1.修改规则：医嘱有抗生素、激素使用病程无记录

kernel/src/main/java/com/lantone/qc/kernel/catalogue/threelevelward/THR02985.java

@@ -74,13 +74,13 @@ public class THR02985 extends QCCatalogue {
             String startDateStr = adviceDocStructureMap.get("医嘱开始时间");
             if (StringUtil.isNotBlank(drugCategory) && drugCategory.contains("抗生素")) {
                 if (StringUtil.isNotBlank(name)) {
+                    if (Arrays.asList(KSS).contains(name)) {
+                        continue;
+                    }
                     name = name.replaceAll("[针]", "");
                     if (name.contains(" ")) {
                         name = name.split(" ")[0];
                     }
-                    if (Arrays.asList(KSS).contains(name)) {
-                        continue;
-                    }
                     Date startDate = StringUtil.parseDateTime(startDateStr);
                     if (startDate != null) {
                         startDate = DateUtil.dateZeroClear(startDate);

kernel/src/main/java/com/lantone/qc/kernel/catalogue/threelevelward/THR02986.java

@@ -4,24 +4,26 @@ import com.google.common.collect.Lists;
 import com.google.common.collect.Maps;
 import com.lantone.qc.kernel.catalogue.QCCatalogue;
 import com.lantone.qc.kernel.util.CatalogueUtil;
+import com.lantone.qc.kernel.util.SimilarityUtil;
 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.DoctorAdviceDoc;
-import com.lantone.qc.pub.model.doc.FirstCourseRecordDoc;
-import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
+import com.lantone.qc.pub.model.doc.*;
+import com.lantone.qc.pub.model.doc.consultation.ConsultationDoc;
+import com.lantone.qc.pub.model.doc.consultation.ConsultationResultsDoc;
 import com.lantone.qc.pub.model.doc.operation.OperationDiscussionDoc;
 import com.lantone.qc.pub.model.doc.operation.OperationDoc;
 import com.lantone.qc.pub.model.doc.operation.OperationRecordDoc;
+import com.lantone.qc.pub.model.entity.Drug;
+import com.lantone.qc.pub.model.label.ThreeLevelWardLabel;
+import com.lantone.qc.pub.util.DateUtil;
 import com.lantone.qc.pub.util.StringUtil;
+import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Component;
 
-import java.util.Date;
-import java.util.HashMap;
-import java.util.List;
-import java.util.Map;
+import java.util.*;
 import java.util.regex.Matcher;
 import java.util.regex.Pattern;
+import java.util.stream.Collectors;
 
 /**
  * @ClassName : THR02986
@@ -32,12 +34,16 @@ import java.util.regex.Pattern;
  */
 @Component
 public class THR02986 extends QCCatalogue {
+    @Autowired
+    SimilarityUtil similarityUtil;
     public void start(InputInfo inputInfo, OutputInfo outputInfo) {
         List<DoctorAdviceDoc> doctorAdviceDocs = inputInfo.getDoctorAdviceDocs();
         List<ThreeLevelWardDoc> threeLevelWardDocs = inputInfo.getThreeLevelWardDocs();
         FirstCourseRecordDoc firstCourseRecordDoc = inputInfo.getFirstCourseRecordDoc();
         BeHospitalizedDoc beHospitalizedDoc = inputInfo.getBeHospitalizedDoc();
         List<OperationDoc> operationDocs = inputInfo.getOperationDocs();
+        LeaveHospitalDoc leaveHospitalDoc = inputInfo.getLeaveHospitalDoc();
+        List<ConsultationDoc> consultationDocs = inputInfo.getConsultationDocs();
         if (doctorAdviceDocs.size() == 0 || threeLevelWardDocs.size() == 0) {
             status.set("0");
             return;
@@ -47,8 +53,7 @@ public class THR02986 extends QCCatalogue {
             status.set("0");
             return;
         }
-        Map<Date, String> doctorAdviceDrugMap = new HashMap<>();
-        String regex = "[()*+-]";
+        Map<Date, String> doctorAdviceDrugMap = Maps.newLinkedHashMap();
         for (DoctorAdviceDoc adviceDoc : doctorAdviceDocs) {
             Map<String, String> adviceDocStructureMap = adviceDoc.getStructureMap();
             String name = adviceDocStructureMap.get("医嘱项目名称");
@@ -56,84 +61,82 @@ public class THR02986 extends QCCatalogue {
             String startDateStr = adviceDocStructureMap.get("医嘱开始时间");
             if (StringUtil.isNotBlank(drugCategory) && drugCategory.contains("激素")) {
                 if (StringUtil.isNotBlank(name)) {
+                    if (Arrays.asList(KSS).contains(name)) {
+                        continue;
+                    }
+                    name = name.replaceAll("[针]", "");
                     if (name.contains(" ")) {
                         name = name.split(" ")[0];
                     }
-                    doctorAdviceDrugMap.put(StringUtil.parseDateTime(startDateStr), name);
+                    Date startDate = StringUtil.parseDateTime(startDateStr);
+                    if (startDate != null) {
+                        startDate = DateUtil.dateZeroClear(startDate);
+                        doctorAdviceDrugMap.put(startDate, name);
+                    }
                 }
             }
         }
 
