/**************************************************************************************************/
private void SetNewRelativePMH(ListView lv, PastMedicalHistory pmh)
{
if (pmh != null)
{
if (lv.InvokeRequired)
{
lv.BeginInvoke(new NewRelativePmhCallback(SetNewRelativePMH), lv, pmh);
}
else
{
foreach (ListViewItem lvi in lv.Items)
{
if (lvi.Tag != null)
{
Person p = (Person)(lvi.Tag);
if (pmh.RelativeOwningPMH != null)
{
if (p == pmh.RelativeOwningPMH)
{
lvi.SubItems[5].Text = pmh.GerSummaryText();
break;
}
}
}
}
}
}
}
/**************************************************************************************************/
private void LoadOrGetPMHHx()
{
// get active patinet object from session manager
PMHHx = SessionManager.Instance.GetActivePatient().PMH;
if (PMHHx != null)
{
PMHHx.AddHandlersWithLoad(PMHHxChanged, PMHHxLoaded, PMHHxItemChanged);
//PMHHx.AddHandlersWithLoad(PMHHxChanged, PMHHxLoaded, null);
}
}
/**************************************************************************************************/
private void LoadOrGetPMH()
{
if (pmh != null)
{
pmh.Observations.ReleaseListeners(this);
}
pmh = relative.PMH;
pmh.Observations.AddHandlersWithLoad(ClinicalObservationListChanged,
ClinicalObservationListLoaded,
ClinicalObservationChanged);
}
/**************************************************************************************************/
private void LoadOrGetPMH()
{
if (pmh != null)
{
pmh.Observations.ReleaseListeners(this);
}
pmh = SessionManager.Instance.GetSelectedRelative().PMH;
pmh.Observations.AddHandlersWithLoad(ClinicalObservationListChanged,
ClinicalObservationListLoaded,
ClinicalObservationChanged);
}
/**************************************************************************************************/
private void LoadOrGetPMH()
{
if (pmh != null)
{
pmh.GeneticTests.ReleaseListeners(this);
}
pmh = SessionManager.Instance.GetSelectedRelative().PMH;
pmh.GeneticTests.AddHandlersWithLoad(GeneticTestListChanged,
GeneticTestListLoaded,
GeneticTestChanged);
}
public async Task <IActionResult> GetPastMedicalHistoryByPatientId([FromRoute] int patientId)
{
PastMedicalHistory pastMedicalHistory = await dbContext.PastMedicalHistories
.FirstOrDefaultAsync(p => p.PatientId == patientId);
if (pastMedicalHistory == null)
{
return(NotFound(Json(new { Error = "该患者未填写既往病史" })));
}
PastMedicalHistoryOutput output = mapper.Map <PastMedicalHistoryOutput>(pastMedicalHistory);
return(new ObjectResult(output));
}
public PastMedicalHistoryDto MapToPastMedicalHistoryDto(PastMedicalHistory pastMedicalHistory)
{
if (pastMedicalHistory == null)
{
return(null);
}
PastMedicalHistoryDto PastMedicalHistoryDto = new PastMedicalHistoryDto();
PastMedicalHistoryDto.PastMedicalHistoryId = pastMedicalHistory.PastMedicalHistoryId;
PastMedicalHistoryDto.Name = pastMedicalHistory.Name;
PastMedicalHistoryDto.SortKey = pastMedicalHistory.SortKey;
return(PastMedicalHistoryDto);
}
public PastMedicalHistory MapToPastMedicalHistory(PastMedicalHistoryDto pastMedicalHistoryDto)
{
if (pastMedicalHistoryDto == null)
{
return(null);
}
PastMedicalHistory pastMedicalHistory = new PastMedicalHistory();
if (pastMedicalHistoryDto.PastMedicalHistoryId != null)
{
pastMedicalHistory.PastMedicalHistoryId = pastMedicalHistoryDto.PastMedicalHistoryId.Value;
}
pastMedicalHistory.Name = pastMedicalHistoryDto.Name;
pastMedicalHistory.SortKey = pastMedicalHistoryDto.SortKey;
return(pastMedicalHistory);
}
} // Default constructor for serialization
public GeneticTestList(PastMedicalHistory pmh)
{
OwningPMH = pmh;
constructor_args = new object[] { OwningPMH };
}
public ClinicalObservationList(PastMedicalHistory pmh)
{
OwningPMH = pmh;
constructor_args = new object[] { OwningPMH };
}
} // Default constructor for serialization.
