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  1. using Etcdserverpb;
  2. using Google.Protobuf.WellKnownTypes;
  3. using HealthMonitor.Common;
  4. using HealthMonitor.Common.helper;
  5. using HealthMonitor.Model.Service.Mapper;
  6. using HealthMonitor.Service.Biz;
  7. using HealthMonitor.Service.Biz.db;
  8. using HealthMonitor.Service.Cache;
  9. using HealthMonitor.Service.Etcd;
  10. using HealthMonitor.Service.MessageQueue;
  11. using HealthMonitor.Service.Resolver.Interface;
  12. using HealthMonitor.Service.Sub;
  13. using HealthMonitor.Service.Sub.Topic.Model;
  14. using Microsoft.EntityFrameworkCore.Metadata;
  15. using Microsoft.Extensions.Logging;
  16. using Newtonsoft.Json;
  17. using Newtonsoft.Json.Linq;
  18. using SqlSugar;
  19. using System;
  20. using System.Collections.Generic;
  21. using System.Linq;
  22. using System.Net;
  23. using System.Text;
  24. using System.Threading.Tasks;
  25. using TelpoDataService.Util.Clients;
  26. using TelpoDataService.Util.Entities.GpsCard;
  27. using TelpoDataService.Util.Entities.GpsLocationHistory;
  28. using TelpoDataService.Util.Models;
  29. using TelpoDataService.Util.QueryObjects;
  30. namespace HealthMonitor.Service.Resolver
  31. {
  32. public class PregnancyHeartRateResolver : IResolver
  33. {
  34. private readonly ILogger<PregnancyHeartRateResolver> _logger;
  35. private readonly TDengineService _serviceTDengine;
  36. private readonly DeviceCacheManager _deviceCacheMgr;
  37. private readonly IotApiService _serviceIotApi;
  38. private readonly AsyncLocal<string> _messageId = new();
  39. private readonly AsyncLocal<HisGpsHeartRate> _msgData = new();
  40. private readonly HttpHelper _httpHelper = default!;
  41. private readonly EtcdService _serviceEtcd;
  42. private readonly GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> _hisFetalHeartApiClient;
  43. private readonly GpsLocationHistoryAccessorClient<HisGpsFetalMovement> _hisFetalMovementApiClient;
  44. private readonly FetalMovementNormalValueRangeCacheManager _mgrFetalMovementNormalValueRangeCache;
  45. private readonly MqProcessLogic _serviceMqProcess;
  46. private static int[] SCHEDULE_HOUR = new int[] { 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 };
  47. public PregnancyHeartRateResolver(ILogger<PregnancyHeartRateResolver> logger,
  48. HttpHelper httpHelper, EtcdService serviceEtcd, DeviceCacheManager deviceCacheMgr,
  49. MqProcessLogic serviceMqProcess,
  50. IotApiService iotApiService, TDengineService serviceDengine, FetalMovementNormalValueRangeCacheManager fetalMovementNormalValueRangeCacheMgr,
  51. GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> hisFetalHeartApiClient,
  52. GpsLocationHistoryAccessorClient<HisGpsFetalMovement> hisFetalMovementApiClient
  53. )
  54. {
  55. _logger = logger;
  56. _httpHelper = httpHelper;
  57. _serviceEtcd = serviceEtcd;
  58. _serviceTDengine = serviceDengine;
  59. _deviceCacheMgr = deviceCacheMgr;
  60. _serviceIotApi = iotApiService;
  61. _serviceMqProcess= serviceMqProcess;
  62. _hisFetalHeartApiClient = hisFetalHeartApiClient;
  63. _hisFetalMovementApiClient = hisFetalMovementApiClient;
  64. _mgrFetalMovementNormalValueRangeCache = fetalMovementNormalValueRangeCacheMgr;
  65. }
  66. public void SetResolveInfo(PackageMsgModel msg)
  67. {
  68. var topicHmPregnancyHeartRate = JsonConvert.DeserializeObject<TopicHmPregnancyHeartRate>(msg.DetailData.ToString()!);
  69. _messageId.Value = msg.MessageId;
  70. _msgData.Value = new HisGpsHeartRate()
  71. {
  72. HeartRateId = topicHmPregnancyHeartRate!.PregnancyHeartRateId,
  73. MessageId = topicHmPregnancyHeartRate!.MessageId,
  74. Serialno = topicHmPregnancyHeartRate!.Serialno,
  75. HeartRate= topicHmPregnancyHeartRate.PregnancyHeartRate,
  76. LastUpdate = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.LastUpdate) / 1000000),
  77. CreateTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.CreateTime) / 1000000),
  78. Method = topicHmPregnancyHeartRate!.Method,
  79. IsDisplay = topicHmPregnancyHeartRate!.IsDisplay ? 1 : 0
  80. };
  81. }
  82. public override string ToString()
  83. {
