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  1. using Etcdserverpb;
  2. using HealthMonitor.Common;
  3. using HealthMonitor.Common.helper;
  4. using HealthMonitor.Model.Service.Mapper;
  5. using HealthMonitor.Service.Biz;
  6. using HealthMonitor.Service.Biz.db;
  7. using HealthMonitor.Service.Cache;
  8. using HealthMonitor.Service.Etcd;
  9. using HealthMonitor.Service.MessageQueue;
  10. using HealthMonitor.Service.Resolver.Interface;
  11. using HealthMonitor.Service.Sub;
  12. using HealthMonitor.Service.Sub.Topic.Model;
  13. using Microsoft.EntityFrameworkCore.Metadata;
  14. using Microsoft.Extensions.Logging;
  15. using Newtonsoft.Json;
  16. using Newtonsoft.Json.Linq;
  17. using SqlSugar;
  18. using System;
  19. using System.Collections.Generic;
  20. using System.Linq;
  21. using System.Net;
  22. using System.Text;
  23. using System.Threading.Tasks;
  24. using TelpoDataService.Util.Clients;
  25. using TelpoDataService.Util.Entities.GpsCard;
  26. using TelpoDataService.Util.Entities.GpsLocationHistory;
  27. using TelpoDataService.Util.Models;
  28. using TelpoDataService.Util.QueryObjects;
  29. namespace HealthMonitor.Service.Resolver
  30. {
  31. public class PregnancyHeartRateResolver : IResolver
  32. {
  33. private readonly ILogger<PregnancyHeartRateResolver> _logger;
  34. private readonly TDengineService _serviceTDengine;
  35. private readonly DeviceCacheManager _deviceCacheMgr;
  36. private readonly IotApiService _serviceIotApi;
  37. private readonly AsyncLocal<string> _messageId = new();
  38. private readonly AsyncLocal<HisGpsHeartRate> _msgData = new();
  39. private readonly HttpHelper _httpHelper = default!;
  40. private readonly EtcdService _serviceEtcd;
  41. private readonly GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> _hisFetalHeartApiClient;
  42. private readonly GpsLocationHistoryAccessorClient<HisGpsFetalMovement> _hisFetalMovementApiClient;
  43. private readonly FetalMovementNormalValueRangeCacheManager _mgrFetalMovementNormalValueRangeCache;
  44. private readonly MqProcessLogic _serviceMqProcess;
  45. private static int[] SCHEDULE_HOUR = new int[] { 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 };
  46. public PregnancyHeartRateResolver(ILogger<PregnancyHeartRateResolver> logger,
  47. HttpHelper httpHelper, EtcdService serviceEtcd, DeviceCacheManager deviceCacheMgr,
  48. MqProcessLogic serviceMqProcess,
  49. IotApiService iotApiService, TDengineService serviceDengine, FetalMovementNormalValueRangeCacheManager fetalMovementNormalValueRangeCacheMgr,
  50. GpsLocationHistoryAccessorClient<HisGpsFetalHeartRate> hisFetalHeartApiClient,
  51. GpsLocationHistoryAccessorClient<HisGpsFetalMovement> hisFetalMovementApiClient
  52. )
  53. {
  54. _logger = logger;
  55. _httpHelper = httpHelper;
  56. _serviceEtcd = serviceEtcd;
  57. _serviceTDengine = serviceDengine;
  58. _deviceCacheMgr = deviceCacheMgr;
  59. _serviceIotApi = iotApiService;
  60. _serviceMqProcess= serviceMqProcess;
  61. _hisFetalHeartApiClient = hisFetalHeartApiClient;
  62. _hisFetalMovementApiClient = hisFetalMovementApiClient;
  63. _mgrFetalMovementNormalValueRangeCache = fetalMovementNormalValueRangeCacheMgr;
  64. }
  65. public void SetResolveInfo(PackageMsgModel msg)
  66. {
  67. var topicHmPregnancyHeartRate = JsonConvert.DeserializeObject<TopicHmPregnancyHeartRate>(msg.DetailData.ToString()!);
  68. _messageId.Value = msg.MessageId;
  69. _msgData.Value = new HisGpsHeartRate()
  70. {
  71. HeartRateId = topicHmPregnancyHeartRate!.PregnancyHeartRateId,
  72. MessageId = topicHmPregnancyHeartRate!.MessageId,
  73. Serialno = topicHmPregnancyHeartRate!.Serialno,
  74. HeartRate= topicHmPregnancyHeartRate.PregnancyHeartRate,
  75. LastUpdate = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.LastUpdate) / 1000000),
  76. CreateTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(SafeType.SafeInt64(topicHmPregnancyHeartRate.CreateTime) / 1000000),