-        //入院记录中找药
-        String behospContent = null, firstCourseContent = null, operContent = null, afterOperContent = null;
-        Date behospDate = null, firstCourseDate = null, operDate = null, afterOperDate = null;
+        Map<String, Date> info = Maps.newLinkedHashMap();
+        //入院记录中获取信息
         if (beHospitalizedDoc != null) {
-            behospContent = CatalogueUtil.structureMapJoin(beHospitalizedDoc.getStructureMap(), Lists.newArrayList("治疗计划"));
-            String recordDateStr = firstCourseRecordDoc.getStructureMap().get("入院日期");
-            if (StringUtil.isNotBlank(recordDateStr)) {
-                behospDate = StringUtil.parseDateTime(recordDateStr);
-            }
+            Map<String, String> structureMap = beHospitalizedDoc.getStructureMap();
+            getInfo(info, structureMap, "入院记录", "入院日期", "治疗计划");
         }
-        //从首程治疗计划中找药
+        //从首程治疗计划中获取信息
         if (firstCourseRecordDoc != null) {
-            firstCourseContent = firstCourseRecordDoc.getStructureMap().get("治疗计划");
-            String recordDateStr = firstCourseRecordDoc.getStructureMap().get("记录时间");
-            if (StringUtil.isNotBlank(recordDateStr)) {
-                firstCourseDate = StringUtil.parseDateTime(recordDateStr);
-            }
+            Map<String, String> structureMap = firstCourseRecordDoc.getStructureMap();
+            getInfo(info, structureMap, "首次病程录", "记录时间", "治疗计划");
         }
 
-        Map<String, Date> operInfo = Maps.newHashMap();
+        //从手术记录中获取信息
         if (operationDocs.size() > 0) {
-            for (OperationDoc oDoc : operationDocs) {
-                OperationRecordDoc operationRecordDoc = oDoc.getOperationRecordDoc();
-                if (operationRecordDoc != null) {
-                    operContent = operationRecordDoc.getStructureMap().get("手术经过");
-                    String operDateStr = operationRecordDoc.getStructureMap().get("手术日期");
-                    if (StringUtil.isNotBlank(operDateStr)) {
-                        operDate = StringUtil.parseDateTime(operDateStr);
-                    }
-                    if (StringUtil.isNotBlank(operContent) && operDate != null) {
-                        operInfo.put(operContent, operDate);
-                    }
-                }
-                OperationDiscussionDoc operationDiscussionDoc = oDoc.getOperationDiscussionDoc();
-                if (operationDiscussionDoc != null) {
-                    afterOperContent = operationDiscussionDoc.getStructureMap().get("手术经过");
-                    String operDateStr = operationDiscussionDoc.getStructureMap().get("手术日期");
-                    if (StringUtil.isNotBlank(operDateStr)) {
-                        afterOperDate = StringUtil.parseDateTime(operDateStr);
-                    }
-                    if (StringUtil.isNotBlank(afterOperContent) && afterOperDate != null) {
-                        operInfo.put(afterOperContent, afterOperDate);
-                    }
-                }
-            }
+            //手术记录
+            List<Map<String, String>> operationRecordStructMap = operationDocs
+                    .stream()
+                    .map(OperationDoc::getOperationRecordDoc)
+                    .filter(Objects::nonNull)
+                    .map(OperationRecordDoc::getStructureMap)
+                    .collect(Collectors.toList());
+            operationRecordStructMap.forEach(x -> getInfo(info, x, "手术记录", "病历日期", "手术经过"));
+            //术后首程
+            List<Map<String, String>> operationDiscussionStructMap = operationDocs
+                    .stream()
+                    .map(OperationDoc::getOperationDiscussionDoc)
+                    .filter(Objects::nonNull)
+                    .map(OperationDiscussionDoc::getStructureMap)
+                    .collect(Collectors.toList());
+            operationDiscussionStructMap.forEach(x -> getInfo(info, x, "术后首程", "记录日期", "手术经过", "治疗计划和措施"));
+        }
+
+        //从会诊记录中获取信息
+        if (consultationDocs.size() > 0) {
+            List<Map<String, String>> consultationResultStructMap = consultationDocs
+                    .stream()
+                    .map(ConsultationDoc::getConsultationResultsDoc)
+                    .filter(Objects::nonNull)
+                    .map(ConsultationResultsDoc::getStructureMap)
+                    .collect(Collectors.toList());
+            consultationResultStructMap.forEach(x -> getInfo(info, x, "会诊结果单", "会诊日期及时间", "会诊意见"));
+        }
+
+        //从出院小结中获取信息
+        if (leaveHospitalDoc != null) {
+            Map<String, String> structureMap = leaveHospitalDoc.getStructureMap();
+            getInfo(info, structureMap, "出院小结", "出院时间", "诊治经过");
         }
 