public ClinicalObservationList(PastMedicalHistory pmh)
{
OwningPMH = pmh;
constructor_args = new object[] { OwningPMH };
}
void OrderRow_Finalized(object sender, OrdersView.FinalizedEventArgs e)
{
//Finalize has been clicked
if (order.Order_finalized == 0)
{
order.Order_finalized = 1;
Patient proband = SessionManager.Instance.GetActivePatient();
HraModelChangedEventArgs args = new HraModelChangedEventArgs(this.owningView);
int panelID = SessionManager.Instance.MetaData.GeneticTests.GetPanelIDFromName(order.Order_orderDesc);
if (panelID > 0) // a genetic test has been ordered
{
//add the pending gen test to the model
PastMedicalHistory pmh = proband.PMH;
//GeneticTest geneticTest = (GeneticTest)(pmh.GeneticTests.SingleOrDefault(v => ((GeneticTest)v).panelID == panelID && ((GeneticTest)v).status == "Pending"
// && ((GeneticTest)v).GeneticTest_testYear == (order.Order_orderDate.Year).ToString()
// && ((GeneticTest)v).GeneticTest_testMonth == (order.Order_orderDate.Month).ToString()
// && ((GeneticTest)v).GeneticTest_testDay == (order.Order_orderDate.Day).ToString()));
//if (geneticTest == null)
//{
//duplicate pending tests are allowed, so ignore commented check above
//also, no difference between all "Familial Known Genetic Test"s, regardless of group
GeneticTest geneticTest = new GeneticTest(pmh);
geneticTest.GeneticTest_status = "Pending";
geneticTest.GeneticTest_panelID = panelID;
geneticTest.GeneticTest_testYear = (order.Order_orderDate.Year).ToString();
geneticTest.GeneticTest_testMonth = (order.Order_orderDate.Month).ToString();
geneticTest.GeneticTest_testDay = (order.Order_orderDate.Day).ToString();
pmh.GeneticTests.AddToList(geneticTest, args);
//}
//else
//{
// geneticTest.SignalModelChanged(args);
//}
}
else if (order.Order_orderDesc.Contains("mammo"))
{
BreastImagingStudy bis = new BreastImagingStudy();
bis.unitnum = proband.unitnum;
bis.type = "MammographyHxView";
bis.date = DateTime.Today;
bis.imagingType = "MammographyHxView";
bis.status = "Ordered";
proband.breastImagingHx.AddToList(bis, args);
}
else if (order.Order_orderDesc.Contains("MRI"))
{
BreastImagingStudy bis = new BreastImagingStudy();
bis.unitnum = proband.unitnum;
bis.type = "MRI";
bis.date = DateTime.Today;
bis.imagingType = "MRI";
bis.status = "Ordered";
bis.side = "Bilateral";
proband.breastImagingHx.AddToList(bis, args);
}
else if (order.Order_orderDesc.Contains("Transvaginal Sonography"))
{
TransvaginalImagingStudy tvs = new TransvaginalImagingStudy();
tvs.unitnum = proband.unitnum;
tvs.type = "TVS";
tvs.date = DateTime.Today;
tvs.imagingType = "TVS";
tvs.status = "Ordered";
proband.transvaginalImagingHx.AddToList(tvs, args);
}
else if (order.Order_orderDesc.Contains("CA-125"))
{
LabResult lr = new LabResult();
lr.unitnum = proband.unitnum;
lr.date = DateTime.Today;
lr.TestDesc = "CA125";
lr.status = "Ordered";
proband.labsHx.AddToList(lr, args);
}
}
}
public GeneticTestList(PastMedicalHistory pmh)
{
OwningPMH = pmh;
constructor_args = new object[] { OwningPMH };
}
public string ConvertToXml(int operationType, FoodBornApiOptions apiOptions, Patient patient, InitialDiagnosis initialDiagnosis, PastMedicalHistory pastMedicalHistory, Symptom symptom, List <FoodInfo> foodInfos)
{
XDocument xDoc = new XDocument
(
new XDeclaration("1.0", "utf-8", "yes"),
new XElement
(
"接口",
new XElement("令牌", apiOptions.SecretKey),
new XElement("数据类型", 3),
new XElement("操作类型", operationType),
new XElement("操作单位", apiOptions.HospitalName),