  77. Method = topicHmPregnancyHeartRate!.Method,
  78. IsDisplay = topicHmPregnancyHeartRate!.IsDisplay ? 1 : 0
  79. };
  80. }
  81. public override string ToString()
  82. {
  83. return $"{nameof(PregnancyHeartRateResolver)}[{_messageId.Value}]";
  84. }
  85. public async Task ExecuteMessageAsync()
  86. {
  87. var messageId = _messageId.Value;
  88. var heartRate = _msgData.Value!;
  89. var watchConfig = await _deviceCacheMgr.GetGpsDeviceWatchConfigCacheObjectBySerialNoAsync(heartRate.Serialno, "0067");
  90. var isFetalHeartEnable = watchConfig != null && (int)watchConfig["enabled"]! == 1;
  91. if (isFetalHeartEnable)
  92. {
  93. // 高频心率采样间隔
  94. var highFreqSampleInterval = (int)watchConfig!["highFreqSampleInterval"]!;
  95. // 触发高频监测的心率上限值
  96. var triggerHighFreqHigh = (int)watchConfig["triggerHighFreqHigh"]!;
  97. // 触发高频监测的心率下限值
  98. var triggerHighFreqLow = (int)watchConfig["triggerHighFreqLow"]!;
  99. //停止高频心率采样心率连续正常次数
  100. var stopHighFreqSampleCount = (int)watchConfig["stopHighFreqSampleCount"]!;
  101. // 高频心率采集时长 0 为持续采集,非零为高频心率的采集时长
  102. var highFreqSampleTimes = (int)watchConfig["stopHighFreqSampleCount"]!;
  103. // 告警上限阀值
  104. var upperAlarmThreshold = (int)watchConfig["upperAlarmThreshold"]!;
  105. // 告警下限阀值
  106. var lowerAlarmThreshold = (int)watchConfig["lowerAlarmThreshold"]!;
  107. // EDOC
  108. var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
  109. // interval (分钟)
  110. var intervalFHR= (int)watchConfig["interval"]!;
  111. var fetalHeartRateIsAbnormal = 0;
  112. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  113. if (phr.Count >= 30)
  114. {
  115. #region 计算胎心和胎动数据
  116. var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno);
  117. if (commonPHR == null)
  118. {
  119. // 处理孕妇业务,计算一般心率并下发
  120. commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno);
  121. // 建模完成
  122. var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue);
  123. _logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成");
  124. // 保存到TDengine数据库
  125. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!);
  126. _logger.LogInformation($"保存TDengine完成");
  127. }
  128. #region 计算胎心数据(按心率时间LastUpdate)
  129. // 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  130. var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  131. var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  132. // 如果需要,将时间差转换为秒
  133. var timeDiffInSeconds = timeDiff.TotalSeconds;
  134. // 高频心率启动
  135. if (timeDiffInSeconds <= highFreqSampleInterval)
  136. {
  137. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  138. if (phrFreqstatus == null)
  139. {
  140. /// 设置高频状态
  141. _logger.LogInformation($"进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  142. // 设置高频状态
  143. var freqFirstPhr = phr.OrderByDescending(i => i.Timestamp).First();
  144. await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  145. //phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  146. }
  147. /// 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),
  148. /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  149. #region 检查是否连续12个值都是正常的
  150. // 获取最近连续正常次数个心率记录
  151. var lastPhr = phr.OrderByDescending(i => i.Timestamp).Take(stopHighFreqSampleCount).ToList();
  152. // 检查是否连续12个值都是正常的
  153. if (lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh))
  154. {
  155. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  156. // 计算一般心率得到胎心系数
  157. await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  158. }
  159. #endregion
  160. }
  161. // 高频心率结束或正常心率
  162. else
  163. {
  164. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  165. if (phrFreqstatus != null)
  166. {
  167. /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  168. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  169. if (highFreqSampleTimes == 0)
  170. {
