1105 lines
50 KiB
C#
1105 lines
50 KiB
C#
using IRaCIS.Core.Application.Service.Reading.Dto;
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using IRaCIS.Core.Domain.Share;
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using Microsoft.AspNetCore.Mvc;
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using IRaCIS.Core.Domain.Models;
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using IRaCIS.Core.Application.Interfaces;
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using IRaCIS.Core.Application.ViewModel;
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using Panda.DynamicWebApi.Attributes;
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using IRaCIS.Core.Infra.EFCore.Common;
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using Microsoft.Extensions.Caching.Memory;
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using IRaCIS.Core.Infrastructure;
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using MassTransit;
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namespace IRaCIS.Core.Application.Service.ReadingCalculate
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{
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[ApiExplorerSettings(GroupName = "Reading")]
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public class PCWG3CalculateService : BaseService, ICriterionCalculateService
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{
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private readonly IRepository<ReadingTableQuestionAnswer> _readingTableQuestionAnswerRepository;
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private readonly IRepository<VisitTask> _visitTaskRepository;
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private readonly IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository;
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private readonly IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository;
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private readonly IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository;
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private readonly IRepository<ReadingQuestionTrial> _readingQuestionTrialRepository;
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private readonly IRepository<SubjectVisit> _subjectVisitRepository;
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private readonly IRepository<OrganInfo> _organInfoRepository;
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private readonly IRepository<DicomStudy> _dicomStudyRepository;
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private readonly IRepository<NoneDicomStudy> _noneDicomStudyRepository;
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private readonly IRepository<TumorAssessment_RECIST1Point1> _tumorAssessmentRepository;
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private readonly IGeneralCalculateService _generalCalculateService;
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private readonly IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository;
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public PCWG3CalculateService(
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IRepository<ReadingTableQuestionAnswer> readingTableQuestionAnswerRepository,
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IRepository<VisitTask> visitTaskRepository,
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IRepository<ReadingQuestionCriterionTrial> readingQuestionCriterionTrialRepository,
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IRepository<ReadingTableQuestionTrial> readingTableQuestionTrialRepository,
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IRepository<ReadingTableAnswerRowInfo> readingTableAnswerRowInfoRepository,
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IRepository<ReadingQuestionTrial> readingQuestionTrialRepository,
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IRepository<SubjectVisit> subjectVisitRepository,
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IRepository<OrganInfo> organInfoRepository,
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IRepository<DicomStudy> dicomStudyRepository,
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IRepository<NoneDicomStudy> noneDicomStudyRepository,
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IRepository<TumorAssessment_RECIST1Point1> tumorAssessmentRepository,
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IGeneralCalculateService generalCalculateService,
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IRepository<ReadingTaskQuestionAnswer> readingTaskQuestionAnswerRepository
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)
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{
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this._readingTableQuestionAnswerRepository = readingTableQuestionAnswerRepository;
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this._visitTaskRepository = visitTaskRepository;
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this._readingQuestionCriterionTrialRepository = readingQuestionCriterionTrialRepository;
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this._readingTableQuestionTrialRepository = readingTableQuestionTrialRepository;
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this._readingTableAnswerRowInfoRepository = readingTableAnswerRowInfoRepository;
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this._readingQuestionTrialRepository = readingQuestionTrialRepository;
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this._subjectVisitRepository = subjectVisitRepository;
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this._organInfoRepository = organInfoRepository;
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this._dicomStudyRepository = dicomStudyRepository;
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this._noneDicomStudyRepository = noneDicomStudyRepository;
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this._tumorAssessmentRepository = tumorAssessmentRepository;
