/// <summary>
/// 执行病历时效审核计算
/// </summary>
/// <param name="arrTimeCheckQuery">患者列表</param>
/// <returns>检查结果列表</returns>
public short PerformTimeCheck(params TimeCheckQuery[] arrTimeCheckQuery)
{
short shRet = 0;
if (this.m_lstTimeCheckResults == null)
{
this.m_lstTimeCheckResults = new List <TimeCheckResult>();
}
this.m_lstTimeCheckResults.Clear();
if (arrTimeCheckQuery == null || arrTimeCheckQuery.Length <= 0)
{
return(SystemData.ReturnValue.CANCEL);
}
if (this.m_lstTimeQCRules == null || arrTimeCheckQuery[0].PatientID != this.m_szPatientID || arrTimeCheckQuery[0].VisitID != this.m_szVisitID)
{
if (this.m_lstTimeQCRules == null)
{
shRet = TimeQCRuleAccess.Instance.GetTimeQCRules(ref this.m_lstTimeQCRules);
if (shRet != SystemData.ReturnValue.OK)
{
return(shRet);
}
if (this.m_lstTimeQCRules == null)
{
return(shRet);
}
}
this.m_szPatientID = arrTimeCheckQuery[0].PatientID;
this.m_szVisitID = arrTimeCheckQuery[0].VisitID;
}
for (int index = 0; index < arrTimeCheckQuery.Length; index++)
{
TimeCheckQuery timeCheckQuery = arrTimeCheckQuery[index];
if (timeCheckQuery == null)
{
continue;
}
TimeEventHandler.Instance.TimeCheckQuery = timeCheckQuery;
TimeEventHandler.Instance.ClearEventResult();
DocumentHandler.Instance.ClearDocumentList();
for (int ruleIndex = 0; ruleIndex < this.m_lstTimeQCRules.Count; ruleIndex++)
{
TimeQCRule timeQCRule = this.m_lstTimeQCRules[ruleIndex];
List <TimeCheckResult> lstTimeCheckResults = this.PerformTimeRule(timeQCRule);
if (lstTimeCheckResults != null && lstTimeCheckResults.Count > 0)
{
this.m_lstTimeCheckResults.AddRange(lstTimeCheckResults);
}
}
}
this.m_lstTimeQCRules.Clear();
this.m_lstTimeQCRules = null;
return(SystemData.ReturnValue.OK);
}
public List <TimeCheckResult> GetUnwriteDoc(string szPatientID, string szVisitID)
{
TimeCheckQuery timeCheckQuery = new TimeCheckQuery();
timeCheckQuery.PatientID = szPatientID;
timeCheckQuery.VisitID = szVisitID;
this.PerformTimeCheck(timeCheckQuery);
List <TimeCheckResult> lstCheckResults = this.TimeCheckResults;
List <TimeCheckResult> m_lstUnWriteResults = new List <TimeCheckResult>();
for (int index = 0; index < lstCheckResults.Count; index++)
{
TimeCheckResult resultInfo = lstCheckResults[index];
if (resultInfo.WrittenState == WrittenState.Unwrite)
{
m_lstUnWriteResults.Add(resultInfo);
}
}
return(m_lstUnWriteResults);
}
public short GenerateTimeRecord(PatVisitInfo item, DateTime now)
{
short shRet = SystemData.ReturnValue.OK;
if (string.IsNullOrEmpty(item.INCHARGE_DOCTOR))
{
string szDoctorIncharge = string.Empty;
//通过病人视图无法取到责任医生，由于首页未录入造成，通过最近书写的一份文书去取
shRet = EmrDocAccess.Instance.GetDoctorInChargeByEmrDoc(item.PATIENT_ID, item.VISIT_ID,
ref szDoctorIncharge);
if (shRet == SystemData.ReturnValue.OK)
{
item.INCHARGE_DOCTOR = szDoctorIncharge;
}
}
TimeCheckQuery timeCheckQuery = new TimeCheckQuery();
timeCheckQuery.PatientID = item.PATIENT_ID;
//timeCheckQuery.VisitID = item.VISIT_ID;
//timeCheckQuery.VisitID = SystemParam.Instance.PatVisitLog.VISIT_ID;
//编辑器VISIT_NO=VISIT_ID
timeCheckQuery.VisitID = item.VISIT_NO;
timeCheckQuery.VisitNO = item.VISIT_NO;
timeCheckQuery.PatientName = item.PATIENT_NAME;
timeCheckQuery.DeptCode = item.DEPT_CODE;
try
{
TimeCheckEngine.Instance.PerformTimeCheck(timeCheckQuery);
}
catch (Exception ex)
{
LogManager.Instance.WriteLog("TimeCheckEngine.Instance.PerformTimeCheck 时效接口调用失败", ex);
return(SystemData.ReturnValue.EXCEPTION);
}
//获取已经保存在数据库QC_TIME_RECORD_T表里面的时效结果
List <QcTimeRecord> lstExitQCTimeRecord = new List <QcTimeRecord>();
QcTimeRecordAccess.Instance.GetQcTimeRecords(item.PATIENT_ID, item.VISIT_ID, ref lstExitQCTimeRecord);
//保存时效质控分析结果
List <TimeCheckResult> lstCheckResults = TimeCheckEngine.Instance.TimeCheckResults;
if (lstCheckResults == null)
