import { getDict } from '@/tumour/utils/dictionaries.js'
/**
* 1肺癌 2乳腺癌 3结直肠癌 4肝癌 5宫颈癌 6甲状腺癌 7胃癌 8食管癌 9前列腺癌 10肾癌 11黑色素癌
*/
/**
*
* @param {String} key 需要生成的问卷
* @param {Object} userInfo 患者信息
* @param {Object} detail 问卷选中的值
* @returns
*/
export function getQuestion(key, userInfo, detail) {
/**
* 设置问题title
* @param {String} text title文字
* @param {String} linkKey 关联的表单key
* @returns
*/
const setTitle = (text, linkKey) => {
return {
text,
linkKey
}
}
const questions = {
q1: {
title: '肺癌筛查量表',
issue: [{
key: 'question1',
title: setTitle('1、年龄介于45～74岁之间'),
answer: {
// radio单选 checkbox多选
type: 'radio',
// 选项中 其他选项 的value
other: null,
// 答案的选项 DC00001是否
cont: getDict('DC00001'),
// 禁用
disabled: true,
},
// 赋初始值
init: () => {
return userInfo.age >= 45 && userInfo.age <= 74 ? 1 : 2
}
}, {
title: setTitle('2、吸烟包年数≥20包年，包括曾经吸烟≥20包年，但戒烟不足15年'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、与条件2共同生活或同室工作被动吸烟＞20年'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、患有慢性阻塞性肺疾病'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、有职业暴露史≥1年，包括暴露于石棉、氡、铍、铬、镉、硅、煤烟和煤烟灰'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('6、有一、二级亲属确诊肺癌'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}],
// 高危判断条件
check() {
// console.log('question check', this.issue)
return this.issue[0].value === 1 &&
this.issue.filter(e => e.value === 1).length >= 2
},
remark: '肺癌高风险人群建议：每年进行胸部低剂量CT平扫检查。如发现肺部结节，建议到胸外科、呼吸内科、肿瘤科等专科进行就诊。',
sub: '肺癌高风险人群介于45～74岁，且2-6至少满足一项'
},
q2: {
title: '乳腺癌筛查量表',
issue: [{
title: setTitle('1、既往乳腺3类及以上结节病史'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('2、既往有乳腺导管或小叶中重度不典型增生或小叶原位癌患者'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、既往有胸部放疗史的患者'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、一级亲属或本人携带有 BRCA1/BRCA2 基因突变'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、有2个或2个以上≤50岁二级亲属诊断为乳腺癌或卵巢癌或原发性腹膜癌'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}],
check() {
return this.issue.filter(e => e.value === 1).length >= 1
},
remark: `一般风险人群建议：一、20～39岁：（1）每月1次乳腺自我检查；（2）每1—3年1次临床检查。
二、40～69岁：（1）每1～2年1次乳腺彩超或乳腺钼靶检查；（2）每月1次乳腺自我检查； （3）每年1次临床检查。
三、70岁以上：（1）有症状或可疑体征时进行影像学检查；（2）每月1次乳腺自我检查；（3）每年1次临床检查。\n乳腺癌高危人群建议：临床体检、B 超、乳腺钼靶检查、乳腺MRI、肿瘤标志物。`,
sub: '满足任意一项乳腺癌高危人群'
},
q3: {
title: '结直肠癌筛查量表',
issue: [{
title: setTitle('1、大便潜血阳性'),
key: 'question1',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('2、一级亲属有结直肠癌病史'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、以往有肠道腺瘤史'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、本人有癌症史'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、有大便习惯的改变'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('6、符合以下任意2项者：', 'question7'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001'),
// 禁用
disabled: true,
},
// 赋初始值
init: () => {
return 2
}
}, {
key: 'question7',
index: 7,
answer: {
type: 'checkbox',
cont: getDict('DC00096')
},
change: (that) => {
if (!that) return
console.log('that', that)
const item1 = that.getIssue('question7') || {}
const item2 = that.getIssue('question6') || {}
if (!item1 || !item2) return
const val = item1.value || []
item2.value = val.length >= 2 ? 1 : 2
}
}],
check() {
return this.issue.filter(e => e.value === 1 && e.title).length >= 1
},
remark: '一般风险人群建议：随访观察。\n结直肠癌高危人群建议：进一步进行生化全套、结直肠镜检查、腹部 CT、肿瘤标志物。',
sub: '有任意一条者视为结直肠癌高危人群',
},
q4: {
title: '肝癌筛查量表',
issue: [{
title: setTitle('1、年龄大于40岁'),
key: 'question1',
answer: {
type: 'radio',
cont: getDict('DC00001'),
// 禁用
disabled: true,
},
// 赋初始值
init: () => {
return userInfo.age > 40 ? 1 : 2
}
}, {
title: setTitle('2、慢性乙型肝炎或者慢性丙型肝炎史'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、肝硬化病史'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、长期酗酒史（每日饮酒大于2两，饮酒史超过1年）'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、出血史：（出血倾向：鼻出血、牙龈及皮下瘀斑）'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('6、直系属亲属（父母、兄弟姐妹、子女）有肝癌病史'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('7、长期进食霉变食物或进食烟熏或盐腌的肉制品'),
