisks.Where(o => o.haveQuestionAnswerRiskLevel != null &&
+                   o.haveQuestionAnswerRiskLevel.QuestionAnswerId == questionAnswer.QuestionAnswerId)
+                    .Select(o => new PersonDiseaseRiskLevelDto()
+                    {
+                        DiseaseRiskId = o.diseaseRisk.DiseaseRiskId,
+                        DiseaseRiskName = o.diseaseRisk.DiseaseRiskName,
+                        DisplayOrder = o.diseaseRisk.DisplayOrder,
+                        DiseaseRiskLevelId = o.haveDiseaseRiskLevel.DiseaseRiskLevelId,
+                        DiseaseRiskLevelName = o.haveDiseaseRiskLevel.DiseaseRiskLevelName,
+                        DiseaseRiskLevelDisplayOrder = o.haveDiseaseRiskLevel.DisplayOrder,
+                        Asbitems = questionAnswerAsbitems
+                    }).DistinctBy(o => o.DiseaseRiskId).ToList();
+                if(!personDiseaseRiskLevelDtos.Any())
+                {
+                    //如果答案没有对应的风险级别则虚拟一个，用答案名称作为风险级别
+                  var personDiseaseRiskLevelDto =   new PersonDiseaseRiskLevelDto()
+                    {
+                        DiseaseRiskId = questionAnswer.QuestionAnswerId,
+                        DiseaseRiskName = questionAnswer.QuestionAnswerName,
+                        DisplayOrder = 1000,
+                        DiseaseRiskLevelId = questionAnswer.QuestionAnswerId,
+                        DiseaseRiskLevelName = questionAnswer.QuestionAnswerName,
+                        DiseaseRiskLevelDisplayOrder = 1000,
+                        Asbitems = questionAnswerAsbitems
+                    };
+                    personDiseaseRiskLevels.Add(personDiseaseRiskLevelDto);
+                }
+                else
+                {
+                    personDiseaseRiskLevels.AddRange(personDiseaseRiskLevelDtos);
+                }
+               
+            }
+            //合并同一个疾病风险中的不同组合项目,将低级别风险中的组合项目合并到高风险级别中
+            personDiseaseRiskLevels = personDiseaseRiskLevels.OrderBy(o => o.DisplayOrder).ThenByDescending(o => o.DiseaseRiskLevelDisplayOrder).ToList();
+            for (var i = 0; i < personDiseaseRiskLevels.Count; i++)
+            {
+                var loweriseaseRiskLevels = personDiseaseRiskLevels.Where(o => o.DiseaseRiskId == personDiseaseRiskLevels[i].DiseaseRiskId &&
+                   o.DiseaseRiskLevelDisplayOrder < personDiseaseRiskLevels[i].DiseaseRiskLevelDisplayOrder).ToList();
+                foreach (var loweriseaseRiskLevel in loweriseaseRiskLevels)
+                {
+                    personDiseaseRiskLevels[i].Asbitems.AddRange(loweriseaseRiskLevel.Asbitems);
+
+                }
+                personDiseaseRiskLevels.RemoveAll(loweriseaseRiskLevels);
+            }
+            //去掉相同级别的相同组合项目
+            foreach (var personDiseaseRiskLevel in personDiseaseRiskLevels)
+            {
+                personDiseaseRiskLevel.Asbitems = personDiseaseRiskLevel.Asbitems.GroupBy(o => new { o.AsbitemId, o.AsbitemRecommendLevelId })
+                    .Select(o => new RecommendMedicalPackageAsbitem()
+                    {
+                        AsbitemId = o.FirstOrDefault().AsbitemId,
+                        AsbitemName = o.FirstOrDefault().AsbitemName,
+                        ShortName = o.FirstOrDefault().ShortName,
+                        Price = o.FirstOrDefault().Price,
+                        ClinicalMeaning = o.FirstOrDefault().ClinicalMeaning,
+                        Warn = o.FirstOrDefault().Warn,
+                        DisplayOrder = o.FirstOrDefault().DisplayOrder,
+                        AsbitemRecommendLevelId = o.FirstOrDefault().AsbitemRecommendLevelId
+                    }).ToList();
+            }
+
+            //获取有共同组合项目的风险级别
+            var newPersonDiseaseRiskLevelDtos = new List<PersonDiseaseRiskLevelDto>();
+            foreach (var personDiseaseRiskLevel in personDiseaseRiskLevels)
+            {
+
+                foreach (var personDiseaseRiskLevel2 in personDiseaseRiskLevels)
+                {
+                    if (personDiseaseRiskLevel == personDiseaseRiskLevel2)
+                    {
+                        continue;
+                    }
+                    for (var i = 0; i < personDiseaseRiskLevel2.Asbitems.Count(); i++)
+                    {
+                        if (personDiseaseRiskLevel.Asbitems.Where(o => o.AsbitemId == personDiseaseRiskLevel2.Asbitems[i].AsbitemId).Any())
+                        {
+                            personDiseaseRiskLevel.DiseaseRiskName += "," + personDiseaseRiskLevel2.DiseaseRiskName;
+                            personDiseaseRiskLevel2.Asbitems.Remove(personDiseaseRiskLevel2.Asbitems[i]);
+                            i--;
+                        }
+                    }
+                }
+            }
+            return personDiseaseRiskLevels;
             var questionRegisterDiseaseRiskDtos = diseaseRisks.GroupBy(o => o.diseaseRisk)
             .Select(o => new PersonDiseaseRiskLevelDto()
             {

