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@@ -130,202 +130,400 @@ namespace HealthMonitor.Service.Resolver |
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var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7); |
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if (phr.Count >= 30) |
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{ |
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/** |
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#region 计算胎心和胎动数据 |
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var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno); |
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if (commonPHR != null) |
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if (commonPHR == null) |
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{ |
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var lastUpdateNow = (DateTime)heartRate.LastUpdate!; |
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var midNight = new DateTime(lastUpdateNow.Year, lastUpdateNow.Month, lastUpdateNow.Day, 0, 0, 0); |
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#region 计算胎心数据 |
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_logger.LogInformation($"{heartRate.Serialno} 计算胎心数据 "); |
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// 处理孕妇业务,计算一般心率并下发 |
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commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno); |
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// 建模完成 |
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var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue); |
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_logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成"); |
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// 保存到TDengine数据库 |
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await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!); |
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_logger.LogInformation($"保存TDengine完成"); |
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} |
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#region 计算胎心数据(按心率时间LastUpdate) |
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var fhrNow = lastUpdateNow; |
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// 获取最近的两个记录,并计算它们的 LastUpdate 时间差 |
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var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList(); |
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var timeDiff = firstTwoPhr[0] - firstTwoPhr[1]; |
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TimeSpan fhrTS = fhrNow - midNight; |
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// 当天每隔intervalFHR 分钟的段数,取整数部分 |
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int segmentCountFHR = (int)(fhrTS.TotalMinutes / intervalFHR); |
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for (int i = 0; i < segmentCountFHR; i++) |
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{ |
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// 每intervalFHR * i分钟 |
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var fhrSampleTime = DateTimeUtil.ConvertToTimeStamp(midNight.AddMinutes(intervalFHR * i)).ToString()[..10]; |
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// 如果需要,将时间差转换为秒 |
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var timeDiffInSeconds = timeDiff.TotalSeconds; |
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// 统计开始时间 |
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var statStartTimeFHR = midNight.AddMinutes(intervalFHR * i); |
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// 统计结束时间 |
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var statEndTimeFHR = midNight.AddMinutes(intervalFHR * (i + 1)); |
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// 高频心率启动 |
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if (timeDiffInSeconds <= highFreqSampleInterval) |
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{ |
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var isFHRExisted =await _mgrFetalHeartRateCache.FetalHeartRateIsExistedAsync(heartRate.Serialno, fhrSampleTime); |
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_logger.LogInformation($"{heartRate.Serialno} 胎心数据采样时间:{fhrSampleTime}|{midNight.AddMinutes(intervalFHR * i).ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTimeFHR}-{statEndTimeFHR},isFHRExisted:{isFHRExisted} "); |
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var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
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if (phrFreqstatus == null) |
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{ |
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/// 设置高频状态 |
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_logger.LogInformation($"进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}"); |
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// 设置高频状态 |
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var freqFirstPhr = phr.OrderByDescending(i => i.Timestamp).First(); |
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await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr); |
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//phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
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} |
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/// phr PregnancyHeartRate 连续连续正常次数个值都是正常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig), |
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/// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig |
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#region 检查是否连续12个值都是正常的 |
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// 获取最近连续正常次数个心率记录 |
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var lastPhr = phr.OrderByDescending(i => i.Timestamp).Take(stopHighFreqSampleCount).ToList(); |
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// 检查是否连续12个值都是正常的 |
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if (lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)) |
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{ |
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var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average(); |
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// 计算一般心率得到胎心系数 |
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await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString()); |
