using IRaCIS.Core.Application.Service.Reading.Dto;
using IRaCIS.Core.Application.ViewModel;
using IRaCIS.Core.Domain.Share;
using IRaCIS.Core.Infra.EFCore.Common;
using IRaCIS.Core.Infrastructure;
using MassTransit;
using Microsoft.AspNetCore.Mvc;
namespace IRaCIS.Core.Application.Service.ReadingCalculate
{
[ApiExplorerSettings(GroupName = "Reading")]
public class RECIST1Point1_BMCalculateService(IRepository<ReadingTableQuestionAnswer> _readingTableQuestionAnswerRepository,
IRepository<VisitTask> _visitTaskRepository,
IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository,
IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository,
IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository,
IRepository<ReadingQuestionTrial> _readingQuestionTrialRepository,
IRepository<OrganInfo> _organInfoRepository,
IRepository<ReadingGlobalTaskInfo> _readingGlobalTaskInfoRepository,
IRepository<SubjectVisit> _subjectVisitRepository,
IRepository<TumorAssessment_RECIST1Point1BM> _tumorAssessment_RECIST1Point1BM,
IGeneralCalculateService _generalCalculateService,
IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService
{
/// <summary>
/// 获取阅片的计算数据
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<object> GetReadingCalculationData(GetReadingCalculationDataInDto inDto)
{
return new
{
};
}
#region 临时对象 单个请求的生命周期 避免重复查询数据库
private List<VisitTaskAnswerInfo> visitTaskAnswerList;
/// <summary>
/// 获取Sod的值
/// </summary>
private decimal? sODData;
private string nAString = "NA";
#endregion
#region 删除病灶获取起始病灶序号
/// <summary>
/// 删除病灶获取起始病灶序号（RECIST1Point1 固定是1）
/// </summary>
/// <returns></returns>
public async Task<int> GetDeleteLesionStatrIndex(DeleteReadingRowAnswerInDto inDto)
{
return 1;
}
#endregion
#region 获取阅片报告
/// <summary>
/// 获取阅片报告
/// </summary>
/// <param name="indto"></param>
/// <returns></returns>
[HttpPost]
public async Task<GetReadingReportEvaluationOutDto> 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 tableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId).ProjectTo<TableAnsweRowInfo>(_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
{
x.TaskId,
x.GlobalVisitTask.VisitTaskNum,
x.QuestionId,
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?>() {
QuestionMark.Organ,
QuestionMark.Location,
QuestionMark.Part,
};
// 第一级
#region 构造问题
List<ReadingReportDto> questions = questionList.Where(x => x.Type == ReadingQestionType.Group).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto()
{
QuestionId = x.Id,
GroupName = x.GroupName,
GroupEnName = x.GroupEnName,
IsShowInDicom = x.IsShowInDicom,
Type = x.Type,
GroupId = x.GroupId,
QuestionType = x.QuestionType,
LesionType = x.LesionType,
QuestionGenre = x.QuestionGenre,
DataSource = x.DataSource,
DictionaryCode = x.DictionaryCode,
TypeValue = x.TypeValue,
QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
ShowOrder = x.ShowOrder,
ValueType = x.ValueType,
Unit = x.Unit,
CustomUnit = x.CustomUnit,
ReportLayType = ReportLayType.Group,
HighlightAnswer = x.HighlightAnswer,
HighlightAnswerList = x.HighlightAnswerList,
}).ToList();
// 分组
foreach (var item in questions)
{
item.Childrens = questionList.Where(x => x.GroupId == item.QuestionId).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto()
{
GroupName = x.GroupName,
QuestionId = x.Id,
IsShowInDicom = x.IsShowInDicom,
GroupEnName = x.GroupEnName,
QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
LesionType = x.LesionType,
QuestionGenre = x.QuestionGenre,
DataSource = x.DataSource,
DictionaryCode = x.DictionaryCode,
Type = x.Type,
QuestionType = x.QuestionType,
TypeValue = x.TypeValue,
ShowOrder = x.ShowOrder,
OrderMark = x.OrderMark,
ValueType = x.ValueType,
Unit = x.Unit,
CustomUnit = x.CustomUnit,
ReportLayType = ReportLayType.Question,
HighlightAnswer = x.HighlightAnswer,
HighlightAnswerList = x.HighlightAnswerList,
}).ToList();
// 问题
foreach (var question in item.Childrens)
{
foreach (var task in taskInfoList)
{
var globalAnswer = globalanswerList.Where(x => x.TaskId == task.VisitTaskId && x.QuestionId == question.QuestionId).OrderByDescending(x => x.VisitTaskNum).FirstOrDefault();
var answer = answers.Where(x => x.VisitTaskId == task.VisitTaskId && x.ReadingQuestionTrialId == question.QuestionId).FirstOrDefault();
question.Answer.Add(new TaskQuestionAnswer()
{
Answer = answer == null ? string.Empty : answer.Answer,
IsGlobalChange = globalAnswer == null ? false : true,
GlobalChangeAnswer = globalAnswer == null ? string.Empty : globalAnswer.Answer,
TaskName = task.TaskName,
VisitTaskId = task.VisitTaskId,
});
}
// 构造表格行数据
var rowlist = tableAnsweRowInfos.Where(x => x.QuestionId == question.QuestionId).OrderBy(x => x.RowIndex).ToList();
question.Childrens = rowlist.Select(x => new ReadingReportDto()
{
QuestionName = question.OrderMark + x.RowIndex.GetLesionMark(),
SplitOrMergeLesionName = x.MergeName.IsNullOrEmpty() ? x.SplitName : x.MergeName,
SplitOrMergeType = x.SplitOrMergeType,
LesionType = question.LesionType,
IsShowInDicom = question.IsShowInDicom,
IsCanEditPosition = x.IsCanEditPosition,
RowIndex = x.RowIndex,
BlindName = x.BlindName,
ReportLayType = ReportLayType.Lesions,
}).ToList();
foreach (var row in question.Childrens)
{
// tableQuestion
