高频平均值

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);
         }
 
         /// <summary>
@@ -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($"{heartRate.Serialno} 在 {statsusDesc} 状态,生成胎心值:{fetalHeartRate},统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
+            //if (!isFreq)
+            //{
+            //    statStartTime = heartRate.LastUpdate;
+            //    
+            //} 
+            // 保存到 数据服务 MySQL 数据库
+            HisGpsFetalHeartRate gpsFetalHeartRate = new()
+            {
+                FetalHeartRateId = Guid.NewGuid().ToString("D"),
+                PersonId = commonPHR!.PersonId,
+                Serialno = heartRate.Serialno,
+                HeartRate = fetalHeartRate,
+                SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
+                IsAbnormal = isAbnormal,
+                StatStartTime = statStartTime,
+                StatEndTime = statEndTime,//commonPHR.StatEndTime,
+                CreateTime = DateTime.Now,
+                Method = 1,
+                IsDisplay = 1,
+                DeviceKey = commonPHR!.DeviceKey
+            };
+            await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
+
+            // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
+            // 推送最后一条常规心率计算的胎心数据到iot设备
+            #region 推送最后一条常规心率计算的胎心数据到iot设备
+
+            // 高频(<=12)-常规
+            var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
+            if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
+            {
+                await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
+                _logger.LogInformation($"{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 SetIntervalTriggerAsync(string key, string imei, long interval, HisGpsHeartRate heartRate)
         {
             // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";

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
         }
 
 
+
+
         /// <summary>
         ///  去除高频数据
         /// </summary>