key: 'question7',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('8、有肝区疼痛史：（肝区疼痛：右上腹或中上腹持续性或间歇性钝痛、刺痛或胀痛，夜间或劳累后加重）'),
key: 'question8',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('9、符合以下任意2项者：', 'question10'),
key: 'question9',
answer: {
type: 'radio',
cont: getDict('DC00001'),
// 禁用
disabled: true,
},
// 赋初始值
init: () => {
return 2
}
}, {
key: 'question10',
index: 10,
answer: {
type: 'checkbox',
cont: getDict('DC00095')
},
change: (that) => {
if (!that) return
const item1 = that.getIssue('question10')
const item2 = that.getIssue('question9')
if (!item1 || !item2) return
const val = item1.value || []
item2.value = val.length >= 2 ? 1 : 2
}
}],
check() {
return this.issue[0].value === 1 &&
this.issue.filter(e => e.value === 1 && e.title).length >= 2
},
remark: '一般风险人群建议：随访观察。\n肝癌高危人群建议：进一步检查彩色多普勒腹部超声、甲胎蛋白测定。',
sub: '肝癌高风险人群年龄40岁以上，且2-9至少满足一项'
},
q5: {
title: '宫颈癌筛查量表',
issue: [{
title: setTitle('1、已婚或有性生活史3年及以上的女性'),
key: 'question1',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('2、家族中有人患有宫颈癌或其他妇科癌症'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、曾经被诊断为宫颈炎症、宫颈糜烂或宫颈息肉'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、有阴异常道分泌物增多，非经期流血'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、感染过人类乳头瘤病毒（HPV）'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('6、同房后阴道出血或非经期流血'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}],
check() {
return this.issue[0].value === 1 &&
this.issue.filter(e => e.value === 1).length >= 2
},
remark: '宫颈癌高风险人群建议：行阴道超声、宫颈涂片、HPV检查。',
sub: '已婚或有性生活史3年及以上的女性，且至少符合条件之一'
},
q6: {
title: '甲状腺癌筛查量表',
issue: [{
title: setTitle('1、年龄40岁以上'),
key: 'question1',
answer: {
type: 'radio',
cont: getDict('DC00001'),
// 禁用
disabled: true
},
// 赋初始值
init: () => {
return userInfo.age > 40 ? 1 : 2
}
}, {
title: setTitle('2、有甲状腺疾病：甲状腺炎、甲状腺结节'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、有甲状腺癌家族史'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、长期接触辐射或化学物质'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、颈部放疗史'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('6、有其他身体不适或异常表现，如体重变化、颈部增粗'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}],
check() {
return this.issue[0].value === 1 &&
this.issue.filter(e => e.value === 1).length >= 2
},
remark: '甲状腺高风险人群：建议行甲状腺超声、甲状腺功能',
sub: '40岁以上的人群，且至少符合条件之一'
},
q7: {
title: '胃癌筛查量表',
issue: [{
title: setTitle('1、年龄40岁以上，男女不限'),
key: 'question1',
answer: {
type: 'radio',
cont: getDict('DC00001'),
disabled: true
},
// 赋初始值
init: () => {
return userInfo.age > 40 ? 1 : 2
}
}, {
title: setTitle('2、胃癌高发地区人群'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('3、幽门螺杆菌(H.pylori)感染者'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('4、既往患有慢性萎缩性胃炎、胃溃疡、胃息肉、手术后残胃、肥厚性胃炎、恶性贫血等胃癌前疾病'),
key: 'question4',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('5、胃癌患者一级亲属'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
title: setTitle('6、存在胃癌其他高危因素（高盐、腌制饮食、吸烟、过度饮酒等）'),
key: 'question6',
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}],
check() {
return this.issue[0].value === 1 &&
this.issue.filter(e => e.value === 1).length >= 2
},
remark: '一般风险人群建议：随访观察。\n胃癌筛查高危人群建议：进一步进行胃十二指肠镜检查、肿瘤标志物、腹部CT。',
sub: '胃癌高风险人群年龄40岁以上，且2-6至少满足一项'
},
q8: {
title: '食管癌筛查量表',
issue: [{
key: 'question1',
title: setTitle('1、年龄40岁以上'),
answer: {
type: 'radio',
cont: getDict('DC00001'),
// 禁用
disabled: true
},
// 赋初始值
init: () => {
return userInfo.age > 40 ? 1 : 2
}
}, {
key: 'question2',
title: setTitle('2、经常食用过烫、粗硬或腌制的食物，吃饭吞食快、暴饮暴食或经常吸烟 与饮酒等不良生活习惯'),
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
key: 'question3',
title: setTitle('3、被HIV、HPV、单纯疱疹等病毒感染'),
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
key: 'question4',
title: setTitle('4、生活在食管癌高发地区的人群:如河北、山西、河南等地'),