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this._generalCalculateService = generalCalculateService;
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this._readingTaskQuestionAnswerRepository = readingTaskQuestionAnswerRepository;
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}
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private List<SiteVisitForTumor> siteVisitForTumorList = new List<SiteVisitForTumor>();
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#region 删除病灶获取起始病灶序号
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/// <summary>
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/// 删除病灶获取起始病灶序号
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/// </summary>
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/// <returns></returns>
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public async Task<int> GetDeleteLesionStatrIndex(DeleteReadingRowAnswerInDto inDto)
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{
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var rowInfo = await _readingTableAnswerRowInfoRepository.Where(x => x.Id == inDto.RowId).Include(x => x.ReadingQuestionTrial).FirstNotNullAsync();
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if (rowInfo.ReadingQuestionTrial.LesionType == LesionType.NewLesions)
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{
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var minIndex= await _readingTableAnswerRowInfoRepository.Where(x => x.QuestionId == rowInfo.QuestionId && x.VisitTaskId == inDto.VisitTaskId).OrderBy(x => x.RowIndex).Select(x=>x.RowIndex).FirstOrDefaultAsync();
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return (int)minIndex;
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}
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else
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{
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return 1;
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}
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}
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#endregion
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#region 获取阅片报告
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/// <summary>
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/// 获取阅片报告
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/// </summary>
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/// <param name="indto"></param>
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/// <returns></returns>
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[HttpPost]
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public async Task<GetReadingReportEvaluationOutDto> GetReadingReportEvaluation(GetReadingReportEvaluationInDto indto)
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{
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GetReadingReportEvaluationOutDto result = new GetReadingReportEvaluationOutDto();
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result.CalculateResult = await this.GetReportVerify(new GetReportVerifyInDto()
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{
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VisitTaskId = indto.VisitTaskId
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});
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var visitTaskInfo = await _visitTaskRepository.Where(x => x.Id == indto.VisitTaskId).FirstNotNullAsync();
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result.ReadingTaskState = visitTaskInfo.ReadingTaskState;
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var taskInfoList = await _generalCalculateService.GetReadingReportTaskList(indto.VisitTaskId);
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taskInfoList = taskInfoList.Where(x => x.VisitTaskNum <= visitTaskInfo.VisitTaskNum).ToList();
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result.VisitTaskList = taskInfoList;
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var visitTaskIds = taskInfoList.Select(x => x.VisitTaskId).ToList();
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var criterionId = visitTaskInfo.TrialReadingCriterionId;
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var questionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == criterionId && x.ShowQuestion != ShowQuestion.Hide)
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//.Where(x => x.LesionType != LesionType.BaselineLesions)
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.Where(x=>x.QuestionType!=QuestionType.TherapeuticEffectEvaluationGroup)
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.ToListAsync();
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// 新病灶
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var questionNewLesions = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == visitTaskInfo.TrialReadingCriterionId && x.LesionType == LesionType.NewLesions).FirstNotNullAsync();
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var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == criterionId).OrderBy(x => x.ShowOrder).ToListAsync();
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var tableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId).ProjectTo<TableAnsweRowInfo>(_mapper.ConfigurationProvider).ToListAsync();
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var answers = await _readingTaskQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId))
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.Where(x => x.ReadingQuestionTrialId != questionNewLesions.Id||x.VisitTaskId== visitTaskInfo.Id)
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.ToListAsync();
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var tableAnswers = await _readingTableQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId))
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.Where(x => x.QuestionId != questionNewLesions.Id || x.VisitTaskId == visitTaskInfo.Id)
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.ToListAsync();
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var alltableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync();
