修改添加pacs 影像

IRaCIS.Core.Application/IRaCIS.Core.Application.xml

@@ -15192,11 +15192,14 @@
             <param name="inQuery"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Application.Services.PatientService.SubmitVisitStudyBinding(IRaCIS.Application.Contracts.SubmitVisitStudyBindingCommand)">
+        <member name="M:IRaCIS.Application.Services.PatientService.SubmitVisitStudyBinding(IRaCIS.Application.Contracts.SubmitVisitStudyBindingCommand,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomStudy},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomSeries},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomInstance})">
             <summary>
               提交 患者检查和访视的绑定
             </summary>
             <param name="inCommand"></param>
+            <param name="_dicomstudyRepository"></param>
+            <param name="_dicomSeriesRepository"></param>
+            <param name="_dicomInstanceRepository"></param>
             <returns></returns>
         </member>
         <member name="M:IRaCIS.Application.Services.SubjectService.AddOrUpdateSubject(IRaCIS.Application.Contracts.SubjectCommand)">

IRaCIS.Core.Application/Service/ImageAndDoc/StudyService.cs

@@ -205,6 +205,7 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
                     study.TrialId = incommand.TrialId;
                     study.SubjectId = incommand.SubjectId;
                     study.SubjectVisitId = incommand.SubjectVisitId;
+                    study.IsFromPACS = false;
 
                     //如果因为意外情况，连续点击两次，导致第一次插入了，第二次进来也会插入，在此判断一下
                     var findStudy = await _dicomstudyRepository.FirstOrDefaultAsync(t => t.Id == study.Id);
@@ -279,6 +280,7 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
                     studyMonitor.StudyCode = study.StudyCode;
 
                     //特殊处理逻辑
+                    study.IsFromPACS = false;
                     study.Modalities = string.Join("、", incommand.Study.SeriesList.Select(t => t.Modality).Union(study.Modalities.Split("、", StringSplitOptions.RemoveEmptyEntries)).Distinct());
                     SpecialArchiveStudyDeal(study);
                     modalitys = study.Modalities;

IRaCIS.Core.Application/Service/Visit/DTO/PatientViewModel.cs

@@ -256,9 +256,9 @@ namespace IRaCIS.Application.Contracts
 
         public string? TrialSiteCode { get; set; }
 
-        public string? TrialSiteName { get; set; } 
+        public string? TrialSiteName { get; set; }
 
-        public string? TrialSiteAliasName { get; set; } 
+        public string? TrialSiteAliasName { get; set; }
     }
 
 
@@ -382,7 +382,7 @@ namespace IRaCIS.Application.Contracts
 
     }
 
-    public class SubmitVisitStudyBindingCommand
+    public class VerifyPacsImageCommand
     {
         [NotDefault]
         public Guid TrialId { get; set; }
@@ -396,6 +396,13 @@ namespace IRaCIS.Application.Contracts
         public List<Guid> SCPStudyIdList { get; set; }
     }
 
+    public class SubmitVisitStudyBindingCommand: VerifyPacsImageCommand
+    {
+
+
+        public List<Guid> ReUploadSCPStudyIdList { get; set; }
+    }
+
     public class SubjectVisitSelectQuery
     {
         [NotDefault]

IRaCIS.Core.Application/Service/Visit/DTO/VisitPointViewModel.cs

@@ -264,7 +264,7 @@ namespace IRaCIS.Core.Application.Contracts
 
         public bool IsCriticalSequence { get; set; } = false;
 
-        public int SeriesCount =>SeriesList.Count;
+        public int SeriesCount => SeriesList.Count;
         public int InstanceCount { get; set; }
 
         public bool IsDicom { get; set; } = true;
@@ -369,6 +369,16 @@ namespace IRaCIS.Core.Application.Contracts
         public List<string> SOPInstanceUIDList { get; set; }
     }
 
+    public class VerifySCPStudyUploadResult
+    {
+        public Guid SCPStudyId { get; set; }
+
+        public string ErrorMesseage { get; set; } = String.Empty;
+
+        public bool AllowUpload { get; set; } = false;
+
+        public bool AllowReUpload { get; set; } = false;
+    }
 
     public class VerifyStudyUploadResult
     {

IRaCIS.Core.Application/Service/Visit/PatientService.cs

@@ -54,10 +54,12 @@ namespace IRaCIS.Application.Services
         private readonly IRepository<SCPStudy> _scpStudyRepository;
         private readonly IRepository<Subject> _subjectRepository;
         private readonly IRepository<SubjectVisit> _subjectVisitRepository;
+        private readonly IRepository<Dictionary> _dictionaryRepository;
         private readonly IDistributedLockProvider _distributedLockProvider;
 
