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package com.supervision.service.impl;
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import cn.hutool.core.bean.BeanUtil;
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import cn.hutool.core.collection.CollUtil;
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import cn.hutool.core.collection.CollectionUtil;
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import cn.hutool.core.util.NumberUtil;
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import cn.hutool.core.util.ObjectUtil;
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import cn.hutool.core.util.StrUtil;
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import com.supervision.exception.BusinessException;
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import com.supervision.model.Process;
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import com.supervision.model.*;
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import com.supervision.pojo.vo.*;
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import com.supervision.service.*;
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import com.supervision.vo.ask.TreatmentPlanRecordVo;
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import com.supervision.vo.manage.DiseaseTreatmentPlanResVo;
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import com.supervision.vo.result.AncillaryRecordByResultDTO;
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import com.supervision.vo.result.PhysicalRecordByResultDTO;
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import lombok.RequiredArgsConstructor;
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import org.springframework.stereotype.Service;
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import java.math.BigDecimal;
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import java.math.RoundingMode;
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import java.util.*;
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import java.util.concurrent.ConcurrentHashMap;
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import java.util.function.Function;
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import java.util.function.Predicate;
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import java.util.stream.Collectors;
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@Service
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@RequiredArgsConstructor
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public class AskDiagnosisResultServiceImpl implements AskDiagnosisResultService {
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private final DiagnosisPrimaryService diagnosisPrimaryService;
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private final AskPatientAnswerService askPatientAnswerService;
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private final MedicalRecService medicalRecService;
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private final DiagnosisQaRecordService diagnosisQaRecordService;
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private final DiagnosisPhysicalRecordService diagnosisPhysicalRecordService;
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private final DiagnosisAncillaryRecordService diagnosisAncillaryRecordService;
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private final ProcessService processService;
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private final DiseaseService diseaseService;
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private final TreatmentPlanRecordService treatmentPlanRecordService;
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private final DiseaseTreatmentPlanService diseaseTreatmentPlanService;
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private final DiseaseTreatmentPlanDrugService diseaseTreatmentPlanDrugService;
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private final DiseasePhysicalService diseasePhysicalService;
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private final DiseaseAncillaryService diseaseAncillaryService;
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@Override
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public DiagnosisResultResVO queryDiagnosisResult(String processId) {
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DiagnosisResultResVO diagnosisResultResVO = new DiagnosisResultResVO();
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diagnosisResultResVO.setId(processId);
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Process process = processService.getById(processId);
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MedicalRec medicalRec = medicalRecService.getById(process.getMedicalRecId());
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List<Disease> diseasesList = diseaseService.listDiseaseNestIfComposite(medicalRec.getDiseaseId());
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// 1.生成预期诊断结果
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diagnosisResultResVO.setExpertDiagnosisResult(creatExpertDiagnosisResult(medicalRec, diseasesList, processId));
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// 2.生成初步诊断依据
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diagnosisResultResVO.setBasisPrimaryResultResVO(createBasisPrimaryResult(medicalRec, process));
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// 3.生成证实诊断依据
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diagnosisResultResVO.setBasisConfirmResultResVO(createBasisConfirmResult(medicalRec, processId));
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// 4.生成鉴别诊断依据
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diagnosisResultResVO.setBasisIdentificationResult(createBasisIdentificationResult(medicalRec, processId));
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// 5.全面检查-(暂无相关数据) 后面再看
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diagnosisResultResVO.setFullCheck(null);
