/// <summary>
/// 分析医嘱用药的合理情况
/// </summary>
/// <param name="ent4BannerDTO">banner数据</param>
/// <param name="ciords">待校验用药合理性的医嘱</param>
/// <param name="msg">验证结果的提示信息</param>
/// <returns>验证状态 0 无问题，1 一般问题， 2 严重问题</returns>
public override int AnalysisPresResult(CiEnContextDTO ctxDTO, CiOrderDO[] ciords, out string msg)
{
drugMonitor.BeginNewPres();
msg = "";
if (ciords == null || ciords.Length == 0)
{
return(DaTongConstant.RS_NOT_VERIFIED);
}
List <CiOrderDO> ciordList = new List <CiOrderDO>();
List <string> idOrList = new List <string>();
// 遍历医嘱，只需要校验药品的医嘱
foreach (CiOrderDO ciorder in ciords)
{
if (ciorder.Sd_srvtp.StartsWith(BdSrvDictCodeConst.SD_SRVTP_DRUG)) // 药品的进行检查
{
ciordList.Add(ciorder);
idOrList.Add(ciorder.Id_or);
}
}
// 如果不存在药品，返回不需要验证
if (ciordList.Count == 0)
{
return(DaTongConstant.RS_NOT_VERIFIED);
}
PresInfo presInfo = GetPresInfo(ctxDTO, idOrList);
// 进行处方分析
return(drugMonitor.AnalysisPres(presInfo, out msg));
}
/// <summary>
/// 设置过敏史
/// </summary>
/// <returns></returns>
private void SetAllergicHistory(ref PresInfo presInfo, PiPatAlDO[] pipatAls)
{
List <PresInfo.AllergicHistory> allergicHistory = new List <PresInfo.AllergicHistory>();
// 过敏史记录数
int pipatAlLength = pipatAls == null ? 0 : pipatAls.Length;
// 获取需要循环的次数，构造大通使用的过敏史数据时，保证最少三条记录，不足设置空值
int resultCnt = pipatAlLength > MINIMUM_RECORD_NUM ? pipatAlLength : MINIMUM_RECORD_NUM;
for (int i = 0; i < resultCnt; i++)
{
PresInfo.AllergicHistory allergic = new PresInfo.AllergicHistory();
if (pipatAlLength > i)
{
allergic.Case_code = pipatAls[i].Mm_code;
allergic.Case_name = pipatAls[i].Mm_name;
}
else
{
allergic.Case_code = "";
allergic.Case_name = "";
}
allergicHistory.Add(allergic);
}
presInfo.AllergicHistories = allergicHistory;
}
/// <summary>
/// 获取处方
/// </summary>
/// <param name="ent4BannerDTO"></param>
/// <param name="idOrs"></param>
/// <returns></returns>
private PresInfo GetPresInfo(CiEnContextDTO ctxDTO, List <string> idOrList)
{
Ent4BannerDTO ent4BannerDTO = ctxDTO.Ent4BannerDTO;
// 获取本次就诊的已签署的药品医嘱以及ordIds 对应的医嘱
OrdRationalDrugDTO[] rationalDrugs = iCiOrdQryService.getRationalDrugDTOs(ent4BannerDTO, idOrList.ToArray());
PresInfo presInfo = new PresInfo();
// 设置医生患者信息
this.SetDoctorPresInfo(ctxDTO, ref presInfo);
// 获取过敏史，生理状况
OverviewAggDO overivewAgg = this.GetAllergicHistory(ctxDTO.Id_pat);
// 设置过敏史
this.SetAllergicHistory(ref presInfo, overivewAgg.getPiPatAlDO());
// 设置诊断
this.SetDiagnoses(ref presInfo, ctxDTO.Id_en);
//设置生理状况
this.SetPhysiological(ref presInfo, overivewAgg.getPiPatPhyDO());
// 设置处方
this.SetPrescription(ref presInfo, rationalDrugs, idOrList);
return(presInfo);
}
private PresInfo GetPresInfo(List <CiOrderDO> ordList)
{
UserDO user = this.Context.User;
DeptDO dept = this.Context.Dept;
PresInfo presInfo = new PresInfo();