  171. var avgPhr = phr.OrderByDescending(i => i.Timestamp)
  172. .Where(i => i.Timestamp >= phrFreqstatus?.Timestamp)
  173. .Skip(1) // 去除首条
  174. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  175. .Select(i => i.PregnancyHeartRate).Average();
  176. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  177. // 计算一般心率得到胎心系数
  178. //await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr);
  179. await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  180. }
  181. /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  182. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  183. if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate + TimeSpan.FromSeconds(highFreqSampleTimes)))
  184. {
  185. var avgPhr = phr
  186. .Where(i => i.Timestamp >= phrFreqstatus?.Timestamp)
  187. .Skip(1) // 去除首条
  188. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  189. .Select(i => i.PregnancyHeartRate).Average();
  190. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  191. // 计算一般心率得到胎心系数
  192. //await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr);
  193. await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  194. }
  195. // 删除高频状态的首条记录
  196. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  197. /// 设置高频状态
  198. _logger.LogInformation($"结束高频心率状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  199. }
  200. // 正常心率
  201. else
  202. {
  203. // 上15分钟的数据
  204. // 获取当前时间
  205. DateTime nowInterval = (DateTime)heartRate.LastUpdate!;
  206. // 计算last_update到上一刻钟的分钟数
  207. int minutesToSubtract = nowInterval.Minute % intervalFHR;
  208. // 计算上一刻钟的时间
  209. DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond);
  210. // 使用 last_update 上一刻
  211. var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString();
  212. // 计算last_update到下一刻钟的分钟数
  213. int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR);
  214. if (minutesToAdd == intervalFHR)
  215. {
  216. minutesToAdd = 0; // 如果已经是刻钟,则不需要增加分钟
  217. }
  218. // 计算下一刻钟的时间
  219. DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  220. .AddSeconds(-nowInterval.Second)
  221. .AddMilliseconds(-nowInterval.Millisecond);
  222. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  223. var normalPhrStatStartTime = nextInterval;
  224. var normalPhrStatEndTime = nextInterval.AddMinutes(-intervalFHR);
  225. _logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} ");
  226. var filteredPhr = daysPhr
  227. // 使用 last_update 下一刻
  228. .Where(i => i.LastUpdate <= normalPhrStatStartTime && i.LastUpdate >= normalPhrStatEndTime)
  229. .ToList();
  230. if (filteredPhr.Count == 0)
  231. {
  232. _logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录");
  233. return;
  234. }
  235. var phrValue = filteredPhr.Count == 1
  236. ? filteredPhr.First().PregnancyHeartRate
  237. : filteredPhr.Average(i => i.PregnancyHeartRate);
  238. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  239. fetalHeartRateIsAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  240. fetalHeartRateIsAbnormal = 0;// 不是高频数据,按正常值
  241. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  242. {
  243. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  244. PersonId = commonPHR!.PersonId,
  245. Serialno = heartRate.Serialno,
  246. HeartRate = fetalHeartRate,
  247. SampleTime = sampleTimeFHR.Length > 10 ? sampleTimeFHR.Substring(0, 10) : sampleTimeFHR,
  248. IsAbnormal = fetalHeartRateIsAbnormal,
  249. StatStartTime = filteredPhr.OrderBy(i => i.LastUpdate).First().LastUpdate,
  250. StatEndTime = filteredPhr.OrderBy(i => i.LastUpdate).Last().LastUpdate,
  251. CreateTime = DateTime.Now,
  252. Method = 1,
  253. IsDisplay = 1,
  254. DeviceKey = commonPHR!.DeviceKey
  255. };
  256. // 保存到 数据服务 MySQL 数据库
  257. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  258. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  259. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTimeFHR, fetalHeartRateIsAbnormal);
