586 lines
26 KiB
C#
586 lines
26 KiB
C#
using IRaCIS.Core.Application.Filter;
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using Microsoft.AspNetCore.Mvc;
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using IRaCIS.Core.Application.Contracts.Dicom.DTO;
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using Microsoft.AspNetCore.Authorization;
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using IRaCIS.Core.Domain.Share;
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using IRaCIS.Core.Application.Contracts;
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using IRaCIS.Core.Application.Interfaces;
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using IRaCIS.Core.Infrastructure;
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using IRaCIS.Core.Application.Auth;
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using IRaCIS.Core.Infra.EFCore.Common;
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using MassTransit;
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using IRaCIS.Core.Domain.Models;
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namespace IRaCIS.Core.Application.Services
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{
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[ApiExplorerSettings(GroupName = "Trial")]
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public class SubjectVisitService : BaseService, ISubjectVisitService
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{
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private readonly IRepository<SubjectVisit> _subjectVisitRepository;
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private readonly IRepository<ClinicalDataTrialSet> _clinicalDataTrialSetRepository;
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private readonly IRepository<ReadingClinicalData> _readingClinicalDataRepository;
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private readonly IRepository<ReadModule> _readModuleRepository;
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private readonly IRepository<Trial> _trialRepository;
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private readonly IRepository<ReadingPeriodSet> _readingPeriodSetRepository;
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private readonly IRepository<NoneDicomStudy> _noneDicomStudyRepository;
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private readonly IRepository<DicomInstance> _dicomInstanceRepository;
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private readonly IRepository<VisitTask> _visitTaskRepository;
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private readonly IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository;
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private readonly IRepository<ReadingCustomTag> _readingCustomTagRepository;
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private readonly IRepository<NoneDicomStudyFile> _noneDicomStudyFileRepository;
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private readonly IRepository<ReadingPeriodPlan> _readingPeriodPlanRepository;
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private readonly IRepository<Subject> _subjectRepository;
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private readonly IRepository<ReadingQuestionCriterionTrial> _trialReadingCriterionRepository;
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public SubjectVisitService(IRepository<SubjectVisit> subjectVisitRepository,
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IRepository<ClinicalDataTrialSet> clinicalDataTrialSetRepository,
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IRepository<ReadingClinicalData> readingClinicalDataRepository,
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IRepository<ReadModule> readModuleRepository,
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IRepository<Trial> trialRepository,
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IRepository<ReadingPeriodSet> readingPeriodSetRepository,
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IRepository<NoneDicomStudy> noneDicomStudyRepository,
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IRepository<DicomInstance> dicomInstanceRepository,
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IRepository<VisitTask> visitTaskRepository,
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IRepository<ReadingTableAnswerRowInfo> readingTableAnswerRowInfoRepository,
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IRepository<ReadingCustomTag> readingCustomTagRepository,
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IRepository<NoneDicomStudyFile> noneDicomStudyFileRepository,
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IRepository<ReadingPeriodPlan> readingPeriodPlanRepository,
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IRepository<Subject> subjectRepository,
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IRepository<ReadingQuestionCriterionTrial> trialReadingCriterionRepository
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)
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{
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_subjectVisitRepository = subjectVisitRepository;
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this._clinicalDataTrialSetRepository = clinicalDataTrialSetRepository;
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this._readingClinicalDataRepository = readingClinicalDataRepository;
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this._readModuleRepository = readModuleRepository;
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this._trialRepository = trialRepository;
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this._readingPeriodSetRepository = readingPeriodSetRepository;
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this._noneDicomStudyRepository = noneDicomStudyRepository;
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this._dicomInstanceRepository = dicomInstanceRepository;
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this._visitTaskRepository = visitTaskRepository;
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this._readingTableAnswerRowInfoRepository = readingTableAnswerRowInfoRepository;
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this._readingCustomTagRepository = readingCustomTagRepository;
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this._noneDicomStudyFileRepository = noneDicomStudyFileRepository;
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this._readingPeriodPlanRepository = readingPeriodPlanRepository;
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_subjectRepository = subjectRepository;
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_trialReadingCriterionRepository = trialReadingCriterionRepository;