  84. return $"{nameof(PregnancyHeartRateResolver)}[{_messageId.Value}]";
  85. }
  86. public async Task ExecuteMessageAsync()
  87. {
  88. var messageId = _messageId.Value;
  89. var heartRate = _msgData.Value!;
  90. try
  91. {
  92. var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(heartRate.Serialno, "0067");
  93. var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1;
  94. if (isFetalHeartEnable)
  95. {
  96. //_logger.LogInformation($"{heartRate.Serialno} 计算胎心胎动启动");
  97. #region 定时下发触发器(定时建模)
  98. var key = $"health_monitor/schedule_push/pregnancy_heart_rate/imei/{heartRate.Serialno}";
  99. var schedule_push = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  100. if (string.IsNullOrWhiteSpace(schedule_push))
  101. {
  102. // 注册首次下推
  103. var interval = 0;
  104. // 获取当前时间
  105. DateTime now = DateTime.Now;
  106. var rand = new Random();
  107. var pushSec = rand.Next(59);
  108. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  109. // 计算距离下一个$interval天后的8点的时间间隔
  110. DateTime nextRunTime = new DateTime(now.Year, now.Month, now.Day, 6, pushMin, pushSec).AddDays(interval);
  111. TimeSpan timeUntilNextRun = nextRunTime - now;
  112. if (timeUntilNextRun < TimeSpan.Zero)
  113. {
  114. timeUntilNextRun = timeUntilNextRun.Add(TimeSpan.FromDays(1));
  115. nextRunTime += TimeSpan.FromDays(1);
  116. }
  117. var ttl = (long)timeUntilNextRun.TotalSeconds;
  118. var data = new
  119. {
  120. imei = heartRate.Serialno,
  121. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  122. ttl,
  123. next_run_time = nextRunTime.ToString("yyyy-MM-dd HH:mm:ss")
  124. };
  125. var result = JsonConvert.SerializeObject(data);
  126. await _serviceEtcd.PutValAsync(key, result, ttl, false).ConfigureAwait(false);
  127. }
  128. #endregion
  129. //_logger.LogInformation($"{heartRate.Serialno} 触发定时建模");
  130. // 高频心率采样间隔 highFreqSampleInterval = highFreqSampleInterval+5,增加5秒兼容(最小highFreqSampleInterval=60)
  131. var highFreqSampleInterval = (int)watchConfig!["highFreqSampleInterval"]! >= 60 ? (int)watchConfig!["highFreqSampleInterval"]! + 5: 60;
  132. // 触发高频监测的心率上限值
  133. var triggerHighFreqHigh = (int)watchConfig["triggerHighFreqHigh"]!;
  134. // 触发高频监测的心率下限值
  135. var triggerHighFreqLow = (int)watchConfig["triggerHighFreqLow"]!;
  136. //停止高频心率采样心率连续正常次数
  137. var stopHighFreqSampleCount = (int)watchConfig["stopHighFreqSampleCount"]!;
  138. // 高频心率采集时长 0 为持续采集,非零为高频心率的采集时长
  139. var highFreqSampleTimes = (int)watchConfig["highFreqSampleTimes"]!;
  140. // 告警上限阀值
  141. var upperAlarmThreshold = (int)watchConfig["upperAlarmThreshold"]!;
  142. // 告警下限阀值
  143. var lowerAlarmThreshold = (int)watchConfig["lowerAlarmThreshold"]!;
  144. // EDOC
  145. var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
  146. // interval (分钟) 固定15分钟
  147. var intervalFHR = 15;//int)watchConfig["interval"]!;
  148. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  149. var phr = daysPhr
  150. .Where(p => p.LastUpdate <= heartRate.LastUpdate)
  151. .ToList();
  152. if (phr.Count >= 30)
  153. {
  154. #region 定时计算胎动数据触发器两小时间隔开始
  155. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  156. ///// 计算 0 点秒数
  157. var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!;
  158. DateTime fmScheduleNow = DateTime.Now;
  159. // 小于两小时
  160. if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2)
  161. {
  162. var rand = new Random();
  163. var pushSec = rand.Next(59);
  164. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  165. var scheduleHourDiff = SCHEDULE_HOUR
  166. .Where(h => h > fetalMovementLastUpdate.Hour)
  167. .OrderBy(h => h - fetalMovementLastUpdate.Hour)
  168. .FirstOrDefault() - fetalMovementLastUpdate.Hour;
  169. var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff);
  170. DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec);
  171. TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow;
  172. var ttl = (long)timeUntilNextRun.TotalSeconds;
  173. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl,heartRate);
  174. }
  175. #endregion
  176. #region 计算胎心数据(按心率时间LastUpdate)
  177. var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno);
