萧山中医院现场问题修改

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xszyy/behospitalized/BEH02980.java

@@ -0,0 +1,264 @@
+package com.lantone.qc.kernel.catalogue.hospital.xszyy.behospitalized;
+
+import com.alibaba.fastjson.JSONArray;
+import com.lantone.qc.kernel.catalogue.QCCatalogue;
+import com.lantone.qc.kernel.client.ChiefPresentSimilarityServiceClient;
+import com.lantone.qc.kernel.structure.ai.ModelAI;
+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.entity.Allergy;
+import com.lantone.qc.pub.model.entity.Diag;
+import com.lantone.qc.pub.model.entity.GeneralDesc;
+import com.lantone.qc.pub.model.entity.Negative;
+import com.lantone.qc.pub.model.label.DiagLabel;
+import com.lantone.qc.pub.model.label.PastLabel;
+import com.lantone.qc.pub.model.label.PresentLabel;
+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.Arrays;
+import java.util.List;
+import java.util.Map;
+
+
+/**
+ * @ClassName : BEH02980
+ * @Description : 病历前后描述不一致
+ * @Author : Mark
+ * @Date: 2020-06-23 11:02
+ */
+@Component
+public class BEH02980 extends QCCatalogue {
+    @Autowired
+    ChiefPresentSimilarityServiceClient chiefPresentSimilarityServiceClient;
+
+    private List<String> containList = Arrays.asList("脑萎缩", "慢性", "纤颤", "高血压", "糖尿", "冠状", "冠心病", "支架", "起搏器", "房颤", "风湿");
+    private List<String> filterList = Arrays.asList("心脏病", "低血糖", "急性", ";");
+
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        status.set("0");
+        if (inputInfo.getBeHospitalizedDoc() == null) {
+            return;
+        }
+        PresentLabel presentLabel = inputInfo.getBeHospitalizedDoc().getPresentLabel();
+        DiagLabel initialDiagLabel = inputInfo.getBeHospitalizedDoc().getInitialDiagLabel();
+        PastLabel pastLabel = inputInfo.getBeHospitalizedDoc().getPastLabel();
+
+        List<String> pos_diags = new ArrayList<>();
+        List<String> neg_diags = new ArrayList<>();
+        //现病史需要取一般情况之后疾病
+        if (presentLabel != null) {
+            List<GeneralDesc> generals = presentLabel.getGenerals();
+            if (generals.size() > 0) {
+                String presentText = presentLabel.getText();
+                List<Diag> presentDiags = presentLabel.getDiags();
+                /* 取现病史中一般情况之后的疾病名称 */
+                if (StringUtil.isNotBlank(presentText) && presentDiags.size() > 0) {
+                    String lastGeneral = generals.get(generals.size() - 1).getName();
+                    int lastGeneralIndex = presentText.indexOf(lastGeneral);
+                    for (Diag presentDiag : presentDiags) {
+                        if (presentDiag.getNegative() != null || presentDiag.getHospitalDiagName().contains("否认")) {
+                            continue;
+                        }
+                        /* 现病史中一般情况之后的疾病名称 */
+                        if (presentText.indexOf(presentDiag.getHospitalDiagName()) > lastGeneralIndex) {
+                            if (isContains(presentDiag.getHospitalDiagName()) && !isFilter(presentDiag.getHospitalDiagName())) {
+                                String dgname = presentDiag.getHospitalDiagName();
+                                if (presentDiag.getNegative() == null) {
+                                    if (!pos_diags.contains(dgname)) {
+                                        pos_diags.add(dgname);
+                                    }
+                                } else {
+                                    if (!neg_diags.contains(dgname)) {
+                                        neg_diags.add(dgname);
+                                    }
+                                }
+                            }
+                        }
+                    }
+                }
+            }
+        }
+
+        if (pastLabel != null && StringUtils.isNotEmpty(pastLabel.getText())) {
+            extract_diags(pastLabel.getDiags(), pos_diags, neg_diags);
+            //否认其他的情况
+            String pasttext = pastLabel.getText();
+            //冠状动脉支架植入术特殊情况，只要出现，就从否认的史中去掉
+            if (neg_diags.contains("冠状动脉支架植入术")) {
+                neg_diags.remove("冠状动脉支架植入术");
+            }
+            String neg_diags_first[] = pasttext.split("否认");
+            for (String str1 : neg_diags_first) {
+                String neg_diags_second[] = str1.split("、");
+                for (String str2 : neg_diags_second) {
+                    for (String neg_diag : neg_diags) {
+                        if (str2.contains(neg_diag)) {
+                            String str3 = str2.substring(0, str2.indexOf(neg_diag));
+                            if (str3.contains("其它") || str3.contains("其他")) {
+                                int index = neg_diags.indexOf(neg_diag);
+                                neg_diags.set(index, "其它的");
+                            }
+                        }
+                    }
+                }
+            }
+//            //过敏史
+//            if(!"7".equals(Content.hospital_Id))
+//            {
+//                extract_Allergy(pastLabel.getAllergies(), pos_diags, neg_diags, pastLabel.getText());
+//            }
+        } else {
+            //例如邵逸夫 台州这种结构化数据，判断高血压 和 糖尿病是否有冲突
+            List<Diag> pastDiags = new ArrayList<>();
+            Map<String, String> structureMap = inputInfo.getBeHospitalizedDoc().getStructureMap();
+            String a1 = structureMap.get("高血压");
+            Diag diag = new Diag();
+            diag.setName("高血压");