-        public PatientService(IRepository<SCPStudy> studyRepository, IRepository<Trial> trialRepository, IRepository<SCPPatient> patientRepository, IRepository<Subject> subjectRepository, IRepository<SubjectVisit> subjectVisitRepository, IDistributedLockProvider distributedLockProvider)
+        public PatientService(IRepository<SCPStudy> studyRepository, IRepository<Dictionary> dictionaryRepository, IRepository<Trial> trialRepository, IRepository<SCPPatient> patientRepository, IRepository<Subject> subjectRepository, IRepository<SubjectVisit> subjectVisitRepository, IDistributedLockProvider distributedLockProvider)
         {
+            _dictionaryRepository = dictionaryRepository;
             _scpStudyRepository = studyRepository;
             _trialRepository = trialRepository;
             _patientRepository = patientRepository;
@@ -75,7 +77,7 @@ namespace IRaCIS.Application.Services
         [HttpPost]
         public async Task<IResponseOutput<PageOutput<SCPImageUploadView>>> GetSCPImageUploadList(SCPImageUploadQuery inQuery)
         {
-            var query = _repository.Where<SCPImageUpload>(t=>t.TrialId==inQuery.TrialId)
+            var query = _repository.Where<SCPImageUpload>(t => t.TrialId == inQuery.TrialId)
               .WhereIf(!string.IsNullOrWhiteSpace(inQuery.CalledAE), t => t.CalledAE.Contains(inQuery.CalledAE))
               .WhereIf(!string.IsNullOrWhiteSpace(inQuery.CallingAEIP), t => t.CallingAEIP.Contains(inQuery.CallingAEIP))
               .WhereIf(!string.IsNullOrWhiteSpace(inQuery.CallingAE), t => t.CallingAE.Contains(inQuery.CallingAE))
@@ -283,23 +285,120 @@ namespace IRaCIS.Application.Services
 
 
 
+        public async Task<List<VerifySCPStudyUploadResult>> VerifyPacsImage(VerifyPacsImageCommand inCommand)
+        {
+            var trialId = inCommand.TrialId;
+
+            var subjectId = inCommand.SubjectId;
+
+            var isVerifyVisitImageDate = await _repository.Where<Trial>(t => t.Id == inCommand.TrialId).Select(t => t.IsVerifyVisitImageDate).FirstNotNullAsync();
+
+            var result = new List<VerifySCPStudyUploadResult>();
+
+            var visitList = _repository.Where<SubjectVisit>(t => t.SubjectId == inCommand.SubjectId).Select(t => new { t.VisitNum, t.EarliestScanDate, t.LatestScanDate, t.Id }).ToList();
+
+            var currentVisitNum = visitList.First(t => t.Id == inCommand.SubjectVisitId).VisitNum;
+
+            var scpStudyList = _scpStudyRepository.Where(t => inCommand.SCPStudyIdList.Contains(t.Id)).Select(t => new { StudyDate = t.StudyTime, t.Id }).ToList();
+
+            foreach (var waitUploadItem in scpStudyList)
+            {
+                if (isVerifyVisitImageDate)
+                {
+                    //小于当前访视 最近的最晚拍片
+                    var before = visitList.Where(u => u.VisitNum < currentVisitNum).Max(k => k.LatestScanDate);
+
+                    if (before != null && waitUploadItem.StudyDate != null && before > waitUploadItem.StudyDate)
+                    {
+
+                        // $"当前访视检查时间{waitUploadItem.StudyDate?.ToString("yyyy-MM-dd")}不能早于前序访视检查时间{before?.ToString("yyyy-MM-dd")}，请核对检查数据是否有误",
+                        result.Add(new VerifySCPStudyUploadResult() { ErrorMesseage = _localizer["Study_VisitBeforePrevError", waitUploadItem.StudyDate?.ToString("yyyy-MM-dd")!, before?.ToString("yyyy-MM-dd")!] });
+                    }
+
+                    //大于当前访视 最近的最早拍片日期  
+                    var after = visitList.Where(u => u.VisitNum > currentVisitNum).Min(k => k.EarliestScanDate);
+
+                    if (after != null && waitUploadItem.StudyDate != null && after < waitUploadItem.StudyDate)
+                    {
+                        // $"当前访视检查时间{waitUploadItem.StudyDate?.ToString("yyyy-MM-dd")}不能晚于该访视之后的检查时间{after?.ToString("yyyy-MM-dd")}，请核对检查数据是否有误"
+                        result.Add(new VerifySCPStudyUploadResult() { ErrorMesseage = _localizer["Study_VisitAfterSubseqError", waitUploadItem.StudyDate?.ToString("yyyy-MM-dd")!, after?.ToString("yyyy-MM-dd")!]});
+                    }
+                }
+
+                var verifyStudyInfo = _repository.Where<DicomStudy>(t => t.TrialId == trialId && t.Id == waitUploadItem.Id).ProjectTo<VerifyStudyDto>(_mapper.ConfigurationProvider).FirstOrDefault();
+
+                var currentStudyResult = new VerifyStudyUploadResult();
+
+                //数据库不存在该检查  允许上传
+                if (verifyStudyInfo == null)
+                {
+                    currentStudyResult.AllowUpload = true;
+                }
+                //数据库该项目有该检查  看是否支持重传
+                else
+                {
+                    //是同一个受试者  支持重传
+                    if (verifyStudyInfo.SubjectId == subjectId && verifyStudyInfo.SubjectVisitId == inCommand.SubjectVisitId)
+                    {
+                        currentStudyResult.AllowReUpload = true;
+                    }
+                    //不是同一个受试者
+                    else
+                    {
+                        //有默认值，其实不用写，这里为了好理解
+                        currentStudyResult.AllowUpload = false;
+
+                        currentStudyResult.AllowReUpload = false;
+
+                        //$"此处不可以上传。当前影像检查已经上传给受试者{verifyStudyInfo.SubjectCode}的{verifyStudyInfo.VisitName}"
+                        currentStudyResult.ErrorMesseage = _localizer["Study_ImgAlreadyUploaded", verifyStudyInfo.SubjectCode, verifyStudyInfo.VisitName];
+                    }
+                }
+            }
+
+
+            return result;
+
+
+        }
+
+
+
         /// <summary>
         ///   提交 患者检查和访视的绑定
         /// </summary>
         /// <param name="inCommand"></param>
+        /// <param name="_dicomstudyRepository"></param>
+        /// <param name="_dicomSeriesRepository"></param>
+        /// <param name="_dicomInstanceRepository"></param>
         /// <returns></returns>
         [HttpPost]
         [UnitOfWork]
         [TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
-        public async Task<IResponseOutput> SubmitVisitStudyBinding(SubmitVisitStudyBindingCommand inCommand)
+        public async Task<IResponseOutput> SubmitVisitStudyBinding(SubmitVisitStudyBindingCommand inCommand,
+            [FromServices]IRepository<DicomStudy> _dicomstudyRepository,
+            [FromServices] IRepository<DicomSeries> _dicomSeriesRepository,
+             [FromServices] IRepository<DicomInstance> _dicomInstanceRepository)
         {
 