{
return(SystemData.ReturnValue.RES_NO_FOUND);
}
List <QcTimeRecord> lstQcTimeRecord = new List <QcTimeRecord>();
for (int index = 0; index < lstCheckResults.Count; index++)
{
QcTimeRecord qcTimeRecord = new QcTimeRecord();
TimeCheckResult resultInfo = lstCheckResults[index];
resultInfo.VisitID = item.VISIT_ID;
qcTimeRecord.BeginDate = resultInfo.StartTime;
qcTimeRecord.CheckDate = now;
qcTimeRecord.CheckName = "系统自动";
qcTimeRecord.CreateID = resultInfo.CreatorID;
qcTimeRecord.CreateName = resultInfo.CreatorName;
qcTimeRecord.DeptInCharge = item.DEPT_CODE;
qcTimeRecord.DeptStayed = item.DEPT_NAME;
qcTimeRecord.DocID = resultInfo.DocID;
qcTimeRecord.DocTitle = resultInfo.DocTitle;
qcTimeRecord.DoctorInCharge = item.INCHARGE_DOCTOR;
qcTimeRecord.DocTypeID = resultInfo.DocTypeID;
qcTimeRecord.DocTypeName = resultInfo.DocTypeName;
qcTimeRecord.EndDate = resultInfo.EndTime;
qcTimeRecord.EventID = resultInfo.EventID;
qcTimeRecord.EventName = resultInfo.EventName;
qcTimeRecord.EventTime = resultInfo.EventTime;
qcTimeRecord.PatientID = item.PATIENT_ID;
qcTimeRecord.PatientName = item.PATIENT_NAME;
qcTimeRecord.Point = resultInfo.QCScore;
qcTimeRecord.DischargeTime = item.DISCHARGE_TIME;
qcTimeRecord.QcExplain = resultInfo.ResultDesc;
qcTimeRecord.IsVeto = resultInfo.IsVeto;
if (resultInfo.WrittenState == WrittenState.Early)
{
qcTimeRecord.QcResult = SystemData.WrittenState.Early;
}
if (resultInfo.WrittenState == WrittenState.Normal)
{
qcTimeRecord.QcResult = SystemData.WrittenState.Normal;
}
if (resultInfo.WrittenState == WrittenState.Timeout)
{
qcTimeRecord.QcResult = SystemData.WrittenState.Timeout;
}
if (resultInfo.WrittenState == WrittenState.Unwrite)
{
//根据海总需求，将未书写的文书分成两种状态：一种是未书写，另一种是正常未书写。第一种代表已经超时了，需要进行扣分。
if (resultInfo.EndTime < now)
{
//病历未书写超过截止时间，状态为未书写超时
qcTimeRecord.QcResult = SystemData.WrittenState.Unwrite;
}
else
{
qcTimeRecord.QcResult = SystemData.WrittenState.UnwriteNormal;
}
}
// qcTimeRecord.QcResult = SystemData.WrittenState.Unwrite;
qcTimeRecord.RecNo = "0"; //未做处理
qcTimeRecord.RecordTime = resultInfo.RecordTime;
qcTimeRecord.DocTime = resultInfo.DocTime;
qcTimeRecord.VisitID = resultInfo.VisitID;
if (!resultInfo.IsRepeat)
{
qcTimeRecord.QcExplain = string.Format("病人{0}{1},{2}内书写{3}"
, resultInfo.EventTime.ToString("yyyy-M-d HH:mm")
, resultInfo.EventName, resultInfo.WrittenPeriod, resultInfo.DocTypeName);
}
else
{
qcTimeRecord.QcExplain = string.Format("病人{0}{1},每{2}书写一次{3}"
, resultInfo.EventTime.ToString("yyyy-M-d HH:mm")
, resultInfo.EventName, resultInfo.WrittenPeriod, resultInfo.DocTypeName);
}
//判断是否已短信通知，海总需求：时效记录已存在的会写入个人统计表，进行短信通知，所以主键相同的已存数据将标记为短信通知，通过该字段避免写入统计到个人的表从而解决重复短信发送的问题。
if (lstExitQCTimeRecord != null && lstExitQCTimeRecord.Count > 0)
{
foreach (QcTimeRecord exitTimeRecord in lstExitQCTimeRecord)
{
//QCTimeRecord主键为PatientId,VisitID,DocTypeID,BeginDate,EndDate,QcResult,EventTime
if (exitTimeRecord.PatientID == qcTimeRecord.PatientID &&
exitTimeRecord.VisitID == qcTimeRecord.VisitID &&
exitTimeRecord.DocTypeID == qcTimeRecord.DocTypeID &&
exitTimeRecord.BeginDate == qcTimeRecord.BeginDate &&
exitTimeRecord.EndDate == qcTimeRecord.EndDate &&
exitTimeRecord.QcResult == qcTimeRecord.QcResult &&
exitTimeRecord.EventTime == qcTimeRecord.EventTime)
{
//已存在的记录为当天的，则短信通知仍旧为未通知,主要是测试中会在当天运行两次以上
//实际情况是每日只会运行一次
if (qcTimeRecord.CheckDate.ToShortDateString() !=
exitTimeRecord.CheckDate.ToShortDateString())
{
qcTimeRecord.MessageNotify = true;
}
}
}
}
lstQcTimeRecord.Add(qcTimeRecord);
}
shRet = QcTimeRecordAccess.Instance.SavePatientQcTimeRecord(item.PATIENT_ID, item.VISIT_ID, lstQcTimeRecord);
if (shRet != SystemData.ReturnValue.OK)
{
LogManager.Instance.WriteLog(string.Format("病人{0} 时效质控记录生成失败", item.PATIENT_NAME));
}
return(shRet);
}
