厦门：科主任+主任个性化查房处理及术前主刀查房去除时间限制

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xiamen/operationdiscussion/OPE0369.java

@@ -19,7 +19,7 @@ import java.util.List;
 import java.util.Map;
 
 /**
- * @Description: 手术患者缺术前主刀医师查房记录
+ * @Description: 主刀医师术前查房未在术前24小时内完成
  * @author: WANGSY
  * @time: 2020/11/11 11:22
  */
@@ -110,11 +110,10 @@ public class OPE0369 extends QCCatalogue {
                     for (Date date : operDateList) {
                         if (StringUtil.isNotBlank(recordDateStr) && date != null
                                 && StringUtil.parseDateTime(recordDateStr).before(date)) {
-                            if (!CatalogueUtil.compareTime(StringUtil.parseDateTime(recordDateStr), date, Long.valueOf(24 * 60))
-                                    && ((makeTitle.contains("主刀") || (StringUtil.isNotBlank(writTitle) && writTitle.contains("主刀")))
-                                    || (makeTitle.contains("术前") || (StringUtil.isNotBlank(writTitle) && writTitle.contains("术前")))
+                            if (((StringUtil.isNotBlank(makeTitle) && makeTitle.contains("主刀")) || (StringUtil.isNotBlank(writTitle) && writTitle.contains("主刀")))
+                                    || ((StringUtil.isNotBlank(makeTitle) && makeTitle.contains("术前")) || (StringUtil.isNotBlank(writTitle) && writTitle.contains("术前")))
                                     || (StringUtil.isNotBlank(operatorPhysician) && makeTitle.contains(operatorPhysician))
-                            )) {
+                            ) {
                                 operateCount++;
                             }
                         }

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xiamen/threelevelward/THR0128.java