+            //这里要做校验 + 同时验证本地系统里面的影像是否存在pacs推过来的
+
+            var copyCommand = inCommand.Clone();
+            copyCommand.SCPStudyIdList = inCommand.SCPStudyIdList.Union(inCommand.ReUploadSCPStudyIdList).ToList();
+            var verifyResult = await VerifyPacsImage(copyCommand);
+
+            var allowUploadList = verifyResult.Where(u => u.AllowUpload == true).Select(t => t.SCPStudyId).ToList();
+            var allowReUploadList = verifyResult.Where(u => u.AllowReUpload == true).Select(t => t.SCPStudyId).ToList();
+
+            if (inCommand.SCPStudyIdList.All(t => allowUploadList.Contains(t)) && inCommand.ReUploadSCPStudyIdList.All(t => allowReUploadList.Contains(t)))
+            {
+                throw new BusinessValidationFailedException("对接提示：  前端提交的检查有不能上传的，请刷新页面调用验证接口重试！");
+            }
+
             var subjectId = inCommand.SubjectId;
             var subjectVisitId = inCommand.SubjectVisitId;
             var trialId = inCommand.TrialId;
 
-
-
             var @lock = _distributedLockProvider.CreateLock($"StudyCode");
 
             using (await @lock.AcquireAsync())
@@ -308,6 +407,7 @@ namespace IRaCIS.Application.Services
 
                 int currentNextCodeInt = dbStudyCodeIntMax + 1;
 
+                //新增的，上传的
                 foreach (var scpStudyId in inCommand.SCPStudyIdList)
                 {
 
@@ -315,7 +415,6 @@ namespace IRaCIS.Application.Services
 
                     if (find != null)
                     {
-
                         var newStuty = _mapper.Map<DicomStudy>(find.SCPStudy);
 
                         await _repository.AddAsync(newStuty);
@@ -362,6 +461,93 @@ namespace IRaCIS.Application.Services
 
