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@@ -0,0 +1,330 @@
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+package com.lantone.qc.kernel.catalogue.threelevelward;
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+
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+import com.google.common.collect.Lists;
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+import com.google.common.collect.Maps;
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+import com.lantone.qc.kernel.catalogue.QCCatalogue;
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+import com.lantone.qc.kernel.util.CatalogueUtil;
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+import com.lantone.qc.kernel.util.SimilarityUtil;
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+import com.lantone.qc.pub.model.InputInfo;
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+import com.lantone.qc.pub.model.OutputInfo;
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+import com.lantone.qc.pub.model.doc.DoctorAdviceDoc;
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+import com.lantone.qc.pub.model.doc.FirstCourseRecordDoc;
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+import com.lantone.qc.pub.model.doc.LeaveHospitalDoc;
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+import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
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+import com.lantone.qc.pub.model.doc.consultation.ConsultationDoc;
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+import com.lantone.qc.pub.model.doc.operation.OperationDiscussionDoc;
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+import com.lantone.qc.pub.model.doc.operation.OperationDoc;
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+import com.lantone.qc.pub.model.doc.operation.OperationRecordDoc;
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+import com.lantone.qc.pub.model.entity.Drug;
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+import com.lantone.qc.pub.model.label.DrugLabel;
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+import com.lantone.qc.pub.model.label.LeaveHospitalLabel;
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+import com.lantone.qc.pub.model.label.ThreeLevelWardLabel;
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+import com.lantone.qc.pub.util.DateUtil;
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+import com.lantone.qc.pub.util.StringUtil;
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+import org.springframework.beans.factory.annotation.Autowired;
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+import org.springframework.stereotype.Component;
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+
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+import java.util.Date;
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+import java.util.List;
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+import java.util.Map;
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+import java.util.Objects;
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+import java.util.regex.Matcher;
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+import java.util.regex.Pattern;
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+import java.util.stream.Collectors;
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+
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+/**
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+ * @author HUJING
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+ * @create 2020-09-18 14:23
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+ * @desc 病程记录激素剂量与医嘱不一致
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+ **/
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+@Component
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+public class THR03079 extends QCCatalogue {
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+ @Autowired
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+ SimilarityUtil similarityUtil;
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+
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+ public void start(InputInfo inputInfo, OutputInfo outputInfo) {
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+ status.set("0");
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+ List<DoctorAdviceDoc> doctorAdviceDocs = inputInfo.getDoctorAdviceDocs();
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+ List<ThreeLevelWardDoc> threeLevelWardDocs = inputInfo.getThreeLevelWardDocs();
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+ FirstCourseRecordDoc firstCourseRecordDoc = inputInfo.getFirstCourseRecordDoc();
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+ List<ConsultationDoc> consultationDocs = inputInfo.getConsultationDocs();
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+ List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
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+ LeaveHospitalDoc leaveHospitalDoc = inputInfo.getLeaveHospitalDoc();
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+ if (doctorAdviceDocs.size() == 0 || threeLevelWardDocs.size() == 0) {
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+ return;
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+ }
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+
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+ Map<Date, String> extData = null;
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+ if (outputInfo.getResult().get("THR02985") != null) {
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+ extData = (Map<Date, String>) outputInfo.getResult().get("THR02985").get("extData");
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+ }
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+
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+ List<Map<String, String>> docAdvStruct = doctorAdviceDocs
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+ .stream()
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+ .filter(Objects::nonNull)
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+ .map(DoctorAdviceDoc::getStructureMap)
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+ .filter(x -> StringUtil.isNotBlank(x.get("药品类型")) && x.get("药品类型").contains("激素") && StringUtil.isNotBlank(x.get("一次使用数量")))
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+ .filter(x -> StringUtil.isNotBlank(x.get("医嘱状态判别")) && !x.get("医嘱状态判别").contains("已停止"))
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+ .collect(Collectors.toList());
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+ docAdvStruct.removeIf(x -> StringUtil.isNotBlank(x.get("给药方式")) && !filterKey.contains(x.get("给药方式")));
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+
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+ //抗生素及开医嘱时间 <抗生素名,<抗生素用量,[抗生素使用时间...]>>
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+ Map<String, Map<String, List<Double>>> antibioticInfo = Maps.newLinkedHashMap();
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+ Map<String, Map<Date, Integer>> antibioticDateTimes = Maps.newHashMap();
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+ //记录同一抗生素同一天内是否开过多次，用于医嘱中需要处理的抗生素过滤（一天内同一抗生素开过多次的抗生素直接过滤）
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+ getAntibioticTimes(docAdvStruct, antibioticDateTimes);
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+ String drugName = null, value = null, startDateStr = null;
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+ Date startDate = null;
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+ for (Map<String, String> structMap : docAdvStruct) {
