【指标十二】恶性肿瘤化学治疗记录符合率(MER-D&T-02) 【指标十三】恶性肿瘤放射治疗记录符合率(MER-D & T-03)

kernel/src/main/java/com/lantone/qc/kernel/catalogue/threelevelward/THR03120.java

@@ -0,0 +1,104 @@
+package com.lantone.qc.kernel.catalogue.threelevelward;
+
+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.DoctorAdviceDoc;
+import com.lantone.qc.pub.model.doc.FirstPageRecordDoc;
+import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
+import com.lantone.qc.pub.util.ListUtil;
+import com.lantone.qc.pub.util.StringUtil;
+import org.springframework.stereotype.Component;
+
+import java.util.ArrayList;
+import java.util.Arrays;
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @ClassName : THR03120
+ * @Description: 病程记录未记录恶性肿瘤化学治疗相关信息
+ * @author: zh
+ * @time: 2021/04/19 11:22
+ */
+@Component
+public class THR03120 extends QCCatalogue {
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        /**
+         * 【指标十二】恶性肿瘤化学治疗记录符合率(MER-D&T-02)
+         * 1、首先判断是否为恶性肿瘤患者
+         * 2、再进一步从医嘱判断是否为化学治疗患者
+         * 3、在病程记录中查找是否存在治疗记录
+         */
+        status.set("0");
+        boolean flag = false;
+        FirstPageRecordDoc firstPageRecordDoc = inputInfo.getFirstPageRecordDoc();
+        if (firstPageRecordDoc == null) {
+            return;
+        }
+
+        Map<String, Object> structureMap = firstPageRecordDoc.getStructureExtMap();
+        List<Map<String, String>> dischargeDiag = (List) structureMap.get(Content.dischargeDiag);
+        if (ListUtil.isEmpty(dischargeDiag)) {
+            return;
+        }
+
+        for (Map<String, String> diagMap : dischargeDiag) {
+            if (StringUtil.isBlank(diagMap.get("诊断名称")) || StringUtil.isBlank(diagMap.get("诊断编码"))) {
+                continue;
+            }
+            if (diagMap.get("诊断名称").contains("恶性肿瘤") && diagMap.get("诊断编码").toUpperCase().startsWith("C")) {
+                //初步判断为一个恶性肿瘤患者
+                flag = true;
+                break;
+            }
+        }
+        List<String> chemotherapyDrugList = new ArrayList<>();
+        if (flag) {
+            //进一步去医嘱中判断是否为恶性肿瘤化学治疗患者
+            List<DoctorAdviceDoc> doctorAdviceDocs = inputInfo.getDoctorAdviceDocs();
+            if (ListUtil.isEmpty(doctorAdviceDocs)) {
+                return;
+            }
+
+            for (DoctorAdviceDoc doctorAdviceDoc : doctorAdviceDocs) {
+                Map<String, String> doctorAdviceDocStrMap = doctorAdviceDoc.getStructureMap();
+                String daStatus = doctorAdviceDocStrMap.get(Content.doctorAdviceState);
+                if (StringUtil.isEmpty(daStatus) || (StringUtil.isNotEmpty(daStatus) && !daStatus.equals(Content.cancellationOrder))) {
+                    //取临时医嘱
+                    String doctorAsks = doctorAdviceDocStrMap.get(Content.doctorAdviceType);
+                    if (StringUtil.isEmpty(doctorAsks)) {
+                        continue;
+                    }
+                    if (Content.statOrder.equals(doctorAsks)) {
+                        String daItemName = doctorAdviceDocStrMap.get(Content.medicalOrderName);
+                        if (Arrays.asList(Content.chemotherapyDrugList).contains(daItemName)) {
+                            chemotherapyDrugList.add(daItemName);
+                        }
+                    }
+                }
+            }
+        }
+
+        if (ListUtil.isNotEmpty(chemotherapyDrugList)) {
+            for (String chemotherapyDrug : chemotherapyDrugList) {
+                //为一个恶性肿瘤化学治疗患者
+                status.set("-1");
+                List<ThreeLevelWardDoc> threeLevelWardDocs = inputInfo.getThreeLevelWardDocs();
+                if (ListUtil.isNotEmpty(threeLevelWardDocs)) {
+                    List<ThreeLevelWardDoc> allDoctorWradDocs = threeLevelWardDocs.get(0).getAllDoctorWradDocs();
+                    for (ThreeLevelWardDoc allDoctorWradDoc : allDoctorWradDocs) {
+                        String illness = allDoctorWradDoc.getStructureMap().get(Content.illnessRecords);
+                        //判断病程记录是否记录
+                        //病程记录中若是含有疗程两字并且含有化疗药物则为记录
+                        if (illness.contains(chemotherapyDrug) && (illness.contains("疗程") || illness.contains("化疗") || illness.contains("化学治疗"))) {
+                            status.set("0");
+                            return;
+                        }
+                    }
+                }
+            }
+        }
+    }
+}

kernel/src/main/java/com/lantone/qc/kernel/catalogue/threelevelward/THR03121.java