                 }
 
+                foreach (var scpStudyId in inCommand.ReUploadSCPStudyIdList)
+                {
+
+                    var study = await _dicomstudyRepository.FirstOrDefaultAsync(t => t.Id == scpStudyId);
+
+                    var instanceIdList = _dicomInstanceRepository.Where(t => t.Id == scpStudyId).Select(t => t.Id).ToList();
+
+                    var scpStudy = _scpStudyRepository.Where(t => t.Id == scpStudyId).Include(t=>t.SeriesList).ThenInclude(t=>t.SCPInstanceList).FirstOrDefault();
+
+                    //以最后一次为准
+                    study.IsFromPACS = true;
+                    //特殊处理逻辑
+                    study.Modalities = string.Join("、", scpStudy.SeriesList.Select(t => t.Modality).Union(study.Modalities.Split("、", StringSplitOptions.RemoveEmptyEntries)).Distinct());
+
+                    SpecialArchiveStudyDeal(study);
+
+
+                    // 少了整个序列
+
+                    //某个序列下少了instance
+                    foreach (var seriesItem in scpStudy.SeriesList)
+                    {
+                        var seriesId = IdentifierHelper.CreateGuid(seriesItem.StudyInstanceUid, seriesItem.SeriesInstanceUid, trialId.ToString());
+
+                        DicomSeries dicomSeries = await _dicomSeriesRepository.FirstOrDefaultAsync(t => t.Id == seriesId);
+
+                        //判断重复
+                        if (dicomSeries == null)
+                        {
+                            var series = _mapper.Map<DicomSeries>(seriesItem);
+
+                            series.SeqId = Guid.Empty;
+                            series.TrialId = trialId;
+                            series.SubjectId = subjectId;
+                            series.SubjectVisitId = subjectVisitId;
+
+
+                            dicomSeries = await _dicomSeriesRepository.AddAsync(series);
+
+
+
+                            foreach (var instanceItem in seriesItem.SCPInstanceList)
+                            {
+                                var instance = _mapper.Map<DicomInstance>(instanceItem);
+
+                                instance.SeqId = Guid.Empty;
+                                instance.TrialId = trialId;
+                                instance.SubjectId = subjectId;
+                                instance.SubjectVisitId = subjectVisitId;
+
+                                await _dicomInstanceRepository.AddAsync(instance);
+                            }
+
+                            //新的序列 那么  检查的序列数量+1
+                            study.SeriesCount += 1;
+
+                            study.InstanceCount += seriesItem.SCPInstanceList.Count;
+                        }
+                        else
+                        {
+                            //该序列掉了instance
+                            dicomSeries.InstanceCount += seriesItem.SCPInstanceList.Count;
+
+                            var newInstanceList = seriesItem.SCPInstanceList.Where(t => !instanceIdList.Contains(t.Id));
+
+                            foreach (var instanceItem in newInstanceList)
+                            {
+                                var instance = _mapper.Map<DicomInstance>(instanceItem);
+
+                                instance.SeqId = Guid.Empty;
+                                instance.TrialId = trialId;
+                                instance.SubjectId = subjectId;
+                                instance.SubjectVisitId = subjectVisitId;
+
+                                await _dicomInstanceRepository.AddAsync(instance);
+                            }
+
+                            study.InstanceCount += newInstanceList.Count();
+
+                        }
+                    }
+
+                    await _repository.SaveChangesAsync();
+                    await _repository.BatchUpdateAsync<SCPPatient>(t => t.Id == scpStudy.PatientId, u => new SCPPatient() { SubjectId = subjectId });
+                    await _repository.BatchUpdateAsync<SCPStudy>(t => t.Id == scpStudyId, u => new SCPStudy() { SubjectVisitId = subjectVisitId });
+                }
+
 
             }
 
@@ -373,6 +559,43 @@ namespace IRaCIS.Application.Services
             return ResponseOutput.Ok();
         }
 
+
+        private void SpecialArchiveStudyDeal(DicomStudy study)
+        {
+            #region 特殊逻辑
+
+
+            if (study.PatientBirthDate.Length == 8)
+            {
+                study.PatientBirthDate = $"{study.PatientBirthDate[0]}{study.PatientBirthDate[1]}{study.PatientBirthDate[2]}{study.PatientBirthDate[3]}-{study.PatientBirthDate[4]}{study.PatientBirthDate[5]}-{study.PatientBirthDate[6]}{study.PatientBirthDate[7]}";
+            }
+
+            var dicModalityList = _dictionaryRepository.Where(t => t.Code == "Modality").SelectMany(t => t.ChildList.Select(c => c.Value)).ToList();
+
+
+            var modality = study.Modalities;
+
+            var modalityForEdit = dicModalityList.Contains(modality) ? modality : String.Empty;
+
+            if (modality == "MR")
+            {
+                modalityForEdit = "MRI";
+            }
+
+            if (modality == "PT")
+            {
+                modalityForEdit = "PET";
+            }
+            if (modality == "PT、CT")
+            {
+                modalityForEdit = "PET-CT";
+            }
+
+            study.ModalityForEdit = modalityForEdit;
+            #endregion
+        }
+
+
         #endregion