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var organIds = alltableAnsweRowInfos.Where(x => x.OrganInfoId != null).Select(x => x.OrganInfoId).Distinct().ToList();
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var organInfos = await _organInfoRepository.Where(x => organIds.Contains(x.Id)).ToListAsync();
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var needChangeType = new List<QuestionMark?>() {
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QuestionMark.Organ,
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QuestionMark.Location,
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QuestionMark.Part,
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};
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// 第一级 分组
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#region 构造问题
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List<ReadingReportDto> questions = questionList.Where(x => x.Type == ReadingQestionType.Group).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto()
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{
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QuestionId = x.Id,
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GroupName = x.GroupName,
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GroupEnName=x.GroupEnName,
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IsShowInDicom = x.IsShowInDicom,
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Type = x.Type,
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GroupId=x.GroupId,
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QuestionType = x.QuestionType,
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LesionType = x.LesionType,
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QuestionGenre = x.QuestionGenre,
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DataSource = x.DataSource,
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DictionaryCode = x.DictionaryCode,
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TypeValue = x.TypeValue,
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QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
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ShowOrder = x.ShowOrder,
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ValueType = x.ValueType,
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CustomUnit=x.CustomUnit,
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Unit = x.Unit,
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ReportLayType=ReportLayType.Group,
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}).ToList();
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// 分组
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foreach (var item in questions)
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{
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// 问题
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item.Childrens = questionList.Where(x => x.GroupId==item.QuestionId).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto()
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{
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GroupName = x.GroupName,
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GroupEnName=x.GroupEnName,
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QuestionId = x.Id,
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IsShowInDicom = x.IsShowInDicom,
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QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
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LesionType = x.LesionType,
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QuestionGenre = x.QuestionGenre,
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DataSource = x.DataSource,
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DictionaryCode = x.DictionaryCode,
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Type = x.Type,
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QuestionType = x.QuestionType,
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TypeValue = x.TypeValue,
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ShowOrder = x.ShowOrder,
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OrderMark = x.OrderMark,
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ValueType = x.ValueType,
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Unit = x.Unit,
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CustomUnit=x.CustomUnit,
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ReportLayType = ReportLayType.Question,
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}).ToList();
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// 问题
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foreach (var question in item.Childrens)
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{
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foreach (var task in taskInfoList)
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{
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var answer = answers.Where(x => x.VisitTaskId == task.VisitTaskId && x.ReadingQuestionTrialId == question.QuestionId).FirstOrDefault();
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question.Answer.Add(new TaskQuestionAnswer()
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{
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Answer = answer == null ? string.Empty : answer.Answer,
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IsGlobalChange = answer == null ? false : answer.IsGlobalChange,
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GlobalChangeAnswer = answer == null ? string.Empty : answer.GlobalChangeAnswer,
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TaskName = task.TaskName,
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VisitTaskId = task.VisitTaskId,
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});
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}
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// 构造表格行数据
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var rowlist = tableAnsweRowInfos.Where(x => x.QuestionId == question.QuestionId).OrderBy(x => x.RowIndex).ToList();
