389 lines
19 KiB
C#
389 lines
19 KiB
C#
using HL_FristAidPlatform_DataBase;
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using HL_FristAidPlatform_Help;
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using HL_FristAidPlatform_IDataBase;
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using HL_FristAidPlatform_Models;
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using System;
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namespace HL_FristAidPlatform_Bussiness
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{
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public class ApoplexyPatientServiceBLL
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{
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IApoplexyPatientService service = new ApoplexyPatientService();
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IT_Service_Apoplexy_ZYYW zyywService = new T_Service_Apoplexy_ZYYWDB();
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IT_Service_Apoplexy_SHYW shywService = new T_Service_Apoplexy_SHYWDB();
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IT_Service_Patient patientService = new T_Service_PatientDB();
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IT_Service_Apoplexy_JKJY jkjyService = new T_Service_Apoplexy_JKJYDB();
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IT_Service_Apoplexy_TOAST toastService = new T_Service_Apoplexy_TOASTDB();
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IT_Service_Apoplexy_KFZL kfzlService = new T_Service_Apoplexy_KFZLDB();
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IT_Service_Apoplexy_PatientOutcome outcomeService = new T_Service_Apoplexy_PatientOutcomeDB();
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IT_Service_Apoplexy_Prehospital prehospitalService = new T_Service_Apoplexy_PrehospitalDB();
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IT_Service_PatientGrade gradeService = new T_Service_PatientGradeDB();
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IT_Service_Apoplexy_PatientsTimeAxis axisService = new T_Service_Apoplexy_PatientsTimeAxisDB();
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IT_Service_FirstAid_PatientGCS patientGCS = new T_Service_FirstAid_PatientGCSDB();
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/// <summary>
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/// 更新或新增住院治疗信息
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/// 1.住院治疗
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/// 2.CEA/CAS 术后药物治疗表
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/// </summary>
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/// <param name="model"></param>
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/// <returns></returns>
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public MessageModel<bool> SaveHospitalization(HospitalizationModel model)
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{
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T_Service_Patient patient = new T_Service_Patient();
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patient = patientService.Get(model.PatientGuid);
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if (patient == null)
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{
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return new MessageModel<bool> { Success = false, Msg = "该患者不存在" };
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}
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else
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{
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if (string.IsNullOrEmpty(patient.acZLType))
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{
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return new MessageModel<bool> { Success = false, Msg = "请先确定患者治疗类型及其他相关信息" };
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}
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if (!string.IsNullOrEmpty(patient.acZLType) && patient.acZLType == ";04;")
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{
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return new MessageModel<bool> { Success = false, Msg = "该患者治疗类型为：颅内动脉瘤,不需要填写该信息" };
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}
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//if (patient.AuditStatus == 2)
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//{
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// return new MessageModel<bool> { Success = false, Msg = "该患者病例审核状态已通过审核，无法修改" };
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//}
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T_Service_Apoplexy_ZYYW zyyw = new T_Service_Apoplexy_ZYYW();
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T_Service_Apoplexy_SHYW shyw = new T_Service_Apoplexy_SHYW();
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if (patient.acZLType.Contains("01") || patient.acZLType.Contains("02") || patient.acZLType.Contains("03"))
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{
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if ((patient.acZLType.Contains("01") || patient.acZLType.Contains("02")) && string.IsNullOrEmpty(model.YYXueXiaoBan))
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{
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return new MessageModel<bool> { Success = false, Msg = "是否抗血小板治疗参数不能为空" };
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}
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if (model.YYXueXiaoBan == "1" && string.IsNullOrEmpty(model.YYXxbYm))
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{
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return new MessageModel<bool> { Success = false, Msg = "抗血小板药物参数不能为空" };
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}
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if (model.YYXueXiaoBan == "1" && string.IsNullOrEmpty(model.YYXxbYm48Gy))
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{
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return new MessageModel<bool> { Success = false, Msg = "是否发病48小时内用药参数不能为空" };
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}
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if ((patient.acZLType.Contains("01") || patient.acZLType.Contains("02") || patient.acZLType.Contains("03")) && string.IsNullOrEmpty(model.YYJiangYa))
