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HealthMonitor.WebApi/Worker.cs
Dosyayı Görüntüle
| @@ -456,869 +456,6 @@ namespace HealthMonitor.WebApi | |||
| //health_monitor/schedule_push/cal_fetal_movement/imei/ | |||
| else if (key.Contains("health_monitor/schedule_push/cal_fetal_movement/imei/")) | |||
| { | |||
| #region 相隔2小时胎动延时计算(实时now是3小时,计算 lastupdate 0~2范围的数据,) | |||
| /** | |||
| ///实时now的hour是3小时,计算 lastupdate 0~2范围的数据, | |||
| ///只在 HOUR = new int[] { 1, 3, 5, 7, 9, 11,13, 15, 17, 19, 21, 23 };是奇数 | |||
| using (_logger.BeginScope(new Dictionary<string, object> { ["RequestId"] = $"FM-{imeiDel}-{DateTime.Now.ToString("yyyyMMddHHmmss")}" })) | |||
| { | |||
| try | |||
| { | |||
| var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(imeiDel, "0067"); | |||
| _logger.LogInformation($"触发胎动计算，设备配置{JsonConvert.SerializeObject(watchConfig)}"); | |||
| var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1; | |||
| var highFreqSampleInterval = (int)watchConfig!["highFreqSampleInterval"]! >= 60 ? (int)watchConfig!["highFreqSampleInterval"]! : 60; | |||
| 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($"{imeiDel} 计算胎动数据 "); | |||
| DateTime fmNow = DateTime.Now; | |||
| int fmNowHour = fmNow.Hour; | |||
| DateTime statStartTime; | |||
| DateTime statEndTime; | |||
| if (fmNowHour == 1) | |||
| { | |||
| // last_update 22~0 | |||
| statStartTime = fmNow.Date.AddDays(-1).AddHours(22); | |||
| statEndTime = fmNow.Date; | |||
| } | |||
| else | |||
| { | |||
| statStartTime = fmNow.Date.AddHours(fmNowHour - 3); | |||
| statEndTime = fmNow.Date.AddHours(fmNowHour - 1); | |||
| } | |||
| _logger.LogInformation($"{imeiDel} 胎动统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}-{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}"); | |||
| var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(statEndTime).ToString()[..10]; | |||
| var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(imeiDel, fetalMovementSampleTime); | |||
| 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3 | |||
| if ((DateTime.Now.Hour - fhrSampleTime.Hour) <= 3) | |||
| { | |||
| 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 fetalMovementTimeVar = (fetalMovementMapValue * duringMins * 2) / 120; | |||
| //// 四舍五入 | |||
| //var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); | |||
| // _logger.LogInformation($"{imeiDel} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} "); | |||
| #region 生理健康与胎动的关系 | |||
| /// (步数)运动步数超过1500步则加1； | |||
| /// (体温)低烧则胎动减1，高烧胎动减2；低烧是37.3~38.5，38.6以上是高烧。 | |||
| /// (血压)血压收缩压大于160则加1。 | |||
| /// (心理)心理压力高加2，压力中加1； | |||
| var fetalMovementStepVar = 0; | |||
| var fetalMovementTempVar = 0; | |||
| var fetalMovementBpVar = 0; | |||
| var fetalMovementPpVar = 0; | |||
| var fetalMovementFhrVar = 0; | |||
| // 步数 | |||
| if (false) | |||
| { | |||
| var step = await _personCacheMgr.GetStepPeriodicityAsync(imeiDel); | |||
| if (step != null) | |||
| { | |||
| if (DateTime.Now.Hour - ((DateTime)step?.LastUpdate!).Hour <= 2) | |||
| { | |||
| if (step.Steps > 1500) fetalMovementStepVar = 1; | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{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($"{imeiDel} 周期血压无数据"); | |||
