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@@ -1,18 +1,25 @@
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package com.lantone.qc.kernel.catalogue.threelevelward;
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+import com.google.common.collect.Lists;
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import com.lantone.qc.kernel.catalogue.QCCatalogue;
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+import com.lantone.qc.kernel.util.RegexUtil;
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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.FirstPageRecordDoc;
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+import com.lantone.qc.pub.model.doc.MedicalRecordInfoDoc;
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import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
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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.util.DateUtil;
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+import com.lantone.qc.pub.util.ListUtil;
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import com.lantone.qc.pub.util.StringUtil;
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import org.springframework.stereotype.Component;
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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.stream.Collectors;
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/**
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* @ClassName : THR03090
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@@ -23,66 +30,193 @@ import java.util.Objects;
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@Component
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public class THR03090 extends QCCatalogue {
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public void start(InputInfo inputInfo, OutputInfo outputInfo) {
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+ /**
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+ *
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+ * 1.判断病历中是否存在【手术记录】，若存在则继续，否则通过
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+ * 2.获取【手术记录】的【手术时间/手术日期】,若结构数据标签不存在获取【手术开始时间/手术开始日期】，不存在非未填写。
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+ * 3.用取到的手术日期判断与【住院信息表/病案首页]中的【入院日期/入院时间】为同一天，则此手术记录不做判断直接通过。
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+ * 4.用取到的手术日期往前两天内查找【查房记录】，判断查房记录的标题是否含有【术前】和【主刀】若存在则通过。
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+ * 5.若不存在，5.1获取【手术记录】中【主刀医师/主刀】结构数据；从手术日期往前两天内查找查房记录，判断查房记录的标题是否含有【主刀医师/主刀】真实姓名，若存在则通过。结构数据未填写还以第四步为准。
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+ * 5.2若手术记录中没有【主刀医师/主刀】结构数据，获取【手术人员/手术者及助手名称】结构数据中填写的第一个姓名为主刀医师。结构数据未填写还以第四步为准。获取时需要分离带职称（主任/副主任/主治/住院/副教授/教授/研究生/总住院/进修医/住培医）和多余特殊符号后对比】
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+ * 6.手术日期未取到，判断整份病历查房记录的标题是否含有【术前】和【主刀】若存在则通过。
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+ */
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+
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status.set("0");
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List<ThreeLevelWardDoc> threeLevelWardDocs = inputInfo.getThreeLevelWardDocs();
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- long cou = inputInfo.getOperationDocs().stream().map(OperationDoc::getOperationRecordDoc).filter(Objects::nonNull).count();
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- if (cou == 0) {
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+ List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
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+ FirstPageRecordDoc firstPageRecordDoc = inputInfo.getFirstPageRecordDoc();
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+ MedicalRecordInfoDoc medicalRecordInfoDoc = inputInfo.getMedicalRecordInfoDoc();
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+ //记录缺少术前查房记录的手术记录
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+ List<OperationRecordDoc> unList = Lists.newArrayList();
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+
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+ if (operationDocs == null || operationDocs.size() == 0) {
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return;
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}
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- if (threeLevelWardDocs.size() == 0 && cou > 0) {
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- status.set("-1");
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+
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+ List<OperationRecordDoc> operationRecordDocs = operationDocs.stream()
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+ .map(OperationDoc::getOperationRecordDoc)
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+ .filter(Objects::nonNull)
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+ .collect(Collectors.toList());
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+
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+ if (ListUtil.isEmpty(operationRecordDocs)) {
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return;
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}
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- List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
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- if (operationDocs == null || operationDocs.size() == 0) {
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- return;
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+
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+ Date beDate = null;
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+ Date beDate_hp = null;
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+ if (StringUtil.isNotBlank(medicalRecordInfoDoc.getStructureMap().get("behospitalDate"))) {
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+ beDate = DateUtil.getFirstTimeOfDay(StringUtil.parseDateTime(medicalRecordInfoDoc.getStructureMap().get("behospitalDate")));
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}
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- String operationStartDate = "";
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- if (operationDocs.get(operationDocs.size() - 1).getOperationRecordDoc() != null) {
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- Map<String, String> operationDocStructureMap = operationDocs.get(operationDocs.size() - 1).getOperationRecordDoc().getStructureMap();
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- operationStartDate = operationDocStructureMap.get("手术开始时间");
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- if (operationStartDate.contains("年月日")) {
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- operationStartDate = DateUtil.nowString();
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- }
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+
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+ if (StringUtil.isNotBlank(firstPageRecordDoc.getStructureMap().get("入院时间"))) {
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+ beDate_hp = DateUtil.getFirstTimeOfDay(StringUtil.parseDateTime(firstPageRecordDoc.getStructureMap().get("入院时间")));
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}
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- if (StringUtil.isBlank(operationStartDate) || StringUtil.parseDateTime(operationStartDate) == null) {
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+ //筛选手术日期不等于入院日期的手术记录
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+ Date finalBeDate_hp = beDate_hp;
