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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. // 告警上限阀值
  146. var upperAlarmThreshold = (int)watchConfig["upperAlarmThreshold"]!;
  147. // 告警下限阀值
  148. var lowerAlarmThreshold = (int)watchConfig["lowerAlarmThreshold"]!;
  149. // EDOC
  150. var edoc = DateTimeUtil.ToDateTime(watchConfig!["EDOC"]!.ToString());
  151. // interval (分钟) 固定15分钟
  152. var intervalFHR = 15;//int)watchConfig["interval"]!;
  153. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  154. var phr = daysPhr
  155. .Where(p => p.LastUpdate <= heartRate.LastUpdate)
  156. .ToList();
  157. var nonFreqPhr = GetNonFreqPregnancyHeartRate(phr, highFreqSampleInterval);
  158. if (nonFreqPhr.Count >= 30)
  159. {
  160. #region 定时计算胎动数据触发器两小时间隔开始
  161. /**
  162. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  163. ///// 计算 0 点秒数
  164. var fetalMovementLastUpdate = (DateTime)heartRate.LastUpdate!;
  165. DateTime fmScheduleNow = DateTime.Now;
  166. // 小于两小时
  167. if (fmScheduleNow > fetalMovementLastUpdate && (fmScheduleNow - fetalMovementLastUpdate).TotalHours <= 2)
  168. {
  169. var rand = new Random();
  170. var pushSec = rand.Next(59);
  171. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  172. var scheduleHourDiff = SCHEDULE_HOUR
  173. .Where(h => h > fetalMovementLastUpdate.Hour)
  174. .OrderBy(h => h - fetalMovementLastUpdate.Hour)
  175. .FirstOrDefault() - fetalMovementLastUpdate.Hour;
  176. var scheduleTime = fetalMovementLastUpdate.AddHours(scheduleHourDiff);
  177. DateTime nextRunTime = new(scheduleTime.Year, scheduleTime.Month, scheduleTime.Day, scheduleTime.Hour, pushMin, pushSec);
  178. TimeSpan timeUntilNextRun = nextRunTime - fmScheduleNow;
  179. var ttl = (long)timeUntilNextRun.TotalSeconds;
  180. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl, heartRate);
  181. }
  182. */
  183. #endregion
  184. #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)
  185. var fetalMovementKey = $"health_monitor/schedule_push/cal_fetal_movement/imei/{heartRate.Serialno}";
  186. var rand = new Random();
  187. var pushSec = rand.Next(59);
  188. int pushMin = int.TryParse(heartRate.Serialno.AsSpan(heartRate.Serialno.Length - 1), out pushMin) ? pushMin : 10;
  189. DateTime fmScheduleNow = DateTime.Now;
  190. int hour = fmScheduleNow.Hour;
  191. int selectedScheduleHour;
  192. // 使用模运算来获取相应的ODD_SCHEDULE_HOUR
  193. if (hour % 2 == 0)
  194. {
  195. selectedScheduleHour = ODD_SCHEDULE_HOUR[hour / 2 % ODD_SCHEDULE_HOUR.Length];
  196. }
  197. else
  198. {
  199. selectedScheduleHour = ODD_SCHEDULE_HOUR[(hour + 1) / 2 % ODD_SCHEDULE_HOUR.Length];
  200. }
  201. DateTime scheduledDateTime = new DateTime(
  202. fmScheduleNow.Year,
  203. fmScheduleNow.Month,
  204. fmScheduleNow.Day,
  205. selectedScheduleHour,
  206. pushMin,
  207. pushSec
  208. );
  209. // 如果生成的时间在当前时间之前
  210. // 或者 fmScheduleNow 在 23 点之后并且 selectedScheduleHour 在 1 点(即次日)
  211. if (scheduledDateTime < fmScheduleNow || (fmScheduleNow.Hour >= 23 && selectedScheduleHour <= 1))
  212. {
  213. scheduledDateTime = scheduledDateTime.AddDays(1);
  214. }
  215. TimeSpan timeUntilNextRun = scheduledDateTime - fmScheduleNow;
  216. var ttl = (long)timeUntilNextRun.TotalSeconds;
  217. await SetIntervalTriggerAsync(fetalMovementKey, heartRate.Serialno, ttl, heartRate);
  218. _logger.LogInformation($"{heartRate.Serialno}-{heartRate.MessageId} 创建计划统计胎动时间{scheduledDateTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  219. #endregion
  220. #region 计算胎心数据(按心率时间LastUpdate)
  221. var commonPHR = await _serviceTDengine.GetLastAsync<PregnancyCommonHeartRateModel>(heartRate.Serialno);
  222. // 如果commonPHR为空或已建模已过期,进行建模和保存
  223. if (commonPHR == null || !commonPHR.CreateTime.Date.Equals(DateTime.Now.Date))
  224. // 获取当天 6:11 的时间点, 6:11 所有数据都已经全部建模
  225. //if (commonPHR == null || commonPHR.CreateTime < DateTime.Today.AddHours(6).AddMinutes(11))
  226. {
  227. // 处理孕妇业务,计算一般心率并下发
