virtual-patient/virtual-patient-model/src/main/java/com/supervision/service/impl/MedicalRecServiceImpl.java

package com.supervision.service.impl;

import cn.hutool.core.collection.CollUtil;
import cn.hutool.core.lang.Assert;
import cn.hutool.core.util.StrUtil;
import com.baomidou.mybatisplus.core.metadata.IPage;
import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
import com.supervision.exception.BusinessException;
import com.supervision.model.AskPatientAnswer;
import com.supervision.model.AskTemplateQuestionLibrary;
import com.supervision.model.CommonDic;
import com.supervision.model.MedicalRec;
import com.supervision.service.*;
import com.supervision.mapper.MedicalRecMapper;
import com.supervision.vo.manage.MedicalRecPageReqVO;
import com.supervision.vo.manage.MedicalRecPageResVO;
import com.supervision.vo.manage.MedicalRecQaVO;
import org.springframework.beans.factory.annotation.Autowired;
import org.springframework.stereotype.Service;

import java.util.HashMap;
import java.util.List;
import java.util.Map;
import java.util.Objects;
import java.util.function.Function;
import java.util.stream.Collectors;

/**
 * @author flevance
 * @description 针对表【vp_medical_rec(病历表)】的数据库操作Service实现
 * @createDate 2023-11-03 11:25:43
 */
@Service
public class MedicalRecServiceImpl extends ServiceImpl<MedicalRecMapper, MedicalRec>
        implements MedicalRecService {


    @Autowired
    private CommonDicService commonDicService;

    @Autowired
    private AskTemplateQuestionLibraryService askTemplateQuestionLibraryService;

    @Autowired
    private AskPatientAnswerService askPatientAnswerService;

    @Autowired
    private AskTemplateQuestionSimilarityService askTemplateQuestionSimilarityService;

    /**
     * 病历管理-列表查询
     *
     * @param medicalRecPageReqVO
     * @param pageNum
     * @param pageSize
     * @return
     */
    @Override
    public IPage<MedicalRecPageResVO> queryMedicalRecManagePage(MedicalRecPageReqVO medicalRecPageReqVO, Integer pageNum, Integer pageSize) {
        return this.baseMapper.queryMedicalRecManagePage(medicalRecPageReqVO, new Page<>(pageNum, pageSize));
    }

    /**
     * 生成一个病历编码,是最大的病历编码+1
     *
     * @param code   医院名称缩写
     * @param gender 性别 M 男 F 女
     * @param id     记录ID
     */
    @Override
    public void updateMedicalRecNo(String code, String gender, String id) {
        this.baseMapper.updateMedicalRecNo(code, gender, id);
    }


    /**
     * 保存问询问题
     *
     * @param qaList       病历问题列表
     * @param medicalRecId 病历id
     *                     answerType  0系统默认问题，1病历问询问题
     */
    @Override
    public void saveAskPatientAnswerListByMedicalRec(List<MedicalRecQaVO> qaList, String medicalRecId) {
        List<MedicalRecQaVO> medicalRecQaVOS = queryMedicalDefaultAnswer(null);
        saveAskPatientAnswer(qaList, medicalRecId, 1);
        saveAskPatientAnswer(medicalRecQaVOS, medicalRecId, 0);
    }


    private void saveAskPatientAnswer(List<MedicalRecQaVO> qaList, String medicalRecId, Integer answerType) {
        if (CollUtil.isEmpty(qaList)) {
            return;
        }

        for (MedicalRecQaVO medicalRecQaVO : qaList) {
            if (StrUtil.isBlank(medicalRecQaVO.getLibraryQuestionId())) {
                throw new BusinessException("问题ID不能为空");
            }
            AskPatientAnswer askPatientAnswer = new AskPatientAnswer();
            askPatientAnswer.setLibraryQuestionId(medicalRecQaVO.getLibraryQuestionId());
            askPatientAnswer.setAnswer(medicalRecQaVO.getMedicalRecAnswer());
            askPatientAnswer.setMedicalId(medicalRecId);
            askPatientAnswer.setAnswerType(answerType);
            askPatientAnswer.setQuestion(CollUtil.getFirst(medicalRecQaVO.getQuestionList()));
            askPatientAnswer.insert();
        }
    }