@@ -0,0 +1,275 @@
+package com.lantone.qc.kernel.catalogue.hospital.xiamen.threelevelward;
+
+import com.lantone.qc.dbanaly.util.KernelConstants;
+import com.lantone.qc.dbanaly.util.SpecialStorageUtil;
+import com.lantone.qc.kernel.catalogue.QCCatalogue;
+import com.lantone.qc.kernel.util.CatalogueUtil;
+import com.lantone.qc.pub.Content;
+import com.lantone.qc.pub.model.InputInfo;
+import com.lantone.qc.pub.model.OutputInfo;
+import com.lantone.qc.pub.model.doc.FirstCourseRecordDoc;
+import com.lantone.qc.pub.model.doc.MedicalRecordInfoDoc;
+import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
+import com.lantone.qc.pub.model.doc.operation.OperationDoc;
+import com.lantone.qc.pub.model.doc.ward.AttendingDoctorWardDoc;
+import com.lantone.qc.pub.util.DateUtil;
+import com.lantone.qc.pub.util.StringUtil;
+import org.apache.commons.lang3.StringUtils;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Component;
+
+import java.util.ArrayList;
+import java.util.Date;
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @ClassName : THR0128
+ * @Description : 每周无3次主治医师查房记录
+ * @Author : 胡敬
+ * @Date: 2020-03-19 16:52
+ */
+@Component
+public class THR0128 extends QCCatalogue {
+    @Autowired
+    private SpecialStorageUtil specialStorageUtil;
+
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        status.set("0");
+        MedicalRecordInfoDoc medicalRecordInfoDoc = inputInfo.getMedicalRecordInfoDoc();
+        if (medicalRecordInfoDoc != null && medicalRecordInfoDoc.getStructureMap() != null) {
+            //入院日期
+            String admisTime = medicalRecordInfoDoc.getStructureMap().get("behospitalDate");
+            //出院日期
+            String dischargeTime = medicalRecordInfoDoc.getStructureMap().get("leaveHospitalDate");
+            if (CatalogueUtil.isEmpty(admisTime)) {
+                return;
+            }
+            String presentTime = DateUtil.nowString();
+            //如果如果入院未超过7天则不判断该条规则
+            if (!CatalogueUtil.isEmpty(admisTime) && !CatalogueUtil.isEmpty(presentTime)) {
+                if (!CatalogueUtil.compareTime(StringUtil.parseDateTime(admisTime), StringUtil.parseDateTime(presentTime), (long) (7 * 24 * 60))) {
+                    return;
+                }
+            }
+            //如果住院天数小于7天则不判断该条规则
+            if (!CatalogueUtil.isEmpty(admisTime) && !CatalogueUtil.isEmpty(dischargeTime)) {
+                if (!CatalogueUtil.compareTime(StringUtil.parseDateTime(admisTime), StringUtil.parseDateTime(dischargeTime), (long) (7 * 24 * 60))) {
+                    return;
+                }
+            } else {
+                if (inputInfo.getThreeLevelWardDocs().size() == 0) {
+                    status.set("-1");
+                    return;
+                }
+            }
+
+            if (inputInfo.getBeHospitalizedDoc() != null && inputInfo.getThreeLevelWardDocs().size() > 0) {
+                if (CatalogueUtil.isEmpty(admisTime)) {
+                    return;
+                }
+                //开始时间(入院时间)
+                Date beginDate = StringUtil.parseDateTime(admisTime);
+                if (beginDate == null) {
+                    return;
+                }
+
+                ThreeLevelWardDoc threeLevelWardDoc = inputInfo.getThreeLevelWardDocs().get(0);
+                List<ThreeLevelWardDoc> allDoctorWradDocs = threeLevelWardDoc.getAllDoctorWradDocs();
+                if (allDoctorWradDocs.size() == 0) {
+                    status.set("0");
+                    return;
+                }
+                Date lastRecordDate = getLastRecordDate(allDoctorWradDocs);
+                if (lastRecordDate == null) {
+                    return;
+                }
+                int hoursPerWeek = 7 * 24 * 60;
+                String roundRecordThisWeek = "";
+                List<String> roundRecordEveryWeek = new ArrayList<>();
+                beginDate = DateUtil.dateZeroClear(beginDate);//从入院记录当天天0点开始算
+                int i = 1;
+                //长兴首次病程算一次主治查房，所以第一周只需要两次主治查房就可以
+                int rounds = 0;//主治查房次数
+                Date firstWeek = DateUtil.addDate(beginDate, 7);
+                for (AttendingDoctorWardDoc attendingDoctorWardDoc : threeLevelWardDoc.getAttendingDoctorWardDocs()) {//循环筛选主治，找出地日在第一周的个数
+                    String recordTime = attendingDoctorWardDoc.getStructureMap().get("查房日期");
+                    Date recordDate = StringUtil.parseDateTime(recordTime);
+                    if (recordDate.before(firstWeek)) {
+                        rounds = rounds + 1;
+                    }
+                }
+                if (rounds >= 2) {
+                    return;
+                }
+                String lastWardDateRange = "";
+                List<String> lastWardDateRangeList = new ArrayList<>();
+                //每周的病历记录
+                while (i >= 1) {
+                    roundRecordThisWeek = extractWardRecord(inputInfo, allDoctorWradDocs, beginDate, hoursPerWeek, lastRecordDate);
+                    if (CatalogueUtil.isEmpty(roundRecordThisWeek)) {
+                        break;
+                    }
+                    //如果6天后日期大于出院日期，跳过
+                    if (StringUtil.isBlank(dischargeTime)) {
+                        dischargeTime = presentTime;
+                    }
+                    Date sixDate = DateUtil.addDate(beginDate, 7);
+                    if (StringUtil.parseDateTime(dischargeTime).before(sixDate)) {
+                        break;
+                    }
+                    lastWardDateRange = DateUtil.formatDate(beginDate) + "    ->    " + DateUtil.formatDate(sixDate);
+                    lastWardDateRangeList.add(lastWardDateRange);
+                    roundRecordEveryWeek.add(roundRecordThisWeek);
+                    beginDate = DateUtil.addDate(beginDate, 7);
+                    i++;
+                }
+                if (roundRecordEveryWeek.size() == 0) {
+                    status.set("0");
+                    return;
+                }
+                boolean firstRecordAttendExist = findfirstRecordAttend(inputInfo);
+                List<String> resultInfos = new ArrayList<>();
