選択できるのは25トピックまでです。 トピックは、先頭が英数字で、英数字とダッシュ('-')を使用した35文字以内のものにしてください。

PregnancyHeartRateResolver.cs 35KB

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  1. using Etcdserverpb;
  2. using Google.Protobuf.WellKnownTypes;
  3. using HealthMonitor.Common;
  4. using HealthMonitor.Common.helper;
  5. using HealthMonitor.Model.Service.Mapper;
  6. using HealthMonitor.Service.Biz;
  7. using HealthMonitor.Service.Biz.db;
  8. using HealthMonitor.Service.Cache;
  9. using HealthMonitor.Service.Etcd;
  10. using HealthMonitor.Service.MessageQueue;
  11. using HealthMonitor.Service.Resolver.Interface;
  12. using HealthMonitor.Service.Sub;
  13. using HealthMonitor.Service.Sub.Topic.Model;
  14. using Microsoft.EntityFrameworkCore.Metadata;
  15. using Microsoft.Extensions.Logging;
  16. using Newtonsoft.Json;
  17. using Newtonsoft.Json.Linq;
  18. using SqlSugar;
  19. using System;
  20. using System.Collections.Generic;
  21. using System.Linq;
  22. using System.Net;
  23. using System.Text;
  24. using System.Threading.Tasks;
  25. using TelpoDataService.Util.Clients;
  26. using TelpoDataService.Util.Entities.GpsCard;
  27. using TelpoDataService.Util.Entities.GpsLocationHistory;
  28. using TelpoDataService.Util.Models;
  29. using TelpoDataService.Util.QueryObjects;
  30. namespace HealthMonitor.Service.Resolver
  31. {
  32. public class PregnancyHeartRateResolver : IResolver
  33. {
  34. private readonly ILogger<PregnancyHeartRateResolver> _logger;
  35. private readonly TDengineService _serviceTDengine;
  36. private readonly DeviceCacheManager _deviceCacheMgr;
  37. private readonly IotApiService _serviceIotApi;
  38. private readonly AsyncLocal<string> _messageId = new();
  39. private readonly AsyncLocal<HisGpsHeartRate> _msgData = new();
  40. private readonly HttpHelper _httpHelper = default!;
  41. private readonly EtcdService _serviceEtcd;
  42. private readonly GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> _hisFetalHeartApiClient;
  43. private readonly GpsLocationHistoryAccessorClient<HisGpsFetalMovement> _hisFetalMovementApiClient;
  44. private readonly FetalMovementNormalValueRangeCacheManager _mgrFetalMovementNormalValueRangeCache;
  45. private readonly MqProcessLogic _serviceMqProcess;
  46. private static int[] SCHEDULE_HOUR = new int[] { 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 };
  47. public PregnancyHeartRateResolver(ILogger<PregnancyHeartRateResolver> logger,
  48. HttpHelper httpHelper, EtcdService serviceEtcd, DeviceCacheManager deviceCacheMgr,
  49. MqProcessLogic serviceMqProcess,
  50. IotApiService iotApiService, TDengineService serviceDengine, FetalMovementNormalValueRangeCacheManager fetalMovementNormalValueRangeCacheMgr,
  51. GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> hisFetalHeartApiClient,
  52. GpsLocationHistoryAccessorClient<HisGpsFetalMovement> hisFetalMovementApiClient
  53. )
  54. {
  55. _logger = logger;
  56. _httpHelper = httpHelper;
  57. _serviceEtcd = serviceEtcd;
  58. _serviceTDengine = serviceDengine;
  59. _deviceCacheMgr = deviceCacheMgr;
  60. _serviceIotApi = iotApiService;
  61. _serviceMqProcess= serviceMqProcess;
  62. _hisFetalHeartApiClient = hisFetalHeartApiClient;
  63. _hisFetalMovementApiClient = hisFetalMovementApiClient;
  64. _mgrFetalMovementNormalValueRangeCache = fetalMovementNormalValueRangeCacheMgr;
  65. }
  66. public void SetResolveInfo(PackageMsgModel msg)
  67. {
  68. var topicHmPregnancyHeartRate = JsonConvert.DeserializeObject<TopicHmPregnancyHeartRate>(msg.DetailData.ToString()!);
  69. _messageId.Value = msg.MessageId;
  70. _msgData.Value = new HisGpsHeartRate()
  71. {
  72. HeartRateId = topicHmPregnancyHeartRate!.PregnancyHeartRateId,
  73. MessageId = topicHmPregnancyHeartRate!.MessageId,
  74. Serialno = topicHmPregnancyHeartRate!.Serialno,
  75. HeartRate= topicHmPregnancyHeartRate.PregnancyHeartRate,
  76. LastUpdate = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.LastUpdate) / 1000000),
  77. CreateTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.CreateTime) / 1000000),
  78. Method = topicHmPregnancyHeartRate!.Method,
  79. IsDisplay = topicHmPregnancyHeartRate!.IsDisplay ? 1 : 0
  80. };
  81. }
  82. public override string ToString()
  83. {
  84. return $"{nameof(PregnancyHeartRateResolver)}[{_messageId.Value}]";
  85. }
  86. public async Task ExecuteMessageAsync()
  87. {
  88. var messageId = _messageId.Value;
  89. var heartRate = _msgData.Value!;
  90. try
  91. {
