From 36a4bb7cafa0e5717eda147b3fa8eaf0abe906d9 Mon Sep 17 00:00:00 2001 From: H Vs Date: Thu, 26 Sep 2024 10:32:08 +0800 Subject: [PATCH] =?UTF-8?q?=E9=AB=98=E9=A2=91=E5=B9=B3=E5=9D=87=E5=80=BC?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit --- .../Resolver/PregnancyHeartRateResolver.cs | 236 +++++++++++++++++- HealthMonitor.WebApi/Worker.cs | 12 +- 2 files changed, 235 insertions(+), 13 deletions(-) diff --git a/HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs b/HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs index f8d0934..f772cfa 100644 --- a/HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs +++ b/HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs @@ -347,12 +347,14 @@ 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); + //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); // 删除高频状态的首条记录 await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); // 设置15分的SaveAndPushFetalHeartRate业务间隔 await _deviceCacheMgr.SetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate"); - _logger.LogInformation($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,结束高频心率状态, timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}，高频状态持续{((DateTime)heartRate.LastUpdate - phrFreqstatus!.LastUpdate).TotalSeconds} 秒"); + _logger.LogInformation($"{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，高频心率平均值:{(int)avgPhr}"); } else { @@ -386,11 +388,13 @@ namespace HealthMonitor.Service.Resolver // 计算一般心率得到胎心系数 // 高频数据不建模 FreqStatsEnd = firstTwoPhr[1]; - _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒，highFreqSampleTimes={highFreqSampleTimes}秒,即将结束高频状态，将下发指令"); + _logger.LogInformation($"{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，高频心率平均值:{(int)avgPhr}，将下发指令"); //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString()); - await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); + //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); } /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow，少于等于triggerHighFreqHig), @@ -417,10 +421,11 @@ namespace HealthMonitor.Service.Resolver .Take(stopHighFreqSampleCount) // 计算最后12条 .Select(i => i.PregnancyHeartRate).Average(); - _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒，超过约定的 {highFreqSampleTimes} 秒,即将结束高频状态，将下发指令"); + _logger.LogInformation($"{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，高频心率平均值:{(int)avgPhr}，将下发指令"); //计算高频 - await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); - + //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); } else { @@ -474,7 +479,11 @@ namespace HealthMonitor.Service.Resolver .OrderByDescending(i => i.LastUpdate) .Take(stopHighFreqSampleCount) // 计算最后12条 .Select(i => i.PregnancyHeartRate).Average(); - await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), freqCollection.Last().LastUpdate, freqCollection.First().LastUpdate); + + //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), freqCollection.Last().LastUpdate, freqCollection.First().LastUpdate); + heartRate.HeartRate = (int)avgPhr; + await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); + _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate}，高频心率平均值:{(int)avgPhr}"); } else @@ -639,7 +648,9 @@ namespace HealthMonitor.Service.Resolver : filteredPhr.Average(i => i.PregnancyHeartRate); //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR); - await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime); + //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime); + heartRate.HeartRate = (int)phrValue; + await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime); } /// @@ -883,6 +894,213 @@ namespace HealthMonitor.Service.Resolver } } + + private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime) + { + // 计算胎心=孕妇心率*系数 + /** + var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!); + fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220，超过都按该值220输出 + if (fetalHeartRate >= 220) + { + // 先使用最小系数计算 + var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!; + var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!; + var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient; + fetalHeartRate = SafeType.SafeInt(phrValue * coefficient); + if (fetalHeartRate < 220) + { + _logger.LogWarning($"{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(heartRate.Serialno); + if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null) + { + await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal); + _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规"); + } + // 高频(13)-常规-高频(13) + if (phrFreqstatus != null) + { + var phr = await _serviceTDengine.GetBySerialNoAsync(heartRate.Serialno, 1); + phr = phr.OrderByDescending(i => i.LastUpdate).ToList(); + // 获取高频数据 + var freqCollection = new List(); + PregnancyHeartRateModel? previousItem = null; + foreach (var item in phr) + { + if (previousItem != null) + { + var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds; + if (timeNextDiff <= 60) + { + freqCollection.Add(item); + } + } + // 高频最后一条 + if (lastPhr.MessageId == item.MessageId) + { + freqCollection.Add(item); + } + + previousItem = item; + } + //去除高频 + foreach (var item in freqCollection) + { + phr.Remove(item); + } + lastPhr = phr.FirstOrDefault(); + if (lastPhr?.MessageId == heartRate.MessageId) + { + await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal); + _logger.LogInformation($"{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 SetIntervalTriggerAsync(string key, string imei, long interval, HisGpsHeartRate heartRate) { // var key = $"health_monitor/schedule_push/{type}/imei/{imei}"; diff --git a/HealthMonitor.WebApi/Worker.cs b/HealthMonitor.WebApi/Worker.cs index b7bdbd2..30827c4 100644 --- a/HealthMonitor.WebApi/Worker.cs +++ b/HealthMonitor.WebApi/Worker.cs @@ -333,9 +333,11 @@ namespace HealthMonitor.WebApi var FreqStatsEnd = phrInFreqstatus.First().LastUpdate; - _logger.LogInformation($"延时计算，{imeiDel} 高频状态持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,统计周期:{phrFreqstatus!.LastUpdate.ToString("yyyy-MM-dd HH:mm:ss")}----{FreqStatsEnd.ToString("yyyy-MM-dd HH:mm:ss")}，将下发指令"); + _logger.LogInformation($"延时计算，{imeiDel} 高频状态持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,统计周期:{phrFreqstatus!.LastUpdate.ToString("yyyy-MM-dd HH:mm:ss")}----{FreqStatsEnd.ToString("yyyy-MM-dd HH:mm:ss")}，高频心率平均值:{(int)avgPhr},将下发指令"); - await SaveAndPushFetalHeartRateAsync(triggerHeartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); + //await SaveAndPushFetalHeartRateAsync(triggerHeartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); + triggerHeartRate.HeartRate = (int)avgPhr; + await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(triggerHeartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); } else { @@ -2146,7 +2148,7 @@ namespace HealthMonitor.WebApi } - private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime, DateTime statStartTime, DateTime statEndTime) + 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 /** @@ -2200,7 +2202,7 @@ namespace HealthMonitor.WebApi } #endregion - var fetalHeartRate = SafeType.SafeInt(phrValue * coefficient); + 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; @@ -2338,6 +2340,8 @@ namespace HealthMonitor.WebApi } + + /// /// 去除高频数据 ///