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}
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[HttpPost]
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[TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
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[UnitOfWork]
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//[Authorize(Policy = IRaCISPolicy.CRC)]
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public async Task<IResponseOutput<string>> AddOrUpdateSV(SubjectVisitCommand svCommand)
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{
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var verifyExp1 = new EntityVerifyExp<SubjectVisit>()
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{
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VerifyExp = t => t.VisitNum == svCommand.VisitNum && t.SubjectId == svCommand.SubjectId,
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//---该受试者的访视计划中已经包含一个具有相同访视号的访视。
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VerifyMsg = _localizer["Visit_DuplicateVisitNo"]
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};
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var verifyExp2 = new EntityVerifyExp<SubjectVisit>()
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{
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VerifyExp = t => t.SubjectId == svCommand.SubjectId && t.IsFinalVisit,
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//---该受试者已经有访视设置为末次访视，不允许将当前访视设置为末次访视。
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VerifyMsg = _localizer["Visit_LastVisitNoChange"],
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IsVerify = svCommand.IsFinalVisit
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};
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var verifyExp3 = new EntityVerifyExp<SubjectVisit>()
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{
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VerifyExp = t => t.SubjectId == svCommand.SubjectId && t.VisitName == svCommand.VisitName,
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//---该受试者的访视计划中已经包含一个具有相同访视名称的访视。
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VerifyMsg = _localizer["Visit_DuplicateVisitName"]
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};
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var triconfig = await _trialRepository.Where(t => t.Id == svCommand.TrialId).Select(u => new { u.IsEnrollementQualificationConfirm, u.IsPDProgressView }).FirstOrDefaultAsync();
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svCommand.BlindName = "B" + ((int)(svCommand.VisitNum * 10)).ToString("D3");
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svCommand.VisitExecuted = svCommand.IsLostVisit ? VisitExecutedEnum.Executed : svCommand.VisitExecuted;
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SubjectVisit? dbBeforeEntity = null;
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//Add
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if (svCommand.Id == null)
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{
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//设置末次评估后，不允许添加计划外访视
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if (svCommand.InPlan == false)
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{
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if (await _subjectVisitRepository.AnyAsync(t => t.SubjectId == svCommand.SubjectId && t.IsFinalVisit))
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{
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//---设置末次评估后，不允许添加计划外访视。
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throw new BusinessValidationFailedException(_localizer["Visit_NoExtraVisitAfterLast"]);
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}
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if (await _repository.AnyAsync<VisitTask>(t => t.SubjectId == svCommand.SubjectId && t.TaskState == TaskState.Effect && t.VisitTaskNum > svCommand.VisitNum && t.SignTime != null && t.TrialReadingCriterion.IsReadingTaskViewInOrder))
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{
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//---该受试者后续访视已有任务完成阅片(有序阅片标准)，不允许在此添加，如果确实需要，请回退
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throw new BusinessValidationFailedException(_localizer["Visit_FinishedTasksNoAdd"]);
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}
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}
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svCommand.PDState = svCommand.IsBaseLine == false && triconfig.IsPDProgressView ? PDStateEnum.PDProgress : PDStateEnum.None;
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dbBeforeEntity = await _subjectVisitRepository.InsertFromDTOAsync(svCommand, false, verifyExp1, verifyExp2, verifyExp3);
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}
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else
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{
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dbBeforeEntity = await _subjectVisitRepository.UpdateFromDTOAsync(svCommand, false, false, verifyExp1, verifyExp2, verifyExp3);
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if (svCommand.PDState != dbBeforeEntity.PDState && dbBeforeEntity.SubmitState == SubmitStateEnum.Submitted)
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{
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//---当前访视影像提交后，不允许修改PD确认状态。
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throw new BusinessValidationFailedException(_localizer["Visit_NoPDStatusChangeAfterSubmission"]);
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}
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if (svCommand.PDState != dbBeforeEntity.PDState && dbBeforeEntity.RequestBackState == RequestBackStateEnum.PM_AgressBack)
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{
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//---当前访视影像提交后，不允许修改PD确认状态。
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throw new BusinessValidationFailedException(_localizer["Visit_NoPDStatusChangeAfterSubmission"]);
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}
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if (svCommand.IsLostVisit)
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{
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if (await _subjectVisitRepository.AnyAsync(t => t.Id == svCommand.Id && t.SubmitState == SubmitStateEnum.ToSubmit))
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{
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//---当前访视已经有影像上传，不允许设置为失访。
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throw new BusinessValidationFailedException(_localizer["Visit_UploadedNoLost"]);
