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he
2022-09-20 15:43:11 +08:00
parent 528a8dbf6e
commit 882cecc497
3 changed files with 299 additions and 58 deletions
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IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
+69 -57
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@@ -167,7 +167,8 @@ namespace IRaCIS.Core.Application.Service
{
if (typeNAList.Contains(item.QuestionType ?? QuestionType.SOD))
{
item.Answer = "NA";
item.Answer = nameof(YesOrNoOrNa.NA);
}
else
{
@@ -379,13 +380,13 @@ namespace IRaCIS.Core.Application.Service
foreach (var item in tableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && (x.Answer == "是"||x.Answer.ToLower()=="true".ToLower())))
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph &&x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 淋巴结的短径
result += (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0();
}
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && (x.Answer == "是" || x.Answer.ToLower() == "true".ToLower())))
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 非淋巴结的长径
result += item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
@@ -420,7 +421,7 @@ namespace IRaCIS.Core.Application.Service
foreach (var item in tableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && (x.Answer == "是" || x.Answer.ToLower() == "false".ToLower())))
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 非淋巴结的长径
result += item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
@@ -546,7 +547,7 @@ namespace IRaCIS.Core.Application.Service
{
if (inDto.IsBaseLine)
{
return "NA";
return nameof(YesOrNoOrNa.NA);
}
var decimalAnswerList = await GetVisitTaskAnswerList(inDto);
@@ -562,17 +563,20 @@ namespace IRaCIS.Core.Application.Service
/// <returns></returns>
public async Task<string> GetIsLymphTarget(ReadingCalculateDto inDto)
{
var result = string.Empty;
var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
foreach (var item in tableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && (x.Answer == "是" || x.Answer.ToLower() == "true".ToLower())))
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(IsLymph.Yes)))
{
return "是";
result= IsLymph.Yes.GetEnumInt();
}
}
return "否";
result = IsLymph.No.GetEnumInt();
return result;
}
#endregion
@@ -586,14 +590,14 @@ namespace IRaCIS.Core.Application.Service
{
if (inDto.IsBaseLine)
{
return "NA";
return nameof(YesOrNoOrNa.NA);
}
var LastVisitTaskId = await this.GetLastVisitTaskId(inDto);
var questionIds = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).Select(x => x.QuestionId).ToList();
var lastQuestionAsnwer = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == LastVisitTaskId && questionIds.Contains(x.QuestionId)).Include(x=>x.ReadingQuestionTrial).Include(x => x.ReadingTableQuestionTrial).ToListAsync();
var rowIndexs = lastQuestionAsnwer.Where(x=>x.ReadingTableQuestionTrial.QuestionMark==QuestionMark.IsLymph&& (x.Answer == "是" || x.Answer.ToLower() == "true".ToLower())).Select(x => x.RowIndex).Distinct().OrderBy(x => x).ToList();
var rowIndexs = lastQuestionAsnwer.Where(x=>x.ReadingTableQuestionTrial.QuestionMark==QuestionMark.IsLymph&& x.Answer.EqEnum(YesOrNoOrNa.Yes)).Select(x => x.RowIndex).Distinct().OrderBy(x => x).ToList();
var thisQuestionAsnwer = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
var isExists = false;
@@ -610,7 +614,7 @@ namespace IRaCIS.Core.Application.Service
}
}
return isExists?"是":"否";
return isExists? nameof(YesOrNoOrNa.Yes) : nameof(YesOrNoOrNa.No);
}
#endregion
@@ -625,12 +629,12 @@ namespace IRaCIS.Core.Application.Service
{
if (inDto.IsBaseLine)
{
return "NA";
return nameof(ExistOrNA.NA);
}
var result = inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.TargetLesion && x.Answer.EqEnum(TargetAssessment.NE));
return result ? "有" : "无";
