From 7fe61af1410dba680eaae94a47a7a7a7bcba969c Mon Sep 17 00:00:00 2001 From: he <109787524@qq.com> Date: Tue, 2 Sep 2025 13:39:51 +0800 Subject: [PATCH] =?UTF-8?q?=E6=8A=A5=E5=91=8A?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit --- .../MRECISTHCCCalculateService.cs | 477 +++++++++++++++++- 1 file changed, 471 insertions(+), 6 deletions(-) diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs index 4dbd2ab03..d00efab66 100644 --- a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs +++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs @@ -1,4 +1,7 @@ using DocumentFormat.OpenXml.Office.SpreadSheetML.Y2023.MsForms; +using IRaCIS.Application.Contracts; +using IRaCIS.Core.Application.Contracts; +using IRaCIS.Core.Application.Helper; using IRaCIS.Core.Application.Service.Reading.Dto; using IRaCIS.Core.Application.ViewModel; using IRaCIS.Core.Domain.Share; @@ -6,7 +9,11 @@ using IRaCIS.Core.Infra.EFCore.Common; using IRaCIS.Core.Infrastructure; using MassTransit; using Microsoft.AspNetCore.Mvc; +using Microsoft.Extensions.DependencyInjection; +using Microsoft.Extensions.Options; +using MiniSoftware; using Newtonsoft.Json; +using System.Runtime.InteropServices; namespace IRaCIS.Core.Application.Service.ReadingCalculate { @@ -14,6 +21,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate [ApiExplorerSettings(GroupName = "Reading")] public class MRECISTHCCCalculateService(IRepository _readingTableQuestionAnswerRepository, IRepository _visitTaskRepository, + IRepository _subjectRepository, + IRepository _userRoleRepository, + IServiceProvider ServiceProvider, + IRepository _hIRHospitalRepository, + IRepository _dicomInstanceRepository, + IOptionsMonitor _hospital, + IRepository _dictionaryRepository, + IRepository _dicomStudyRepository, + IRepository _subjectPatientRepository, IRepository _readingQuestionCriterionTrialRepository, IRepository _readingTableQuestionTrialRepository, IRepository _readingTableAnswerRowInfoRepository, @@ -26,19 +42,468 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate IRepository _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService { + /// + /// 获取肿瘤评估报告 + /// + /// + /// + public async Task DownLoadTumorEvaluationStream(DownLoadReadReportInDto inDto) + { + var downFile = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, $@"wwwroot/ReadReoprtTemplate/downLoad/{inDto.DownLoadGuid}"); + Directory.CreateDirectory(downFile); + + var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId && x.ReadingCategory == ReadingCategory.Visit) + .Include(x => x.TrialReadingCriterion).FirstNotNullAsync(); + var visitInfo = await _subjectVisitRepository.Where(x => x.Id == taskinfo.SourceSubjectVisitId).Include(x => x.StudyList).FirstNotNullAsync(); + var subjectInfo = await _subjectRepository.Where(x => x.Id == taskinfo.SubjectId).Include(x => x.Trial).Include(x => x.SubjectPatientList).FirstNotNullAsync(); + var subjectPatientList = await _subjectPatientRepository.Where(x => x.SubjectId == subjectInfo.Id).Include(x => x.Patient).ToListAsync(); + var trialQuestion = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync(); + var tableQuestion = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionTrial.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync(); + var dicotionCode = trialQuestion.Where(x => x.DictionaryCode != string.Empty).Select(x => x.DictionaryCode).Distinct().ToList(); + dicotionCode.AddRange(tableQuestion.Where(x => x.DictionaryCode != string.Empty).Select(x => x.DictionaryCode).Distinct()); + var dictionList = await _dictionaryRepository.Where(x => dicotionCode.Contains(x.Code)).Include(x => x.ChildList).ToListAsync(); + var unitDictionary = await _dictionaryRepository.Where(x => x.Code == "ValueUnit").Include(x => x.ChildList).ToListAsync(); + + var relatedVisitTask = await ServiceProvider.GetService().GetRelatedVisitTask(new GetRelatedVisitTaskInDto() + { + VisitTaskId = inDto.VisitTaskId + }); + + var relatedTaskIds = relatedVisitTask.Item1.Select(x => x.VisitTaskId).ToList(); + + var answerList = await _readingTaskQuestionAnswerRepository.Where(x => relatedTaskIds.Contains(x.VisitTaskId)).Include(x => x.ReadingQuestionTrial).ToListAsync(); + + var rowinfoList = await _readingTableAnswerRowInfoRepository.Where(x => relatedTaskIds.Contains(x.VisitTaskId)).Include(x => x.VisitTask).Include(x => x.ReadingQuestionTrial).ToListAsync(); + + var instanceIdList = rowinfoList.Select(x => x.InstanceId).ToList(); + var instanceList = await _dicomInstanceRepository.Where(x => instanceIdList.Contains(x.Id)).Include(x => x.DicomSerie.DicomStudy).ToListAsync(); + + var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => relatedTaskIds.Contains(x.VisitTaskId)).Include(x => x.ReadingQuestionTrial).Include(x => x.ReadingTableQuestionTrial).ToListAsync(); + var taskinfoList = await _visitTaskRepository.Where(x => relatedTaskIds.Contains(x.Id)) + .Include(x => x.SourceSubjectVisit).Include(x => x.SourceSubjectVisit.StudyList) + .Include(x => x.DoctorUser).ToListAsync(); + + List exportVisitDatas = taskinfoList + .Select(x => new ExportVisitData() + { + VisitName = x.SourceSubjectVisit.VisitName, + VisitNum = x.VisitTaskNum, + CheckDate = string.Join(",", x.SourceSubjectVisit.StudyList.Where(x => x.StudyTime != null).Select(x => x.StudyTime.Value.ToString("yyyy-MM-dd"))), + CheckInfoList = x.SourceSubjectVisit.StudyList.Select(x => new DicomStudyInfo() + { + BodyPartExamined = x.BodyPartExamined, + Modalities = x.Modalities + }).ToList(), + HaveNewLesion = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.NewLesions), + TargetResult = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.TargetLesion), + NoTargetResult = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.NoTargetLesion), + OverallResult = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.Tumor), + DoctorName = x.DoctorUser.LastName + x.DoctorUser.FirstName, + SignTime = x.SignTime?.ToString("yyyy-MM-dd HH:mm:ss"), + VisitTargetInfoList = getLesionInfo(LesionType.TargetLesion, x.Id), + VisitNoTargetInfoList = getLesionInfo(LesionType.NonTargetLesions, x.Id), + }).OrderBy(x => x.VisitNum).ToList(); + + + #region 两个函数 + List getLesionInfo(LesionType lesionType, Guid Visittaskid) + { + var targetFocus = rowinfoList.Where(x => x.VisitTaskId == Visittaskid && x.ReadingQuestionTrial.LesionType == lesionType).OrderBy(x => x.RowIndex).ToList(); + + + var targetInfo = new List(); + + int num = 1; + foreach (var item in targetFocus) + { + + VisitLesionInfo target = new VisitLesionInfo + { + RowMark = rowinfoList.Where(x => x.VisitTaskId == Visittaskid && x.RowIndex == item.RowIndex && x.ReadingQuestionTrial.LesionType == lesionType).Select(x => x.RowMark).FirstIsNullReturnEmpty(), + Organ = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, Visittaskid, lesionType, QuestionMark.Organ, item.RowIndex), + Part = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, Visittaskid, lesionType, QuestionMark.Part, item.RowIndex), + Number = num, + StudyCode = instanceList.Where(x => x.Id == item.InstanceId).Select(x => x.DicomSerie.DicomStudy.Code).FirstOrDefault(), + RowId = item.Id, + SeriesNumber = instanceList.Where(x => x.Id == item.InstanceId).Select(x => x.DicomSerie.SeriesNumber).FirstOrDefault(), + InstanceNumber = instanceList.Where(x => x.Id == item.InstanceId).Select(x => x.InstanceNumber).FirstOrDefault(), + VisitLength = getStateInfo(item.VisitTaskId, item.RowIndex, lesionType), + }; + targetInfo.Add(target); + num++; + + } + if (lesionType == LesionType.TargetLesion) + { + for (int i = num; i <= 5; i++) + { + VisitLesionInfo target = new VisitLesionInfo + { + Number = i, + }; + targetInfo.Add(target); + + } + + } + + return targetInfo; + } + + decimal getStateInfo(Guid visitTaskid, decimal item, LesionType lesionType) + { + // 