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question.Childrens = rowlist.OrderBy(x=>x.RowIndex).Select(x => new ReadingReportDto()
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{
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QuestionName = question.OrderMark + x.RowIndex.GetLesionMark(),
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SplitOrMergeLesionName = x.MergeName.IsNullOrEmpty() ? x.SplitName : x.MergeName,
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SplitOrMergeType = x.SplitOrMergeType,
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LesionType = question.LesionType,
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IsCanEditPosition = x.IsCanEditPosition,
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RowIndex = x.RowIndex,
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BlindName = x.BlindName,
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RowId =x.Id,
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ReportLayType = ReportLayType.Lesions,
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FristAddTaskNum= x.FristAddTaskNum,
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}).ToList();
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foreach (var row in question.Childrens)
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{
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// tableQuestion
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row.Childrens = tableQuestionList.Where(x => x.ReadingQuestionId == question.QuestionId).Select(x => new ReadingReportDto()
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{
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QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
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QuestionId = x.ReadingQuestionId,
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TableQuestionId = x.Id,
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Type = x.Type,
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LesionType = question.LesionType,
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TableQuestionType = x.TableQuestionType,
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DataSource = x.DataSource,
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DictionaryCode = x.DictionaryCode,
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QuestionMark = x.QuestionMark,
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TypeValue = x.TypeValue,
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RowIndex = row.RowIndex,
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ShowOrder = x.ShowOrder,
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ValueType = x.ValueType,
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RowId=row.RowId,
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Unit = x.Unit,
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ReportLayType = ReportLayType.TableQuestion,
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FristAddTaskNum= row.FristAddTaskNum,
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}).ToList();
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foreach (var tableQuestion in row.Childrens)
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{
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foreach (var task in taskInfoList)
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{
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var rowinfo = alltableAnsweRowInfos.Where(x => x.VisitTaskId == task.VisitTaskId && x.QuestionId == tableQuestion.QuestionId && x.RowIndex == tableQuestion.RowIndex).FirstOrDefault();
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var taskQuestionAnswer = new TaskQuestionAnswer()
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{
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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(),
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TaskName = task.TaskName,
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VisitTaskId = task.VisitTaskId,
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};
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if (rowinfo != null && rowinfo.OrganInfoId != null)
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{
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var organInfo = organInfos.Where(x => x.Id == rowinfo.OrganInfoId).FirstOrDefault();
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if (organInfo != null && needChangeType.Contains(tableQuestion.QuestionMark))
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{
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if (_userInfo.IsEn_Us)
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{
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switch (tableQuestion.QuestionMark)
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{
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case QuestionMark.Organ:
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taskQuestionAnswer.Answer = organInfo.TULOCEN;
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break;
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case QuestionMark.Location:
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if (organInfo.IsCanEditPosition)
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{
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}
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else
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{
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taskQuestionAnswer.Answer = organInfo.TULATEN;
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}
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break;
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case QuestionMark.Part:
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taskQuestionAnswer.Answer = organInfo.PartEN;
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break;
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}
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}
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else