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+ Date finalBeDate = beDate;
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+ List<OperationRecordDoc> filterOperationRecordDocs = operationRecordDocs.stream().filter(i -> i.getStructureMap() != null
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+ && filterDate(i.getStructureMap()) != null
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+ && (DateUtil.getFirstTimeOfDay(filterDate(i.getStructureMap())).getTime() != finalBeDate.getTime()
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+ || DateUtil.getFirstTimeOfDay(filterDate(i.getStructureMap())).getTime() != finalBeDate_hp.getTime()))
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+ .collect(Collectors.toList());
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+ if (ListUtil.isEmpty(filterOperationRecordDocs)) {
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return;
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}
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- List<ThreeLevelWardDoc> allDoctorWradDocs = threeLevelWardDocs.get(0).getAllDoctorWradDocs();
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- for (ThreeLevelWardDoc threeLevelWard : allDoctorWradDocs) {
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- Map<String, String> structureMap = threeLevelWard.getStructureMap();
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- String makeTitle = structureMap.get("查房标题");
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- String writTitle = structureMap.get("文书标题");
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- String makeDate = structureMap.get("查房日期");
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- if (StringUtil.isNotBlank(makeDate) && StringUtil.parseDateTime(makeDate).before(StringUtil.parseDateTime(operationStartDate))) {
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- if (((StringUtil.isNotBlank(makeTitle) && makeTitle.contains("主刀")) || (StringUtil.isNotBlank(writTitle) && writTitle.contains("主刀"))
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- || ((StringUtil.isNotBlank(makeTitle) && makeTitle.contains("术前")) || (StringUtil.isNotBlank(writTitle) && writTitle.contains("术前"))))) {
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- return;
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- }
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- }
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+
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+ List<ThreeLevelWardDoc> allThreeLevelWardDocs = Lists.newArrayList();
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+ if (ListUtil.isNotEmpty(threeLevelWardDocs)) {
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+ allThreeLevelWardDocs = threeLevelWardDocs.stream()
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+ .filter(Objects::nonNull)
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+ .filter(i -> ListUtil.isNotEmpty(i.getAllDoctorWradDocs()))
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+ .flatMap(i -> i.getAllDoctorWradDocs().stream())
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+ .distinct()
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+ .collect(Collectors.toList());
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+ } else {
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+ status.set("-1");
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+ return;
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}
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- //判断医嘱里有无手术
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- List<DoctorAdviceDoc> doctorAdviceDocs = inputInfo.getDoctorAdviceDocs();
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- if (doctorAdviceDocs.size() == 0) {
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+ if (ListUtil.isEmpty(allThreeLevelWardDocs)) {
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+ status.set("-1");
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return;
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}
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- for (DoctorAdviceDoc dad : doctorAdviceDocs) {
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- String name = dad.getStructureMap().get("医嘱项目名称");
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- if (name.contains("非手术") || name.contains("手术室") || (name.contains("手术") && name.contains("取消")) || (name.contains("暂停") && name.contains("手术")) || name.contains("静脉穿刺置管术") || name.startsWith("停") || name.contains("前一次")
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- || name.contains("特殊病人手术使用一次性卫生材料") || name.contains("人免疫缺陷病毒抗体检测免费")) {
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- continue;
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+
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+ for (OperationRecordDoc recordDoc : filterOperationRecordDocs) {
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+ Date opDate = filterDate(recordDoc.getStructureMap());
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+ Boolean isExist = false;
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+ for (ThreeLevelWardDoc threeLevelWard : allThreeLevelWardDocs) {
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+ Map<String, String> structureMap = threeLevelWard.getStructureMap();
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+ String makeTitle = structureMap.get("查房标题");
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+ String writTitle = structureMap.get("文书标题");
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+ String makeDate = structureMap.get("查房日期");
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+ if (StringUtil.isNotBlank(makeDate)
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+ && StringUtil.parseDateTime(makeDate).before(opDate)
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+ && StringUtil.parseDateTime(makeDate).after(DateUtil.addDay(DateUtil.getFirstTimeOfDay(opDate), -2))) {
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+ //查房记录的标题是否含有【术前】和【主刀】
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+ if (((StringUtil.isNotBlank(makeTitle) && makeTitle.contains("主刀")) || (StringUtil.isNotBlank(writTitle) && writTitle.contains("主刀")))
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+ && ((StringUtil.isNotBlank(makeTitle) && makeTitle.contains("术前")) || (StringUtil.isNotBlank(writTitle) && writTitle.contains("术前")))) {
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+ isExist = true;
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+ break;
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+ }
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+
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+ //【主刀医师/主刀】结构数据
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+ String operatorName = recordDoc.getStructureMap().get("主刀医师");
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+ if (StringUtil.isBlank(operatorName)) {
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+ operatorName = recordDoc.getStructureMap().get("主刀");
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+ }
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+
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+ //获取【手术人员/手术者及助手名称】
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+ if (StringUtil.isBlank(operatorName)) {
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+ String operatorNames = recordDoc.getStructureMap().get("手术人员");
