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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[] {0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22};
  47. private static int[] ODD_SCHEDULE_HOUR = new int[] { 1, 3, 5, 7, 9, 11,13, 15, 17, 19, 21, 23 };
  48. // 延时胎心计算间隔周期
  49. private static int INTERVAL_FHR=15;
  50. public PregnancyHeartRateResolver(ILogger<PregnancyHeartRateResolver> logger,
  51. HttpHelper httpHelper, EtcdService serviceEtcd, DeviceCacheManager deviceCacheMgr,
  52. MqProcessLogic serviceMqProcess,
  53. IotApiService iotApiService, TDengineService serviceDengine, FetalMovementNormalValueRangeCacheManager fetalMovementNormalValueRangeCacheMgr,
  54. GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> hisFetalHeartApiClient,
  55. GpsLocationHistoryAccessorClient<HisGpsFetalMovement> hisFetalMovementApiClient
  56. )
  57. {
  58. _logger = logger;
  59. _httpHelper = httpHelper;
  60. _serviceEtcd = serviceEtcd;
  61. _serviceTDengine = serviceDengine;
  62. _deviceCacheMgr = deviceCacheMgr;
  63. _serviceIotApi = iotApiService;
  64. _serviceMqProcess = serviceMqProcess;
  65. _hisFetalHeartApiClient = hisFetalHeartApiClient;
  66. _hisFetalMovementApiClient = hisFetalMovementApiClient;
  67. _mgrFetalMovementNormalValueRangeCache = fetalMovementNormalValueRangeCacheMgr;
  68. }
  69. public void SetResolveInfo(PackageMsgModel msg)
  70. {
  71. var topicHmPregnancyHeartRate = JsonConvert.DeserializeObject<TopicHmPregnancyHeartRate>(msg.DetailData.ToString()!);
  72. _messageId.Value = msg.MessageId;
  73. _msgData.Value = new HisGpsHeartRate()
  74. {
  75. HeartRateId = topicHmPregnancyHeartRate!.PregnancyHeartRateId,
  76. MessageId = topicHmPregnancyHeartRate!.MessageId,
  77. Serialno = topicHmPregnancyHeartRate!.Serialno,
  78. HeartRate = topicHmPregnancyHeartRate.PregnancyHeartRate,
  79. LastUpdate = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.LastUpdate) / 1000000),
  80. CreateTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.CreateTime) / 1000000),
  81. Method = topicHmPregnancyHeartRate!.Method,
  82. IsDisplay = topicHmPregnancyHeartRate!.IsDisplay ? 1 : 0
  83. };
  84. }
  85. public override string ToString()
  86. {
  87. return $"{nameof(PregnancyHeartRateResolver)}[{_messageId.Value}]";
  88. }
  89. public async Task ExecuteMessageAsync()
  90. {
  91. var messageId = _messageId.Value;
  92. var heartRate = _msgData.Value!;
  93. try
  94. {
  95. var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(heartRate.Serialno, "0067");
  96. var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1;
  97. if (isFetalHeartEnable)
  98. {
  99. //_logger.LogInformation($"{heartRate.Serialno} 计算胎心胎动启动");
  100. #region 定时下发触发器(定时建模)
  101. var key = $"health_monitor/schedule_push/pregnancy_heart_rate/imei/{heartRate.Serialno}";
  102. var schedule_push = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  103. if (string.IsNullOrWhiteSpace(schedule_push))
  104. {
  105. // 注册首次下推
  106. var interval = 0;
  107. // 获取当前时间
  108. DateTime now = DateTime.Now;
  109. var rand = new Random();
  110. var pushSec = rand.Next(59);
  111. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  112. // 计算距离下一个$interval天后的8点的时间间隔
  113. DateTime nextRunTime = new DateTime(now.Year, now.Month, now.Day, 6, pushMin, pushSec).AddDays(interval);
  114. TimeSpan timeUntilNextRun = nextRunTime - now;
  115. if (timeUntilNextRun < TimeSpan.Zero)
  116. {
  117. timeUntilNextRun = timeUntilNextRun.Add(TimeSpan.FromDays(1));
  118. nextRunTime += TimeSpan.FromDays(1);
  119. }
  120. var ttl = (long)timeUntilNextRun.TotalSeconds;
  121. var data = new
  122. {
  123. imei = heartRate.Serialno,
  124. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  125. ttl,
  126. next_run_time = nextRunTime.ToString("yyyy-MM-dd HH:mm:ss")
  127. };
  128. var result = JsonConvert.SerializeObject(data);
  129. await _serviceEtcd.PutValAsync(key, result, ttl, false).ConfigureAwait(false);
  130. }
  131. #endregion
  132. //_logger.LogInformation($"{heartRate.Serialno} 触发定时建模");
  133. // 高频心率采样间隔 highFreqSampleInterval = highFreqSampleInterval 最小highFreqSampleInterval=60)
  134. var highFreqSampleInterval = (int)watchConfig!["highFreqSampleInterval"]! >= 60 ? (int)watchConfig!["highFreqSampleInterval"]!:60;
  135. // 触发高频监测的心率上限值
  136. var triggerHighFreqHigh = (int)watchConfig["triggerHighFreqHigh"]!;
  137. // 触发高频监测的心率下限值
  138. var triggerHighFreqLow = (int)watchConfig["triggerHighFreqLow"]!;
  139. // 暂时处理
  140. triggerHighFreqLow = triggerHighFreqLow > 60 && triggerHighFreqLow < 67 ? 60 : triggerHighFreqLow;
  141. //停止高频心率采样心率连续正常次数
  142. var stopHighFreqSampleCount = (int)watchConfig["stopHighFreqSampleCount"]!;
  143. // 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
  144. //var highFreqSampleTimes = (int)watchConfig["highFreqSampleTimes"]!;
  145. var highFreqSampleTimes = 540;
  146. // 告警上限阀值
  147. var upperAlarmThreshold = (int)watchConfig["upperAlarmThreshold"]!;
  148. // 告警下限阀值
  149. var lowerAlarmThreshold = (int)watchConfig["lowerAlarmThreshold"]!;
  150. // EDOC
  151. var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
  152. // interval (分钟) 固定15分钟
  153. var intervalFHR = 15;//int)watchConfig["interval"]!;
  154. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  155. var phr = daysPhr
  156. .Where(p => p.LastUpdate <= heartRate.LastUpdate)
  157. .ToList();
  158. var nonFreqPhr = GetNonFreqPregnancyHeartRate(phr, highFreqSampleInterval);
  159. if (nonFreqPhr.Count >= 30)
  160. {
  161. #region 定时计算胎动数据触发器两小时间隔开始(奇数小时计算)
  162. /**
  163. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  164. var rand = new Random();
  165. var pushSec = rand.Next(59);
  166. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  167. DateTime fmScheduleNow = DateTime.Now;
  168. int hour = fmScheduleNow.Hour;
  169. int selectedScheduleHour;
  170. // 使用模运算来获取相应的ODD_SCHEDULE_HOUR
  171. if (hour % 2 == 0)
  172. {
  173. selectedScheduleHour = ODD_SCHEDULE_HOUR[hour / 2 % ODD_SCHEDULE_HOUR.Length];
  174. }
  175. else
  176. {
  177. selectedScheduleHour = ODD_SCHEDULE_HOUR[(hour + 1) / 2 % ODD_SCHEDULE_HOUR.Length];
  178. }
  179. DateTime scheduledDateTime = new DateTime(
  180. fmScheduleNow.Year,
  181. fmScheduleNow.Month,
  182. fmScheduleNow.Day,
  183. selectedScheduleHour,
  184. pushMin,
  185. pushSec
  186. );
  187. // 如果生成的时间在当前时间之前
  188. // 或者 fmScheduleNow 在 23 点之后并且 selectedScheduleHour 在 1 点(即次日)
  189. if (scheduledDateTime < fmScheduleNow || (fmScheduleNow.Hour >= 23 && selectedScheduleHour <= 1))
  190. {
  191. scheduledDateTime = scheduledDateTime.AddDays(1);
  192. }
  193. TimeSpan timeUntilNextRun = scheduledDateTime - fmScheduleNow;
  194. var ttl = (long)timeUntilNextRun.TotalSeconds;
  195. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl, heartRate);
