宁波镇海：查房相关规则更新

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/ningbozhenhai/threelevelward/THR0127.java

@@ -0,0 +1,222 @@
+package com.lantone.qc.kernel.catalogue.hospital.ningbozhenhai.threelevelward;
+
+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.MedicalRecordInfoDoc;
+import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
+import com.lantone.qc.pub.model.doc.operation.OperationDoc;
+import com.lantone.qc.pub.util.DateUtil;
+import com.lantone.qc.pub.util.StringUtil;
+import org.apache.commons.lang3.StringUtils;
+import org.springframework.stereotype.Component;
+
+import java.util.ArrayList;
+import java.util.Date;
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @ClassName : THR0127
+ * @Description : 每周无2次副主任医师/主任医师查房记录
+ * @Author : 胡敬
+ * @Date: 2020-03-19 15:52
+ */
+@Component
+public class THR0127 extends QCCatalogue {
+    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0点开始算
+                int i = 1;
+                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(DateUtil.addDay(sixDate, -1));
+                    lastWardDateRangeList.add(lastWardDateRange);
+                    roundRecordEveryWeek.add(roundRecordThisWeek);
+                    beginDate = DateUtil.addDate(beginDate, 7);
+                    i++;
+                }
+                if (roundRecordEveryWeek.size() == 0) {
+                    status.set("0");
+                    return;
+                }
+                List<String> resultInfos = new ArrayList<>();
+                for (int j = 0; j < roundRecordEveryWeek.size(); j++) {
+                    int directorNum = CatalogueUtil.appearNumber(roundRecordEveryWeek.get(j).split(","), Content.director);
+                    int dept_doctorNum = CatalogueUtil.appearNumber(roundRecordEveryWeek.get(j).split(","), Content.dept_doctor);
+                    //三级医师查房算一次主任查房
+                    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(","));
+                    int num = 2;
+                    if ("7".equals(Content.hospital_Id)) {
+                        num = 1;
+                    }
+                    if (directorNum + dept_doctorNum + threeDoctorNum + endocrinologyTitleNum < num) {
+                        //每周无2次主任医师查房记录/科主任查房记录
+                        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";
+            case "35":               //长沙湘雅
+                return "上级";
+            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;
+        for (String title : srcText) {
+            String regex = ".*主任.*主任.*主治.*";
+            if (title.matches(regex)) {
+                count++;
+            }
+        }
+        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("文书标题");
+            if(StringUtil.isBlank(title)){
+                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, recordDate, Long.valueOf(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 "";
+    }
+}

trans/src/main/java/com/lantone/qc/trans/ningbozhenhai/util/OperationRecordHtmlAnalysis.java

@@ -41,11 +41,11 @@ public class OperationRecordHtmlAnalysis implements HtmlAnalysis {
 
     private void analysisGeneral(Element bigDivElement, Map<String, String> map) {
         String text = HtmlAnalysisUtil.blockDivToStr(bigDivElement, true);
-        text = text.replaceAll("第1页", "")
+        text = text.replaceAll("第1页", "").replace(" ", "")
                 .replace("（包括体位、切口处理经过，病灶所见及手术步骤等）：", "");
         List<String> titles = Lists.newArrayList(
                 "姓名", "病区", "科室", "床号", "床位", "住院号", "手术开始时间", "手术结束时间", "术前诊断", "术 前 诊  断",
-                "手术名称", "手 术 名  称", "术中诊断", "术(中)后诊断", "手术人员", "手术主刀医师", "手 术 主 刀 医 师", "麻醉方式",
+                "手术名称", "手 术 名  称", "术中诊断", "术(中)后诊断", "手术人员", "手术主刀医师", "手 术 主 刀 医 师", "一助", "二助", "麻醉方式",
                 "麻 醉 方  式", "麻醉人员", "麻 醉 医  师", "手术风险评估（可选）", "NNIS分级", "手术类别（可选）", "手术标本", "冰冻切片结果",
                 "术中并发症", "术中失血量", "手术经过", "手术经过及处理（包括患者的体位、切口处理、病灶所见及手术步骤等）", "记录者签字", "主刀签字", "主刀医师签名",
                 "记录日期", "日期", "时间"