using DocumentFormat.OpenXml.EMMA; using IRaCIS.Core.Application.Service.Reading.Dto; using IRaCIS.Core.Application.ViewModel; using IRaCIS.Core.Domain.Models; using IRaCIS.Core.Domain.Share; using IRaCIS.Core.Infra.EFCore.Common; using IRaCIS.Core.Infrastructure; using MassTransit; using Microsoft.AspNetCore.Mvc; using System.Linq; namespace IRaCIS.Core.Application.Service.ReadingCalculate { [ApiExplorerSettings(GroupName = "Reading")] public class MRIPDFFCalculateService(IRepository _readingTableQuestionAnswerRepository, IRepository _visitTaskRepository, IRepository _readingQuestionCriterionTrialRepository, IRepository _readingTableQuestionTrialRepository, IRepository _readingTableAnswerRowInfoRepository, IRepository _readingGlobalTaskInfoRepository, IRepository _readingQuestionTrialRepository, IRepository _subjectVisitRepository, IRepository _organInfoRepository, IRepository _dictionaryRepository, IRepository _readingTaskQuestionMarkRepository, IRepository _dicomStudyRepository, IRepository _noneDicomStudyRepository, IRepository _tumorAssessmentRepository, IGeneralCalculateService _generalCalculateService, IRepository _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService { private List siteVisitForTumorList = new List(); /// /// 阅片导入 /// /// public async Task ReadingImport() { } /// /// 获取阅片的计算数据 /// /// /// public async Task GetReadingCalculationData(GetReadingCalculationDataInDto inDto) { return new { }; } #region 删除病灶获取起始病灶序号 /// /// 删除病灶获取起始病灶序号 /// /// public async Task GetDeleteLesionStatrIndex(DeleteReadingRowAnswerInDto inDto) { return 1; } #endregion #region 获取阅片报告 /// /// 获取阅片报告 /// /// /// [HttpPost] public async Task GetReadingReportEvaluation(GetReadingReportEvaluationInDto indto) { GetReadingReportEvaluationOutDto result = new GetReadingReportEvaluationOutDto(); result.CalculateResult = await this.GetReportVerify(new GetReportVerifyInDto() { VisitTaskId = indto.VisitTaskId }); var visitTaskInfo = await _visitTaskRepository.Where(x => x.Id == indto.VisitTaskId).FirstNotNullAsync(); result.ReadingTaskState = visitTaskInfo.ReadingTaskState; var taskInfoList = await _generalCalculateService.GetReadingReportTaskList(indto.VisitTaskId); result.VisitTaskList = taskInfoList; var visitTaskIds = taskInfoList.Select(x => x.VisitTaskId).ToList(); var criterionId = visitTaskInfo.TrialReadingCriterionId; var questionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == criterionId && x.ShowQuestion != ShowQuestion.Hide).ToListAsync(); var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == criterionId).OrderBy(x => x.ShowOrder).ToListAsync(); var lesionsIndexs = await _readingTableAnswerRowInfoRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).GroupBy(x => new { x.QuestionId }).Select(x => new lesionsIndexDto() { QuestionId = x.Key.QuestionId, Rowindexs = x.Select(x => x.RowIndex).Distinct().OrderBy(x => x).ToList() }).ToListAsync(); var tableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId).ProjectTo(_mapper.ConfigurationProvider).ToListAsync(); var answers = await _readingTaskQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync(); var tableAnswers = await _readingTableQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync(); var globalanswerList = await _readingGlobalTaskInfoRepository.Where(x => visitTaskIds.Contains(x.TaskId) && x.GlobalVisitTask.TaskState == TaskState.Effect && x.Answer != string.Empty).Select(x => new Globalanswer() { TaskId = x.TaskId, VisitTaskNum = x.GlobalVisitTask.VisitTaskNum, QuestionId = x.QuestionId, Answer = x.Answer }).ToListAsync(); var alltableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync(); var organIds = alltableAnsweRowInfos.Where(x => x.OrganInfoId != null).Select(x => x.OrganInfoId).Distinct().ToList(); var organInfos = await _organInfoRepository.Where(x => organIds.Contains(x.Id)).ToListAsync(); var