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{
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switch (tableQuestion.QuestionMark)
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{
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case QuestionMark.Organ:
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taskQuestionAnswer.Answer = organInfo.TULOC;
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break;
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case QuestionMark.Location:
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if (organInfo.IsCanEditPosition)
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{
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}
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else
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{
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taskQuestionAnswer.Answer = organInfo.TULAT;
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}
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break;
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case QuestionMark.Part:
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taskQuestionAnswer.Answer = organInfo.Part;
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break;
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}
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}
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}
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}
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tableQuestion.Answer.Add(taskQuestionAnswer);
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}
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}
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}
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};
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}
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#endregion
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result.TaskQuestions = questions;
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return result;
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}
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#endregion
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/// <summary>
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/// 将上一次的病灶信息添加到这一次
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/// </summary>
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/// <param name="inDto"></param>
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/// <returns></returns>
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public async Task<AddTaskLesionAnswerFromLastTaskOutDto> AddTaskLesionAnswerFromLastTask(AddTaskLesionAnswerFromLastTaskInDto inDto)
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{
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var visitTaskId = inDto.VisitTaskId;
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var taskinfo = await _visitTaskRepository.Where(x => x.Id == visitTaskId).FirstNotNullAsync();
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var baseLineVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == taskinfo.SubjectId && x.IsBaseLine).Select(x => x.Id).FirstOrDefaultAsync();
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// 判断当前任务是否是基线
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if (taskinfo.SourceSubjectVisitId != baseLineVisitId)
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{
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// 判断当前任务是是否有表格问题答案
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if (!(await _readingTableQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == visitTaskId)))
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{
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var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit &&
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x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId &&
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x.IsAnalysisCreate == taskinfo.IsAnalysisCreate &&
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x.DoctorUserId ==taskinfo.DoctorUserId &&
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x.IsSelfAnalysis == taskinfo.IsSelfAnalysis &&
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x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTaskNum < taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect && x.ArmEnum == taskinfo.ArmEnum
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).OrderByDescending(x => x.VisitTaskNum).Select(x => x.Id).FirstOrDefaultAsync();
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// 上一次的表格答案
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var copyTableAnswers = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == LastVisitTaskId
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).Select(x => new CopyTableAnswerDto()
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{
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Answer = x.Answer,
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QuestionId = x.QuestionId,
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RowId = x.RowId,
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QuestionMark = x.ReadingTableQuestionTrial.QuestionMark,
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TableQuestionId = x.TableQuestionId,
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RowIndex = x.RowIndex,
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TrialId = x.TrialId
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}).ToListAsync();
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// 上一次的行信息
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var tableRowAnswers = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == LastVisitTaskId).ProjectTo<CopyTableAnswerRowInfo>(_mapper.ConfigurationProvider).ToListAsync();
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tableRowAnswers.ForEach(x =>
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{
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x.VisitTaskId = visitTaskId;