| } | |||
| } | |||
| // 心理 | |||
| if (false) | |||
| { | |||
| //-1 不处理， | |||
| //0 正常， | |||
| //1 轻度， | |||
| //2 中度； | |||
| //3 重度； | |||
| GeneralParam psychResultParam = new() | |||
| { | |||
| Filters = new List<QueryFilterCondition> | |||
| { | |||
| new () | |||
| { | |||
| Key=nameof(HisGpsPsychResult.Serialno), | |||
| Value=imeiDel, | |||
| ValueType=QueryValueTypeEnum.String, | |||
| Operator=QueryOperatorEnum.Equal | |||
| }, | |||
| //new () | |||
| //{ | |||
| // Key=nameof(HisGpsFetalHeartRate.SampleTime), | |||
| // Value=sampleTime, | |||
| // ValueType=QueryValueTypeEnum.String, | |||
| // Operator=QueryOperatorEnum.GreaterEqual | |||
| //}, | |||
| }, | |||
| OrderBys = new List<OrderByCondition> | |||
| { | |||
| new (){ | |||
| IsDesc=true, | |||
| Key=nameof(HisGpsPsychResult.Serialno) | |||
| } | |||
| } | |||
| }; | |||
| var psych = await _hisPsychResultApiClient.GetFirstAsync(psychResultParam, imeiDel[^2..], null, new RequestHeader { RequestId = Guid.NewGuid().ToString("D") }); | |||
| if (psych != null) | |||
| { | |||
| if (psych?.StressScore == 2) | |||
| { | |||
| fetalMovementPpVar = 1; | |||
| } | |||
| if (psych?.StressScore == 3) | |||
| { | |||
| fetalMovementPpVar = 2; | |||
| } | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{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 | |||
| //var fetalMovementTimeVar = fetalMovementValue; | |||
| _logger.LogInformation($"{imeiDel} 时间比例胎动值：{fetalMovementTimeVar}, 步数参数变动值：{fetalMovementStepVar}，体温参数变动值：{fetalMovementTempVar}，血压参数变动值：{fetalMovementBpVar}，心理压力参数变动值:{fetalMovementPpVar},胎心参数变动值:{fetalMovementFhrVar}"); | |||
| var fetalMovementValue = fetalMovementTimeVar + fetalMovementStepVar + fetalMovementTempVar + fetalMovementBpVar + fetalMovementPpVar + fetalMovementFhrVar; | |||
| // 四舍五入 | |||
| var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); | |||
| _logger.LogInformation($"{imeiDel} 孕周：{pregnancyWeeks}，胎动数据采样时间:{fetalMovementSampleTime}|{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 时间比例胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{phrRange.Last()}-{phrRange.First()}, 胎动计算值:{fetalMovementTimeVar}, 胎动四舍五入最终值:{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}|{statStartTime.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($"{imeiDel} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 已处理"); | |||
| } | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{imeiDel} 没有胎心建模数据"); | |||
| } | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{imeiDel} 胎心监测功能没有开启"); | |||
| } | |||
| } | |||
| catch (Exception ex ) | |||
| { | |||
| _logger.LogError($"{imeiDel} 计算胎动数据异常 {ex.Message}\n {ex.StackTrace}"); | |||
| } | |||
| } | |||
| */ | |||
| #endregion | |||
| #region 相隔1小时胎动延时计算(实时now是2小时,计算 lastupdate 0~1范围的数据,) | |||
| /** | |||
| 0~1->2 | |||
| 1~2->3 | |||
| 2~3->4 | |||
| 3~4->5 | |||
| 4~5->6 | |||
| 5~6->7 | |||
| 7~8->9 | |||
| 8~9->10 | |||
| 9~10->11 | |||
| 10~11->12 | |||
| 11~12->13 | |||
| 12~13->14 | |||
| 14~15->16 | |||
| 14~15->16 | |||
| 15~16->17 | |||