new XElement("操作用户", apiOptions.UserName),
new XElement
(
"病例",
new XAttribute("Guid", patient.Guid),
new XElement
(
"填报信息",
new XElement("填表人", patient.FillUser),
new XElement("接诊医生", patient.ReceivingDoctor),
new XElement("填表日期", patient.FillTime.ToString("yyyy-MM-dd HH:mm:ss")),
new XElement("医疗机构", apiOptions.HospitalName)
),
new XElement
(
"病例基本信息",
new XElement("发病时间", patient.IllnessTime.ToString("yyyy-MM-dd HH:mm:ss")),
new XElement("就诊时间", patient.TreatmentTime.ToString("yyyy-MM-dd HH:mm:ss")),
new XElement("门诊号", patient.OutpatientNo),
new XElement("是否复诊", patient.IsReviewName),
new XElement("是否住院", patient.IsHospitalizationName),
string.IsNullOrEmpty(patient.InpatientNo) ? null : new XElement("住院号", patient.InpatientNo),
new XElement("患者姓名", patient.PatientName),
string.IsNullOrEmpty(patient.GuardianName) ? null : new XElement("监护人姓名", patient.GuardianName),
new XElement("患者性别", patient.GenderName),
new XElement("患者职业", patient.ProfessionName),
string.IsNullOrEmpty(patient.IdCard) ? null : new XElement("身份证号", patient.IdCard),
new XElement("出生日期", patient.Birthday),
new XElement("联系电话", patient.Phone),
new XElement("患者属于", "本县区"),
new XElement
(
"现在住址",
new XElement("省市县", patient.ProvinceCityDistrict),
new XElement("详细地址", patient.Address)
)
),
new XElement
(
"主要症状与体征",
new XElement
(
"全身症状与体征",
symptom.Fever ? new XElement
(
"发热",
new XElement("度数", symptom.FeverDegree)
) : null,
symptom.FacialFlush ? new XElement("面色潮红", "是") : null,
symptom.Pale ? new XElement("面色苍白", "是") : null,
symptom.Hairpin ? new XElement("发绀", "是") : null,
symptom.Dehydration ? new XElement("脱水", "是") : null,
symptom.Thirsty ? new XElement("口渴", "是") : null,
symptom.Puffiness ? new XElement("浮肿", "是") : null,
symptom.WeightLoss ? new XElement("体重下降", "是") : null,
symptom.Chill ? new XElement("寒战", "是") : null,
symptom.Weak ? new XElement("乏力", "是") : null,
symptom.Anemia ? new XElement("贫血", "是") : null,
symptom.Swollen ? new XElement("肿胀", "是") : null,
symptom.Insomnia ? new XElement("失眠", "是") : null,
symptom.Photophobia ? new XElement("畏光", "是") : null,
symptom.Mouthly ? new XElement("口有糊味", "是") : null,
symptom.Metallic ? new XElement("金属味", "是") : null,
symptom.SoapSalty ? new XElement("肥皂咸味", "是") : null,
symptom.ExcessiveSaliva ? new XElement("唾液过多", "是") : null,
symptom.FootWristPendant ? new XElement("足腕下垂", "是") : null,
symptom.Pigmentation ? new XElement("色素沉着", "是") : null,
symptom.Peeling ? new XElement("脱皮", "是") : null,
symptom.NailBand ? new XElement("指甲出现白带", "是") : null,
symptom.SignsOther ? new XElement
(
"其他",
new XElement("名称", symptom.SignsOtherInfo)
) : null
),
new XElement
(
"消化系统",
symptom.Disgusting ? new XElement("恶心", "是") : null,
symptom.Vomiting ? new XElement
(
"呕吐",
new XElement("次数", symptom.VomitingCount)
) : null,
symptom.StomachAche ? new XElement("腹痛", "是") : null,
symptom.Diarrhea ? new XElement
(
"腹泻性状",
new XElement("性状", symptom.DiarrheaTraits),
new XElement("次数", symptom.DiarrheaCount)
) : null,
symptom.Constipation ? new XElement("便秘", "是") : null,
symptom.HeavyAndHeavy ? new XElement("里急后重", "是") : null,
symptom.DigestiveOther ? new XElement
(
"其他",
new XElement("名称", symptom.DigestiveOtherInfo)
) : null
),
new XElement
(
"呼吸系统",
symptom.ShortnessOfBreath ? new XElement("呼吸短促", "是") : null,
symptom.Hemoptysis ? new XElement("咯血", "是") : null,
symptom.DifficultyBreathing ? new XElement("呼吸困难", "是") : null,
symptom.RespiratoryOther ? new XElement
(
"其他",