return result ? nameof(ExistOrNA.Exist) : nameof(ExistOrNA.NotExist);
}
#endregion
@@ -646,7 +650,7 @@ namespace IRaCIS.Core.Application.Service
if (inDto.IsBaseLine)
{
return "NA";
return nameof(YesOrNoOrNa.NA);
}
var targetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.Answer).FirstOrDefault();
@@ -842,7 +846,7 @@ namespace IRaCIS.Core.Application.Service
var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
if (inDto.IsBaseLine)
{
return "NA";
return nameof(TargetAssessment.NA);
}
if (tableQuestion.Count() == 0)
{
@@ -875,7 +879,7 @@ namespace IRaCIS.Core.Application.Service
LowChangeBigger5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 5,
// 被评估为NE的单个靶病灶 是否存在状态为不可评估的靶病灶
ExixtsNETargetLesion = tableQuestion.SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "不可评估"),
ExixtsNETargetLesion = tableQuestion.SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(TargetState.UnableEvaluate)),
//// 上次访视点整体肿瘤评估
LastTargetLesionEvaluate = string.Empty,
@@ -887,7 +891,7 @@ namespace IRaCIS.Core.Application.Service
CurrenShortBigger10 = true,
// 该淋巴结靶病灶短径绝对增加值≥5 mm
IsAddFive = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.IsAddFive && x.Answer == "是").Count() > 0,
IsAddFive = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.IsAddFive && x.Answer.EqEnum(YesOrNoOrNa.Yes)).Count() > 0,
};
@@ -895,7 +899,7 @@ namespace IRaCIS.Core.Application.Service
foreach (var item in tableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && (x.Answer == "是" || x.Answer.ToLower() == "true".ToLower())))
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 淋巴结的短径
resultData.DiameterLessThan10 = (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() < 10;
@@ -904,7 +908,7 @@ namespace IRaCIS.Core.Application.Service
resultData.CurrenShortBigger10 = (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() >= 10;
}
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && (x.Answer == "否" || x.Answer.ToLower() == "false".ToLower())))
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && !x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 当前访视点非淋巴结病灶
resultData.CurrentMajoreBigger0 = (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() > 0;
@@ -921,10 +925,10 @@ namespace IRaCIS.Core.Application.Service
string result = string.Empty;
TargetAssessment result = TargetAssessment.NA;
if (resultData.SumOfDiameter == 0 && resultData.DiameterLessThan10 && !resultData.ExixtsNETargetLesion)
{
result = "CR";
result = TargetAssessment.CR;
}
else if (
(resultData.SODPercentBigger30 && resultData.LowPercentLess20 && !resultData.ExixtsNETargetLesion)
@@ -932,7 +936,7 @@ namespace IRaCIS.Core.Application.Service
(resultData.SODPercentBigger30 && resultData.LowChangeLess5 && !resultData.ExixtsNETargetLesion)
)
{
result = "PR";
result = TargetAssessment.PR;
}
else if (
(resultData.SODPercentLess30 && resultData.LowPercentLess20 && !resultData.ExixtsNETargetLesion)
@@ -940,11 +944,11 @@ namespace IRaCIS.Core.Application.Service
(resultData.SODPercentLess30 && resultData.LowChangeLess5 && !resultData.ExixtsNETargetLesion)
)
{
result = "SD";
result = TargetAssessment.SD;
}
else if (resultData.LowPercentBigger20 && resultData.LowChangeBigger5)
{
result = "PD";
result = TargetAssessment.PD;
}
else if (
(resultData.LowPercentLess20 && resultData.ExixtsNETargetLesion)
@@ -952,25 +956,25 @@ namespace IRaCIS.Core.Application.Service
(resultData.LowPercentBigger20 && resultData.LowChangeLess5 && resultData.ExixtsNETargetLesion)
)
{
result = "NE";
result = TargetAssessment.NE;
}
else if (!resultData.ExixtsNETargetLesion)
{
result = "ND";
result = TargetAssessment.ND;
}
else if (
(resultData.LastTargetLesionEvaluate == "CR" && resultData.CurrenShortBigger10 && resultData.IsAddFive)
(resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR) && resultData.CurrenShortBigger10 && resultData.IsAddFive)