  196. _logger.LogInformation($"{heartRate.Serialno}-{heartRate.MessageId} 创建计划统计胎动时间{scheduledDateTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  197. */
  198. #endregion
  199. #region 定时计算胎动数据触发器每小时间隔开始,延时一个小时计算
  200. /*
  201. ///当前时间是的0~1小时返回2小时 ,
  202. ///当前时间是的1~2小时返回3小时 ,如此类推,
  203. ///当前时间是的21~22小时返回23小时
  204. ///当前时间是的23~0小时返回次日1小时
  205. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  206. var rand = new Random();
  207. var pushSec = rand.Next(59);
  208. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  209. DateTime fmScheduleNow = DateTime.Now;
  210. int hour = fmScheduleNow.Hour;
  211. int selectedScheduleHour=DateTimeUtil.GetNextHour(fmScheduleNow.Hour);
  212. DateTime scheduledDateTime = new DateTime(
  213. fmScheduleNow.Year,
  214. fmScheduleNow.Month,
  215. fmScheduleNow.Day,
  216. selectedScheduleHour,
  217. pushMin,
  218. pushSec
  219. );
  220. // 跨天
  221. if (selectedScheduleHour == 1 || selectedScheduleHour == 0)
  222. {
  223. scheduledDateTime = scheduledDateTime.AddDays(1);
  224. }
  225. TimeSpan timeUntilNextRun = scheduledDateTime - fmScheduleNow;
  226. var ttl = (long)timeUntilNextRun.TotalSeconds;
  227. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl, heartRate);
  228. _logger.LogInformation($"{heartRate.Serialno}-{heartRate.MessageId} 创建计划统计胎动时间{scheduledDateTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  229. */
  230. #endregion
  231. #region 定时计算胎动数据触发器每小时间隔开始,延时一个小时计算
  232. ///当前时间是的0~1小时返回2小时 ,
  233. ///当前时间是的1~2小时返回3小时 ,如此类推,
  234. ///当前时间是的21~22小时返回23小时
  235. ///当前时间是的23~0小时返回次日1小时
  236. // lastUpdate默认奇数 // lastUpdate偶数小时
  237. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  238. var rand = new Random();
  239. var pushSec = rand.Next(59);
  240. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  241. DateTime fmScheduleNow = DateTime.Now;
  242. int hour = fmScheduleNow.Hour;
  243. int selectedScheduleHour = DateTimeUtil.GetNextHour(fmScheduleNow.Hour);
  244. DateTime scheduledDateTime = DateTime.Now.Date
  245. .AddHours(selectedScheduleHour)
  246. .AddMinutes(pushMin)
  247. .AddSeconds(pushSec);
  248. // 当前时间与lastUpdate的时间差小于2小时,0~1->2,0~1的数据是1点的sample_time,2点计算
  249. if (DateTime.Now.Subtract((DateTime)heartRate.LastUpdate!).TotalHours <= 2)
  250. {
  251. selectedScheduleHour = DateTimeUtil.GetNextHour(((DateTime)heartRate.LastUpdate).Hour);
  252. scheduledDateTime = DateTime.Now.Date
  253. .AddHours(selectedScheduleHour)
  254. .AddMinutes(pushMin)
  255. .AddSeconds(pushSec);
  256. if (((DateTime)heartRate.LastUpdate).Hour % 2 == 0)
  257. {
  258. // lastUpdate偶数小时
  259. fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}/even_hour";
  260. }
  261. else
  262. {
  263. // lastUpdate奇数小时
  264. fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}/odd_hour";
  265. }
  266. }
  267. // sample_time采集时间与计划计算时间最长是2小时,次日上报引起
  268. else
  269. {
  270. _logger.LogWarning($"iot 上报延迟,last_update与计划计算时间超过2小时");
  271. }
  272. // 跨天
  273. if (selectedScheduleHour == 1 || selectedScheduleHour == 0)
  274. {
  275. scheduledDateTime = scheduledDateTime.AddDays(1);
  276. }
  277. TimeSpan timeUntilNextRun = scheduledDateTime - fmScheduleNow;
  278. var ttl = (long)timeUntilNextRun.TotalSeconds;
  279. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl, heartRate);
  280. _logger.LogInformation($"{heartRate.Serialno}-{heartRate.MessageId} 创建计划统计胎动时间{scheduledDateTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  281. #endregion
  282. #region 计算胎心数据(按心率时间LastUpdate)
  283. var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno);
  284. // 如果commonPHR为空或已建模已过期,进行建模和保存
  285. if (commonPHR == null || !commonPHR.CreateTime.Date.Equals(DateTime.Now.Date))
  286. // 获取当天 6:11 的时间点, 6:11 所有数据都已经全部建模
  287. //if (commonPHR == null || commonPHR.CreateTime < DateTime.Today.AddHours(6).AddMinutes(11))
  288. {
  289. // 处理孕妇业务,计算一般心率并下发
  290. commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno, highFreqSampleInterval: highFreqSampleInterval);
  291. // 建模完成
  292. var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue);
  293. _logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成");
  294. // 保存到TDengine数据库
  295. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!);
  296. _logger.LogInformation($"保存TDengine完成");
  297. }
  298. // 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  299. var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  300. var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  301. // 如果需要,将时间差转换为秒
  302. var timeDiffInSeconds = timeDiff.TotalSeconds;
  303. // 高频统计结束时间
  304. var FreqStatsEnd = DateTime.Now;
  305. // 高频心率启动(在高频第二条才能判断)
  306. if (timeDiffInSeconds <= highFreqSampleInterval)
  307. {
  308. // 设置延时计算高频心率的胎心
  309. var freqHearRateHey = $"health_monitor/schedule_push/cal_freqhr_fetal_heart_rate/imei/{heartRate.Serialno}";
  310. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  311. if (phrFreqstatus == null)
  312. {
  313. /// 设置高频状态
  314. _logger.LogInformation($"{heartRate.Serialno} 进入高频心率启动状态,时间差 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  315. // 设置高频状态
  316. _logger.LogInformation($"{heartRate.Serialno} 前7天到当前记录数 {phr.Count},当前 {phr.First().MessageId}");
  317. var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate)
  318. .Skip(1) //在高频第二条才能判断,所以要去除本条记录
  319. .First();
  320. _logger.LogInformation($"首条高频附近的3条:{string.Join(',', phr.OrderByDescending(i => i.LastUpdate).Take(3).Select(i=>i.MessageId))}");
  321. await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  322. _logger.LogInformation($"{heartRate.Serialno} 设置高频状态,首条高频心率ID:{freqFirstPhr.MessageId}");
  323. phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  324. HisGpsHeartRate freqFirstHR = new()
  325. {
  326. CreateTime = freqFirstPhr.CreateTime,
  327. DeviceKey = freqFirstPhr.DeviceKey,
  328. HeartRate = freqFirstPhr.PregnancyHeartRate,
  329. HeartRateId = freqFirstPhr.PregnancyHeartRateId,
  330. IsDisplay = freqFirstPhr.IsDisplay ? 1 : 0,
  331. LastUpdate = freqFirstPhr.LastUpdate,
  332. MessageId = freqFirstPhr.MessageId,
  333. Method = freqFirstPhr.Method,
  334. PersonId = freqFirstPhr.PersonId,
  335. Serialno = freqFirstPhr.SerialNumber,
  336. };
  337. // 设置的续租周期要
  338. await SetFreqHeartRateTriggerAsync(freqHearRateHey, heartRate.Serialno, highFreqSampleInterval, freqFirstHR);
  339. }
  340. // 续租延时计算高频心率的胎心
  341. await SetFreqHeartRateTriggerAsync(freqHearRateHey, heartRate.Serialno, highFreqSampleInterval);
  342. /// phr PregnancyHeartRate 连续连续正常次数个值都是正常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  343. /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  344. #region 检查高频状态是否连续12个心率值都是正常的
  345. // 获取最近连续正常次数个心率记录
  346. //_logger.LogInformation($"{heartRate.Serialno} 设置 stopHighFreqSampleCount {stopHighFreqSampleCount}");
  347. //var lastPhr = phr.OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  348. var lastPhr = phr.Where(i => i.LastUpdate >= phrFreqstatus!.LastUpdate)
