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PregnancyHeartRateResolver.cs 45KB

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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. // 暂时处理
  137. triggerHighFreqLow = triggerHighFreqLow > 60 && triggerHighFreqLow < 67 ? 60: triggerHighFreqLow;
  138. //停止高频心率采样心率连续正常次数
  139. var stopHighFreqSampleCount = (int)watchConfig["stopHighFreqSampleCount"]!;
  140. // 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
  141. var highFreqSampleTimes = (int)watchConfig["highFreqSampleTimes"]!;
  142. // 告警上限阀值
  143. var upperAlarmThreshold = (int)watchConfig["upperAlarmThreshold"]!;
  144. // 告警下限阀值
  145. var lowerAlarmThreshold = (int)watchConfig["lowerAlarmThreshold"]!;
  146. // EDOC
  147. var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
  148. // interval (分钟) 固定15分钟
  149. var intervalFHR = 15;//int)watchConfig["interval"]!;
  150. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  151. var phr = daysPhr
  152. .Where(p => p.LastUpdate <= heartRate.LastUpdate)
  153. .ToList();
  154. if (phr.Count >= 30)
  155. {
  156. #region 定时计算胎动数据触发器两小时间隔开始
  157. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  158. ///// 计算 0 点秒数
  159. var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!;
  160. DateTime fmScheduleNow = DateTime.Now;
  161. // 小于两小时
  162. if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2)
  163. {
  164. var rand = new Random();
  165. var pushSec = rand.Next(59);
  166. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  167. var scheduleHourDiff = SCHEDULE_HOUR
  168. .Where(h => h > fetalMovementLastUpdate.Hour)
  169. .OrderBy(h => h - fetalMovementLastUpdate.Hour)
  170. .FirstOrDefault() - fetalMovementLastUpdate.Hour;
  171. var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff);
  172. DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec);
  173. TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow;
  174. var ttl = (long)timeUntilNextRun.TotalSeconds;
  175. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl,heartRate);
  176. }
  177. #endregion
  178. #region 计算胎心数据(按心率时间LastUpdate)
  179. var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno);
  180. if (commonPHR == null)
  181. {
  182. // 处理孕妇业务,计算一般心率并下发
  183. commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno, highFreqSampleInterval: highFreqSampleInterval);
  184. // 建模完成
  185. var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue);
  186. _logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成");
  187. // 保存到TDengine数据库
  188. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!);
  189. _logger.LogInformation($"保存TDengine完成");
  190. }
  191. // 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  192. var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  193. var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  194. // 如果需要,将时间差转换为秒
  195. var timeDiffInSeconds = timeDiff.TotalSeconds;
  196. // 高频统计结束时间
  197. var FreqStatsEnd = DateTime.Now;
  198. // 高频心率启动(在高频第二条才能判断)
  199. if (timeDiffInSeconds <= highFreqSampleInterval)
  200. {
  201. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  202. if (phrFreqstatus == null)
  203. {
  204. /// 设置高频状态
  205. _logger.LogInformation($"{heartRate.Serialno} 进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  206. // 设置高频状态
  207. _logger.LogInformation($"{heartRate.Serialno} phr.Count {phr.Count}");
  208. var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate)
  209. .Skip(1) //在高频第二条才能判断,所以要去除本条记录
  210. .First();
  211. await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  212. _logger.LogInformation($"{heartRate.Serialno} 设置高频状态");
  213. phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  214. }
  215. /// 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),
  216. /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  217. #region 检查高频状态是否连续12个心率值都是正常的
  218. // 获取最近连续正常次数个心率记录
  219. //_logger.LogInformation($"{heartRate.Serialno} 设置 stopHighFreqSampleCount {stopHighFreqSampleCount}");
  220. //var lastPhr = phr.OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  221. var lastPhr = phr.Where(i=>i.LastUpdate>= phrFreqstatus!.LastUpdate)