row.Childrens = tableQuestionList.Where(x => x.ReadingQuestionId == question.QuestionId).Select(x => new ReadingReportDto()
{
QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
QuestionId = x.ReadingQuestionId,
TableQuestionId = x.Id,
Type = x.Type,
LesionType = question.LesionType,
TableQuestionType = x.TableQuestionType,
RowId = row.RowId,
IsShowInDicom = question.IsShowInDicom,
DataSource = x.DataSource,
DictionaryCode = x.DictionaryCode,
QuestionMark = x.QuestionMark,
TypeValue = x.TypeValue,
RowIndex = row.RowIndex,
ShowOrder = x.ShowOrder,
ValueType = x.ValueType,
Unit = x.Unit,
ReportLayType = ReportLayType.TableQuestion,
}).ToList();
foreach (var tableQuestion in row.Childrens)
{
foreach (var task in taskInfoList)
{
var rowinfo = alltableAnsweRowInfos.Where(x => x.VisitTaskId == task.VisitTaskId && x.QuestionId == tableQuestion.QuestionId && x.RowIndex == tableQuestion.RowIndex).FirstOrDefault();
var taskQuestionAnswer = new TaskQuestionAnswer()
{
Answer = tableAnswers.Where(x => x.VisitTaskId == task.VisitTaskId && x.QuestionId == tableQuestion.QuestionId && x.RowIndex == tableQuestion.RowIndex && x.TableQuestionId == tableQuestion.TableQuestionId).Select(x => x.Answer).FirstIsNullReturnEmpty(),
TaskName = task.TaskName,
VisitTaskId = task.VisitTaskId,
};
if (rowinfo != null && rowinfo.OrganInfoId != null)
{
var organInfo = organInfos.Where(x => x.Id == rowinfo.OrganInfoId).FirstOrDefault();
if (organInfo != null && needChangeType.Contains(tableQuestion.QuestionMark))
{
if (_userInfo.IsEn_Us)
{
switch (tableQuestion.QuestionMark)
{
case QuestionMark.Organ:
taskQuestionAnswer.Answer = organInfo.TULOCEN;
break;
case QuestionMark.Location:
if (organInfo.IsCanEditPosition)
{
}
else
{
taskQuestionAnswer.Answer = organInfo.TULATEN;
}
break;
case QuestionMark.Part:
taskQuestionAnswer.Answer = organInfo.PartEN;
break;
}
}
else
{
switch (tableQuestion.QuestionMark)
{
case QuestionMark.Organ:
taskQuestionAnswer.Answer = organInfo.TULOC;
break;
case QuestionMark.Location:
if (organInfo.IsCanEditPosition)
{
}
else
{
taskQuestionAnswer.Answer = organInfo.TULAT;
}
break;
case QuestionMark.Part:
taskQuestionAnswer.Answer = organInfo.Part;
break;
}
}
}
}
tableQuestion.Answer.Add(taskQuestionAnswer);
}
}
}
};
}
#endregion
result.TaskQuestions = questions;
return result;
}
#endregion
/// <summary>
/// 测试计算
/// </summary>
/// <param name="visitTaskId"></param>
/// <param name="type"></param>
/// <returns></returns>
[HttpPost]
public async Task TestCalculate(Guid visitTaskId, QuestionType type)
{
ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(visitTaskId);
await ReadingCalculate(readingData, new List<QuestionType>() { type });
}
/// <summary>
/// 计算任务
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
[HttpPost]
public async Task CalculateTask(CalculateTaskInDto inDto)
{
ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId);
readingData.IsChangeOtherTask = inDto.IsChangeOtherTask;
await ReadingCalculate(readingData);
}
/// <summary>
/// 获取报告验证的信息(这里每个标准可能不一样 返回用object)
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<GetReportVerifyOutDto> GetReportVerify(GetReportVerifyInDto inDto)
{
return new GetReportVerifyOutDto()
{
TumorEvaluate = await this.GetReportTumor(inDto.VisitTaskId),
IsExistDisease = await this.GetReportIsExistDisease(inDto.VisitTaskId),
};
}
/// <summary>
/// 自动计算
/// </summary>
/// <param name="inDto"></param>
/// <param name="calculateType"></param>
/// <returns></returns>
public async Task ReadingCalculate(ReadingCalculateDto inDto, List<QuestionType>? calculateType = null)
{
#region 计算 这里顺序非常重要 后面计算的值要依赖前面计算的结果
var needAddList = new List<ReadingTaskQuestionAnswer>();
List<ReadingCalculateData> calculateList = new List<ReadingCalculateData>()
{
//靶病灶径线之和（SOD）
new ReadingCalculateData (){QuestionType=QuestionType.SOD,GetDecimalNullFun=GetSODData},
//非淋巴结靶病灶长径之和
new ReadingCalculateData (){QuestionType=QuestionType.SumOfDiameter,GetDecimalNullFun=GetSumOfDiameter},
//与基线SOD相比变化量（mm）
new ReadingCalculateData (){QuestionType=QuestionType.SODChange,GetDecimalNullFun=GetSODChange},
//与基线访视相比SOD变化百分比
new ReadingCalculateData (){QuestionType=QuestionType.SODPercent,GetDecimalNullFun=GetSODPercent},
//与整个访视期间SOD最低点相比增加的值（mm） //其他任务需要改
new ReadingCalculateData (){QuestionType=QuestionType.LowestIncrease,GetDecimalNullFun=GetLowestIncrease,/*ChangeAllTaskFun=ChangeAllLowestIncrease*/},
//与整个访视期间SOD最低点相比增加的百分比 //其他任务需要改
new ReadingCalculateData (){QuestionType=QuestionType.LowPercent,GetDecimalNullFun=GetLowPercent,/*ChangeAllTaskFun=ChangeAllLowPercent*/},
//整个访视期间SOD最低点访视名称 //其他任务需要改
new ReadingCalculateData (){QuestionType=QuestionType.LowVisit,GetStringFun=GetLowVisit,/*ChangeAllTaskFun=ChangeAllLowVisitName*/},
//是否存在非淋巴结靶病灶
new ReadingCalculateData (){QuestionType=QuestionType.IsLymphTarget,GetStringFun=GetIsLymphTarget},
//是否存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上
new ReadingCalculateData (){QuestionType=QuestionType.IsAddFive,GetStringFun=GetIsAddFive},
//被评估为NE的单个靶病灶
new ReadingCalculateData (){QuestionType=QuestionType.NETarget,GetStringFun=GetNETarget},
//靶病灶评估
new ReadingCalculateData (){QuestionType=QuestionType.TargetLesion,GetStringFun=GetTargetLesionEvaluate},
//非靶病灶评估
