/// <summary>
/// 采集检查
/// </summary>
/// <returns></returns>
private bool CollectExam(PatientExamListDTO item)
{
bool bSuccess = false;
try
{
_logger.DebugFormat("开始采集检查记录, observationUID={0}", item.ObservationRequest.ObservationUID);
if (item.PatientIndex != null && item.ObservationRequest != null)
{
_logger.Debug("获取检查文档信息");
List <ExamDocument> examDocuments = WebApiRequestHelper.GetExamDocuments(item.ObservationRequest.ObservationUID);
if (examDocuments != null)
{
string xml = BuildExamInfo(item, examDocuments);
//_logger.InfoFormat("构造xml:{0}", xml);
var result = WebApiRequestHelper.RegistryExam(xml);
if (result.code == ResultCodeEnum.Success)
{
_logger.InfoFormat("注册检查{0}成功:RepositoryUniqueId = {1}", item.ObservationRequest.ObservationUID, result.msg);
bSuccess = true;
}
else
{
_logger.Error("注册检查失败");
}
}
}
else
{
_logger.Error($"调用RegistPatientExam出错, ObservationUID:{item.ObservationRequest.ObservationUID}，患者检查信息不完整");
}
}
catch (Exception ex)
{
_logger.Error($"调用RegistPatientExam出错, ObservationUID:{item.ObservationRequest.ObservationUID}", ex);
}
return(bSuccess);
}
private string BuildExamInfo(PatientExamListDTO exam, List <ExamDocument> examDocuments)
{
_logger.InfoFormat($"创建注册检查XML信息：PatientExamListDTO：{exam}，examDocuments：{examDocuments}");
XmlDocument doc = new XmlDocument();
XmlElement provideAndRegisterDocumentSetRequest = doc.CreateElement("ProvideAndRegisterDocumentSetRequest");
provideAndRegisterDocumentSetRequest.SetAttribute("xmlns:xsi", "http://www.w3.org/2001/XMLSchema-instance");
provideAndRegisterDocumentSetRequest.SetAttribute("xsi:schemaLocation", "urn:ihe:iti:xds-b:2007 ../../schema/IHE/XDS.b_DocumentRepository.xsd");
provideAndRegisterDocumentSetRequest.SetAttribute("xmlns", xmlns_value);
provideAndRegisterDocumentSetRequest.SetAttribute($"xmlns:{xmlns_lcm_name}", xmlns_lcm_value);
provideAndRegisterDocumentSetRequest.SetAttribute($"xmlns:{xmlns_rim_name}", xmlns_rim_value);
provideAndRegisterDocumentSetRequest.SetAttribute("xmlns:rs", "urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0");
XmlElement submitObjectsRequest = doc.CreateElement(xmlns_lcm_name, "SubmitObjectsRequest", xmlns_lcm_value);
XmlElement registryObjectList = doc.CreateElement(xmlns_rim_name, "RegistryObjectList", xmlns_rim_value);
XmlElement objectRefNode;
for (int i = 0; i < 19; i++)
{
objectRefNode = doc.CreateElement("ObjectRef");
objectRefNode.SetAttribute("id", $"urn:uuid:{Guid.NewGuid()}");
objectRefNode.SetAttribute("xmlns", xmlns_value);
registryObjectList.AppendChild(objectRefNode);
}
string sourcePatientId = exam.PatientIndex.PatientID;
string[] sourcePatientInfo = new string[] {
$"PID-3|{exam.PatientIndex.PatientID}",
$"PID-5|{exam.PatientIndex.Name}",
$"PID-7|{exam.PatientIndex.BirthDate?.ToString("yyyyMMdd")}",
$"PID-8|{(exam.PatientIndex.Sex==null?"":exam.PatientIndex.Sex=="男"?"M":"F")}",
$"PID-11|{exam.PatientIndex.AddressDetail}",
$"PID-20|{exam.PatientIndex.InsuranceID}",
"PID-21|2",
$"PID-22|{exam.PatientIndex.IDCardNO}",
"PID-23|1",
$"PID-24|{exam.PatientVisit.Age}",
$"PID-25|{exam.PatientVisit.AgeUnit}"
};
Dictionary <string, string> codingSchemeList = new Dictionary <string, string>()
{
{ "检查报告", "S.05.002" }, // 固定值
{ "普通", "0" }, // 固定值
{ "医疗机构信息基础模版", "MT17" }, // 固定值
{ exam.ObservationRequest.OrganizationName, "A100" },
{ exam.ObservationRequest.ClinicDiagnosis, "06" },
{ "特殊检查及治疗同意书", "1" }, // 固定值
};
XmlElement registryPackage = doc.CreateElement(xmlns_rim_name, "RegistryPackage", xmlns_rim_value);