@@ -0,0 +1,104 @@
+package com.lantone.qc.kernel.catalogue.threelevelward;
+
+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.DoctorAdviceDoc;
+import com.lantone.qc.pub.model.doc.FirstPageRecordDoc;
+import com.lantone.qc.pub.model.doc.ThreeLevelWardDoc;
+import com.lantone.qc.pub.util.ListUtil;
+import com.lantone.qc.pub.util.StringUtil;
+import org.springframework.stereotype.Component;
+
+import java.util.ArrayList;
+import java.util.Arrays;
+import java.util.List;
+import java.util.Map;
+
+/**
+ * @ClassName : THR03121
+ * @Description: 病程记录未记录恶性肿瘤放射治疗相关信息
+ * @author: wangsy
+ * @time: 2021/04/19 11:22
+ */
+@Component
+public class THR03121 extends QCCatalogue {
+    public void start(InputInfo inputInfo, OutputInfo outputInfo) {
+        /**
+         * 【指标十三】恶性肿瘤放射治疗记录符合率(MER-D & T-03)
+         * 1、首先判断是否为恶性肿瘤患者
+         * 2、再进一步从医嘱判断是否为放射治疗患者
+         * 3、在病程记录中查找是否存在治疗记录
+         */
+        status.set("0");
+        boolean flag = false;
+        FirstPageRecordDoc firstPageRecordDoc = inputInfo.getFirstPageRecordDoc();
+        if (firstPageRecordDoc == null) {
+            return;
+        }
+
+        Map<String, Object> structureMap = firstPageRecordDoc.getStructureExtMap();
+        List<Map<String, String>> dischargeDiag = (List) structureMap.get(Content.dischargeDiag);
+        if (ListUtil.isEmpty(dischargeDiag)) {
+            return;
+        }
+
+        for (Map<String, String> diagMap : dischargeDiag) {
+            if (StringUtil.isBlank(diagMap.get("诊断名称")) || StringUtil.isBlank(diagMap.get("诊断编码"))) {
+                continue;
+            }
+            if (diagMap.get("诊断名称").contains("恶性肿瘤") && diagMap.get("诊断编码").toUpperCase().startsWith("C")) {
+                //初步判断为一个恶性肿瘤患者
+                flag = true;
+                break;
+            }
+        }
+        List<String> chemotherapyDrugList = new ArrayList<>();
+        if (flag) {
+            //进一步去医嘱中判断是否为恶性肿瘤放射治疗患者
+            List<DoctorAdviceDoc> doctorAdviceDocs = inputInfo.getDoctorAdviceDocs();
+            if (ListUtil.isEmpty(doctorAdviceDocs)) {
+                return;
+            }
+
+            for (DoctorAdviceDoc doctorAdviceDoc : doctorAdviceDocs) {
+                Map<String, String> doctorAdviceDocStrMap = doctorAdviceDoc.getStructureMap();
+                String daStatus = doctorAdviceDocStrMap.get(Content.doctorAdviceState);
+                if (StringUtil.isEmpty(daStatus) || (StringUtil.isNotEmpty(daStatus) && !daStatus.equals(Content.cancellationOrder))) {
+                    //取临时医嘱
+                    String doctorAsks = doctorAdviceDocStrMap.get(Content.doctorAdviceType);
+                    if (StringUtil.isEmpty(doctorAsks)) {
+                        continue;
+                    }
+                    if (Content.statOrder.equals(doctorAsks)) {
+                        String daItemName = doctorAdviceDocStrMap.get(Content.medicalOrderName);
+                        if (Arrays.asList(Content.radiotherapyDrugList).contains(daItemName)) {
+                            chemotherapyDrugList.add(daItemName);
+                        }
+                    }
+                }
+            }
+        }
+
+        if (ListUtil.isNotEmpty(chemotherapyDrugList)) {
+            for (String chemotherapyDrug : chemotherapyDrugList) {
+                //为一个恶性肿瘤放射治疗患者
+                status.set("-1");
+                List<ThreeLevelWardDoc> threeLevelWardDocs = inputInfo.getThreeLevelWardDocs();
+                if (ListUtil.isNotEmpty(threeLevelWardDocs)) {
+                    List<ThreeLevelWardDoc> allDoctorWradDocs = threeLevelWardDocs.get(0).getAllDoctorWradDocs();
+                    for (ThreeLevelWardDoc allDoctorWradDoc : allDoctorWradDocs) {
+                        String illness = allDoctorWradDoc.getStructureMap().get(Content.illnessRecords);
+                        //判断病程记录是否记录
+                        //病程记录中若是含有疗程两字并且含有放射药物则为记录
+                        if (illness.contains(chemotherapyDrug) && (illness.contains("疗程") || illness.contains("放疗") || illness.contains("放射治疗"))) {
+                            status.set("0");
+                            return;
+                        }
+                    }
+                }
+            }
+        }
+    }
+}