new ReadingCalculateData (){QuestionType=QuestionType.NoTargetLesion,GetStringFun=GetNoTargetLesionEvaluate},
//是否存在新病灶
new ReadingCalculateData (){QuestionType=QuestionType.NewLesions,GetStringFun=GetNewLesionEvaluate},
//整体肿瘤评估
new ReadingCalculateData (){QuestionType=QuestionType.Tumor,GetStringFun=GetTumor},
//是否存在疾病
new ReadingCalculateData (){QuestionType=QuestionType.ExistDisease,GetStringFun=GetIsExistDisease},
};
// 没有靶病灶只计算最后几个
if (inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).Sum(x => x.TableRowInfoList.Count()) == 0)
{
List<QuestionType> questionTypes = new List<QuestionType>()
{
QuestionType.TargetLesion,
QuestionType.NoTargetLesion,
QuestionType.NewLesions,
QuestionType.Tumor,
QuestionType.ExistDisease,
};
// 没有靶病灶就删除其他几个答案的值
var isNeedDeleteTypes = calculateList.Where(x => !questionTypes.Contains(x.QuestionType)).Select(x => x.QuestionType).ToList();
var isNeedDeleteIds = inDto.QuestionInfo.Where(x => x.QuestionType != null && isNeedDeleteTypes.Contains(x.QuestionType.Value)).Select(x => x.QuestionId).ToList();
await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && isNeedDeleteIds.Contains(x.ReadingQuestionTrialId), x => new ReadingTaskQuestionAnswer
{
Answer = string.Empty
});
calculateList = calculateList.Where(x => questionTypes.Contains(x.QuestionType)).ToList();
}
if (calculateType != null)
{
calculateList = calculateList.Where(x => calculateType.Contains(x.QuestionType)).ToList();
}
var typeNAList = new List<QuestionType>
{
QuestionType.SODChange,
QuestionType.SODPercent,
QuestionType.LowestIncrease,
QuestionType.LowPercent,
};
foreach (var calculate in calculateList)
{
var item = inDto.QuestionInfo.FirstOrDefault(x => x.QuestionType == calculate.QuestionType);
if (item != null)
{
//计算答案
if (inDto.IsOnlyChangeAllTask == false)
{
#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);
if (value == null)
{
if (typeNAList.Contains(item.QuestionType ?? QuestionType.SOD))
{
item.Answer = nameof(YesOrNoOrNa.NA);
}
else
{
item.Answer = this.nAString;
}
}
else
{
item.Answer = value == null ? string.Empty : value.ToString();
}
}
else if (calculate.GetStringFun != null)
{
item.Answer = await calculate.GetStringFun(inDto);
}
#endregion
// 修改修约小数位数
List<ValueOfType?> valueOfTypes = new List<ValueOfType?>() {
ValueOfType.Decimals,
ValueOfType.Percentage
};
if (inDto.DigitPlaces != -1)
{
try
{
if (valueOfTypes.Contains(item.ValueType))
{
item.Answer = decimal.Round(decimal.Parse(item.Answer ?? "0"), inDto.DigitPlaces).ToString("F" + inDto.DigitPlaces.ToString());
}
}
catch (Exception)
{
}
}
needAddList.Add(new ReadingTaskQuestionAnswer()
{
Answer = item.Answer,
ReadingQuestionTrialId = item.QuestionId,
});
}
// 修改全局
if (inDto.IsChangeOtherTask && calculate.ChangeAllTaskFun != null)
{
await calculate.ChangeAllTaskFun(new ChangeAllTaskDto()
{
calculateDto = inDto,
QuestionId = 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();
#endregion
}
/// <summary>
/// 获取报告整体整体评估
/// </summary>
/// <param name="visitTaskId"></param>
/// <returns></returns>
public async Task<string> GetReportTumor(Guid visitTaskId)
{
return await GetTumor(await _generalCalculateService.GetReadingCalculateDto(visitTaskId));
}
/// <summary>
/// 获取报告是否存在疾病
/// </summary>
/// <param name="visitTaskId"></param>
/// <returns></returns>
public async Task<string> GetReportIsExistDisease(Guid visitTaskId)
{
return await GetIsExistDisease(await _generalCalculateService.GetReadingCalculateDto(visitTaskId));
}
/// <summary>
/// 验证访视提交
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto)
{
if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ImageQualityAssessment && x.VisitTaskId == inDto.VisitTaskId && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt()))
{
return;
}
var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.Answer == string.Empty || x.Answer == null)
&& x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
)
.Select(x => new
{
x.ReadingQuestionTrial.OrderMark,
x.RowIndex,
QuestionMark = x.ReadingTableQuestionTrial.QuestionMark,
Answer = x.Answer,
}).ToListAsync();
string errorMassage = string.Empty;
var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null))
.Select(x => new
{
x.ReadingQuestionTrial.OrderMark,
x.RowIndex,
x.Id,
}).ToListAsync();
var unableEvaluateRowIds = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.Answer == TargetState.UnableEvaluate.GetEnumInt()
&& x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
)
.Select(x => x.RowId).Distinct().ToListAsync();
List<string> measureDataList = rowAnswerList.Where(x => !unableEvaluateRowIds.Contains(x.Id)).Select(x => x.OrderMark + x.RowIndex.GetLesionMark()).ToList();
List<string> stateIsNullList = tableAnswerList.Select(x => x.OrderMark + x.RowIndex.GetLesionMark()).ToList();
List<string> allExists = measureDataList.Intersect(stateIsNullList).ToList();
measureDataList = measureDataList.Except(allExists).ToList();
stateIsNullList = stateIsNullList.Except(allExists).ToList();
if (measureDataList.Count() > 0)
{
errorMassage += _localizer["ReadingCalculate_NoMarker", string.Join(',', measureDataList)] + ",";
}
if (tableAnswerList.Count > 0)
{
errorMassage += _localizer["ReadingCalculate_StatusIsEmpty", string.Join(',', stateIsNullList)] + ",";