  228. commonPHR = await _serviceTDengine.InitPregnancyCommonHeartRateModeAsync(heartRate.Serialno, highFreqSampleInterval: highFreqSampleInterval);
  229. // 建模完成
  230. var flag = await _serviceIotApi.SetFetalConfig(heartRate.Serialno, 1, commonPHR!.MaxValue, commonPHR!.MinValue);
  231. _logger.LogInformation($"{heartRate.Serialno} 记录数量足够,建模完成");
  232. // 保存到TDengine数据库
  233. await _serviceTDengine.InsertAsync<PregnancyCommonHeartRateModel>("hm_pchr", commonPHR!);
  234. _logger.LogInformation($"保存TDengine完成");
  235. }
  236. // 获取最近的两个记录,并计算它们的 LastUpdate 时间差
  237. var firstTwoPhr = phr.OrderByDescending(i => i.LastUpdate).Take(2).Select(i => i.LastUpdate).ToList();
  238. var timeDiff = firstTwoPhr[0] - firstTwoPhr[1];
  239. // 如果需要,将时间差转换为秒
  240. var timeDiffInSeconds = timeDiff.TotalSeconds;
  241. // 高频统计结束时间
  242. var FreqStatsEnd = DateTime.Now;
  243. // 高频心率启动(在高频第二条才能判断)
  244. if (timeDiffInSeconds <= highFreqSampleInterval)
  245. {
  246. // 设置延时计算高频心率的胎心
  247. var freqHearRateHey = $"health_monitor/schedule_push/cal_freqhr_fetal_heart_rate/imei/{heartRate.Serialno}";
  248. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  249. if (phrFreqstatus == null)
  250. {
  251. /// 设置高频状态
  252. _logger.LogInformation($"{heartRate.Serialno} 进入高频心率启动状态 timeDiffInSeconds {timeDiffInSeconds},highFreqSampleInterval:{highFreqSampleInterval}");
  253. // 设置高频状态
  254. _logger.LogInformation($"{heartRate.Serialno} phr.Count {phr.Count}");
  255. var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate)
  256. .Skip(1) //在高频第二条才能判断,所以要去除本条记录
  257. .First();
  258. await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
  259. _logger.LogInformation($"{heartRate.Serialno} 设置高频状态");
  260. phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  261. HisGpsHeartRate freqFirstHR = new()
  262. {
  263. CreateTime = freqFirstPhr.CreateTime,
  264. DeviceKey = freqFirstPhr.DeviceKey,
  265. HeartRate = freqFirstPhr.PregnancyHeartRate,
  266. HeartRateId = freqFirstPhr.PregnancyHeartRateId,
  267. IsDisplay = freqFirstPhr.IsDisplay ? 1 : 0,
  268. LastUpdate = freqFirstPhr.LastUpdate,
  269. MessageId = freqFirstPhr.MessageId,
  270. Method = freqFirstPhr.Method,
  271. PersonId = freqFirstPhr.PersonId,
  272. Serialno = freqFirstPhr.SerialNumber,
  273. };
  274. await SetFreqHeartRateTriggerAsync(freqHearRateHey, heartRate.Serialno, highFreqSampleInterval, freqFirstHR);
  275. }
  276. // 续租延时计算高频心率的胎心
  277. await SetFreqHeartRateTriggerAsync(freqHearRateHey, heartRate.Serialno, highFreqSampleInterval);
  278. /// 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),
  279. /// 取连续正常次数正常值的平均值,推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  280. #region 检查高频状态是否连续12个心率值都是正常的
  281. // 获取最近连续正常次数个心率记录
  282. //_logger.LogInformation($"{heartRate.Serialno} 设置 stopHighFreqSampleCount {stopHighFreqSampleCount}");
  283. //var lastPhr = phr.OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  284. var lastPhr = phr.Where(i => i.LastUpdate >= phrFreqstatus!.LastUpdate)
  285. .OrderByDescending(i => i.LastUpdate).Take(stopHighFreqSampleCount).ToList();
  286. _logger.LogInformation($"{heartRate.Serialno} lastPhr.Count {lastPhr.Count},stopHighFreqSampleCount {stopHighFreqSampleCount}");
  287. _logger.LogInformation($"{heartRate.Serialno} count :{lastPhr.Count >= stopHighFreqSampleCount}");
  288. _logger.LogInformation($"{heartRate.Serialno} All {lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)}");
  289. // 检查是否连续12个值都是正常的
  290. if ((lastPhr.Count >= stopHighFreqSampleCount) &&
  291. lastPhr.All(i => i.PregnancyHeartRate >= triggerHighFreqLow && i.PregnancyHeartRate <= triggerHighFreqHigh)
  292. )
  293. {
  294. var avgPhr = lastPhr.Select(i => i.PregnancyHeartRate).Average();
  295. // 计算一般心率得到胎心系数
  296. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(DateTime.Now).ToString());
  297. // 高频数据不建模
  298. FreqStatsEnd = (DateTime)heartRate.LastUpdate!;
  299. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,连续 {stopHighFreqSampleCount} 次采样心率正常,将下发指令");