needChangeType = new List() { QuestionMark.Organ, QuestionMark.Location, QuestionMark.Part, }; // 第一级 List questions = await _generalCalculateService.GetReadingReportQuestion ( questionList, taskInfoList, globalanswerList, answers, tableAnsweRowInfos, tableQuestionList, alltableAnsweRowInfos, tableAnswers, organInfos, needChangeType ); result.TaskQuestions = questions; return result; } #endregion /// /// 将上一次的访视病灶添加到这一次 /// /// /// public async Task AddTaskLesionAnswerFromLastTask(AddTaskLesionAnswerFromLastTaskInDto inDto) { var visitTaskId = inDto.VisitTaskId; var taskinfo = await _visitTaskRepository.Where(x => x.Id == visitTaskId).FirstNotNullAsync(); var isReadingTaskViewInOrder = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == taskinfo.TrialReadingCriterionId).Select(x => x.IsReadingTaskViewInOrder).FirstOrDefaultAsync(); var baseLineVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == taskinfo.SubjectId && x.IsBaseLine).Select(x => x.Id).FirstOrDefaultAsync(); if (!(await _readingTableQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == visitTaskId))) { var dictionList = await _dictionaryRepository.Where(x => x.Parent.Code == "LiverSegmentation").OrderBy(x => x.ShowOrder).ToListAsync(); var tableQuestion = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId && x.LesionType == LesionType.FatFraction).FirstNotNullAsync(); var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionId == tableQuestion.Id).ToListAsync(); var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit && x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId && x.IsAnalysisCreate == taskinfo.IsAnalysisCreate && x.DoctorUserId == taskinfo.DoctorUserId && x.IsSelfAnalysis == taskinfo.IsSelfAnalysis && x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTaskNum < taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect && x.ArmEnum == taskinfo.ArmEnum ).OrderByDescending(x => x.VisitTaskNum).Select(x => x.Id).FirstOrDefaultAsync(); List marks = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == LastVisitTaskId && x.RowId != null).ProjectTo(_mapper.ConfigurationProvider).ToListAsync(); marks.ForEach(x => { x.VisitTaskId = visitTaskId; }); List rowlist = new List(); List tableAnswerList = new List(); decimal num = 1; foreach (var item in dictionList) { var guid = NewId.NextGuid(); marks.ForEach(x => { x.RowId = x.RowIndex == num ? guid : x.RowId; }); rowlist.Add(new ReadingTableAnswerRowInfo() { FristAddTaskId = visitTaskId, IsCurrentTaskAdd = true, BlindName = taskinfo.TaskBlindName, OrderMark = tableQuestion.OrderMark, VisitTaskId = visitTaskId, TrialId = taskinfo.TrialId, QuestionId = tableQuestion.Id, RowIndex = num, Id = guid, }); tableAnswerList.Add(new ReadingTableQuestionAnswer() { QuestionId = tableQuestion.Id, Answer = item.Code, TableQuestionId = tableQuestionList.Where(x => x.QuestionMark == QuestionMark.liverSegmentation).Select(x => x.Id).FirstOrDefault(), VisitTaskId = visitTaskId, TrialId = taskinfo.TrialId, RowIndex = num, RowId = guid, }); foreach (var otherQuestion in tableQuestionList.Where(x => !tableAnswerList.Any(y => y.RowId == guid && y.TableQuestionId == x.Id))) { tableAnswerList.Add(new ReadingTableQuestionAnswer() { Answer = otherQuestion.DefaultValue, QuestionId = tableQuestion.Id, TrialId = taskinfo.TrialId, VisitTaskId = taskinfo.Id, RowId = guid, RowIndex = num, TableQuestionId = otherQuestion.Id, }); } num++; } await _readingTableAnswerRowInfoRepository.AddRangeAsync(rowlist); await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswerList); await _readingTaskQuestionMarkRepository.AddRangeAsync(_mapper.Map>(marks)); await _readingTableQuestionAnswerRepository.SaveChangesAsync(); } return new AddTaskLesionAnswerFromLastTaskOutDto() { IsBaseLine = taskinfo.SourceSubjectVisitId == baseLineVisitId, }; } /// /// 测试计算 /// /// /// /// [HttpPost] public