+            diag.setHospitalDiagName("高血压");
+            if (StringUtils.isNotEmpty(a1) && "否认".equals(a1)) {
+                Negative negative = new Negative();
+                negative.setName("否认");
+                pastDiags.add(diag);
+            } else if (StringUtils.isNotEmpty(a1) && !"否认".equals(a1)) {
+                pastDiags.add(diag);
+            }
+
+            a1 = structureMap.get("糖尿病");
+            diag = new Diag();
+            diag.setName("糖尿病");
+            diag.setHospitalDiagName("糖尿病");
+            if (StringUtils.isNotEmpty(a1) && "否认".equals(a1)) {
+                Negative negative = new Negative();
+                negative.setName("否认");
+                pastDiags.add(diag);
+            } else if (StringUtils.isNotEmpty(a1) && !"否认".equals(a1)) {
+                pastDiags.add(diag);
+            }
+
+            extract_diags(pastDiags, pos_diags, neg_diags);
+        }
+        if (initialDiagLabel != null) {
+            extract_diags(initialDiagLabel.getDiags(), pos_diags, neg_diags);
+        }
+
+        String infoStr = "";
+        int matchSum = 0;
+        ModelAI modelAI = new ModelAI();
+        for (String negdiag : neg_diags) {
+            JSONArray jsonArray = modelAI.loadChiefPresentSimilarAI(negdiag, pos_diags, false
+                    , "diagnose", chiefPresentSimilarityServiceClient);
+            if (jsonArray.size() == 2) {
+                /* 相似度最高症状 */
+                String dgname = jsonArray.getString(0);
+                if ("糖尿病".equals(negdiag) && "妊娠期糖尿病".equals(dgname)) {
+                    continue;
+                }
+                if ("高血压史".equals(negdiag) && "高血压病".equals(dgname)) {
+                    matchSum++;
+                    if (StringUtils.isEmpty(infoStr)) {
+                        infoStr = negdiag;
+                    } else {
+                        infoStr = infoStr + "," + negdiag;
+                    }
+                    continue;
+                }
+                /* 相似度分数 */
+                double likeRate = jsonArray.getDoubleValue(1);
+                if (likeRate > 0.99) {
+                    matchSum++;
+                    if (StringUtils.isEmpty(infoStr)) {
+                        infoStr = negdiag;
+                    } else {
+                        infoStr = infoStr + "," + negdiag;
+                    }
+                    continue;
+                }
+            }
+        }
+        if (matchSum > 0) {
+            status.set("-1");
+            info.set(infoStr);
+        }
+
+    }
+
+    //疾病史
+    private List<String> extract_diags(List<Diag> diags, List<String> pos_diags, List<String> neg_diags) {
+        List<String> dgs = new ArrayList<>();
+        for (Diag dg : diags) {
+            String dgname = dg.getHospitalDiagName();
+            if (dg.getNegative() == null) {
+                if (!pos_diags.contains(dgname)) {
+                    pos_diags.add(dgname);
+                }
+            } else {
+                if (!neg_diags.contains(dgname)) {
+                    neg_diags.add(dgname);
+                    dgs.add(dgname);
+                }
+            }
+        }
+        return dgs;
+    }
+
+//    //过敏史
+//    private List<String> extract_Allergy(List<Allergy> allergys, List<String> pos_diags, List<String> neg_diags, String text) {
+//        List<String> dgs = new ArrayList<>();
+//        String content = text;
+//        int allergyNum = 0;
+//        for (Allergy dg : allergys) {
+//            String dgname = dg.getName();
+//            if (dg.getNegative() == null) {
+//                if (!pos_diags.contains(dgname)) {
+//                    pos_diags.add(dgname);
+//                }
+//                if (dg.getAllergyFood() != null) {
+//                    allergyNum = 1;
+//                }
+//                if (dg.getAllergyMedicine() != null) {
+//                    allergyNum = 2;
+//                }
+//            } else {
+//                int index = content.lastIndexOf(dgname);
+//                text = content.substring(Math.max(0, index - 10), index);
+//                if (allergyNum == 0 && !neg_diags.contains(dgname) && !text.contains("其他") && !text.contains("其它") && !text.contains("其余")) {
+//                    neg_diags.add(dgname);
+//                    dgs.add(dgname);
+//                }
+//                if (allergyNum == 1 && text.contains("食物") && !neg_diags.contains(dgname) && !text.contains("其他") && !text.contains("其它") && !text.contains("其余")) {
+//                    neg_diags.add(dgname);
+//                    dgs.add(dgname);
+//                }
+//                if (allergyNum == 2 && text.contains("药物") && !neg_diags.contains(dgname) && !text.contains("其他") && !text.contains("其它") && !text.contains("其余")) {
+//                    neg_diags.add(dgname);
+//                    dgs.add(dgname);
+//                }
+//            }
+//        }
+//        return dgs;
+//    }
+
+    private boolean isContains(String diagName) {
+        for (String c : containList) {
+            if (diagName.contains(c)) {
+                return true;
+            }
+        }
+        return false;
+    }
+
+    private boolean isFilter(String diagName) {
+        for (String c : filterList) {
+            if (diagName.contains(c)) {
+                return true;
+            }
+        }
+        return false;
+    }
+
+}