非淋巴结取长径 淋巴结取长短径 + var state = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, visitTaskid, lesionType, QuestionMark.State, item); + var majorAxis = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, visitTaskid, lesionType, QuestionMark.MajorAxis, item, false); + + var isLymph = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, visitTaskid, lesionType, QuestionMark.IsLymph, item); + var shortAxis = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, visitTaskid, lesionType, QuestionMark.ShortAxis, item, false); + + var result = string.Empty; + + if (!majorAxis.IsNullOrEmpty()) + { + result = majorAxis; + + } + + if (isLymph.EqEnum(YesOrNoOrNa.Yes) && !shortAxis.IsNullOrEmpty()) + { + result = shortAxis; + } + + return result.IsNullOrEmptyReturn0(); + + } + #endregion + + var researchProgramNo = subjectInfo.Trial.ResearchProgramNo; + var subjectName = subjectInfo.ShortName; + var subjectCode = subjectPatientList.Select(x => x.Patient).OrderByDescending(x => x.CreateTime).Select(x => x.PatientIdStr).FirstIsNullReturnEmpty(); + + + + List resultdata = new List(); + List times = new List() { "One", "Two", "Three" }; + List columns = new List() { "VisitName", "CheckDate", "CheckInfoStr", "HaveNewLesion", "TargetResult", "NoTargetResult", "OverallResult", "DoctorSignTime" }; + + var forCount = (int)Math.Ceiling((double)exportVisitDatas.Count() / 3); + for (int i = 0; i < forCount; i++) + { + ExportTumorEvaluationInfo export = new ExportTumorEvaluationInfo + { + ResearchProgramNo = researchProgramNo, + SubjectName = subjectName, + SubjectCode = subjectCode, + VisitList = exportVisitDatas.Skip(i * 3).Take(3).ToList(), + }; + + export.Lesion = new ExportData() + { + OneTargetSum = export.VisitOne.TargetSum.ToString(), + TwoTargetSum = export.VisitTwo.VisitTargetInfoList.Count() > 0 ? export.VisitTwo.TargetSum.ToString() : string.Empty, + ThreeTargetSum = export.VisitThree.VisitTargetInfoList.Count() > 0 ? export.VisitThree.TargetSum.ToString() : string.Empty, + + + }; + foreach (var time in times) + { + foreach (var column in columns) + { + _generalCalculateService.SetPropertyDynamically(export.Lesion, column, export, time); + } + + } + + if (i >= forCount - 1) + { + export.IsLastPage = true; + // 之后最后一个任务需要签名 + var thisVisitListNum = export.VisitList.Count(); + switch (thisVisitListNum) + { + case 1: + export.Lesion.OneDoctorSign = "签字："; + break; + case 2: + export.Lesion.TwoDoctorSign = "签字："; + break; + case 3: + export.Lesion.ThreeDoctorSign = "签字："; + break; + } + + } + resultdata.Add(export); + } + + + + + + var value = new + { + VisitTaskList = resultdata, + IsLastPage = false, + }; + + + var templatePath = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, @"wwwroot/ReadReoprtTemplate/TumorEvaluation_RECIST1.1_CN_V1.docx"); + var outputFilePath = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, $@"wwwroot/ReadReoprtTemplate/downLoad/{inDto.DownLoadGuid}.docx"); + + + MiniWord.SaveAsByTemplate(outputFilePath, templatePath, value); + + + //// 获取文件夹中的所有文件路径 + Directory.Delete(downFile, true); + + if (RuntimeInformation.IsOSPlatform(OSPlatform.Windows)) + { + Stream stream = _generalCalculateService.ReadAndReturnStream(outputFilePath); + return stream; + } + else + { + + var pdfurl = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, @"wwwroot/ReadReoprtTemplate/downLoad"); + FileConvertHelper.ConvertWordToPdf(outputFilePath, pdfurl); + Stream stream = _generalCalculateService.ReadAndReturnStream(pdfurl + $"/{inDto.DownLoadGuid}.pdf"); + return stream; + } + } + + /// /// 下载阅片报告 /// /// /// - public async Task DownLoadReadReportStream(DownLoadReadReportInDto inDto) + public async Task DownLoadReadReportStream(DownLoadReadReportInDto inDto) { - throw new BusinessValidationFailedException(_localizer["ReadingCalculate_DownLoadReadReport"]); - } + var downFile = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, $@"wwwroot/ReadReoprtTemplate/downLoad/{inDto.DownLoadGuid}"); + Directory.CreateDirectory(downFile); + var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId && x.ReadingCategory == ReadingCategory.Visit) + .Include(x => x.TrialReadingCriterion).FirstNotNullAsync(); + var visitInfo = await _subjectVisitRepository.Where(x => x.Id == taskinfo.SourceSubjectVisitId).Include(x => x.StudyList).FirstNotNullAsync(); + var subjectInfo = await _subjectRepository.Where(x => x.Id == taskinfo.SubjectId).Include(x => x.SubjectPatientList).FirstNotNullAsync(); + var doctor = await _userRoleRepository.Where(x => x.Id == taskinfo.DoctorUserId).FirstOrDefaultAsync(); - public async Task DownLoadTumorEvaluationStream(DownLoadReadReportInDto inDto) - { - throw new BusinessValidationFailedException(_localizer["ReadingCalculate_DownLoadReadReport"]); + var trialQuestion = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync(); + var tableQuestion = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionTrial.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync(); + var dicotionCode = trialQuestion.Where(x => x.DictionaryCode != string.Empty).Select(x => x.DictionaryCode).Distinct().ToList(); + dicotionCode.AddRange(tableQuestion.Where(x => x.DictionaryCode != string.Empty).Select(x => x.DictionaryCode).Distinct()); + var dictionList = await _dictionaryRepository.Where(x => dicotionCode.Contains(x.Code)).Include(x => x.ChildList).ToListAsync(); + List taskIds = new List() { }; + var relatedVisitTask = await ServiceProvider.GetService().GetRelatedVisitTask(new GetRelatedVisitTaskInDto() + { + VisitTaskId = inDto.VisitTaskId + }); + + var relatedCount = relatedVisitTask.Item1.Count(); + + if (relatedCount <= 3) + { + taskIds = relatedVisitTask.Item1.Select(x => x.VisitTaskId).ToList(); + } + else + { + var count = relatedVisitTask.Item1.Count(); + taskIds.Add(relatedVisitTask.Item1[0].VisitTaskId); + taskIds.Add(relatedVisitTask.Item1[count - 2].VisitTaskId); + taskIds.Add(relatedVisitTask.Item1[count - 1].VisitTaskId); + + } + relatedVisitTask.Item1 = relatedVisitTask.Item1.Where(x => taskIds.Contains(x.VisitTaskId)).ToList(); + // 所有访视问题的答案 + var answerList = await _readingTaskQuestionAnswerRepository.Where(x => taskIds.Contains(x.VisitTaskId)).Include(x => x.ReadingQuestionTrial).ToListAsync(); + + // 单位字典 + var unitDictionary = await _dictionaryRepository.Where(x => x.Code == "ValueUnit").Include(x => x.ChildList).ToListAsync(); + var imageProblem = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, inDto.VisitTaskId, QuestionType.ImageQualityAssessment); + var rowinfoList = await _readingTableAnswerRowInfoRepository.Where(x => taskIds.Contains(x.VisitTaskId)).Include(x => x.VisitTask).Include(x => x.ReadingQuestionTrial).ToListAsync(); + var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => taskIds.Contains(x.VisitTaskId)).Include(x => x.ReadingQuestionTrial).Include(x => x.ReadingTableQuestionTrial).ToListAsync(); + + #region 获取各个病灶 + List> getLesionInfo(LesionType lesionType) + { + List targetFocusNum = rowinfoList.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.ReadingQuestionTrial.LesionType == lesionType).Select(x => x.RowIndex).OrderBy(x => x).ToList(); + + List> targetInfo = new List>(); + + foreach (var item in targetFocusNum) + { + var bodyPartDescription = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, inDto.VisitTaskId, lesionType, QuestionMark.BodyPartDescription, item); + Dictionary target = new Dictionary() + { + { "RowMark",rowinfoList.Where(x=>x.VisitTaskId == inDto.VisitTaskId &&x.RowIndex==item && x.ReadingQuestionTrial.LesionType == lesionType).Select(x=>x.RowMark).FirstIsNullReturnEmpty() }, + { "Organ",_generalCalculateService.GetTaskTableAnswer(tableAnswerList,dictionList,unitDictionary,inDto.VisitTaskId,lesionType,QuestionMark.Organ,item)+"："+_generalCalculateService.GetTaskTableAnswer(tableAnswerList,dictionList,unitDictionary,inDto.VisitTaskId,lesionType,QuestionMark.Part,item)+ (bodyPartDescription==string.Empty?string.Empty:"，"+bodyPartDescription) }, + { "FirstVisit",getStateInfo(0,item, lesionType) }, + { "SecondVisit", relatedCount>=2?getStateInfo(1,item,lesionType):string.Empty }, + { "ThirdlyVisit", relatedCount>=3?getStateInfo(2,item,lesionType):string.Empty }, + }; + targetInfo.Add(target); + } + return targetInfo; + } + + string getStateInfo(int index, decimal item, LesionType lesionType) + { + // 非淋巴结取长径 淋巴结取长短径 + var state = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, taskIds[index], lesionType, QuestionMark.State, item); + var majorAxis = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, taskIds[index], lesionType, QuestionMark.MajorAxis, item); + + var isLymph = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, taskIds[index], lesionType, QuestionMark.IsLymph, item); + var shortAxis = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, taskIds[index], lesionType, QuestionMark.ShortAxis, item); + + var result = string.Empty; + + if (!state.IsNullOrEmpty()) + { + result = state; + + } + + if (!majorAxis.IsNullOrEmpty()) + { + result += result == string.Empty ? $"L：{majorAxis}" : $"，L：{majorAxis}"; + } + + if (isLymph.EqEnum(YesOrNoOrNa.Yes) && !shortAxis.IsNullOrEmpty()) + { + result += result == string.Empty ? $"S：{shortAxis}" : $"，S：{shortAxis}"; + } + + return result; + + } + + #endregion + + + #region 外层问题处理 + + // 获取外层问题 + List> getQuestionAnswerList(List exports) + { + List> questionAnswerList = new List>(); + foreach (var item in exports) + { + Dictionary questionAnswer = new Dictionary() + { + {"Name",item.QuestionName }, + {"FirstVisit", _generalCalculateService.GetTaskanswer(answerList,dictionList,unitDictionary,taskIds[0],item.QuestionType)}, + {"SecondVisit", relatedCount>=2? _generalCalculateService.GetTaskanswer(answerList,dictionList,unitDictionary,taskIds[1],item.QuestionType):string.Empty }, + {"ThirdlyVisit", relatedCount>=3? _generalCalculateService.GetTaskanswer(answerList,dictionList,unitDictionary,taskIds[2],item.QuestionType):string.Empty }, + }; + questionAnswerList.Add(questionAnswer); + } + return questionAnswerList; + } + + #endregion + + var studyInfo = (await _dicomStudyRepository.Where(x => x.SubjectVisitId == taskinfo.SourceSubjectVisitId).Select(x => new + { + + x.Modalities, + x.StudyTime, + x.BodyPartExamined, + x.Description + + }).OrderBy(x => x.StudyTime).ToListAsync()).Select(x => new Dictionary() { + + { "Modalities",x.Modalities}, + { "StudyTime",x.StudyTime?.ToString("yyyy-MM-dd")}, + { "Description",x.Description}, + { "ImageProblem",imageProblem}, + }).ToList(); + + + var subjectPatientList = await _subjectPatientRepository.Where(x => x.SubjectId == subjectInfo.Id).Include(x => x.Patient).ToListAsync(); + + var assessmentResult = string.Empty; + if (visitInfo.IsBaseLine) + { + var existDisease = answerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ExistDisease).Select(x => x.Answer).FirstIsNullReturnEmpty().EqEnum(ExistDisease.No) ? "不" : string.Empty; + assessmentResult = $"{existDisease}存在疾病"; + } + else + { + assessmentResult = $"整体肿瘤评估结果为{_generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, inDto.VisitTaskId, QuestionType.Tumor)}"; + } + var hIRHospital = await _hIRHospitalRepository.Where(t => t.IsDefault == true).FirstNotNullAsync(); + + var value = new Dictionary() + { + // { "Logo" ,await _generalCalculateService.GetWordPictureMaxWL(_options.CurrentValue.MinIO.viewEndpoint+_hospital.CurrentValue.HospitalLogoPath ,System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, $@"wwwroot/ReadReoprtTemplate/downLoad/{inDto.DownLoadGuid}"),110,100) }, + + { "HospitalName",hIRHospital.HospitalName } ,// 医院名称 + { "SubjectName",subjectInfo.ShortName }, //患者姓名 + { "SubjectSex", subjectInfo.Sex==string.Empty?string.Empty: subjectInfo.Sex=="M"?"