  92. var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(heartRate.Serialno, "0067");
  93. var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1;
  94. if (isFetalHeartEnable)
  95. {
  96. //_logger.LogInformation($"{heartRate.Serialno} 计算胎心胎动启动");
  97. #region 定时下发触发器(定时建模)
  98. var key = $"health_monitor/schedule_push/pregnancy_heart_rate/imei/{heartRate.Serialno}";
  99. var schedule_push = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  100. if (string.IsNullOrWhiteSpace(schedule_push))
  101. {
  102. // 注册首次下推
  103. var interval = 0;
  104. // 获取当前时间
  105. DateTime now = DateTime.Now;
  106. var rand = new Random();
  107. var pushSec = rand.Next(59);
  108. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  109. // 计算距离下一个$interval天后的8点的时间间隔
  110. DateTime nextRunTime = new DateTime(now.Year, now.Month, now.Day, 6, pushMin, pushSec).AddDays(interval);
  111. TimeSpan timeUntilNextRun = nextRunTime - now;
  112. if (timeUntilNextRun < TimeSpan.Zero)
  113. {
  114. timeUntilNextRun = timeUntilNextRun.Add(TimeSpan.FromDays(1));
  115. nextRunTime += TimeSpan.FromDays(1);
  116. }
  117. var ttl = (long)timeUntilNextRun.TotalSeconds;
  118. var data = new
  119. {
  120. imei = heartRate.Serialno,
  121. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  122. ttl,
  123. next_run_time = nextRunTime.ToString("yyyy-MM-dd HH:mm:ss")
  124. };
  125. var result = JsonConvert.SerializeObject(data);
  126. await _serviceEtcd.PutValAsync(key, result, ttl, false).ConfigureAwait(false);
  127. }
  128. #endregion
  129. //_logger.LogInformation($"{heartRate.Serialno} 触发定时建模");
  130. // 高频心率采样间隔 highFreqSampleInterval = highFreqSampleInterval+5,增加5秒兼容(最小highFreqSampleInterval=60)
  131. var highFreqSampleInterval = (int)watchConfig!["highFreqSampleInterval"]! >= 60 ? (int)watchConfig!["highFreqSampleInterval"]! + 5: 60;
  132. // 触发高频监测的心率上限值
  133. var triggerHighFreqHigh = (int)watchConfig["triggerHighFreqHigh"]!;
  134. // 触发高频监测的心率下限值
  135. var triggerHighFreqLow = (int)watchConfig["triggerHighFreqLow"]!;
  136. //停止高频心率采样心率连续正常次数
  137. var stopHighFreqSampleCount = (int)watchConfig["stopHighFreqSampleCount"]!;
  138. // 高频心率采集时长 0 为持续采集,非零为高频心率的采集时长
  139. var highFreqSampleTimes = (int)watchConfig["highFreqSampleTimes"]!;
  140. // 告警上限阀值
  141. var upperAlarmThreshold = (int)watchConfig["upperAlarmThreshold"]!;
  142. // 告警下限阀值
  143. var lowerAlarmThreshold = (int)watchConfig["lowerAlarmThreshold"]!;
  144. // EDOC
  145. var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
  146. // interval (分钟) 固定15分钟
  147. //var intervalFHR = 15;//int)watchConfig["interval"]!;
  148. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  149. var phr = daysPhr
  150. .Where(p => p.LastUpdate >= heartRate.LastUpdate)
  151. .ToList();
  152. if (phr.Count >= 30)
  153. {
  154. #region 定时计算胎动数据触发器两小时间隔开始
  155. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  156. ///// 计算 0 点秒数
  157. var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!;
  158. DateTime fmScheduleNow = DateTime.Now;
  159. // 小于两小时
  160. if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2)
  161. {
  162. var rand = new Random();
  163. var pushSec = rand.Next(59);
  164. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  165. var scheduleHourDiff = SCHEDULE_HOUR
  166. .Where(h => h > fetalMovementLastUpdate.Hour)
  167. .OrderBy(h => h - fetalMovementLastUpdate.Hour)
  168. .FirstOrDefault() - fetalMovementLastUpdate.Hour;
  169. var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff);
  170. DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec);
  171. TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow;
  172. var ttl = (long)timeUntilNextRun.TotalSeconds;
  173. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl,heartRate);
  174. }
  175. #endregion
  176. #region 计算胎心数据(按心率时间LastUpdate)
  177. var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno);
  178. if (commonPHR == null)
  179. {
  180. // 处理孕妇业务,计算一般心率并下发
  181. commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno, highFreqSampleInterval: highFreqSampleInterval);
  182. // 建模完成
  183. var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue);
  184. _logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成");
  185. // 保存到TDengine数据库
  186. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!);
  187. _logger.LogInformation($"保存TDengine完成");
  188. }
  189. // 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  190. var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  191. var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  192. // 如果需要,将时间差转换为秒