  222. .OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  223. _logger.LogInformation($"{heartRate.Serialno} lastPhr.Count {lastPhr.Count},stopHighFreqSampleCount {stopHighFreqSampleCount}");
  224. _logger.LogInformation($"{heartRate.Serialno} count :{lastPhr.Count >= stopHighFreqSampleCount}");
  225. _logger.LogInformation($"{heartRate.Serialno} All {lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)}");
  226. // 检查是否连续12个值都是正常的
  227. if ((lastPhr.Count >= stopHighFreqSampleCount) &&
  228. lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)
  229. )
  230. {
  231. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  232. // 计算一般心率得到胎心系数
  233. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  234. // 高频数据不建模
  235. FreqStatsEnd = (DateTime)heartRate.LastUpdate!;
  236. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,连续 {stopHighFreqSampleCount} 次采样心率正常,将下发指令");
  237. var freqSaveAndPushFetalHeartRate = await _deviceCacheMgr.GetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  238. // 高频不停,15分钟内只下发一条
  239. if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
  240. {
  241. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  242. // 删除高频状态的首条记录
  243. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  244. // 设置15分的SaveAndPushFetalHeartRate业务间隔
  245. await _deviceCacheMgr.SetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  246. _logger.LogInformation($"{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");
  247. }
  248. else
  249. {
  250. _logger.LogWarning($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,设备端应该结束高频状态,但设备端没有结束高频,平台高频15分钟内已经下发过指令");
  251. }
  252. }
  253. else
  254. {
  255. _logger.LogInformation($"{heartRate.Serialno} 处于高频状态...");
  256. }
  257. #endregion
  258. }
  259. // 高频心率结束或常规心率
  260. else
  261. {
  262. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  263. // 高频心率结束
  264. if (phrFreqstatus != null)
  265. {
  266. /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  267. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  268. if (highFreqSampleTimes == 0)
  269. {
  270. var avgPhr = phr.OrderByDescending(i => i.LastUpdate)
  271. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  272. .Skip(1) // 去除首条
  273. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  274. .Select(i => i.PregnancyHeartRate).Average();
  275. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  276. // 计算一般心率得到胎心系数
  277. // 高频数据不建模
  278. FreqStatsEnd = firstTwoPhr[1];
  279. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,highFreqSampleTimes={highFreqSampleTimes}秒,即将结束高频状态,将下发指令");
  280. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString());
  281. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  282. }
  283. /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  284. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  285. if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate.AddSeconds(highFreqSampleTimes)))
  286. {
  287. // 获取高频心率数据个数
  288. var filterPhr = phr
  289. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  290. .Skip(1)
  291. .ToList();
  292. //var freqCollection = new List<PregnancyHeartRateModel>();
  293. //PregnancyHeartRateModel? previousItem = null;
  294. //foreach (var item in filterPhr)
  295. //{
  296. // if (previousItem != null)
  297. // {
  298. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  299. // if (timeNextDiff <= highFreqSampleInterval)
  300. // {
  301. // freqCollection.Add(item);
  302. // }
  303. // }
  304. // previousItem = item;
  305. //}
  306. _logger.LogInformation($"{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");
  307. // 高频心率数据大于等于stopHighFreqSampleCount/12个才计算胎心数据
  308. if (filterPhr.Count >= stopHighFreqSampleCount)
  309. {
  310. var avgPhr = filterPhr
  311. .OrderByDescending(i => i.LastUpdate)
  312. .Take(stopHighFreqSampleCount) // 计算最后12条
  313. //.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  314. .Select(i => i.PregnancyHeartRate).Average();
  315. FreqStatsEnd = firstTwoPhr[1];
  316. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,超过约定的 {highFreqSampleTimes} 秒,即将结束高频状态,将下发指令");
  317. //计算高频