presInfo.Doctor_job_number = user.Code; //医生工号
presInfo.Pres_date = new DateTime(); //处方日期
presInfo.Doctor_name = user.Name; // 医生名
//presInfo.Doctor_type = 医生级别
presInfo.Department_code = dept.Code; // 科室代码 ？ 开立科室
presInfo.Department_name = dept.Name; // 科室名称
//presInfo.Case_id = 病历卡号
//presInfo.Inhos_code = 住院号
//presInfo.Bed_no = 床号
//presInfo.Patient_weight = 患者体重
//presInfo.Patient_height = 患者身高
presInfo.Patient_birth = DateTime.Parse(ent4BannerDTO.Dt_birth); //患者出生日期
presInfo.Patient_name = ent4BannerDTO.Name_pat; // 患者名称
presInfo.Patient_sex = ent4BannerDTO.Name_sex; // 患者性别
//presInfo.Physiological_statms 生理状况
//presInfo.Boacterioscopy_effect 菌检结果
//presInfo.Bloodpressur 血压
//presInfo.Liver_clean 肌酐清除率
presInfo.AllergicHistories = this.GetAllergicHistory(); // 过敏史
presInfo.Diagnoses = this.GetDiagnoses(); // 诊断
presInfo.Prescriptions = this.GetPrescriptions(); // 获取处方
return(null);
}
/// <summary>
/// 处方分析并保存
/// </summary>
/// <returns></returns>
private string AnalysisAndSavePres()
{
PresInfo presInfo = GetPresInfo();
string analysisResult = drugMonitor.AnalysisPres(presInfo);
return(analysisResult);
}
private PresInfo GetPresInfo()
{
PresInfo presInfo = new PresInfo();
presInfo.Case_id = "1";
this.GetDoctorPresInfo(ref presInfo);
List <PresInfo.Prescription> prescriptions = new List <PresInfo.Prescription>();
// 处方
PresInfo.Prescription prescription = new PresInfo.Prescription();
prescription.Pres_ID = "10";
prescription.Pres_type = PresTypeEnum.OUTPATIENT;
prescription.Current = true;
prescriptions.Add(prescription);
// 药品
List <PresInfo.Medicine> medicineList = new List <PresInfo.Medicine>();
PresInfo.Medicine medicine1 = new PresInfo.Medicine();
PresInfo.Medicine medicine2 = new PresInfo.Medicine();
//药品1
medicine1.Medicine_suspension = false; // 药物悬浮液
medicine1.Medicine_judge = true; // 药品判断
medicine1.Group_number = null; // 组号
medicine1.General_name = "美托洛尔"; // 通用名
medicine1.License_number = "201153"; //医院药品代码
medicine1.Medicine_name = "美托洛尔"; //商品名
medicine1.Single_dose = 5; // 单次计量
medicine1.Times = "1"; //频次代码
medicine1.Days = 2; //天数
medicine1.Unit = "mg"; //单位
medicine1.Administer_drugs = ""; //用药途径
// 药品2
medicine2.Medicine_suspension = false; // 药物悬浮液
medicine2.Medicine_judge = true; // 药品判断
medicine2.Group_number = null; // 组号
medicine2.General_name = "氨氯地平"; // 通用名
medicine2.License_number = "200192"; //医院药品代码
medicine2.Medicine_name = "氨氯地平"; //商品名
medicine2.Single_dose = 5; // 单次计量
medicine2.Times = "1"; //频次代码
medicine2.Days = 2; //天数
medicine2.Unit = "mg"; //单位
medicine2.Administer_drugs = ""; //用药途径
medicineList.Add(medicine1);
medicineList.Add(medicine2);
//prescription.Medicines = medicineList;
presInfo.Prescriptions = prescriptions;
return(presInfo);
}
/// <summary>
/// 获取处方用药的分析结果
/// </summary>