src/Shentun.WebPeis.Application/Persons/PersonAppService.cs

@@ -37,6 +37,7 @@ using Shentun.WebPeis.CustomerOrgs;
 using Shentun.Utilities.Enums;
 using Shentun.Sms.Client;
 using Shentun.Utilities;
+using IdentityModel;
 namespace Shentun.WebPeis.Persons
 {
     /// <summary>
@@ -95,7 +96,21 @@ namespace Shentun.WebPeis.Persons
         {
             var entity = await _repository.GetAsync(o => o.PersonId == input.PersonId);
             var entityDto = ObjectMapper.Map<Person, PersonDto>(entity);
-
+            var user = await _identityUserRepository.GetAsync(input.PersonId);
+            entityDto.MobileTelephone = user.PhoneNumber;
+            entityDto.PersonName = user.Name;
+            entityDto.SexName = await _cacheService.GetSexNameAsync(entityDto.SexId);
+            entityDto.MaritalStatusName = await _cacheService.GetMaritalStatusNameAsync(entityDto.MaritalStatusId);
+            entityDto.NationName = await _cacheService.GetNationNameAsync(entityDto.NationId);
+            var questionRegister = await _questionRegisterRepository.FindAsync(o=>o.PersonId == input.PersonId);
+            if(questionRegister != null)
+            {
+                entityDto.IsHaveQuestionRegister = 'Y';
+            }
+            else
+            {
+                entityDto.IsHaveQuestionRegister = 'N';
+            }
             return entityDto;
 
         }
@@ -185,6 +200,7 @@ namespace Shentun.WebPeis.Persons
                     throw new UserFriendlyException("无效的短信校验码或已过期");
                 }
 
+               
                 var person = await _repository.FindAsync(o => o.IdNo == input.IdNo);
                 if (person != null)
                 {
@@ -307,14 +323,22 @@ namespace Shentun.WebPeis.Persons
             var person = await _repository.GetAsync(o => o.PersonId == input.PersonId);
            
             await _personManager.UpdateAsync(entity, person);
-            await _repository.UpdateAsync(person);
+            await _repository.UpdateAsync(person,true);
             //更新用户信息
             var user = await _identityUserRepository.GetAsync(person.PersonId);
             user.Name = input.PersonName;
             