  193. var timeDiffInSeconds = timeDiff.TotalSeconds;
  194. // 高频统计结束时间
  195. var FreqStatsEnd = DateTime.Now;
  196. // 高频心率启动
  197. if (timeDiffInSeconds <= highFreqSampleInterval)
  198. {
  199. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  200. if (phrFreqstatus == null)
  201. {
  202. /// 设置高频状态
  203. _logger.LogInformation($"{heartRate.Serialno} 进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  204. // 设置高频状态
  205. _logger.LogInformation($"{heartRate.Serialno} phr.Count {phr.Count}");
  206. var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate).First();
  207. await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  208. _logger.LogInformation($"{heartRate.Serialno} 设置高频状态");
  209. phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  210. }
  211. /// phr PregnancyHeartRate 连续连续正常次数个值都是正常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  212. /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  213. #region 检查高频状态是否连续12个心率值都是正常的
  214. // 获取最近连续正常次数个心率记录
  215. //_logger.LogInformation($"{heartRate.Serialno} 设置 stopHighFreqSampleCount {stopHighFreqSampleCount}");
  216. //var lastPhr = phr.OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  217. var lastPhr = phr.Where(i=>i.LastUpdate>= phrFreqstatus!.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  218. // 检查是否连续12个值都是正常的
  219. if (lastPhr.Count >= stopHighFreqSampleCount &&
  220. lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)
  221. )
  222. {
  223. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  224. // 计算一般心率得到胎心系数
  225. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  226. // 高频数据不建模
  227. FreqStatsEnd = (DateTime)heartRate.LastUpdate!;
  228. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,连续 {stopHighFreqSampleCount} 次采样心率正常,将下发指令");
  229. var freqSaveAndPushFetalHeartRate = await _deviceCacheMgr.GetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  230. // 高频不停,15分钟内只下发一条
  231. if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
  232. {
  233. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  234. // 删除高频状态的首条记录
  235. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  236. // 设置15分的SaveAndPushFetalHeartRate业务间隔
  237. await _deviceCacheMgr.SetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  238. _logger.LogInformation($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,结束高频心率状态, timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval},高频状态持续{((DateTime)heartRate.LastUpdate - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  239. }
  240. else
  241. {
  242. _logger.LogWarning($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,设备端应该结束高频状态,但设备端没有结束高频,平台高频15分钟内已经下发过指令");
  243. }
  244. }
  245. else
  246. {
  247. _logger.LogInformation($"{heartRate.Serialno} 处于高频状态...");
  248. }
  249. #endregion
  250. }
  251. // 高频心率结束或平常心率
  252. else
  253. {
  254. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  255. // 高频心率结束
  256. if (phrFreqstatus != null)
  257. {
  258. /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  259. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  260. if (highFreqSampleTimes == 0)
  261. {
  262. var avgPhr = phr.OrderByDescending(i => i.LastUpdate)
  263. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  264. .Skip(1) // 去除首条
  265. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  266. .Select(i => i.PregnancyHeartRate).Average();
  267. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  268. // 计算一般心率得到胎心系数
  269. // 高频数据不建模
  270. FreqStatsEnd = firstTwoPhr[1];
  271. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,highFreqSampleTimes={highFreqSampleTimes}秒,即将结束高频状态,将下发指令");
  272. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString());
  273. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  274. }
  275. /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  276. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  277. if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate.AddSeconds(highFreqSampleTimes)))
  278. {
  279. // 获取高频心率数据个数
  280. var filterPhr = phr
  281. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  282. .Skip(1)
  283. .ToList();
  284. //var freqCollection = new List<PregnancyHeartRateModel>();
  285. //PregnancyHeartRateModel? previousItem = null;
  286. //foreach (var item in filterPhr)
  287. //{
  288. // if (previousItem != null)
  289. // {