||
(resultData.LastTargetLesionEvaluate == "CR" && resultData.CurrentMajoreBigger0)
(resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR) && resultData.CurrentMajoreBigger0)
)
{
result = "PD";
result = TargetAssessment.PD;
}
return result;
return result.GetEnumInt();
}
#endregion
@@ -983,9 +987,12 @@ namespace IRaCIS.Core.Application.Service
/// <returns></returns>
public async Task<string> GetNoTargetLesionEvaluate(ReadingCalculateDto inDto)
{
NoTargetAssessment result = NoTargetAssessment.NA;
if (inDto.IsBaseLine)
{
return "NA";
return result.GetEnumInt();
}
var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NonTargetLesions).SelectMany(x => x.TableRowInfoList).ToList();
@@ -993,43 +1000,45 @@ namespace IRaCIS.Core.Application.Service
var tableQuestions = tableRows.SelectMany(x => x.TableQuestionList).ToList();
//任意单个病灶 / 病灶组评估为“显著增大”
if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "显著增大"))
if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Increase)))
{
return "PD";
result = NoTargetAssessment.PD;
}
//所有单个病灶/病灶组状态评估状态为“消失”
else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer != "消失"))
else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Loss) ))
{
return "PD";
}
result = NoTargetAssessment.PD;
}
// 任意单个病灶/病灶组评估为“无法评估”并且没有“显著增大”
else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "无法评估") &&
!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer != "显著增大")
else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Increase)) &&
!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && !x.Answer.EqEnum(NoTargetState.Increase) )
)
{
return "NE";
}
result = NoTargetAssessment.NE;
}
// 基线时没有非靶病灶
else if (tableQuestions.Count() == 0)
{
return "ND";
}
result = NoTargetAssessment.ND;
}
// 所有单个病灶/病灶组评估为”存在”或者有些评估为“消失”有些评估为“存在”,且没有“显著增大”和“无法评估”的病灶
else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer != "存在")
|| (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "存在" || x.Answer == "消失") && !tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && (x.Answer != "显著增大" || x.Answer != "无法评估")))
else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && !x.Answer.EqEnum(NoTargetState.Exist))
|| (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Exist) || x.Answer.EqEnum(NoTargetState.Loss)) && !tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && (x.Answer != "显著增大" || x.Answer != "无法评估")))
)
{
return "NN";
}
result = NoTargetAssessment.NN;
}
else
{
return string.Empty;
}
}
return result.GetEnumInt();
}
#endregion
@@ -1041,9 +1050,11 @@ namespace IRaCIS.Core.Application.Service
/// <returns></returns>
public async Task<string> GetNewLesionEvaluate(ReadingCalculateDto inDto)
{
NewLesionAssessment result = NewLesionAssessment.NA;
if (inDto.IsBaseLine)
{
return "NA";
return result.GetEnumInt();
}
var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList).ToList();
@@ -1053,29 +1064,30 @@ namespace IRaCIS.Core.Application.Service
// 当前访视存在至少一个明确新病灶
if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "明确"))
if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.Exist)))
{
return "是";
result= NewLesionAssessment.Yes;
}
//当前访视不存在明确新病灶且存在至少一个疑似新病灶
else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer != "明确") ||
tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "疑似")
else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && !x.Answer.EqEnum(NewLesionState.Exist)) ||
tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.Suspected))
)
{
return "疑似";
result = NewLesionAssessment.Suspected;
}
//只要有任何一个新病灶状态为“无法评估”
else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer == "无法评估"))
else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.UnableEvaluate)))
{
return "NE";
result = NewLesionAssessment.NE;
}
else
{
return "否";
result = NewLesionAssessment.No;
}
return result.GetEnumInt();
}
}
#endregion
#endregion