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if (!isFHRExisted) |
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} |
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#endregion |
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} |
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// 高频心率结束或正常心率 |
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else |
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{ |
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var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
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if (phrFreqstatus != null) |
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{ |
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/// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig), |
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/// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig |
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if (highFreqSampleTimes == 0) |
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{ |
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// 开始计算 ,每intervalFHR分钟计算一个 |
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var phrRange = phr.Where(i => i.LastUpdate >= statStartTimeFHR && i.LastUpdate <= statEndTimeFHR) |
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.OrderByDescending(i => i.LastUpdate) |
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.ToList(); |
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// 胎心数据每intervalFHR分钟计算1个值,采集的数据多于1个取平均值再*胎心系数。 |
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var phrValue = phrRange.Count == 1 |
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? phrRange.First().PregnancyHeartRate |
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: phrRange.Average(i => i.PregnancyHeartRate); |
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// 当天的系数,没有的就实时计算 |
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var fprCoefficient = 0f; |
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//if (commonPHR.CreateTime.Year == lastUpdateNow.Year && |
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// commonPHR.CreateTime.Month == lastUpdateNow.Month && |
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// commonPHR.CreateTime.Day == lastUpdateNow.Day |
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// ) |
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//{ |
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// fprCoefficient = (float)commonPHR?.StatModeAvgFprCoefficient!; |
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//} |
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//else |
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//{ |
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// //var daysDiff = 7 - (DateTime.Now.Day - lastUpdateNow.Day); |
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// //var realtimePCHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno, daysDiff); |
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// //fprCoefficient = realtimePCHR!.StatModeAvgFprCoefficient; |
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// var pchr = await _serviceTDengine.GetBySerialNoAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno); |
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// var dayPCHR = pchr.Where(i => i.CreateTime.Year == lastUpdateNow.Year && i.CreateTime.Month == lastUpdateNow.Month && i.CreateTime.Day == i.CreateTime.Day); |
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// fprCoefficient=dayPCHR.First().StatModeAvgFprCoefficient; |
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//} |
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fprCoefficient = (float)commonPHR?.StatModeAvgFprCoefficient!; |
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var fetalHeartRate = SafeType.SafeInt(phrValue * fprCoefficient); |
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var fetalHeartRateIsAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0); |
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fetalHeartRateIsAbnormal = 0;// 不是高频数据,按正常值 |
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HisGpsFetalHeartRate gpsFetalHeartRate = new() |
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{ |
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FetalHeartRateId = Guid.NewGuid().ToString("D"), |
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PersonId = commonPHR!.PersonId, |
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Serialno = heartRate.Serialno, |
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HeartRate = fetalHeartRate, |
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SampleTime = fhrSampleTime.Length > 10 ? fhrSampleTime.Substring(0, 10) : fhrSampleTime, |
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IsAbnormal = fetalHeartRateIsAbnormal, |
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StatStartTime = phrRange.OrderBy(i => i.LastUpdate).First().LastUpdate, |
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StatEndTime = phrRange.OrderBy(i => i.LastUpdate).Last().LastUpdate, |
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CreateTime = DateTime.Now, |
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Method = 1, |
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IsDisplay = 1, |
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DeviceKey = commonPHR!.DeviceKey |
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}; |
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// 保存到 数据服务 MySQL 数据库 |
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await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false); |
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var avgPhr = phr.OrderByDescending(i => i.Timestamp) |
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.Where(i => i.Timestamp >= phrFreqstatus?.Timestamp) |
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.Skip(1) // 去除首条 |
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.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh) |
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.Select(i => i.PregnancyHeartRate).Average(); |
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// 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig |
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// 计算一般心率得到胎心系数 |
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//await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr); |
