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HealthMonitor
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H Vs 3 月之前
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共有 1 個文件被更改，包括 392 次插入 和 2 次删除
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  1. +392
    -2
      HealthMonitor.WebApi/Worker.cs

+ 392
- 2
HealthMonitor.WebApi/Worker.cs 查看文件

@@ -546,6 +546,385 @@ namespace HealthMonitor.WebApi
{

#region 胎动延时计算
/**
using (_logger.BeginScope(new Dictionary<string, object> { ["RequestId"] = $"FM-{imeiDel}-{DateTime.Now.ToString("yyyyMMddHHmmss")}" }))
{
var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(imeiDel, "0067");
_logger.LogInformation($"触发胎动计算，设备配置{JsonConvert.SerializeObject(watchConfig)}");
var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1;
if (isFetalHeartEnable)
{
var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
// 已经建模
var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(imeiDel);
if (commonPHR != null)
{
var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(imeiDel, 7);
_logger.LogInformation($"{imeiDel} 计算胎动数据 ");

var fmNow = DateTime.Now;
// 两小时前
var fmNowSubtract = fmNow.AddMinutes(-fmNow.Minute).AddSeconds(-fmNow.Second).AddMilliseconds(-fmNow.Millisecond);

var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(fmNowSubtract).ToString()[..10];

// 统计开始时间
var statStartTime = fmNowSubtract.AddHours(-2);
// 统计结束时间
var statEndTime = fmNowSubtract;

var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(imeiDel, fetalMovementSampleTime);
_logger.LogInformation($"{imeiDel} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{fmNowSubtract.ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 开始");

if (!isFetalMovementExisted)
{
/// 开始计算
var phrRange = phr.Where(i => i.LastUpdate >= statStartTime && i.LastUpdate <= statEndTime)
.OrderByDescending(i => i.LastUpdate)
.Select(i => i.LastUpdate)
.ToList();
// 判断是否有持续佩戴
if (phrRange.Count >= 2)
{
// 读取胎心数据
GeneralParam param = new()
{
Filters = new List<QueryFilterCondition>
{
new ()
{
Key=nameof(HisGpsFetalHeartRate.Serialno),
Value=imeiDel,
ValueType=QueryValueTypeEnum.String,
Operator=QueryOperatorEnum.Equal
},
//new ()
//{
// Key=nameof(HisGpsFetalHeartRate.SampleTime),
// Value=sampleTime,
// ValueType=QueryValueTypeEnum.String,
// Operator=QueryOperatorEnum.GreaterEqual
//},
},
OrderBys = new List<OrderByCondition>
{
new (){
IsDesc=true,
Key=nameof(HisGpsFetalHeartRate.SampleTime)
}
}
};
var fetalHeartRateIsAbnormal = 0;
var fhr = await _hisFetalHeartApiClient.GetFirstAsync(param, imeiDel[^2..], null, new RequestHeader { RequestId = Guid.NewGuid().ToString("D") });

// 胎心数据时间与胎动时间一致
var time = long.Parse(fhr.SampleTime.Length < 13 ? fhr.SampleTime.PadRight(13, '0') : fhr.SampleTime);
var fhrSampleTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(time);

// 胎心数据时间与胎动时间一致，最后一条胎心数据与胎动数据的小时差不大于2
if ((DateTime.Now.Hour - fhrSampleTime.Hour) <= 2)
{
var duringMins = Math.Abs((phrRange.First() - phrRange.Last()).TotalMinutes);
//在餐后时间段（8:00~10:00，12:00~14:00，18:00~20:00，22:00~24:00）取中间值。其他时间段取正常起始值
bool isInTimeRanges = IsLastUpdateInTimeRanges(phrRange.First());

int pregnancyWeeks = (DateTime.Now - edoc.AddDays(-280)).Days / 7;
if (pregnancyWeeks >= 12 && pregnancyWeeks <= 50)
{
var fetalMovementMap = _mgrFetalMovementNormalValueRangeCache.GetFetalMovements();

var fetalMovementMapValue = isInTimeRanges ? fetalMovementMap
.Where(i =>
i.PregnancyPeriod![0] <= pregnancyWeeks &&
i.PregnancyPeriod[1] >= pregnancyWeeks)
.Select(i => i.MedianMovement)
.FirstOrDefault()
:
fetalMovementMap
.Where(i =>
i.PregnancyPeriod![0] <= pregnancyWeeks &&
i.PregnancyPeriod[1] >= pregnancyWeeks)
.Select(i => i.InitialMovement)
.FirstOrDefault()
;

var fetalMovementValue = (fetalMovementMapValue * duringMins * 2) / 120;
// 四舍五入
var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero);
// _logger.LogInformation($"{imeiDel} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} ");