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+ drugName = structMap.get("医嘱项目名称");
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+ value = structMap.get("一次使用数量");
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+ startDateStr = structMap.get("医嘱开始时间");
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+ startDate = DateUtil.dateZeroClear(StringUtil.parseDateTime(startDateStr));
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+ if (extData != null && extData.containsKey(startDate) && extData.get(startDate).equals(drugName)) {
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+ continue; //THR02985 医嘱有抗生素使用病程无记录，规则中没报未记录的抗生素继续走这条规则，报未记录的抗生素过滤
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+ }
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+ if (antibioticDateTimes.get(drugName).get(startDate) > 0) {
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+ continue; //一天内同一抗生素开过多次的抗生素直接过滤
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+ }
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+ collectAntibioticInfo(antibioticInfo, drugName, value, startDateStr);
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+ }
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+
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+ //抗生素及开医嘱时间 <抗生素名,<抗生素用量,[抗生素使用时间...]>>
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+ Map<String, Map<String, List<Double>>> antibioticWardInfo = Maps.newLinkedHashMap();
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+ String dateStr = null;
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+ /*********************************************首程治疗计划********************************************************/
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+ if (firstCourseRecordDoc != null) {
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+ DrugLabel drugLabel = firstCourseRecordDoc.getDrugLabel();
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+ dateStr = firstCourseRecordDoc.getStructureMap().get("记录时间");
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+ if (drugLabel != null && StringUtil.isNotBlank(dateStr)) {
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+ List<Drug> drugs = drugLabel.getDrugs();
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+ getCourseDrugInfo(antibioticWardInfo, drugs, dateStr);
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+ }
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+ }
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+ /*********************************************查房记录********************************************************/
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+ if (threeLevelWardDocs.size() > 0) {
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+ List<ThreeLevelWardDoc> allDoctorWradDocs = threeLevelWardDocs.get(0).getAllDoctorWradDocs();
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+ for (ThreeLevelWardDoc doc : allDoctorWradDocs) {
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+ if (doc.getThreeLevelWardLabel().size() == 0) {
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+ continue;
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+ }
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+ dateStr = doc.getStructureMap().get("查房日期");
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+ ThreeLevelWardLabel label = doc.getThreeLevelWardLabel().get(0);
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+ List<Drug> drugs = label.getDrugs();
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+ getCourseDrugInfo(antibioticWardInfo, drugs, dateStr);
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+ }
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+ }
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+ /**********************************************手术记录、术后首程************************************************/
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+ if (operationDocs.size() > 0) {
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+ //手术记录
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+ List<OperationRecordDoc> operationRecordDocs = operationDocs
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+ .stream()
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+ .map(OperationDoc::getOperationRecordDoc)
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+ .filter(Objects::nonNull)
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+ .filter(x -> x.getOperationRecordLabel() != null && StringUtil.isNotBlank(x.getStructureMap().get("病历日期")))
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+ .collect(Collectors.toList());
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+ operationRecordDocs.forEach(x -> getCourseDrugInfo(antibioticWardInfo, x.getOperationRecordLabel().getDrugs(), x.getStructureMap().get("病历日期")));
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+ List<OperationDiscussionDoc> operationDiscussionDocs = operationDocs
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+ .stream()
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+ .map(OperationDoc::getOperationDiscussionDoc)
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+ .filter(Objects::nonNull)
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+ .filter(x -> x.getOperationDiscussionLabel() != null && StringUtil.isNotBlank(x.getStructureMap().get("记录日期")))
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+ .collect(Collectors.toList());
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+ operationDiscussionDocs.forEach(x -> getCourseDrugInfo(antibioticWardInfo, x.getOperationDiscussionLabel().getDrugs(), x.getStructureMap().get("记录日期")));
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+ }
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+ /*********************************************会诊结果单********************************************************/
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+ /*if (consultationDocs.size() > 0) {
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+ List<ConsultationResultsDoc> consultationResultsDocs = consultationDocs
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+ .stream()
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+ .map(ConsultationDoc::getConsultationResultsDoc)
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+ .filter(Objects::nonNull)
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+ .filter(x -> x.getConsultationResultLabel() != null && StringUtil.isNotBlank(x.getStructureMap().get("会诊日期及时间")))
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+ .collect(Collectors.toList());
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+ consultationResultsDocs.forEach(x -> getCourseDrugInfo(antibioticWardInfo, x.getConsultationResultLabel().getDrugs(), x.getStructureMap().get("会诊日期及时间")));
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+ }*/
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+ /*********************************************出院小结********************************************************/
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+ if (leaveHospitalDoc != null) {
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+ LeaveHospitalLabel leaveHospitalLabel = leaveHospitalDoc.getLeaveHospitalLabel();
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+ dateStr = leaveHospitalDoc.getStructureMap().get("出院时间");
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+ if (leaveHospitalLabel != null && StringUtil.isNotBlank(dateStr)) {
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+ List<Drug> drugs = leaveHospitalLabel.getDrugs();
