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高频结束不管是否超10分钟,都取最近12个数据的最小值生成胎心值

datasub12_fetal_heart_rate_1
H Vs 1 hafta önce
ebeveyn
614dfcc3ec
işleme
03aec636ad
2 değiştirilmiş dosya ile 41 ekleme ve 486 silme
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Diff Seçenekleri
İstatistikleri Göster Yama Dosyasını İndir Diff Dosyasını İndir
  1. +32
    -484
      HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs
  2. +9
    -2
      HealthMonitor.WebApi/Worker.cs

+ 32
- 484
HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs Dosyayı Görüntüle

@@ -433,11 +433,7 @@ namespace HealthMonitor.Service.Resolver
// 高频不停，15分钟内只下发一条
if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
{
//await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

heartRate.HeartRate = (int)avgPhr;
//await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
// 最后一条高频心率
var lastFreqHr = lastPhr.First();
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
@@ -449,6 +445,12 @@ namespace HealthMonitor.Service.Resolver
heartRate.HeartRate = lastPhr.Select(i=>i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
else
{
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
/// 超过10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 超过10分钟最近12个数据的最小值生成胎心值");
}
_logger.LogInformation($"{heartRate.Serialno} 高频数据触发连续12个值都是正常的的高频心率处理");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR,highFreqSampleTimes ,upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
@@ -512,6 +514,12 @@ namespace HealthMonitor.Service.Resolver
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
else
{
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
/// 超过10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 超过10分钟最近12个数据的最小值生成胎心值");
}
_logger.LogInformation($"{heartRate.Serialno} 高频结束后的highFreqSampleTimes=0的高频心率处理");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

@@ -564,6 +572,12 @@ namespace HealthMonitor.Service.Resolver
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
else
{
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
/// 超过10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 超过10分钟最近12个数据的最小值生成胎心值");
}
_logger.LogInformation($"{heartRate.Serialno} 高频结束后的在highFreqSampleTimes>0 正常心率（通常情况）触发的高频心率处理");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
}
@@ -639,6 +653,12 @@ namespace HealthMonitor.Service.Resolver
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
else
{
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
/// 超过10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 超过10分钟最近12个数据的最小值生成胎心值");
}
_logger.LogInformation($"{heartRate.Serialno} 高频结束后的时间倒序的正常心率触发的高频心率处理");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

@@ -841,429 +861,6 @@ namespace HealthMonitor.Service.Resolver
_logger.LogInformation($"{heartRate.Serialno}--{heartRate.MessageId} 触发延时计算常规胎心");
}

/// <summary>
///
/// </summary>
/// <param name="heartRate"></param>
/// <param name="commonPHR"></param>
/// <param name="upperAlarmThreshold"></param>
/// <param name="lowerAlarmThreshold"></param>
/// <param name="phrValue"></param>
/// <param name="sampleTime"></param>
/// <param name="statStartTime"></param>
/// <param name="statEndTime"></param>
/// <returns></returns>
private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime, DateTime statStartTime, DateTime statEndTime)
{
// 计算胎心=孕妇心率*系数
/**
var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220，超过都按该值220输出
if (fetalHeartRate >= 220)
{
// 先使用最小系数计算
var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
if (fetalHeartRate < 220)
{
_logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
}
else
{
fetalHeartRate = 220;
_logger.LogWarning($"{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");
}
}
*/

#region 胎心系数使用基于心率与中位数对比
var coefficient = 0f;
// 孕妇心率少于中位数,取StatMinValueFprCoefficient
if (heartRate.HeartRate < commonPHR!.Mode)
{
coefficient = commonPHR.StatMinValueFprCoefficient!;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
}
// 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
else if (heartRate.HeartRate > commonPHR.Mode)
{
if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
{
coefficient = commonPHR.StatMaxValueFprCoefficient!;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
}
else
{
coefficient = commonPHR.StatModeAvgFprCoefficient!;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
}
}
else
{
coefficient = commonPHR.StatModeAvgFprCoefficient;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
}
#endregion

var fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
// 胎心的最大值调整为220，超过都按该值220输出
// fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;

if (fetalHeartRate > 220)
{
fetalHeartRate = 220;
_logger.LogWarning($"{heartRate.Serialno} 大于220,按220输出，计算因子：孕妇心率 {heartRate.HeartRate},系数 {coefficient}，周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
}

