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@@ -53,6 +53,8 @@ namespace HealthMonitor.WebApi |
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private readonly GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> _hisFetalHeartApiClient; |
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private readonly GpsLocationHistoryAccessorClient<HisGpsFetalMovement> _hisFetalMovementApiClient; |
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private readonly GpsLocationHistoryAccessorClient<HisGpsPsychResult> _hisPsychResultApiClient; |
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private readonly MqProcessLogic _serviceMqProcess; |
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private CancellationTokenSource _tokenSource = default!; |
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@@ -63,6 +65,7 @@ namespace HealthMonitor.WebApi |
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TDengineDataSubcribe tdEngineDataSubcribe, TDengineService serviceDengine, |
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GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> hisFetalHeartApiClient, |
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GpsLocationHistoryAccessorClient<HisGpsFetalMovement> hisFetalMovementApiClient, |
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GpsLocationHistoryAccessorClient<HisGpsPsychResult> hisGpsPsychResultApiClient, |
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FetalMovementNormalValueRangeCacheManager fetalMovementNormalValueRangeCacheMgr, MqProcessLogic serviceMqProcess, |
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HttpHelper httpHelper, EtcdService serviceEtcd, DeviceCacheManager deviceCacheMgr) |
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{ |
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@@ -80,8 +83,10 @@ namespace HealthMonitor.WebApi |
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_deviceCacheMgr = deviceCacheMgr; |
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_hisFetalHeartApiClient = hisFetalHeartApiClient; |
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_hisFetalMovementApiClient = hisFetalMovementApiClient; |
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_hisPsychResultApiClient = hisGpsPsychResultApiClient; |
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_serviceMqProcess = serviceMqProcess; |
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_mgrFetalMovementNormalValueRangeCache = fetalMovementNormalValueRangeCacheMgr; |
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} |
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public override Task StartAsync(CancellationToken cancellationToken) |
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@@ -521,6 +526,127 @@ namespace HealthMonitor.WebApi |
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var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); |
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// _logger.LogInformation($"{imeiDel} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} "); |
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#region 生理健康与胎动的关系 |
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/// (步数)运动步数超过1500步则加1； |
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/// (体温)低烧则胎动减1，高烧胎动减2；低烧是37.3~38.5，38.6以上是高烧。 |
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/// (血压)血压收缩压大于160则加1。 |
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/// (心理)心理压力高加2，压力中加1； |
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var fetalMovementStepVar = 0; |
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var fetalMovementTempVar = 0; |
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var fetalMovementBpVar = 0; |
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var fetalMovementPpVar = 0; |
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// 步数 |
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if (true) |
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{ |
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var step = await _personCacheMgr.GetStepPeriodicityAsync(imeiDel); |
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if (DateTime.Now.Hour - ((DateTime)step?.LastUpdate!).Hour <= 2) |
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{ |
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if (step.Steps > 1500) fetalMovementStepVar = 1; |
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} |
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else |
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{ |
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_logger.LogWarning($"{imeiDel} 周期步数 时间无效"); |
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} |
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} |
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// 体温 |
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if (true) |
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{ |
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var temp = await _personCacheMgr.GetTemperaturePeriodicityAsync(imeiDel); |
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if (DateTime.Now.Hour - ((DateTime)temp?.LastUpdate!).Hour <= 2) |
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{ |
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// 中烧 |
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if (temp.Temperature>=37.3M&& temp.Temperature<= 38.5M) |
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{ |
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fetalMovementTempVar = -1; |
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} |
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// 高烧 |
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if (temp.Temperature >= 38.6M) |
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{ |
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fetalMovementTempVar = -2; |
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} |
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} |
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else |
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{ |
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_logger.LogWarning($"{imeiDel} 周期体温 时间无效"); |
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} |
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} |
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// 血压 |
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if (true) |
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{ |
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var bp = await _personCacheMgr.GetBloodPressPeriodicityAsync(imeiDel); |
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if (DateTime.Now.Hour - ((DateTime)bp?.LastUpdate!).Hour <= 2) |
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{ |
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if (bp.SystolicValue>160) |
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{ |
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fetalMovementBpVar = 1; |
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} |
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} |
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else |
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{ |
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_logger.LogWarning($"{imeiDel} 周期血压 时间无效"); |
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} |
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} |
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// 心理 |
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if (true) |
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{ |
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//-1 不处理， |
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//0 正常， |
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//1 轻度， |
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//2 中度； |
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//3 重度； |
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GeneralParam psychResultParam = new() |
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{ |
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Filters = new List<QueryFilterCondition> |
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{ |
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new () |
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{ |
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Key=nameof(HisGpsPsychResult.Serialno), |
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Value=imeiDel, |
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ValueType=QueryValueTypeEnum.String, |
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Operator=QueryOperatorEnum.Equal |
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}, |
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//new () |
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//{ |
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// Key=nameof(HisGpsFetalHeartRate.SampleTime), |
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// Value=sampleTime, |
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// ValueType=QueryValueTypeEnum.String, |
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// Operator=QueryOperatorEnum.GreaterEqual |
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//}, |
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}, |
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OrderBys = new List<OrderByCondition> |
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{ |
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new (){ |
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IsDesc=true, |
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Key=nameof(HisGpsPsychResult.Serialno) |
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} |
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} |
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}; |
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var psych = await _hisPsychResultApiClient.GetFirstAsync(psychResultParam, imeiDel[^2..], null, new RequestHeader { RequestId = Guid.NewGuid().ToString("D") }); |
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if (psych?.StressScore == 2) |
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{ |
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fetalMovementPpVar = 1; |
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} |
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if (psych?.StressScore == 3) |
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{ |
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fetalMovementPpVar = 2; |
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} |
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} |
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_logger.LogInformation($"{imeiDel} 原始胎动值：{fetalMovementValue}, 步数变动值：{fetalMovementStepVar}，体温变动值：{fetalMovementTempVar}，血压变动值：{fetalMovementBpVar}，心理压力变动值{fetalMovementPpVar}"); |
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fetalMovementValue = fetalMovementValue + fetalMovementStepVar + fetalMovementTempVar + fetalMovementBpVar + fetalMovementPpVar; |
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#endregion |
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#region 胎心与胎动的关系 |
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// 胎心值过缓时，则胎动数量减1；胎心值过速时，则胎动也加1。 |
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// 此值允许在上限值上继续增加，在下限值上继续减少，最小值为0。 |
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#endregion |
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_logger.LogInformation($"{imeiDel} 孕周：{pregnancyWeeks}，胎动数据采样时间:{fetalMovementSampleTime}|{fmNowSubtract.ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 原始胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{phrRange.Last()}-{phrRange.First()}, 胎动计算值:{fetalMovementValue}, 胎动最终值:{fetalMovement} 已完成."); |
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// 获取胎心数据状态与胎动数据状态一致 |
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