  300. var freqSaveAndPushFetalHeartRate = await _deviceCacheMgr.GetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  301. // 高频不停,15分钟内只下发一条
  302. if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
  303. {
  304. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  305. heartRate.HeartRate = (int)avgPhr;
  306. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  307. // 删除高频状态的首条记录
  308. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  309. // 设置15分的SaveAndPushFetalHeartRate业务间隔
  310. await _deviceCacheMgr.SetBizIntervalAsync(heartRate.Serialno, "SaveAndPushFetalHeartRate");
  311. _logger.LogInformation($"{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}");
  312. }
  313. else
  314. {
  315. _logger.LogWarning($"{heartRate.Serialno} 连续 {stopHighFreqSampleCount} 次采样心率正常,设备端应该结束高频状态,但设备端没有结束高频,平台高频15分钟内已经下发过指令");
  316. }
  317. }
  318. else
  319. {
  320. _logger.LogInformation($"{heartRate.Serialno} 处于高频状态...");
  321. }
  322. #endregion
  323. }
  324. // 高频心率结束或常规心率
  325. else
  326. {
  327. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  328. // 高频心率结束
  329. if (phrFreqstatus != null)
  330. {
  331. /// 在highFreqSampleTimes=0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  332. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  333. if (highFreqSampleTimes == 0)
  334. {
  335. var avgPhr = phr.OrderByDescending(i => i.LastUpdate)
  336. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  337. .Skip(1) // 去除首条
  338. .Where(i => i.PregnancyHeartRate < triggerHighFreqLow || i.PregnancyHeartRate > triggerHighFreqHigh)
  339. .Select(i => i.PregnancyHeartRate).Average();
  340. // 推送胎心数据到 api/v1/open/OpenIot/SetFetalHeartRateConfig
  341. // 计算一般心率得到胎心系数
  342. // 高频数据不建模
  343. FreqStatsEnd = firstTwoPhr[1];
  344. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,highFreqSampleTimes={highFreqSampleTimes}秒,即将结束高频状态,高频心率平均值:{(int)avgPhr},将下发指令");
  345. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString());
  346. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  347. heartRate.HeartRate = (int)avgPhr;
  348. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  349. }
  350. /// 在highFreqSampleTimes>0一直异常(大于等于triggerHighFreqLow,少于等于triggerHighFreqHig),
  351. /// 取所有值的平均值,推送胎心数据到api/v1/open/OpenIot/SetFetalHeartRateConfig
  352. if (highFreqSampleTimes > 0 && heartRate.LastUpdate >= (phrFreqstatus?.LastUpdate.AddSeconds(highFreqSampleTimes)))
  353. {
  354. // 获取高频心率数据个数
  355. var filterPhr = phr
  356. .Where(i => i.LastUpdate >= phrFreqstatus?.LastUpdate)
  357. .Skip(1)
  358. .ToList();
  359. _logger.LogInformation($"{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");
  360. // 高频心率数据大于stopHighFreqSampleCount/12个才计算胎心数据
  361. //
  362. if (filterPhr.Count > stopHighFreqSampleCount)
  363. {
  364. FreqStatsEnd = firstTwoPhr[1];
  365. var avgPhr = filterPhr
  366. .OrderByDescending(i => i.LastUpdate)
  367. .Take(stopHighFreqSampleCount) // 计算最后12条
  368. .Select(i => i.PregnancyHeartRate).Average();
  369. _logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,超过约定的 {highFreqSampleTimes} 秒,即将结束高频状态,高频心率平均值:{(int)avgPhr},将下发指令");
  370. //计算高频
  371. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  372. heartRate.HeartRate = (int)avgPhr;
  373. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  374. }
  375. else
  376. {
  377. _logger.LogWarning($"{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");
  378. }
  379. // 删除高频状态的首条记录
  380. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  381. // (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)
  382. // await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  383. await CalculateNormalFetalHeartRateScheduleAsync(heartRate);
  384. }
  385. ///不满足持续10分钟highFreqSampleTimes或出现时间倒叙
  386. ///
  387. else
  388. {
  389. // 高频结束后与常规的心率时间倒叙
  390. if ((firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds < 0)
  391. {
  392. _logger.LogInformation($"{heartRate.Serialno} 高频结束出现时间倒叙,计算当条心率创建之前的高频心率");
  393. #region 计算当条心率创建之前的高频心率
  394. // 取得高频之后的所有数据