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}
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}
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dbBeforeEntity = await _subjectVisitRepository.UpdateFromDTOAsync(svCommand, true, false, verifyExp1, verifyExp2, verifyExp3);
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}
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//更新受试者 访视基准日期 是否入组确认
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if (svCommand.SubjectFirstGiveMedicineTime != null && svCommand.IsBaseLine)
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{
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await _subjectRepository.UpdatePartialFromQueryAsync(svCommand.SubjectId, t => new Subject()
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{
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FirstGiveMedicineTime = svCommand.SubjectFirstGiveMedicineTime
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});
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}
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await _subjectVisitRepository.SaveChangesAsync();
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return ResponseOutput.Ok(dbBeforeEntity.Id.ToString());
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}
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[HttpPut("{trialId:guid}/{subjectVisitId:guid}/{isUrgent:bool}")]
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[TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
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//[Authorize(Policy = IRaCISPolicy.PM_IQC)]
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public async Task<IResponseOutput> SetSubjectVisitUrgent(Guid subjectVisitId, bool isUrgent)
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{
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await _subjectVisitRepository.UpdatePartialFromQueryAsync(subjectVisitId, u => new SubjectVisit() { IsUrgent = isUrgent }, true);
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return ResponseOutput.Ok();
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}
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[HttpDelete, Route("{trialId:guid}/{id:guid}")]
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[TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
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//[Authorize(Policy = IRaCISPolicy.CRC)]
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public async Task<IResponseOutput> DeleteSV(Guid id)
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{
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if (await _repository.AnyAsync<DicomStudy>(t => t.SubjectVisitId == id))
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{
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//---当前访视已经有影像上传，不允许删除。
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return ResponseOutput.NotOk(_localizer["Visit_UploadedNoDelete"]);
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}
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if (await _subjectVisitRepository.AnyAsync(t => t.Id == id && t.InPlan))
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{
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//---计划内的访视不允许删除。
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return ResponseOutput.NotOk(_localizer["Visit_PlanVisitNoDelete"]);
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}
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if (await _subjectVisitRepository.AnyAsync(t => t.OutPlanPreviousVisitId == id))
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{
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//---当前访视已经被设置为另一访视的上一访视，不允许删除。
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return ResponseOutput.NotOk(_localizer["Visit_PreviousVisitNoDelete"]);
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}
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await _subjectVisitRepository.DeleteFromQueryAsync(s => s.Id == id, true);
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return ResponseOutput.Ok();
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}
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/// <summary>
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/// 获取访视下的Dicom 检查信息 分所有的， 阅片的 不阅片 isReading : 0 查询所有 1 查询仅仅阅片的
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/// </summary>
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/// <param name="trialId"></param>
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/// <param name="sujectVisitId"></param>
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/// <param name="isReading"></param>
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/// <returns></returns>
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[HttpGet, Route("{trialId:guid}/{sujectVisitId:guid}/{isReading}")]
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[AllowAnonymous]
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public async Task<List<VisitStudyDTO>> GetVisitStudyList(Guid trialId, Guid sujectVisitId, int isReading)
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{
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var studyList = await _repository.Where<DicomStudy>(t => t.TrialId == trialId && t.SubjectVisitId == sujectVisitId).Select(k => new VisitStudyDTO()
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{
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InstanceCount = k.InstanceCount,
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Modalities = k.Modalities,
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SeriesCount = k.SeriesCount,
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StudyCode = k.StudyCode,
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StudyId = k.Id
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}).ToListAsync();
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var studyIds = studyList.Select(t => t.StudyId).ToList();
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var instanceList = await _repository.Where<DicomInstance>(t => studyIds.Contains(t.StudyId))
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.Select(t => new { t.SeriesId, t.Id, t.InstanceNumber, t.Path, t.NumberOfFrames }).ToListAsync();
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foreach (var t in studyList)
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{
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t.SeriesList = await _repository.Where<DicomSeries>(s => s.StudyId == t.StudyId)
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.WhereIf(isReading == 1, s => s.IsReading).OrderBy(s => s.SeriesNumber).