new XElement("名称", symptom.RespiratoryOtherInfo)
) : null
),
new XElement
(
"心脑血管系统",
symptom.ChestTightness ? new XElement("胸闷", "是") : null,
symptom.ChestPain ? new XElement("胸痛", "是") : null,
symptom.Palpitations ? new XElement("心悸", "是") : null,
symptom.BreathHard ? new XElement("气短", "是") : null,
symptom.CardiovascularOther ? new XElement
(
"其他",
new XElement("名称", symptom.CardiovascularOtherInfo)
) : null
),
new XElement
(
"泌尿系统",
symptom.ReducedUrineOutput ? new XElement("尿量减少", "是") : null,
symptom.BackKidneyPain ? new XElement("背部肾区疼痛", "是") : null,
symptom.BloodInTheUrine ? new XElement("尿中带血", "是") : null,
symptom.KidneyStones ? new XElement("肾结石", "是") : null,
symptom.UrinaryOther ? new XElement
(
"其他",
new XElement("名称", symptom.UrinaryOtherInfo)
) : null
),
new XElement
(
"神经系统",
symptom.Headache ? new XElement("头痛", "是") : null,
symptom.Dizziness ? new XElement("眩晕", "是") : null,
symptom.Coma ? new XElement("昏迷", "是") : null,
symptom.Convulsion ? new XElement("抽搐", "是") : null,
symptom.Horror ? new XElement("惊厥", "是") : null,
symptom.Delirium ? new XElement("谵妄", "是") : null,
symptom.Paralysis ? new XElement("瘫痪", "是") : null,
symptom.DifficultiesInSpeech ? new XElement("言语困难", "是") : null,
symptom.HardToSwallow ? new XElement("吞咽困难", "是") : null,
symptom.FeelingAbnormal ? new XElement("感觉异常", "是") : null,
symptom.MentalDisorder ? new XElement("精神失常", "是") : null,
symptom.Diplopia ? new XElement("复视", "是") : null,
symptom.BlurredVision ? new XElement("视力模糊", "是") : null,
symptom.LimbNumbness ? new XElement("肢体麻木", "是") : null,
symptom.PeripheralSensoryDisorder ? new XElement("末梢感觉障碍", "是") : null,
symptom.PupilAbnormality ? new XElement
(
"瞳孔异常",
new XElement("状态", symptom.PupilStatus)
) : null,
symptom.Acupuncture ? new XElement("针刺感", "是") : null,
symptom.Nerveother ? new XElement
(
"其他",
new XElement("名称", symptom.NerveOtherInfo)
) : null
),
new XElement
(
"皮肤和皮下组织",
symptom.Itching ? new XElement("瘙痒", "是") : null,
symptom.BurningSensation ? new XElement("烧灼感", "是") : null,
symptom.Rash ? new XElement("皮疹", "是") : null,
symptom.BleedingPoint ? new XElement("出血点", "是") : null,
symptom.Jaundice ? new XElement("黄疸", "是") : null,
symptom.SkinOther ? new XElement
(
"其他",
new XElement("名称", symptom.SkinOtherInfo)
) : null
)
),
new XElement
(
"初步诊断",
initialDiagnosis.AcuteGastroenteritis ? new XElement("急性胃肠炎", "是") : null,
initialDiagnosis.InfectiousDiarrhea ? new XElement("感染性腹泻", "是") : null,
initialDiagnosis.PoisonousMushroomPoisoning ? new XElement("毒蘑菇中毒", "是") : null,
initialDiagnosis.BeanPoisoning ? new XElement("菜豆中毒", "是") : null,
initialDiagnosis.PufferfishPoisoning ? new XElement("河豚中毒", "是") : null,
initialDiagnosis.Botulism ? new XElement("肉毒中毒", "是") : null,
initialDiagnosis.NitritePoisoning ? new XElement("亚硝酸盐中毒", "是") : null,
initialDiagnosis.RhabdomyolysisSyndrome ? new XElement("横纹肌溶解综合征", "是") : null,
initialDiagnosis.Other ? new XElement
(
"其他",
new XElement("名称", initialDiagnosis.OtherInfo)
) : null
),
new XElement
(
"抗生素",
new XElement("是否使用抗生素", patient.IsAntibioticName),
patient.IsAntibioticName.Equals("是") ? new XElement("抗生素名称", patient.AntibioticName) : null
),
new XElement
(
"既往病史",
pastMedicalHistory.GeneralGastrointestinalInflammation ? new XElement("一般消化道炎症", "是") : null,
pastMedicalHistory.CrohnsDisease ? new XElement("克罗恩病", "是") : null,
pastMedicalHistory.GastrointestinalUlcer ? new XElement("消化道溃疡", "是") : null,