async Task TestCalculate(Guid visitTaskId, QuestionType type) { ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(visitTaskId); await ReadingCalculate(readingData, new List() { type }); } /// /// 计算任务 /// /// /// [HttpPost] public async Task CalculateTask(CalculateTaskInDto inDto) { ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId); readingData.IsChangeOtherTask = inDto.IsChangeOtherTask; await ReadingCalculate(readingData); } /// /// 自动计算 /// /// /// /// public async Task ReadingCalculate(ReadingCalculateDto inDto, List? calculateType = null) { await this.CalculateAvg(inDto); inDto = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId); var needAddList = new List(); List calculateList = new List() { // 脂肪平均 new ReadingCalculateData (){QuestionType=QuestionType.TotalMeanFraction,GetStringFun=GetFatFractionAvg}, // 脂肪分级 new ReadingCalculateData (){QuestionType=QuestionType.FattyLiverGrading,GetStringFun=GetFattyLiverGrading}, }; if (calculateType != null) { calculateList = calculateList.Where(x => calculateType.Contains(x.QuestionType)).ToList(); } foreach (var calculate in calculateList) { var item = inDto.QuestionInfo.FirstOrDefault(x => x.QuestionType == calculate.QuestionType); if (item != null) { //计算答案 #region 计算答案 if (calculate.GetDecimalFun != null) { item.Answer = (await calculate.GetDecimalFun(inDto)).ToString(); } else if (calculate.GetDecimalNullFun != null) { var value = await calculate.GetDecimalNullFun(inDto); item.Answer = value == null ? "NA" : value.Value.ToString(); } else if (calculate.GetStringFun != null) { item.Answer = await calculate.GetStringFun(inDto); } #endregion // 修改修约小数位数 List valueOfTypes = new List() { ValueOfType.Decimals, ValueOfType.Percentage }; if (inDto.DigitPlaces != -1 && calculate.GetDecimalFun != null && calculate.GetDecimalNullFun != null) { try { if (valueOfTypes.Contains(item.ValueType)) { item.Answer = decimal.Round(decimal.Parse(item.Answer ?? "0"), inDto.DigitPlaces, MidpointRounding.AwayFromZero).ToString("F" + inDto.DigitPlaces.ToString()); } } catch (Exception) { } } needAddList.Add(new ReadingTaskQuestionAnswer() { Answer = item.Answer, ReadingQuestionTrialId = item.QuestionId, }); } } var questionIds = needAddList.Select(x => x.ReadingQuestionTrialId).ToList(); await _readingTaskQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => questionIds.Contains(x.ReadingQuestionTrialId) && x.VisitTaskId == inDto.VisitTaskId); needAddList.ForEach(x => { x.SubjectId = inDto.SubjectId; x.ReadingQuestionCriterionTrialId = inDto.CriterionId; x.VisitTaskId = inDto.VisitTaskId; x.TrialId = inDto.TrialId; x.SubjectId = inDto.SubjectId; }); await _readingTaskQuestionAnswerRepository.AddRangeAsync(needAddList); await _readingTaskQuestionAnswerRepository.SaveChangesAsync(); } /// /// 获取脂肪分数平均值 /// /// /// public async Task GetFatFractionAvg(ReadingCalculateDto inDto) { decimal result = 0; var rowInfo = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.FatFraction) .SelectMany(x => x.TableRowInfoList).ToList(); var tableQuestionList = rowInfo.Where(x=>x.TableQuestionList.Any(x=>x.QuestionMark== QuestionMark.IsMeasurable && x.Answer.EqEnum(YesOrNoOrNa.Yes))).SelectMany(x => x.TableQuestionList).ToList(); if (rowInfo.Any(x => x.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.AverageValue && x.Answer.IsNullOrEmpty()))) { return string.Empty; } if (tableQuestionList.Count() == 0) { return "NE"; } result = tableQuestionList.Where(x => x.QuestionMark == QuestionMark.AverageValue).Average(x => x.Answer.IsNullOrEmptyReturn0()); return decimal.Round(result, inDto.DigitPlaces, MidpointRounding.AwayFromZero).ToString("F" + inDto.DigitPlaces.ToString()); ; } /// /// 获取脂肪肝分级 /// /// /// public async Task GetFattyLiverGrading(ReadingCalculateDto inDto) { var answer = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TotalMeanFraction).Select(x => x.Answer).FirstIsNullReturnEmpty(); if (answer == "NE") { return FattyLiverClassification.NE.GetEnumInt(); } else if(answer == string.Empty) { return string.Empty; } if (decimal.TryParse(answer, out var value)) { return value switch { < 5 => FattyLiverClassification.Level0.GetEnumInt(), < 10 => FattyLiverClassification.Level1.GetEnumInt(), < 25 => FattyLiverClassification.Level2.GetEnumInt(), _ => FattyLiverClassification.Level3.GetEnumInt() }; } return FattyLiverClassification.NE.GetEnumInt(); } /// /// 计算平均值 /// /// public async Task CalculateAvg(ReadingCalculateDto inDto) { // 脂肪分数的表格问题Id var questionInfo = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.FatFraction).FirstOrDefault(); List tableAnswers = new List(); foreach (var item in questionInfo.TableRowInfoList) { var avg = item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.AverageValue).FirstOrDefault(); var avgAnswer = string.Empty; List questionMarks = new List() { QuestionMark.FirstMeasurement, QuestionMark.SecondMeasurement, QuestionMark.ThirdMeasurement, }; var answers = item.TableQuestionList.Where(x => questionMarks.Contains(x.QuestionMark)).Select(x=>x.Answer).ToList(); if (answers.Count() == 3 && !answers.Any(x => x.IsNullOrEmpty())) { var avgAnswernum= answers.Select(x=>x.IsNullOrEmptyReturn0()).Average(x=>x); avgAnswer = decimal.Round(avgAnswernum, inDto.DigitPlaces, MidpointRounding.AwayFromZero).ToString("F" + inDto.DigitPlaces.ToString()); } if(item.TableQuestionList.Where(x => x.QuestionMark== QuestionMark.IsMeasurable).Select(x => x.Answer).FirstOrDefault().EqEnum(YesOrNoOrNa.No)) { avgAnswer = "NE"; } tableAnswers.Add(new ReadingTableQuestionAnswer() { Answer = avgAnswer, VisitTaskId = inDto.VisitTaskId, QuestionId = avg.QuestionId, TableQuestionId = avg.TableQuestionId, TrialId = inDto.TrialId, RowIndex = avg.RowIndex, RowId = avg.RowId, }); await _readingTableQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && x.RowId == item.RowId && x.TableQuestionId == avg.TableQuestionId); } await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswers); await _readingTableQuestionAnswerRepository.SaveChangesAsync(); } public async Task GetReportVerify(GetReportVerifyInDto inDto) { return new GetReportVerifyOutDto() { }; } public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto) { ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId); var markList = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId).ToListAsync(); var rowInfo = readingData.QuestionInfo.Where(x => x.LesionType == LesionType.FatFraction) .SelectMany(x => x.TableRowInfoList).ToList(); var tableQuestionList = rowInfo.Where(x => x.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.AverageValue && x.Answer.IsNotNullOrEmpty())).ToList(); if (tableQuestionList.Count() != 8) { throw new BusinessValidationFailedException(_localizer["MRIPDFF_AllNeedToBeMark"]); } try { List questionMarkList = new List() { QuestionMark.FirstMeasurement, QuestionMark.SecondMeasurement, QuestionMark.ThirdMeasurement }; var measuredValueList = rowInfo.SelectMany(x => x.TableQuestionList).Where(x =>x.Answer.IsNotNullOrEmpty()&& questionMarkList.Contains(x.QuestionMark)).Select(x => decimal.Parse(x.Answer)).ToList(); if (measuredValueList.Any(x => x > 100)) { throw new BusinessValidationFailedException(_localizer["MRIPDFF_MeasurementGT100"]); } } catch (Exception) { throw new BusinessValidationFailedException(_localizer["MRIPDFF_MeasurementGT100"]); } var notableQuestionList = rowInfo.Where(x => x.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsMeasurable && x.Answer.EqEnum(YesOrNoOrNa.No))).ToList(); foreach (var item in notableQuestionList) { if (markList.Any(x => x.RowId == item.RowId && x.MeasureData.IsNotNullOrEmpty())) { throw new BusinessValidationFailedException(_localizer["MRIPDFF_NeedClearMark"]); } } } } }