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// 6.处置方案
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diagnosisResultResVO.setDealPlan(createDealPlan(process.getDiseaseId(), processId));
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return diagnosisResultResVO;
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}
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private DealPlanResVO createDealPlan(String diseaseId, String processId) {
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DealPlanResVO dealPlanResVO = new DealPlanResVO();
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// 1. 查询处置计划记录
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List<? extends TreatmentPlanRecord> treatmentPlanRecordList = treatmentPlanRecordService.queryByProcessId(processId);
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if (CollectionUtil.isEmpty(treatmentPlanRecordList)) {
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return dealPlanResVO;
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}
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// 2. 查询出疾病处置计划
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List<DiseaseTreatmentPlanResVo> diseaseTreatmentPlanResVos = diseaseTreatmentPlanService.queryListByDiseaseId(diseaseId);
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List<String> planIds = diseaseTreatmentPlanResVos.stream().map(DiseaseTreatmentPlanResVo::getPlanId).distinct().collect(Collectors.toList());
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// 3. 查出疾病处置计划用药
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List<DiseaseTreatmentPlanDrug> diseaseTreatmentPlanDrugList = diseaseTreatmentPlanDrugService.lambdaQuery().eq(DiseaseTreatmentPlanDrug::getDiseaseId, diseaseId).list();
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List<String> drugIds = diseaseTreatmentPlanDrugList.stream().map(DiseaseTreatmentPlanDrug::getDrugId).distinct().collect(Collectors.toList());
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// 4. 组装数据
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ArrayList<TreatmentPlanRecordVo> drugTreatmentPlanResults = new ArrayList<>();
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ArrayList<TreatmentPlanRecordVo> otherTreatmentPlanResults = new ArrayList<>();
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for (TreatmentPlanRecord treatmentPlanRecord : treatmentPlanRecordList) {
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TreatmentPlanRecordVo bean = BeanUtil.toBean(treatmentPlanRecord, TreatmentPlanRecordVo.class);
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boolean flag = StrUtil.isNotEmpty(bean.getDrugId()) ? drugIds.contains(bean.getDrugId()) : planIds.contains(bean.getTreatmentPlanId());
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bean.setFlag(flag ? 1 : 0);
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if (StrUtil.isNotEmpty(bean.getDrugId())) {
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drugTreatmentPlanResults.add(bean);
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} else {
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otherTreatmentPlanResults.add(bean);
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}
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}
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dealPlanResVO.setUserTreatmentPlanType(CollectionUtil.getFirst(treatmentPlanRecordList).getDisposalMethod());
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dealPlanResVO.setDrugTreatmentPlan(drugTreatmentPlanResults);
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dealPlanResVO.setOtherTreatmentPlan(otherTreatmentPlanResults.stream().sorted(
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Comparator.comparing(TreatmentPlanRecord::getDisposalPlan)).collect(Collectors.toList()));
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return dealPlanResVO;
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}
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private BasisIdentificationResultResVO createBasisIdentificationResult(MedicalRec medicalRec, String processId) {
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BasisIdentificationResultResVO basisIdentificationResultResVO = new BasisIdentificationResultResVO();
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// 鉴别诊断依据,来自于medicalRec的DifferentialDiagnosisCriteria
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basisIdentificationResultResVO.setIdentificationDiagnosis(medicalRec.getDifferentialDiagnosisCriteria());
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// 2.2 获取体格检查
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List<PhysicalRecordByResultDTO> physicalRecordList = diagnosisPhysicalRecordService.queryPhysicalResultByProcessId(processId);
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List<BasisDiagnosisNodeResVO> nodeList = physicalRecordList.stream()
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.filter(distinctPredicateNotNull(PhysicalRecordByResultDTO::getToolLocationName)).map(e -> {
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BasisDiagnosisNodeResVO nodeResVO = new BasisDiagnosisNodeResVO();
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nodeResVO.setType(1);
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nodeResVO.setRecordName(e.getToolLocationName());
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nodeResVO.setRecordId(e.getRecordId());
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nodeResVO.setCorrect(
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(ObjectUtil.isNotNull(e.getBasisConfirm()) && 1 == e.getBasisIdentification() && Objects.equals(e.getBasisIdentification(), e.getRecordBasisIdentificationFlag()))
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? 1 : 0);
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return nodeResVO;
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}).collect(Collectors.toList());