  260. // 推送送微信
  261. if (fetalHeartRateIsAbnormal != 0)
  262. {
  263. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  264. var fhrMsgId = $"{heartRate.Serialno}-{sampleTimeFHR}-{Guid.NewGuid().ToString("D")[^3..]}";
  265. var topic = "topic.push.wx";
  266. var fhrMsg = new
  267. {
  268. messageId = fhrMsgId,
  269. topic = topic,
  270. time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTimeFHR.Length < 13 ? sampleTimeFHR.PadRight(13, '0') : sampleTimeFHR)).ToString("yyyy-MM-dd HH:mm:ss"),
  271. data = new
  272. {
  273. deviceId = device?.DeviceId,
  274. imei = heartRate.Serialno,
  275. alarmTypeId = 12,
  276. alarmDeviceName = heartRate.Serialno,
  277. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = fetalHeartRateIsAbnormal }),
  278. address = string.Empty,
  279. deviceKey = device?.DeviceId
  280. }
  281. };
  282. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  283. }
  284. }
  285. }
  286. #endregion
  287. #region 计算胎动数据(按心率时间LastUpdate)
  288. /**
  289. _logger.LogInformation($"{heartRate.Serialno} 计算胎动数据 ");
  290. var fetalMovementNow = (DateTime)heartRate.LastUpdate!;
  291. var midNight = new DateTime(fetalMovementNow.Year, fetalMovementNow.Month, fetalMovementNow.Day, 0, 0, 0);
  292. TimeSpan fetalMovementTS = fetalMovementNow - midNight;
  293. // 当天每隔2小时的段数,取整数部分
  294. int segmentCountFM = (int)(fetalMovementTS.TotalHours / 2);
  295. for (int i = 0; i < segmentCountFM; i++)
  296. {
  297. // 每两小时
  298. var fetalMovementSampleTime = DateTimeUtil.ConvertToTimeStamp(midNight.AddHours(2 * i)).ToString()[..10];
  299. // 统计开始时间
  300. var statStartTime = midNight.AddHours(2 * i);
  301. // 统计结束时间
  302. var statEndTime = midNight.AddHours(2 * (i+1));
  303. var isFetalMovementExisted = await _deviceCacheMgr.FetalMovementIsExistedAsync(heartRate.Serialno, fetalMovementSampleTime);
  304. _logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 开始");
  305. if (!isFetalMovementExisted)
  306. {
  307. /// 开始计算
  308. var phrRange = phr.Where(i => i.LastUpdate >= statStartTime && i.LastUpdate<= statEndTime)
  309. .OrderByDescending(i => i.LastUpdate)
  310. .Select(i => i.LastUpdate)
  311. .ToList();
  312. // 判断是否有持续佩戴
  313. if (phrRange.Count >= 2)
  314. {
  315. var duringMins = Math.Abs((phrRange.First()- statStartTime).TotalMinutes);
  316. //在餐后时间段(8:00~10:00,12:00~14:00,18:00~20:00,22:00~24:00)取中间值。其他时间段取正常起始值
  317. bool isInTimeRanges = IsLastUpdateInTimeRanges(fetalMovementNow);
  318. int pregnancyWeeks = (DateTime.Now - edoc.AddDays(-280)).Days / 7;
  319. if (pregnancyWeeks >= 12 && pregnancyWeeks <= 50)
  320. {
  321. var fetalMovementMap = _mgrFetalMovementNormalValueRangeCache.GetFetalMovements();
  322. var fetalMovementMapValue = isInTimeRanges ? fetalMovementMap
  323. .Where(i =>
  324. i.PregnancyPeriod![0] <= pregnancyWeeks &&
  325. i.PregnancyPeriod[1] >= pregnancyWeeks)
  326. .Select(i => i.MedianMovement)
  327. .FirstOrDefault()
  328. :
  329. fetalMovementMap
  330. .Where(i =>
  331. i.PregnancyPeriod![0] <= pregnancyWeeks &&
  332. i.PregnancyPeriod[1] >= pregnancyWeeks)
  333. .Select(i => i.InitialMovement)
  334. .FirstOrDefault()
  335. ;
  336. var fetalMovementValue = (fetalMovementMapValue * duringMins * 2) / 120;
  337. // 四舍五入
  338. var fetalMovement = (int)Math.Round(fetalMovementValue, 0, MidpointRounding.AwayFromZero);
  339. // _logger.LogInformation($"{heartRate.Serialno} segmentCountFMIndex: {i} -- fetalMovementSampleTime:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")} -- statStartTime: {statStartTime} -- statEndTime: {statEndTime}-- isFetalMovementExisted: {isFetalMovementExisted} ");
  340. _logger.LogInformation($"{heartRate.Serialno} 胎动数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 采样周期:{statStartTime}-{statEndTime}, 原始胎动值:{fetalMovementMapValue}, 佩戴时间 :{duringMins}|{statStartTime}-{phrRange.First()}, 胎动计算值:{fetalMovementValue}, 胎动最终值:{fetalMovement} 已完成.");