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ThenBy(s => s.SeriesTime)
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.ProjectTo<DicomSeriesDTO>(_mapper.ConfigurationProvider).ToListAsync();
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t.SeriesList.ForEach(series =>
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{
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series.InstanceList = instanceList.Where(t => t.SeriesId == series.Id).OrderBy(t => t.InstanceNumber).Select(k => k.Id).ToList();
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//series.InstancePathList = instanceList.Where(t => t.SeriesId == series.Id).OrderBy(t => t.InstanceNumber).Select(k => k.Path).ToList();
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//处理多帧
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series.InstancePathList = instanceList.OrderBy(t => t.InstanceNumber).Where(s => s.SeriesId == series.Id)
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.SelectMany(u =>
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{
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if (u.NumberOfFrames > 1)
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{
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var pathList = new List<string>();
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for (int i = 1; i <= u.NumberOfFrames; i++)
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{
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pathList.Add(u.Path + "?frame=" + (i - 1));
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}
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return pathList;
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}
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else
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{
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return new List<string> { u.Path };
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}
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})
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.ToList();
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}
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);
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//设置为阅片与否 不更改数据库检查 的instance数量 和 SeriesCount 所以这里要实时统计
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t.SeriesCount = t.SeriesList.Count();
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t.InstanceCount = t.SeriesList.SelectMany(t => t.InstanceList).Count();
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}
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return studyList;
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//return ResponseOutput.Ok(studyList.Where(t => t.SeriesList.Count > 0).ToList());
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}
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/// <summary>
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/// 获取访视下的Dicom 检查信息 分所有的， 阅片的 不阅片 isReading : 0 查询所有 1 查询仅仅阅片的
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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<List<VisitStudyDTO>> GetReadingVisitStudyList(GetReadingVisitStudyListIndto indto)
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{
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var result = new List<VisitStudyDTO>();
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var thisRowinfo = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId && x.StudyId != null).OrderBy(x => x.ReadingQuestionTrial.ShowOrder).ThenBy(x => x.RowIndex).Select(x => new
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{
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x.ReadingQuestionTrial.ShowOrder,
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x.RowIndex,
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x.SeriesId,
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x.StudyId,
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x.InstanceId,
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}).ToListAsync();
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var tag = await _readingCustomTagRepository.Where(x => x.VisitTaskId == indto.VisitTaskId && x.StudyId != null).Select(x => new
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{
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ShowOrder= 0,
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RowIndex= 0m,
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x.SeriesId,
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x.StudyId,
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x.InstanceId,
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}).ToListAsync();
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thisRowinfo.AddRange(tag);
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var taskInfo = await _visitTaskRepository.Where(x => x.Id == indto.VisitTaskId).FirstNotNullAsync();
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if (taskInfo.ReadingTaskState == ReadingTaskState.HaveSigned)
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{
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var thisStudyIds = thisRowinfo.OrderBy(x => x.ShowOrder).ThenBy(x => x.RowIndex).Select(x => x.StudyId).Distinct().ToList();
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var thisSeriesIdIds = thisRowinfo.Where(x => x.SeriesId != null).OrderBy(x => x.ShowOrder).ThenBy(x => x.RowIndex).Select(x => x.SeriesId).Distinct().ToList();
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if (thisRowinfo.Count > 0)
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{
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var thisVisitTaskStudy = await _repository.Where<DicomStudy>(t => thisStudyIds.Contains(t.Id)).Select(k => new VisitStudyDTO()
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{
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InstanceCount = k.InstanceCount,
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SeriesCount = k.SeriesCount,
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StudyId = k.Id,
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IsCriticalSequence = true,
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}).FirstOrDefaultAsync();
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if (thisVisitTaskStudy != null)
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{
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thisVisitTaskStudy.StudyId = default(Guid);
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var item = await _repository.Where<DicomSeries>(s => thisSeriesIdIds.Contains(s.Id)).OrderBy(s => s.SeriesNumber).