  178. if (commonPHR == null)
  179. {
  180. // 处理孕妇业务,计算一般心率并下发
  181. commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno, highFreqSampleInterval: highFreqSampleInterval);
  182. // 建模完成
  183. var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue);
  184. _logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成");
  185. // 保存到TDengine数据库
  186. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!);
  187. _logger.LogInformation($"保存TDengine完成");
  188. }
  189. // 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  190. var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  191. var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  192. // 如果需要,将时间差转换为秒
  193. var timeDiffInSeconds = timeDiff.TotalSeconds;
  194. // 高频统计结束时间
  195. var FreqStatsEnd = DateTime.Now;
  196. // 高频心率启动(在高频第二条才能判断)
  197. if (timeDiffInSeconds <= highFreqSampleInterval)
  198. {
  199. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  200. if (phrFreqstatus == null)
  201. {
  202. /// 设置高频状态
  203. _logger.LogInformation($"{heartRate.Serialno} 进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  204. // 设置高频状态
  205. _logger.LogInformation($"{heartRate.Serialno} phr.Count {phr.Count}");
  206. var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate)
  207. .Skip(1) //在高频第二条才能判断,所以要去除本条记录
  208. .First();
  209. await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  210. _logger.LogInformation($"{heartRate.Serialno} 设置高频状态");
  211. phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  212. }
  213. /// 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),
  214. /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  215. #region 检查高频状态是否连续12个心率值都是正常的
  216. // 获取最近连续正常次数个心率记录
  217. //_logger.LogInformation($"{heartRate.Serialno} 设置 stopHighFreqSampleCount {stopHighFreqSampleCount}");
  218. //var lastPhr = phr.OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  219. var lastPhr = phr.Where(i=>i.LastUpdate>= phrFreqstatus!.LastUpdate)
  220. .OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  221. _logger.LogInformation($"{heartRate.Serialno} lastPhr.Count {lastPhr.Count},stopHighFreqSampleCount {stopHighFreqSampleCount}");
  222. _logger.LogInformation($"{heartRate.Serialno} count :{lastPhr.Count >= stopHighFreqSampleCount}");
  223. _logger.LogInformation($"{heartRate.Serialno} All {lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)}");
  224. // 检查是否连续12个值都是正常的
  225. if ((lastPhr.Count >= stopHighFreqSampleCount) &&
  226. lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)
  227. )
  228. {
  229. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  230. // 计算一般心率得到胎心系数
  231. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  232. // 高频数据不建模
  233. FreqStatsEnd = (DateTime)heartRate.LastUpdate!;
  234. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,连续 {stopHighFreqSampleCount} 次采样心率正常,将下发指令");
  235. var freqSaveAndPushFetalHeartRate = await _deviceCacheMgr.GetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  236. // 高频不停,15分钟内只下发一条
  237. if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
  238. {
  239. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  240. // 删除高频状态的首条记录
  241. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  242. // 设置15分的SaveAndPushFetalHeartRate业务间隔
  243. await _deviceCacheMgr.SetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  244. _logger.LogInformation($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,结束高频心率状态, timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval},高频状态持续{((DateTime)heartRate.LastUpdate - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  245. }
  246. else
  247. {
  248. _logger.LogWarning($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,设备端应该结束高频状态,但设备端没有结束高频,平台高频15分钟内已经下发过指令");
  249. }
  250. }
  251. else
  252. {
  253. _logger.LogInformation($"{heartRate.Serialno} 处于高频状态...");
  254. }
  255. #endregion
  256. }
  257. // 高频心率结束或常规心率
  258. else
  259. {
  260. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  261. // 高频心率结束
  262. if (phrFreqstatus != null)
  263. {