  349. .OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  350. _logger.LogInformation($"{heartRate.Serialno} 最后段记录数量:lastPhr.Count {lastPhr.Count},stopHighFreqSampleCount {stopHighFreqSampleCount}");
  351. _logger.LogInformation($"{heartRate.Serialno} 条件1-数量 Count:{lastPhr.Count >= stopHighFreqSampleCount}");
  352. _logger.LogInformation($"{heartRate.Serialno} 条件2-是否正常值 ALL{lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)}");
  353. // 检查是否连续12个值都是正常的
  354. if ((lastPhr.Count >= stopHighFreqSampleCount) &&
  355. lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)
  356. )
  357. {
  358. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  359. // 计算一般心率得到胎心系数
  360. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  361. // 高频数据不建模
  362. FreqStatsEnd = (DateTime)heartRate.LastUpdate!;
  363. _logger.LogInformation($"{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");
  364. var freqSaveAndPushFetalHeartRate = await _deviceCacheMgr.GetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  365. // 高频不停,15分钟内只下发一条
  366. if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
  367. {
  368. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  369. heartRate.HeartRate = (int)avgPhr;
  370. //await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  371. // 最后一条高频心率
  372. var lastFreqHr = lastPhr.First();
  373. var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
  374. // 判断是否够highFreqSampleTimes,540s
  375. if (ts < highFreqSampleTimes)
  376. {
  377. /// 不够10分钟最近12个数据的最小值生成胎心值
  378. _logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
  379. heartRate.HeartRate = lastPhr.Select(i=>i.PregnancyHeartRate).Min();
  380. heartRate.LastUpdate = lastFreqHr.LastUpdate;
  381. }
  382. _logger.LogInformation($"{heartRate.Serialno} 高频数据触发连续12个值都是正常的的高频心率处理");
  383. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR,highFreqSampleTimes ,upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  384. // 删除高频状态的首条记录
  385. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  386. // 设置15分的SaveAndPushFetalHeartRate业务间隔
  387. await _deviceCacheMgr.SetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  388. _logger.LogInformation($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,结束高频心率状态, timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval},高频状态持续{((DateTime)heartRate.LastUpdate - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,高频心率平均值:{(int)avgPhr}");
  389. }
  390. else
  391. {
  392. _logger.LogWarning($"{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");
  393. }
  394. }
  395. else
  396. {
  397. _logger.LogInformation($"{heartRate.Serialno} 处于高频状态...");
  398. }
  399. #endregion
  400. }
  401. // 高频心率结束或常规心率
  402. else
  403. {
  404. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  405. // 高频心率结束
  406. if (phrFreqstatus != null)
  407. {
  408. /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  409. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  410. if (highFreqSampleTimes == 0)
  411. {
  412. var lastPhr = phr.OrderByDescending(i => i.LastUpdate)
  413. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  414. .Skip(1) // 去除首条
  415. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh);
  416. //.Select(i => i.PregnancyHeartRate);
  417. //.Average();
  418. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  419. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  420. // 计算一般心率得到胎心系数
  421. // 高频数据不建模
  422. FreqStatsEnd = firstTwoPhr[1];
  423. _logger.LogInformation($"{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,高频心率平均值:{(int)avgPhr},将下发指令");
  424. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString());
  425. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  426. heartRate.HeartRate = (int)avgPhr;
  427. //await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  428. // 最后一条高频心率
  429. var lastFreqHr = lastPhr.First();
  430. var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
  431. // 判断是否够highFreqSampleTimes,540s
  432. if (ts < highFreqSampleTimes)
  433. {
  434. /// 不够10分钟最近12个数据的最小值生成胎心值
  435. _logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
  436. heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
  437. heartRate.LastUpdate = lastFreqHr.LastUpdate;
  438. }
  439. _logger.LogInformation($"{heartRate.Serialno} 高频结束后的highFreqSampleTimes=0的高频心率处理");
  440. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  441. }
  442. /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  443. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  444. if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate.AddSeconds(highFreqSampleTimes)))
  445. {
  446. // 获取高频心率数据个数
  447. var filterPhr = phr
  448. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  449. .Skip(1)
  450. .ToList();
  451. _logger.LogInformation($"{heartRate.Serialno} 高频周期 {phrFreqstatus?.LastUpdate.ToString("yyyy-MM-dd HH:mm:ss")}--{firstTwoPhr[1].ToString("yyyy-MM-dd HH:mm:ss")} 产生高频心率数量 {filterPhr.Count} 条");
  452. // 高频心率数据大于stopHighFreqSampleCount/12个才计算胎心数据
  453. //
  454. if (filterPhr.Count > stopHighFreqSampleCount)
  455. {
  456. FreqStatsEnd = firstTwoPhr[1];
  457. var avgPhr = filterPhr
  458. .OrderByDescending(i => i.LastUpdate)
  459. .Take(stopHighFreqSampleCount) // 计算最后12条
  460. .Select(i => i.PregnancyHeartRate).Average();
  461. //_logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,约定的 {highFreqSampleTimes} 秒,即将结束高频状态,高频心率平均值:{(int)avgPhr},将下发指令");
  462. //计算高频
  463. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  464. heartRate.HeartRate = (int)avgPhr;
  465. //await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  466. // 判断是否够highFreqSampleTimes,540s
  467. var lastPhr = filterPhr
  468. .OrderByDescending(i => i.LastUpdate)
  469. .Take(stopHighFreqSampleCount);
  470. // 最后一条高频心率
  471. var lastFreqHr = lastPhr.First();
  472. var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
  473. if (ts < highFreqSampleTimes)
  474. {
  475. /// 不够10分钟最近12个数据的最小值生成胎心值
  476. _logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
  477. heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
  478. heartRate.LastUpdate = lastFreqHr.LastUpdate;
  479. }
  480. _logger.LogInformation($"{heartRate.Serialno} 高频结束后的在highFreqSampleTimes>0 正常心率(通常情况)触发的高频心率处理");
  481. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  482. }
  483. else
  484. {
  485. _logger.LogWarning($"{heartRate.Serialno} 高频心率的数据不大于{stopHighFreqSampleCount}条,不进行高频数据的胎心计算");
  486. }
  487. // 删除高频状态的首条记录
  488. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  489. // (逐条计算)计算本次常规心率的胎心数据(高频结束后,实时处理)
  490. // await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  491. await CalculateNormalFetalHeartRateScheduleAsync(heartRate);
  492. }
  493. ///不满足持续10分钟highFreqSampleTimes或出现时间倒叙
  494. ///
  495. else
  496. {
  497. // 高频结束后与常规的心率时间倒叙
  498. if ((firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds < 0)