  395. var phrFlashBack = daysPhr.Where(p => p.LastUpdate >= phrFreqstatus!.LastUpdate)
  396. .OrderByDescending(i => i.LastUpdate);
  397. // 取得高频数据
  398. var freqCollection = phrFlashBack.ToList();
  399. //var freqCollection = new List<PregnancyHeartRateModel>();
  400. //PregnancyHeartRateModel? previousItem = null;
  401. //foreach (var item in phrFlashBack)
  402. //{
  403. // if (previousItem != null)
  404. // {
  405. // var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  406. // if (timeNextDiff <= highFreqSampleInterval)
  407. // {
  408. // freqCollection.Add(item);
  409. // }
  410. // }
  411. // previousItem = item;
  412. //}
  413. _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate}");
  414. if (freqCollection.Count > stopHighFreqSampleCount)
  415. {
  416. // 计算高频产生的胎心
  417. var avgPhr = freqCollection
  418. .OrderByDescending(i => i.LastUpdate)
  419. .Take(stopHighFreqSampleCount) // 计算最后12条
  420. .Select(i => i.PregnancyHeartRate).Average();
  421. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), freqCollection.Last().LastUpdate, freqCollection.First().LastUpdate);
  422. heartRate.HeartRate = (int)avgPhr;
  423. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
  424. _logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate},高频心率平均值:{(int)avgPhr}");
  425. }
  426. else
  427. {
  428. _logger.LogInformation($"{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");
  429. }
  430. #endregion
  431. }
  432. else
  433. {
  434. _logger.LogInformation($"{heartRate.Serialno} 高频持续时间不足{highFreqSampleTimes},只持续{(firstTwoPhr[1] - phrFreqstatus!.LastUpdate).TotalSeconds} 秒");
  435. }
  436. // 删除高频状态的首条记录
  437. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  438. // (逐条计算)计算本次常规心率的胎心数据(高频结束后,实时处理)
  439. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  440. await CalculateNormalFetalHeartRateScheduleAsync(heartRate);
  441. }
  442. // 删除高频状态的首条记录
  443. await _deviceCacheMgr.DelPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  444. _logger.LogInformation($"{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");
  445. //// 使用延后计算
  446. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  447. //var fhrScheduleTTL = 60;
  448. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  449. }
  450. // 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)
  451. else
  452. {
  453. // 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
  454. //var fhrScheduleKey = $"health_monitor/schedule_push/cal_fetal_heart_rate/imei/{heartRate.Serialno}";
  455. //var fhrScheduleTTL = 30;
  456. //await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, fhrScheduleTTL, heartRate);
  457. //_logger.LogInformation($"{heartRate.Serialno} 延时50秒,判断当前数据是否为高频首条");
  458. // 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
  459. Thread thread = new(async () =>
  460. {
  461. try
  462. {
  463. #region 休眠highFreqSampleInterval2秒
  464. var startTime = DateTime.Now;
  465. //var highFreqSampleInterval2 = (int)watchConfig!["highFreqSampleInterval"]!+5;
  466. var highFreqSampleInterval2 = highFreqSampleInterval;
  467. var during = TimeSpan.FromSeconds(highFreqSampleInterval2);
  468. while (true)
  469. {
  470. if (DateTime.Now - startTime > during)
  471. {
  472. break;
  473. }
  474. await Task.Delay(TimeSpan.FromSeconds(1));
  475. }
  476. #endregion
  477. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  478. _logger.LogInformation($"phrFreqstatus==null:{phrFreqstatus == null}");
  479. _logger.LogInformation($"phrFreqstatus.LastUpdate < heartRate.LastUpdate:{phrFreqstatus?.LastUpdate < heartRate.LastUpdate}");
  480. if (phrFreqstatus == null || phrFreqstatus.LastUpdate < heartRate.LastUpdate)
  481. {
  482. // (逐条计算)常规心率
  483. //await CalculateNormalFetalHeartRateAsync(heartRate, upperAlarmThreshold, lowerAlarmThreshold, intervalFHR, commonPHR);
  484. //_logger.LogInformation($"{heartRate.Serialno} 计算常规心率");
  485. // 延时计算常规心率
  486. await CalculateNormalFetalHeartRateScheduleAsync(heartRate);
  487. }
  488. }
  489. catch (Exception ex)