}
if (allExists.Count > 0)
{
errorMassage += _localizer["ReadingCalculate_NoMarkerEmpty", string.Join(',', stateIsNullList)] + ",";
}
if (errorMassage != string.Empty)
{
errorMassage = _localizer["ReadingCalculate_Questionable"] + errorMassage;
throw new BusinessValidationFailedException(errorMassage);
}
}
#region 将上一次的访视病灶添加到这一次
/// <summary>
/// 将上一次的访视病灶添加到这一次
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<AddTaskLesionAnswerFromLastTaskOutDto> AddTaskLesionAnswerFromLastTask(AddTaskLesionAnswerFromLastTaskInDto inDto)
{
var visitTaskId = inDto.VisitTaskId;
var taskinfo = await _visitTaskRepository.Where(x => x.Id == visitTaskId).FirstNotNullAsync();
var baseLineVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == taskinfo.SubjectId && x.IsBaseLine).Select(x => x.Id).FirstOrDefaultAsync();
// 判断当前任务是否是基线
if (taskinfo.SourceSubjectVisitId != baseLineVisitId)
{
// 判断当前任务是是否有表格问题答案
if (!(await _readingTableQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == visitTaskId)))
{
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();
var copyTableAnswers = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == LastVisitTaskId).Select(x => new CopyTableAnswerDto()
{
Answer = x.Answer,
QuestionId = x.QuestionId,
RowId = x.RowId,
QuestionMark = x.ReadingTableQuestionTrial.QuestionMark,
TableQuestionId = x.TableQuestionId,
RowIndex = x.RowIndex,
TrialId = x.TrialId
}).ToListAsync();
var tableRowAnswers = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == LastVisitTaskId).ProjectTo<CopyTableAnswerRowInfo>(_mapper.ConfigurationProvider).ToListAsync();
tableRowAnswers.ForEach(x =>
{
x.VisitTaskId = visitTaskId;
x.IsCurrentTaskAdd = false;
x.Id = NewId.NextGuid();
x.SeriesId = null;
x.InstanceId = null;
x.MeasureData = string.Empty;
x.PicturePath = string.Empty;
});
tableRowAnswers.ForEach(x =>
{
x.SplitRowId = tableRowAnswers.Where(y => y.OriginalId == x.SplitRowId).Select(y => y.Id).FirstOrDefault();
x.MergeRowId = tableRowAnswers.Where(y => y.OriginalId == x.MergeRowId).Select(y => y.Id).FirstOrDefault();
});
List<QuestionMark?> notNeedCopyMarks = new List<QuestionMark?>()
{
QuestionMark.MajorAxis,
QuestionMark.ShortAxis,
QuestionMark.State,
};
var tableAnswers = copyTableAnswers.Select(x => new ReadingTableQuestionAnswer
{
Id = NewId.NextGuid(),
Answer = notNeedCopyMarks.Contains(x.QuestionMark) ? string.Empty : x.Answer,
QuestionId = x.QuestionId,
RowIndex = x.RowIndex,
RowId = tableRowAnswers.Where(y => y.OriginalId == x.RowId).Select(x => x.Id).FirstOrDefault(),
TableQuestionId = x.TableQuestionId,
TrialId = x.TrialId,
VisitTaskId = visitTaskId,
});
var addList = _mapper.Map<List<ReadingTableAnswerRowInfo>>(tableRowAnswers);
await _readingTableAnswerRowInfoRepository.AddRangeAsync(addList);
await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswers);
await _readingTableQuestionAnswerRepository.SaveChangesAsync();
}
}
return new AddTaskLesionAnswerFromLastTaskOutDto()
{
IsBaseLine = taskinfo.SourceSubjectVisitId == baseLineVisitId,
};
}
#endregion
#region 获取SOD
/// <summary>
/// 获取SOD
/// </summary>
/// <remarks>
/// 靶病灶径线之和（SOD）
/// 非淋巴结的长径 和淋巴结的短径
/// </remarks>
/// <returns></returns>
public async Task<decimal?> GetSODData(ReadingCalculateDto inDto)
{
if (sODData != null)
{
return sODData.Value;
}
var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
if (tableQuestion.Count() == 0)
{
return null;
}
decimal result = 0;
foreach (var item in tableQuestion)
{
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.EqEnum(YesOrNoOrNa.No)))
{
// 非淋巴结的长径
result += item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
}
}
sODData = result;
return sODData.Value;
}
#endregion
#region 非淋巴结靶病灶长径之和
/// <summary>
/// 非淋巴结靶病灶长径之和
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<decimal?> GetSumOfDiameter(ReadingCalculateDto inDto)
{
var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
if (tableQuestion.Count() == 0)
{
return null;
}
decimal result = 0;
foreach (var item in tableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.No)))
{
// 非淋巴结的长径
result += item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
}
}
return result;
}
#endregion
#region 与基线SOD相比变化量（mm）
/// <summary>
/// 与基线SOD相比变化量（mm）
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<decimal?> GetSODChange(ReadingCalculateDto inDto)
{
var value = await GetSODData(inDto);
if (value == null || inDto.IsBaseLine)
{
return null;
}
return value.NullChange0() - await GetBaseLineSOD(inDto);
}
#endregion
#region 与基线访视相比SOD变化百分比
/// <summary>
/// 与基线访视相比SOD变化百分比
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<decimal?> GetSODPercent(ReadingCalculateDto inDto)
{
var thisSOD = await GetSODData(inDto);
if (thisSOD == null || inDto.IsBaseLine)
{
return null;
}
var baseLineSOD = await GetBaseLineSOD(inDto);
if (baseLineSOD == 0)
{
return 100;
}
else
{
return (thisSOD.NullChange0() - baseLineSOD) * 100 / baseLineSOD;
}
}
#endregion
#region 与整个访视期间SOD最低点相比增加的值（mm）
/// <summary>
/// 与整个访视期间SOD最低点相比增加的值（mm）
/// </summary>
/// <param name="inDto"></param>
/// <remarks>
/// 要更新之前的
/// </remarks>
/// <returns></returns>
public async Task<decimal?> GetLowestIncrease(ReadingCalculateDto inDto)
{
var value = await GetSODData(inDto);