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+ if (StringUtil.isBlank(operatorNames)) {
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+ operatorNames = recordDoc.getStructureMap().get("手术者及助手名称");
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+ }
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+ if (StringUtil.isNotBlank(operatorNames)) {
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+ operatorNames = operatorNames.replaceAll("、|;", " ")
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+ .replaceAll("：|:", "=");
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+ String[] operatorNameArr = operatorNames.split(" ");
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+ if (operatorNameArr.length > 0) {
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+ String[] ky = operatorNameArr[0].split("=");
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+ if (ky.length > 1) {
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+ operatorName = ky[1].trim();
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+ } else {
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+ operatorName = operatorNameArr[0].trim();
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+ }
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+
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+ //主任/副主任/主治/住院/副教授/教授/研究生/总住院/进修医/住培医
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+ if (StringUtil.isNotBlank(operatorName)) {
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+ operatorName = operatorName.trim().replaceAll("主任|副主任|主治|住院|副教授|教授|研究生|总住院|进修医|住培医", "");
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+ }
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+ }
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+ }
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+ }
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+ //查房记录的标题是否含有【主刀医师/主刀】真实姓名
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+ if (StringUtil.isNotBlank(operatorName)) {
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+ if (StringUtil.isNotBlank(makeTitle) && makeTitle.contains(operatorName)
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+ || StringUtil.isNotBlank(writTitle) && writTitle.contains(operatorName)) {
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+ isExist = true;
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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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- if (name.contains("手术")) {
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- status.set("-1");
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+ //没有查房记录或没有术前两天内查房记录
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+ if (!isExist) {
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+ unList.add(recordDoc);
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+ }
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+ }
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+
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+ //手术日期未取到，判断整份病历查房记录的标题是否含有【术前】和【主刀】若存在则通过
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+ filterOperationRecordDocs = operationRecordDocs.stream().filter(i -> i.getStructureMap() != null
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+ && filterDate(i.getStructureMap()) != null)
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+ .collect(Collectors.toList());
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+ if (ListUtil.isEmpty(filterOperationRecordDocs)) {
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+ List<ThreeLevelWardDoc> threeLevelWardDocList = threeLevelWardDocs.stream().filter(i -> i.getStructureMap() != null
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+ && (StringUtil.isNotBlank(i.getStructureMap().get("查房标题")) && RegexUtil.getRegexRes(i.getStructureMap().get("查房标题"), "术前|主刀")
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+ || StringUtil.isNotBlank(i.getStructureMap().get("文书标题")) && RegexUtil.getRegexRes(i.getStructureMap().get("文书标题"), "术前|主刀")))
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+ .collect(Collectors.toList());
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+ if (ListUtil.isNotEmpty(threeLevelWardDocList)) {
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return;
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}
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}
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- if (cou > 0) {
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+ if (ListUtil.isNotEmpty(unList)) {
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status.set("-1");
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return;
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}
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}
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+
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+ /**
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+ * 获取【手术记录】的【手术时间/手术日期】,若结构数据标签不存在获取【手术开始时间/手术开始日期】，不存在非未填写。
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+ */
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+ public Date filterDate(Map<String, String> structureMap) {
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+ String strDate = "";
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+ if (structureMap.containsKey("手术时间")) {
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+ strDate = structureMap.get("手术时间");
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+ }
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+ if (StringUtil.isBlank(strDate)
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+ && structureMap.containsKey("手术日期")) {
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+ strDate = structureMap.get("手术日期");
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+ }
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+
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+ if (StringUtil.isBlank(strDate)
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+ && !structureMap.containsKey("手术时间")
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+ && !structureMap.containsKey("手术日期")) {
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+
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+ if (structureMap.containsKey("手术开始时间")) {
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+ strDate = structureMap.get("手术开始时间");
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+ }
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+ if (StringUtil.isBlank(strDate)
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+ && structureMap.containsKey("手术开始日期")) {
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+ strDate = structureMap.get("手术开始日期");
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+ }
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+ }
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+
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+ if (StringUtil.isNotBlank(strDate)) {
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+ return StringUtil.parseDateTime(strDate);
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+ } else {
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+ return null;
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+ }
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+ }
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}
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jianghaodi