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await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString()); |
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// 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig |
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await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, fhrSampleTime, fetalHeartRateIsAbnormal); |
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} |
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// 推送到微信 |
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/// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig), |
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/// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig |
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if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate + TimeSpan.FromSeconds(highFreqSampleTimes))) |
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{ |
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var avgPhr = phr |
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.Where(i => i.Timestamp >= phrFreqstatus?.Timestamp) |
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.Skip(1) // 去除首条 |
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.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh) |
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.Select(i => i.PregnancyHeartRate).Average(); |
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// 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig |
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// 计算一般心率得到胎心系数 |
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//await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr); |
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await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString()); |
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// 设置入库缓存记录 |
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await _mgrFetalHeartRateCache.SetFetalHeartRateAsync(heartRate.Serialno, fhrSampleTime); |
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} |
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// 删除高频状态的首条记录 |
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await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
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/// 设置高频状态 |
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_logger.LogInformation($"结束高频心率状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}"); |
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} |
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// 正常心率 |
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else |
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{ |
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#endregion |
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// 上15分钟的数据 |
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// 获取当前时间 |
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DateTime nowInterval = (DateTime)heartRate.LastUpdate!; |
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#region 计算胎动数据 |
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_logger.LogInformation($"{heartRate.Serialno} 计算胎动数据 "); |
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// 计算last_update到上一刻钟的分钟数 |
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int minutesToSubtract = nowInterval.Minute % intervalFHR; |
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var fmNow = lastUpdateNow; |
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// 计算上一刻钟的时间 |
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DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond); |
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TimeSpan fmTS = fmNow - midNight; |
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// 使用 last_update 上一刻 |
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var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString(); |
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// 当天每隔2小时的段数,取整数部分 |
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int segmentCountFM = (int)(fmTS.TotalHours / 2); |
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// 计算last_update到下一刻钟的分钟数 |
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int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR); |
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if (minutesToAdd == intervalFHR) |
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{ |
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minutesToAdd = 0; // 如果已经是刻钟,则不需要增加分钟 |
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} |
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for (int i = 0; i < segmentCountFM; i++) |
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{ |
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// 每两小时 |
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var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(midNight.AddHours(2 * i)).ToString()[..10]; |
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// 计算下一刻钟的时间 |
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DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd) |
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.AddSeconds(-nowInterval.Second) |
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.AddMilliseconds(-nowInterval.Millisecond); |
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// 统计开始时间 |
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var statStartTime = midNight.AddHours(2 * i); |
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// 统计结束时间 |
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var statEndTime = midNight.AddHours(2 * (i + 1)); |
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//var isFetalMovementExist = await _hisFetalMovementApiClient.GetFirstAsync(param, heartRate.Serialno[^2..], null, new RequestHeader { RequestId = Guid.NewGuid().ToString("D") }); |
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var isFetalMovementExisted = await _mgrFetalMovement.FetalMovementIsExistedAsync(heartRate.Serialno, fetalMovementSampleTime); |
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var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7); |
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if (!isFetalMovementExisted) |
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{ |
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/// 开始计算 |