  490. {
  491. _logger.LogError($"处理延时计算异常:{ex.Message}, {ex.StackTrace}");
  492. }
  493. });
  494. thread.Start();
  495. }
  496. }
  497. #endregion
  498. }
  499. else
  500. {
  501. _logger.LogInformation($"{heartRate.Serialno} 记录不足30条,建模中");
  502. }
  503. }
  504. }
  505. catch (Exception ex)
  506. {
  507. _logger.LogError($"{heartRate.Serialno} 处理孕妇心率数据异常 \n{ex.Message}\n{ex.StackTrace}");
  508. }
  509. }
  510. /// <summary>
  511. /// (逐条计算)常规心率计算胎心数据
  512. /// </summary>
  513. /// <param name="heartRate"></param>
  514. /// <param name="upperAlarmThreshold"></param>
  515. /// <param name="lowerAlarmThreshold"></param>
  516. /// <param name="intervalFHR"></param>
  517. /// <param name="commonPHR"></param>
  518. /// <returns></returns>
  519. private async Task CalculateNormalFetalHeartRateAsync(HisGpsHeartRate heartRate, int upperAlarmThreshold, int lowerAlarmThreshold, int intervalFHR, PregnancyCommonHeartRateModel? commonPHR)
  520. {
  521. // 上15分钟的数据
  522. // 获取当前时间
  523. DateTime nowInterval = (DateTime)heartRate.LastUpdate!;
  524. if (nowInterval.Second > 0)
  525. {
  526. nowInterval = nowInterval.AddMinutes(1);
  527. }
  528. // 计算last_update到上一间隔的分钟数
  529. int minutesToSubtract = nowInterval.Minute % intervalFHR;
  530. // 计算上一间隔的时间
  531. DateTime previousInterval = nowInterval.AddMinutes(-minutesToSubtract).AddSeconds(-nowInterval.Second).AddMilliseconds(-nowInterval.Millisecond);
  532. // 使用 last_update 上一刻
  533. var sampleTimeFHR = DateTimeUtil.ConvertToTimeStamp(previousInterval).ToString();
  534. // 计算last_update到下一间隔的分钟数
  535. int minutesToAdd = intervalFHR - (nowInterval.Minute % intervalFHR);
  536. if (minutesToAdd == intervalFHR)
  537. {
  538. minutesToAdd = 0; // 如果已经是间隔,则不需要增加分钟
  539. }
  540. // 计算下一间隔的时间
  541. DateTime nextInterval = nowInterval.AddMinutes(minutesToAdd)
  542. .AddSeconds(-nowInterval.Second)
  543. .AddMilliseconds(-nowInterval.Millisecond);
  544. var daysPhr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 7);
  545. var normalPhrStatStartTime = nextInterval.AddMinutes(-intervalFHR);
  546. var normalPhrStatEndTime = nextInterval;
  547. _logger.LogInformation($"{heartRate.Serialno} 计算胎心数据, 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} ");
  548. var filteredPhr = daysPhr
  549. // 使用 last_update 下一刻
  550. .Where(i => i.LastUpdate <= normalPhrStatEndTime && i.LastUpdate >= normalPhrStatStartTime)
  551. .ToList();
  552. if (filteredPhr.Count == 0)
  553. {
  554. _logger.LogWarning($"{heartRate.Serialno} 周期:{normalPhrStatStartTime}-{normalPhrStatEndTime} 孕妇心率数据不足,{filteredPhr.Count}条记录");
  555. return;
  556. }
  557. var phrValue = filteredPhr.Count == 1
  558. ? filteredPhr.First().PregnancyHeartRate
  559. : filteredPhr.Average(i => i.PregnancyHeartRate);
  560. //await SaveAndPushFreqFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR);
  561. //await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, phrValue, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  562. heartRate.HeartRate = (int)phrValue;
  563. await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR!, upperAlarmThreshold, lowerAlarmThreshold, sampleTimeFHR, normalPhrStatStartTime, normalPhrStatEndTime);
  564. }
  565. /// <summary>
  566. /// 延时计算
  567. /// </summary>
  568. /// <param name="heartRate"></param>
  569. /// <returns></returns>
  570. public async Task CalculateNormalFetalHeartRateScheduleAsync(HisGpsHeartRate heartRate)
  571. {
  572. var fhrScheduleKey = $"health_monitor/schedule_push/cal_normalphr_fetal_heart_rate/imei/{heartRate.Serialno}";
  573. DateTime nowInterval = DateTime.Now;
  574. if (nowInterval.Second > 0)
  575. {
  576. nowInterval = nowInterval.AddMinutes(1);
  577. }
  578. // 需要减去的分钟
  579. int minutesToSubtract = nowInterval.Minute % INTERVAL_FHR;
  580. var nextRunTime=nowInterval
  581. .AddMinutes(-minutesToSubtract)
  582. .AddMinutes(INTERVAL_FHR);
  583. TimeSpan timeUntilNextRun = nextRunTime - nowInterval;
  584. var ttl = (long)timeUntilNextRun.TotalSeconds;
