抗生素使用指征不明确

kernel/src/main/java/com/lantone/qc/kernel/catalogue/threelevelward/THR03044.java

@@ -1,17 +1,25 @@
 package com.lantone.qc.kernel.catalogue.threelevelward;
 
+import com.google.common.collect.ImmutableMap;
+import com.google.common.collect.ImmutableSet;
 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 com.lantone.qc.pub.model.doc.DoctorAdviceDoc;
+import com.lantone.qc.pub.model.doc.LisDoc;
 import com.lantone.qc.pub.model.doc.ward.AttendingDoctorWardDoc;
+import com.lantone.qc.pub.model.entity.Lis;
 import com.lantone.qc.pub.model.label.ThreeLevelWardLabel;
+import com.lantone.qc.pub.util.ListUtil;
 import com.lantone.qc.pub.util.StringUtil;
 import org.apache.commons.lang3.StringUtils;
 import org.springframework.stereotype.Component;
 
-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 : THR03044
@@ -21,44 +29,114 @@ import java.util.Map;
  */
 @Component
 public class THR03044 extends QCCatalogue {
+    public static Map<String, String> lisData = ImmutableMap.<String, String>builder().put("C—反应蛋白(CRP)","大于10mg/L")
+            .put("降钙素原检测","大于0.25ng/mL")
+            .put("白细胞计数(WBC)","小于0.4*11⁹/L")
+            .put("血培养及鉴定","细菌生长")
+            .put("痰培养及鉴定","细菌生长")
+            .put("尿培养加菌落计数","细菌生长")
+            .put("一般细菌涂片检查","细菌生长")
+            .put("内毒素鲎定性试验","阳性")
+            .put("常规药敏定性试验","阳性")
+            .put("细菌抗体测定","阳性")
+            .put("碱性磷酸酶染色","大于80分")
+            .put("红细胞沉降率测定(ESR)","大于25mm/h")
+            .put("肥达氏反应","≥1:160")
+            .put("外斐氏反应","≥1:160")
+            .put("尿白细胞计数","大于5个/高位视野")
+            .put("粪便白细胞","大于2个/高位视野")
+            .put("前列腺液白细胞","大于1个/高位视野")
+            .put("胸腹水细胞分类","白细胞计数大于500*10^6/L")
+            .build();
     public void start(InputInfo inputInfo, OutputInfo outputInfo) {
-        if (inputInfo.getThreeLevelWardDocs().size() == 0 || inputInfo.getBeHospitalizedDoc() == null) {
-            status.set("0");
+        status.set("0");
+        List<DoctorAdviceDoc> doctorAdviceDocs = inputInfo.getDoctorAdviceDocs();
+        List<LisDoc> lisDocs = inputInfo.getLisDocs();
+        if(doctorAdviceDocs.size() == 0 || lisDocs.size() == 0){
             return;
         }
-        List<AttendingDoctorWardDoc> attendDocs = inputInfo.getThreeLevelWardDocs().get(0).getAttendingDoctorWardDocs();
-        if (attendDocs.size() == 0) {
-            status.set("0");
-            return;
-        }
-        AttendingDoctorWardDoc firstAttendDoc = attendDocs.get(0);
-        //先取结构化数据判断
-        Map<String, String> firstAttendStructureMap = firstAttendDoc.getStructureMap();
-        String admisDateStr = inputInfo.getBeHospitalizedDoc().getStructureMap().get("入院日期");
-        String recordDateStr = firstAttendStructureMap.get("查房日期");
-        if (CatalogueUtil.isEmpty(admisDateStr) || CatalogueUtil.isEmpty(recordDateStr)) {
-            status.set("0");
-            return;
+
+        List<String> antibiotics = new ArrayList<>();
+        for (DoctorAdviceDoc doctorAdviceDoc:doctorAdviceDocs) {
+            Map<String, String> adviceDocStructureMap = doctorAdviceDoc.getStructureMap();
+            if(adviceDocStructureMap != null){
+                if(adviceDocStructureMap.get("医嘱项目名称").contains("抗生素")){
+                    antibiotics.add(adviceDocStructureMap.get("医嘱项目名称"));
+                }
+            }
         }
-        //如果首次查房超过48小时则不判断该条规则
-        if (CatalogueUtil.compareTime(StringUtil.parseDateTime(admisDateStr), StringUtil.parseDateTime(recordDateStr), 48 * 60L)) {
-            status.set("0");
+        if(antibiotics.size() == 0){
             return;
         }
-        if (StringUtil.isNotBlank(firstAttendStructureMap.get("病情记录"))) {
-            status.set("0");
-            return;
+
+        List<String> lises = new ArrayList<>();
+        Map<String,String> lisReportMap = new HashMap<>();
+
+        for (LisDoc lisDoc:lisDocs) {
+            Map<String, String> lisDocStructureMap = lisDoc.getStructureMap();
+            String lisName = lisDocStructureMap.get("报告名称").trim();
+            String result = lisDocStructureMap.get("检验结果");
+            lisReportMap.put(lisName,result);
+            if(!lises.contains(lisName)){
+                lises.add(lisName);
+            }
+
         }
-        ThreeLevelWardLabel firstAttendLabel = firstAttendDoc.getThreeLevelWardLabel();
-        if (firstAttendLabel == null) {
+        //如果这个病例的化验项目不在lisData，不报
+        Set<String> dataLises = lisData.keySet();
+        List<String> collect = dataLises.stream().collect(Collectors.toList());
+        collect.retainAll(lises);
+        if(collect.size() == 0){
             return;
         }
 