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+ getCourseDrugInfo(antibioticWardInfo, drugs, dateStr);
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+ }
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+ }
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+
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+ /**
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+ * 1.医嘱中开了抗生素，查房记录中没有该抗生素，则医嘱中该抗生素出现过的所有时间都会提示出来
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+ * 2.医嘱中开了抗生素，查房记录中有该抗生素：
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+ * 2.1 医嘱中该抗生素某使用量（如50），查房记录中没有该使用量（如只有100），则医嘱中该抗生素使用量出现过的所有时间都会提示出来
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+ * 2.2 医嘱中该抗生素某使用量（如50），查房记录中也有该使用量，对比这两个时间，若医嘱时间两天内的查房记录没有该使用量，则该医嘱时间会提示出来
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+ */
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+ StringBuffer sb = new StringBuffer();
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+ String drugKey = null;
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+ for (Map.Entry<String, Map<String, List<Double>>> ai : antibioticInfo.entrySet()) {
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+ drugKey = ai.getKey();
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+ drugKey = removeBracket(drugKey).replaceAll("[^\u4e00-\u9fa5]", "");
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+ String drugStandardWord = similarityUtil.getDrugStandardWord(drugKey);
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+ if (StringUtil.isNotBlank(drugStandardWord)) {
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+ drugKey = drugStandardWord;
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+ }
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+ if (antibioticWardInfo.containsKey(drugKey)) {
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+ Map<String, List<Double>> adDateValue = ai.getValue();
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+ Map<String, List<Double>> wardDateValue = antibioticWardInfo.get(drugKey);
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+ for (Map.Entry<String, List<Double>> adMap : adDateValue.entrySet()) {
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+ boolean match = false;
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+ String adDateStr = adMap.getKey();
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+ Date adDate = StringUtil.parseDateTime(adDateStr);
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+ List<Double> adUsage = adMap.getValue();
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+ for (Map.Entry<String, List<Double>> wdvMap : wardDateValue.entrySet()) {
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+ String wardDateStr = wdvMap.getKey();
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+ Date wardDate = StringUtil.parseDateTime(wardDateStr);
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+ List<Double> wardUsage = wdvMap.getValue();
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+ if ((adDate.before(wardDate) && !CatalogueUtil.compareTime(adDate, wardDate, 48 * 60L))
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+ || (wardDate.before(adDate) && !CatalogueUtil.compareTime(wardDate, adDate, 24 * 60L))) {
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+ wardUsage.removeAll(adUsage);//比如adUsage有1.0、2.0,wardUsage中有2.0、3.0,removeAll之后wardUsage只剩3.0
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+ if (wardUsage.size() == 0) {
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+ match = true;
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+ }
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+ adDateStr = DateUtil.formatDate(adDate);
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+ if (!match && wardUsage.size() > 0 && !sb.toString().contains(drugKey + "(" + adDateStr + ")")) {
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+ infoAppend(sb, ai.getKey(), adDateStr);
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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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+ }
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+ }
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+
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+ if (sb.toString().length() > 0) {
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+ status.set("-1");
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+ info.set("医嘱:" + sb.toString().substring(0, sb.toString().length() - 1));
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+ }
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+ }
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+
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+ /**
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+ * 记录同一抗生素同一天内是否开过多次，用于医嘱中需要处理的抗生素过滤（一天内同一抗生素开过多次的抗生素直接过滤）
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+ *
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+ * @param docAdvStruct
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+ * @param antibioticDateTimes
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+ */
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+ private void getAntibioticTimes(List<Map<String, String>> docAdvStruct, Map<String, Map<Date, Integer>> antibioticDateTimes) {
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+ String drugName;
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+ String startDateStr;
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+ Date startDate;
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+ Map<Date, Integer> antibioticDateTime;
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+ for (Map<String, String> structMap : docAdvStruct) {
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+ drugName = structMap.get("医嘱项目名称");
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+ startDateStr = structMap.get("医嘱开始时间");
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+ startDate = DateUtil.dateZeroClear(StringUtil.parseDateTime(startDateStr));
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+ if (antibioticDateTimes.containsKey(drugName)) {
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+ Map<Date, Integer> map = antibioticDateTimes.get(drugName);
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+ if (map.containsKey(startDate)) {
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+ map.put(startDate, map.get(startDate) + 1);
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+ } else {
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+ map.put(startDate, 0);
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+ }
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+ } else {
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+ antibioticDateTime = Maps.newHashMap();
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+ antibioticDateTime.put(startDate, 0);
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+ antibioticDateTimes.put(drugName, antibioticDateTime);
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+ }
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+ }
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+ }
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+
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+ private void getCourseDrugInfo(Map<String, Map<String, List<Double>>> antibioticWardInfo, List<Drug> drugs, String dateStr) {
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+ for (Drug drug : drugs) {
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+ String wardDrug = drug.getName();