  341. // 获取胎心数据状态与胎动数据状态一致
  342. var feltalMovementIsAbnormal = fetalHeartRateIsAbnormal;
  343. //var feltalMovementIsAbnormal = 0;
  344. // 推送到api/v1/open/OpenIot/SetFetalMovementConfig
  345. await _serviceIotApi.SetFetalMovementConfig(heartRate.Serialno, fetalMovement, fetalMovementSampleTime, feltalMovementIsAbnormal);
  346. // 保存到MySQL数据库
  347. HisGpsFetalMovement fm = new()
  348. {
  349. FetalMovementId = Guid.NewGuid().ToString("D"),
  350. PersonId = commonPHR!.PersonId,
  351. Serialno = heartRate.Serialno,
  352. CreateTime = DateTime.Now,
  353. IsAbnormal = feltalMovementIsAbnormal,
  354. FetalMovementValue = fetalMovement,
  355. SampleTime = fetalMovementSampleTime,
  356. Method = 1,
  357. IsDisplay = 1,
  358. DeviceKey = commonPHR!.DeviceKey
  359. };
  360. await _hisFetalMovementApiClient.AddAsync(fm).ConfigureAwait(false);
  361. // 发送到微信
  362. if (feltalMovementIsAbnormal != 0)
  363. {
  364. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  365. var fmMsgId = $"{heartRate.Serialno}-{fetalMovementSampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  366. var topic = "topic.push.wx";
  367. var fmMsg = new
  368. {
  369. messageId = Guid.NewGuid().ToString("D"),
  370. topic = topic,
  371. time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(fetalMovementSampleTime.Length < 13 ? fetalMovementSampleTime.PadRight(13, '0') : fetalMovementSampleTime)).ToString("yyyy-MM-dd HH:mm:ss"),
  372. data = new
  373. {
  374. deviceId = device?.DeviceId,
  375. imei = heartRate.Serialno,
  376. alarmTypeId = 12,
  377. alarmDeviceName = heartRate.Serialno,
  378. alarmRemarks = JsonConvert.SerializeObject(new { fetalMovementValue = fetalMovement, isAbnormal = feltalMovementIsAbnormal }),
  379. address = string.Empty,
  380. deviceKey = device?.DeviceId
  381. }
  382. };
  383. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fmMsgId, topic, fmMsg).ConfigureAwait(false);
  384. }
  385. // 设置入库缓存记录
  386. await _deviceCacheMgr.SetFetalMovementAsync(heartRate.Serialno, fetalMovementSampleTime,fm);
  387. }
  388. else
  389. {
  390. _logger.LogWarning($"{heartRate.Serialno} 孕周 {pregnancyWeeks},超出胎动计算范围");
  391. }
  392. }
  393. else
  394. {
  395. _logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 不足两条,不能判断是否持续佩戴");
  396. }
  397. }
  398. else
  399. {
  400. _logger.LogInformation($"{heartRate.Serialno} 胎动记录{isFetalMovementExisted},数据采样时间:{fetalMovementSampleTime}|{midNight.AddHours(2 * i).ToString("yyyy-MM-dd HH:mm:ss")}, 周期:{statStartTime}-{statEndTime} 已处理");
  401. }
  402. }
  403. */
  404. #endregion
  405. #endregion
  406. #region 定时计算胎动数据触发器两小时间隔开始
  407. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  408. ///// 计算 0 点秒数
  409. var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!;
  410. DateTime fmScheduleNow = DateTime.Now;
  411. // 小于两小时
  412. if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2)
  413. {
  414. var rand = new Random();
  415. var pushSec = rand.Next(59);
  416. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  417. var scheduleHourDiff = SCHEDULE_HOUR
  418. .Where(h => h > fetalMovementLastUpdate.Hour)
  419. .OrderBy(h => h - fetalMovementLastUpdate.Hour)
  420. .FirstOrDefault() - fetalMovementLastUpdate.Hour;
  421. var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff);
  422. DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec);
  423. TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow;
  424. var ttl = (long)timeUntilNextRun.TotalSeconds;
  425. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl);
  426. }
  427. #endregion
  428. #region 定时计算胎心数据触发器 {interval} 秒后
  429. //var fetalKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  430. //await SetIntervalTriggerAsync(fetalKey, heartRate.Serialno, 60 * 15);
  431. #endregion
  432. #region 定时计算胎心数据触发器下一刻钟后