         String infoStr = "";
         for (Map.Entry<Date, String> doctorAdviceDrug : doctorAdviceDrugMap.entrySet()) {
             Date doctorAdviceDate = doctorAdviceDrug.getKey();
             String drugs = doctorAdviceDrug.getValue();
-            String[] drugArr = drugs.split(regex);
+            drugs = removeBracket(drugs);
+            Set<String> splitDrugs = CatalogueUtil.getRegexWords(drugs, "[(（\\[][^\\[\\]()（）]+[\\]）)]")
+                    .stream().filter(x -> !x.equals("合资") && !x.equals("进口") && !x.equals("国产")).collect(Collectors.toSet());
             String missDrug = "";
-            //入院记录中找药
-            if (StringUtil.isNotBlank(behospContent) && behospDate != null) {
-                missDrug = getMissDrug(behospContent, behospDate, doctorAdviceDate, drugArr, 2, missDrug);
-                if (StringUtil.isBlank(missDrug)) {//文本中已找到该激素
-                    continue;
-                }
-            }
-            //从首程治疗计划中找药
-            if (StringUtil.isNotBlank(firstCourseContent) && firstCourseDate != null) {
-                missDrug = getMissDrug(firstCourseContent, firstCourseDate, doctorAdviceDate, drugArr, 2, missDrug);
-                if (StringUtil.isBlank(missDrug)) {
-                    continue;
-                }
-            }
-            for (Map.Entry<String, Date> info : operInfo.entrySet()) {
-                missDrug = getMissDrug(info.getKey(), info.getValue(), doctorAdviceDate, drugArr, 2, missDrug);
-                //当前激素药（drugs）在手术记录或术后首次病程录中已找到，直接跳出当前循环
+            for (Map.Entry<String, Date> map : info.entrySet()) {
+                missDrug = getMissDrug(map.getKey(), map.getValue(), doctorAdviceDate, splitDrugs, 2, missDrug);
+                //当前激素药（drugs）在info中已找到，直接跳出当前循环
                 if (StringUtil.isBlank(missDrug)) {
                     break;
                 }
@@ -141,32 +144,76 @@ public class THR02986 extends QCCatalogue {
             if (StringUtil.isBlank(missDrug)) {
                 continue;
             }
+            boolean modelFind = false;
+            int wardNum = 0;
             for (ThreeLevelWardDoc threeLevelWardDoc : allDoctorWradDocs) {
+                /*****************纯文本匹配******************/
                 Map<String, String> wardDocStructureMap = threeLevelWardDoc.getStructureMap();
                 String wardDateStr = wardDocStructureMap.get("查房日期");
                 String content = wardDocStructureMap.get("病情记录") + wardDocStructureMap.get("治疗计划和措施");
                 Date wardDate = StringUtil.parseDateTime(wardDateStr);
-                missDrug = getMissDrug(content, wardDate, doctorAdviceDate, drugArr, 2, missDrug);
+                missDrug = getMissDrug(content, wardDate, doctorAdviceDate, splitDrugs, 2, missDrug);
                 //当前激素药（drugs）在查房记录中已找到，直接跳出当前查房记录的循环
-                if (StringUtil.isBlank(missDrug)) {
+                /*****************药品相似度模型******************/
+                List<ThreeLevelWardLabel> label = threeLevelWardDoc.getThreeLevelWardLabel();
+                if (label.size() > 0) {
+                    List<Drug> drugList = label.get(0).getDrugs();
+                    for (Drug drug : drugList) {
+                        for (String adDrug : splitDrugs) {
+                            if (compareStandard(drug.getName(), adDrug)) {
+                                modelFind = true;
+                                break;
+                            }
+                        }
+                        if (modelFind) {
+                            break;
+                        }
+                    }
+                }
+                if (StringUtil.isNotBlank(missDrug) && !modelFind) {//missDrug不为空，只有两种可能：1.确实是缺失的药    2.字符串为“时间不匹配”
+                    wardNum++;                                      //当前所有查房记录都没找到药，该医嘱时间再与系统当前时间对比，若超过48小时则提示该药缺失
+                }
+                if (StringUtil.isBlank(missDrug) || modelFind) {
                     break;
                 }
             }
+            //如果目前所有查房记录都没有
+            if (wardNum == allDoctorWradDocs.size() && CatalogueUtil.compareTime(doctorAdviceDate, new Date(), 48 * 60L)) {
+                infoStr = CatalogueUtil.concatInfo(infoStr, splitDrugs.toString().replaceAll("[\\[\\]]", "") + "(" + DateUtil.formatDate(doctorAdviceDate) + ")");
+                continue;
+            }
 