+                for (int j = 0; j < roundRecordEveryWeek.size(); j++) {
+                    int indicationsNum = CatalogueUtil.appearNumber(roundRecordEveryWeek.get(j).split(","), Content.attend);
+                    //三级医师查房算一次主治查房
+                    String key = getKeyByHospitalId();
+                    int threeDoctorNum = CatalogueUtil.appearNumber(roundRecordEveryWeek.get(j).split(","), key);
+                    //北仑内分泌科（主任携主任代主治）
+                    int endocrinologyTitleNum = endocrinologyTitleNum(roundRecordEveryWeek.get(j).split(","));
+                    if (j == 0 && firstRecordAttendExist) { //如果首程中医师签名为主治医师，第一周查房记录也要加上
+                        indicationsNum += 1;
+                    }
+                    int num = 3;
+                    if ("7".equals(Content.hospital_Id)) {
+                        num = 2;
+                    }
+                    if (indicationsNum + threeDoctorNum + endocrinologyTitleNum < num) {
+                        //每周无3次主治医师查房记录
+                        status.set("-1");
+                        resultInfos.add(lastWardDateRangeList.get(j));
+                    }
+                }
+
+                if (resultInfos.size() > 0) {
+                    info.set(StringUtils.join(resultInfos.toArray(), "；"));
+                }
+            }
+        }
+    }
+
+    private String getKeyByHospitalId() {
+        switch (Content.hospital_Id) {
+            case "7":               //厦门
+                return "多学科联合";
+            default:
+                return "三级";
+        }
+    }
+
+    /**
+     * 北仑内分泌科主任主治处理
+     *
+     * @param srcText
+     * @return
+     */
+    private int endocrinologyTitleNum(String[] srcText) {
+        int count = 0;
+        switch (Content.hospital_Id) {
+            case "4":                            //北仑特殊需求
+                for (String title : srcText) {
+                    String regex = ".*主任.*主任.*主治.*";
+                    if (title.matches(regex)) {
+                        count++;
+                    }
+                }
+                return count;
+            case "7":                            //厦门特殊需求
+                for (String title : srcText) {
+                    String regex = ".*科主任.*主任.*";
+                    if (title.matches(regex)) {
+                        count++;
+                    }
+                }
+                return count;
+            default:
+                return count;
+        }
+    }
+
+    private Date getLastRecordDate(List<ThreeLevelWardDoc> allDoctorWradDocs) {
+        ThreeLevelWardDoc threeLevelWardDoc = allDoctorWradDocs.get(allDoctorWradDocs.size() - 1);
+        Map<String, String> lastWardDocStructureMap = threeLevelWardDoc.getStructureMap();
+        String wardDateStr = lastWardDocStructureMap.get("查房日期");
+        if (StringUtil.isNotBlank(wardDateStr)) {
+            return StringUtil.parseDateTime(wardDateStr);
+        }
+        return null;
+    }
+
+
+    /**
+     * 抽取duration分钟内所有查房标题
+     * 抽取一周内所有查房标题，若一周内记录少于6天，则返回""
+     *
+     * @param threeLevelWardDocs
+     * @param admisDate
+     * @param duration
+     * @return
+     */
+    private static String extractWardRecord(InputInfo inputInfo, List<ThreeLevelWardDoc> threeLevelWardDocs, Date admisDate, int duration, Date maxRecordDate) {
+        String recordTime = "", recordTitle = "", title = "";
+        List<Date> dateList = new ArrayList();
+        for (ThreeLevelWardDoc threeLevelWardDoc : threeLevelWardDocs) {
+            Map<String, String> threeLevelWardStructureMap = threeLevelWardDoc.getStructureMap();
+            recordTime = threeLevelWardStructureMap.get("查房日期");
+            title = threeLevelWardStructureMap.get("查房标题");
+            if (StringUtil.isBlank(recordTime) || StringUtil.isBlank(title)) {
+                continue;
+            }
+            Date recordDate = StringUtil.parseDateTime(recordTime);
+            if (recordDate == null) {
+                continue;
+            }
+            /* 替换查房标题中主刀/一助的职称 */
+            List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
+            if (title.contains("主刀") || title.contains("术后第")) {
+                String doctorTitle = CatalogueUtil.getDoctorTitle(operationDocs, recordDate, "主刀医师");
+                title = title.replace("主刀", doctorTitle).replace("术后第", doctorTitle);
+            } else if (title.contains("一助")) {
+                String doctorTitle = CatalogueUtil.getDoctorTitle(operationDocs, recordDate, "一助");
+                title = title.replace("一助", doctorTitle);
+            }
+            if (admisDate.before(recordDate) && !CatalogueUtil.compareTime(admisDate, DateUtil.dateZeroClear(recordDate), (long) duration)) {
+                recordTitle += title + ",";
+                dateList.add(recordDate);
+            }
+        }
+        if (dateList.size() > 0) {
+            //dateList.sort(Date::compareTo);
+            if (!maxRecordDate.equals(dateList.get(dateList.size() - 1)) || CatalogueUtil.compareTime(admisDate, dateList.get(dateList.size() - 1), Long.valueOf(6 * 24 * 60))) {
+                return recordTitle;
+            }
+        }
+        return "";
+    }
+
+    private boolean findfirstRecordAttend(InputInfo inputInfo) {
+        FirstCourseRecordDoc firstCourseRecordDoc = inputInfo.getFirstCourseRecordDoc();
+        if (firstCourseRecordDoc == null) {
+            return false;
+        }
+        Map<String, Map<String, Object>> hospitalDoctorMap = specialStorageUtil.getJsonStringValue(KernelConstants.HOSPITAL_DOCTOR_MAP);
+        String doctorSign = firstCourseRecordDoc.getStructureMap().get("医师签名");
+        if (hospitalDoctorMap == null || StringUtil.isBlank(doctorSign)) {
+            return false;
+        }
+        if (hospitalDoctorMap.containsKey(doctorSign)) {
+            Object professor = hospitalDoctorMap.get(doctorSign).get("professor");
+            if (professor != null) {
+                return professor.toString().contains("主治") || professor.toString().contains("主任");
+            }
+        }
+        return false;
+    }
+}