-            await _identityUserRepository.UpdateAsync(user);
+            await _identityUserRepository.UpdateAsync(user,true);
 
-            return ObjectMapper.Map<Person, PersonDto>(person);
+           
+            var personDto = await GetByIdAsync(new PersonIdInputDto() { PersonId = input.PersonId });
+          
+            //personDto.MobileTelephone = user.PhoneNumber;
+            //personDto.PersonName = user.Name;
+
+
+
+            return personDto;
 
         }
         /// <summary>

src/Shentun.WebPeis.Application/QuestionRegisters/QuestionRegisterAppService.cs

@@ -36,9 +36,11 @@ namespace Shentun.WebPeis.QuestionRegisters
         private readonly IRepository<QuestionAnswerRiskLevel> _questionAnswerRiskLevelRepository;
         private readonly IRepository<QuestionAnswerAsbitem> _questionAnswerAsbitemRepository;
         private readonly IRepository<Asbitem> _asbitemRepository;
+        private readonly IRepository<Person> _personRepository;
         private readonly QuestionRegisterManager _questionRegisterManager;
         private readonly IUnitOfWorkManager _unitOfWorkManager;
         private readonly SysParmValueManager _sysParmValueManager;
+        private readonly PersonManager _personManager;
         public QuestionRegisterAppService(IRepository<QuestionRegister> repository,
             IRepository<QuestionRegisterItem> questionRegisterItemRepository,
             IRepository<QuestionRegisterAnswer> questionRegisterAnswerRrepository,
@@ -52,7 +54,9 @@ namespace Shentun.WebPeis.QuestionRegisters
             IRepository<QuestionAnswerRiskLevel> questionAnswerRiskLevelRepository,
             IRepository<QuestionAnswerAsbitem> questionAnswerAsbitemRepository,
             IRepository<Asbitem> asbitemRepository,
-            SysParmValueManager sysParmValueManager)
+            SysParmValueManager sysParmValueManager,
+            IRepository<Person> personRepository,
+            PersonManager personManager)
         {
             _repository = repository;
             _questionRegisterItemRepository = questionRegisterItemRepository;
@@ -68,6 +72,8 @@ namespace Shentun.WebPeis.QuestionRegisters
             _questionAnswerAsbitemRepository = questionAnswerAsbitemRepository;
             _asbitemRepository = asbitemRepository;
             _sysParmValueManager = sysParmValueManager;
+            _personRepository = personRepository;
+            _personManager = personManager;
         }
 
 
@@ -231,6 +237,26 @@ namespace Shentun.WebPeis.QuestionRegisters
                 }
             }
 
+            //超重信息
+            //var person = await _personRepository.GetAsync(o => o.PersonId == input.PersonId);
+            _personManager.IsOverweight(input.PersonId);
+            var isOverweight = await _personManager.IsOverweight(input.PersonId);  //await IsOverweight(person.Height, person.Weight);
+            if (isOverweight)
+            {
+                //危险因素编码是03
+                var personSubjectTypeDto = personSubjectTypeDtos.Where(o => o.QuestionSubjectTypeId == "03").Single();
+                var questionAnswerOverweightCodeStr = await _sysParmValueManager.GetSysParmValueAsync(Guid.Empty, "question_answer_overweight_code");
+                if (!Guid.TryParse(questionAnswerOverweightCodeStr, out var questionAnswerOverweightCode))
+                {
+                    throw new UserFriendlyException("在系统参数中超重编码维护不正确");
+                }
+                var questionAnswer = await _questionAnswerRepository.GetAsync(o => o.QuestionAnswerId == questionAnswerOverweightCode);
+                personSubjectTypeDto.Answers.Add(new PersonSubjectTypeQuestionAnswer()
+                {
+                    QuestionAnswerName = questionAnswer.QuestionAnswerName,
+                    DisplayOrder = questionAnswer.DisplayOrder,
+                });
+            }
             return personSubjectTypeDtos;
         }
 