// 胎心的最小值调整为90，超过都按该值90
if (fetalHeartRate < 90)
{
fetalHeartRate = 90;
_logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出，计算因子：孕妇心率 {heartRate.HeartRate},系数 {coefficient}，周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
}


var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
if (phrFreqstatus == null) isAbnormal = 0;
var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
_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")}");
//if (!isFreq)
//{
// statStartTime = heartRate.LastUpdate;
//
//}
// 保存到 数据服务 MySQL 数据库
HisGpsFetalHeartRate gpsFetalHeartRate = new()
{
FetalHeartRateId = Guid.NewGuid().ToString("D"),
PersonId = commonPHR!.PersonId,
Serialno = heartRate.Serialno,
HeartRate = fetalHeartRate,
SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
IsAbnormal = isAbnormal,
StatStartTime = statStartTime,
StatEndTime = statEndTime,//commonPHR.StatEndTime,
CreateTime = DateTime.Now,
Method = 1,
IsDisplay = 1,
DeviceKey = commonPHR!.DeviceKey
};
await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);

// 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
// 推送最后一条常规心率计算的胎心数据到iot设备
#region 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
var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
_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");
}
// 高频(13)-常规-高频(13)
if (phrFreqstatus != null)
{
var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
// 获取高频数据
var freqCollection = new List<PregnancyHeartRateModel>();
PregnancyHeartRateModel? previousItem = null;
foreach (var item in phr)
{
if (previousItem != null)
{
var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
if (timeNextDiff <= 60)
{
freqCollection.Add(item);
}
}
// 高频最后一条
if (lastPhr.MessageId == item.MessageId)
{
freqCollection.Add(item);
}

previousItem = item;
}
//去除高频
foreach (var item in freqCollection)
{
phr.Remove(item);
}
lastPhr = phr.FirstOrDefault();
if (lastPhr?.MessageId == heartRate.MessageId)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
_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)");
}
}

#endregion

#region 高频心率计算胎心数据到iot设备
// 高频(17) ,连续12个高频正常，也不停止且数据偏高和偏低也推送到iot
if (phrFreqstatus != null && isAbnormal!=0)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
}
#endregion
var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
// 胎心数据推送到第三方
var topic = "topic.push.third";
var fhrThridMsg = new
{
messageId = fhrMsgId,
topic = topic,
time = fhrMsgTime,
data = new
{
imei = heartRate.Serialno,
value = fetalHeartRate,
isAbnormal,
type = "fetalHeart"
}
};
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);

// 胎心数据推送到微信
if (isAbnormal != 0)
{

topic = "topic.push.wx";
var fhrMsg = new
{
messageId = fhrMsgId,
topic = topic,
time = fhrMsgTime,
data = new
{
deviceId = device?.DeviceId,
imei = heartRate.Serialno,
alarmTypeId = 12,
alarmDeviceName = heartRate.Serialno,
alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
address = string.Empty,
deviceKey = device?.DeviceId
}
};
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);

}
}


private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime)
{
// 计算胎心=孕妇心率*系数
/**
var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220，超过都按该值220输出
if (fetalHeartRate >= 220)
{
// 先使用最小系数计算
var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
if (fetalHeartRate < 220)
{
_logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
}
else
{
fetalHeartRate = 220;
_logger.LogWarning($"{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");
}
}
*/

#region 胎心系数使用基于心率与中位数对比
var coefficient = 0f;
// 孕妇心率少于中位数,取StatMinValueFprCoefficient
if (heartRate.HeartRate < commonPHR!.Mode)
{
coefficient = commonPHR.StatMinValueFprCoefficient!;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
}
// 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
else if (heartRate.HeartRate > commonPHR.Mode)
{
if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
{
coefficient = commonPHR.StatMaxValueFprCoefficient!;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
}
else
{
coefficient = commonPHR.StatModeAvgFprCoefficient!;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
}
}
else
{
coefficient = commonPHR.StatModeAvgFprCoefficient;
_logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
}
#endregion

var fetalHeartRate = SafeType.SafeInt(heartRate.HeartRate! * coefficient);
// 胎心的最大值调整为220，超过都按该值220输出
// fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;

if (fetalHeartRate > 220)
{
fetalHeartRate = 220;
_logger.LogWarning($"{heartRate.Serialno} 大于220,按220输出，计算因子：孕妇心率 {heartRate.HeartRate},系数 {coefficient}，周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
}

// 胎心的最小值调整为90，超过都按该值90
if (fetalHeartRate < 90)
{
fetalHeartRate = 90;
_logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出，计算因子：孕妇心率 {heartRate.HeartRate},系数 {coefficient}，周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
}


var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
if (phrFreqstatus == null) isAbnormal = 0;
var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
_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")}");
//if (!isFreq)
//{
// statStartTime = heartRate.LastUpdate;
//
//}
// 保存到 数据服务 MySQL 数据库
HisGpsFetalHeartRate gpsFetalHeartRate = new()
{
FetalHeartRateId = Guid.NewGuid().ToString("D"),
PersonId = commonPHR!.PersonId,
Serialno = heartRate.Serialno,
HeartRate = fetalHeartRate,
SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
IsAbnormal = isAbnormal,
StatStartTime = statStartTime,
StatEndTime = statEndTime,//commonPHR.StatEndTime,
CreateTime = DateTime.Now,
Method = 1,
IsDisplay = 1,
DeviceKey = commonPHR!.DeviceKey
};
await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);