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// 2.3 获取辅助检查
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List<AncillaryRecordByResultDTO> ancillaryRecordList = diagnosisAncillaryRecordService.queryAncillaryResultByProcessId(processId);
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List<BasisDiagnosisNodeResVO> collect = ancillaryRecordList.stream()
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.filter(distinctPredicateNotNull(AncillaryRecordByResultDTO::getItemName)).map(e -> {
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BasisDiagnosisNodeResVO nodeResVO = new BasisDiagnosisNodeResVO();
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nodeResVO.setCorrect(
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(ObjectUtil.isNotNull(e.getBasisConfirm()) && 1 == e.getBasisIdentification() && Objects.equals(e.getBasisIdentification(), e.getRecordBasisIdentificationFlag()))
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? 1 : 0);
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nodeResVO.setRecordId(e.getRecordId());
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nodeResVO.setRecordName(e.getItemName());
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nodeResVO.setType(2);
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return nodeResVO;
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}).collect(Collectors.toList());
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nodeList.addAll(collect);
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basisIdentificationResultResVO.setNodeList(nodeList);
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return basisIdentificationResultResVO;
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}
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private BasisConfirmResultResVO createBasisConfirmResult(MedicalRec medicalRec, String processId) {
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BasisConfirmResultResVO basisConfirmResultResVO = new BasisConfirmResultResVO();
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// 证实诊断依据,来自于medicalRec的ConfirmDiagnosisCriteria
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basisConfirmResultResVO.setConfirmingDiagnosis(medicalRec.getConfirmDiagnosisCriteria());
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// 2.2 获取体格检查的证实诊断依据
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List<PhysicalRecordByResultDTO> physicalRecordList = diagnosisPhysicalRecordService.queryPhysicalResultByProcessId(processId);
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List<BasisDiagnosisNodeResVO> nodeList = physicalRecordList.stream()
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.filter(distinctPredicateNotNull(PhysicalRecordByResultDTO::getToolLocationName)).map(e -> {
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BasisDiagnosisNodeResVO nodeResVO = new BasisDiagnosisNodeResVO();
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nodeResVO.setType(1);
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nodeResVO.setRecordName(e.getToolLocationName());
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nodeResVO.setRecordId(e.getRecordId());
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nodeResVO.setCorrect(
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(ObjectUtil.isNotNull(e.getBasisConfirm()) && 1 == e.getBasisConfirm() && Objects.equals(e.getBasisConfirm(), e.getRecordBasisConfirmFlag()))
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? 1 : 0);
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return nodeResVO;
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}).collect(Collectors.toList());
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// 2.3 获取辅助检查
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List<AncillaryRecordByResultDTO> ancillaryRecordList = diagnosisAncillaryRecordService.queryAncillaryResultByProcessId(processId);
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List<BasisDiagnosisNodeResVO> collect = ancillaryRecordList.stream()
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.filter(distinctPredicateNotNull(AncillaryRecordByResultDTO::getItemName)).map(e -> {
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BasisDiagnosisNodeResVO nodeResVO = new BasisDiagnosisNodeResVO();
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nodeResVO.setCorrect(
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(ObjectUtil.isNotNull(e.getBasisConfirm()) && 1 == e.getBasisConfirm() && Objects.equals(e.getBasisConfirm(), e.getRecordBasisConfirmFlag()))
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? 1 : 0);
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nodeResVO.setRecordId(e.getRecordId());
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nodeResVO.setRecordName(e.getItemName());
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nodeResVO.setType(2);
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return nodeResVO;
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}).collect(Collectors.toList());
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nodeList.addAll(collect);
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basisConfirmResultResVO.setNodeList(nodeList);
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return basisConfirmResultResVO;
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}
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private BasisPrimaryResultResVO createBasisPrimaryResult(MedicalRec medicalRec, Process process) {
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BasisPrimaryResultResVO basisPrimaryResultResVO = new BasisPrimaryResultResVO();
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// 初步诊断依据 vp_medical_rec的primarily_diagnosis_criteria
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basisPrimaryResultResVO.setPreliminaryDiagnosis(medicalRec.getPrimarilyDiagnosisCriteria());
