refactor(infection): 移除CDSS临床决策支持相关功能

- 删除CdssAppServiceImpl实现类及其接口ICdssAppService
- 移除CdssController控制器及相关的API端点
- 删除BusinessAnalyticsController业务分析控制器
- 移除V71__cdss.sql数据库迁移脚本
- 清理所有与CDSS规则和告警相关的代码
This commit is contained in:
2026-06-18 19:29:39 +08:00
parent 09dbd5e9f0
commit 6a2a579fec
5 changed files with 0 additions and 274 deletions

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package com.healthlink.his.web.infection.appservice;
import com.healthlink.his.infection.domain.CdssAlert;
import com.healthlink.his.infection.domain.CdssRule;
import java.util.List;
import java.util.Map;
public interface ICdssAppService {
Map<String, Object> evaluateRules(Long encounterId);
List<CdssAlert> getAlerts(Long encounterId);
boolean acknowledgeAlert(Long alertId);
List<CdssRule> getRules(Map<String, Object> params);
}

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package com.healthlink.his.web.infection.appservice.impl;
import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
import com.healthlink.his.infection.domain.CdssAlert;
import com.healthlink.his.infection.domain.CdssRule;
import com.healthlink.his.infection.service.ICdssAlertService;
import com.healthlink.his.infection.service.ICdssRuleService;
import com.healthlink.his.web.infection.appservice.ICdssAppService;
import lombok.AllArgsConstructor;
import lombok.extern.slf4j.Slf4j;
import org.springframework.stereotype.Service;
import org.springframework.transaction.annotation.Transactional;
import java.util.*;
import java.util.stream.Collectors;
@Service
@Slf4j
@AllArgsConstructor
public class CdssAppServiceImpl implements ICdssAppService {
private final ICdssRuleService cdssRuleService;
private final ICdssAlertService cdssAlertService;
@Override
@Transactional(rollbackFor = Exception.class)
public Map<String, Object> evaluateRules(Long encounterId) {
log.info("CDSS规则评估开始, encounterId={}", encounterId);
List<CdssRule> enabledRules = cdssRuleService.list(
new LambdaQueryWrapper<CdssRule>()
.eq(CdssRule::getEnabled, true)
);
List<CdssAlert> newAlerts = new ArrayList<>();
for (CdssRule rule : enabledRules) {
CdssAlert alert = new CdssAlert();
alert.setEncounterId(encounterId);
alert.setPatientId(0L);
alert.setRuleId(rule.getId());
alert.setAlertType(rule.getRuleType());
alert.setAlertMessage("[" + rule.getRuleName() + "] " + rule.getSuggestion());
alert.setSeverity(rule.getSeverity());
alert.setAcknowledged(false);
cdssAlertService.save(alert);
newAlerts.add(alert);
}
Map<String, Object> result = new HashMap<>();
result.put("totalRules", enabledRules.size());
result.put("newAlertCount", newAlerts.size());
result.put("newAlerts", newAlerts);
result.put("evaluateTime", new Date());
log.info("CDSS规则评估完成: {}条规则, 生成{}条告警", enabledRules.size(), newAlerts.size());
return result;
}
@Override
public List<CdssAlert> getAlerts(Long encounterId) {
LambdaQueryWrapper<CdssAlert> wrapper = new LambdaQueryWrapper<>();
wrapper.eq(CdssAlert::getEncounterId, encounterId);
wrapper.orderByDesc(CdssAlert::getCreateTime);
return cdssAlertService.list(wrapper);
}
@Override
@Transactional(rollbackFor = Exception.class)
public boolean acknowledgeAlert(Long alertId) {
CdssAlert alert = cdssAlertService.getById(alertId);
if (alert == null) {
return false;
}
alert.setAcknowledged(true);
alert.setAcknowledgedTime(new Date());
return cdssAlertService.updateById(alert);
}
@Override
public List<CdssRule> getRules(Map<String, Object> params) {
LambdaQueryWrapper<CdssRule> wrapper = new LambdaQueryWrapper<>();
String ruleType = getStr(params, "ruleType");
if (ruleType != null && !ruleType.isEmpty()) {
wrapper.eq(CdssRule::getRuleType, ruleType);
}
String severity = getStr(params, "severity");
if (severity != null && !severity.isEmpty()) {
wrapper.eq(CdssRule::getSeverity, severity);
}
String keyword = getStr(params, "keyword");
if (keyword != null && !keyword.isEmpty()) {
wrapper.and(w -> w.like(CdssRule::getRuleName, keyword)
.or().like(CdssRule::getRuleCode, keyword));
}
wrapper.orderByDesc(CdssRule::getCreateTime);
return cdssRuleService.list(wrapper);
}
private String getStr(Map<String, Object> params, String key) {
Object v = params.get(key);
return v != null ? v.toString() : null;
}
}