registryPackage.SetAttribute("id", "提交集名称1");
registryPackage.AppendChild(BuildSlotNode(doc, "submissionTime", "20101230"));
registryPackage.AppendChild(BuildNameNode(doc, "Name", "提交集标题"));
registryPackage.AppendChild(BuildNameNode(doc, "Description", "s.Remark"));
XmlElement extrinsicObject;
XmlElement classificationNode;
XmlElement externalIdentifierNode;
XmlElement documentNode;
for (int i = 0; i < examDocuments.Count; i++)
{
string docId = examDocuments[i].FileUID;
string docName = examDocuments[i].OriginalFileName;
string docDescription = "";
string documentType = examDocuments[i].TypeCode;
string docMimeType = examDocuments[i].MimeType;
string docUrl = examDocuments[i].FileRelativePath;
string docCreationTime = examDocuments[i].FileCreateTime.ToString("yyyyMMdd");
extrinsicObject = doc.CreateElement(xmlns_rim_name, "ExtrinsicObject", xmlns_rim_value);
extrinsicObject.SetAttribute("id", docId);
extrinsicObject.SetAttribute("mimeType", docMimeType);
extrinsicObject.SetAttribute("objectType", $"urn:uuid:{Guid.NewGuid()}");
extrinsicObject.AppendChild(BuildSlotNode(doc, "creationTime", docCreationTime));
extrinsicObject.AppendChild(BuildSlotNode(doc, "languageCode", "zh-cn"));
extrinsicObject.AppendChild(BuildSlotNode(doc, "serviceStartTime", "20101010120000"));
extrinsicObject.AppendChild(BuildSlotNode(doc, "serviceStopTime", "20101010120000"));
extrinsicObject.AppendChild(BuildSlotNode(doc, "sourcePatientId", sourcePatientId));
extrinsicObject.AppendChild(BuildSlotNode(doc, "sourcePatientInfo", sourcePatientInfo));
extrinsicObject.AppendChild(BuildNameNode(doc, "Name", docName));
extrinsicObject.AppendChild(BuildNameNode(doc, "Description", docDescription));
classificationNode = doc.CreateElement(xmlns_rim_name, "Classification", xmlns_rim_value);
classificationNode.SetAttribute("id", "27ea0f9b-86ee-4d4c-8c20-efcc9aaa1fed");
classificationNode.SetAttribute("classificationScheme", "urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d");
classificationNode.SetAttribute("classifiedObject", docId);
classificationNode.SetAttribute("nodeRepresentation", "");
classificationNode.AppendChild(BuildSlotNode(doc, "authorPerson", ""));
classificationNode.AppendChild(BuildSlotNode(doc, "authorInstitution", exam.ObservationRequest.OrganizationName));
classificationNode.AppendChild(BuildSlotNode(doc, "authorRole", ""));
classificationNode.AppendChild(BuildSlotNode(doc, "authorSpecialty", ""));
extrinsicObject.AppendChild(classificationNode);
foreach (var item in codingSchemeList)
{
classificationNode = doc.CreateElement(xmlns_rim_name, "Classification", xmlns_rim_value);
classificationNode.SetAttribute("id", Guid.NewGuid().ToString());
classificationNode.SetAttribute("classificationScheme", $"urn:uuid:{Guid.NewGuid()}");
classificationNode.SetAttribute("classifiedObject", docId);
classificationNode.SetAttribute("nodeRepresentation", item.Value);
classificationNode.AppendChild(BuildSlotNode(doc, "codingScheme", item.Key));
classificationNode.AppendChild(BuildNameNode(doc, "Name", item.Value));
extrinsicObject.AppendChild(classificationNode);
}
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", "urn:uuid:62042122-e0ee-4a23-a080-1c9961dfaeaa");
externalIdentifierNode.SetAttribute("registryObject", docId);
externalIdentifierNode.SetAttribute("identificationScheme", "urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427");
externalIdentifierNode.SetAttribute("value", "G0000044729");
externalIdentifierNode.AppendChild(BuildNameNode(doc, "Name", "XDSDocumentEntry.patientId"));