  318. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  319. // 计算本次常规心率的胎心数据(高频结束后,实时处理)
  320. await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  321. }
  322. else
  323. {
  324. _logger.LogInformation($"{heartRate.Serialno} 高频心率的数据不足{stopHighFreqSampleCount}条,不进行胎心计算");
  325. }
  326. }
  327. //不满足持续10分钟highFreqSampleTimes或出现时间倒叙
  328. else
  329. {
  330. // 高频结束后与常规的心率时间倒叙
  331. if ((firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds < 0)
  332. {
  333. _logger.LogInformation($"{heartRate.Serialno} 高频结束出现时间倒叙,计算当条心率创建之前的高频心率");
  334. #region 计算当条心率创建之前的高频心率
  335. // 取得高频之后的所有数据
  336. var phrFlashBack = daysPhr.Where(p => p.LastUpdate >= phrFreqstatus!.LastUpdate)
  337. .OrderByDescending(i => i.LastUpdate);
  338. // 取得高频数据
  339. var freqCollection = phrFlashBack.ToList();
  340. //var freqCollection = new List<PregnancyHeartRateModel>();
  341. //PregnancyHeartRateModel? previousItem = null;
  342. //foreach (var item in phrFlashBack)
  343. //{
  344. // if (previousItem != null)
  345. // {
  346. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  347. // if (timeNextDiff <= highFreqSampleInterval)
  348. // {
  349. // freqCollection.Add(item);
  350. // }
  351. // }
  352. // previousItem = item;
  353. //}
  354. _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate}");
  355. if (freqCollection.Count >= stopHighFreqSampleCount)
  356. {
  357. // 计算高频产生的胎心
  358. var avgPhr = freqCollection
  359. .OrderByDescending(i => i.LastUpdate)
  360. .Take(stopHighFreqSampleCount) // 计算最后12条
  361. .Select(i => i.PregnancyHeartRate).Average();
  362. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), freqCollection.Last().LastUpdate, freqCollection.First().LastUpdate);
  363. }
  364. else
  365. {
  366. _logger.LogInformation($"{heartRate.Serialno} 时间倒叙触发计算高频心率的数据不足{stopHighFreqSampleCount}条,不进行胎心计算");
  367. }
  368. #endregion
  369. }
  370. else
  371. {
  372. _logger.LogInformation($"{heartRate.Serialno} 高频持续时间不足{highFreqSampleTimes},只持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  373. }
  374. // 计算本次常规心率的胎心数据(高频结束后,实时处理)
  375. await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  376. }
  377. // 删除高频状态的首条记录
  378. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  379. _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");
  380. // 计算本次常规心率的胎心数据(高频结束后,实时处理)
  381. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  382. //// 使用延后计算
  383. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  384. //var fhrScheduleTTL = 60;
  385. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  386. }
  387. // 常规心率(本次心率可能是高频心率的首条,所以要使用延后计算胎心率)
  388. else
  389. {
  390. // 计算本次常规心率的胎心数据
  391. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  392. // 本次心率可能是高频心率的首条,所以要使用本次常规心率延后计算胎心率
  393. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  394. //var fhrScheduleTTL = 30;
  395. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  396. //_logger.LogInformation($"{heartRate.Serialno} 延时50秒,判断当前数据是否为高频首条");
  397. // 本次心率可能是高频心率的首条,所以要使用本次常规心率延后计算胎心率 查询30秒后是否有高频缓存
  398. Thread thread = new(async () =>
  399. {
  400. try
  401. {
  402. #region 休眠2秒
  403. var startTime = DateTime.Now;
  404. //var highFreqSampleInterval2 = (int)watchConfig!["highFreqSampleInterval"]!+5;
  405. var highFreqSampleInterval2 = highFreqSampleInterval;
  406. var during = TimeSpan.FromSeconds(highFreqSampleInterval2);
  407. while (true)
  408. {
  409. if (DateTime.Now - startTime > during)
  410. {
  411. break;
  412. }
  413. await Task.Delay(TimeSpan.FromSeconds(1));
  414. }
  415. #endregion
  416. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  417. _logger.LogInformation($"phrFreqstatus==null:{phrFreqstatus == null}");
  418. _logger.LogInformation($"phrFreqstatus.LastUpdate < heartRate.LastUpdate:{phrFreqstatus?.LastUpdate < heartRate.LastUpdate}");
  419. if (phrFreqstatus==null || phrFreqstatus.LastUpdate < heartRate.LastUpdate)
  420. {
  421. await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  422. _logger.LogInformation($"{heartRate.Serialno} 计算常规心率");
  423. }
  424. }
  425. catch (Exception ex)
  426. {
  427. _logger.LogError($"处理延时计算异常:{ex.Message}, {ex.StackTrace}");