  264. /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  265. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  266. if (highFreqSampleTimes == 0)
  267. {
  268. var avgPhr = phr.OrderByDescending(i => i.LastUpdate)
  269. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  270. .Skip(1) // 去除首条
  271. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  272. .Select(i => i.PregnancyHeartRate).Average();
  273. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  274. // 计算一般心率得到胎心系数
  275. // 高频数据不建模
  276. FreqStatsEnd = firstTwoPhr[1];
  277. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,highFreqSampleTimes={highFreqSampleTimes}秒,即将结束高频状态,将下发指令");
  278. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString());
  279. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  280. }
  281. /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  282. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  283. if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate.AddSeconds(highFreqSampleTimes)))
  284. {
  285. // 获取高频心率数据个数
  286. var filterPhr = phr
  287. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  288. .Skip(1)
  289. .ToList();
  290. //var freqCollection = new List<PregnancyHeartRateModel>();
  291. //PregnancyHeartRateModel? previousItem = null;
  292. //foreach (var item in filterPhr)
  293. //{
  294. // if (previousItem != null)
  295. // {
  296. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  297. // if (timeNextDiff <= highFreqSampleInterval)
  298. // {
  299. // freqCollection.Add(item);
  300. // }
  301. // }
  302. // previousItem = item;
  303. //}
  304. _logger.LogInformation($"{heartRate.Serialno} {phrFreqstatus?.LastUpdate.ToString("yyyy-MM-dd HH:mm:ss")}--{firstTwoPhr[1].ToString("yyyy-MM-dd HH:mm:ss")} 产生高频心率数量 {filterPhr.Count} 条");
  305. // 高频心率数据大于等于stopHighFreqSampleCount/12个才计算胎心数据
  306. if (filterPhr.Count >= stopHighFreqSampleCount)
  307. {
  308. var avgPhr = filterPhr
  309. .OrderByDescending(i => i.LastUpdate)
  310. .Take(stopHighFreqSampleCount) // 计算最后12条
  311. //.Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  312. .Select(i => i.PregnancyHeartRate).Average();
  313. FreqStatsEnd = firstTwoPhr[1];
  314. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,超过约定的 {highFreqSampleTimes} 秒,即将结束高频状态,将下发指令");
  315. //计算高频
  316. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  317. }
  318. else
  319. {
  320. _logger.LogInformation($"{heartRate.Serialno} 高频心率的数据不足{stopHighFreqSampleCount}条,不进行胎心计算");
  321. }
  322. }
  323. //不满足持续10分钟highFreqSampleTimes或出现时间倒叙
  324. else
  325. {
  326. // 高频结束后与常规的心率时间倒叙
  327. if ((firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds < 0)
  328. {
  329. _logger.LogInformation($"{heartRate.Serialno} 高频结束出现时间倒叙,计算当条心率创建之前的高频心率");
  330. #region 计算当条心率创建之前的高频心率
  331. // 取得高频之后的所有数据
  332. var phrFlashBack = daysPhr.Where(p => p.LastUpdate >= phrFreqstatus!.LastUpdate)
  333. .OrderByDescending(i => i.LastUpdate);
  334. // 取得高频数据
  335. var freqCollection = phrFlashBack.ToList();
  336. //var freqCollection = new List<PregnancyHeartRateModel>();
  337. //PregnancyHeartRateModel? previousItem = null;
  338. //foreach (var item in phrFlashBack)
  339. //{
  340. // if (previousItem != null)
  341. // {
  342. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  343. // if (timeNextDiff <= highFreqSampleInterval)
  344. // {
  345. // freqCollection.Add(item);
  346. // }
  347. // }
  348. // previousItem = item;
  349. //}
  350. _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate}");
  351. if (freqCollection.Count >= stopHighFreqSampleCount)
  352. {
  353. // 计算高频产生的胎心
  354. var avgPhr = freqCollection
  355. .OrderByDescending(i => i.LastUpdate)
  356. .Take(stopHighFreqSampleCount) // 计算最后12条
  357. .Select(i => i.PregnancyHeartRate).Average();
  358. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), freqCollection.Last().LastUpdate, freqCollection.First().LastUpdate);
  359. }
  360. else
  361. {
  362. _logger.LogInformation($"{heartRate.Serialno} 时间倒叙触发计算高频心率的数据不足{stopHighFreqSampleCount}条,不进行胎心计算");
  363. }
  364. #endregion
  365. }
  366. else
  367. {