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{
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return new MessageModel<bool> { Success = false, Msg = "是否降压参数不能为空" };
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}
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if (model.YYJiangYa == "1" && string.IsNullOrEmpty(model.YYJyZl))
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{
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return new MessageModel<bool> { Success = false, Msg = "降压药物参数不能为空" };
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}
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if (model.YYTiaoZhi == "1" && string.IsNullOrEmpty(model.YYTzZl))
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{
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return new MessageModel<bool> { Success = false, Msg = "调脂药物参数不能为空" };
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}
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if (model.YYJiangTang == "1" && string.IsNullOrEmpty(model.YYJtZl))
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{
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return new MessageModel<bool> { Success = false, Msg = "降糖药物参数不能为空" };
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}
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T_Service_Apoplexy_ZYYW zyyw1 = zyywService.GetOfPatientGuid(model.PatientGuid);
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if (zyyw1 != null)
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{
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zyyw.UpdateID = model.CreatorID;
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zyyw.UpdateTime = DateTime.Now;
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zyyw.CreatorID = zyyw1.CreatorID;
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zyyw.GUID = zyyw1.GUID;
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}
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else
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{
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zyyw.CreatorID = model.CreatorID;
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}
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zyyw.PatientGuid = model.PatientGuid;
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zyyw.YYXueXiaoBan = model.YYXueXiaoBan;
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zyyw.YYXxbYm = model.YYXxbYm;
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zyyw.YYXxbYm48Gy = model.YYXxbYm48Gy;
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zyyw.YYKangNing = model.YYKangNing;
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zyyw.YYKnYm = model.YYKnYm;
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zyyw.YYJiangYa = model.YYJiangYa;
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zyyw.YYJyZl = model.YYJyZl;
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zyyw.YYTiaoZhi = model.YYTiaoZhi;
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zyyw.YYTzZl = model.YYTzZl;
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zyyw.YYJiangTang = model.YYJiangTang;
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zyyw.YYJtZl = model.YYJtZl;
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}
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if (patient.acZLType.Contains("05"))
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{
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if (string.IsNullOrEmpty(model.CEAYYXueXiaoBan))
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{
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return new MessageModel<bool> { Success = false, Msg = "抗血小板参数不能为空" };
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}
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if (model.CEAYYXueXiaoBan == "1" && string.IsNullOrEmpty(model.CEAYYXxbYm))
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{
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return new MessageModel<bool> { Success = false, Msg = "抗血小板药物参数不能为空" };
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}
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if (model.CEAYYXueXiaoBan == "2" && string.IsNullOrEmpty(model.Str1))
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{
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return new MessageModel<bool> { Success = false, Msg = "未用药参数不能为空" };
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}
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if (model.CEAYYKangNing == "1" && string.IsNullOrEmpty(model.CEAYYKnYm))
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{
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return new MessageModel<bool> { Success = false, Msg = "抗凝药物参数不能为空" };
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}
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if (model.CEAYYJiangYa == "1" && string.IsNullOrEmpty(model.CEAYYJyZl))
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{
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return new MessageModel<bool> { Success = false, Msg = "降压药物参数不能为空" };
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}
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if (model.CEATiaoZhi == "1" && string.IsNullOrEmpty(model.CEATzZl))
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{
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return new MessageModel<bool> { Success = false, Msg = "调脂药物参数不能为空" };
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}
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if (model.CEAJiangTang == "1" && string.IsNullOrEmpty(model.CEAJtZl))
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{
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return new MessageModel<bool> { Success = false, Msg = "降糖药物参数不能为空" };
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}
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T_Service_Apoplexy_SHYW shyw1 = shywService.GetOfPatientGuid(model.PatientGuid);
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if (shyw1 != null)
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{
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shyw.GUID = shyw1.GUID;
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shyw.CreatorID = shyw1.CreatorID;