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x.IsCurrentTaskAdd = false;
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x.Id = NewId.NextGuid();
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x.SeriesId = null;
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x.InstanceId = null;
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x.MeasureData = string.Empty;
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x.PicturePath = string.Empty;
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});
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tableRowAnswers.ForEach(x =>
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{
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x.SplitRowId = tableRowAnswers.Where(y => y.OriginalId == x.SplitRowId).Select(y => y.Id).FirstOrDefault();
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x.MergeRowId = tableRowAnswers.Where(y => y.OriginalId == x.MergeRowId).Select(y => y.Id).FirstOrDefault();
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});
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List<QuestionMark?> notNeedCopyMarks = new List<QuestionMark?>()
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{
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QuestionMark.State,
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QuestionMark.LesionNumber,
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};
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var tableAnswers = copyTableAnswers.Select(x => new ReadingTableQuestionAnswer
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{
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Id = NewId.NextGuid(),
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Answer = notNeedCopyMarks.Contains(x.QuestionMark) ? string.Empty : x.Answer,
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QuestionId = x.QuestionId,
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RowIndex = x.RowIndex,
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RowId = tableRowAnswers.Where(y => y.OriginalId == x.RowId).Select(x => x.Id).FirstOrDefault(),
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TableQuestionId = x.TableQuestionId,
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TrialId = x.TrialId,
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VisitTaskId = visitTaskId,
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}).ToList();
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try
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{
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// 新病灶外层问题
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var newLesionQuestion = await _readingQuestionTrialRepository.Where(x => x.LesionType == LesionType.NewLesions && x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).FirstNotNullAsync();
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// 既往病灶外层问题
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var alwaysNewLesionsQuestion = await _readingQuestionTrialRepository.Where(x => x.LesionType == LesionType.AlwaysNewLesions && x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).FirstNotNullAsync();
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// 新病灶表格问题
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var newLesionTableQuestions = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionId == newLesionQuestion.Id).ToListAsync();
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// 既往病灶表格问题
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var alwaysNewLesionsTableQuestions = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionId == alwaysNewLesionsQuestion.Id).ToListAsync();
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Dictionary<Guid, Guid> alwaysTableQuestionIdDic = new Dictionary<Guid, Guid>();
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newLesionTableQuestions.ForEach(x =>
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{
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alwaysTableQuestionIdDic.Add(
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x.Id,
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alwaysNewLesionsTableQuestions.Where(y => y.QuestionName == x.QuestionName).Select(y => y.Id).FirstOrDefault()
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||
);
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});
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foreach (var item in tableRowAnswers.Where(x => x.QuestionId == newLesionQuestion.Id).OrderBy(x=>x.RowIndex))
|
||
{
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||
item.QuestionId = alwaysNewLesionsQuestion.Id;
|
||
|
||
|
||
foreach (var tableAnswer in tableAnswers.Where(y => y.RowId == item.Id))
|
||
{
|
||
tableAnswer.QuestionId = alwaysNewLesionsQuestion.Id;
|
||
tableAnswer.TableQuestionId = alwaysTableQuestionIdDic[tableAnswer.TableQuestionId];
|
||
|
||
}
|
||
}
|
||
|
||
}
|
||
catch (Exception)
|
||
{
|
||
|
||
throw new BusinessValidationFailedException(_localizer["ReadingCalculate_Abnormal"]);
|
||
}
|
||
|
||
|
||
|
||
|
||
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,
|
||
};
|
||
}
|
||
|
||
/// <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>
|
||
/// 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>()
|
||
{
|
||
// 基线病灶计数
|
||
new ReadingCalculateData (){QuestionType=QuestionType.BaseLineLesionsCount,GetIntFun=GetBaseLineLesionsCount},
|
||
|
||
// 新病灶计数
|
||
new ReadingCalculateData (){QuestionType=QuestionType.NewLesionsCount,GetIntFun=GetNewLesionsCount},
|
||
|
||
// 既往新病灶
|
||
new ReadingCalculateData (){QuestionType=QuestionType.AlwaysNewLesionsCount,GetIntFun=GetAlwaysNewLesionsCount},
|
||
|
||
// 自治疗后第二个访视点以来持续的新骨病变数量
|
||
new ReadingCalculateData (){QuestionType=QuestionType.NewBoneLesionsCount,GetIntFun=GetNewBoneLesionCount},
|
||
|
||
// 间隔天数
|
||
new ReadingCalculateData (){QuestionType=QuestionType.DaysBetween,GetIntFun=GetNumberOfDaysBetween},
|
||
|
||
// 访视点肿瘤评估
|
||
new ReadingCalculateData (){QuestionType=QuestionType.SiteVisitForTumorEvaluation,GetStringFun=GetSiteVisitForTumorEvaluation},
|
||
|
||
|
||
|
||
};
|
||
|
||