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ThenBy(s => s.SeriesTime)
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.ProjectTo<DicomSeriesDTO>(_mapper.ConfigurationProvider).FirstOrDefaultAsync();
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if (item != null)
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{
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item.SeriesInstanceUid = string.Empty;
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item.InstanceList = thisRowinfo.Where(y => y.InstanceId != null).OrderBy(x => x.ShowOrder).ThenBy(x => x.RowIndex).Select(y => y.InstanceId.Value).Distinct().ToList();
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var tempInstanceList = await _repository.Where<DicomInstance>(t => item.InstanceList.Contains(t.Id)).OrderBy(t => t.InstanceNumber)
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.Select(t => new TempInstance
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{
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Id = t.Id,
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Path = t.Path,
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NumberOfFrames = t.NumberOfFrames,
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InstanceNumber = t.InstanceNumber
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}).ToListAsync();
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tempInstanceList.ForEach(x =>
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{
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var item = thisRowinfo.FirstOrDefault(y => y.InstanceId == x.Id);
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if (item != null)
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{
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x.ShowOrder = item.ShowOrder;
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x.RowIndex = item.RowIndex;
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}
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});
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item.InstancePathList = tempInstanceList.OrderBy(x => x.ShowOrder).ThenBy(x => x.RowIndex).SelectMany(u =>
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{
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if (u.NumberOfFrames > 1)
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{
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var pathList = new List<string>();
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for (int i = 1; i <= u.NumberOfFrames; i++)
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{
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pathList.Add(u.Path + "?frame=" + (i - 1));
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}
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return pathList;
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}
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else
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{
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return new List<string> { u.Path };
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}
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})
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.ToList();
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item.InstanceCount = item.InstanceList.Count();
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thisVisitTaskStudy.SeriesList.Add(item);
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thisVisitTaskStudy.SeriesCount = thisVisitTaskStudy.SeriesList.Count();
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}
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result.Add(thisVisitTaskStudy);
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}
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}
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}
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//如果是手动生成的标准，需要过滤检查和序列数据
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var isManualGenerate = await _trialReadingCriterionRepository.AnyAsync(t => t.Id == taskInfo.TrialReadingCriterionId && t.IsAutoCreate == false);
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var studyList = await _repository.Where<DicomStudy>(t => t.TrialId == indto.TrialId && t.SubjectVisitId == indto.SujectVisitId)
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.Select(k => new VisitStudyDTO()
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{
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InstanceCount = k.InstanceCount,
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Modalities = k.Modalities,
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SeriesCount = k.SeriesCount,
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StudyCode = k.StudyCode,
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StudyId = k.Id,
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}).ToListAsync();
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var studyIds = studyList.Select(t => t.StudyId).ToList();
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var instanceList = await _repository.Where<DicomInstance>(t => studyIds.Contains(t.StudyId))
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.Select(t => new { t.SeriesId, t.Id, t.InstanceNumber, t.Path, t.NumberOfFrames,t.WindowCenter,t.WindowWidth }).ToListAsync();
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List<DicomSeriesDTO> seriesLists = await _repository.Where<DicomSeries>(s => studyIds.Contains(s.StudyId) /*&& s.IsReading*/)
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.WhereIf(isManualGenerate==false, t => t.IsReading)
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.OrderBy(s => s.SeriesNumber).
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ThenBy(s => s.SeriesTime)
|
||
.ProjectTo<DicomSeriesDTO>(_mapper.ConfigurationProvider).ToListAsync();
|
||
foreach (var t in studyList)
|
||
{
|
||
t.SeriesList = seriesLists.Where(s => s.StudyId == t.StudyId).OrderBy(s => s.SeriesNumber).