| 16~17->18 | |||
| 17~18->19 | |||
| 18~19->20 | |||
| 19~20->21 | |||
| 20~21->22 | |||
| 21~22->23 | |||
| 22~23->0 | |||
| 23~0->1 | |||
| */ | |||
| /* | |||
| using (_logger.BeginScope(new Dictionary<string, object> { ["RequestId"] = $"FM-{imeiDel}-{DateTime.Now.ToString("yyyyMMddHHmmss")}" })) | |||
| { | |||
| try | |||
| { | |||
| var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(imeiDel, "0067"); | |||
| _logger.LogInformation($"触发胎动计算，设备配置{JsonConvert.SerializeObject(watchConfig)}"); | |||
| var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1; | |||
| var highFreqSampleInterval = (int)watchConfig!["highFreqSampleInterval"]! >= 60 ? (int)watchConfig!["highFreqSampleInterval"]! : 60; | |||
| 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($"{imeiDel} 计算胎动数据 "); | |||
| DateTime fmNow = DateTime.Now; | |||
| int fmNowHour = fmNow.Hour; | |||
| DateTime statStartTime; | |||
| DateTime statEndTime; | |||
| if (fmNowHour == 1) | |||
| { | |||
| // last_update 23~0 | |||
| statStartTime = fmNow.Date.AddDays(-1).AddHours(23); | |||
| statEndTime = fmNow.Date; | |||
| } | |||
| else | |||
| { | |||
| // last_update 0~1->2,1~2->3,2~3->4...21~22->23 | |||
| statStartTime = fmNow.Date.AddHours(fmNowHour - 2); | |||
| statEndTime = fmNow.Date.AddHours(fmNowHour - 1); | |||
| } | |||
| _logger.LogInformation($"{imeiDel} 胎动统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}-{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}"); | |||
| var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(statStartTime).ToString()[..10]; | |||
| var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(imeiDel, fetalMovementSampleTime); | |||
| 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3 | |||
| //if ((DateTime.Now.Hour - fhrSampleTime.Hour) <= 3) | |||
| // 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 fetalMovementTimeVar = (fetalMovementMapValue * duringMins * 2) / 120; | |||
| var fetalMovementTimeVar = (fetalMovementMapValue * duringMins ) / 60; | |||
| if (duringMins < 59) | |||
| { | |||
| // 取12小时胎动总数最小值 | |||
| fetalMovementMapValue = fetalMovementMap | |||
| .Where(i =>i.PregnancyPeriod![0] <= pregnancyWeeks &&i.PregnancyPeriod[1] >= pregnancyWeeks) | |||
| .First() | |||
| .TwelveHourMovementRange[0]; | |||
| //取12小时胎动总数最小值的平均值 | |||
| fetalMovementTimeVar = fetalMovementMapValue / 12; | |||
| _logger.LogWarning($"{imeiDel} 佩戴不足1小时,12小时胎动总数最小值{fetalMovementMapValue}，平均值{fetalMovementTimeVar}"); | |||
| } | |||
| #region 生理健康与胎动的关系 | |||
| /// (步数)运动步数超过1500步则加1； | |||
| /// (体温)低烧则胎动减1，高烧胎动减2；低烧是37.3~38.5，38.6以上是高烧。 | |||
| /// (血压)血压收缩压大于160则加1。 | |||
| /// (心理)心理压力高加2，压力中加1； | |||
| var fetalMovementStepVar = 0; | |||
| var fetalMovementTempVar = 0; | |||
| var fetalMovementBpVar = 0; | |||
| var fetalMovementPpVar = 0; | |||
| var fetalMovementFhrVar = 0; | |||
| // 步数 | |||
| if (false) | |||
| { | |||
| var step = await _personCacheMgr.GetStepPeriodicityAsync(imeiDel); | |||
| if (step != null) | |||
| { | |||
| if (DateTime.Now.Hour - ((DateTime)step?.LastUpdate!).Hour <= 2) | |||
| { | |||