#region 生理健康与胎动的关系
/// (步数)运动步数超过1500步则加1；
/// (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。
/// (血压)血压收缩压大于160则加1。
/// (心理)心理压力高加2，压力中加1；

var fetalMovementStepVar = 0;
var fetalMovementTempVar = 0;
var fetalMovementBpVar = 0;
var fetalMovementPpVar = 0;
var fetalMovementFhrVar = 0;
// 步数
if (true)
{
var step = await _personCacheMgr.GetStepPeriodicityAsync(imeiDel);
if (step != null)
{
if (DateTime.Now.Hour - ((DateTime)step?.LastUpdate!).Hour <= 2)
{
if (step.Steps > 1500) fetalMovementStepVar = 1;
}
else
{
_logger.LogWarning($"{imeiDel} 周期步数 时间无效");
}
}
else
{
_logger.LogWarning($"{imeiDel} 周期步数无数据");
}

}

// 体温
if (true)
{
var temp = await _personCacheMgr.GetTemperaturePeriodicityAsync(imeiDel);
if (temp != null)
{
if (DateTime.Now.Hour - ((DateTime)temp?.LastUpdate!).Hour <= 2)
{
// 中烧
if (temp.Temperature >= 37.3M && temp.Temperature <= 38.5M)
{
fetalMovementTempVar = -1;
}
// 高烧
if (temp.Temperature >= 38.6M)
{
fetalMovementTempVar = -2;
}
}
else
{
_logger.LogWarning($"{imeiDel} 周期体温 时间无效");
}
}
else
{
_logger.LogWarning($"{imeiDel} 周期体温无数据");
}

}

// 血压
if (true)
{
var bp = await _personCacheMgr.GetBloodPressPeriodicityAsync(imeiDel);
if (bp != null)
{
if (DateTime.Now.Hour - ((DateTime)bp?.LastUpdate!).Hour <= 2)
{
if (bp.SystolicValue > 160)
{
fetalMovementBpVar = 1;
}
}
else
{
_logger.LogWarning($"{imeiDel} 周期血压 时间无效");
}
}
else
{
_logger.LogWarning($"{imeiDel} 周期血压无数据");
}

}
// 心理
if (true)
{
//-1 不处理，
//0 正常，
//1 轻度，
//2 中度；
//3 重度；
GeneralParam psychResultParam = new()
{
Filters = new List<QueryFilterCondition>
{
new ()
{
Key=nameof(HisGpsPsychResult.Serialno),
Value=imeiDel,
ValueType=QueryValueTypeEnum.String,
Operator=QueryOperatorEnum.Equal
},
//new ()
//{
// Key=nameof(HisGpsFetalHeartRate.SampleTime),
// Value=sampleTime,
// ValueType=QueryValueTypeEnum.String,
// Operator=QueryOperatorEnum.GreaterEqual
//},
},
OrderBys = new List<OrderByCondition>
{
new (){
IsDesc=true,
Key=nameof(HisGpsPsychResult.Serialno)
}
}
};
var psych = await _hisPsychResultApiClient.GetFirstAsync(psychResultParam, imeiDel[^2..], null, new RequestHeader { RequestId = Guid.NewGuid().ToString("D") });
if (psych != null)
{
if (psych?.StressScore == 2)
{
fetalMovementPpVar = 1;
}

if (psych?.StressScore == 3)
{
fetalMovementPpVar = 2;
}
}
else
{
_logger.LogWarning($"{imeiDel} 周期心理压力无数据");
}

}

#endregion

#region 胎心与胎动的关系
/// 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。
/// 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。
/// 告警上限阀值

//1表示偏高；2表示偏低
if (true)
{
if (fhr.IsAbnormal == 2)
{
fetalMovementPpVar = -1;
}

if (fhr.IsAbnormal == 1)
{
fetalMovementPpVar = 1;
}
}

#endregion

_logger.LogInformation($"{imeiDel} 原始胎动值：{fetalMovementValue}, 步数参数变动值：{fetalMovementStepVar}，体温参数变动值：{fetalMovementTempVar}，血压参数变动值：{fetalMovementBpVar}，心理压力参数变动值:{fetalMovementPpVar},胎心参数变动值:{fetalMovementFhrVar}");


fetalMovementValue = fetalMovementValue + fetalMovementStepVar + fetalMovementTempVar + fetalMovementBpVar + fetalMovementPpVar + fetalMovementFhrVar;