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// 根据record记录寻找符合初步诊断依据的项目
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// 2.1 首先获取对话
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List<BasisDiagnosisNodeResVO> basisDiagnosisNodeResVOS = new ArrayList<>();
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List<DiagnosisQaRecord> qaRecordList = diagnosisQaRecordService.lambdaQuery().eq(DiagnosisQaRecord::getProcessId, process.getId()).list();
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if (CollectionUtil.isNotEmpty(qaRecordList)) {
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List<AskPatientAnswer> list = askPatientAnswerService.lambdaQuery()
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.eq(AskPatientAnswer::getMedicalId, medicalRec.getId()).list();
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// 获取配置了答案的项目(配置了答案的,认为是正确,没有配置答案的,走默认回答的,不标记为以正确)
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Set<String> requireCheckIdSet = list.stream().map(AskPatientAnswer::getId).collect(Collectors.toSet());
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List<BasisDiagnosisNodeResVO> qaList = qaRecordList.stream().map(e -> {
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BasisDiagnosisNodeResVO node = new BasisDiagnosisNodeResVO();
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node.setType(0);
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node.setRecordName(e.getQuestion());
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node.setRecordId(e.getId());
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node.setCorrect(requireCheckIdSet.contains(e.getAnswerId()) ? 1 : 0);
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return node;
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}).collect(Collectors.toList());
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basisDiagnosisNodeResVOS.addAll(qaList);
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}
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// 2.2 获取体格检查
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List<PhysicalRecordByResultDTO> physicalRecordList = diagnosisPhysicalRecordService.queryPhysicalResultByProcessId(process.getId());
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List<BasisDiagnosisNodeResVO> physicalList = physicalRecordList.stream()
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.filter(distinctPredicateNotNull(PhysicalRecordByResultDTO::getToolLocationName)).map(e -> {
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BasisDiagnosisNodeResVO nodeResVO = new BasisDiagnosisNodeResVO();
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nodeResVO.setType(1);
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nodeResVO.setRecordName(e.getToolLocationName());
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nodeResVO.setRecordId(e.getRecordId());
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// 如果是初步诊断依据
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nodeResVO.setCorrect(e.getPrimarilyDiagnosisCriteriaFlag());
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return nodeResVO;
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}).collect(Collectors.toList());
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basisDiagnosisNodeResVOS.addAll(physicalList);
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// 2.3 获取辅助检查
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List<AncillaryRecordByResultDTO> ancillaryRecordList = diagnosisAncillaryRecordService.queryAncillaryResultByProcessId(process.getId());
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List<BasisDiagnosisNodeResVO> collect = ancillaryRecordList.stream()
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.filter(distinctPredicateNotNull(AncillaryRecordByResultDTO::getItemName)).map(e -> {
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BasisDiagnosisNodeResVO nodeResVO = new BasisDiagnosisNodeResVO();
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nodeResVO.setCorrect(e.getPrimarilyDiagnosisCriteriaFlag());
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nodeResVO.setRecordId(e.getRecordId());
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nodeResVO.setRecordName(e.getItemName());
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nodeResVO.setType(2);
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return nodeResVO;
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}).collect(Collectors.toList());
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basisDiagnosisNodeResVOS.addAll(collect);
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basisPrimaryResultResVO.setNodeList(basisDiagnosisNodeResVOS);
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return basisPrimaryResultResVO;
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}
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/**
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* 预期诊断结果
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*/
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private ExpertDiagnosisResultResVO creatExpertDiagnosisResult(MedicalRec medicalRec, List<Disease> diseasesList, String processId) {
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ExpertDiagnosisResultResVO expertDiagnosisResultResVO = new ExpertDiagnosisResultResVO();
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expertDiagnosisResultResVO.setDiagnosis(diseasesList.stream().map(Disease::getDiseaseNameAlias).collect(Collectors.joining(";")));
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Set<String> expertDiseaseIdSet = diseasesList.stream().map(Disease::getId).collect(Collectors.toSet());
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// 从vp_diagnosis_primary中找到确认诊断时,确认的
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List<DiagnosisPrimary> userPrimaryDiseaseList = diagnosisPrimaryService.lambdaQuery()
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.eq(DiagnosisPrimary::getProcessId, processId)