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var phrRange = phr.Where(i => i.LastUpdate >= statStartTime && i.LastUpdate <= statEndTime) |
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.OrderByDescending(i => i.LastUpdate) |
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.Select(i => i.LastUpdate) |
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var normalPhrStatStartTime = nextInterval; |
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var normalPhrStatEndTime = nextInterval.AddMinutes(-intervalFHR); |
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_logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} "); |
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var filteredPhr = daysPhr |
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// 使用 last_update 下一刻 |
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.Where(i => i.LastUpdate <= normalPhrStatStartTime && i.LastUpdate >= normalPhrStatEndTime) |
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.ToList(); |
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if (filteredPhr.Count == 0) |
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{ |
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_logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录"); |
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return; |
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} |
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var phrValue = filteredPhr.Count == 1 |
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? filteredPhr.First().PregnancyHeartRate |
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: filteredPhr.Average(i => i.PregnancyHeartRate); |
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var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!); |
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if (phrRange.Count >= 2) |
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{ |
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var duringMins = Math.Abs((phrRange.First() - statStartTime).TotalMinutes); |
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//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 |
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bool isInTimeRanges = IsLastUpdateInTimeRanges(fmNow); |
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int pregnancyWeeks = (DateTime.Now - edoc.AddDays(-280)).Days / 7; |
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if (pregnancyWeeks >= 12 && pregnancyWeeks <= 50) |
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fetalHeartRateIsAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0); |
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fetalHeartRateIsAbnormal = 0;// 不是高频数据,按正常值 |
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HisGpsFetalHeartRate gpsFetalHeartRate = new() |
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{ |
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FetalHeartRateId = Guid.NewGuid().ToString("D"), |
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PersonId = commonPHR!.PersonId, |
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Serialno = heartRate.Serialno, |
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HeartRate = fetalHeartRate, |
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SampleTime = sampleTimeFHR.Length > 10 ? sampleTimeFHR.Substring(0, 10) : sampleTimeFHR, |
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IsAbnormal = fetalHeartRateIsAbnormal, |
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StatStartTime = filteredPhr.OrderBy(i => i.LastUpdate).First().LastUpdate, |
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StatEndTime = filteredPhr.OrderBy(i => i.LastUpdate).Last().LastUpdate, |
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CreateTime = DateTime.Now, |
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Method = 1, |
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IsDisplay = 1, |
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DeviceKey = commonPHR!.DeviceKey |
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}; |
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// 保存到 数据服务 MySQL 数据库 |
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await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false); |
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// 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig |
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await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTimeFHR, fetalHeartRateIsAbnormal); |
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// 推送送微信 |
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if (fetalHeartRateIsAbnormal != 0) |
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{ |
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var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false); |
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var fhrMsgId = $"{heartRate.Serialno}-{sampleTimeFHR}-{Guid.NewGuid().ToString("D")[^3..]}"; |
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var topic = "topic.push.wx"; |
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var fhrMsg = new |
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{ |
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messageId = fhrMsgId, |
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topic = topic, |
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time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTimeFHR.Length < 13 ? sampleTimeFHR.PadRight(13, '0') : sampleTimeFHR)).ToString("yyyy-MM-dd HH:mm:ss"), |
|
|
|
data = new |
|
|
|
{ |
|
|
|
var fetalMovementMap = _mgrFetalMovementNormalValueRangeCache.GetFetalMovements(); |
|
|
|
deviceId = device?.DeviceId, |
|
|
|
imei = heartRate.Serialno, |
|
|
|
alarmTypeId = 12, |
|
|
|
alarmDeviceName = heartRate.Serialno, |
|
|
|
alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = fetalHeartRateIsAbnormal }), |
|
|
|
address = string.Empty, |
|
|
|
deviceKey = device?.DeviceId |
|
|
|
} |
|
|
|
}; |
|
|
|
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false); |
|
|
|
} |
|
|
|
} |
|
|
|
} |
|
|
|
|
|
|
|
var fetalMovementMapValue = isInTimeRanges ? fetalMovementMap |
|
|
|
.Where(i => |
|
|
|
i.PregnancyPeriod![0] <= pregnancyWeeks && |
|
|
|
i.PregnancyPeriod[1] >= pregnancyWeeks) |
|
|
|
.Select(i => i.MedianMovement) |
|
|
|
.FirstOrDefault() |
|
|
|
: |
|
|
|
fetalMovementMap |
|
|
|
.Where(i => |
|
|
|
i.PregnancyPeriod![0] <= pregnancyWeeks && |