  585. await SetIntervalTriggerAsync(fhrScheduleKey, heartRate.Serialno, ttl, heartRate);
  586. }
  587. /// <summary>
  588. ///
  589. /// </summary>
  590. /// <param name="heartRate"></param>
  591. /// <param name="commonPHR"></param>
  592. /// <param name="upperAlarmThreshold"></param>
  593. /// <param name="lowerAlarmThreshold"></param>
  594. /// <param name="phrValue"></param>
  595. /// <param name="sampleTime"></param>
  596. /// <param name="statStartTime"></param>
  597. /// <param name="statEndTime"></param>
  598. /// <returns></returns>
  599. private async Task SaveAndPushFetalHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, double phrValue, string sampleTime, DateTime statStartTime, DateTime statEndTime)
  600. {
  601. // 计算胎心=孕妇心率*系数
  602. /**
  603. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  604. fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  605. if (fetalHeartRate >= 220)
  606. {
  607. // 先使用最小系数计算
  608. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  609. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  610. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  611. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  612. if (fetalHeartRate < 220)
  613. {
  614. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  615. }
  616. else
  617. {
  618. fetalHeartRate = 220;
  619. _logger.LogWarning($"{heartRate.Serialno} 使用所有系数都不能放映实际,建模数据可能出现异常,请检查");
  620. }
  621. }
  622. */
  623. #region 胎心系数使用基于心率与中位数对比
  624. var coefficient = 0f;
  625. // 孕妇心率少于中位数,取StatMinValueFprCoefficient
  626. if (heartRate.HeartRate < commonPHR!.Mode)
  627. {
  628. coefficient = commonPHR.StatMinValueFprCoefficient!;
  629. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
  630. }
  631. // 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
  632. else if (heartRate.HeartRate > commonPHR.Mode)
  633. {
  634. if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
  635. {
  636. coefficient = commonPHR.StatMaxValueFprCoefficient!;
  637. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
  638. }
  639. else
  640. {
  641. coefficient = commonPHR.StatModeAvgFprCoefficient!;
  642. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
  643. }
  644. }
  645. else
  646. {
  647. coefficient = commonPHR.StatModeAvgFprCoefficient;
  648. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
  649. }
  650. #endregion
  651. var fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  652. // 胎心的最大值调整为220,超过都按该值220输出
  653. // fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;
  654. if (fetalHeartRate > 220)
  655. {
  656. fetalHeartRate = 220;
  657. _logger.LogWarning($"{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")}");
  658. }
  659. // 胎心的最小值调整为90,超过都按该值90
  660. if (fetalHeartRate < 90)
  661. {
  662. fetalHeartRate = 90;
  663. _logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  664. }
  665. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  666. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  667. if (phrFreqstatus == null) isAbnormal = 0;
  668. var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  669. _logger.LogInformation($"{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")}");
  670. //if (!isFreq)
  671. //{
  672. // statStartTime = heartRate.LastUpdate;
  673. //
  674. //}
  675. // 保存到 数据服务 MySQL 数据库
  676. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  677. {
  678. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  679. PersonId = commonPHR!.PersonId,
  680. Serialno = heartRate.Serialno,
  681. HeartRate = fetalHeartRate,
  682. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  683. IsAbnormal = isAbnormal,
  684. StatStartTime = statStartTime,
  685. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  686. CreateTime = DateTime.Now,
  687. Method = 1,
  688. IsDisplay = 1,
  689. DeviceKey = commonPHR!.DeviceKey
  690. };
  691. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  692. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  693. // 推送最后一条常规心率计算的胎心数据到iot设备