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
|
||
if (inDto.IsOnlyChangeAllTask == false)
|
||
{
|
||
|
||
#region 计算答案
|
||
|
||
|
||
|
||
switch (calculate.QuestionType)
|
||
{
|
||
case QuestionType.BaseLineLesionsCount:
|
||
item.Answer = (await calculate.GetIntFun(inDto)).ToString();
|
||
break;
|
||
|
||
case QuestionType.NewLesionsCount:
|
||
|
||
if (inDto.VisitTaskNum >= 1)
|
||
{
|
||
item.Answer = (await calculate.GetIntFun(inDto)).ToString();
|
||
}
|
||
else
|
||
{
|
||
item.Answer = nameof(YesOrNoOrNa.NA);
|
||
}
|
||
break;
|
||
case QuestionType.AlwaysNewLesionsCount:
|
||
if (inDto.VisitTaskNum >1)
|
||
{
|
||
item.Answer = (await calculate.GetIntFun(inDto)).ToString();
|
||
}
|
||
else
|
||
{
|
||
item.Answer = nameof(YesOrNoOrNa.NA);
|
||
}
|
||
break;
|
||
case QuestionType.NewBoneLesionsCount:
|
||
|
||
|
||
item.Answer = (await calculate.GetIntFun(inDto)).ToString();
|
||
|
||
if (item.Answer=="-1")
|
||
{
|
||
item.Answer = nameof(YesOrNoOrNa.NA);
|
||
}
|
||
break;
|
||
case QuestionType.DaysBetween:
|
||
item.Answer = (await calculate.GetIntFun(inDto)).ToString();
|
||
break;
|
||
case QuestionType.SiteVisitForTumorEvaluation:
|
||
item.Answer = await calculate.GetStringFun(inDto);
|
||
break;
|
||
default:
|
||
item.Answer =string.Empty;
|
||
break;
|
||
}
|
||
|
||
#endregion
|
||
|
||
// 修改修约小数位数
|
||
try
|
||
{
|
||
List<ValueOfType?> valueOfTypes = new List<ValueOfType?>() {
|
||
|
||
ValueOfType.Decimals,
|
||
ValueOfType.Percentage
|
||
};
|
||
|
||
if (valueOfTypes.Contains(item.ValueType))
|
||
{
|
||
item.Answer = decimal.Round(decimal.Parse(item.Answer.IsNullOrEmpty() ? "0": item.Answer), 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
|
||
|
||
|
||
}
|
||
|
||
|
||
#region 基线病灶计数
|
||
/// <summary>
|
||
/// 基线病灶计数
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<int> GetBaseLineLesionsCount(ReadingCalculateDto inDto)
|
||
{
|
||
|
||
try
|
||
{
|
||
return (int)(inDto.QuestionInfo.Where(x => x.LesionType == LesionType.BaselineLesions).SelectMany(x => x.TableRowInfoList)
|
||
|
||
.Sum(x => x.TableQuestionList.Where(y => y.QuestionMark == QuestionMark.LesionNumber).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0()));
|
||
}
|
||
catch
|
||
{
|
||
|
||
return 0;
|
||
}
|
||
|
||
}
|
||
|
||
#endregion
|
||
|
||
#region 新病灶计数
|
||
/// <summary>
|
||
/// 获取新病灶计数
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<int> GetNewLesionsCount(ReadingCalculateDto inDto)
|
||
{
|
||
return inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList)
|
||
.Where(x=>x.TableQuestionList.Any(y=>y.QuestionMark==QuestionMark.State&&y.Answer== EvaluationOfState.Exists.GetEnumInt()))
|
||
.Count();
|
||
}
|
||
|
||
#endregion
|
||
|
||
|
||
#region 既往新病灶计数
|
||
/// <summary>
|
||
/// 既往新病灶计数
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<int> GetAlwaysNewLesionsCount(ReadingCalculateDto inDto)
|
||
{
|
||
return inDto.QuestionInfo.Where(x => x.LesionType == LesionType.AlwaysNewLesions).SelectMany(x => x.TableRowInfoList)
|
||
.Where(x => x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt()))
|
||
.Count();
|
||
}
|
||
|
||
#endregion
|
||
|
||
|
||
#region 自治疗后第二个访视点以来持续的新骨病变数量
|
||
/// <summary>
|
||
/// 自治疗后第二个访视点以来持续的新骨病变数量
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<int> GetNewBoneLesionCount(ReadingCalculateDto inDto)
|
||
{
|
||
|
||
var taskList = await GetSiteVisitForTumorList(inDto);
|
||
var result = 0;
|
||
var findindex = taskList.OrderBy(x => x.VisitTaskNum).ToList().FindIndex(x => x.VisitTaskId == inDto.VisitTaskId);
|
||
|
||
|
||
if (findindex < 3)
|
||
{
|
||
return -1;
|
||
}
|
||
else
|
||
{
|
||
var twoindex = taskList.OrderBy(x => x.VisitTaskNum).ToList()[2];
|
||
|
||
|
||
result = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.AlwaysNewLesions).SelectMany(x => x.TableRowInfoList)
|
||
.Where(x => x.FristAddTaskNum >= twoindex.VisitTaskNum && x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt())).Count();
|
||
|
||
//+ inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList)
|
||
// .Where(x => x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt()))
|
||
// .Count();
|
||
}
|
||
|
||
|
||
|
||
|
||
return result;
|
||
}
|
||
|
||
#endregion
|
||
|
||
|
||
#region 间隔天数
|
||
/// <summary>
|
||
/// 获取
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<int> GetNumberOfDaysBetween(ReadingCalculateDto inDto)
|
||
{
|
||
if (inDto.IsBaseLine)
|
||
{
|
||
return -1;
|
||
}
|
||
var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
|
||
var taskList = await GetSiteVisitForTumorList(inDto);
|
||
var lastTask = taskList.Where(x => x.VisitTaskNum < taskinfo.VisitTaskNum&&x.VisitTaskId!=inDto.VisitTaskId).OrderByDescending(x => x.VisitTaskNum).FirstOrDefault();
|
||
if (lastTask != null)
|
||
{
|
||
var thisTask = taskList.FirstOrDefault();
|
||
if (thisTask!=null&& thisTask.StudyTime != null && lastTask.StudyTime != null)
|
||
{
|
||
return (int)Math.Floor((thisTask.StudyTime.Value - lastTask.StudyTime.Value).TotalDays);
|
||
}
|
||
else
|
||
{
|
||
return -1;
|
||
}
|
||
|
||
|
||
}
|
||
else
|
||
{
|
||
return -1;
|
||
}
|
||
}
|
||
|
||
#endregion
|
||
|
||
|
||
|
||
#region 访视点肿瘤评估
|
||
/// <summary>
|
||
/// 访视点肿瘤评估
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<string> GetSiteVisitForTumorEvaluation(ReadingCalculateDto inDto)
|
||
{
|
||
if(inDto.IsBaseLine)
|
||
{
|
||
return VisitTumorEvaluation.NA.GetEnumInt();
|
||
}
|
||
|
||
//如果日期未知，不需要计算肿瘤评估结果；
|
||
if (await GetNumberOfDaysBetween(inDto) == -1)
|
||
{
|
||
return string.Empty;
|
||
}
|
||
var isPD= await ChangeLastTaskSiteVisitForTumorEvaluation(inDto);
|
||
var newLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
|
||
var baseLineLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.BaseLineLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
|
||
var alwaysNewLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.AlwaysNewLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
|
||
|
||
if (isPD)
|
||
{
|
||
return VisitTumorEvaluation.PD.GetEnumInt();
|
||
}else if (newLesionsCount == 0 &&
|
||
baseLineLesionsCount == 0 &&
|
||
alwaysNewLesionsCount == 0)