  368. _logger.LogInformation($"{heartRate.Serialno} 高频持续时间不足{highFreqSampleTimes},只持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  369. }
  370. }
  371. // 删除高频状态的首条记录
  372. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  373. _logger.LogInformation($"{heartRate.Serialno} 超时结束高频心率状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval},高频状态持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  374. // 计算本次常规心率的胎心数据(高频结束后,实时处理)
  375. await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  376. //// 使用延后计算
  377. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  378. //var fhrScheduleTTL = 60;
  379. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  380. }
  381. // 常规心率(本次心率可能是高频心率的首条,所以要使用延后计算胎心率)
  382. else
  383. {
  384. // 计算本次常规心率的胎心数据
  385. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  386. // 本次心率可能是高频心率的首条,所以要使用本次常规心率延后计算胎心率
  387. var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  388. var fhrScheduleTTL = 30;
  389. await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  390. _logger.LogInformation($"{heartRate.Serialno} 延时50秒,判断当前数据是否为高频首条");
  391. }
  392. }
  393. #endregion
  394. }
  395. else
  396. {
  397. _logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中");
  398. }
  399. }
  400. }
  401. catch (Exception ex)
  402. {
  403. _logger.LogError($"{heartRate.Serialno} 处理孕妇心率数据异常 \n{ex.Message}\n{ex.StackTrace}");
  404. }
  405. }
  406. /// <summary>
  407. /// 常规心率计算胎心数据
  408. /// </summary>
  409. /// <param name="heartRate"></param>
  410. /// <param name="upperAlarmThreshold"></param>
  411. /// <param name="lowerAlarmThreshold"></param>
  412. /// <param name="intervalFHR"></param>
  413. /// <param name="commonPHR"></param>
  414. /// <returns></returns>
  415. private async Task CalculateNormalFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, int intervalFHR, PregnancyCommonHeartRateModel? commonPHR)
  416. {
  417. // 上15分钟的数据
  418. // 获取当前时间
  419. DateTime nowInterval = (DateTime)heartRate.LastUpdate!;
  420. if (nowInterval.Second > 0)
  421. {
  422. nowInterval = nowInterval.AddMinutes(1);
  423. }
  424. // 计算last_update到上一间隔的分钟数
  425. int minutesToSubtract = nowInterval.Minute % intervalFHR;
  426. // 计算上一间隔的时间
  427. DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond);
  428. // 使用 last_update 上一刻
  429. var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString();
  430. // 计算last_update到下一间隔的分钟数
  431. int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR);
  432. if (minutesToAdd == intervalFHR)
  433. {
  434. minutesToAdd = 0; // 如果已经是间隔,则不需要增加分钟
  435. }
  436. // 计算下一间隔的时间
  437. DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  438. .AddSeconds(-nowInterval.Second)
  439. .AddMilliseconds(-nowInterval.Millisecond);
  440. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  441. var normalPhrStatStartTime = nextInterval.AddMinutes(-intervalFHR) ;
  442. var normalPhrStatEndTime = nextInterval;
  443. _logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} ");
  444. var filteredPhr = daysPhr
  445. // 使用 last_update 下一刻
  446. .Where(i => i.LastUpdate <= normalPhrStatEndTime && i.LastUpdate >= normalPhrStatStartTime)
  447. .ToList();
  448. if (filteredPhr.Count == 0)
  449. {
  450. _logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录");
  451. return;
  452. }
  453. var phrValue = filteredPhr.Count == 1
  454. ? filteredPhr.First().PregnancyHeartRate
  455. : filteredPhr.Average(i => i.PregnancyHeartRate);
  456. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR);
  457. await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  458. }
  459. /// <summary>
  460. ///
  461. /// </summary>
  462. /// <param name="heartRate"></param>
  463. /// <param name="commonPHR"></param>
  464. /// <param name="upperAlarmThreshold"></param>
  465. /// <param name="lowerAlarmThreshold"></param>
  466. /// <param name="phrValue"></param>
  467. /// <param name="sampleTime"></param>
  468. /// <param name="statStartTime"></param>
  469. /// <param name="statEndTime"></param>
  470. /// <returns></returns>
  471. private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime,DateTime statStartTime, DateTime statEndTime)