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// 1确诊
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.eq(DiagnosisPrimary::getExcludeFlag, 1).list();
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List<Disease> userDiagnosisDiseaseList = CollUtil.isEmpty(userPrimaryDiseaseList) ? CollUtil.newArrayList()
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: diseaseService.listByIds(userPrimaryDiseaseList.stream().map(DiagnosisPrimary::getPrimaryDiagnosisId).collect(Collectors.toList()));
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// 用户的诊断
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expertDiagnosisResultResVO.setUserDiagnosisResult(userDiagnosisDiseaseList.stream().map(e -> {
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DiagnosisDiseaseResultNodeVO userNode = new DiagnosisDiseaseResultNodeVO();
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userNode.setDiseaseName(e.getDiseaseNameAlias());
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// 如果用户诊断在预期诊断里面,则正确,否则错误
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userNode.setCorrect(expertDiseaseIdSet.contains(e.getId()) ? 1 : 0);
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userNode.setDiseaseId(e.getId());
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return userNode;
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}).collect(Collectors.toList()));
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// 预期诊断
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expertDiagnosisResultResVO.setExpertDiagnosisResult(diseasesList.stream().map(e -> {
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DiagnosisDiseaseResultNodeVO node = new DiagnosisDiseaseResultNodeVO();
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node.setDiseaseName(e.getDiseaseNameAlias());
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node.setDiseaseId(e.getId());
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return node;
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}).collect(Collectors.toList()));
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return expertDiagnosisResultResVO;
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}
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public static <K> Predicate<K> distinctPredicateNotNull(Function<K, Object> function) {
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ConcurrentHashMap<Object, Boolean> map = new ConcurrentHashMap<>();
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// 根据key进行去重,并排除为null的数据
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return t -> null != function.apply(t) && null == map.putIfAbsent(function.apply(t), true);
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}
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/**
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* 生成雷达图
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* <p>
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* ( 用户命中病历配置问题数 / 病历问题总数 ) * (用户提问命中病历配置问题数 / 用户实际提问的数量 )
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* <p>
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* Q:是否要区分是否是正常的检查结果？
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* A:雷达图 不管正常异常检查结果 只看该不该检查这个项目
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* Q:该不该，指的是病历的配置项是吗？只要配置了，就是该检查的
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* A:是的
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*
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* @param processId
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*/
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@Override
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public RadarChartResVO queryRadarChart(String processId) {
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Process process = Optional.ofNullable(processService.getById(processId)).orElseThrow(() -> new BusinessException("未找到流程"));
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// 生成问诊雷达图
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BigDecimal askChart = computeAskChart(process);
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// 生成体格检查雷达图
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BigDecimal physicalChart = computePhysicalChart(process);
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// 生成辅助检查雷达图
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BigDecimal ancillaryChart = computeAncillaryChart(process);
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// 生成处置计划雷达图
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BigDecimal treatmentPlanChart = computeTreatmentPlanChart(process);
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RadarChartResVO radarChartResVO = new RadarChartResVO();
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radarChartResVO.setAskChart(askChart);
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radarChartResVO.setPhysicalChart(physicalChart);
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radarChartResVO.setAncillaryChart(ancillaryChart);
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radarChartResVO.setTreatmentPlanChart(treatmentPlanChart);
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BigDecimal clinicalThinking = NumberUtil.add(askChart, physicalChart, ancillaryChart, treatmentPlanChart).divide(BigDecimal.valueOf(4), 1, RoundingMode.HALF_UP);
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radarChartResVO.setClinicalThinking(clinicalThinking);
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return radarChartResVO;
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}
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/**
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* 生成处置计划雷达图
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* ( 用户命中病历治疗计划配置问题数 / 疾病配置的治疗计划总数 ) * (用户命中病历治疗计划配置问题数 / 用户实际填写的治疗计划的数量 )
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*/