|
|
|
i.PregnancyPeriod[1] >= pregnancyWeeks) |
|
|
|
.Select(i => i.InitialMovement) |
|
|
|
.FirstOrDefault() |
|
|
|
; |
|
|
|
#endregion |
|
|
|
|
|
|
|
var fetalMovementValue = (fetalMovementMapValue * duringMins * 2) / 120; |
|
|
|
#region 计算胎动数据(按心率时间LastUpdate) |
|
|
|
/** |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 计算胎动数据 "); |
|
|
|
|
|
|
|
var fetalMovementNow = (DateTime)heartRate.LastUpdate!; |
|
|
|
|
|
|
|
// 四舍五入 |
|
|
|
var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); |
|
|
|
// _logger.LogInformation($"{heartRate.Serialno} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} "); |
|
|
|
var midNight = new DateTime(fetalMovementNow.Year, fetalMovementNow.Month, fetalMovementNow.Day, 0, 0, 0); |
|
|
|
|
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 原始胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{statStartTime}-{phrRange.First()}, 胎动计算值:{fetalMovementValue}, 胎动最终值:{fetalMovement}"); |
|
|
|
TimeSpan fetalMovementTS = fetalMovementNow - midNight; |
|
|
|
|
|
|
|
// 获取胎心数据状态与胎动数据状态一致 |
|
|
|
//var feltalMovementIsAbnormal = fetalHeartRateIsAbnormal; |
|
|
|
var feltalMovementIsAbnormal = 0; |
|
|
|
// 推送到api/v1/open/OpenIot/SetFetalMovementConfig |
|
|
|
// 当天每隔2小时的段数,取整数部分 |
|
|
|
int segmentCountFM = (int)(fetalMovementTS.TotalHours / 2); |
|
|
|
|
|
|
|
await _serviceIotApi.SetFetalMovementConfig(heartRate.Serialno, fetalMovement, fetalMovementSampleTime, feltalMovementIsAbnormal); |
|
|
|
for (int i = 0; i < segmentCountFM; i++) |
|
|
|
{ |
|
|
|
// 每两小时 |
|
|
|
var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(midNight.AddHours(2 * i)).ToString()[..10]; |
|
|
|
|
|
|
|
// 统计开始时间 |
|
|
|
var statStartTime = midNight.AddHours(2 * i); |
|
|
|
// 统计结束时间 |
|
|
|
var statEndTime = midNight.AddHours(2 * (i+1)); |
|
|
|
|
|
|
|
var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(heartRate.Serialno, fetalMovementSampleTime); |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 开始"); |
|
|
|
|
|
|
|
if (!isFetalMovementExisted) |
|
|
|
{ |
|
|
|
/// 开始计算 |
|
|
|
var phrRange = phr.Where(i => i.LastUpdate >= statStartTime && i.LastUpdate<= statEndTime) |
|
|
|
.OrderByDescending(i => i.LastUpdate) |
|
|
|
.Select(i => i.LastUpdate) |
|
|
|
.ToList(); |
|
|
|
// 判断是否有持续佩戴 |
|
|
|
if (phrRange.Count >= 2) |
|
|
|
{ |
|
|
|
var duringMins = Math.Abs((phrRange.First()- statStartTime).TotalMinutes); |
|
|
|
//在餐后时间段(8:00~10:00,12:00~14:00,18:00~20:00,22:00~24:00)取中间值。其他时间段取正常起始值 |
|
|
|
bool isInTimeRanges = IsLastUpdateInTimeRanges(fetalMovementNow); |
|
|
|
|
|
|
|
// 保存到MySQL数据库 |
|
|
|
HisGpsFetalMovement fm = new() |
|
|
|
int pregnancyWeeks = (DateTime.Now - edoc.AddDays(-280)).Days / 7; |
|
|
|
if (pregnancyWeeks >= 12 && pregnancyWeeks <= 50) |
|
|
|
{ |
|
|
|
var fetalMovementMap = _mgrFetalMovementNormalValueRangeCache.GetFetalMovements(); |
|
|
|
|
|
|
|
var fetalMovementMapValue = isInTimeRanges ? fetalMovementMap |
|
|
|
.Where(i => |
|
|
|
i.PregnancyPeriod![0] <= pregnancyWeeks && |
|
|
|
i.PregnancyPeriod[1] >= pregnancyWeeks) |
|
|
|
.Select(i => i.MedianMovement) |
|
|
|
.FirstOrDefault() |
|
|
|
: |
|
|
|
fetalMovementMap |
|
|
|
.Where(i => |
|
|
|
i.PregnancyPeriod![0] <= pregnancyWeeks && |
|
|
|
i.PregnancyPeriod[1] >= pregnancyWeeks) |
|
|
|
.Select(i => i.InitialMovement) |
|
|
|
.FirstOrDefault() |
|
|
|
; |
|
|
|
|
|
|
|
var fetalMovementValue = (fetalMovementMapValue * duringMins * 2) / 120; |
|
|
|
// 四舍五入 |
|
|
|
var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); |
|
|
|
// _logger.LogInformation($"{heartRate.Serialno} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} "); |
|
|
|
|
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 原始胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{statStartTime}-{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 |
|
|
|
var feltalMovementIsAbnormal = fetalHeartRateIsAbnormal; |
|
|
|
//var feltalMovementIsAbnormal = 0; |
|
|
|
// 推送到api/v1/open/OpenIot/SetFetalMovementConfig |
|
|
|
|
|
|
|
await _serviceIotApi.SetFetalMovementConfig(heartRate.Serialno, fetalMovement, fetalMovementSampleTime, feltalMovementIsAbnormal); |
|
|
|
|
|
|
|
// 保存到MySQL数据库 |
|
|
|
HisGpsFetalMovement fm = new() |
|
|
|
{ |
|
|
|
FetalMovementId = Guid.NewGuid().ToString("D"), |
|
|
|
PersonId = commonPHR!.PersonId, |
|
|
|
Serialno = heartRate.Serialno, |
|
|
|
CreateTime = DateTime.Now, |
|
|
|
IsAbnormal = feltalMovementIsAbnormal, |
|
|
|
FetalMovementValue = fetalMovement, |
|
|
|
SampleTime = fetalMovementSampleTime, |
|
|
|
Method = 1, |
|
|
|
IsDisplay = 1, |
|
|
|
DeviceKey = commonPHR!.DeviceKey |
|
|
|
}; |
|
|
|
await _hisFetalMovementApiClient.AddAsync(fm).ConfigureAwait(false); |
|
|
|
|
|
|
|
// 发送到微信 |
|
|
|
if (feltalMovementIsAbnormal != 0) |
|
|
|
{ |
|
|
|
var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false); |
|
|
|
var fmMsgId = $"{heartRate.Serialno}-{fetalMovementSampleTime}-{Guid.NewGuid().ToString("D")[^3..]}"; |
|
|
|
var topic = "topic.push.wx"; |
|
|
|
var fmMsg = new |
|
|
|
{ |
|
|
|
FetalMovementId = Guid.NewGuid().ToString("D"), |
|
|
|
PersonId = commonPHR!.PersonId, |
|
|
|
Serialno = heartRate.Serialno, |
|
|
|
CreateTime = DateTime.Now, |
|
|
|
IsAbnormal = feltalMovementIsAbnormal, |
|
|
|
FetalMovementValue = fetalMovement, |
|
|
|
SampleTime = fetalMovementSampleTime, |
|
|
|
Method = 1, |
|
|
|
IsDisplay = 1, |
|
|
|
DeviceKey = commonPHR!.DeviceKey |
|
|
|
messageId = Guid.NewGuid().ToString("D"), |
|
|
|
topic = topic, |
|
|
|
time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(fetalMovementSampleTime.Length < 13 ? fetalMovementSampleTime.PadRight(13, '0') : fetalMovementSampleTime)).ToString("yyyy-MM-dd HH:mm:ss"), |
|
|
|
data = new |
|
|
|
{ |
|
|
|
deviceId = device?.DeviceId, |
|
|
|
imei = heartRate.Serialno, |
|
|
|
alarmTypeId = 12, |
|
|
|
alarmDeviceName = heartRate.Serialno, |
|
|
|
alarmRemarks = JsonConvert.SerializeObject(new { fetalMovementValue = fetalMovement, isAbnormal = feltalMovementIsAbnormal }), |
|
|
|
address = string.Empty, |
|
|
|
deviceKey = device?.DeviceId |
|
|
|
} |
|
|
|
}; |
|
|
|
await _hisFetalMovementApiClient.AddAsync(fm).ConfigureAwait(false); |
|
|
|
|
|
|
|
// 设置入库缓存记录 |
|
|
|
await _mgrFetalMovement.SetFetalMovementAsync(heartRate.Serialno, fetalMovementSampleTime); |
|
|
|
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fmMsgId, topic, fmMsg).ConfigureAwait(false); |
|
|
|
} |
|
|
|
// 设置入库缓存记录 |
|
|
|
await _deviceCacheMgr.SetFetalMovementAsync(heartRate.Serialno, fetalMovementSampleTime,fm); |