-        if (firstAttendLabel.getDiags().size() > 0
-                || StringUtil.isNotBlank(firstAttendLabel.getDiagBasisText())
-                || (firstAttendLabel.getDiffDiag().size() > 0 || StringUtils.isNotEmpty(firstAttendLabel.getDiffDiagText()))
-                || firstAttendLabel.getTreatmentPlans().size() > 0) {
-            status.set("0");
+        for (Map.Entry<String,String> lis:lisReportMap.entrySet()) {
+            String lisname = lis.getKey();
+            String result = lis.getValue();
+            if(collect.contains(lisname)){
+                String value = lisData.get(lisname);
+                String s = num_method(value);
+                System.out.println(s);
+                if(num_contain(result) && num_contain(s)){
+                    if(Float.parseFloat(result)>Float.parseFloat(s) && !value.contains("大于")){
+                        status.set("-1");
+                        return;
+                    }
+                    if(Float.parseFloat(result)<Float.parseFloat(s) && !value.contains("小于")){
+                        status.set("-1");
+                        return;
+                    }
+                }else {
+                    if(!result.equals(s)){
+                        status.set("-1");
+                        return;
+                    }
+                }
+
+
+            }
         }
+
+
+
+    }
+    public String num_method(String content){
+//        String compile = "(\\d+\\.\\d+)|(\\d+)";
+        String compile = "(\\d+\\.\\d+)";
+        Pattern p = Pattern.compile(compile);
+        Matcher matcher = p.matcher(content);
+        boolean b = matcher.find();
+        String group = matcher.group(1);
+        group = group == null? "":group;
+        return group;
+    }
+
+    public Boolean num_contain(String content){
+//        String compile = "(\\d+\\.\\d+)|(\\d+)";
+        String compile = "(\\d+)";
+        Pattern p = Pattern.compile(compile);
+        Matcher matcher = p.matcher(content);
+        boolean b = matcher.find();
+        return b;
     }
 }

public/src/main/java/com/lantone/qc/pub/model/InputInfo.java

@@ -57,6 +57,8 @@ public class InputInfo {
     private List<DifficultCaseDiscussDoc> difficultCaseDiscussDocs = new ArrayList<>();
     //医嘱信息
     private List<DoctorAdviceDoc> doctorAdviceDocs = new ArrayList<>();
+    //化验信息
+    private List<LisDoc> lisDocs = new ArrayList<>();
     //值班交接制度
     private List<DutyShiftSystemDoc> dutyShiftSystemDocs = new ArrayList<>();
     //首次病程录

public/src/main/java/com/lantone/qc/pub/model/doc/LisDoc.java

@@ -0,0 +1,15 @@
+package com.lantone.qc.pub.model.doc;
+
+import com.lantone.qc.pub.model.doc.ModelDoc;
+import lombok.Getter;
+import lombok.Setter;
+
+/**
+ * @Description: 化验文档
+ * @author: rengb
+ * @time: 2020/3/20 15:47
+ */
+@Getter
+@Setter
+public class LisDoc extends ModelDoc {
+}

trans/src/main/java/com/lantone/qc/trans/shaoyf/ShaoyfDocTrans.java

@@ -156,6 +156,11 @@ public class ShaoyfDocTrans extends DocTrans {
                 case "住院病历信息":
                     ShaoyfMedicalRecordInfoDocTrans medicalRecordInfoDocTrans = new ShaoyfMedicalRecordInfoDocTrans();
                     inputInfo.setMedicalRecordInfoDoc(medicalRecordInfoDocTrans.extract(i));
+                    break;
+                case "化验":
+                    ShaoyfLisDocTrans shaoyfLisDocTrans = new ShaoyfLisDocTrans();
+                    inputInfo.setLisDocs(shaoyfLisDocTrans.extract(i));
+                    break;
                 default:
                     break;
             }

trans/src/main/java/com/lantone/qc/trans/shaoyf/ShaoyfLisDocTrans.java

@@ -0,0 +1,37 @@
+package com.lantone.qc.trans.shaoyf;
+
+import com.google.common.collect.Lists;
+import com.lantone.qc.pub.model.doc.DoctorAdviceDoc;
+import com.lantone.qc.pub.model.doc.LisDoc;
+import com.lantone.qc.pub.model.vo.MedrecVo;
+import com.lantone.qc.pub.util.FastJsonUtils;
+import com.lantone.qc.trans.ModelDocTrans;
+
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @Description: 化验信息文档生成
+ * @author: rengb
+ * @time: 2020/3/19 19:41
+ */
+public class ShaoyfLisDocTrans extends ModelDocTrans {
+
+    @Override
+    public List<LisDoc> extract(MedrecVo medrecVo) {
+        List<LisDoc> retList = Lists.newArrayList();
+        List<String> contents = (List) medrecVo.getContent().get("content");
+        contents.forEach(content -> {
+            retList.add(getDoctorAdviceDoc((Map) FastJsonUtils.getJsonToMap(content)));
+        });
+        return retList;
+    }
+
+    private LisDoc getDoctorAdviceDoc(Map<String, String> content) {
+        LisDoc doctorAdviceDoc = new LisDoc();
+        doctorAdviceDoc.setStructureMap(content);
+        doctorAdviceDoc.setPageData((Map) content);
+        return doctorAdviceDoc;
+    }
+
+}