  499. {
  500. _logger.LogInformation($"{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");
  501. #region 计算当条心率创建之前的高频心率
  502. // 取得高频之后的所有数据
  503. var phrFlashBack = daysPhr.Where(p => p.LastUpdate >= phrFreqstatus!.LastUpdate)
  504. .OrderByDescending(i => i.LastUpdate);
  505. // 取得高频数据
  506. var freqCollection = phrFlashBack.ToList();
  507. //var freqCollection = new List<PregnancyHeartRateModel>();
  508. //PregnancyHeartRateModel? previousItem = null;
  509. //foreach (var item in phrFlashBack)
  510. //{
  511. // if (previousItem != null)
  512. // {
  513. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  514. // if (timeNextDiff <= highFreqSampleInterval)
  515. // {
  516. // freqCollection.Add(item);
  517. // }
  518. // }
  519. // previousItem = item;
  520. //}
  521. _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate}");
  522. if (freqCollection.Count > stopHighFreqSampleCount)
  523. {
  524. // 计算高频产生的胎心
  525. var avgPhr = freqCollection
  526. .OrderByDescending(i => i.LastUpdate)
  527. .Take(stopHighFreqSampleCount) // 计算最后12条
  528. .Select(i => i.PregnancyHeartRate).Average();
  529. heartRate.HeartRate = (int)avgPhr;
  530. // await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  531. //_logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate},高频心率平均值:{(int)avgPhr}");
  532. // 判断是否够highFreqSampleTimes,540s
  533. var lastPhr = freqCollection
  534. .OrderByDescending(i => i.LastUpdate)
  535. .Take(stopHighFreqSampleCount);
  536. // 最后一条高频心率
  537. var lastFreqHr = lastPhr.First();
  538. var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
  539. if (ts < highFreqSampleTimes)
  540. {
  541. /// 不够10分钟最近12个数据的最小值生成胎心值
  542. _logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
  543. heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
  544. heartRate.LastUpdate = lastFreqHr.LastUpdate;
  545. }
  546. _logger.LogInformation($"{heartRate.Serialno} 高频结束后的时间倒序的正常心率触发的高频心率处理");
  547. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  548. _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate},时间倒叙");
  549. }
  550. else
  551. {
  552. _logger.LogInformation($"{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");
  553. }
  554. #endregion
  555. }
  556. else
  557. {
  558. _logger.LogInformation($"{heartRate.Serialno} 高频持续时间不足{highFreqSampleTimes},只持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  559. }
  560. // 删除高频状态的首条记录
  561. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  562. // (逐条计算)计算本次常规心率的胎心数据(高频结束后,实时处理)
  563. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  564. await CalculateNormalFetalHeartRateScheduleAsync(heartRate);
  565. }
  566. // 删除高频状态的首条记录
  567. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  568. _logger.LogInformation($"{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");
  569. //// 使用延后计算
  570. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  571. //var fhrScheduleTTL = 60;
  572. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  573. }
  574. // 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)
  575. else
  576. {
  577. // 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
  578. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  579. //var fhrScheduleTTL = 30;
  580. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  581. //_logger.LogInformation($"{heartRate.Serialno} 延时50秒,判断当前数据是否为高频首条");
  582. // 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 查询30秒后是否有高频缓存
  583. Thread thread = new(async () =>
  584. {
  585. try
  586. {
  587. #region 休眠highFreqSampleInterval2秒
  588. var startTime = DateTime.Now;
  589. //var highFreqSampleInterval2 = (int)watchConfig!["highFreqSampleInterval"]!+5;
  590. var highFreqSampleInterval2 = highFreqSampleInterval;
  591. var during = TimeSpan.FromSeconds(highFreqSampleInterval2);
  592. while (true)
  593. {
  594. if (DateTime.Now - startTime > during)
  595. {
  596. break;
  597. }
  598. await Task.Delay(TimeSpan.FromSeconds(1));
  599. }
  600. #endregion
  601. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  602. _logger.LogInformation($"phrFreqstatus==null:{phrFreqstatus == null}");
  603. _logger.LogInformation($"phrFreqstatus.LastUpdate < heartRate.LastUpdate:{phrFreqstatus?.LastUpdate < heartRate.LastUpdate}");
  604. if (phrFreqstatus == null || phrFreqstatus.LastUpdate < heartRate.LastUpdate)
  605. {
  606. // (逐条计算)常规心率
  607. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  608. //_logger.LogInformation($"{heartRate.Serialno} 计算常规心率");
  609. // 延时计算常规心率
  610. await CalculateNormalFetalHeartRateScheduleAsync(heartRate);
  611. }
  612. }
  613. catch (Exception ex)
  614. {
  615. _logger.LogError($"处理延时计算异常:{ex.Message}, {ex.StackTrace}");
  616. }
  617. });
  618. thread.Start();
  619. }
  620. }
  621. #endregion
  622. }
  623. else
  624. {
  625. _logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中");
  626. }
  627. }
  628. }
  629. catch (Exception ex)
  630. {
  631. _logger.LogError($"{heartRate.Serialno} 处理孕妇心率数据异常 \n{ex.Message}\n{ex.StackTrace}");
  632. }
  633. }
  634. /// <summary>
  635. /// (逐条计算)常规心率计算胎心数据
  636. /// </summary>
  637. /// <param name="heartRate"></param>
  638. /// <param name="upperAlarmThreshold"></param>
  639. /// <param name="lowerAlarmThreshold"></param>
  640. /// <param name="intervalFHR"></param>
  641. /// <param name="commonPHR"></param>
  642. /// <returns></returns>
  643. /**
  644. private async Task CalculateNormalFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, int intervalFHR, PregnancyCommonHeartRateModel? commonPHR)
  645. {
  646. // 上15分钟的数据
  647. // 获取当前时间
  648. DateTime nowInterval = (DateTime)heartRate.LastUpdate!;
  649. if (nowInterval.Second > 0)
  650. {
  651. nowInterval = nowInterval.AddMinutes(1);
  652. }
  653. // 计算last_update到上一间隔的分钟数
  654. int minutesToSubtract = nowInterval.Minute % intervalFHR;
  655. // 计算上一间隔的时间
  656. DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond);
  657. // 使用 last_update 上一刻
  658. var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString();
  659. // 计算last_update到下一间隔的分钟数
  660. int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR);
  661. if (minutesToAdd == intervalFHR)
  662. {
  663. minutesToAdd = 0; // 如果已经是间隔,则不需要增加分钟
  664. }
  665. // 计算下一间隔的时间
  666. DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  667. .AddSeconds(-nowInterval.Second)
  668. .AddMilliseconds(-nowInterval.Millisecond);
  669. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  670. var normalPhrStatStartTime = nextInterval.AddMinutes(-intervalFHR);
  671. var normalPhrStatEndTime = nextInterval;
  672. _logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} ");
  673. var filteredPhr = daysPhr
  674. // 使用 last_update 下一刻
  675. .Where(i => i.LastUpdate <= normalPhrStatEndTime && i.LastUpdate >= normalPhrStatStartTime)
  676. .ToList();