    public List<MedicalRecQaVO> queryMedicalDefaultAnswer(String medicalRecId) {

        CommonDic systemDic = commonDicService.lambdaQuery().eq(CommonDic::getGroupCode, "AQT").eq(CommonDic::getCode, "system").one();
        Assert.notNull(systemDic, "未找到系统问题");
        List<CommonDic> childCommonDicList = commonDicService.lambdaQuery().eq(CommonDic::getGroupCode, "AQT")
                .eq(CommonDic::getParentId, systemDic.getId()).list();
        Assert.notNull(childCommonDicList, "未找到系统问题下的子问题");
        Map<Long, CommonDic> childCommonDicMap = childCommonDicList.stream().collect(Collectors.toMap(CommonDic::getId, Function.identity()));
        final Map<String, List<String>> libraryMapQuestion = new HashMap<>();
        // 从疾病问题记录中查询数据
        if (StrUtil.isNotEmpty(medicalRecId)) {
            List<AskPatientAnswer> askPatientAnswerList = askPatientAnswerService.lambdaQuery()
                    .eq(AskPatientAnswer::getMedicalId, medicalRecId).eq(AskPatientAnswer::getAnswerType, 0).list();

            final Map<String, AskTemplateQuestionLibrary> libraryMap = new HashMap<>();

            if (CollUtil.isNotEmpty(askPatientAnswerList)) {
                // 查询问题库信息
                List<String> questionIds = askPatientAnswerList.stream()
                        .map(AskPatientAnswer::getLibraryQuestionId).filter(Objects::nonNull).collect(Collectors.toList());
                Map<String, List<String>> libraryMapQuestionTmp = askTemplateQuestionSimilarityService.querySimilarityQuestionMapByLibraryIds(questionIds);
                libraryMapQuestion.putAll(libraryMapQuestionTmp);
                Map<String, AskTemplateQuestionLibrary> libraryMapTemp = askTemplateQuestionLibraryService.listByIds(questionIds)
                        .stream().collect(Collectors.toMap(AskTemplateQuestionLibrary::getId, Function.identity()));
                libraryMap.putAll(libraryMapTemp);
            }
            return askPatientAnswerList.stream().map(e -> {
                MedicalRecQaVO medicalRecQaVO = new MedicalRecQaVO();
                medicalRecQaVO.setId(e.getId());
                medicalRecQaVO.setLibraryQuestionId(e.getLibraryQuestionId());
                medicalRecQaVO.setMedicalRecAnswer(e.getAnswer());
                // 组装问题列表 和 字典数据
                AskTemplateQuestionLibrary askTemplateQuestionLibrary = libraryMap.get(e.getLibraryQuestionId());
                if (Objects.nonNull(askTemplateQuestionLibrary)) {
                    medicalRecQaVO.setQuestionList(libraryMapQuestion.get(e.getLibraryQuestionId()));
                    Long dictId = askTemplateQuestionLibrary.getDictId();
                    if (Objects.nonNull(dictId)) {
                        medicalRecQaVO.setDictId(dictId);
                        medicalRecQaVO.setDictNamePath(childCommonDicMap.getOrDefault(dictId, new CommonDic()).getNameZhPath());
                    }
                }
                return medicalRecQaVO;
            }).collect(Collectors.toList());
        }

        // 从问题库中查询数据
        List<Long> commonDicIdList = childCommonDicList.stream().map(CommonDic::getId).collect(Collectors.toList());
        List<AskTemplateQuestionLibrary> askTemplateQuestionLibraryList = askTemplateQuestionLibraryService.lambdaQuery().in(AskTemplateQuestionLibrary::getDictId, commonDicIdList).list();
        return askTemplateQuestionLibraryList.stream().map(e -> {
            MedicalRecQaVO medicalRecQaVO = new MedicalRecQaVO();
            medicalRecQaVO.setLibraryQuestionId(e.getId());
            medicalRecQaVO.setDictNamePath(childCommonDicMap.getOrDefault(e.getDictId(), new CommonDic()).getNameZhPath());
            medicalRecQaVO.setQuestionList(libraryMapQuestion.get(e.getId()));
            return medicalRecQaVO;
        }).collect(Collectors.toList());
    }


    /**
     * 查询疾病信息根据病例id
     * @param medicalRecId 病例id
     * @return 疾病的名称（diseaseName）和别名（diseaseNameAlias）
     */
    @Override
    public Map<String, String> queryDissesInfoByMedicalRecId(String medicalRecId) {
        return this.baseMapper.queryDissesInfoByMedicalRecId(medicalRecId);
    }
}