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
key: 'question5',
title: setTitle('5、近期有吞咽困难、胸背部疼痛、食管异物感等症状'),
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
key: 'question6',
title: setTitle('6、食管癌家族史'),
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}, {
key: 'question7',
title: setTitle('7、行胃镜检查诊断为肠上皮化生的Barrett食管的患者'),
answer: {
type: 'radio',
cont: getDict('DC00001')
}
}],
check() {
return this.issue[0].value === 1 &&
this.issue.filter(e => e.value === 1).length >= 2
},
remark: '一般人群建议：随访观察。\n食管癌高危人群建议：进一步行胃镜、食管内镜超声、肿瘤标记物或食管CT扫描、胸部增强CT检查。',
sub: '40岁以上的人群，且至少符合2项'
},
q9: {
title: '前列腺癌筛查量表',
issue: [{
title: setTitle(`1、尿频或排尿困难`),
key: 'question10',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle(`2、尿流变小或中断`),
key: 'question11',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle(`3、尿液中出现血丝`),
key: 'question12',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle(`4、尿液浑浊或有异味`),
key: 'question13',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle(`5、阴茎勃起困难或全`),
key: 'question14',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle(`6、疼痛或不适感`),
key: 'question15',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle('7、您是否有家族中有人患有前列腺癌'),
key: 'question2',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle('8、你是否曾经被诊断为前列腺疾病'),
key: 'question3',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle('9、你是否常食用高脂食品？（如肥肉、蛋黄、猪脑，蟹黄等高脂食品）'),
key: 'question5',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
title: setTitle('10、您是否长期坐着工作或生活'),
key: 'question8',
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}],
check() {
let score = 0
this.issue.forEach(e => {
score = score + (e.answer.score[e.value] || 0)
})
this.score = score
return score > 4
},
remark: '一般人群建议：随访观察\n高危人群建议：进一步检查前列腺特异性抗原、前列腺B超、盆腔磁共振成像（MRI）',
sub: '计分方式：每个条目1分，结果以总分计算，也就是以十个条目的分值相加，总分范围是0—10分。0-4分属于一般人群，5-10分属于高危人群'
},
q10: {
title: '肾癌筛查量表',
issue: [{
key: 'question1',
title: setTitle('1、近期出现血尿，肾区疼痛等症状(5分)'),
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 5 }
}
}, {
key: 'question2',
title: setTitle('2、长期吸烟、酗酒及长期熬夜(1分)'),
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
key: 'question3',
title: setTitle('3、家族有肾癌患者(2分)'),
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 2 }
}
}, {
key: 'question4',
title: setTitle('4、患有高血压、糖尿病、肥胖症等慢性病(1分)'),
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}, {
key: 'question5',
title: setTitle('5、职业因素:长期接触石油、金属等产品(1分)'),
answer: {
type: 'radio',
cont: getDict('DC00001'),
score: { 1: 1 }
}
}],
check() {
let score = 0
this.issue.forEach(e => {
score = score + (e.answer.score[e.value] || 0)
})
this.score = score
return score > 2
},
remark: '0-2分一般人群建议：随访观察。\n3-10分高危群建议：进一步行尿常规、肝功能、肾功能、肿瘤标记物、泌尿系彩超、CT等检查。',
sub: '计分方式：总分范围是0—10分。 0-2分一般人群，3-10分高危群'
}
}
const result = questions['q' + key]
return result ? new Question(result, detail) : {}
}
class Question {
issue = []
check = null
result = null
remark = null
sub = null
highRisk = null
highRiskTrans = null
score = null
constructor({
title = '',
remark = '',
sub = '',
issue = [],
check = () => {}
} = {}, detail = {}) {
console.log('class Question', detail)
this.issue = issue.map(e => {
let value = detail[e.key] || (e.init && e.init())
if (!e.title && value) {
value = value.split(',').map(i => +i)
}
return {
...e,
value,
valueTrans: detail[e.key + 'Trans'],
valueOther: null,
}
})
// 处理title中有选项的
console.log('this.issue', this.issue)
const arr = this.issue.filter(e => e.title && e.title.linkKey)
arr.forEach(e => {
const linkKey = e.title.linkKey
e.titleExtend = this.getIssue(linkKey)
})
this.title = title
this.remark = remark
this.sub = sub
this.check = check
this.highRisk = detail?.highRisk
this.highRiskTrans = detail?.highRiskTrans
this.score = detail?.score
}
getIssue(key) {
return this.issue.find(e => e.key === key)
}
}