  677. if (filteredPhr.Count == 0)
  678. {
  679. _logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录");
  680. return;
  681. }
  682. var phrValue = filteredPhr.Count == 1
  683. ? filteredPhr.First().PregnancyHeartRate
  684. : filteredPhr.Average(i => i.PregnancyHeartRate);
  685. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR);
  686. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  687. heartRate.HeartRate = (int)phrValue;
  688. //await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  689. }
  690. */
  691. /// <summary>
  692. /// 延时计算
  693. /// </summary>
  694. /// <param name="heartRate"></param>
  695. /// <returns></returns>
  696. public async Task CalculateNormalFetalHeartRateScheduleAsync(HisGpsHeartRate heartRate)
  697. {
  698. var fhrScheduleKey = $"health_monitor/schedule_push/cal_normalphr_fetal_heart_rate/imei/{heartRate.Serialno}";
  699. DateTime nowInterval = DateTime.Now;
  700. if (nowInterval.Second > 0)
  701. {
  702. nowInterval = nowInterval.AddMinutes(1);
  703. }
  704. // 需要减去的分钟
  705. int minutesToSubtract = nowInterval.Minute % INTERVAL_FHR;
  706. var nextRunTime=nowInterval
  707. .AddMinutes(-minutesToSubtract)
  708. .AddMinutes(INTERVAL_FHR);
  709. TimeSpan timeUntilNextRun = nextRunTime - nowInterval;
  710. var ttl = (long)timeUntilNextRun.TotalSeconds;
  711. await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, ttl, heartRate);
  712. }
  713. /// <summary>
  714. ///
  715. /// </summary>
  716. /// <param name="heartRate"></param>
  717. /// <param name="commonPHR"></param>
  718. /// <param name="upperAlarmThreshold"></param>
  719. /// <param name="lowerAlarmThreshold"></param>
  720. /// <param name="phrValue"></param>
  721. /// <param name="sampleTime"></param>
  722. /// <param name="statStartTime"></param>
  723. /// <param name="statEndTime"></param>
  724. /// <returns></returns>
  725. private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime, DateTime statStartTime, DateTime statEndTime)
  726. {
  727. // 计算胎心=孕妇心率*系数
  728. /**
  729. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  730. fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  731. if (fetalHeartRate >= 220)
  732. {
  733. // 先使用最小系数计算
  734. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  735. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  736. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  737. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  738. if (fetalHeartRate < 220)
  739. {
  740. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  741. }
  742. else
  743. {
  744. fetalHeartRate = 220;
  745. _logger.LogWarning($"{heartRate.Serialno} 使用所有系数都不能放映实际,建模数据可能出现异常,请检查");
  746. }
  747. }
  748. */
  749. #region 胎心系数使用基于心率与中位数对比
  750. var coefficient = 0f;
  751. // 孕妇心率少于中位数,取StatMinValueFprCoefficient
  752. if (heartRate.HeartRate < commonPHR!.Mode)
  753. {
  754. coefficient = commonPHR.StatMinValueFprCoefficient!;
  755. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
  756. }
  757. // 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
  758. else if (heartRate.HeartRate > commonPHR.Mode)
  759. {
  760. if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
  761. {
  762. coefficient = commonPHR.StatMaxValueFprCoefficient!;
  763. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
  764. }
  765. else
  766. {
  767. coefficient = commonPHR.StatModeAvgFprCoefficient!;
  768. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
  769. }
  770. }
  771. else
  772. {
  773. coefficient = commonPHR.StatModeAvgFprCoefficient;
  774. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
  775. }
  776. #endregion
  777. var fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  778. // 胎心的最大值调整为220,超过都按该值220输出
  779. // fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;
  780. if (fetalHeartRate > 220)
  781. {
  782. fetalHeartRate = 220;
  783. _logger.LogWarning($"{heartRate.Serialno} 大于220,按220输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  784. }
  785. // 胎心的最小值调整为90,超过都按该值90
  786. if (fetalHeartRate < 90)
  787. {
  788. fetalHeartRate = 90;
  789. _logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  790. }
  791. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  792. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  793. if (phrFreqstatus == null) isAbnormal = 0;
  794. var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  795. _logger.LogInformation($"{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")}");
  796. //if (!isFreq)
  797. //{
  798. // statStartTime = heartRate.LastUpdate;
  799. //
  800. //}
  801. // 保存到 数据服务 MySQL 数据库
  802. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  803. {
  804. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  805. PersonId = commonPHR!.PersonId,
  806. Serialno = heartRate.Serialno,
  807. HeartRate = fetalHeartRate,
  808. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  809. IsAbnormal = isAbnormal,
  810. StatStartTime = statStartTime,
  811. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  812. CreateTime = DateTime.Now,
  813. Method = 1,
  814. IsDisplay = 1,
  815. DeviceKey = commonPHR!.DeviceKey
  816. };
  817. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  818. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  819. // 推送最后一条常规心率计算的胎心数据到iot设备
  820. #region 推送最后一条常规心率计算的胎心数据到iot设备
  821. // 高频(<=12)-常规
  822. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  823. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  824. {
  825. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  826. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规");
  827. }
  828. // 高频(13)-常规-高频(13)
  829. if (phrFreqstatus != null)
  830. {
  831. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
  832. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  833. // 获取高频数据
  834. var freqCollection = new List<PregnancyHeartRateModel>();
  835. PregnancyHeartRateModel? previousItem = null;
  836. foreach (var item in phr)
  837. {
  838. if (previousItem != null)
  839. {
  840. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  841. if (timeNextDiff <= 60)
  842. {
  843. freqCollection.Add(item);
  844. }
  845. }
  846. // 高频最后一条
  847. if (lastPhr.MessageId == item.MessageId)
  848. {
  849. freqCollection.Add(item);
  850. }
  851. previousItem = item;
  852. }
  853. //去除高频
  854. foreach (var item in freqCollection)
  855. {
  856. phr.Remove(item);
  857. }
  858. lastPhr = phr.FirstOrDefault();
  859. if (lastPhr?.MessageId == heartRate.MessageId)
  860. {
  861. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  862. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(13)-常规-高频(13)");
  863. }
  864. }
  865. #endregion
  866. #region 高频心率计算胎心数据到iot设备
  867. // 高频(17) ,连续12个高频正常,也不停止且数据偏高和偏低也推送到iot
  868. if (phrFreqstatus != null && isAbnormal!=0)
  869. {