/// <returns></returns>
private string GetAnalysisPresResult(List <CiOrderDO> ordList)
{
if (this.ent4BannerDTO == null)
{
return("");
}
PresInfo presInfo = GetPresInfo(ordList);
string analysisResult = drugMonitor.AnalysisPres(presInfo);
return(analysisResult);
}
/// <summary>
/// 设置生理状况
/// </summary>
/// <param name="presInfo"></param>
private void SetPhysiological(ref PresInfo presInfo, PiPatPhyDO[] piPatPys)
{
int piPatPysLength = piPatPys == null ? 0 : piPatPys.Length;
List <string> didefCodeList = new List <string>();
for (int i = 0; i < MINIMUM_RECORD_NUM; i++)
{
if (i < piPatPysLength)
{
didefCodeList.Add(piPatPys[i].Name_phyind);
}
else
{
didefCodeList.Add("");
}
}
presInfo.Diagnoses.AddRange(didefCodeList);
}
/// <summary>
/// 设置处方信息
/// </summary>
/// <param name="presInfo"></param>
private void SetPrescription(ref PresInfo presInfo, OrdRationalDrugDTO[] rationalDrugs, List <string> idOrList)
{
List <PresInfo.Prescription> prescriptions = new List <PresInfo.Prescription>();
foreach (OrdRationalDrugDTO rationalDto in rationalDrugs)
{
// 处方
PresInfo.Prescription prescription = new PresInfo.Prescription();
prescriptions.Add(prescription);
prescription.Pres_ID = rationalDto.Id_or;
prescription.Pres_type = PresTypeEnum.OUTPATIENT;
// 如果是当期签署的医嘱，则设置为当前医嘱,已签署过的医嘱设置为非当前医嘱
prescription.Current = rationalDto.Fg_sign == FBoolean.True ? false : true;
// 药品
PresInfo.Medicine medicine = new PresInfo.Medicine();
medicine.Medicine_suspension = false; // 药物悬浮液 TODO 判断逻辑
medicine.Medicine_judge = true; // 药品判断 TODO 判断逻辑
medicine.Group_number = null; // 组号
medicine.General_name = this.ReplaceStr(rationalDto.Name_srv); // 通用名
medicine.License_number = rationalDto.Code_mm; //医院药品代码
medicine.Medicine_name = this.ReplaceStr(rationalDto.Name_mm); //商品名
medicine.Single_dose = Double.Parse(rationalDto.Quan_medu); // 单次计量
medicine.Times = rationalDto.Freq_code; //频次代码
if (!string.IsNullOrEmpty(rationalDto.Days_or))
{
medicine.Days = Int16.Parse(rationalDto.Days_or); //天数
}
medicine.Unit = rationalDto.Medu_name; //单位
medicine.Administer_drugs = rationalDto.Route_code; //用药途径
prescription.Medicine = medicine;
//prescriptions.Add(prescription);
}
presInfo.Prescriptions = prescriptions;
}
/// <summary>
/// 设置处方中诊断
/// </summary>
/// <returns></returns>
private void SetDiagnoses(ref PresInfo presInfo, string idEn)
{
List <string> didefCodeList = new List <string>();
CiDiagItemDO[] cidiagItems = getCiDiagItems(idEn, "1");
int itemLength = cidiagItems.Length;
// 保证诊断最少有三个,如果诊断数不足三个，加空诊断补足
int resultCnt = itemLength > MINIMUM_RECORD_NUM ? itemLength : MINIMUM_RECORD_NUM;
for (int i = 0; i < resultCnt; i++)
{
if (i < itemLength)
{
didefCodeList.Add(cidiagItems[i].Id_didef_code);
}
else
{
didefCodeList.Add("");
}
}
presInfo.Diagnoses = didefCodeList;
}