if (value == null || inDto.IsBaseLine)
{
return null;
}
var decimalAnswerList = await GetLowSODVisit(inDto);
var minSOD = decimalAnswerList.OrderBy(x => x.SOD).Select(x => x.SOD).FirstOrDefault();
return value.NullChange0() - minSOD;
}
#endregion
#region 与整个访视期间SOD最低点相比增加的百分比
/// <summary>
/// 与整个访视期间SOD最低点相比增加的百分比
/// </summary>
/// <param name="inDto"></param>
/// <remarks>
/// 要更新之前的
/// </remarks>
/// <returns></returns>
public async Task<decimal?> GetLowPercent(ReadingCalculateDto inDto)
{
var thisSOD = await GetSODData(inDto);
if (thisSOD == null || inDto.IsBaseLine)
{
return null;
}
var decimalAnswerList = await GetLowSODVisit(inDto);
var minSOD = decimalAnswerList.OrderBy(x => x.SOD).Select(x => x.SOD).FirstOrDefault();
if (minSOD == 0)
{
return 100;
}
else
{
return (thisSOD.NullChange0() - minSOD) * 100 / minSOD;
}
}
#endregion
#region 整个访视期间SOD最低点访视名称
/// <summary>
/// 整个访视期间SOD最低点访视名称
/// </summary>
/// <param name="inDto"></param>
/// <remarks>
/// 要更新之前的
/// </remarks>
/// <returns></returns>
public async Task<string> GetLowVisit(ReadingCalculateDto inDto)
{
if (inDto.IsBaseLine)
{
return nameof(YesOrNoOrNa.NA);
}
var targetCount = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).Count();
if (targetCount == 0)
{
return nameof(YesOrNoOrNa.NA);
}
var decimalAnswerList = await GetLowSODVisit(inDto);
return decimalAnswerList.OrderBy(x => x.SOD).Select(x => x.BlindName).FirstOrDefault() ?? string.Empty;
}
#endregion
#region 是否存在非淋巴结靶病灶
/// <summary>
/// 是否存在非淋巴结靶病灶
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetIsLymphTarget(ReadingCalculateDto inDto)
{
var result = IsLymph.No.GetEnumInt();
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.EqEnum(IsLymph.No)))
{
result = IsLymph.Yes.GetEnumInt();
}
}
return result;
}
#endregion
#region 是否存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上
/// <summary>
/// 是否存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetIsAddFive(ReadingCalculateDto inDto)
{
if (inDto.IsBaseLine)
{
return YesOrNoOrNa.NA.GetEnumInt();
}
var addFiveList = await GetIsAddFiveRowIndexs(inDto);
var isExists = addFiveList.Count() > 0 ? true : false;
return isExists ? YesOrNoOrNa.Yes.GetEnumInt() : YesOrNoOrNa.No.GetEnumInt();
}
/// <summary>
/// 获取存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上的病灶
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<List<decimal>> GetIsAddFiveRowIndexs(ReadingCalculateDto inDto)
{
List<decimal> result = new List<decimal>();
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.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();
foreach (var item in rowIndexs)
{
var lastValue = lastQuestionAsnwer.Where(x => x.RowIndex == item && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
var thisRowData = thisQuestionAsnwer.Where(x => x.RowIndex == item).SelectMany(x => x.TableQuestionList).ToList();
var thisValue = thisRowData.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
if (thisValue - lastValue >= 5)
{
result.Add(item);
}
}
return result;
}
#endregion
#region 被评估为NE的单个靶病灶
/// <summary>
/// 被评估为NE的单个靶病灶
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetNETarget(ReadingCalculateDto inDto)
{
if (inDto.IsBaseLine)
{
return ExistOrNA.NA.GetEnumInt();
}
var result = inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.TargetLesion && x.Answer.EqEnum(TargetAssessment.NE));
return result ? ExistOrNA.Exist.GetEnumInt() : ExistOrNA.NotExist.GetEnumInt();
}
#endregion
#region 整体肿瘤评估
/// <summary>
/// 整体肿瘤评估
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetTumor(ReadingCalculateDto inDto)
{
if (inDto.IsBaseLine)
{
return OverallAssessment.NA.GetEnumInt();
}
var targetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.Answer).FirstOrDefault();
var noTargetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NoTargetLesion).Select(x => x.Answer).FirstOrDefault();
var newLesions = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesions).Select(x => x.Answer).FirstOrDefault();
var result = await _tumorAssessment_RECIST1Point1BM.Where(x =>
x.TargetLesion == (TargetAssessment)int.Parse(targetLesion.IsNullOrEmpty() ? TargetAssessment.NA.GetEnumInt() : targetLesion) &&
x.NonTargetLesions == (NoTargetAssessment)int.Parse(noTargetLesion.IsNullOrEmpty() ? NoTargetAssessment.NA.GetEnumInt() : noTargetLesion) &&
x.NewLesion == (NewLesionAssessment)int.Parse(newLesions.IsNullOrEmpty() ? NewLesionAssessment.NA.GetEnumInt() : newLesions)).Select(x => x.OverallEfficacy).ToListAsync();
return result.Count == 0 ? OverallAssessment.NE.GetEnumInt() : result[0].GetEnumInt();
}
#endregion
#region 是否存在疾病
/// <summary>
/// 是否存在疾病
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetIsExistDisease(ReadingCalculateDto inDto)
{
if (!inDto.IsBaseLine)
{
return string.Empty;
}
var lesionCount = inDto.QuestionInfo.SelectMany(x => x.TableRowInfoList).Count();
return lesionCount > 0 ? ExistDisease.Yes.GetEnumInt() : ExistDisease.No.GetEnumInt();
}
#endregion
#region 修改其他标准
#region 修改与整个访视期间SOD最低点相比增加的值（mm）
/// <summary>
/// 修改与整个访视期间SOD最低点相比增加的值（mm）
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task ChangeAllLowestIncrease(ChangeAllTaskDto inDto)
{
var visitTaskList = await GetVisitTaskAnswerList(inDto.calculateDto);