extrinsicObject.AppendChild(externalIdentifierNode);
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", "urn:uuid:e3af122c-69b7-4821-af49-054958e62c6d");
externalIdentifierNode.SetAttribute("registryObject", docId);
externalIdentifierNode.SetAttribute("identificationScheme", "urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab");
externalIdentifierNode.SetAttribute("value", "4847864a-d8c6-42b8-88c0-ef2692544e23");
extrinsicObject.AppendChild(externalIdentifierNode);
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", $"urn:uuid:$ERAD_DOCUMENT_EXTERNAL_IDENTIFIER_PATIENT_ID$");
externalIdentifierNode.SetAttribute("registryObject", "$ERAD_DOCUMENT_ID$");
externalIdentifierNode.SetAttribute("identificationScheme", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("value", ""); //此次注册的所有文档的父ID
externalIdentifierNode.AppendChild(BuildNameNode(doc, "Name", "XDSDocumentEntry.patientId"));
extrinsicObject.AppendChild(externalIdentifierNode);
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", $"urn:uuid:uuid");
externalIdentifierNode.SetAttribute("registryObject", docId);
externalIdentifierNode.SetAttribute("identificationScheme", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("value", docId); //文档uniqueId
externalIdentifierNode.AppendChild(BuildNameNode(doc, "Name", "XDSDocumentEntry.uniqueId"));
extrinsicObject.AppendChild(externalIdentifierNode);
registryObjectList.AppendChild(extrinsicObject);
documentNode = doc.CreateElement("Document");
documentNode.SetAttribute("id", docId);
documentNode.SetAttribute("documentType", documentType);
documentNode.InnerText = docUrl;
provideAndRegisterDocumentSetRequest.AppendChild(documentNode);
}
classificationNode = doc.CreateElement(xmlns_rim_name, "Classification", xmlns_rim_value);
classificationNode.SetAttribute("id", Guid.NewGuid().ToString());
classificationNode.SetAttribute("classificationScheme", Guid.NewGuid().ToString());
classificationNode.SetAttribute("classifiedObject", "提交集名称1");
classificationNode.SetAttribute("nodeRepresentation", "");
classificationNode.AppendChild(BuildSlotNode(doc, "authorPerson", "作者名称"));
classificationNode.AppendChild(BuildSlotNode(doc, "authorInstitution", "S部门"));
classificationNode.AppendChild(BuildSlotNode(doc, "authorRole", "S角色"));
classificationNode.AppendChild(BuildSlotNode(doc, "authorSpecialty", "S专业"));
registryPackage.AppendChild(classificationNode);
classificationNode = doc.CreateElement(xmlns_rim_name, "Classification", xmlns_rim_value);
classificationNode.SetAttribute("id", Guid.NewGuid().ToString());
classificationNode.SetAttribute("classificationScheme", Guid.NewGuid().ToString());
classificationNode.SetAttribute("classifiedObject", "提交集名称1");
classificationNode.SetAttribute("nodeRepresentation", "EMR040001");
classificationNode.AppendChild(BuildSlotNode(doc, "codingScheme", "检查记录"));
string mzzybz = "9";
if (exam.ObservationRequest != null)
{
switch (exam.ObservationRequest.PatientClass)
{
case "门诊":
mzzybz = "1";
break;
case "住院":
mzzybz = "2";
break;
case "急诊":
mzzybz = "3";
break;
case "体检":
mzzybz = "4";
break;
default:
mzzybz = "9";
break;
}
}
classificationNode.AppendChild(BuildSlotNode(doc, "YNJCH", exam.ObservationRequest.AccessionNumber)); //院内检查号
classificationNode.AppendChild(BuildSlotNode(doc, "wjz", exam.ObservationRequest.CriticalValue)); //危急值
classificationNode.AppendChild(BuildSlotNode(doc, "mzzybz", mzzybz)); //门住院标志
classificationNode.AppendChild(BuildSlotNode(doc, "mzjzlsh", exam.PatientVisit?.OutPatientNO)); //门诊就诊流水号