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private BigDecimal computeTreatmentPlanChart(Process process) {
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// 查询用户填写的治疗计划
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List<TreatmentPlanRecord> userTreatmentPlanRecordList = treatmentPlanRecordService.lambdaQuery().eq(TreatmentPlanRecord::getProcessId, process.getId()).list();
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int userTreatmentPlanCount = userTreatmentPlanRecordList.size();
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// 查询疾病配置的治疗计划
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List<DiseaseTreatmentPlan> planList = diseaseTreatmentPlanService.lambdaQuery().eq(DiseaseTreatmentPlan::getDiseaseId, process.getDiseaseId()).select(DiseaseTreatmentPlan::getId).list();
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List<String> planIdList = planList.stream().map(DiseaseTreatmentPlan::getId).collect(Collectors.toList());
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// 疾病配置的治疗计划总数
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int medicalCount = planIdList.size();
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// 找到用户配置的药物计划
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List<DiseaseTreatmentPlanDrug> drugList = diseaseTreatmentPlanDrugService.lambdaQuery().eq(DiseaseTreatmentPlanDrug::getDiseaseId, process.getDiseaseId()).select(DiseaseTreatmentPlanDrug::getDrugId).list();
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List<String> drugIdList = drugList.stream().map(DiseaseTreatmentPlanDrug::getDrugId).collect(Collectors.toList());
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int hitPlanCount = 0;
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for (TreatmentPlanRecord treatmentPlanRecord : userTreatmentPlanRecordList) {
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// 需要分别看是否是药物计划
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if (StrUtil.isNotBlank(treatmentPlanRecord.getTreatmentPlanId()) && planIdList.contains(treatmentPlanRecord.getTreatmentPlanId())) {
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hitPlanCount++;
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}
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if (StrUtil.isNotBlank(treatmentPlanRecord.getDrugId()) && drugIdList.contains(treatmentPlanRecord.getDrugId())) {
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hitPlanCount++;
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}
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}
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// 过程数据3：问诊vs问诊正确率
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BigDecimal num3 = BigDecimal.ZERO;
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if (userTreatmentPlanCount > 0) {
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num3 = BigDecimal.valueOf(hitPlanCount).divide(BigDecimal.valueOf(userTreatmentPlanCount), 1, RoundingMode.HALF_UP);
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}
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// 过程数据2：问诊vs标准正确率
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BigDecimal num2 = BigDecimal.ZERO;
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if (medicalCount > 0) {
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num2 = BigDecimal.valueOf(hitPlanCount).divide(BigDecimal.valueOf(medicalCount), 1, RoundingMode.HALF_UP);
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}
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return num2.multiply(num3);
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}
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/**
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* 生成辅助检查雷达图
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* ( 用户命中病历配置问题数 / 病历问题总数 ) * (用户提问命中病历配置问题数 / 用户实际提问的数量 )
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*/
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private BigDecimal computeAncillaryChart(Process process) {
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Integer userHitCount = diagnosisAncillaryRecordService.lambdaQuery().isNotNull(DiagnosisAncillaryRecord::getAncillaryId)
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.eq(DiagnosisAncillaryRecord::getProcessId, process.getId()).count();
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Integer userCount = diagnosisAncillaryRecordService.lambdaQuery().eq(DiagnosisAncillaryRecord::getProcessId, process.getId()).count();
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Integer medicalCount = diseaseAncillaryService.lambdaQuery().eq(DiseaseAncillary::getDiseaseId, process.getDiseaseId()).count();
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// 过程数据3：问诊vs问诊正确率
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BigDecimal num3 = BigDecimal.ZERO;
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if (userCount > 0) {
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num3 = BigDecimal.valueOf(userHitCount).divide(BigDecimal.valueOf(userCount), 1, RoundingMode.HALF_UP);
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}
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// 过程数据2：问诊vs标准正确率
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BigDecimal num2 = BigDecimal.ZERO;
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if (medicalCount > 0) {
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num2 = BigDecimal.valueOf(userHitCount).divide(BigDecimal.valueOf(medicalCount), 1, RoundingMode.HALF_UP);
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}
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return num2.multiply(num3);
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}
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/**
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* 计算体格检查雷达图
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* 2. 体格检查:( 用户命中病历配置问题数 / 病历问题总数 ) * (用户提问命中病历配置问题数 / 用户实际提问的数量 )
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*/