  428. }
  429. });
  430. thread.Start();
  431. }
  432. }
  433. #endregion
  434. }
  435. else
  436. {
  437. _logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中");
  438. }
  439. }
  440. }
  441. catch (Exception ex)
  442. {
  443. _logger.LogError($"{heartRate.Serialno} 处理孕妇心率数据异常 \n{ex.Message}\n{ex.StackTrace}");
  444. }
  445. }
  446. /// <summary>
  447. /// 常规心率计算胎心数据
  448. /// </summary>
  449. /// <param name="heartRate"></param>
  450. /// <param name="upperAlarmThreshold"></param>
  451. /// <param name="lowerAlarmThreshold"></param>
  452. /// <param name="intervalFHR"></param>
  453. /// <param name="commonPHR"></param>
  454. /// <returns></returns>
  455. private async Task CalculateNormalFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, int intervalFHR, PregnancyCommonHeartRateModel? commonPHR)
  456. {
  457. // 上15分钟的数据
  458. // 获取当前时间
  459. DateTime nowInterval = (DateTime)heartRate.LastUpdate!;
  460. if (nowInterval.Second > 0)
  461. {
  462. nowInterval = nowInterval.AddMinutes(1);
  463. }
  464. // 计算last_update到上一间隔的分钟数
  465. int minutesToSubtract = nowInterval.Minute % intervalFHR;
  466. // 计算上一间隔的时间
  467. DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond);
  468. // 使用 last_update 上一刻
  469. var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString();
  470. // 计算last_update到下一间隔的分钟数
  471. int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR);
  472. if (minutesToAdd == intervalFHR)
  473. {
  474. minutesToAdd = 0; // 如果已经是间隔,则不需要增加分钟
  475. }
  476. // 计算下一间隔的时间
  477. DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  478. .AddSeconds(-nowInterval.Second)
  479. .AddMilliseconds(-nowInterval.Millisecond);
  480. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  481. var normalPhrStatStartTime = nextInterval.AddMinutes(-intervalFHR) ;
  482. var normalPhrStatEndTime = nextInterval;
  483. _logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} ");
  484. var filteredPhr = daysPhr
  485. // 使用 last_update 下一刻
  486. .Where(i => i.LastUpdate <= normalPhrStatEndTime && i.LastUpdate >= normalPhrStatStartTime)
  487. .ToList();
  488. if (filteredPhr.Count == 0)
  489. {
  490. _logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录");
  491. return;
  492. }
  493. var phrValue = filteredPhr.Count == 1
  494. ? filteredPhr.First().PregnancyHeartRate
  495. : filteredPhr.Average(i => i.PregnancyHeartRate);
  496. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR);
  497. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  498. }
  499. /// <summary>
  500. ///
  501. /// </summary>
  502. /// <param name="heartRate"></param>
  503. /// <param name="commonPHR"></param>
  504. /// <param name="upperAlarmThreshold"></param>
  505. /// <param name="lowerAlarmThreshold"></param>
  506. /// <param name="phrValue"></param>
  507. /// <param name="sampleTime"></param>
  508. /// <param name="statStartTime"></param>
  509. /// <param name="statEndTime"></param>
  510. /// <returns></returns>
  511. private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime,DateTime statStartTime, DateTime statEndTime)
  512. {
  513. // 计算胎心=孕妇心率*系数
  514. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  515. //fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  516. if (fetalHeartRate >= 220)
  517. {
  518. // 先使用最小系数计算
  519. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  520. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  521. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  522. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  523. if (fetalHeartRate < 220)
  524. {
  525. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  526. }
  527. else
  528. {
  529. fetalHeartRate = 220;
  530. _logger.LogWarning($"{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");
  531. }
  532. }
  533. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  534. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  535. if (phrFreqstatus == null) isAbnormal = 0;
  536. var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  537. _logger.LogInformation($"{heartRate.Serialno} 在 {statsusDesc} 状态,生成胎心值:{fetalHeartRate},统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  538. //if (!isFreq)