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+ wardDrug = removeBracket(wardDrug);
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+ String drugStandardWord = similarityUtil.getDrugStandardWord(wardDrug);
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+ if (StringUtil.isNotBlank(drugStandardWord)) {
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+ wardDrug = drugStandardWord;
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+ }
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+ if (drug.getConsumption() != null) {
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+ String consumption = drug.getConsumption().getName();
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+ collectAntibioticInfo(antibioticWardInfo, wardDrug, consumption, dateStr);
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+ }
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+ }
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+ }
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+
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+ /**
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+ * 拼接提示信息
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+ *
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+ * @param sb
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+ * @param drugKey
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+ * @param date
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+ */
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+ private void infoAppend(StringBuffer sb, String drugKey, String date) {
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+ sb.append(drugKey).append("(").append(date).append(")").append("、");
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+ }
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+
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+ /**
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+ * 收集抗生素各种信息
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+ *
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+ * @param antibioticInfo 抗生素使用量及所有时间
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+ * @param drugName 抗生素名称
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+ * @param value 抗生素用量
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+ * @param startDateStr 抗生素使用时间（医嘱开始时间或查房时间）
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+ */
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+ private void collectAntibioticInfo(Map<String, Map<String, List<Double>>> antibioticInfo, String drugName, String value, String startDateStr) {
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+ Map<String, List<Double>> antibioticValueList = null;
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+ double v = -1;
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+ try {
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+ v = Double.parseDouble(getNumber(value));
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+ } catch (Exception e) {
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+ System.out.println("THR03076: " + drugName + ":" + value + "解析异常");
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+ }
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+ if (v < 0) {
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+ return;
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+ }
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+ if (v > 100) {
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+ v = v / 1000;
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+ }
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+ if (!antibioticInfo.containsKey(drugName)) {
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+ //存该抗生素使用第1个值
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+ antibioticValueList = Maps.newLinkedHashMap();
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+ antibioticValueList.put(startDateStr, Lists.newArrayList(v));
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+ antibioticInfo.put(drugName, antibioticValueList);
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+ } else {
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+ antibioticValueList = antibioticInfo.get(drugName);
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+ //存该抗生素使用时间时第n个量
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+ if (antibioticValueList.containsKey(startDateStr)) {
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+ antibioticValueList.get(startDateStr).add(v);
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+ } else {
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+ //存该抗生素使用时间时第1个量
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+ antibioticValueList.put(startDateStr, Lists.newArrayList(v));
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+ }
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+ }
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+ }
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+
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+ public static String getNumber(String content) {
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+ String group = "";
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+ String compile = "([1-9]\\d*\\.?\\d*)|(0\\.\\d*[1-9]|\\.\\d*[1-9]|0)";
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+ Pattern p = Pattern.compile(compile);
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+ Matcher matcher = p.matcher(content);
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+ if (matcher.find()) {
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+ group = matcher.group(0);
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+ }
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+ return group;
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+ }
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+
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+ /**
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+ * 如果文本包含中括号（[海正]美罗培南针），取括号之后的文字
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+ *
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+ * @param str
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+ * @return
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+ */
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+ private String removeBracket(String str) {
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+ if (str.contains("]") && str.indexOf("]") != str.length() - 1) {
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+ return str.substring(str.indexOf("]") + 1);
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+ }
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+ return str;
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+ }
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+
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+ private static final List<String> filterKey = Lists.newArrayList("ACF", "ID", "IG", "IM", "IP", "IV",
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+ "关节腔注射", "宫颈注射", "皮下注射", "皮下注射(儿童)", "皮下注射(免费)", "皮下注射(成人)", "皮内", "皮内注射",
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+ "结膜下注射", "肌注", "肌肉注射(儿童)", "肌肉注射(公卫专用)", "肌肉注射(成人)", "胸腔注射", "腹腔内注射", "腹腔注射",
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+ "静滴(儿童)", "静滴(成人)", "静脉注射", "静脉注射(儿童)", "静脉注射(免费)", "静脉注射(成人)", "静脉注射(泵)",
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+ "静脉滴注", "静脉滴注(泵)", "鞘内注射");
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+
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+}
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huj