|
|
|
|
|
|
|
} |
|
|
|
else |
|
|
|
{ |
|
|
|
_logger.LogWarning($"{heartRate.Serialno} 孕周 {pregnancyWeeks},超出胎动计算范围"); |
|
|
|
} |
|
|
|
} |
|
|
|
else |
|
|
|
{ |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 不足两条,不能判断是否持续佩戴"); |
|
|
|
|
|
|
|
} |
|
|
|
} |
|
|
|
#endregion |
|
|
|
else |
|
|
|
{ |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 已处理"); |
|
|
|
} |
|
|
|
|
|
|
|
} |
|
|
|
*/ |
|
|
|
#endregion |
|
|
|
|
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 定时计算胎动数据触发器两小时间隔开始 |
|
|
|
var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}"; |
|
|
|
///// 计算 0 点秒数 |
|
|
|
var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!; |
|
|
|
DateTime fmScheduleNow = DateTime.Now; |
|
|
|
// 小于两小时 |
|
|
|
if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2) |
|
|
|
{ |
|
|
|
var rand = new Random(); |
|
|
|
var pushSec = rand.Next(59); |
|
|
|
int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10; |
|
|
|
|
|
|
|
var scheduleHourDiff = SCHEDULE_HOUR |
|
|
|
.Where(h => h > fetalMovementLastUpdate.Hour) |
|
|
|
.OrderBy(h => h - fetalMovementLastUpdate.Hour) |
|
|
|
.FirstOrDefault() - fetalMovementLastUpdate.Hour; |
|
|
|
var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff); |
|
|
|
|
|
|
|
DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec); |
|
|
|
TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow; |
|
|
|
var ttl = (long)timeUntilNextRun.TotalSeconds; |
|
|
|
|
|
|
|
await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl); |
|
|
|
} |
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 定时计算胎心数据触发器 {interval} 秒后 |
|
|
|
//var fetalKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}"; |
|
|
|
//await SetIntervalTriggerAsync(fetalKey, heartRate.Serialno, 60 * 15); |
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 定时计算胎心数据触发器下一刻钟后 |
|
|
|
//// 获取当前时间 |
|
|
|
//DateTime nowInterval = DateTime.Now; |
|
|
|
|
|
|
|
//// 计算下一个15分钟的刻钟 |
|
|
|
//int minutesToAdd = 15 - (nowInterval.Minute % 15); |
|
|
|
//if (minutesToAdd == 15) |
|
|
|
//{ |
|
|
|
// minutesToAdd = 0; // 如果已经是刻钟,则不需要增加分钟 |
|
|
|
//} |
|
|
|
//// 计算下一刻钟的时间 |
|
|
|
//DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd) |
|
|
|
// .AddSeconds(-nowInterval.Second) |
|
|
|
// .AddMilliseconds(-nowInterval.Millisecond); |
|
|
|
|
|
|
|
//// 计算时间差 |
|
|
|
//TimeSpan timeDifference = nextInterval - nowInterval; |
|
|
|
|
|
|
|
//var fetalKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}"; |
|
|
|
//await SetIntervalTriggerAsync(fetalKey, heartRate.Serialno, (long)timeDifference.TotalSeconds); |
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 高频心率计算 |
|
|
|
|
|
|
@@ -422,397 +620,12 @@ namespace HealthMonitor.Service.Resolver |
|
|
|
//} |
|
|
|
|
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 计算胎心和胎动数据 |
|
|
|
var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno); |
|
|
|
if (commonPHR != null) |
|
|
|
{ |
|
|
|
|
|
|
|
#region 计算胎心数据 |
|
|
|
|
|
|
|
// 获取最近的两个记录,并计算它们的 LastUpdate 时间差 |
|
|
|
var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList(); |
|
|
|
var timeDiff = firstTwoPhr[0] - firstTwoPhr[1]; |
|
|
|
|
|
|
|
// 如果需要,将时间差转换为秒 |
|
|
|
var timeDiffInSeconds = timeDiff.TotalSeconds; |
|
|
|
|
|
|
|
// 高频心率启动 |
|
|
|
if (timeDiffInSeconds <= highFreqSampleInterval) |
|
|
|
{ |
|
|
|
|
|
|
|
var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
|
|
|
if (phrFreqstatus == null) |
|
|
|
{ |
|
|
|
/// 设置高频状态 |
|
|
|
_logger.LogInformation($"进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}"); |
|
|
|
// 设置高频状态 |
|
|
|
var freqFirstPhr = phr.OrderByDescending(i => i.Timestamp).First(); |
|
|
|
await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr); |
|
|
|
//phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
|
|
|
} |
|
|
|
/// phr PregnancyHeartRate 连续连续正常次数个值都是正常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig), |
|
|
|
/// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig |
|
|
|
#region 检查是否连续12个值都是正常的 |
|
|
|
// 获取最近连续正常次数个心率记录 |
|
|
|
var lastPhr = phr.OrderByDescending(i => i.Timestamp).Take(stopHighFreqSampleCount).ToList(); |
|
|
|
|
|
|
|
// 检查是否连续12个值都是正常的 |
|
|
|
if (lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)) |
|
|
|
{ |
|
|
|
var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average(); |
|
|
|
// 计算一般心率得到胎心系数 |
|
|
|
await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString()); |
|
|
|
|
|
|
|
} |
|
|
|
#endregion |
|
|
|
} |
|
|
|
// 高频心率结束或正常心率 |
|
|
|
else |
|
|
|
{ |
|
|
|
var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
|
|
|
if (phrFreqstatus != null) |
|
|
|
{ |
|
|
|
/// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig), |
|
|
|
/// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig |
|
|
|
if (highFreqSampleTimes == 0) |
|
|
|
{ |
|
|
|
var avgPhr = phr.OrderByDescending(i => i.Timestamp) |
|
|
|
.Where(i => i.Timestamp >= phrFreqstatus?.Timestamp) |
|
|
|
.Skip(1) // 去除首条 |
|
|
|
.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh) |
|
|
|
.Select(i => i.PregnancyHeartRate).Average(); |
|
|
|
// 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig |
|
|
|
// 计算一般心率得到胎心系数 |
|
|
|
//await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr); |
|
|
|
await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString()); |
|
|
|
|
|
|
|
} |
|
|
|
|
|
|
|
/// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig), |
|
|
|
/// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig |
|
|
|
if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate + TimeSpan.FromSeconds(highFreqSampleTimes))) |
|
|
|
{ |
|
|
|
|
|
|
|
var avgPhr = phr |
|
|
|
.Where(i => i.Timestamp >= phrFreqstatus?.Timestamp) |
|
|
|
.Skip(1) // 去除首条 |
|
|
|
.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh) |
|
|
|
.Select(i => i.PregnancyHeartRate).Average(); |
|
|
|
// 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig |
|
|
|
// 计算一般心率得到胎心系数 |
|
|
|
//await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr); |
|
|
|
await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString()); |
|
|
|
|
|
|
|
} |
|
|
|
|
|
|
|
// 删除高频状态的首条记录 |
|
|
|
await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
|
|
|
|
|
|
|
/// 设置高频状态 |
|
|
|
_logger.LogInformation($"结束高频心率状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}"); |
|
|
|
} |
|
|
|
// 正常心率 |
|
|
|
else |
|
|
|
{ |
|
|
|
|
|
|
|
// 上15分钟的数据 |
|
|
|
// 获取当前时间 |
|
|
|
DateTime nowInterval = (DateTime)heartRate.LastUpdate!; |
|
|
|
|
|
|
|
// 计算last_update到上一刻钟的分钟数 |