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private BigDecimal computePhysicalChart(Process process) {
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// 查询用户命中病历配置问题数
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Integer userHitCount = diagnosisPhysicalRecordService.lambdaQuery().isNotNull(DiagnosisPhysicalRecord::getPhysicalId)
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.eq(DiagnosisPhysicalRecord::getProcessId, process.getId()).count();
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// 查询用户实际检查数量
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Integer userCount = diagnosisPhysicalRecordService.lambdaQuery().eq(DiagnosisPhysicalRecord::getProcessId, process.getId()).count();
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// 查询病例配置的数量
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Integer medicalCount = diseasePhysicalService.lambdaQuery().eq(DiseasePhysical::getDiseaseId, process.getDiseaseId()).count();
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// 过程数据3：问诊vs问诊正确率
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BigDecimal num3 = BigDecimal.ZERO;
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if (userCount > 0) {
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num3 = BigDecimal.valueOf(userHitCount).divide(BigDecimal.valueOf(userCount), 1, RoundingMode.HALF_UP);
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}
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// 过程数据2：问诊vs标准正确率
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BigDecimal num2 = BigDecimal.ZERO;
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if (medicalCount > 0) {
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num2 = BigDecimal.valueOf(userHitCount).divide(BigDecimal.valueOf(medicalCount), 1, RoundingMode.HALF_UP);
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}
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return num2.multiply(num3);
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}
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/**
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* 生成问诊雷达图数据
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* 1. 问诊: ( 用户提问命中病历配置问题数 / 病历问题总数 ) * (用户提问命中病历配置问题数 / 用户实际提问的数量 )
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* 问诊vs标准正确率 * 问诊vs问诊正确率 = 综合正确率
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* 上面的数量都是去重的,未识别出来的问题,不包含在用户提问的数据里面
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* 默认语句不参与统计
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*/
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public BigDecimal computeAskChart(Process process) {
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// 首先查询用户提问的病历问题(这里questionId不为null,即为识别出来的用户问题)
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List<DiagnosisQaRecord> qaRecordList = diagnosisQaRecordService.lambdaQuery().isNotNull(DiagnosisQaRecord::getQuestionLibraryId)
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.eq(DiagnosisQaRecord::getProcessId, process.getId()).list();
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// 用户实际提问数量(包含默认问题)
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Set<String> userQuestionIdSet = qaRecordList.stream().map(DiagnosisQaRecord::getQuestionLibraryId).collect(Collectors.toSet());
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// 查询病例配置的问题
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List<AskPatientAnswer> answerList = askPatientAnswerService.lambdaQuery().eq(AskPatientAnswer::getMedicalId, process.getMedicalRecId()).list();
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// 病历问题总数(统计非默认语句的病历问题总数)
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long medicalQuestionCount = answerList.stream().filter(e -> ObjectUtil.isNotEmpty(e.getAnswerType()) && 1 == e.getAnswerType()).count();
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// 用户实际提问的数量(去除默认问题)
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Set<String> defaultqQuestionIdSet = answerList.stream().filter(e -> ObjectUtil.isNotEmpty(e.getAnswerType()) && 0 == e.getAnswerType()).map(AskPatientAnswer::getLibraryQuestionId).collect(Collectors.toSet());
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userQuestionIdSet.removeAll(defaultqQuestionIdSet);
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int userQuestionCount = userQuestionIdSet.size();
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// 用户提问命中病历配置问题数(去除默认问题之后的交集)
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Collection<String> intersection = CollUtil.intersection(defaultqQuestionIdSet, answerList.stream().map(AskPatientAnswer::getLibraryQuestionId).collect(Collectors.toSet()));
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int userHitQuestionCount = intersection.size();
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// 过程数据3：问诊vs问诊正确率
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BigDecimal num3 = BigDecimal.ZERO;
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if (userQuestionCount > 0) {
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num3 = BigDecimal.valueOf(userHitQuestionCount).divide(BigDecimal.valueOf(userQuestionCount), 1, RoundingMode.HALF_UP);
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}
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// 过程数据2：问诊vs标准正确率
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BigDecimal num2 = BigDecimal.ZERO;
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if (medicalQuestionCount > 0) {
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num2 = BigDecimal.valueOf(userHitQuestionCount).divide(BigDecimal.valueOf(medicalQuestionCount), 1, RoundingMode.HALF_UP);
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}
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return num2.multiply(num3);
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}
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}
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