  694. #region 推送最后一条常规心率计算的胎心数据到iot设备
  695. // 高频(<=12)-常规
  696. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  697. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  698. {
  699. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  700. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规");
  701. }
  702. // 高频(13)-常规-高频(13)
  703. if (phrFreqstatus != null)
  704. {
  705. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
  706. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  707. // 获取高频数据
  708. var freqCollection = new List<PregnancyHeartRateModel>();
  709. PregnancyHeartRateModel? previousItem = null;
  710. foreach (var item in phr)
  711. {
  712. if (previousItem != null)
  713. {
  714. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  715. if (timeNextDiff <= 60)
  716. {
  717. freqCollection.Add(item);
  718. }
  719. }
  720. // 高频最后一条
  721. if (lastPhr.MessageId == item.MessageId)
  722. {
  723. freqCollection.Add(item);
  724. }
  725. previousItem = item;
  726. }
  727. //去除高频
  728. foreach (var item in freqCollection)
  729. {
  730. phr.Remove(item);
  731. }
  732. lastPhr = phr.FirstOrDefault();
  733. if (lastPhr?.MessageId == heartRate.MessageId)
  734. {
  735. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  736. _logger.LogInformation($"{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)");
  737. }
  738. }
  739. #endregion
  740. #region 高频心率计算胎心数据到iot设备
  741. // 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
  742. if (phrFreqstatus != null && isAbnormal!=0)
  743. {
  744. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  745. }
  746. #endregion
  747. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  748. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  749. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  750. // 胎心数据推送到第三方
  751. var topic = "topic.push.third";
  752. var fhrThridMsg = new
  753. {
  754. messageId = fhrMsgId,
  755. topic = topic,
  756. time = fhrMsgTime,
  757. data = new
  758. {
  759. imei = heartRate.Serialno,
  760. value = fetalHeartRate,
  761. isAbnormal,
  762. type = "fetalHeart"
  763. }
  764. };
  765. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  766. // 胎心数据推送到微信
  767. if (isAbnormal != 0)
  768. {
  769. topic = "topic.push.wx";
  770. var fhrMsg = new
  771. {
  772. messageId = fhrMsgId,
  773. topic = topic,
  774. time = fhrMsgTime,
  775. data = new
  776. {
  777. deviceId = device?.DeviceId,
  778. imei = heartRate.Serialno,
  779. alarmTypeId = 12,
  780. alarmDeviceName = heartRate.Serialno,
  781. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  782. address = string.Empty,
  783. deviceKey = device?.DeviceId
  784. }
  785. };
  786. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  787. }
  788. }
  789. private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime)
  790. {
  791. // 计算胎心=孕妇心率*系数
  792. /**
  793. var fetalHeartRate = SafeType.SafeInt(phrValue * commonPHR?.StatModeAvgFprCoefficient!);
  794. fetalHeartRate = fetalHeartRate > 220 ? 220 : fetalHeartRate; // 胎心的最大值调整为220,超过都按该值220输出
  795. if (fetalHeartRate >= 220)
  796. {
  797. // 先使用最小系数计算
  798. var statMaxValueFprCoefficient = commonPHR?.StatMaxValueFprCoefficient!;
  799. var statMinValueFprCoefficient = commonPHR?.StatMinValueFprCoefficient!;
  800. var coefficient = statMaxValueFprCoefficient < statMinValueFprCoefficient ? statMaxValueFprCoefficient : statMinValueFprCoefficient;
  801. fetalHeartRate = SafeType.SafeInt(phrValue * coefficient);
  802. if (fetalHeartRate < 220)
  803. {
  804. _logger.LogWarning($"{heartRate.Serialno} 使用极值系数 {coefficient} ,建模数据可能出现异常,请检查");
  805. }
  806. else
  807. {
  808. fetalHeartRate = 220;
  809. _logger.LogWarning($"{heartRate.Serialno} 使用所有系数都不能放映实际,建模数据可能出现异常,请检查");
  810. }
  811. }
  812. */
  813. #region 胎心系数使用基于心率与中位数对比
  814. var coefficient = 0f;
  815. // 孕妇心率少于中位数,取StatMinValueFprCoefficient
  816. if (heartRate.HeartRate < commonPHR!.Mode)
  817. {