|
|
|
int minutesToSubtract = nowInterval.Minute % intervalFHR; |
|
|
|
|
|
|
|
// 计算上一刻钟的时间 |
|
|
|
DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond); |
|
|
|
|
|
|
|
// 使用 last_update 上一刻 |
|
|
|
var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString(); |
|
|
|
|
|
|
|
// 计算last_update到下一刻钟的分钟数 |
|
|
|
int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR); |
|
|
|
if (minutesToAdd == intervalFHR) |
|
|
|
{ |
|
|
|
minutesToAdd = 0; // 如果已经是刻钟,则不需要增加分钟 |
|
|
|
} |
|
|
|
|
|
|
|
// 计算下一刻钟的时间 |
|
|
|
DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd) |
|
|
|
.AddSeconds(-nowInterval.Second) |
|
|
|
.AddMilliseconds(-nowInterval.Millisecond); |
|
|
|
|
|
|
|
|
|
|
|
var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7); |
|
|
|
|
|
|
|
var normalPhrStatStartTime = nextInterval; |
|
|
|
|
|
|
|
var normalPhrStatEndTime = nextInterval.AddMinutes(-intervalFHR); |
|
|
|
|
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} "); |
|
|
|
var filteredPhr = daysPhr |
|
|
|
// 使用 last_update 下一刻 |
|
|
|
.Where(i => i.LastUpdate <= normalPhrStatStartTime && i.LastUpdate >= normalPhrStatEndTime) |
|
|
|
.ToList(); |
|
|
|
if (filteredPhr.Count == 0) |
|
|
|
{ |
|
|
|
_logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录"); |
|
|
|
return; |
|
|
|
} |
|
|
|
var phrValue = filteredPhr.Count == 1 |
|
|
|
? filteredPhr.First().PregnancyHeartRate |
|
|
|
: filteredPhr.Average(i => i.PregnancyHeartRate); |
|
|
|
|
|
|
|
var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!); |
|
|
|
|
|
|
|
|
|
|
|
fetalHeartRateIsAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0); |
|
|
|
fetalHeartRateIsAbnormal = 0;// 不是高频数据,按正常值 |
|
|
|
HisGpsFetalHeartRate gpsFetalHeartRate = new() |
|
|
|
{ |
|
|
|
FetalHeartRateId = Guid.NewGuid().ToString("D"), |
|
|
|
PersonId = commonPHR!.PersonId, |
|
|
|
Serialno = heartRate.Serialno, |
|
|
|
HeartRate = fetalHeartRate, |
|
|
|
SampleTime = sampleTimeFHR.Length > 10 ? sampleTimeFHR.Substring(0, 10) : sampleTimeFHR, |
|
|
|
IsAbnormal = fetalHeartRateIsAbnormal, |
|
|
|
StatStartTime = filteredPhr.OrderBy(i => i.LastUpdate).First().LastUpdate, |
|
|
|
StatEndTime = filteredPhr.OrderBy(i => i.LastUpdate).Last().LastUpdate, |
|
|
|
CreateTime = DateTime.Now, |
|
|
|
Method = 1, |
|
|
|
IsDisplay = 1, |
|
|
|
DeviceKey = commonPHR!.DeviceKey |
|
|
|
}; |
|
|
|
// 保存到 数据服务 MySQL 数据库 |
|
|
|
await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false); |
|
|
|
|
|
|
|
// 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig |
|
|
|
await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTimeFHR, fetalHeartRateIsAbnormal); |
|
|
|
|
|
|
|
// 推送送微信 |
|
|
|
if (fetalHeartRateIsAbnormal != 0) |
|
|
|
{ |
|
|
|
var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false); |
|
|
|
var fhrMsgId = $"{heartRate.Serialno}-{sampleTimeFHR}-{Guid.NewGuid().ToString("D")[^3..]}"; |
|
|
|
var topic = "topic.push.wx"; |
|
|
|
var fhrMsg = new |
|
|
|
{ |
|
|
|
messageId = fhrMsgId, |
|
|
|
topic = topic, |
|
|
|
time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTimeFHR.Length < 13 ? sampleTimeFHR.PadRight(13, '0') : sampleTimeFHR)).ToString("yyyy-MM-dd HH:mm:ss"), |
|
|
|
data = new |
|
|
|
{ |
|
|
|
deviceId = device?.DeviceId, |
|
|
|
imei = heartRate.Serialno, |
|
|
|
alarmTypeId = 12, |
|
|
|
alarmDeviceName = heartRate.Serialno, |
|
|
|
alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = fetalHeartRateIsAbnormal }), |
|
|
|
address = string.Empty, |
|
|
|
deviceKey = device?.DeviceId |
|
|
|
} |
|
|
|
}; |
|
|
|
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false); |
|
|
|
} |
|
|
|
|
|
|
|
|
|
|
|
} |
|
|
|
} |
|
|
|
|
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 计算胎动数据(按心率时间LastUpdate) |
|
|
|
/** |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 计算胎动数据 "); |
|
|
|
|
|
|
|
var fetalMovementNow = (DateTime)heartRate.LastUpdate!; |
|
|
|
|
|
|
|
var midNight = new DateTime(fetalMovementNow.Year, fetalMovementNow.Month, fetalMovementNow.Day, 0, 0, 0); |
|
|
|
|
|
|
|
TimeSpan fetalMovementTS = fetalMovementNow - midNight; |
|
|
|
|
|
|
|
// 当天每隔2小时的段数,取整数部分 |
|
|
|
int segmentCountFM = (int)(fetalMovementTS.TotalHours / 2); |
|
|
|
|
|
|
|
for (int i = 0; i < segmentCountFM; i++) |
|
|
|
{ |
|
|
|
// 每两小时 |
|
|
|
var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(midNight.AddHours(2 * i)).ToString()[..10]; |
|
|
|
|
|
|
|
// 统计开始时间 |
|
|
|
var statStartTime = midNight.AddHours(2 * i); |
|
|
|
// 统计结束时间 |
|
|
|
var statEndTime = midNight.AddHours(2 * (i+1)); |
|
|
|
|
|
|
|
var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(heartRate.Serialno, fetalMovementSampleTime); |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 开始"); |
|
|
|
|
|
|
|
if (!isFetalMovementExisted) |
|
|
|
{ |
|
|
|
/// 开始计算 |
|
|
|
var phrRange = phr.Where(i => i.LastUpdate >= statStartTime && i.LastUpdate<= statEndTime) |
|
|
|
.OrderByDescending(i => i.LastUpdate) |
|
|
|
.Select(i => i.LastUpdate) |
|
|
|
.ToList(); |
|
|
|
// 判断是否有持续佩戴 |
|
|
|
if (phrRange.Count >= 2) |
|
|
|
{ |
|
|
|
var duringMins = Math.Abs((phrRange.First()- statStartTime).TotalMinutes); |
|
|
|
//在餐后时间段(8:00~10:00,12:00~14:00,18:00~20:00,22:00~24:00)取中间值。其他时间段取正常起始值 |
|
|
|
bool isInTimeRanges = IsLastUpdateInTimeRanges(fetalMovementNow); |
|
|
|
|
|
|
|
int pregnancyWeeks = (DateTime.Now - edoc.AddDays(-280)).Days / 7; |
|
|
|
if (pregnancyWeeks >= 12 && pregnancyWeeks <= 50) |
|
|
|
{ |
|
|
|
var fetalMovementMap = _mgrFetalMovementNormalValueRangeCache.GetFetalMovements(); |
|
|
|
|
|
|
|
var fetalMovementMapValue = isInTimeRanges ? fetalMovementMap |
|
|
|
.Where(i => |
|
|
|
i.PregnancyPeriod![0] <= pregnancyWeeks && |
|
|
|
i.PregnancyPeriod[1] >= pregnancyWeeks) |
|
|
|
.Select(i => i.MedianMovement) |
|
|
|
.FirstOrDefault() |
|
|
|
: |
|
|
|
fetalMovementMap |
|
|
|
.Where(i => |
|
|
|
i.PregnancyPeriod![0] <= pregnancyWeeks && |
|
|
|
i.PregnancyPeriod[1] >= pregnancyWeeks) |
|
|
|
.Select(i => i.InitialMovement) |
|
|
|
.FirstOrDefault() |
|
|
|
; |
|
|
|
|
|
|
|
var fetalMovementValue = (fetalMovementMapValue * duringMins * 2) / 120; |
|
|
|
// 四舍五入 |
|
|
|
var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); |
|
|
|
// _logger.LogInformation($"{heartRate.Serialno} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} "); |
|
|
|
|
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 原始胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{statStartTime}-{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 |
|
|
|