  433. //// 获取当前时间
  434. //DateTime nowInterval = DateTime.Now;
  435. //// 计算下一个15分钟的刻钟
  436. //int minutesToAdd = 15 - (nowInterval.Minute % 15);
  437. //if (minutesToAdd == 15)
  438. //{
  439. // minutesToAdd = 0; // 如果已经是刻钟,则不需要增加分钟
  440. //}
  441. //// 计算下一刻钟的时间
  442. //DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  443. // .AddSeconds(-nowInterval.Second)
  444. // .AddMilliseconds(-nowInterval.Millisecond);
  445. //// 计算时间差
  446. //TimeSpan timeDifference = nextInterval - nowInterval;
  447. //var fetalKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  448. //await SetIntervalTriggerAsync(fetalKey, heartRate.Serialno, (long)timeDifference.TotalSeconds);
  449. #endregion
  450. #region 高频心率计算
  451. //// 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  452. //var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  453. //var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  454. //// 如果需要,将时间差转换为秒
  455. //var timeDiffInSeconds = timeDiff.TotalSeconds;
  456. //// 高频心率启动
  457. //if (timeDiffInSeconds<=highFreqSampleInterval)
  458. //{
  459. // var phrFreqstatus =await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  460. // if (phrFreqstatus == null)
  461. // {
  462. // /// 设置高频状态
  463. // _logger.LogInformation($"进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  464. // // 设置高频状态
  465. // var freqFirstPhr= phr.OrderByDescending(i => i.Timestamp).First();
  466. // await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  467. // phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  468. // }
  469. // /// 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),
  470. // /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  471. // #region 检查是否连续12个值都是正常的
  472. // // 获取最近连续正常次数个心率记录
  473. // var lastPhr = phr.OrderByDescending(i => i.Timestamp).Take(stopHighFreqSampleCount).ToList();
  474. // // 检查是否连续12个值都是正常的
  475. // if (lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh))
  476. // {
  477. // var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  478. // // 计算一般心率得到胎心系数
  479. // await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr);
  480. // }
  481. // #endregion
  482. //}
  483. //// 高频心率结束
  484. //else
  485. //{
  486. // var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  487. // if (phrFreqstatus != null)
  488. // {
  489. // /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  490. // /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  491. // if (highFreqSampleTimes==0)
  492. // {
  493. // // if (phr.OrderByDescending(i => i.Timestamp)
  494. // //.Where(i => i.Timestamp >= phrFreqstatus?.Timestamp)
  495. // //.Skip(1) // 去除首条
  496. // //.All(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHig))
  497. // // {
  498. // // var avgPhr = phr.Select(i => i.PregnancyHeartRate).Average();
  499. // // // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  500. // // // 计算一般心率得到胎心系数
  501. // // }
  502. // var avgPhr = phr.OrderByDescending(i => i.Timestamp)
  503. // .Where(i => i.Timestamp >= phrFreqstatus?.Timestamp)
  504. // .Skip(1) // 去除首条
  505. // .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  506. // .Select(i => i.PregnancyHeartRate).Average();
  507. // // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  508. // // 计算一般心率得到胎心系数
  509. // await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr);
  510. // }
  511. // /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  512. // /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  513. // if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate + TimeSpan.FromSeconds(highFreqSampleTimes)))
  514. // {
  515. // var avgPhr = phr
  516. // .Where(i => i.Timestamp >= phrFreqstatus?.Timestamp)
  517. // .Skip(1) // 去除首条
  518. // .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  519. // .Select(i => i.PregnancyHeartRate).Average();