// 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
// 推送最后一条常规心率计算的胎心数据到iot设备
#region 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
var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
_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");
}
// 高频(13)-常规-高频(13)
if (phrFreqstatus != null)
{
var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
// 获取高频数据
var freqCollection = new List<PregnancyHeartRateModel>();
PregnancyHeartRateModel? previousItem = null;
foreach (var item in phr)
{
if (previousItem != null)
{
var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
if (timeNextDiff <= 60)
{
freqCollection.Add(item);
}
}
// 高频最后一条
if (lastPhr.MessageId == item.MessageId)
{
freqCollection.Add(item);
}

previousItem = item;
}
//去除高频
foreach (var item in freqCollection)
{
phr.Remove(item);
}
lastPhr = phr.FirstOrDefault();
if (lastPhr?.MessageId == heartRate.MessageId)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
_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)");
}
}

#endregion

#region 高频心率计算胎心数据到iot设备
// 高频(17) ,连续12个高频正常，也不停止且数据偏高和偏低也推送到iot
if (phrFreqstatus != null && isAbnormal != 0)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
}
#endregion
var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
// 胎心数据推送到第三方
var topic = "topic.push.third";
var fhrThridMsg = new
{
messageId = fhrMsgId,
topic = topic,
time = fhrMsgTime,
data = new
{
imei = heartRate.Serialno,
value = fetalHeartRate,
isAbnormal,
type = "fetalHeart"
}
};
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);

// 胎心数据推送到微信
if (isAbnormal != 0)
{

topic = "topic.push.wx";
var fhrMsg = new
{
messageId = fhrMsgId,
topic = topic,
time = fhrMsgTime,
data = new
{
deviceId = device?.DeviceId,
imei = heartRate.Serialno,
alarmTypeId = 12,
alarmDeviceName = heartRate.Serialno,
alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
address = string.Empty,
deviceKey = device?.DeviceId
}
};
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);

}
}

/// <summary>
/// 高频胎心处理
/// 1. 高频数据触发连续12个值都是正常的的高频心率处理
@@ -1345,7 +942,7 @@ namespace HealthMonitor.Service.Resolver
{
_logger.LogWarning($"{heartRate.Serialno} 高频持续不足10分钟,在高频警告下限阀值 {lowerAlarmThreshold} 和 高频警告上限阀值:{upperAlarmThreshold}之间,最后胎心值{fetalHeartRate},并且不告警");
}
}
// 超过highFreqSampleTimes,540s
else
@@ -1390,64 +987,15 @@ namespace HealthMonitor.Service.Resolver
};
await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);

// 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
// 推送最后一条常规心率计算的胎心数据到iot设备
#region 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
var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
_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");
}
// 高频(13)-常规-高频(13)
if (phrFreqstatus != null)
{
var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
// 获取高频数据
var freqCollection = new List<PregnancyHeartRateModel>();
PregnancyHeartRateModel? previousItem = null;
foreach (var item in phr)
{
if (previousItem != null)
{
var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
if (timeNextDiff <= 60)
{
freqCollection.Add(item);
}
}
// 高频最后一条
if (lastPhr.MessageId == item.MessageId)
{
freqCollection.Add(item);
}

previousItem = item;
}
//去除高频
foreach (var item in freqCollection)
{
phr.Remove(item);
}
lastPhr = phr.FirstOrDefault();
if (lastPhr?.MessageId == heartRate.MessageId)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
_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)");
}
}
#region 高频心率计算胎心数据到iot设备

#endregion
//if (phrFreqstatus != null && isAbnormal != 0)
//{
// await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
//}
// 高频有数据都推送到iot

#region 高频心率计算胎心数据到iot设备
// 高频(17) ,连续12个高频正常，也不停止且数据偏高和偏低也推送到iot
if (phrFreqstatus != null && isAbnormal != 0)
{
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
}
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
#endregion
var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";


+ 9
- 2
HealthMonitor.WebApi/Worker.cs Dosyayı Görüntüle

@@ -359,9 +359,16 @@ namespace HealthMonitor.WebApi
{
/// 不够10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{triggerHeartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
triggerHeartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
triggerHeartRate.LastUpdate = lastFreqHr.LastUpdate;
}
else
{
/// 超过10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{triggerHeartRate.Serialno} 超过10分钟最近12个数据的最小值生成胎心值");
}
triggerHeartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
triggerHeartRate.LastUpdate = lastFreqHr.LastUpdate;

_logger.LogInformation($"{triggerHeartRate.Serialno} 高频结束后计算胎心数据,防止结束后与常规心理的胎心处理过长，定时器时长highFreqSampleInterval触发的高频心率处理");

await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(triggerHeartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);


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