男":"女" }, //患者性别 + { "SubjectAge",subjectInfo.Age==null?string.Empty: subjectInfo.Age +"岁" }, //患者年龄 + { "SubjectCode",subjectPatientList.Select(x=>x.Patient).OrderByDescending(x=>x.CreateTime).Select(x=>x.PatientIdStr).FirstIsNullReturnEmpty() }, //患者编号 + { "VisitName",visitInfo.VisitName }, //访视名称 + { "LatestScanDate",visitInfo.StudyList.Min(x=>x.StudyTime)?.ToString("yyyy-MM-dd") }, //随访日期 + { "CriterionName",taskinfo.TrialReadingCriterion.CriterionName }, //评估标准 + { "AssessmentResult", assessmentResult }, //评估结果 + { "DoctorName",doctor.LastName + doctor.FirstName}, //医生姓名 + { "SignTime",taskinfo.SignTime?.ToString("yyyy-MM-dd HH:mm:ss") }, //签名时间 + { "StudyInfo",studyInfo }, // 检查信息 + { "FirstVisit", relatedVisitTask.Item1[0].TaskName}, + { "SecondVisit",relatedCount>=2?relatedVisitTask.Item1[1].TaskName:string.Empty}, + { "ThirdlyVisit", relatedCount>=3?relatedVisitTask.Item1[2].TaskName:string.Empty}, + { "TargetInfo", getLesionInfo(LesionType.TargetLesion)}, // 靶病灶 + { "NoTargetInfo", getLesionInfo(LesionType.NonTargetLesions)}, // 非把病灶 + { "NewTargetInfo", getLesionInfo(LesionType.NewLesions)},// 新病灶 + { "TargetImage", await _generalCalculateService.GetLesionPic(rowinfoList, LesionType.TargetLesion,inDto.DownLoadGuid)}, // 靶病灶图片 + { "NoTargetImage",await _generalCalculateService.GetLesionPic(rowinfoList, LesionType.NonTargetLesions,inDto.DownLoadGuid)}, // 非靶病灶图片 + { "NewImage", await _generalCalculateService.GetLesionPic(rowinfoList, LesionType.NewLesions,inDto.DownLoadGuid)}, // 新病灶图片 + { "Result",getQuestionAnswerList(new List() + { new ExportReportQuestion (){ QuestionName="靶病灶径线之和（SOD）",QuestionType=QuestionType.SOD}, + new ExportReportQuestion (){ QuestionName="非淋巴结靶病灶长径之和",QuestionType=QuestionType.SumOfDiameter}, + new ExportReportQuestion (){ QuestionName="与基线相比SOD变化量",QuestionType=QuestionType.SODChange}, + new ExportReportQuestion (){ QuestionName="与基线相比SOD变化百分比",QuestionType=QuestionType.SODPercent}, + new ExportReportQuestion (){ QuestionName="与最低点相比SOD变化量",QuestionType=QuestionType.LowestIncrease}, + new ExportReportQuestion (){ QuestionName="与最低点相比SOD变化百分比",QuestionType=QuestionType.LowPercent}, + new ExportReportQuestion (){ QuestionName="最低点访视",QuestionType=QuestionType.LowVisit}, + })}, // 评估结果 + { "Curative",getQuestionAnswerList(new List() + { new ExportReportQuestion (){ QuestionName="靶病灶评估",QuestionType=QuestionType.TargetLesion}, + new ExportReportQuestion (){ QuestionName="非靶病灶评估",QuestionType=QuestionType.NoTargetLesion}, + new ExportReportQuestion (){ QuestionName="存在新病灶",QuestionType=QuestionType.NewLesions}, + new ExportReportQuestion (){ QuestionName="存在疾病",QuestionType=QuestionType.ExistDisease}, + new ExportReportQuestion (){ QuestionName="整体肿瘤评估",QuestionType=QuestionType.Tumor}, + })}, // 疗效结果 + + { "ReportNo",await _generalCalculateService.GetReportExportNo(taskinfo) } , + }; + + value = _generalCalculateService.StringEmptyTurnedLine(value); + + var templatePath = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, @"wwwroot/ReadReoprtTemplate/ReportTemplate_RECIST1.1_CN_V1.docx"); + var outputFilePath = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, $@"wwwroot/ReadReoprtTemplate/downLoad/{inDto.DownLoadGuid}.docx"); + + + MiniWord.SaveAsByTemplate(outputFilePath, templatePath, value); + + + //// 获取文件夹中的所有文件路径 + Directory.Delete(downFile, true); + + if (RuntimeInformation.IsOSPlatform(OSPlatform.Windows)) + { + Stream stream = _generalCalculateService.ReadAndReturnStream(outputFilePath); + return stream; + } + else + { + + var pdfurl = System.IO.Path.Combine(AppDomain.CurrentDomain.BaseDirectory, @"wwwroot/ReadReoprtTemplate/downLoad"); + FileConvertHelper.ConvertWordToPdf(outputFilePath, pdfurl); + Stream stream = _generalCalculateService.ReadAndReturnStream(pdfurl + $"/{inDto.DownLoadGuid}.pdf"); + return stream; + } } /// /// 阅片导入