var lowSod = (await GetLowSODVisit(inDto.calculateDto)).Select(x => x.SOD).OrderBy(x => x).FirstOrDefault();
foreach (var item in visitTaskList.Where(x => x.VisitTaskId != inDto.calculateDto.BaseLineTaskId))
{
await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == item.VisitTaskId && x.ReadingQuestionTrialId == inDto.QuestionId, x => new ReadingTaskQuestionAnswer()
{
Answer = (item.SOD - lowSod).ToString()
});
}
}
#endregion
#region 修改整个访视期间SOD最低点相比增加的百分比
/// <summary>
/// 修改整个访视期间SOD最低点相比增加的百分比
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
//public async Task ChangeAllLowPercent(ChangeAllTaskDto inDto)
//{
// var visitTaskList = await GetVisitTaskAnswerList(inDto.calculateDto);
// var lowSod = (await GetLowSODVisit(inDto.calculateDto)).Select(x => x.SOD).OrderBy(x => x).FirstOrDefault();
// foreach (var item in visitTaskList.Where(x => x.VisitTaskId != inDto.calculateDto.BaseLineTaskId))
// {
// decimal percent = 0;
// if (lowSod == 0)
// {
// percent = 100;
// }
// else
// {
// percent = decimal.Round((item.SOD - lowSod) * 100 / lowSod, 2);
// }
// await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == item.VisitTaskId && x.ReadingQuestionTrialId == inDto.QuestionId, x => new ReadingTaskQuestionAnswer()
// {
// Answer = percent.ToString()
// });
// }
//}
#endregion
#region 修改最低方式点名称
/// <summary>
/// 修改最低方式点名称
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task ChangeAllLowVisitName(ChangeAllTaskDto inDto)
{
// 找到所有访视任务的Id
var visitTaskIds = await _visitTaskRepository.Where(x => x.IsAnalysisCreate == inDto.IsAnalysisCreate &&
x.ReadingCategory == ReadingCategory.Visit &&
x.TrialReadingCriterionId == inDto.calculateDto.TrialReadingCriterionId &&
x.TaskState == TaskState.Effect && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.ArmEnum == inDto.calculateDto.ArmEnum).Select(x => x.Id).ToListAsync();
var answer = (await GetLowSODVisit(inDto.calculateDto)).OrderBy(x => x.SOD).Select(x => x.BlindName).FirstOrDefault();
visitTaskIds = visitTaskIds.Where(x => x != inDto.calculateDto.BaseLineTaskId).ToList();
await this.ChangeAllVisitTaskAnswer(visitTaskIds, inDto.QuestionId, answer);
}
#endregion
#endregion
#region 通用方法
#region 修改所有访视任务的答案
/// <summary>
/// 修改所有访视任务的答案
/// </summary>
/// <param name="visitTaskGuids"></param>
/// <param name="questionId"></param>
/// <param name="answer"></param>
/// <returns></returns>
private async Task ChangeAllVisitTaskAnswer(List<Guid> visitTaskGuids, Guid questionId, string answer)
{
await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => visitTaskGuids.Contains(x.VisitTaskId) && x.ReadingQuestionTrialId == questionId, x => new ReadingTaskQuestionAnswer()
{
Answer = answer
});
}
#endregion
#region 获取基线SOD
/// <summary>
/// 获取基线SOD
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
private async Task<decimal> GetBaseLineSOD(ReadingCalculateDto inDto)
{
if (await _visitTaskRepository.AnyAsync(x => x.Id == inDto.VisitTaskId && x.SourceSubjectVisit.IsBaseLine && x.IsAnalysisCreate == inDto.IsAnalysisCreate && x.ArmEnum == inDto.ArmEnum))
{
return 0;
}
// 先找到基线的任务
var baseLineTaskId = await _visitTaskRepository.Where(x => x.SubjectId == inDto.SubjectId && x.ReadingCategory == ReadingCategory.Visit
&& x.TrialReadingCriterionId == inDto.TrialReadingCriterionId &&
x.SourceSubjectVisit.IsBaseLine && x.TaskState == TaskState.Effect &&
x.IsAnalysisCreate == inDto.IsAnalysisCreate
&& x.DoctorUserId == inDto.DoctorUserId
&& x.IsSelfAnalysis == inDto.IsSelfAnalysis && x.ArmEnum == inDto.ArmEnum)
.Select(x => x.Id).FirstOrDefaultAsync();
var baseLineSOD = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SOD).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
return baseLineSOD;
}
#endregion
/// <summary>
/// 获取最低方式
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<List<VisitTaskAnswerInfo>> GetLowSODVisit(ReadingCalculateDto inDto)
{
var taskAnswerList = await GetVisitTaskAnswerList(inDto);
taskAnswerList = taskAnswerList.Where(x => x.VisitTaskId != inDto.VisitTaskId).ToList();
var taskIds = taskAnswerList.Select(x => x.VisitTaskId).ToList();
// 排除无法评估
var unableEvaluateTaskIds = await _readingTableQuestionAnswerRepository.Where(x => taskIds.Contains(x.VisitTaskId) &&
x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
&& x.ReadingQuestionTrial.LesionType == LesionType.TargetLesion
&& x.Answer == TargetState.UnableEvaluate.GetEnumInt()
)
.Select(x => x.VisitTaskId).Distinct().ToListAsync();
taskAnswerList = taskAnswerList.Where(x => !unableEvaluateTaskIds.Contains(x.VisitTaskId)).ToList();
return taskAnswerList.OrderBy(x => x.SOD).ToList();
}
#region 获取访视任务信息
/// <summary>
/// 获取访视任务信息
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<List<VisitTaskAnswerInfo>> GetVisitTaskAnswerList(ReadingCalculateDto inDto)
{
if (visitTaskAnswerList == null)
{
// 查询的时候要把自己排除 因为查询出来的可能不是计算出的最新的
visitTaskAnswerList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId != inDto.VisitTaskId && x.VisitTask.ReadingCategory == ReadingCategory.Visit
&& x.VisitTask.IsAnalysisCreate == inDto.IsAnalysisCreate
&& x.VisitTask.IsSelfAnalysis == inDto.IsSelfAnalysis
&& x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId
&& x.VisitTask.VisitTaskNum < inDto.VisitTaskNum