-            if (StringUtil.isNotBlank(missDrug) && !"时间不匹配".equals(missDrug)) {
-                infoStr = CatalogueUtil.concatInfo(infoStr, missDrug);
+            if (StringUtil.isNotBlank(missDrug) && !"时间不匹配".equals(missDrug) && !modelFind) {
+                infoStr = CatalogueUtil.concatInfo(infoStr, missDrug + "(" + DateUtil.formatDate(doctorAdviceDate) + ")");
             }
         }
         if (StringUtil.isNotBlank(infoStr)) {
-            status.set("-1");
-            info.set(infoStr);
+            this.status.set("-1");
+            this.info.set(infoStr);
         } else {
-            status.set("0");
+            this.status.set("0");
         }
     }
 
     /**
-     * 从文本中找药
+     * 获取各模块信息<入院记录、首次病程录、手术记录、术后首程、会诊结果单、查房记录、出院小结>
+     *
+     * @param structureMap
+     * @param info
+     */
+    private void getInfo(Map<String, Date> info, Map<String, String> structureMap, String modelType, String dateKey, String... contentKey) {
+        String content = CatalogueUtil.structureMapJoin(structureMap, Lists.newArrayList(contentKey));
+        String recordDateStr = structureMap.get(dateKey);
+        if (StringUtil.isNotBlank(recordDateStr)) {
+            Date date = StringUtil.parseDateTime(recordDateStr);
+            if (StringUtil.isNotBlank(content) && date != null) {
+                info.put(modelType + "->" + content, date);
+            }
+        }
+    }
+
+    /**
+     * 核心：从文本中找药
      *
      * @param content          文本
      * @param wardDate
@@ -175,18 +222,21 @@ public class THR02986 extends QCCatalogue {
      * @param days
      * @return 如果文本中找到该药，则返回空字符串
      */
-    private String getMissDrug(String content, Date wardDate, Date doctorAdviceDate, String[] drugs, int days, String missDrug) {
+    private String getMissDrug(String content, Date wardDate, Date doctorAdviceDate, Set<String> drugs, int days, String missDrug) {
         if ("时间不匹配".equals(missDrug)) {
             missDrug = "";//初始化缺失药物
         }
-        if (doctorAdviceDate.before(wardDate) && !CatalogueUtil.compareTime(doctorAdviceDate, wardDate, days * 24 * 60L)) {
+        //开医嘱时间起，昨天今天明天记录内查找药
+        if ((doctorAdviceDate.before(wardDate) && !CatalogueUtil.compareTime(doctorAdviceDate, wardDate, days * 24 * 60L))
+                || (wardDate.before(doctorAdviceDate) && !CatalogueUtil.compareTime(wardDate, doctorAdviceDate, 24 * 60L))) {
             boolean findDrug = false;
             for (String drug : drugs) {
                 if (StringUtil.isBlank(drug)) {
                     continue;
                 }
                 if (content.contains(drug.replaceAll("[^\\u4e00-\\u9fa5]", ""))
-                        || regexFind(content, "继续", "治疗") || regexFind(content, "维持", "治疗")) {
+                        || regexFind(content, "继续", "治疗") || regexFind(content, "维持", "治疗")
+                        || regexFind(content, "继续", "抗感染") || regexFind(content, "治疗", "同前")) {
                     findDrug = true;
                     break;
                 } else {
@@ -194,7 +244,7 @@ public class THR02986 extends QCCatalogue {
                 }
             }
             if (findDrug) {
-                missDrug = "";//如果找到一种激素药，就把报错信息置为空