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xszyy/deathcasediscuss/DEAC0556.java

@@ -0,0 +1,29 @@
+package com.lantone.qc.kernel.catalogue.hospital.xszyy.deathcasediscuss;
+
+import com.lantone.qc.kernel.catalogue.QCCatalogue;
+import com.lantone.qc.kernel.util.CatalogueUtil;
+import com.lantone.qc.pub.model.InputInfo;
+import com.lantone.qc.pub.model.OutputInfo;
+import org.springframework.stereotype.Component;
+
+import java.util.Map;
+
+/**
+ * @ClassName : DEAC0556
+ * @Description :  死亡病例讨论参加人员姓名及职称未填写
+ * @Author :kwz
+ * @Date: 2020-03-18 18:38
+ */
+@Component
+public class DEAC0556 extends QCCatalogue {
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        status.set("0");
+        if (inputInfo.getDeathCaseDiscussDoc() != null) {
+            Map<String, String> deathCaseDiscussStructureMap = inputInfo.getDeathCaseDiscussDoc().getStructureMap();
+            String deathTime = deathCaseDiscussStructureMap.get("参加人员姓名及专业技术职称");
+            if (CatalogueUtil.isEmpty(deathTime)) {
+                status.set("-1");
+            }
+        }
+    }
+}

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xszyy/deathcasediscuss/DEAC0558.java