classificationNode.AppendChild(BuildSlotNode(doc, "zyjzlsh", exam.PatientVisit?.InPatientNO)); //住院就诊流水号
classificationNode.AppendChild(BuildSlotNode(doc, "zybah", exam.PatientVisit?.MedRecNO)); //住院病案号
classificationNode.AppendChild(BuildSlotNode(doc, "bszy", exam.ObservationRequest.RelevantClinicalInfo)); //病史摘要
classificationNode.AppendChild(BuildSlotNode(doc, "bz", exam.ObservationRequest.Reason)); //备注
classificationNode.AppendChild(BuildSlotNode(doc, "jcgz", exam.ObservationRequest.Attention)); //检查告知
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqksbzbm", hospitals.FirstOrDefault(x => x.Name == exam.ObservationRequest.RequestDeptName)?.Code)); //检查申请科室标准编码 exam.ObservationRequest.RequestDeptID
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqksynbm", exam.ObservationRequest.RequestDeptID)); //检查申请科室院内编码
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqksynmc", exam.ObservationRequest.RequestDeptName)); //检查申请科室名称
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqysgh", exam.ObservationRequest.ProviderID)); //检查申请医生工号
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqys", exam.ObservationRequest.ProviderName)); //检查申请医生姓名
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqbm", hospitals.FirstOrDefault(x => x.Name == exam.ObservationRequest.RequestOrgName)?.Code)); //检查申请机构编码
classificationNode.AppendChild(BuildSlotNode(doc, "jcsqmc", exam.ObservationRequest.RequestOrgName)); //检查申请机构名称
classificationNode.AppendChild(BuildSlotNode(doc, "jbzdmc", exam.ObservationRequest.ClinicDiagnosis)); //疾病诊断名称
classificationNode.AppendChild(BuildSlotNode(doc, "zdjgbm", hospitals.FirstOrDefault(x => x.Name == exam.ObservationRequest.OrganizationName)?.Code)); //诊断机构编码
classificationNode.AppendChild(BuildSlotNode(doc, "zdjgmc", exam.ObservationRequest.OrganizationName)); //诊断机构名称
classificationNode.AppendChild(BuildSlotNode(doc, "mzysgh", "")); //麻醉医师工号
classificationNode.AppendChild(BuildSlotNode(doc, "mzysxm", "")); //麻醉医师名称
classificationNode.AppendChild(BuildSlotNode(doc, "jcysgh", "")); //检查医生工号
classificationNode.AppendChild(BuildSlotNode(doc, "jcysxm", exam.ObservationRequest.TechnicianName)); //检查医生姓名
classificationNode.AppendChild(BuildSlotNode(doc, "bgysgh", "")); //报告医生工号
classificationNode.AppendChild(BuildSlotNode(doc, "bgysxm", exam.ObservationRequest.ResultAssistantName)); //报告医生姓名
classificationNode.AppendChild(BuildSlotNode(doc, "shysgh", "")); //审核医生工号
classificationNode.AppendChild(BuildSlotNode(doc, "shysxm", exam.ObservationRequest.ResultReviseName)); //审核医生姓名
classificationNode.AppendChild(BuildSlotNode(doc, "jcbgksbzbm", exam.ObservationRequest.DataSource)); //检查报告科室标准编码
classificationNode.AppendChild(BuildSlotNode(doc, "jcbgksynbm", "")); //检查报告科室院内编码
classificationNode.AppendChild(BuildSlotNode(doc, "jcbgksbzmc", exam.ObservationRequest.DataSourceName)); //检查报告科室名称
classificationNode.AppendChild(BuildSlotNode(doc, "sfybg", examDocuments.Any(x => x.TypeCode == "ExamResult").ToString())); //是否有报告
classificationNode.AppendChild(BuildSlotNode(doc, "syyyx", examDocuments.Any(x => x.TypeCode == "ExamImage").ToString())); //是否有影像
classificationNode.AppendChild(BuildSlotNode(doc, "YXSYH", exam.ObservationRequest.ObservationUID.ToString())); //影像索引号
classificationNode.AppendChild(BuildSlotNode(doc, "JCSJ", exam.ObservationRequest.ObservationDate.ToString("yyyy-MM-dd HH:mm:ss"))); //检查时间
classificationNode.AppendChild(BuildSlotNode(doc, "BGSJ", exam.ObservationRequest.ResultDate?.ToString("yyyy-MM-dd HH:mm:ss"))); //报告时间