@@ -240,7 +266,7 @@ namespace Shentun.WebPeis.QuestionRegisters
         /// <param name="input"></param>
         /// <returns></returns>
         [HttpPost("api/app/QuestionRegister/GetQuestionRegisterListByPersonId")]
-        public async Task<List<QuestionRegisterItemResultDto>> GetQuestionRegisterListByPersonIdAsync(PersonAppointInputDto input)
+        public async Task<List<QuestionRegisterItemResultDto>> GetQuestionRegisterListByPersonIdAsync(PersonIdInputDto input)
         {
             var questionRegister = (await _repository.GetQueryableAsync())
                .Where(o => o.PersonId == input.PersonId)
@@ -328,7 +354,7 @@ namespace Shentun.WebPeis.QuestionRegisters
         /// <param name="input"></param>
         /// <returns></returns>
         [HttpPost("api/app/QuestionRegister/GetDiseaseRiskListByPersonId")]
-        public async Task<List<QuestionRegisterDiseaseRiskDto>> GetDiseaseRiskListByPersonIdAsync(PersonAppointInputDto input)
+        public async Task<List<QuestionRegisterDiseaseRiskDto>> GetDiseaseRiskListByPersonIdAsync(PersonIdInputDto input)
         {
             var questionRegister = (await _repository.GetQueryableAsync())
                .Where(o => o.PersonId == input.PersonId)
@@ -383,6 +409,20 @@ namespace Shentun.WebPeis.QuestionRegisters
                     DisplayOrder = o.Key.DisplayOrder
                 }).ToList();
 
+            //超重信息
+            var isOverweight = await _personManager.IsOverweight(input.PersonId); 
+            QuestionAnswer overweightQuestionAnswer = null;
+            if (isOverweight)
+            {
+                var questionAnswerOverweightCodeStr = await _sysParmValueManager.GetSysParmValueAsync(Guid.Empty, "question_answer_overweight_code");
+                if (!Guid.TryParse(questionAnswerOverweightCodeStr, out var questionAnswerOverweightCode))
+                {
+                    throw new UserFriendlyException("在系统参数中超重编码维护不正确");
+                }
+                overweightQuestionAnswer = await _questionAnswerRepository.GetAsync(o => o.QuestionAnswerId == questionAnswerOverweightCode);
+
+            }
+
             foreach (var diseaseRisk in questionRegisterDiseaseRiskDtos)
             {
                 //疾病级别必须按优先级别排序，取顺序最高的作为最高风险级
@@ -403,6 +443,15 @@ namespace Shentun.WebPeis.QuestionRegisters
                         }
 
                     }
+                    //超重
+                    if (overweightQuestionAnswer != null && diseaseRiskLevel.haveQuestionAnswerRiskLevel != null)
+                    {
+                        if (diseaseRiskLevel.haveQuestionAnswerRiskLevel.QuestionAnswerId == overweightQuestionAnswer.QuestionAnswerId)
+                        {
+                            matchDiseaseRiskLevel = diseaseRiskLevel.haveDiseaseRiskLevel;
+                            break;
+                        }
+                    }
                 }
                 if (matchDiseaseRiskLevel == null)
                 {
@@ -435,23 +484,38 @@ namespace Shentun.WebPeis.QuestionRegisters
         {
             if (input == null) { throw new UserFriendlyException("input参数不能为空"); }
 
+            var questionRegister = (await _repository.GetQueryableAsync())
+              .Where(o => o.PersonId == input.PersonId)
+              .OrderByDescending(o => o.CreationTime)
+              .FirstOrDefault();
+
+            if (questionRegister == null)
+            {
+                return null;
+            }
+
             var diseaseRisk = await _diseaseRiskRepository.GetAsync(o => o.DiseaseRiskId == input.DiseaseRiskId);
             var diseaseRiskLevels = (await _diseaseRiskLevelRepository.GetListAsync(o => o.DiseaseRiskId == input.DiseaseRiskId))
                  .OrderBy(o => o.DisplayOrder);
 