@@ -0,0 +1,29 @@
+package com.lantone.qc.kernel.catalogue.hospital.xszyy.deathcasediscuss;
+
+import com.lantone.qc.kernel.catalogue.QCCatalogue;
+import com.lantone.qc.kernel.util.CatalogueUtil;
+import com.lantone.qc.pub.model.InputInfo;
+import com.lantone.qc.pub.model.OutputInfo;
+import org.springframework.stereotype.Component;
+
+import java.util.Map;
+
+/**
+ * @ClassName : DEAC0558
+ * @Description :  死亡病例讨论无主持人小结意见
+ * @Author :kwz
+ * @Date: 2020-03-18 18:38
+ */
+@Component
+public class DEAC0558 extends QCCatalogue {
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        status.set("0");
+        if (inputInfo.getDeathCaseDiscussDoc() != null) {
+            Map<String, String> deathCaseDiscussStructureMap = inputInfo.getDeathCaseDiscussDoc().getStructureMap();
+            String deathTime = deathCaseDiscussStructureMap.get("主持人小结意见");
+            if (CatalogueUtil.isEmpty(deathTime)) {
+                status.set("-1");
+            }
+        }
+    }
+}

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xszyy/firstpagerecord/FIRP0516.java

@@ -0,0 +1,39 @@
+package com.lantone.qc.kernel.catalogue.hospital.xszyy.firstpagerecord;
+
+import com.lantone.qc.kernel.catalogue.QCCatalogue;
+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.BeHospitalizedDoc;
+import com.lantone.qc.pub.model.doc.FirstPageRecordDoc;
+import com.lantone.qc.pub.util.StringUtil;
+import org.springframework.stereotype.Component;
+
+import java.util.Map;
+
+/**
+ * @ClassName : FIRP0516
+ * @Description : 身份证号码与入院记录不一致
+ * @Author : 楼辉荣
+ * @Date: 2020-03-06 17:28
+ */
+@Component
+public class FIRP0516 extends QCCatalogue {
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        status.set("0");
+        BeHospitalizedDoc beHospitalizedDoc = inputInfo.getBeHospitalizedDoc();
+        FirstPageRecordDoc firstPageRecordDoc = inputInfo.getFirstPageRecordDoc();
+        if (beHospitalizedDoc != null && firstPageRecordDoc != null) {
+            Map<String, String> structureMap_bh = beHospitalizedDoc.getStructureMap();
+            Map<String, String> structureMap_fpr = firstPageRecordDoc.getStructureMap();
+            String bhIdNumber = structureMap_bh.get("身份证号码");
+            String fprIdNumber = structureMap_fpr.get(Content.idNumber);
+            if (StringUtil.isBlank(bhIdNumber) || StringUtil.isBlank(fprIdNumber)) {
+                return;
+            }
+            if (!bhIdNumber.equals(fprIdNumber)) {
+                status.set("-1");
+            }
+        }
+    }
+}

kernel/src/main/java/com/lantone/qc/kernel/catalogue/hospital/xszyy/operationdiscussion/OPE03143.java

@@ -31,7 +31,7 @@ public class OPE03143 extends QCCatalogue {
         boolean flag = true;
         //先判断有无手术记录
         List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
-        if (operationDocs == null && operationDocs.size() == 0) {
+        if (operationDocs == null || operationDocs.size() == 0) {
             return;
         }
         //先判断有无输血记录
@@ -60,6 +60,9 @@ public class OPE03143 extends QCCatalogue {
                         flag = false;
                     }
                 }
+                //不存在手术记录返回
+            } else {
+                return;
             }
         }
         if (flag) {

kernel/src/main/java/com/lantone/qc/kernel/catalogue/operationdiscussion/OPE03143.java

@@ -31,7 +31,7 @@ public class OPE03143 extends QCCatalogue {
         boolean flag = true;
         //先判断有无手术记录
         List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
-        if (operationDocs == null && operationDocs.size() == 0) {
+        if (operationDocs == null || operationDocs.size() == 0) {
             return;
         }
         //先判断有无输血记录