+                missDrug = "";//如果找到一种抗生素药，就把报错信息置为空
             }
         } else {
             if (StringUtil.isBlank(missDrug)) {
@@ -225,4 +275,108 @@ public class THR02986 extends QCCatalogue {
         Matcher m = p.matcher(content);
         return m.find();
     }
+
+    /**
+     * 比较两个抗生素标准词是否一致
+     *
+     * @param firstWord
+     * @param secordWord
+     * @return
+     */
+    private boolean compareStandard(String firstWord, String secordWord) {
+        if (StringUtil.isBlank(firstWord) || StringUtil.isBlank(secordWord)) {
+            return false;
+        }
+        String drugStandardWord1 = similarityUtil.getDrugStandardWord(firstWord);
+        String drugStandardWord2 = similarityUtil.getDrugStandardWord(secordWord);
+        if (drugStandardWord1 == null || drugStandardWord2 == null) {
+            return firstWord.equals(secordWord) || firstWord.contains(secordWord) || secordWord.contains(firstWord);
+        }
+        return drugStandardWord1.equals(drugStandardWord2);
+    }
+
+    /**
+     * 如果文本包含中括号（[海正]美罗培南针），取括号之后的文字
+     *
+     * @param str
+     * @return
+     */
+    private String removeBracket(String str) {
+        if (str.contains("]") && str.indexOf("]") != str.length() - 1) {
+            return str.substring(str.indexOf("]") + 1);
+        }
+        return str;
+    }
+
+    private static final String[] KSS = {
+            "瑞格列奈片",
+            "西格列汀片",
+            "维格列汀片",
+            "伏格列波糖片",
+            "[合资]二甲双胍片",
+            "[进口]硫辛酸针",
+            "[合资]阿卡波糖片",
+            "格列齐特缓释片",
+            "达格列净片",
+            "[合资]格列美脲片",
+            "[绿叶]阿卡波糖胶囊",
+            "[海汇]格列美脲片",
+            "格列吡嗪缓释胶囊",
+            "[国产]阿卡波糖片",
+            "格列吡嗪控释片",
+            "[国产]二甲双胍片",
+            "吡格列酮二甲双胍片",
+            "沙格列汀片",
+            "[艾可拓]吡格列酮片",
+            "阿仑膦酸钠维D3片",
+            "[卡司平]吡格列酮片",
+            "[国产]硫辛酸针",
+            "格列喹酮片",
+            "[国产]阿仑膦酸钠肠溶片",
+            "那格列奈片",
+            "[自备]格列齐特-II片",
+            "[特]门冬胰岛素针",
+            "[预填充]甘精胰岛素针",
+            "[优泌乐50]精蛋白锌赖脯胰岛素针",
+            "[特30]门冬胰岛素30针",
+            "左旋甲状腺素片",
+            "胰岛素针",
+            "[进口]奥曲肽针",
+            "[优泌乐25]精蛋白锌赖脯胰岛素针",
+            "[国产]生长抑素针",
+            "[国产]特利加压素针",
+            "[国产]奥曲肽针",
+            "[诺和灵30R]精蛋白生物合成人胰岛素针",
+            "谷赖胰岛素针",
+            "地特胰岛素针",
+            "[进口]生长抑素针",
+            "甲巯咪唑片",
+            "降钙素针",
+            "[优泌乐]赖脯胰岛素针",
+            "利拉鲁肽针",
+            "重组甘精胰岛素针",
+            "[70/30]精蛋白锌重组人胰岛素针",
+            "[预灌封优泌乐50]精蛋白锌赖脯胰岛素针",
+            "黄体酮针",
+            "地屈孕酮片",
+            "50/50混合重组人胰岛素针",
+            "炔诺酮片",
+            "[进口]特利加压素针",
+            "戊酸雌二醇片",
+            "4.5iu生长激素针",
+            "生物合成人胰岛素针",
+            "米非司酮片",
+            "[进口]黄体酮软胶囊",
+            "十一酸睾酮胶囊",
+            "[芯中效]精蛋白锌重组人胰岛素针",
+            "[国产]丙硫氧嘧啶片",
+            "[国产]黄体酮胶囊",
+            "[芯常规]重组人胰岛素针",
+            "[自备]重组甘精胰岛素针",
+            "[密盖息]降钙素鼻喷剂",
+            "甲羟孕酮片",
+            "替勃龙片",
+            "[金尔力]降钙素鼻喷剂",
+            "雷洛昔芬片"
+    };
 }