&& x.SubjectId == inDto.SubjectId && x.VisitTask.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTask.ArmEnum == inDto.ArmEnum && x.VisitTask.TaskState == TaskState.Effect && x.ReadingQuestionTrial.QuestionType == QuestionType.SOD)
.Select(x => new VisitTaskAnswerInfo
{
VisitTaskId = x.VisitTaskId,
QuestionId = x.ReadingQuestionTrialId,
VisitName = x.VisitTask.SourceSubjectVisit.VisitName,
BlindName = x.VisitTask.TaskBlindName,
SOD = x.Answer.IsNullOrEmptyReturn0(),
}).ToListAsync();
// 这里是需要加上自己的 基线不用管
if (visitTaskAnswerList.Count > 0)
{
visitTaskAnswerList.Add(new VisitTaskAnswerInfo()
{
VisitTaskId = inDto.VisitTaskId,
BlindName = inDto.TaskBlindName,
QuestionId = visitTaskAnswerList[0].QuestionId,
VisitName = inDto.VisitName,
SOD = (await GetSODData(inDto)).ToString().IsNullOrEmptyReturn0(),
});
}
}
return visitTaskAnswerList;
}
#endregion
/// <summary>
/// 获取上一个访视任务Id
/// </summary>
/// <returns></returns>
private async Task<Guid> GetLastVisitTaskId(ReadingCalculateDto inDto)
{
// 拿到这一个访视
var thisNum = await _subjectVisitRepository.Where(x => x.Id == inDto.SubjectVisitId).Select(x => x.VisitNum).FirstOrDefaultAsync();
// 先找到上一个访视
var lastVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == inDto.SubjectId && !x.IsLostVisit && x.VisitNum < thisNum).OrderByDescending(x => x.VisitNum).Select(x => x.Id).FirstOrDefaultAsync();
// 找到访视任务Id
var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit &&
x.TrialReadingCriterionId == inDto.TrialReadingCriterionId &&
x.TaskState == TaskState.Effect &&
x.IsAnalysisCreate == inDto.IsAnalysisCreate
&& x.SourceSubjectVisitId == lastVisitId && x.ArmEnum == inDto.ArmEnum).Select(x => x.Id).FirstOrDefaultAsync();
return LastVisitTaskId;
}
#endregion
#region 计算阅片问题 外层问题
#region 获取靶病灶评估
/// <summary>
/// 获取靶病灶评估
/// </summary>
/// <param name="inDto"></param>
/// <remarks>
/// if（基线没有靶病灶）
///{
/// 靶病灶疗效为 ND
///}else
///{
/// 初始化靶病灶疗效为 SD
///
/// if (与基线期SOD相比减小≥30 %）
/// {
/// 靶病灶疗效为 PR
///
/// }
///
///if (非淋巴结靶病灶长径之和 == 0)
///{
/// 靶病灶疗效为 CR
///
/// }
///
///if （有被评估为NE的单个靶病灶）
/// {
/// 靶病灶疗效为 NE
///
/// }
///
///if (最低点SOD > 0)
///{
/// if（比整体访视期间最低点SOD增加≥20 % 且与整个访视期间最低点相比增加的值≥5 mm）
/// {
/// 靶病灶疗效为 PD
///
/// }
///}
///else
///{
/// //进入该分支最低点SOD=0
/// if (当前访视SOD > 0 且与整个访视期间最低点相比增加的值≥5 mm)
/// {
/// 靶病灶疗效为PD
///
/// }
///}
///
///if（上次访视点评估是CR）
/// {
/// if (当前访视点非淋巴结病灶至少一个非淋巴结靶病灶的长径＞0 mm。)
/// {
/// 靶病灶疗效为 PD
///
/// }
///}
///}
/// </remarks>
/// <returns></returns>
public async Task<string> GetTargetLesionEvaluate(ReadingCalculateDto inDto)
{
var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
if (inDto.IsBaseLine)
{
return TargetAssessment.NA.GetEnumInt();
}
TargetLesionCalculateDto resultData = new TargetLesionCalculateDto()
{
// 是否存在靶病灶
ExistsTargetLesion = tableQuestion.Count() > 0,
// 最低SOD
LowSod = (await GetLowSODVisit(inDto)).Select(x => x.SOD).FirstOrDefault(),
// 当前Sod
PresentSod = (await GetSODData(inDto)) ?? 0,
//非淋巴结靶病灶长径之和 decimal
SumOfDiameter = (await GetSumOfDiameter(inDto)) ?? 0,
//所有淋巴结靶病灶的短径小于10mm bool
DiameterLessThan10 = true,
// SOD变化百分比
SODPercent = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()),
// SOD 百分比与基线期SOD相比减小≥30% bool
SODPercentBigger30 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) <= -30,
// SOD 百分比 与基线期SOD相比减小＜30% bool
SODPercentLess30 = 0 > inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) &&
inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) > -30,
// SOD 百分比 整体访视期间SOD最低点SOD相比增加＜20%
LowSODPercentLess20 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) < 20,
// SOD 百分比 比整体访视期间SOD最低点SOD增加≥20%
LowSODPercentBigger20 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 20,
// SOD 变化值 比整体访视期间SOD最低点SOD绝对增加值＜5 mm
LowSODChangeLess5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) < 5,
// 比整体访视期间SOD最低点SOD绝对增加值≥5 mm
LowSODChangeBigger5 = 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.EqEnum(TargetState.UnableEvaluate)),
//// 上次访视点整体肿瘤评估
LastTargetLesionEvaluate = string.Empty,
// 当前访视点非淋巴结病灶至少一个非淋巴结靶病灶的长径＞0 mm
CurrentMajoreBigger0 = false,
// 当前访视点淋巴结病灶, 至少一个淋巴结靶病灶短径≥10 mm
CurrenShortBigger10 = false,
// 靶病灶短径增加值有5mm的Index
AddFiveIndexs = await GetIsAddFiveRowIndexs(inDto),
// 短径有10mm的Index
ShortBigger10Indexs = new List<decimal>(),
//淋巴结非靶病灶状态全部为消失
NonTargetStateIsLoss = 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.EqEnum(YesOrNoOrNa.Yes)).Count() > 0,
};
var nonTargetTableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NonTargetLesions).SelectMany(x => x.TableRowInfoList).ToList();
foreach (var item in nonTargetTableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 淋巴结非靶病灶状态全部为消失
resultData.NonTargetStateIsLoss = resultData.NonTargetStateIsLoss && item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.State).Select(x => x.Answer).FirstOrDefault() == NoTargetState.Loss.GetEnumInt();
}
}
foreach (var item in tableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
// 淋巴结的短径
resultData.DiameterLessThan10 = resultData.DiameterLessThan10 && (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() < 10;
var shortIsBigger10 = (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() >= 10;
resultData.CurrenShortBigger10 = resultData.CurrenShortBigger10 || shortIsBigger10;