  870. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  871. }
  872. #endregion
  873. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  874. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  875. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  876. // 胎心数据推送到第三方
  877. var topic = "topic.push.third";
  878. var fhrThridMsg = new
  879. {
  880. messageId = fhrMsgId,
  881. topic = topic,
  882. time = fhrMsgTime,
  883. data = new
  884. {
  885. imei = heartRate.Serialno,
  886. value = fetalHeartRate,
  887. isAbnormal,
  888. type = "fetalHeart"
  889. }
  890. };
  891. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  892. // 胎心数据推送到微信
  893. if (isAbnormal != 0)
  894. {
  895. topic = "topic.push.wx";
  896. var fhrMsg = new
  897. {
  898. messageId = fhrMsgId,
  899. topic = topic,
  900. time = fhrMsgTime,
  901. data = new
  902. {
  903. deviceId = device?.DeviceId,
  904. imei = heartRate.Serialno,
  905. alarmTypeId = 12,
  906. alarmDeviceName = heartRate.Serialno,
  907. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  908. address = string.Empty,
  909. deviceKey = device?.DeviceId
  910. }
  911. };
  912. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  913. }
  914. }
  915. private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime)
  916. {
  917. // 计算胎心=孕妇心率*系数
  918. /**
  919. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  920. fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  921. if (fetalHeartRate >= 220)
  922. {
  923. // 先使用最小系数计算
  924. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  925. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  926. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  927. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  928. if (fetalHeartRate < 220)
  929. {
  930. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  931. }
  932. else
  933. {
  934. fetalHeartRate = 220;
  935. _logger.LogWarning($"{heartRate.Serialno} 使用所有系数都不能放映实际,建模数据可能出现异常,请检查");
  936. }
  937. }
  938. */
  939. #region 胎心系数使用基于心率与中位数对比
  940. var coefficient = 0f;
  941. // 孕妇心率少于中位数,取StatMinValueFprCoefficient
  942. if (heartRate.HeartRate < commonPHR!.Mode)
  943. {
  944. coefficient = commonPHR.StatMinValueFprCoefficient!;
  945. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
  946. }
  947. // 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
  948. else if (heartRate.HeartRate > commonPHR.Mode)
  949. {
  950. if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
  951. {
  952. coefficient = commonPHR.StatMaxValueFprCoefficient!;
  953. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
  954. }
  955. else
  956. {
  957. coefficient = commonPHR.StatModeAvgFprCoefficient!;
  958. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
  959. }
  960. }
  961. else
  962. {
  963. coefficient = commonPHR.StatModeAvgFprCoefficient;
  964. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
  965. }
  966. #endregion
  967. var fetalHeartRate = SafeType.SafeInt(heartRate.HeartRate! * coefficient);
  968. // 胎心的最大值调整为220,超过都按该值220输出
  969. // fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;
  970. if (fetalHeartRate > 220)
  971. {
  972. fetalHeartRate = 220;
  973. _logger.LogWarning($"{heartRate.Serialno} 大于220,按220输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  974. }
  975. // 胎心的最小值调整为90,超过都按该值90
  976. if (fetalHeartRate < 90)
  977. {
  978. fetalHeartRate = 90;
  979. _logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  980. }
  981. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  982. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  983. if (phrFreqstatus == null) isAbnormal = 0;
  984. var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  985. _logger.LogInformation($"{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")}");
  986. //if (!isFreq)
  987. //{
  988. // statStartTime = heartRate.LastUpdate;
  989. //
  990. //}
  991. // 保存到 数据服务 MySQL 数据库
  992. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  993. {
  994. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  995. PersonId = commonPHR!.PersonId,
  996. Serialno = heartRate.Serialno,
  997. HeartRate = fetalHeartRate,
  998. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  999. IsAbnormal = isAbnormal,
  1000. StatStartTime = statStartTime,
  1001. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  1002. CreateTime = DateTime.Now,
  1003. Method = 1,
  1004. IsDisplay = 1,
  1005. DeviceKey = commonPHR!.DeviceKey
  1006. };
  1007. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  1008. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  1009. // 推送最后一条常规心率计算的胎心数据到iot设备
  1010. #region 推送最后一条常规心率计算的胎心数据到iot设备
  1011. // 高频(<=12)-常规
  1012. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  1013. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  1014. {
  1015. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  1016. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规");
  1017. }
  1018. // 高频(13)-常规-高频(13)
  1019. if (phrFreqstatus != null)
  1020. {
  1021. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
  1022. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1023. // 获取高频数据
  1024. var freqCollection = new List<PregnancyHeartRateModel>();
  1025. PregnancyHeartRateModel? previousItem = null;
  1026. foreach (var item in phr)
  1027. {
  1028. if (previousItem != null)
  1029. {
  1030. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  1031. if (timeNextDiff <= 60)
  1032. {
  1033. freqCollection.Add(item);
  1034. }
  1035. }
  1036. // 高频最后一条
  1037. if (lastPhr.MessageId == item.MessageId)
  1038. {
  1039. freqCollection.Add(item);
  1040. }
  1041. previousItem = item;
  1042. }
  1043. //去除高频
  1044. foreach (var item in freqCollection)
  1045. {
  1046. phr.Remove(item);
  1047. }
  1048. lastPhr = phr.FirstOrDefault();
  1049. if (lastPhr?.MessageId == heartRate.MessageId)
  1050. {
  1051. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  1052. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(13)-常规-高频(13)");
  1053. }
  1054. }
  1055. #endregion
  1056. #region 高频心率计算胎心数据到iot设备
  1057. // 高频(17) ,连续12个高频正常,也不停止且数据偏高和偏低也推送到iot
  1058. if (phrFreqstatus != null && isAbnormal != 0)
  1059. {
  1060. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  1061. }
  1062. #endregion
  1063. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  1064. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  1065. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  1066. // 胎心数据推送到第三方
  1067. var topic = "topic.push.third";
  1068. var fhrThridMsg = new
  1069. {
  1070. messageId = fhrMsgId,
  1071. topic = topic,
  1072. time = fhrMsgTime,
  1073. data = new
  1074. {
  1075. imei = heartRate.Serialno,
  1076. value = fetalHeartRate,
  1077. isAbnormal,
  1078. type = "fetalHeart"
  1079. }
  1080. };
  1081. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  1082. // 胎心数据推送到微信