/// <summary>
/// 获取过敏史集合
/// </summary>
/// <returns></returns>
//private List<PresInfo.AllergicHistory> GetAllergicHistory()
//{
// List<PresInfo.AllergicHistory> allergicHistory = new List<PresInfo.AllergicHistory>();
// PresInfo.AllergicHistory allergic = new PresInfo.AllergicHistory();
// allergicHistory.Add(allergic);
// return allergicHistory;
//}
/// <summary>
/// 设置处方分析中医生、患者相关属性
/// </summary>
/// <param name="presInfo"></param>
private void SetDoctorPresInfo(CiEnContextDTO ctxDTO, ref PresInfo presInfo)
{
Ent4BannerDTO ent4BannerDTO = ctxDTO.Ent4BannerDTO;
//UserDO user = this.context.User;
PsnInfo psnInfo = ctxDTO.PsnInfo;
DeptDO dept = ctxDTO.Dept;
presInfo.Doctor_job_number = psnInfo.Code; //医生工号 TODO 医生工号？
presInfo.Pres_date = DateTime.Parse(DateTime.Now.ToString("yyyy-MM-dd HH:mm:ss")); //处方日期 TODO 取当前日期是否可行
presInfo.Doctor_name = psnInfo.Name; // 医生名
//presInfo.Doctor_type = 医生级别
presInfo.Department_code = ent4BannerDTO.Id_dep_phy; // 科室代码 ？ 开立科室 本次就诊科室
presInfo.Department_name = ent4BannerDTO.Name_dep_phy; // 科室名称
// 患者基本信息PI_PAT .CHIS条码号barcode_chis ；住院-- 住院号，患者基本信息PI_PAT .住院病案编号code_amr_ip
presInfo.Case_id = ent4BannerDTO.Code_amr_ip; //病历卡号 TODO 确定属性内后在设置
presInfo.Inhos_code = ent4BannerDTO.Code_ent; //门诊就诊号
presInfo.Bed_no = ent4BannerDTO.Name_bed; //床号 门诊床号可以为空，实际大通不支持空值
presInfo.Patient_weight = ""; //患者体重
presInfo.Patient_height = ""; //患者身高
if (!string.IsNullOrEmpty(ent4BannerDTO.Dt_birth))
{
try
{
presInfo.Patient_birth = DateTime.Parse(ent4BannerDTO.Dt_birth); //患者出生日期
}
catch (Exception e)
{
LogManager.GetLogger().ErrorEx("合理用药获取患者生日失败，生日值【" + ent4BannerDTO.Dt_birth + "】");
}
}
presInfo.Patient_name = ent4BannerDTO.Name_pat; // 患者名称
presInfo.Patient_sex = ent4BannerDTO.Name_sex; // 患者性别
presInfo.Physiological_statms = ""; //生理状况
presInfo.Boacterioscopy_effect = ""; // 菌检结果
presInfo.Bloodpressure = ""; // 血压
presInfo.Liver_clean = ""; // 肌酐清除率
}
private void GetDoctorPresInfo(ref PresInfo presInfo)
{
UserDO user = this.Context.User;
DeptDO dept = this.Context.Dept;
presInfo.Doctor_job_number = user.Code; //医生工号
presInfo.Pres_date = new DateTime(); //处方日期
presInfo.Doctor_name = user.Name; // 医生名
//presInfo.Doctor_type = 医生级别
presInfo.Department_code = dept.Code; // 科室代码 ？ 开立科室
presInfo.Department_name = dept.Name; // 科室名称
presInfo.Case_id = "blkh0001"; //病历卡号
//presInfo.Inhos_code = 住院号
//presInfo.Bed_no = 床号
presInfo.Patient_weight = "100Kg"; //患者体重
presInfo.Patient_height = "170cm"; //患者身高
presInfo.Patient_birth = DateTime.Parse(ent4BannerDTO.Dt_birth); //患者出生日期
presInfo.Patient_name = ent4BannerDTO.Name_pat; // 患者名称
presInfo.Patient_sex = ent4BannerDTO.Name_sex; // 患者性别
//presInfo.Physiological_statms 生理状况
//presInfo.Boacterioscopy_effect 菌检结果
//presInfo.Bloodpressur 血压
//presInfo.Liver_clean 肌酐清除率
}