if (shortIsBigger10)
{
resultData.ShortBigger10Indexs.Add(item.RowIndex);
}
}
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至少一个非淋巴结靶病灶的长径
resultData.CurrentMajoreBigger0 = resultData.CurrentMajoreBigger0 || (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() > 0;
}
}
var lastVisitTaskId = await GetLastVisitTaskId(inDto);
var questionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.Tumor).Select(x => x.QuestionId).FirstOrDefault();
resultData.LastTargetLesionEvaluate = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastVisitTaskId && x.ReadingQuestionTrialId == questionId)
.Select(x => x.Answer).FirstOrDefaultAsync()) ?? string.Empty;
TargetAssessment result = TargetAssessment.SD;
//if（基线没有靶病灶）
if (!resultData.ExistsTargetLesion)
{
// 靶病灶疗效为 ND
result = TargetAssessment.ND;
}
else
{
//初始化靶病灶疗效为 SD
result = TargetAssessment.SD;
//if (与基线期SOD相比减小≥30 %）
if (resultData.SODPercentBigger30)
{
//靶病灶疗效为 PR
result = TargetAssessment.PR;
}
//if (非淋巴结靶病灶长径之和 == 0)
if (resultData.SumOfDiameter == 0)
{
//靶病灶疗效为 CR
result = TargetAssessment.CR;
}
// if （有被评估为NE的单个靶病灶）
if (resultData.ExixtsNETargetLesion)
{
// 靶病灶疗效为 NE
result = TargetAssessment.NE;
}
//if (最低点SOD > 0)
if (resultData.LowSod > 0)
{
// if（比整体访视期间最低点SOD增加≥20 % 且与整个访视期间最低点相比增加的值≥5 mm）
if (resultData.LowSODPercentBigger20 && resultData.LowSODChangeBigger5)
{
// 靶病灶疗效为 PD
result = TargetAssessment.PD;
}
}
else
{
//进入该分支最低点SOD=0
// if (当前访视SOD > 0 且与整个访视期间最低点相比增加的值≥5 mm)
if (resultData.PresentSod > 0 && resultData.LowSODChangeBigger5)
{
// 靶病灶疗效为PD
result = TargetAssessment.PD;
}
}
//if（上次访视点评估是CR）
if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR))
{
//if (当前访视点非淋巴结病灶至少一个非淋巴结靶病灶的长径＞0 mm。)
if (resultData.CurrentMajoreBigger0)
{
//靶病灶疗效为 PD
result = TargetAssessment.PD;
}
}
#region 之前的逻辑 备注
//if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR))
//{
// if (resultData.ExixtsNETargetLesion)
// {
// result = TargetAssessment.NE;
// }
// if (resultData.CurrenShortBigger10 && resultData.IsAddFive)
// {
// result = TargetAssessment.PD;
// }
// if (resultData.CurrentMajoreBigger0)
// {
// result = TargetAssessment.PD;
// }
//}
//else
//{
// if (resultData.LowSod != 0 && resultData.LowPercentBigger20 && resultData.LowChangeBigger5)
// {
// result = TargetAssessment.PD;
// }
// else
// {
// if (resultData.ExixtsNETargetLesion)
// {
// result = TargetAssessment.NE;
// }
// else
// {
// if (resultData.SODPercentBigger30)
// {
// if (resultData.LowPercentLess20 || resultData.LowChangeLess5)
// {
// result = TargetAssessment.PR;
// }
// if (resultData.SumOfDiameter == 0 && resultData.DiameterLessThan10 && resultData.NonTargetStateIsLoss)
// {
// result = TargetAssessment.CR;
// }
// }
// }
// }
//}
#endregion
}
return result.GetEnumInt();
}
#endregion
#region 获取非靶病灶评估
/// <summary>
/// 获取非靶病灶评估
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetNoTargetLesionEvaluate(ReadingCalculateDto inDto)
{
NoTargetAssessment result = NoTargetAssessment.NN;
if (inDto.IsBaseLine)
{
return NoTargetAssessment.NA.GetEnumInt();
}
var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NonTargetLesions).SelectMany(x => x.TableRowInfoList).ToList();
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.EqEnum(NoTargetState.Increase)))
{
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.EqEnum(NoTargetState.UnableEvaluate)) &&
!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Increase))
)
{
result = NoTargetAssessment.NE;
}
// 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.EqEnum(NoTargetState.Exist))
&& !tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && (x.Answer.EqEnum(NoTargetState.Increase) || x.Answer.EqEnum(NoTargetState.UnableEvaluate)))
)
{
result = NoTargetAssessment.NN;
}
//所有单个病灶/病灶组状态评估状态为“消失”
else if (tableQuestions.Count(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Loss)) == tableQuestions.Count(x => x.QuestionMark == QuestionMark.State) && tableQuestions.Count(x => x.QuestionMark == QuestionMark.State) > 0)
{
result = NoTargetAssessment.CR;
}
// 基线时没有非靶病灶
else if (tableQuestions.Count() == 0)
{
result = NoTargetAssessment.ND;
}
else
{
return string.Empty;
}
return result.GetEnumInt();
}
#endregion
#region 获取新病灶评估
/// <summary>
/// 获取新病灶评估
/// </summary>
/// <param name="inDto"></param>
/// <returns></returns>
public async Task<string> GetNewLesionEvaluate(ReadingCalculateDto inDto)
{
NewLesionAssessment result = NewLesionAssessment.No;
if (inDto.IsBaseLine)
{
return NewLesionAssessment.NA.GetEnumInt();
}
var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList).ToList();
var tableQuestions = tableRows.SelectMany(x => x.TableQuestionList).ToList();
// 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.EqEnum(NewLesionState.Exist)))
{
result = NewLesionAssessment.Yes;
}
//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.EqEnum(NewLesionState.UnableEvaluate)))
{
result = NewLesionAssessment.NE;
}
//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.EqEnum(NewLesionState.Exist)) &&
tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.Suspected))
)
{
result = NewLesionAssessment.Suspected;
}
else
{
result = NewLesionAssessment.No;
}
return result.GetEnumInt();
}
#endregion
#endregion
}
}