pastMedicalHistory.GastrointestinalCancer ? new XElement("消化道肿瘤", "是") : null,
pastMedicalHistory.IrritableBowelSyndrome ? new XElement("肠易激综合征", "是") : null,
pastMedicalHistory.Meningitis ? new XElement("脑膜炎脑肿瘤等", "是") : null,
pastMedicalHistory.Other ? new XElement
(
"其他",
new XElement("名称", pastMedicalHistory.OtherInfo)
) : null
),
new XElement
(
"暴露信息",
from foodInfo in foodInfos
select new XElement
(
"暴露信息条目",
new XElement("食品名称", foodInfo.FoodName),
new XElement("食品分类", foodInfo.FoodType),
new XElement("加工或包装方式", foodInfo.FoodPackaging),
string.IsNullOrEmpty(foodInfo.FoodBrand) ? null : new XElement("食品品牌", foodInfo.FoodBrand),
string.IsNullOrEmpty(foodInfo.Manufacturer) ? null : new XElement("生产厂家", foodInfo.Manufacturer),
new XElement("进食场所", foodInfo.EatingPlace),
new XElement("购买场所", foodInfo.PurchasePlace),
new XElement
(
"进食地点",
new XElement("境内境外", foodInfo.EatingBorderland),
new XElement("省市县", foodInfo.EatingProvinceCityDistrict),
new XElement("详细地址", foodInfo.EatingAddress)
),
new XElement
(
"购买地点",
new XElement("境内境外", foodInfo.PurchaseBorderland),
new XElement("省市县", foodInfo.PurchaseProvinceCityDistrict),
new XElement("详细地址", foodInfo.PurchaseAddress)
),
new XElement("进食人数", foodInfo.EatingCounts),
new XElement("进食时间", foodInfo.EatingTime.ToString("yyyy-MM-dd HH:mm:ss")),
new XElement("他人是否发病", foodInfo.IsOtherPeople)
)
)
)
)
);
return(xDoc.ToString());
}
public async Task <IActionResult> UploadMedicalRecord([FromBody] UploadMedicalRecordInput input)
{
Patient patient = await dbContext.Patients.FirstOrDefaultAsync(p => p.Id == input.PatientId);
if (patient == null)
{
return(BadRequest(Json(new { Error = "不存在该患者" })));
}
InitialDiagnosis initialDiagnosis = await dbContext.InitialDiagnoses.FirstOrDefaultAsync(i => i.PatientId == patient.Id);
if (initialDiagnosis == null)
{
return(BadRequest(Json(new { Error = "该患者未填写初步诊断" })));
}
PastMedicalHistory pastMedicalHistory = await dbContext.PastMedicalHistories.FirstOrDefaultAsync(p => p.PatientId == patient.Id);
if (pastMedicalHistory == null)
{
return(BadRequest(Json(new { Error = "该患者未填写既往史" })));
}
Symptom symptom = await dbContext.Symptoms.FirstOrDefaultAsync(s => s.PatientId == patient.Id);
if (symptom == null)
{
return(BadRequest(Json(new { Error = "该患者未填写症状体征信息" })));
}
List <FoodInfo> foodInfos = await dbContext.FoodInfos.Where(f => f.PatientId == patient.Id).ToListAsync();
XmlHelper xmlHelper = new XmlHelper();
string requestXml = "";
if (input.OperationType == 3)
{
requestXml = xmlHelper.ConvertToXml(input.OperationType, apiOptions, patient);
}
else
{
requestXml = xmlHelper.ConvertToXml(input.OperationType, apiOptions, patient, initialDiagnosis, pastMedicalHistory, symptom, foodInfos);
}
ReportServiceClient reportService = new ReportServiceClient();
string responseString = await reportService.WEBRequestAsync(Encrypt.Base64Encode(requestXml));
string responseXmlString = Encrypt.Base64Decode(responseString);
XmlReader xmlReader = XmlReader.Create(new StringReader(responseXmlString));
XDocument xdoc = XDocument.Load(xmlReader);
UploadMedicalRecordOutput output = new UploadMedicalRecordOutput
{
Code = Convert.ToInt32(xdoc.Element("接口").Element("操作状态").Value),
Msg = xdoc.Element("接口").Element("状态描述").Value
};
if (input.OperationType == 1 && output.Code == 1)
{
patient.Status = "已上传";
}
if (input.OperationType == 3 && output.Code == 1)
{
patient.Status = "正常";
}
dbContext.Patients.Update(patient);
dbContext.SaveChanges();
return(new ObjectResult(output));
}