_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.");

// 获取胎心数据状态与胎动数据状态一致
//etalHeartRateIsAbnormal= fhr.IsAbnormal;
var feltalMovementIsAbnormal = fetalHeartRateIsAbnormal;

await _serviceIotApi.SetFetalMovementConfig(imeiDel, fetalMovement, fetalMovementSampleTime, feltalMovementIsAbnormal);

// 保存到MySQL数据库
HisGpsFetalMovement fm = new()
{
FetalMovementId = Guid.NewGuid().ToString("D"),
PersonId = commonPHR!.PersonId,
Serialno = imeiDel,
CreateTime = DateTime.Now,
IsAbnormal = feltalMovementIsAbnormal,
FetalMovementValue = fetalMovement,
SampleTime = fetalMovementSampleTime,
Method = 1,
IsDisplay = 1,
DeviceKey = commonPHR!.DeviceKey
};
await _hisFetalMovementApiClient.AddAsync(fm).ConfigureAwait(false);

var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(imeiDel).ConfigureAwait(false);
var fmMsgId = $"{imeiDel}-{fetalMovementSampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
var fmMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(fetalMovementSampleTime.Length < 13 ? fetalMovementSampleTime.PadRight(13, '0') : fetalMovementSampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
// 胎动数据推送到第三方
var topic = "topic.push.third";
var fmThridMsg = new
{
messageId = fmMsgId,
topic = topic,
time = fmMsgTime,
data = new
{
imei = imeiDel,
value = fetalMovement,
isAbnormal = feltalMovementIsAbnormal,
type = "fetalMovement"
}
};
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fmMsgId, topic, 31, fmThridMsg).ConfigureAwait(false);

// 胎动数据推送到微信
if (feltalMovementIsAbnormal != 0)
{
topic = "topic.push.wx";
var fmMsg = new
{
messageId = Guid.NewGuid().ToString("D"),
topic = topic,
time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(fetalMovementSampleTime.Length < 13 ? fetalMovementSampleTime.PadRight(13, '0') : fetalMovementSampleTime)).ToString("yyyy-MM-dd HH:mm:ss"),
data = new
{
deviceId = device?.DeviceId,
imei = imeiDel,
alarmTypeId = 12,
alarmDeviceName = imeiDel,
alarmRemarks = JsonConvert.SerializeObject(new { fetalMovementValue = fetalMovement, isAbnormal = feltalMovementIsAbnormal }),
address = string.Empty,
deviceKey = device?.DeviceId
}
};
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fmMsgId, topic, fmMsg).ConfigureAwait(false);
}
// 设置入库缓存记录
await _deviceCacheMgr.SetFetalMovementAsync(imeiDel, fetalMovementSampleTime, fm);


}
else
{
_logger.LogWarning($"{imeiDel} 孕周 {pregnancyWeeks},超出胎动计算范围");
}
}
else
{
_logger.LogWarning($"{imeiDel} 最后一条胎心数据与胎动数据的小时差大于2,不计算胎动数据");
}
}
else
{
_logger.LogInformation($"{imeiDel} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{fmNowSubtract.ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 不足两条,不能判断是否持续佩戴");

}
}
else
{
_logger.LogInformation($"{imeiDel} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{fmNowSubtract.ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 已处理");
}
}


}
}
*/
#endregion

#region 胎动延时计算(再延时)
using (_logger.BeginScope(new Dictionary<string, object> { ["RequestId"] = $"FM-{imeiDel}-{DateTime.Now.ToString("yyyyMMddHHmmss")}" }))
{
var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(imeiDel, "0067");
@@ -572,6 +951,16 @@ namespace HealthMonitor.WebApi
// 统计结束时间
var statEndTime = fmNowSubtract;

// 最后一条
PregnancyHeartRateModel lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(imeiDel);
Thread thread = new(async () => {
});

thread.Start();


var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(imeiDel, fetalMovementSampleTime);
_logger.LogInformation($"{imeiDel} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{fmNowSubtract.ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 开始");

@@ -920,6 +1309,7 @@ namespace HealthMonitor.WebApi

}
}

#endregion
}
else
@@ -1588,13 +1978,13 @@ namespace HealthMonitor.WebApi

try
{
var c = 0;
while (true)
{
var c = 0;
var segmentStatStartTime = boundaryStatStartTime.AddMinutes(c * INTERVAL_FHR);
var segmentStatEndTime = segmentStatStartTime.AddMinutes(INTERVAL_FHR);
c++;

var statStartTime = segmentStatStartTime;
var statEndTime = segmentStatEndTime;



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