  290. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  291. // if (timeNextDiff <= highFreqSampleInterval)
  292. // {
  293. // freqCollection.Add(item);
  294. // }
  295. // }
  296. // previousItem = item;
  297. //}
  298. _logger.LogInformation($"{heartRate.Serialno} {phrFreqstatus?.LastUpdate.ToString("yyyy-MM-dd HH:mm:ss")}--{firstTwoPhr[1].ToString("yyyy-MM-dd HH:mm:ss")} 产生高频心率数量 {filterPhr.Count} 条");
  299. // 高频心率数据大于等于stopHighFreqSampleCount/12个才计算胎心数据
  300. if (filterPhr.Count >= stopHighFreqSampleCount)
  301. {
  302. var avgPhr = filterPhr
  303. .OrderByDescending(i => i.LastUpdate)
  304. .Take(stopHighFreqSampleCount) // 计算最后12条
  305. //.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  306. .Select(i => i.PregnancyHeartRate).Average();
  307. // 高频数据不建模
  308. FreqStatsEnd = firstTwoPhr[1];
  309. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,超过约定的 {highFreqSampleTimes} 秒,即将结束高频状态,将下发指令");
  310. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  311. }
  312. else
  313. {
  314. _logger.LogInformation($"{heartRate.Serialno} 高频心率的数据不足{stopHighFreqSampleCount}条,不进行胎心计算");
  315. }
  316. }
  317. //不满足持续10分钟highFreqSampleTimes
  318. else
  319. {
  320. _logger.LogInformation($"{heartRate.Serialno} 高频持续时间不足{highFreqSampleTimes},只持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  321. }
  322. // 删除高频状态的首条记录
  323. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  324. _logger.LogInformation($"{heartRate.Serialno} 超时结束高频心率状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval},高频状态持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  325. // 计算本次平常心率的胎心数据
  326. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  327. // 使用延后计算
  328. var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  329. var fhrScheduleTTL = 60;
  330. await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  331. }
  332. // 平常心率
  333. else
  334. {
  335. // 计算本次平常心率的胎心数据
  336. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  337. // 使用延后计算
  338. var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  339. var fhrScheduleTTL = 60;
  340. await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  341. }
  342. }
  343. #endregion
  344. }
  345. else
  346. {
  347. _logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中");
  348. }
  349. }
  350. }
  351. catch (Exception ex)
  352. {
  353. _logger.LogError($"{heartRate.Serialno} 处理孕妇心率数据异常 \n{ex.Message}\n{ex.StackTrace}");
  354. }
  355. }
  356. /// <summary>
  357. /// 平常心率计算胎心数据
  358. /// </summary>
  359. /// <param name="heartRate"></param>
  360. /// <param name="upperAlarmThreshold"></param>
  361. /// <param name="lowerAlarmThreshold"></param>
  362. /// <param name="intervalFHR"></param>
  363. /// <param name="commonPHR"></param>
  364. /// <returns></returns>
  365. private async Task CalculateNormalFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, int intervalFHR, PregnancyCommonHeartRateModel? commonPHR)
  366. {
  367. // 上15分钟的数据
  368. // 获取当前时间
  369. DateTime nowInterval = (DateTime)heartRate.LastUpdate!;
  370. // 计算last_update到上一间隔的分钟数
  371. int minutesToSubtract = nowInterval.Minute % intervalFHR;
  372. // 计算上一间隔的时间
  373. DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond);
  374. // 使用 last_update 上一刻
  375. var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString();
  376. // 计算last_update到下一间隔的分钟数
  377. int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR);
  378. if (minutesToAdd == intervalFHR)
  379. {
  380. minutesToAdd = 0; // 如果已经是间隔,则不需要增加分钟
  381. }
  382. // 计算下一间隔的时间
  383. DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  384. .AddSeconds(-nowInterval.Second)
  385. .AddMilliseconds(-nowInterval.Millisecond);
  386. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  387. var normalPhrStatStartTime = nextInterval.AddMinutes(-intervalFHR) ;
  388. var normalPhrStatEndTime = nextInterval;
  389. _logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} ");
  390. var filteredPhr = daysPhr
  391. // 使用 last_update 下一刻
  392. .Where(i => i.LastUpdate <= normalPhrStatEndTime && i.LastUpdate >= normalPhrStatStartTime)
  393. .ToList();
  394. if (filteredPhr.Count == 0)
  395. {
  396. _logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录");
  397. return;
  398. }
  399. var phrValue = filteredPhr.Count == 1
  400. ? filteredPhr.First().PregnancyHeartRate
  401. : filteredPhr.Average(i => i.PregnancyHeartRate);
  402. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR);