  539. //{
  540. // statStartTime = heartRate.LastUpdate;
  541. //
  542. //}
  543. // 保存到 数据服务 MySQL 数据库
  544. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  545. {
  546. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  547. PersonId = commonPHR!.PersonId,
  548. Serialno = heartRate.Serialno,
  549. HeartRate = fetalHeartRate,
  550. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  551. IsAbnormal = isAbnormal,
  552. StatStartTime = statStartTime,
  553. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  554. CreateTime = DateTime.Now,
  555. Method = 1,
  556. IsDisplay = 1,
  557. DeviceKey = commonPHR!.DeviceKey
  558. };
  559. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  560. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  561. // 推送最后一条常规心率计算的胎心数据到iot设备
  562. #region 推送最后一条常规心率计算的胎心数据到iot设备
  563. // 高频(<=12)-常规
  564. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  565. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  566. {
  567. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  568. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规");
  569. }
  570. // 高频(13)-常规-高频(13)
  571. if (phrFreqstatus != null)
  572. {
  573. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
  574. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  575. // 获取高频数据
  576. var freqCollection = new List<PregnancyHeartRateModel>();
  577. PregnancyHeartRateModel? previousItem = null;
  578. foreach (var item in phr)
  579. {
  580. if (previousItem != null)
  581. {
  582. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  583. if (timeNextDiff <= 60)
  584. {
  585. freqCollection.Add(item);
  586. }
  587. }
  588. // 高频最后一条
  589. if (lastPhr.MessageId==item.MessageId)
  590. {
  591. freqCollection.Add(item);
  592. }
  593. previousItem = item;
  594. }
  595. //去除高频
  596. foreach (var item in freqCollection)
  597. {
  598. phr.Remove(item);
  599. }
  600. lastPhr = phr.FirstOrDefault();
  601. if (lastPhr?.MessageId == heartRate.MessageId)
  602. {
  603. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  604. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(13)-常规-高频(13)");
  605. }
  606. }
  607. #endregion
  608. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  609. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  610. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  611. // 胎心数据推送到第三方
  612. var topic = "topic.push.third";
  613. var fhrThridMsg = new
  614. {
  615. messageId = fhrMsgId,
  616. topic = topic,
  617. time = fhrMsgTime,
  618. data = new
  619. {
  620. imei = heartRate.Serialno,
  621. value = fetalHeartRate,
  622. isAbnormal,
  623. type = "fetalHeart"
  624. }
  625. };
  626. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  627. // 胎心数据推送到微信
  628. if (isAbnormal != 0)
  629. {
  630. topic = "topic.push.wx";
  631. var fhrMsg = new
  632. {
  633. messageId = fhrMsgId,
  634. topic = topic,
  635. time = fhrMsgTime,
  636. data = new
  637. {
  638. deviceId = device?.DeviceId,
  639. imei = heartRate.Serialno,
  640. alarmTypeId = 12,
  641. alarmDeviceName = heartRate.Serialno,
  642. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  643. address = string.Empty,
  644. deviceKey = device?.DeviceId
  645. }
  646. };
  647. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  648. }
  649. }
  650. private async Task SetIntervalTriggerAsync(string key,string imei, long interval,HisGpsHeartRate heartRate)
  651. {
  652. // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";
  653. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  654. if (string.IsNullOrWhiteSpace(schedulePush))
  655. {
  656. var now = DateTime.Now;
  657. var timeNextRun = now.Add(TimeSpan.FromSeconds(interval));
  658. var data = new
  659. {
  660. imei,
  661. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  662. ttl = interval,
  663. next_run_time = timeNextRun.ToString("yyyy-MM-dd HH:mm:ss"),
  664. trigger= heartRate,
  665. };
  666. var result = JsonConvert.SerializeObject(data);
  667. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  668. }
  669. }
  670. }
  671. }