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package com.healthlink.his.web.infection.controller;
import com.core.common.core.domain.R;
import com.healthlink.his.infection.domain.CdssAlert;
import com.healthlink.his.infection.domain.CdssRule;
import com.healthlink.his.web.infection.appservice.ICdssAppService;
import io.swagger.v3.oas.annotations.Operation;
import io.swagger.v3.oas.annotations.tags.Tag;
import lombok.AllArgsConstructor;
import lombok.extern.slf4j.Slf4j;
import org.springframework.security.access.prepost.PreAuthorize;
import org.springframework.web.bind.annotation.*;
import java.util.List;
import java.util.Map;
@Tag(name = "CDSS临床决策支持")
@RestController
@RequestMapping("/infection/cdss")
@Slf4j
@AllArgsConstructor
public class CdssController {
private final ICdssAppService cdssAppService;
@Operation(summary = "评估规则生成告警")
@PreAuthorize("@ss.hasPermi('infection:cdss:edit')")
@PostMapping("/evaluate")
public R<?> evaluateRules(@RequestParam Long encounterId) {
log.info("CDSS规则评估, encounterId={}", encounterId);
return R.ok(cdssAppService.evaluateRules(encounterId));
}
@Operation(summary = "获取告警列表")
@PreAuthorize("@ss.hasPermi('infection:cdss:list')")
@GetMapping("/alerts/{encounterId}")
public R<?> getAlerts(@PathVariable Long encounterId) {
return R.ok(cdssAppService.getAlerts(encounterId));
}
@Operation(summary = "确认告警")
@PreAuthorize("@ss.hasPermi('infection:cdss:edit')")
@PostMapping("/alerts/{id}/acknowledge")
public R<?> acknowledgeAlert(@PathVariable Long id) {
return R.ok(cdssAppService.acknowledgeAlert(id));
}
@Operation(summary = "查询规则列表")
@PreAuthorize("@ss.hasPermi('infection:cdss:list')")
@GetMapping("/rules")
public R<?> getRules(
@RequestParam(value = "ruleType", required = false) String ruleType,
@RequestParam(value = "severity", required = false) String severity,
@RequestParam(value = "keyword", required = false) String keyword) {
Map<String, Object> params = new java.util.HashMap<>();
if (ruleType != null) params.put("ruleType", ruleType);
if (severity != null) params.put("severity", severity);
if (keyword != null) params.put("keyword", keyword);
return R.ok(cdssAppService.getRules(params));
}
}

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package com.healthlink.his.web.quality.controller;
import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
import com.core.common.core.domain.R;
import com.healthlink.his.quality.domain.BusinessAnalytics;
import com.healthlink.his.quality.service.IBusinessAnalyticsService;
import lombok.AllArgsConstructor;
import lombok.extern.slf4j.Slf4j;
import org.springframework.transaction.annotation.Transactional;
import org.springframework.util.StringUtils;
import org.springframework.web.bind.annotation.*;
import java.math.BigDecimal;
import java.util.*;
@RestController
@RequestMapping("/business-analytics")
@Slf4j
@AllArgsConstructor
public class BusinessAnalyticsController {
private final IBusinessAnalyticsService analyticsService;
@GetMapping("/page")
public R<?> getPage(
@RequestParam(value = "departmentName", required = false) String deptName,
@RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
@RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
LambdaQueryWrapper<BusinessAnalytics> w = new LambdaQueryWrapper<>();
w.like(StringUtils.hasText(deptName), BusinessAnalytics::getDepartmentName, deptName)
.orderByDesc(BusinessAnalytics::getStatDate);
return R.ok(analyticsService.page(new Page<>(pageNo, pageSize), w));
}
@PostMapping("/add")
@Transactional(rollbackFor = Exception.class)
public R<?> add(@RequestBody BusinessAnalytics analytics) {
analytics.setCreateTime(new Date());
analyticsService.save(analytics);
return R.ok(analytics);
}
@GetMapping("/summary")
public R<?> getSummary() {
Map<String, Object> summary = new HashMap<>();
List<BusinessAnalytics> list = analyticsService.list();
BigDecimal totalRevenue = BigDecimal.ZERO, totalCost = BigDecimal.ZERO;
int totalPatients = 0;
for (BusinessAnalytics ba : list) {
totalRevenue = totalRevenue.add(ba.getRevenue() != null ? ba.getRevenue() : BigDecimal.ZERO);
totalCost = totalCost.add(ba.getCost() != null ? ba.getCost() : BigDecimal.ZERO);
totalPatients += ba.getPatientCount() != null ? ba.getPatientCount() : 0;
}
summary.put("totalRecords", list.size());
summary.put("totalRevenue", totalRevenue);
summary.put("totalCost", totalCost);
summary.put("totalProfit", totalRevenue.subtract(totalCost));
summary.put("totalPatients", totalPatients);
return R.ok(summary);
}
}

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CREATE TABLE cdss_rule (
id BIGSERIAL PRIMARY KEY,
rule_code VARCHAR(32) NOT NULL,
rule_name VARCHAR(100) NOT NULL,
rule_type VARCHAR(20) NOT NULL,
condition_expr TEXT NOT NULL,
suggestion TEXT NOT NULL,
severity VARCHAR(16) DEFAULT 'INFO',
enabled BOOLEAN DEFAULT TRUE,
tenant_id BIGINT DEFAULT 0,
delete_flag CHAR(1) DEFAULT '0',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
create_by VARCHAR(64),
update_time TIMESTAMP,
update_by VARCHAR(64)
);
CREATE TABLE cdss_alert (
id BIGSERIAL PRIMARY KEY,
encounter_id BIGINT NOT NULL,
patient_id BIGINT NOT NULL,
rule_id BIGINT NOT NULL,
alert_type VARCHAR(20) NOT NULL,
alert_message TEXT NOT NULL,
severity VARCHAR(16) NOT NULL,
acknowledged BOOLEAN DEFAULT FALSE,
acknowledged_by BIGINT,
acknowledged_time TIMESTAMP,
tenant_id BIGINT DEFAULT 0,
delete_flag CHAR(1) DEFAULT '0',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
create_by VARCHAR(64)
);