  520. // // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  521. // // 计算一般心率得到胎心系数
  522. // await SaveAndPushFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr);
  523. // }
  524. // // 删除高频状态的首条记录
  525. // await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  526. // /// 设置高频状态
  527. // _logger.LogInformation($"结束高频心率状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  528. // }
  529. //}
  530. #endregion
  531. }
  532. else
  533. {
  534. // 建模中
  535. //var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno);
  536. _logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中");
  537. }
  538. #region 定时下发触发器(定时建模)
  539. var key = $"health_monitor/schedule_push/pregnancy_heart_rate/imei/{heartRate.Serialno}";
  540. var schedule_push = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  541. if (string.IsNullOrWhiteSpace(schedule_push))
  542. {
  543. // 注册首次下推
  544. #if DEBUG
  545. // await _serviceEtcd.PutValAsync(key, result, 60*1, false).ConfigureAwait(false);
  546. var interval = 0;
  547. // 获取当前时间
  548. DateTime now = DateTime.Now;
  549. // 计算距离下一个$interval天后的8点的时间间隔
  550. DateTime nextRunTime = new DateTime(now.Year, now.Month, now.Day, now.Hour, now.Minute + 1, 58).AddDays(interval);
  551. TimeSpan timeUntilNextRun = nextRunTime - now;
  552. // 如果当前时间已经超过了8点,将等待到明天后的8点
  553. if (timeUntilNextRun < TimeSpan.Zero)
  554. {
  555. timeUntilNextRun = timeUntilNextRun.Add(TimeSpan.FromMinutes(1));
  556. nextRunTime += timeUntilNextRun;
  557. }
  558. var ttl = (long)timeUntilNextRun.TotalSeconds;
  559. var data = new
  560. {
  561. imei = heartRate.Serialno,
  562. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  563. ttl,
  564. next_run_time = nextRunTime.ToString("yyyy-MM-dd HH:mm:ss")
  565. };
  566. var result = JsonConvert.SerializeObject(data);
  567. await _serviceEtcd.PutValAsync(key, result, ttl, false).ConfigureAwait(false);
  568. #else
  569. var interval = 0;
  570. // 获取当前时间
  571. DateTime now = DateTime.Now;
  572. var rand=new Random();
  573. var pushSec = rand.Next(59);
  574. int pushMin= int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  575. // 计算距离下一个$interval天后的8点的时间间隔
  576. DateTime nextRunTime = new DateTime(now.Year, now.Month, now.Day, 6, pushMin, pushSec).AddDays(interval);
  577. TimeSpan timeUntilNextRun = nextRunTime - now;
  578. if (timeUntilNextRun < TimeSpan.Zero)
  579. {
  580. timeUntilNextRun = timeUntilNextRun.Add(TimeSpan.FromDays(1));
  581. nextRunTime += TimeSpan.FromDays(1);
  582. }
  583. var ttl =(long)timeUntilNextRun.TotalSeconds;
  584. var data = new
  585. {
  586. imei = heartRate.Serialno,
  587. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  588. ttl,
  589. next_run_time = nextRunTime.ToString("yyyy-MM-dd HH:mm:ss")
  590. };
  591. var result = JsonConvert.SerializeObject(data);
  592. await _serviceEtcd.PutValAsync(key, result,ttl, false).ConfigureAwait(false);
  593. #endif
  594. }
  595. #endregion
  596. }
  597. }
  598. private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, double avgPhr)
  599. {
  600. var commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno);
  601. if (commonPHR != null)
  602. {
  603. // 保存到TDengine数据库
  604. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR);
  605. // 计算胎心=孕妇心率*系数
  606. var fetalHeartRate = SafeType.SafeInt(avgPhr * commonPHR?.StatModeAvgFprCoefficient!);
  607. var sampleTime = DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString();
  608. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  609. // 保存到 数据服务 MySQL 数据库
  610. HisGpsFetalHeartRate gpsFetalHeartRate = new ()
  611. {
  612. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  613. PersonId = commonPHR!.PersonId,
  614. Serialno = heartRate.Serialno,
  615. HeartRate = fetalHeartRate,
  616. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  617. IsAbnormal = isAbnormal,
  618. StatStartTime = commonPHR.StatStartTime,