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shyw.UpdateID = model.CreatorID;
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shyw.UpdateTime = DateTime.Now;
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}
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else
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{
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shyw.CreatorID = model.CreatorID;
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}
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shyw.CEAYYXueXiaoBan = model.CEAYYXueXiaoBan;
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shyw.CEAYYXxbYm = model.CEAYYXxbYm;
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shyw.Str1 = model.Str1;
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shyw.CEAYYKangNing = model.CEAYYKangNing;
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shyw.CEAYYKnYm = model.CEAYYKnYm;
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shyw.CEAYYJiangYa = model.CEAYYJiangYa;
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shyw.CEAYYJyZl = model.CEAYYJyZl;
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shyw.CEATiaoZhi = model.CEATiaoZhi;
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shyw.CEATzZl = model.CEATzZl;
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shyw.CEAJiangTang = model.CEAJiangTang;
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shyw.CEAJtZl = model.CEAJtZl;
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shyw.PatientGuid = model.PatientGuid;
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}
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T_Service_Apoplexy_NutritionalRisk nutritionalRisk = new T_Service_Apoplexy_NutritionalRisk();
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if (!string.IsNullOrEmpty(model.GUID))
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nutritionalRisk.GUID = model.GUID;
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nutritionalRisk.PatientGuid = model.PatientGuid;
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nutritionalRisk.Age = model.Age;
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nutritionalRisk.Disease = model.Disease;
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nutritionalRisk.Nutritional = model.Nutritional;
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if (service.SaveHospitalization(zyyw, shyw, nutritionalRisk))
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{
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return new MessageModel<bool> { Success = true, Msg = "保存成功" };
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}
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else
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{
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return new MessageModel<bool> { Success = false, Msg = "保存失败" };
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}
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}
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}
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/// <summary>
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/// 更新或新增患者转归信息
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/// </summary>
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/// <param name="jkjy"></param>
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/// <param name="toast"></param>
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/// <param name="kfzl"></param>
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/// <param name="outcome"></param>
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/// <returns></returns>
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public MessageModel<bool> SaveTurnOver(PatientTurnOverModel model)
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{
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T_Service_Patient patient = new T_Service_Patient();
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patient = patientService.Get(model.PatientGuid);
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if (patient == null)
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{
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return new MessageModel<bool> { Success = false, Msg = "该患者不存在" };
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}
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else
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{
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if (string.IsNullOrEmpty(patient.acZLType))
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{
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return new MessageModel<bool> { Success = false, Msg = "请先确定患者治疗类型及其他相关信息" };
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}
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//if (!string.IsNullOrEmpty(patient.acZLType) && patient.acZLType.Contains("98"))
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//{
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// return new MessageModel<bool> { Success = false, Msg = "患者治疗类型为：保守治疗。无需填写该信息" };
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//}
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//if (patient.AuditStatus == 2)
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//{
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// return new MessageModel<bool> { Success = false, Msg = "该患者病例审核状态已通过审核，无法修改" };
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//}
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//RYQK
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T_Service_Apoplexy_Prehospital prehospital = new T_Service_Apoplexy_Prehospital();
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prehospital = prehospitalService.GetOfPatient(model.PatientGuid);
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T_Service_Apoplexy_PatientOutcome outcome1 = new T_Service_Apoplexy_PatientOutcome();
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outcome1 = outcomeService.GetByPatientGuid(model.PatientGuid);
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patient.EmergencyState = 2;
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patient.Status = 2;
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patient.HospitalizationTime = model.HospitalizationTime;
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#region 健康教育