| if (step.Steps > 1500) fetalMovementStepVar = 1; | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{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($"{imeiDel} 周期血压无数据"); | |||
| } | |||
| } | |||
| // 心理 | |||
| if (false) | |||
| { | |||
| //-1 不处理， | |||
| //0 正常， | |||
| //1 轻度， | |||
| //2 中度； | |||
| //3 重度； | |||
| GeneralParam psychResultParam = new() | |||
| { | |||
| Filters = new List<QueryFilterCondition> | |||
| { | |||
| new () | |||
| { | |||
| Key=nameof(HisGpsPsychResult.Serialno), | |||
| Value=imeiDel, | |||
| ValueType=QueryValueTypeEnum.String, | |||
| Operator=QueryOperatorEnum.Equal | |||
| }, | |||
| //new () | |||
| //{ | |||
| // Key=nameof(HisGpsFetalHeartRate.SampleTime), | |||
| // Value=sampleTime, | |||
| // ValueType=QueryValueTypeEnum.String, | |||
| // Operator=QueryOperatorEnum.GreaterEqual | |||
| //}, | |||
| }, | |||
| OrderBys = new List<OrderByCondition> | |||
| { | |||
| new (){ | |||
| IsDesc=true, | |||
| Key=nameof(HisGpsPsychResult.Serialno) | |||
| } | |||
| } | |||
| }; | |||
| var psych = await _hisPsychResultApiClient.GetFirstAsync(psychResultParam, imeiDel[^2..], null, new RequestHeader { RequestId = Guid.NewGuid().ToString("D") }); | |||
| if (psych != null) | |||
| { | |||
| if (psych?.StressScore == 2) | |||
| { | |||
| fetalMovementPpVar = 1; | |||
| } | |||
| if (psych?.StressScore == 3) | |||
| { | |||
| fetalMovementPpVar = 2; | |||
| } | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{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($"{imeiDel} 时间比例胎动值：{fetalMovementTimeVar}, 步数参数变动值：{fetalMovementStepVar}，体温参数变动值：{fetalMovementTempVar}，血压参数变动值：{fetalMovementBpVar}，心理压力参数变动值:{fetalMovementPpVar},胎心参数变动值:{fetalMovementFhrVar}"); | |||
| var fetalMovementValue = fetalMovementTimeVar + fetalMovementStepVar + fetalMovementTempVar + fetalMovementBpVar + fetalMovementPpVar + fetalMovementFhrVar; | |||
| // 四舍五入 | |||
| var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero); | |||
| _logger.LogInformation($"{imeiDel} 孕周：{pregnancyWeeks}，胎动数据采样时间:{fetalMovementSampleTime}|{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 时间比例胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{phrRange.Last()}-{phrRange.First()}, 胎动计算值:{fetalMovementTimeVar}, 胎动四舍五入最终值:{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}|{statStartTime.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($"{imeiDel} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 已处理"); | |||
| } | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{imeiDel} 没有胎心建模数据"); | |||
| } | |||
| } | |||
| else | |||
| { | |||
| _logger.LogWarning($"{imeiDel} 胎心监测功能没有开启"); | |||
| } | |||
| } | |||
| catch (Exception ex) | |||
| { | |||
| _logger.LogError($"{imeiDel} 计算胎动数据异常 {ex.Message}\n {ex.StackTrace}"); | |||
| } | |||
| } | |||
| */ | |||
| #endregion | |||
| #region 相隔1小时胎动延时计算(实时now是2小时,计算 lastupdate 0~1范围的数据,) | |||
| /** | |||
| @@ -1386,12 +523,9 @@ namespace HealthMonitor.WebApi | |||
| _logger.LogError($"{imeiDel} 计算胎动数据异常 {ex.Message}\n {ex.StackTrace}"); | |||
| } | |||
| } | |||
| } | |||
| #endregion | |||
| } | |||
| else | |||
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