  403. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  404. }
  405. /// <summary>
  406. ///
  407. /// </summary>
  408. /// <param name="heartRate"></param>
  409. /// <param name="commonPHR"></param>
  410. /// <param name="upperAlarmThreshold"></param>
  411. /// <param name="lowerAlarmThreshold"></param>
  412. /// <param name="phrValue"></param>
  413. /// <param name="sampleTime"></param>
  414. /// <param name="statStartTime"></param>
  415. /// <param name="statEndTime"></param>
  416. /// <returns></returns>
  417. private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime,DateTime statStartTime, DateTime statEndTime)
  418. {
  419. // 计算胎心=孕妇心率*系数
  420. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  421. //fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  422. if (fetalHeartRate >= 220)
  423. {
  424. // 先使用最小系数计算
  425. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  426. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  427. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  428. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  429. if (fetalHeartRate < 220)
  430. {
  431. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  432. }
  433. else
  434. {
  435. fetalHeartRate = 220;
  436. _logger.LogWarning($"{heartRate.Serialno} 使用所有系数都不能放映实际,建模数据可能出现异常,请检查");
  437. }
  438. }
  439. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  440. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  441. if (phrFreqstatus == null) isAbnormal = 0;
  442. var statsusDesc = (phrFreqstatus == null) ? "平常" : "高频";
  443. _logger.LogInformation($"{heartRate.Serialno} 在 {statsusDesc} 状态,生成胎心值:{fetalHeartRate},统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  444. //if (!isFreq)
  445. //{
  446. // statStartTime = heartRate.LastUpdate;
  447. //
  448. //}
  449. // 保存到 数据服务 MySQL 数据库
  450. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  451. {
  452. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  453. PersonId = commonPHR!.PersonId,
  454. Serialno = heartRate.Serialno,
  455. HeartRate = fetalHeartRate,
  456. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  457. IsAbnormal = isAbnormal,
  458. StatStartTime = statStartTime,
  459. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  460. CreateTime = DateTime.Now,
  461. Method = 1,
  462. IsDisplay = 1,
  463. DeviceKey = commonPHR!.DeviceKey
  464. };
  465. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  466. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  467. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  468. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  469. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  470. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  471. // 胎心数据推送到第三方
  472. var topic = "topic.push.third";
  473. var fhrThridMsg = new
  474. {
  475. messageId = fhrMsgId,
  476. topic = topic,
  477. time = fhrMsgTime,
  478. data = new
  479. {
  480. imei = heartRate.Serialno,
  481. value = fetalHeartRate,
  482. isAbnormal,
  483. type = "fetalHeart"
  484. }
  485. };
  486. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  487. // 胎心数据推送到微信
  488. if (isAbnormal != 0)
  489. {
  490. topic = "topic.push.wx";
  491. var fhrMsg = new
  492. {
  493. messageId = fhrMsgId,
  494. topic = topic,
  495. time = fhrMsgTime,
  496. data = new
  497. {
  498. deviceId = device?.DeviceId,
  499. imei = heartRate.Serialno,
  500. alarmTypeId = 12,
  501. alarmDeviceName = heartRate.Serialno,
  502. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  503. address = string.Empty,
  504. deviceKey = device?.DeviceId
  505. }
  506. };
  507. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  508. }
  509. }
  510. private async Task SetIntervalTriggerAsync(string key,string imei, long interval,HisGpsHeartRate heartRate)
  511. {
  512. // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";
  513. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  514. if (string.IsNullOrWhiteSpace(schedulePush))
  515. {
  516. var now = DateTime.Now;
  517. var timeNextRun = now.Add(TimeSpan.FromSeconds(interval));
  518. var data = new
  519. {
  520. imei,
  521. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  522. ttl = interval,
  523. next_run_time = timeNextRun.ToString("yyyy-MM-dd HH:mm:ss"),
  524. trigger= heartRate,
  525. };
  526. var result = JsonConvert.SerializeObject(data);
  527. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  528. }
  529. }
  530. }
  531. }