  472. {
  473. // 计算胎心=孕妇心率*系数
  474. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  475. //fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  476. if (fetalHeartRate >= 220)
  477. {
  478. // 先使用最小系数计算
  479. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  480. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  481. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  482. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  483. if (fetalHeartRate < 220)
  484. {
  485. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  486. }
  487. else
  488. {
  489. fetalHeartRate = 220;
  490. _logger.LogWarning($"{heartRate.Serialno} 使用所有系数都不能放映实际,建模数据可能出现异常,请检查");
  491. }
  492. }
  493. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  494. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  495. if (phrFreqstatus == null) isAbnormal = 0;
  496. var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  497. _logger.LogInformation($"{heartRate.Serialno} 在 {statsusDesc} 状态,生成胎心值:{fetalHeartRate},统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  498. //if (!isFreq)
  499. //{
  500. // statStartTime = heartRate.LastUpdate;
  501. //
  502. //}
  503. // 保存到 数据服务 MySQL 数据库
  504. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  505. {
  506. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  507. PersonId = commonPHR!.PersonId,
  508. Serialno = heartRate.Serialno,
  509. HeartRate = fetalHeartRate,
  510. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  511. IsAbnormal = isAbnormal,
  512. StatStartTime = statStartTime,
  513. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  514. CreateTime = DateTime.Now,
  515. Method = 1,
  516. IsDisplay = 1,
  517. DeviceKey = commonPHR!.DeviceKey
  518. };
  519. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  520. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  521. // 推送最后一条常规心率计算的胎心数据到iot设备
  522. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  523. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  524. {
  525. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  526. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备");
  527. }
  528. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  529. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  530. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  531. // 胎心数据推送到第三方
  532. var topic = "topic.push.third";
  533. var fhrThridMsg = new
  534. {
  535. messageId = fhrMsgId,
  536. topic = topic,
  537. time = fhrMsgTime,
  538. data = new
  539. {
  540. imei = heartRate.Serialno,
  541. value = fetalHeartRate,
  542. isAbnormal,
  543. type = "fetalHeart"
  544. }
  545. };
  546. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  547. // 胎心数据推送到微信
  548. if (isAbnormal != 0)
  549. {
  550. topic = "topic.push.wx";
  551. var fhrMsg = new
  552. {
  553. messageId = fhrMsgId,
  554. topic = topic,
  555. time = fhrMsgTime,
  556. data = new
  557. {
  558. deviceId = device?.DeviceId,
  559. imei = heartRate.Serialno,
  560. alarmTypeId = 12,
  561. alarmDeviceName = heartRate.Serialno,
  562. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  563. address = string.Empty,
  564. deviceKey = device?.DeviceId
  565. }
  566. };
  567. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  568. }
  569. }
  570. private async Task SetIntervalTriggerAsync(string key,string imei, long interval,HisGpsHeartRate heartRate)
  571. {
  572. // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";
  573. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  574. if (string.IsNullOrWhiteSpace(schedulePush))
  575. {
  576. var now = DateTime.Now;
  577. var timeNextRun = now.Add(TimeSpan.FromSeconds(interval));
  578. var data = new
  579. {
  580. imei,
  581. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  582. ttl = interval,
  583. next_run_time = timeNextRun.ToString("yyyy-MM-dd HH:mm:ss"),
  584. trigger= heartRate,
  585. };
  586. var result = JsonConvert.SerializeObject(data);
  587. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  588. }
  589. }
  590. }
  591. }