             //获取人员疾病风险列表
-            var diseaseRiskList = await GetDiseaseRiskListByPersonIdAsync(new PersonAppointInputDto() { PersonId = input.PersonId });
+            var diseaseRiskList = await GetDiseaseRiskListByPersonIdAsync(new PersonIdInputDto() { PersonId = input.PersonId });
             var personDiseaseRisk = diseaseRiskList.Where(o => o.DiseaseRiskId == input.DiseaseRiskId).First();
             var diseaseRiskLevel = diseaseRiskLevels.Where(o => o.DiseaseRiskLevelId == personDiseaseRisk.DiseaseRiskLevelId).FirstOrDefault();
 
-            var asbitems = (from questionAnswerAsbitem in await _questionAnswerAsbitemRepository.GetQueryableAsync()
+            var asbitems = (from questionRegisterItem in await _questionRegisterItemRepository.GetQueryableAsync()
+                            join questionRegisterAnswer in await _questionRegisterAnswerRrepository.GetQueryableAsync()
+                            on questionRegisterItem.QuestionRegisterItemId equals questionRegisterAnswer.QuestionRegisterItemId
+                            join questionAnswerAsbitem in await _questionAnswerAsbitemRepository.GetQueryableAsync()
+                            on questionRegisterAnswer.QuestionAnswerId equals questionAnswerAsbitem.QuestionAnswerId
                             join asbitem in await _asbitemRepository.GetQueryableAsync()
                             on questionAnswerAsbitem.AsbitemId equals asbitem.AsbitemId
                             join questionAnswerRiskLevel in await _questionAnswerRiskLevelRepository.GetQueryableAsync()
                             on questionAnswerAsbitem.QuestionAnswerId equals questionAnswerRiskLevel.QuestionAnswerId
-                            where questionAnswerRiskLevel.DiseaseRiskLevelId == diseaseRiskLevel.DiseaseRiskLevelId
+                            where questionRegisterItem.QuestionRegisterId == questionRegister.QuestionRegisterId &&
+                               questionAnswerRiskLevel.DiseaseRiskLevelId == diseaseRiskLevel.DiseaseRiskLevelId
                             orderby asbitem.DisplayOrder
-                            select asbitem).ToList();
+                            select asbitem).Distinct().ToList();
 
             var questionRegisterDiseaseRiskSingleDto = new QuestionRegisterDiseaseRiskSingleDto()
             {
@@ -475,15 +539,50 @@ namespace Shentun.WebPeis.QuestionRegisters
                 }).ToList()
             };
 