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T_Service_Apoplexy_JKJY jkjy = new T_Service_Apoplexy_JKJY();
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T_Service_Apoplexy_JKJY jkjy1 = new T_Service_Apoplexy_JKJY();
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jkjy1 = jkjyService.GetByPatientGuid(model.PatientGuid);
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if (jkjy1 != null)
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{
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jkjy.GUID = jkjy1.GUID;
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}
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jkjy.PatientGuid = model.PatientGuid;
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jkjy.JYEduWays = model.JYEduWays;
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jkjy.JYEduYN = model.JYEduYN;
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#endregion
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#region 康复治疗
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T_Service_Apoplexy_KFZL kfzl = new T_Service_Apoplexy_KFZL();
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T_Service_Apoplexy_KFZL kfzl1 = new T_Service_Apoplexy_KFZL();
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kfzl1 = kfzlService.GetByPatientGuid(model.PatientGuid);
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if (kfzl1 != null)
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{
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kfzl.GUID = kfzl1.GUID;
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}
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kfzl.PatientGuid = model.PatientGuid;
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kfzl.KFPlace = model.KFPlace;
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kfzl.KFWays = model.KFWays;
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kfzl.KFZLYN = model.KFZLYN;
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#endregion
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T_Service_Apoplexy_PatientOutcome outcome = new T_Service_Apoplexy_PatientOutcome();
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if (outcome1 != null)
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{
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outcome.GUID = outcome1.GUID;
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}
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outcome.CreateUser = model.CreateUser;
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outcome.PatientGuid = model.PatientGuid;
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T_Service_Apoplexy_PatientsTimeAxis axis = new T_Service_Apoplexy_PatientsTimeAxis();
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outcome.CYTime = model.CYTime;
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if (!string.IsNullOrEmpty(patient.acZLType) && string.IsNullOrEmpty(model.CYLyFs))
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{
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return new MessageModel<bool> { Success = false, Msg = "离院方式不能为空" };
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}
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outcome.CYLyFs = model.CYLyFs;
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outcome.CYSwSj = model.CYSwSj;
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outcome.CYDY = model.CYDY;
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outcome.CYSwYyOther = model.CYSwYyOther;
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outcome.CYSwYy = model.CYSwYy;
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outcome.CYMRSYesNo = model.CYMRSYesNo;
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outcome.CYMRS = model.CYMRS;
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outcome.CYNIHSSYesNo = model.CYNIHSSYesNo;
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outcome.CYNIHSS = model.CYNIHSS;
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string DMLLCType = prehospital.DMLLCType;
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outcome.ZWMPGCYGCSYN = model.ZWMPGCYGCSYN;
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outcome.ZWMPGCYGCS = model.ZWMPGCYGCS;
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outcome.Diagnosis = model.Diagnosis;
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outcome.RelatedDiagnosis = model.RelatedDiagnosis;
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outcome.Remark = model.Remark;
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outcome.HospitalDay = model.HospitalDay;
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outcome.AllInCost = model.AllInCost;
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outcome.MainDiagnosticName = model.MainDiagnosticName;
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outcome.MainDiagnosticCode = model.MainDiagnosticCode;
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outcome.OtherDiagnosticName1 = model.OtherDiagnosticName1;
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outcome.OtherDiagnosticCode1 = model.OtherDiagnosticCode1;
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outcome.OtherDiagnosticName2 = model.OtherDiagnosticName2;
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outcome.OtherDiagnosticCode2 = model.OtherDiagnosticCode2;
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outcome.OtherDiagnosticName3 = model.OtherDiagnosticName3;
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outcome.OtherDiagnosticCode3 = model.OtherDiagnosticCode3;
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outcome.OtherDiagnosticName4 = model.OtherDiagnosticName4;
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outcome.OtherDiagnosticCode4 = model.OtherDiagnosticCode4;
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outcome.OtherDiagnosticName5 = model.OtherDiagnosticName5;
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outcome.OtherDiagnosticCode5 = model.OtherDiagnosticCode5;
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outcome.OtherDiagnosticName6 = model.OtherDiagnosticName6;
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outcome.OtherDiagnosticCode6 = model.OtherDiagnosticCode6;
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outcome.OtherDiagnosticName7 = model.OtherDiagnosticName7;