|
||
ThenBy(s => s.SeriesTime).ToList();
|
||
|
||
t.SeriesList.ForEach(series =>
|
||
{
|
||
series.InstanceList = instanceList.Where(t => t.SeriesId == series.Id).OrderBy(t => t.InstanceNumber).Select(k => k.Id).ToList();
|
||
|
||
|
||
//series.InstancePathList = instanceList.Where(t => t.SeriesId == series.Id).OrderBy(t => t.InstanceNumber).Select(k => k.Path).ToList();
|
||
|
||
//处理多帧
|
||
series.InstancePathList = instanceList.Where(s => s.SeriesId == series.Id).OrderBy(t => t.InstanceNumber)
|
||
.SelectMany(u =>
|
||
{
|
||
|
||
if (u.NumberOfFrames > 1)
|
||
{
|
||
var pathList = new List<string>();
|
||
|
||
for (int i = 1; i <= u.NumberOfFrames; i++)
|
||
{
|
||
pathList.Add(u.Path + "?frame=" + (i - 1));
|
||
}
|
||
return pathList;
|
||
}
|
||
else
|
||
{
|
||
return new List<string> { u.Path };
|
||
|
||
}
|
||
})
|
||
.ToList();
|
||
|
||
series.WindowWidth = instanceList.FirstOrDefault()?.WindowWidth;
|
||
series.WindowCenter = instanceList.FirstOrDefault()?.WindowCenter;
|
||
});
|
||
|
||
//设置为阅片与否 不更改数据库检查 的instance数量 和 SeriesCount 所以这里要实时统计
|
||
t.SeriesCount = t.SeriesList.Count();
|
||
t.InstanceCount = t.SeriesList.SelectMany(t => t.InstanceList).Count();
|
||
}
|
||
|
||
|
||
// 非Dicom
|
||
|
||
var noDicomList = await _noneDicomStudyRepository.Where(x => x.TrialId == indto.TrialId && x.SubjectVisitId == indto.SujectVisitId).ToListAsync();
|
||
|
||
|
||
List<VisitStudyDTO> noDicomStudyList = noDicomList.Select(x => new VisitStudyDTO()
|
||
{
|
||
InstanceCount = x.FileCount,
|
||
StudyId = x.Id,
|
||
Modalities = x.Modality,
|
||
SeriesCount = 1,
|
||
StudyCode = x.StudyCode,
|
||
IsDicom = false,
|
||
|
||
}).ToList();
|
||
|
||
foreach (var item in noDicomStudyList)
|
||
{
|
||
var nodicom = noDicomList.Where(x => x.Id == item.StudyId).FirstOrDefault();
|
||
item.SeriesList = new List<DicomSeriesDTO>()
|
||
{
|
||
new DicomSeriesDTO (){
|
||
IsDicom=false,
|
||
Id=item.StudyId,
|
||
InstanceCount=await _noneDicomStudyFileRepository.Where(x=>x.NoneDicomStudyId==item.StudyId).CountAsync(),
|
||
Modality=item.Modalities,
|
||
StudyId=item.StudyId,
|
||
TrialId=nodicom.TrialId,
|
||
SiteId=nodicom.SiteId,
|
||
SubjectVisitId=nodicom.SubjectVisitId,
|
||
SubjectId=nodicom.SubjectId,
|
||
SeriesNumber=1,
|
||
NoneDicomFileFirstFile=await _noneDicomStudyFileRepository.Where(x=>x.NoneDicomStudyId==item.StudyId).Select(x=>x.Path).FirstOrDefaultAsync(),
|
||
}
|
||
|
||
};
|
||
}
|
||
|
||
|
||
if (studyList == null || studyList.Count == 0)
|
||
{
|
||
studyList = new List<VisitStudyDTO>();
|
||
}
|
||
|
||
studyList.AddRange(noDicomStudyList);
|
||
|
||
studyList.ForEach(x =>
|
||
{
|
||
x.SeriesList.ForEach(y =>
|
||
{
|
||
y.IsBeMark = thisRowinfo.Any(z => z.SeriesId == y.Id);
|
||
});
|
||
|
||
});
|
||
result.AddRange(studyList);
|
||
result = result.Where(x => x.SeriesCount > 0).ToList();
|
||
return result;
|
||
|
||
|
||
}
|
||
|
||
|
||
|
||
|
||
/// <summary>
|
||
/// 设置受试者访视已执行 也就是将studyUploaded状态置为true 为了那些没有影像 人工设置准备
|
||
/// </summary>
|
||
/// <param name="subjectVisitId"></param>
|
||
/// <returns></returns>
|
||
[HttpPut("{trialId:guid}/{subjectVisitId:guid}")]
|
||
[TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
|
||
[Obsolete]
|
||
public async Task<IResponseOutput> SetSVExecuted(Guid subjectVisitId)
|
||
{
|
||
await _subjectVisitRepository.UpdatePartialFromQueryAsync(subjectVisitId, u => new SubjectVisit() { VisitExecuted = VisitExecutedEnum.Executed }, true);
|
||
return ResponseOutput.Ok();
|
||
}
|
||
}
|
||
}
|