+            //超重信息
 
-            var questionRegister = (await _repository.GetQueryableAsync())
-             .Where(o => o.PersonId == input.PersonId)
-             .OrderByDescending(o => o.CreationTime)
-             .FirstOrDefault();
-            if (questionRegister == null)
+            var isOverweight = await _personManager.IsOverweight(input.PersonId);  
+            QuestionAnswer overweightQuestionAnswer = null;
+            if (isOverweight)
             {
-                return null;
+                var questionAnswerOverweightCodeStr = await _sysParmValueManager.GetSysParmValueAsync(Guid.Empty, "question_answer_overweight_code");
+                if (!Guid.TryParse(questionAnswerOverweightCodeStr, out var questionAnswerOverweightCode))
+                {
+                    throw new UserFriendlyException("在系统参数中超重编码维护不正确");
+                }
+                overweightQuestionAnswer = await _questionAnswerRepository.GetAsync(o => o.QuestionAnswerId == questionAnswerOverweightCode);
+                var questionAnswerRiskLevel = await _questionAnswerRiskLevelRepository.FindAsync(o => o.QuestionAnswerId == overweightQuestionAnswer.QuestionAnswerId &&
+                  o.DiseaseRiskLevelId == diseaseRiskLevel.DiseaseRiskLevelId);
+                if (questionAnswerRiskLevel != null)
+                {
+                    var questionAnswerAsbitems = (from questionAnswerAsbitem in await _questionAnswerAsbitemRepository.GetQueryableAsync()
+                                                  join asbitem in await _asbitemRepository.GetQueryableAsync()
+                                                  on questionAnswerAsbitem.AsbitemId equals asbitem.AsbitemId
+                                                  where questionAnswerAsbitem.QuestionAnswerId == overweightQuestionAnswer.QuestionAnswerId
+                                                  select asbitem).ToList();
+
+                    foreach (var questionAnswerAsbitem in questionAnswerAsbitems)
+                    {
+                        if (!questionRegisterDiseaseRiskSingleDto.Asbitems.Where(o => o.AsbitemId == questionAnswerAsbitem.AsbitemId).Any())
+                        {
+                            questionRegisterDiseaseRiskSingleDto.Asbitems.Add(new QuestionRegisterDiseaseRiskAsbitem()
+                            {
+                                AsbitemId = questionAnswerAsbitem.AsbitemId,
+                                AsbitemName = questionAnswerAsbitem.AsbitemName,
+                                DisplayOrder = questionAnswerAsbitem.DisplayOrder
+                            });
                         }
+                    }
+
+                    questionRegisterDiseaseRiskSingleDto.Answers.Add(new QuestionRegisterItemResultAnswer()
+                    {
+                        Answer = overweightQuestionAnswer.QuestionAnswerName,
+                        DisplayOrder = overweightQuestionAnswer.DisplayOrder,
+                    });
+                }
+
+            }
+
 
             var questionRegisterItems = (from questionRegisterItem in await _questionRegisterItemRepository.GetQueryableAsync()
                                          join questionRegisterAnswer in await _questionRegisterAnswerRrepository.GetQueryableAsync()

src/Shentun.WebPeis.Domain/Models/Person.cs

@@ -95,6 +95,11 @@ public partial class Person: AuditedEntity,IHasConcurrencyStamp
     /// </summary>
 
     public decimal? Weight { get; set; }
+
+    /// <summary>
+    /// 备孕标志
+    /// </summary>
+    public char PregnantFlag { get; set; }
     public virtual ICollection<QuestionRegister> QuestionRegisters { get; set; } = new List<QuestionRegister>();
 
     public override object?[] GetKeys()

src/Shentun.WebPeis.Domain/Persons/PersonManager.cs

@@ -2,6 +2,7 @@
 using NPOI.POIFS.FileSystem;
 using Shentun.Utilities;
 using Shentun.Utilities.Enums;
+using Shentun.WebPeis.Enums;
 using Shentun.WebPeis.Models;
 using Shentun.WebPeis.SysParmValues;
 using System;
@@ -138,6 +139,7 @@ namespace Shentun.WebPeis.Persons
             targetEntity.IsAllowBind = sourceEntity.IsAllowBind;
             targetEntity.Height = sourceEntity.Height;
             targetEntity.Weight = sourceEntity.Weight;
+            targetEntity.PregnantFlag = sourceEntity.PregnantFlag;
 
 
         }
@@ -198,7 +200,11 @@ namespace Shentun.WebPeis.Persons
                 }
             }
 
-
+            if (entity.PregnantFlag != PregnantFlag.None && entity.PregnantFlag != PregnantFlag.PreparePregnancy
+               && entity.PregnantFlag != PregnantFlag.Pregnancy)
+            {
+                throw new UserFriendlyException("备孕标志错误");
+            }
 
         }
 
@@ -252,5 +258,35 @@ namespace Shentun.WebPeis.Persons
             return person_id_rule_prefix + maxnum.PadLeft(Convert.ToInt32(person_id_rule_tail_len), '0');
 