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outcome.OtherDiagnosticCode7 = model.OtherDiagnosticCode7;
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outcome.OtherDiagnosticName8 = model.OtherDiagnosticName8;
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outcome.OtherDiagnosticCode8 = model.OtherDiagnosticCode8;
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outcome.OtherDiagnosticName9 = model.OtherDiagnosticName9;
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outcome.OtherDiagnosticCode9 = model.OtherDiagnosticCode9;
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outcome.OtherDiagnosticName10 = model.OtherDiagnosticName10;
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outcome.OtherDiagnosticCode10 = model.OtherDiagnosticCode10;
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outcome.OtherDiagnosticName11 = model.OtherDiagnosticName11;
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outcome.OtherDiagnosticCode11 = model.OtherDiagnosticCode11;
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outcome.OtherDiagnosticName12 = model.OtherDiagnosticName12;
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outcome.OtherDiagnosticCode12 = model.OtherDiagnosticCode12;
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outcome.OtherDiagnosticName13 = model.OtherDiagnosticName13;
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outcome.OtherDiagnosticCode13 = model.OtherDiagnosticCode13;
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outcome.OtherDiagnosticName14 = model.OtherDiagnosticName14;
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outcome.OtherDiagnosticCode14 = model.OtherDiagnosticCode14;
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outcome.OtherDiagnosticName15 = model.OtherDiagnosticName15;
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outcome.OtherDiagnosticCode15 = model.OtherDiagnosticCode15;
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outcome.DiagnosisTime = model.DiagnosisTime;
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outcome.TreatmentEffect = model.TreatmentEffect;
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outcome.Comorbidities = model.Comorbidities;
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outcome.DVT = model.DVT;
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outcome.DischargeDepartment = model.DischargeDepartment;
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outcome.DischargeDoctor = model.DischargeDoctor;
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T_Service_PatientNIHSS niss = new T_Service_PatientNIHSS();
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if (model.NIHSS != null && model.NIHSS.Flag > 0)
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{
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niss = model.NIHSS;
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niss.PatientGUID = model.PatientGuid;
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if (niss.Flag > 0)
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{
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if (patient.SystemModuleID == 3)//卒中
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{
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int rt = niss.RTopLimbScore == 9 ? 0 : niss.RTopLimbScore;
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int lt = niss.LTopLimbScore == 9 ? 0 : niss.LTopLimbScore;
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int lu = niss.LUpperLimbScore == 9 ? 0 : niss.LUpperLimbScore;
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int ru = niss.RUpperLimbScore == 9 ? 0 : niss.RUpperLimbScore;
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int at = niss.AtaxiaScore == 9 ? 0 : niss.AtaxiaScore;
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int dy = niss.DysarthriaScore == 9 ? 0 : niss.DysarthriaScore;
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niss.TotalScore = niss.QuestionScore + niss.LevelScore + niss.InstructScore + niss.GazeScore + niss.ViewScore + niss.PacioplegiaScore + rt + lt + lu + ru + at + niss.SenseScore + niss.LanguageScore + dy + niss.NeglectScore;
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}
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else
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{
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niss.TotalScore = niss.QuestionScore + niss.LevelScore + niss.InstructScore + niss.GazeScore + niss.ViewScore + niss.PacioplegiaScore + niss.LTopLimbScore + niss.RTopLimbScore + niss.LUpperLimbScore + niss.RUpperLimbScore + niss.AtaxiaScore + niss.SenseScore + niss.LanguageScore + niss.DysarthriaScore + niss.NeglectScore;
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}
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}
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}
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T_Service_PatientGCS gcs = new T_Service_PatientGCS();
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if (model.GCS != null && model.GCS.Flag > 0)
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{
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gcs = model.GCS;
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gcs.Flag = 2;
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gcs.CreateUser = model.CreateUser;
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gcs.PatientGUID = model.PatientGuid;
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}
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if (service.SaveTurnOver(patient, jkjy, kfzl, outcome, niss, gcs))
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{
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return new MessageModel<bool> { Success = true, Msg = "保存成功" };
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}
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else
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{
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return new MessageModel<bool> { Success = false, Msg = "保存失败" };
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}
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}
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}
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}
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}
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