trans/src/main/java/com/lantone/qc/trans/xiamen/XiamenThreeLevelWardDocTrans.java

@@ -187,7 +187,7 @@ public class XiamenThreeLevelWardDocTrans extends ModelDocTrans {
                 title = title.replace("一助", doctorTitle);
             }
             if ((StringUtils.isNotEmpty(subTitle(title)) && subTitle(title).contains("主治"))
-                    || findAttend(content) || title.contains("多学科联合") || endocrinologyTitle(title)) {
+                    || findAttend(content) || title.contains("多学科联合") || endocrinologyTitle(title) || xiamenTitle(title)) {
                 attendingDoctorWardDoc = new AttendingDoctorWardDoc();
                 attendingDoctorWardDoc.setStructureMap(structureMap);
                 attendingDoctorWardDoc.setPageData((Map) structureMap);
@@ -204,7 +204,7 @@ public class XiamenThreeLevelWardDocTrans extends ModelDocTrans {
                 writTitle = writTitle.replace("一助", doctorTitle);
             }
             if ((StringUtils.isNotEmpty(subTitle(writTitle)) && subTitle(writTitle).contains("主治"))
-                    || findAttend(content) || writTitle.contains("多学科联合") || endocrinologyTitle(writTitle)) {
+                    || findAttend(content) || writTitle.contains("多学科联合") || endocrinologyTitle(writTitle) || xiamenTitle(title)) {
                 attendingDoctorWardDoc = new AttendingDoctorWardDoc();
                 attendingDoctorWardDoc.setStructureMap(structureMap);
                 attendingDoctorWardDoc.setPageData((Map) structureMap);
@@ -224,6 +224,17 @@ public class XiamenThreeLevelWardDocTrans extends ModelDocTrans {
         return title.matches(regex);
     }
 
+    /**
+     * 厦门科主任+主任查房处理
+     *
+     * @param title
+     * @return
+     */
+    private boolean xiamenTitle(String title) {
+        String regex = ".*科主任.*主任.*";
+        return title.matches(regex);
+    }
+
     /**
      * 共同照护讨论记录中找主任查房
      *