         }
+
+
+        public async Task<bool> IsOverweight(Guid personId)
+        {
+            decimal? height;
+            decimal? weight;
+            var person = await _repository.GetAsync(o => o.PersonId == personId);
+
+            height = person.Height;
+            weight = person.Weight;
+
+            if (height == null || weight == null || height <= 0 || weight <= 0)
+            {
+                return false;
+            }
+
+            var tzzs = (weight / ((height / 100) * (height / 100)));
+            var sysTzzsStr = await _sysParmValueManager.GetSysParmValueAsync(Guid.Empty, "question_overweight");
+            decimal sysTzzs;
+            if (!decimal.TryParse(sysTzzsStr, out sysTzzs))
+            {
+                sysTzzs = (decimal)24.5;
+            }
+            if (tzzs >= sysTzzs)
+            {
+                return true;
+            }
+            return false;
+        }
+
     }
 }

src/Shentun.WebPeis.Domain/QuestionRegisters/QuestionRegisterManager.cs

@@ -61,5 +61,8 @@ namespace Shentun.WebPeis.QuestionRegisters
             }
             return entity;
         }
+
+
+
     }
 }

src/Shentun.WebPeis.EntityFrameworkCore/Configures/AppointPatientRegisterConfigure.cs

@@ -57,6 +57,21 @@ namespace Shentun.WebPeis.Configures
             entity.Property(e => e.Remark)
                 .HasMaxLength(200)
                 .HasColumnName("remark");
+
+            entity.Property(e => e.Height)
+              .HasComment("身高")
+              .HasPrecision(4, 1)
+              .HasColumnName("height");
+
+            entity.Property(e => e.Weight)
+               .HasComment("体重")
+               .HasPrecision(5, 2)
+               .HasColumnName("weight");
+
+            entity.Property(e => e.PregnantFlag)
+               .HasComment("备孕标志")
+               .HasDefaultValueSql("'0'::bpchar")
+               .HasColumnName("pregnant_flag");
         }
     }
 }

src/Shentun.WebPeis.EntityFrameworkCore/Configures/PersonConfigure.cs

@@ -97,6 +97,22 @@ namespace Shentun.WebPeis.Configures
             entity.Property(e => e.WechatOpenId)
                 .HasMaxLength(50)
                 .HasColumnName("wechat_open_id");
+
+            entity.Property(e => e.Height)
+                .HasComment("身高")
+                .HasPrecision(4, 1)
+                .HasColumnName("height");
+
+            entity.Property(e => e.Weight)
+               .HasComment("体重")
+               .HasPrecision(5, 2)
+               .HasColumnName("weight");
+
+            entity.Property(e => e.PregnantFlag)
+               .HasComment("备孕标志")
+               .HasDefaultValueSql("'0'::bpchar")
+               .HasColumnName("pregnant_flag");
+
         }
     }
 }

test/Shentun.WebPeis.Application.Tests/QuestionRegisterAppServiceTest.cs

@@ -101,7 +101,7 @@ namespace Shentun.WebPeis
             using (var unitOfWork = _unitOfWorkManager.Begin(isTransactional: true))
             {
 
-                var entity = await _appService.GetQuestionRegisterListByPersonIdAsync(new PersonAppointInputDto()
+                var entity = await _appService.GetQuestionRegisterListByPersonIdAsync(new PersonIdInputDto()
                 {
                     PersonId = new Guid("3a12d72c-19d9-e8b2-71f6-cf283103e191") // 3a12d7fa-63f1-d549-c2f8-01123e5b7a8a
                 });
@@ -127,7 +127,7 @@ namespace Shentun.WebPeis
             using (var unitOfWork = _unitOfWorkManager.Begin(isTransactional: true))
             {
 
-                var entity = await _appService.GetDiseaseRiskListByPersonIdAsync(new PersonAppointInputDto()
+                var entity = await _appService.GetDiseaseRiskListByPersonIdAsync(new PersonIdInputDto()
                 {
                     PersonId = new Guid("3a12d72c-19d9-e8b2-71f6-cf283103e191") // 3a12d7fa-63f1-d549-c2f8-01123e5b7a8a
                 });