  619. StatEndTime = commonPHR.StatEndTime,
  620. CreateTime = DateTime.Now,
  621. Method = 1,
  622. IsDisplay = 1,
  623. DeviceKey = commonPHR!.DeviceKey
  624. };
  625. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  626. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  627. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  628. // 推送到微信
  629. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  630. var deviceId = device?.DeviceId;
  631. var msg = new
  632. {
  633. messageId = "",
  634. topic = "topic.push.wx",
  635. time=""
  636. };
  637. }
  638. }
  639. private async Task SaveAndPushFreqFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, double avgPhr,string sampleTime)
  640. {
  641. var commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno);
  642. if (commonPHR != null)
  643. {
  644. // 保存到TDengine数据库
  645. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR);
  646. // 计算胎心=孕妇心率*系数
  647. var fetalHeartRate = SafeType.SafeInt(avgPhr * commonPHR?.StatModeAvgFprCoefficient!);
  648. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  649. // 保存到 数据服务 MySQL 数据库
  650. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  651. {
  652. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  653. PersonId = commonPHR!.PersonId,
  654. Serialno = heartRate.Serialno,
  655. HeartRate = fetalHeartRate,
  656. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  657. IsAbnormal = isAbnormal,
  658. StatStartTime = commonPHR.StatStartTime,
  659. StatEndTime = commonPHR.StatEndTime,
  660. CreateTime = DateTime.Now,
  661. Method = 1,
  662. IsDisplay = 1,
  663. DeviceKey = commonPHR!.DeviceKey
  664. };
  665. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  666. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  667. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  668. // 推送到微信
  669. if (isAbnormal!=0)
  670. {
  671. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  672. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  673. var topic = "topic.push.wx";
  674. var fhrMsg = new
  675. {
  676. messageId = fhrMsgId,
  677. topic = topic,
  678. time = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss"),
  679. data = new
  680. {
  681. deviceId = device?.DeviceId,
  682. imei = heartRate.Serialno,
  683. alarmTypeId = 12,
  684. alarmDeviceName = heartRate.Serialno,
  685. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  686. address = string.Empty,
  687. deviceKey = device?.DeviceId
  688. }
  689. };
  690. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  691. }
  692. }
  693. }
  694. private async Task SetIntervalTriggerAsync(string key,string imei, long interval)
  695. {
  696. // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";
  697. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  698. if (string.IsNullOrWhiteSpace(schedulePush))
  699. {
  700. var now = DateTime.Now;
  701. var timeNextRun = now.Add(TimeSpan.FromSeconds(interval));
  702. var data = new
  703. {
  704. imei,
  705. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  706. ttl = interval,
  707. next_run_time = timeNextRun.ToString("yyyy-MM-dd HH:mm:ss")
  708. };
  709. var result = JsonConvert.SerializeObject(data);
  710. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  711. }
  712. }
  713. public static bool IsLastUpdateInTimeRanges(DateTime lastUpdate)
  714. {
  715. var now = lastUpdate.TimeOfDay;
  716. var timeRanges = new List<(TimeSpan Start, TimeSpan End)>
  717. {
  718. // 8:00~10:00,12:00~14:00,18:00~20:00,22:00~24:00
  719. (new TimeSpan(8, 0, 0), new TimeSpan(10, 0, 0)),
  720. (new TimeSpan(12, 0, 0), new TimeSpan(14, 0, 0)),
  721. (new TimeSpan(18, 0, 0), new TimeSpan(20, 0, 0)),
  722. (new TimeSpan(22, 0, 0), new TimeSpan(24, 0, 0))
  723. };
  724. return timeRanges.Any(range => now >= range.Start && now <= range.End);
  725. }
  726. }
  727. }