  1083. if (isAbnormal != 0)
  1084. {
  1085. topic = "topic.push.wx";
  1086. var fhrMsg = new
  1087. {
  1088. messageId = fhrMsgId,
  1089. topic = topic,
  1090. time = fhrMsgTime,
  1091. data = new
  1092. {
  1093. deviceId = device?.DeviceId,
  1094. imei = heartRate.Serialno,
  1095. alarmTypeId = 12,
  1096. alarmDeviceName = heartRate.Serialno,
  1097. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  1098. address = string.Empty,
  1099. deviceKey = device?.DeviceId
  1100. }
  1101. };
  1102. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  1103. }
  1104. }
  1105. /// <summary>
  1106. /// 高频胎心处理
  1107. /// 1. 高频数据触发连续12个值都是正常的的高频心率处理
  1108. /// 2. 高频结束后的highFreqSampleTimes=0的高频心率处理
  1109. /// 3. 高频结束后的在highFreqSampleTimes>0 正常心率触发的高频心率处理(常态)
  1110. /// 4. 高频结束后的时间倒序的正常心率触发的高频心率处理
  1111. /// 5. 高频结束后计算胎心数据,防止结束后与常规心理的胎心处理过长,定时器时长highFreqSampleInterval触发的高频心率处理
  1112. /// 高频结束后超过9分钟且不在阈值内才告警
  1113. /// </summary>
  1114. /// <param name="heartRate"></param>
  1115. /// <param name="commonPHR"></param>
  1116. /// <param name="highFreqSampleTimes"></param>
  1117. /// <param name="upperAlarmThreshold"></param>
  1118. /// <param name="lowerAlarmThreshold"></param>
  1119. /// <param name="sampleTime"></param>
  1120. /// <param name="statStartTime"></param>
  1121. /// <param name="statEndTime"></param>
  1122. /// <returns></returns>
  1123. private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int highFreqSampleTimes, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime)
  1124. {
  1125. // 计算胎心=孕妇心率*系数
  1126. #region 胎心系数使用基于心率与中位数对比
  1127. var coefficient = 0f;
  1128. // 孕妇心率少于中位数,取StatMinValueFprCoefficient
  1129. if (heartRate.HeartRate < commonPHR!.Mode)
  1130. {
  1131. coefficient = commonPHR.StatMinValueFprCoefficient!;
  1132. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
  1133. }
  1134. // 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
  1135. else if (heartRate.HeartRate > commonPHR.Mode)
  1136. {
  1137. if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
  1138. {
  1139. coefficient = commonPHR.StatMaxValueFprCoefficient!;
  1140. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
  1141. }
  1142. else
  1143. {
  1144. coefficient = commonPHR.StatModeAvgFprCoefficient!;
  1145. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
  1146. }
  1147. }
  1148. else
  1149. {
  1150. coefficient = commonPHR.StatModeAvgFprCoefficient;
  1151. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
  1152. }
  1153. #endregion
  1154. var fetalHeartRate = SafeType.SafeInt(heartRate.HeartRate! * coefficient);
  1155. // 胎心的最大值调整为220,超过都按该值220输出
  1156. // fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;
  1157. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  1158. var isAbnormal = 0;
  1159. #region 判断是否够highFreqSampleTimes,540s
  1160. var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate);
  1161. // 判断是否够highFreqSampleTimes,540s
  1162. ///高频时长不足10分钟停止高频的胎心值生成说明:最近12个数据的最小值生成胎心值,
  1163. ///对于小于高频下限阀值取高频下限阀值进行转换;
  1164. ///对于高于高频上限阀值取高频上限阀值进行转换。并输出相关日志后续进行数据分析。
  1165. if (ts < highFreqSampleTimes)
  1166. {
  1167. if (fetalHeartRate > upperAlarmThreshold)
  1168. {
  1169. _logger.LogWarning($"{heartRate.Serialno} 高频持续不足10分钟,计算胎心值 {fetalHeartRate} 高于高频警告上限阀值{upperAlarmThreshold},最后胎心值{upperAlarmThreshold},并且不告警");
  1170. fetalHeartRate = upperAlarmThreshold;
  1171. }
  1172. else if (fetalHeartRate < lowerAlarmThreshold)
  1173. {
  1174. _logger.LogWarning($"{heartRate.Serialno} 高频持续不足10分钟,计算胎心值 {fetalHeartRate} 低于高频警告下限阀值 {lowerAlarmThreshold},最后胎心值{lowerAlarmThreshold},并且不告警");
  1175. fetalHeartRate = lowerAlarmThreshold;
  1176. }
  1177. else
  1178. {
  1179. _logger.LogWarning($"{heartRate.Serialno} 高频持续不足10分钟,在高频警告下限阀值 {lowerAlarmThreshold} 和 高频警告上限阀值:{upperAlarmThreshold}之间,最后胎心值{fetalHeartRate},并且不告警");
  1180. }
  1181. }
  1182. // 超过highFreqSampleTimes,540s
  1183. else
  1184. {
  1185. if (fetalHeartRate > 220)
  1186. {
  1187. fetalHeartRate = 220;
  1188. _logger.LogWarning($"{heartRate.Serialno} 大于220,按220输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  1189. }
  1190. // 胎心的最小值调整为90,超过都按该值90
  1191. if (fetalHeartRate < 90)
  1192. {
  1193. fetalHeartRate = 90;
  1194. _logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  1195. }
  1196. isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  1197. }
  1198. #endregion
  1199. //if (phrFreqstatus == null) isAbnormal = 0;
  1200. //var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  1201. var statsusDesc = "高频";
  1202. _logger.LogInformation($"{heartRate.Serialno} 在 {statsusDesc} 状态,生成胎心值:{fetalHeartRate},统计周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  1203. // 保存到 数据服务 MySQL 数据库
  1204. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  1205. {
  1206. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  1207. PersonId = commonPHR!.PersonId,
  1208. Serialno = heartRate.Serialno,
  1209. HeartRate = fetalHeartRate,
  1210. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  1211. IsAbnormal = isAbnormal,
  1212. StatStartTime = statStartTime,
  1213. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  1214. CreateTime = DateTime.Now,
  1215. Method = 1,
  1216. IsDisplay = 1,
  1217. DeviceKey = commonPHR!.DeviceKey
  1218. };
  1219. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  1220. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  1221. // 推送最后一条常规心率计算的胎心数据到iot设备
  1222. #region 推送最后一条常规心率计算的胎心数据到iot设备
  1223. // 高频(<=12)-常规
  1224. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  1225. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  1226. {
  1227. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  1228. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规");
  1229. }
  1230. // 高频(13)-常规-高频(13)
  1231. if (phrFreqstatus != null)
  1232. {
  1233. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
  1234. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1235. // 获取高频数据
  1236. var freqCollection = new List<PregnancyHeartRateModel>();
  1237. PregnancyHeartRateModel? previousItem = null;
  1238. foreach (var item in phr)
  1239. {
  1240. if (previousItem != null)
  1241. {
  1242. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  1243. if (timeNextDiff <= 60)
  1244. {
  1245. freqCollection.Add(item);
  1246. }
  1247. }
  1248. // 高频最后一条
  1249. if (lastPhr.MessageId == item.MessageId)
  1250. {
  1251. freqCollection.Add(item);
  1252. }
  1253. previousItem = item;
  1254. }
  1255. //去除高频
  1256. foreach (var item in freqCollection)
  1257. {
  1258. phr.Remove(item);
  1259. }
  1260. lastPhr = phr.FirstOrDefault();
  1261. if (lastPhr?.MessageId == heartRate.MessageId)
  1262. {
  1263. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  1264. _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,高频(13)-常规-高频(13)");
  1265. }
  1266. }
  1267. #endregion