classificationNode.AppendChild(BuildSlotNode(doc, "JCLB", exam.ObservationRequest.ServiceSectID)); //检查类别
classificationNode.AppendChild(BuildSlotNode(doc, "JCXMBM", exam.ObservationRequest.ServiceID)); //检查项目编码
classificationNode.AppendChild(BuildSlotNode(doc, "JCXM", exam.ObservationRequest.ServiceText)); //检查项目
classificationNode.AppendChild(BuildSlotNode(doc, "CZBM", "")); //操作编码
classificationNode.AppendChild(BuildSlotNode(doc, "JCBWMC", exam.ObservationRequest.ProcedureName)); //检查部位名称
classificationNode.AppendChild(BuildSlotNode(doc, "JCJG", HandleExamAbnormalFlags(exam.ObservationRequest.AbnormalFlags))); //检查结果
classificationNode.AppendChild(BuildSlotNode(doc, "JCBGJGKGSJ", exam.ObservationResultList.FirstOrDefault(x => x.ValueTitle == "影像所见")?.ValueText)); //检查报告结果-客观所见
classificationNode.AppendChild(BuildSlotNode(doc, "JCBGJGZGTS", exam.ObservationResultList.FirstOrDefault(x => x.ValueTitle == "影像诊断")?.ValueText)); //检查报告结果-主观提示
classificationNode.AppendChild(BuildSlotNode(doc, "sccs", "CS002")); //上传厂商（莱达：CS001,明天医网：CS002）
classificationNode.AppendChild(BuildNameNode(doc, "Name", "EMR040001"));
registryPackage.AppendChild(classificationNode);
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("registryObject", "提交集名称1");
externalIdentifierNode.SetAttribute("identificationScheme", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("value", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.AppendChild(BuildNameNode(doc, "Name", "XDSSubmissionSet.uniqueId"));
registryPackage.AppendChild(externalIdentifierNode);
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("registryObject", "提交集名称1");
externalIdentifierNode.SetAttribute("identificationScheme", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("value", "P903");
externalIdentifierNode.AppendChild(BuildNameNode(doc, "Name", "XDSSubmissionSet.sourceId"));
registryPackage.AppendChild(externalIdentifierNode);
externalIdentifierNode = doc.CreateElement(xmlns_rim_name, "ExternalIdentifier", xmlns_rim_value);
externalIdentifierNode.SetAttribute("id", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("registryObject", "提交集名称1");
externalIdentifierNode.SetAttribute("identificationScheme", $"urn:uuid:{Guid.NewGuid()}");
externalIdentifierNode.SetAttribute("value", "G0000044729");
externalIdentifierNode.AppendChild(BuildNameNode(doc, "Name", "XDSSubmissionSet.patientId"));
registryPackage.AppendChild(externalIdentifierNode);
registryObjectList.AppendChild(registryPackage);
classificationNode = doc.CreateElement(xmlns_rim_name, "Classification", xmlns_rim_value);
classificationNode.SetAttribute("id", Guid.NewGuid().ToString());
classificationNode.SetAttribute("classifiedObject", "提交集名称1");
classificationNode.SetAttribute("classificationNode", $"urn:uuid:{Guid.NewGuid()}");
registryObjectList.AppendChild(classificationNode);
XmlElement association = doc.CreateElement(xmlns_rim_name, "Association", xmlns_rim_value);
association.SetAttribute("id", $"urn:uuid:{Guid.NewGuid()}");
association.SetAttribute("associationType", "HasMember");
association.SetAttribute("sourceObject", "提交集名称1");
association.SetAttribute("targetObject", "doc001");
association.AppendChild(BuildSlotNode(doc, "SubmissionSetStatus", "Original"));
registryObjectList.AppendChild(association);
submitObjectsRequest.AppendChild(registryObjectList);
provideAndRegisterDocumentSetRequest.AppendChild(submitObjectsRequest);
doc.AppendChild(provideAndRegisterDocumentSetRequest);
return(doc.InnerXml);
}