|
||
{
|
||
return VisitTumorEvaluation.ND.GetEnumInt();
|
||
}
|
||
else
|
||
{
|
||
return VisitTumorEvaluation.NoPD.GetEnumInt();
|
||
}
|
||
}
|
||
|
||
/// <summary>
|
||
/// 修改上一次访视结果
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<bool> ChangeLastTaskSiteVisitForTumorEvaluation(ReadingCalculateDto inDto)
|
||
{
|
||
var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
|
||
var taskList =await GetSiteVisitForTumorList(inDto);
|
||
var lastTask = taskList.Where(x => x.VisitTaskNum < taskinfo.VisitTaskNum&&x.VisitTaskId!=inDto.VisitTaskId).OrderByDescending(x => x.VisitTaskNum).FirstOrDefault();
|
||
|
||
var baseLineTask = taskList.OrderBy(x => x.VisitTaskNum).FirstOrDefault();
|
||
var newLesionsCountQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionsCount).Select(x => x.QuestionId).FirstOrDefault();
|
||
|
||
var isPDResult = false;
|
||
|
||
if (lastTask != null)
|
||
{
|
||
|
||
#region 1、基线后第一个访视：新病灶计数≥ 2个；2、基线后第二个访视（应满足访视间隔6周以上，否则顺延）新病灶≥ 2个；
|
||
//1、基线后第一个访视：新病灶计数≥ 2个；2、基线后第二个访视（应满足访视间隔6周以上，否则顺延）新病灶≥ 2个；
|
||
|
||
|
||
var firstVisit = taskList.FirstOrDefault();
|
||
if (baseLineTask!=null&&baseLineTask.StudyTime != null)
|
||
{
|
||
//基线后第二个访视（应满足访视间隔6周以上，否则顺延）
|
||
var secondVisit = taskList.Where(x => x.VisitTaskNum >= 2 && x.StudyTime >= baseLineTask.StudyTime.Value.AddDays(42)).FirstOrDefault();
|
||
if (secondVisit != null)
|
||
{
|
||
|
||
var firstTaskNewLesionsCount = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == firstVisit!.VisitTaskId && x.ReadingQuestionTrialId == newLesionsCountQuestionId).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
|
||
|
||
// 第二访视数量
|
||
var secondVisitLesionsCount = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastTask.VisitTaskId && x.ReadingQuestionTrialId == newLesionsCountQuestionId).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
|
||
|
||
// 判断是否是当前访视 当前访视还未入库
|
||
if (secondVisit.VisitTaskId == inDto.VisitTaskId)
|
||
{
|
||
secondVisitLesionsCount = (inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionsCount).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0();
|
||
}
|
||
|
||
if (firstTaskNewLesionsCount >= 2 && secondVisitLesionsCount >= 2)
|
||
{
|
||
isPDResult = true;
|
||
}
|
||
}
|
||
|
||
#endregion
|
||
|
||
|
||
|
||
if (lastTask.VisitTaskNum >= 2m)
|
||
{
|
||
|
||
var lastTasknewLesionsCount = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastTask.VisitTaskId && x.ReadingQuestionTrialId == newLesionsCountQuestionId).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
|
||
var thisVisitTaskNewLesionsCount = (inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionsCount).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0();
|
||
|
||
var thisVisitTask = taskList.LastOrDefault();
|
||
|
||
if (thisVisitTask!=null &&thisVisitTask.StudyTime!=null&&lastTask.StudyTime!=null&&
|
||
|
||
|
||
lastTasknewLesionsCount >= 2 && thisVisitTaskNewLesionsCount >= 2 && lastTask.StudyTime.Value.AddDays(42) <= thisVisitTask.StudyTime)
|
||
{
|
||
isPDResult = true;
|
||
}
|
||
}
|
||
}
|
||
|
||
}
|
||
if (isPDResult)
|
||
{
|
||
var visitForTumorEvaluationQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SiteVisitForTumorEvaluation).Select(x => x.QuestionId).FirstOrDefault();
|
||
|
||
if(lastTask!=null)
|
||
{
|
||
await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == lastTask.VisitTaskId && x.ReadingQuestionTrialId == visitForTumorEvaluationQuestionId, x => new ReadingTaskQuestionAnswer
|
||
{
|
||
Answer = VisitTumorEvaluation.PD.GetEnumInt(),
|
||
});
|
||
}
|
||
}
|
||
|
||
|
||
return isPDResult;
|
||
}
|
||
|
||
#endregion
|
||
|
||
/// <summary>
|
||
/// 获取访视日期信息
|
||
/// </summary>
|
||
/// <param name="inDto"></param>
|
||
/// <returns></returns>
|
||
public async Task<List<SiteVisitForTumor>> GetSiteVisitForTumorList(ReadingCalculateDto inDto)
|
||
{
|
||
|
||
|
||
if (siteVisitForTumorList == null)
|
||
{
|
||
var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
|
||
siteVisitForTumorList = await _visitTaskRepository.Where(x => (x.ReadingCategory == ReadingCategory.Visit &&
|
||
x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId &&
|
||
x.DoctorUserId== taskinfo.DoctorUserId&&
|
||
x.IsAnalysisCreate==inDto.IsAnalysisCreate&&
|
||
x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTaskNum <= taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect && x.ArmEnum == taskinfo.ArmEnum
|
||
)||x.Id== inDto.VisitTaskId).OrderByDescending(x => x.VisitTaskNum).Select(x => new SiteVisitForTumor()
|
||
{
|
||
VisitTaskId = x.Id,
|
||
VisitTaskNum = x.VisitTaskNum,
|
||
SubjectVisitId=x.SourceSubjectVisitId,
|
||
}).ToListAsync();
|
||
|
||
var visitIds = siteVisitForTumorList.Select(x => x.SubjectVisitId).ToList();
|
||
// Dicom 用NM 非dicom 用骨扫描 (BoneScan)
|
||
List<VisitStudyTime> visitStudies = await _dicomStudyRepository.Where(x => visitIds.Contains(x.SubjectVisitId) && x.ModalityForEdit == "BoneScan").Select(x => new VisitStudyTime()
|
||
{
|
||
SubjectVisitId = x.SubjectVisitId,
|
||
StudyTime = x.StudyTime
|
||
|
||
}).ToListAsync();
|
||
|
||
visitStudies.AddRange(
|
||
await _noneDicomStudyRepository.Where(x => visitIds.Contains(x.SubjectVisitId)&&x.Modality== "BoneScan").Select(x => new VisitStudyTime() {
|
||
SubjectVisitId = x.SubjectVisitId,
|
||
StudyTime = x.ImageDate
|
||
|
||
}).ToListAsync()
|
||
);
|
||
|
||
visitStudies = visitStudies.Where(x => x.StudyTime != null).ToList();
|
||
|
||
foreach (var item in siteVisitForTumorList)
|
||
{
|
||
item.StudyTime = visitStudies.Where(x => x.SubjectVisitId == item.SubjectVisitId).Max(x => x.StudyTime);
|
||
}
|
||
|
||
}
|
||
|
||
return siteVisitForTumorList;
|
||
|
||
|
||
}
|
||
|
||
|
||
public async Task<GetReportVerifyOutDto> GetReportVerify(GetReportVerifyInDto inDto)
|
||
{
|
||
return new GetReportVerifyOutDto() {
|
||
|
||
};
|
||
}
|
||
|
||
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.ReadingQuestionTrial.LesionType!=LesionType.BaselineLesions&& (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 == EvaluationOfState.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);
|
||
}
|
||
}
|
||
}
|
||
}
|