  1268. #region 高频心率计算胎心数据到iot设备
  1269. // 高频(17) ,连续12个高频正常,也不停止且数据偏高和偏低也推送到iot
  1270. if (phrFreqstatus != null && isAbnormal != 0)
  1271. {
  1272. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  1273. }
  1274. #endregion
  1275. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  1276. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  1277. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  1278. // 胎心数据推送到第三方
  1279. var topic = "topic.push.third";
  1280. var fhrThridMsg = new
  1281. {
  1282. messageId = fhrMsgId,
  1283. topic = topic,
  1284. time = fhrMsgTime,
  1285. data = new
  1286. {
  1287. imei = heartRate.Serialno,
  1288. value = fetalHeartRate,
  1289. isAbnormal,
  1290. type = "fetalHeart"
  1291. }
  1292. };
  1293. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  1294. // 胎心数据推送到微信
  1295. if (isAbnormal != 0)
  1296. {
  1297. topic = "topic.push.wx";
  1298. var fhrMsg = new
  1299. {
  1300. messageId = fhrMsgId,
  1301. topic = topic,
  1302. time = fhrMsgTime,
  1303. data = new
  1304. {
  1305. deviceId = device?.DeviceId,
  1306. imei = heartRate.Serialno,
  1307. alarmTypeId = 12,
  1308. alarmDeviceName = heartRate.Serialno,
  1309. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  1310. address = string.Empty,
  1311. deviceKey = device?.DeviceId
  1312. }
  1313. };
  1314. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  1315. }
  1316. }
  1317. private async Task SetIntervalTriggerAsync(string key, string imei, long interval, HisGpsHeartRate heartRate)
  1318. {
  1319. // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";
  1320. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  1321. if (string.IsNullOrWhiteSpace(schedulePush))
  1322. {
  1323. var now = DateTime.Now;
  1324. var timeNextRun = now.Add(TimeSpan.FromSeconds(interval));
  1325. var data = new
  1326. {
  1327. imei,
  1328. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  1329. ttl = interval,
  1330. next_run_time = timeNextRun.ToString("yyyy-MM-dd HH:mm:ss"),
  1331. trigger = heartRate,
  1332. };
  1333. var result = JsonConvert.SerializeObject(data);
  1334. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  1335. }
  1336. }
  1337. /// <summary>
  1338. /// 高频延时计算触发器
  1339. /// </summary>
  1340. /// <param name="key">键</param>
  1341. /// <param name="imei">IMEI</param>
  1342. /// <param name="interval">高频采集间隔</param>
  1343. /// <param name="heartRate">首条高频心率</param>
  1344. /// <returns></returns>
  1345. private async Task SetFreqHeartRateTriggerAsync(string key, string imei, long interval, HisGpsHeartRate? heartRate=null)
  1346. {
  1347. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  1348. if (string.IsNullOrWhiteSpace(schedulePush))
  1349. {
  1350. var now = DateTime.Now;
  1351. var data = new
  1352. {
  1353. imei,
  1354. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  1355. lease = interval,
  1356. trigger = heartRate,
  1357. };
  1358. var result = JsonConvert.SerializeObject(data);
  1359. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  1360. _logger.LogInformation($"{imei} 心率高频状态创建首条高频心率的触发记录,创建高频延时计算触发器");
  1361. }
  1362. else
  1363. {
  1364. // 不断修改时长,直到最后的一条高频胎心
  1365. await _serviceEtcd.PutValAsync(key, schedulePush, interval, false).ConfigureAwait(false);
  1366. _logger.LogInformation($"{imei} 心率高频状态续租");
  1367. }
  1368. }
  1369. /// <summary>
  1370. /// 去除高频数据
  1371. /// </summary>
  1372. /// <param name="phr"></param>
  1373. /// <param name="highFreqSampleInterva"></param>
  1374. /// <returns></returns>
  1375. private static List<PregnancyHeartRateModel> GetNonFreqPregnancyHeartRate(List<PregnancyHeartRateModel> phr,int highFreqSampleInterval)
  1376. {
  1377. //phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1378. //var result = new List<PregnancyHeartRateModel>();
  1379. //PregnancyHeartRateModel? previousItem = null;
  1380. //foreach (var item in phr)
  1381. //{
  1382. // if (previousItem != null)
  1383. // {
  1384. // var timeNextDiff =(previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  1385. // if (timeNextDiff > highFreqSampleInterval)
  1386. // {
  1387. // result.Add(previousItem);
  1388. // }
  1389. // }
  1390. // previousItem = item;
  1391. //}
  1392. //// 添加上一个
  1393. //if (previousItem != null)
  1394. //{
  1395. // result.Add(previousItem);
  1396. //}
  1397. //return result;
  1398. #region 反向
  1399. var phr1 = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1400. var result = new List<PregnancyHeartRateModel>();
  1401. PregnancyHeartRateModel? previousItem1 = null;
  1402. foreach (var item in phr1)
  1403. {
  1404. if (previousItem1 != null)
  1405. {
  1406. var timeNextDiff = (previousItem1!.LastUpdate - item.LastUpdate).TotalSeconds;
  1407. if (timeNextDiff > highFreqSampleInterval)
  1408. {
  1409. result.Add(previousItem1);
  1410. }
  1411. }
  1412. previousItem1 = item;
  1413. }
  1414. // 添加上一个
  1415. if (previousItem1 != null)
  1416. {
  1417. result.Add(previousItem1);
  1418. }
  1419. #endregion
  1420. #region 正向
  1421. var phr2 = phr.OrderByDescending(i => i.LastUpdate).ToList(); ;
  1422. var freqCollection = new List<PregnancyHeartRateModel>();
  1423. PregnancyHeartRateModel? previousItem = null;
  1424. foreach (var item in phr2)
  1425. {
  1426. if (previousItem != null)
  1427. {
  1428. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  1429. if (timeNextDiff <= highFreqSampleInterval)
  1430. {
  1431. freqCollection.Add(item);
  1432. }
  1433. }
  1434. previousItem = item;
  1435. }
  1436. //去除高频
  1437. foreach (var item in freqCollection)
  1438. {
  1439. phr2.Remove(item);
  1440. }
  1441. #endregion
  1442. // 交集
  1443. var commonElements = phr2.Intersect(result).ToList();
  1444. return commonElements;
  1445. }
  1446. /// <summary>
  1447. /// 获取高频数据
  1448. /// </summary>
  1449. /// <param name="phr"></param>
  1450. /// <param name="highFreqSampleInterval"></param>
  1451. /// <returns></returns>
  1452. private static List<PregnancyHeartRateModel> GetFreqPregnancyHeartRate(List<PregnancyHeartRateModel> phr, int highFreqSampleInterval)
  1453. {
  1454. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1455. var freqCollection = new List<PregnancyHeartRateModel>();
  1456. PregnancyHeartRateModel? previousItem = null;
  1457. foreach (var item in phr)
  1458. {
  1459. if (previousItem != null)
  1460. {
  1461. var timeNextDiff = (previousItem.LastUpdate - item.LastUpdate).TotalSeconds;
  1462. if (timeNextDiff <= highFreqSampleInterval)
  1463. {
  1464. freqCollection.Add(previousItem);
  1465. }
  1466. }
  1467. previousItem = item;
  1468. }
  1469. // 检查最后一条是否高频
  1470. if (previousItem != null && (phr.Last().LastUpdate - previousItem.LastUpdate).TotalSeconds <= highFreqSampleInterval)
  1471. {
  1472. freqCollection.Add(previousItem);
  1473. }
  1474. return freqCollection;
  1475. }
  1476. }
  1477. }