var feltalMovementIsAbnormal = fetalHeartRateIsAbnormal; |
|
|
|
//var feltalMovementIsAbnormal = 0; |
|
|
|
// 推送到api/v1/open/OpenIot/SetFetalMovementConfig |
|
|
|
|
|
|
|
await _serviceIotApi.SetFetalMovementConfig(heartRate.Serialno, fetalMovement, fetalMovementSampleTime, feltalMovementIsAbnormal); |
|
|
|
|
|
|
|
// 保存到MySQL数据库 |
|
|
|
HisGpsFetalMovement fm = new() |
|
|
|
{ |
|
|
|
FetalMovementId = Guid.NewGuid().ToString("D"), |
|
|
|
PersonId = commonPHR!.PersonId, |
|
|
|
Serialno = heartRate.Serialno, |
|
|
|
CreateTime = DateTime.Now, |
|
|
|
IsAbnormal = feltalMovementIsAbnormal, |
|
|
|
FetalMovementValue = fetalMovement, |
|
|
|
SampleTime = fetalMovementSampleTime, |
|
|
|
Method = 1, |
|
|
|
IsDisplay = 1, |
|
|
|
DeviceKey = commonPHR!.DeviceKey |
|
|
|
}; |
|
|
|
await _hisFetalMovementApiClient.AddAsync(fm).ConfigureAwait(false); |
|
|
|
|
|
|
|
// 发送到微信 |
|
|
|
if (feltalMovementIsAbnormal != 0) |
|
|
|
{ |
|
|
|
var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false); |
|
|
|
var fmMsgId = $"{heartRate.Serialno}-{fetalMovementSampleTime}-{Guid.NewGuid().ToString("D")[^3..]}"; |
|
|
|
var topic = "topic.push.wx"; |
|
|
|
var fmMsg = new |
|
|
|
{ |
|
|
|
messageId = Guid.NewGuid().ToString("D"), |
|
|
|
topic = topic, |
|
|
|
time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(fetalMovementSampleTime.Length < 13 ? fetalMovementSampleTime.PadRight(13, '0') : fetalMovementSampleTime)).ToString("yyyy-MM-dd HH:mm:ss"), |
|
|
|
data = new |
|
|
|
{ |
|
|
|
deviceId = device?.DeviceId, |
|
|
|
imei = heartRate.Serialno, |
|
|
|
alarmTypeId = 12, |
|
|
|
alarmDeviceName = heartRate.Serialno, |
|
|
|
alarmRemarks = JsonConvert.SerializeObject(new { fetalMovementValue = fetalMovement, isAbnormal = feltalMovementIsAbnormal }), |
|
|
|
address = string.Empty, |
|
|
|
deviceKey = device?.DeviceId |
|
|
|
} |
|
|
|
}; |
|
|
|
await _serviceMqProcess.ProcessIMEIEventMessageAsync(fmMsgId, topic, fmMsg).ConfigureAwait(false); |
|
|
|
} |
|
|
|
// 设置入库缓存记录 |
|
|
|
await _deviceCacheMgr.SetFetalMovementAsync(heartRate.Serialno, fetalMovementSampleTime,fm); |
|
|
|
|
|
|
|
} |
|
|
|
else |
|
|
|
{ |
|
|
|
_logger.LogWarning($"{heartRate.Serialno} 孕周 {pregnancyWeeks},超出胎动计算范围"); |
|
|
|
} |
|
|
|
} |
|
|
|
else |
|
|
|
{ |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 不足两条,不能判断是否持续佩戴"); |
|
|
|
|
|
|
|
} |
|
|
|
} |
|
|
|
else |
|
|
|
{ |
|
|
|
_logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 已处理"); |
|
|
|
} |
|
|
|
|
|
|
|
} |
|
|
|
*/ |
|
|
|
#endregion |
|
|
|
} |
|
|
|
#endregion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
#region 定时计算胎心数据触发器 {interval} 秒后 |
|
|
|
//var fetalKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}"; |
|
|
|
//await SetIntervalTriggerAsync(fetalKey, heartRate.Serialno, 60 * 15); |
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 定时计算胎心数据触发器下一刻钟后 |
|
|
|
//// 获取当前时间 |
|
|
|
//DateTime nowInterval = DateTime.Now; |
|
|
|
|
|
|
|
//// 计算下一个15分钟的刻钟 |
|
|
|
//int minutesToAdd = 15 - (nowInterval.Minute % 15); |
|
|
|
//if (minutesToAdd == 15) |
|
|
|
//{ |
|
|
|
// minutesToAdd = 0; // 如果已经是刻钟,则不需要增加分钟 |
|
|
|
//} |
|
|
|
//// 计算下一刻钟的时间 |
|
|
|
//DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd) |
|
|
|
// .AddSeconds(-nowInterval.Second) |
|
|
|
// .AddMilliseconds(-nowInterval.Millisecond); |
|
|
|
|
|
|
|
//// 计算时间差 |
|
|
|
//TimeSpan timeDifference = nextInterval - nowInterval; |
|
|
|
|
|
|
|
//var fetalKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}"; |
|
|
|
//await SetIntervalTriggerAsync(fetalKey, heartRate.Serialno, (long)timeDifference.TotalSeconds); |
|
|
|
#endregion |
|
|
|
|
|
|
|
#region 定时计算胎动数据触发器两小时间隔开始 |
|
|
|
var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}"; |
|
|
|
///// 计算 0 点秒数 |
|
|
|
var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!; |
|
|
|
DateTime fmScheduleNow = DateTime.Now; |
|
|
|
// 小于两小时 |
|
|
|
if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2) |
|
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{ |
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var rand = new Random(); |
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var pushSec = rand.Next(59); |
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int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10; |
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var scheduleHourDiff = SCHEDULE_HOUR |
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.Where(h => h > fetalMovementLastUpdate.Hour) |
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.OrderBy(h => h - fetalMovementLastUpdate.Hour) |
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.FirstOrDefault() - fetalMovementLastUpdate.Hour; |
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var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff); |
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DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec); |
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TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow; |
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var ttl = (long)timeUntilNextRun.TotalSeconds; |
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await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl); |
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} |
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#endregion |
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} |
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else |
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{ |
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// 建模中 |
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//var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno); |
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_logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中"); |
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} |
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#region 定时下发触发器(定时建模) |
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@@ -884,11 +697,8 @@ namespace HealthMonitor.Service.Resolver |
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} |
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#endregion |
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} |
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} |
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private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, double avgPhr) |
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