  818. coefficient = commonPHR.StatMinValueFprCoefficient!;
  819. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率少于中位数,使用最小值系数 {coefficient}");
  820. }
  821. // 孕妇心率大于中位数,取StatMaxValueFprCoefficient与StatModeAvgFprCoefficient中少的那个
  822. else if (heartRate.HeartRate > commonPHR.Mode)
  823. {
  824. if (commonPHR.StatModeAvgFprCoefficient > commonPHR.StatMaxValueFprCoefficient)
  825. {
  826. coefficient = commonPHR.StatMaxValueFprCoefficient!;
  827. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用最大值系数 {coefficient}");
  828. }
  829. else
  830. {
  831. coefficient = commonPHR.StatModeAvgFprCoefficient!;
  832. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率大于中位数,使用均值系数 {coefficient}");
  833. }
  834. }
  835. else
  836. {
  837. coefficient = commonPHR.StatModeAvgFprCoefficient;
  838. _logger.LogInformation($"{heartRate.Serialno} 孕妇心率等于中位数,使用均值系数 {coefficient}");
  839. }
  840. #endregion
  841. var fetalHeartRate = SafeType.SafeInt(heartRate.HeartRate! * coefficient);
  842. // 胎心的最大值调整为220,超过都按该值220输出
  843. // fetalHeartRate = fetalHeartRate>= 220 ? 220 : fetalHeartRate;
  844. if (fetalHeartRate > 220)
  845. {
  846. fetalHeartRate = 220;
  847. _logger.LogWarning($"{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")}");
  848. }
  849. // 胎心的最小值调整为90,超过都按该值90
  850. if (fetalHeartRate < 90)
  851. {
  852. fetalHeartRate = 90;
  853. _logger.LogWarning($"{heartRate.Serialno} 小于90,按90输出,计算因子:孕妇心率 {heartRate.HeartRate},系数 {coefficient},周期 周期:{statStartTime.ToString("yyyy-MM-dd HH:mm:ss")}----{statEndTime.ToString("yyyy-MM-dd HH:mm:ss")}");
  854. }
  855. var isAbnormal = fetalHeartRate > upperAlarmThreshold ? 1 : (fetalHeartRate < lowerAlarmThreshold ? 2 : 0);
  856. var phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
  857. if (phrFreqstatus == null) isAbnormal = 0;
  858. var statsusDesc = (phrFreqstatus == null) ? "常规" : "高频";
  859. _logger.LogInformation($"{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")}");
  860. //if (!isFreq)
  861. //{
  862. // statStartTime = heartRate.LastUpdate;
  863. //
  864. //}
  865. // 保存到 数据服务 MySQL 数据库
  866. HisGpsFetalHeartRate gpsFetalHeartRate = new()
  867. {
  868. FetalHeartRateId = Guid.NewGuid().ToString("D"),
  869. PersonId = commonPHR!.PersonId,
  870. Serialno = heartRate.Serialno,
  871. HeartRate = fetalHeartRate,
  872. SampleTime = sampleTime.Length > 10 ? sampleTime.Substring(0, 10) : sampleTime,
  873. IsAbnormal = isAbnormal,
  874. StatStartTime = statStartTime,
  875. StatEndTime = statEndTime,//commonPHR.StatEndTime,
  876. CreateTime = DateTime.Now,
  877. Method = 1,
  878. IsDisplay = 1,
  879. DeviceKey = commonPHR!.DeviceKey
  880. };
  881. await _hisFetalHeartApiClient.AddAsync(gpsFetalHeartRate).ConfigureAwait(false);
  882. // 推送到api/v1/open/OpenIot/SetFetalHeartRateConfig
  883. // 推送最后一条常规心率计算的胎心数据到iot设备
  884. #region 推送最后一条常规心率计算的胎心数据到iot设备
  885. // 高频(<=12)-常规
  886. var lastPhr = await _serviceTDengine.GetLastAsync<PregnancyHeartRateModel>(heartRate.Serialno);
  887. if (lastPhr.MessageId == heartRate.MessageId && phrFreqstatus == null)
  888. {
  889. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  890. _logger.LogInformation($"{heartRate.Serialno} 推送最后一条常规心率计算的胎心数据到iot设备,高频(<=12)-常规");
  891. }
  892. // 高频(13)-常规-高频(13)
  893. if (phrFreqstatus != null)
  894. {
  895. var phr = await _serviceTDengine.GetBySerialNoAsync<PregnancyHeartRateModel>(heartRate.Serialno, 1);
  896. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  897. // 获取高频数据
  898. var freqCollection = new List<PregnancyHeartRateModel>();
  899. PregnancyHeartRateModel? previousItem = null;
  900. foreach (var item in phr)
  901. {
  902. if (previousItem != null)
  903. {
  904. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  905. if (timeNextDiff <= 60)
  906. {
  907. freqCollection.Add(item);
  908. }
  909. }
  910. // 高频最后一条
  911. if (lastPhr.MessageId == item.MessageId)
  912. {
  913. freqCollection.Add(item);
  914. }
  915. previousItem = item;
  916. }
  917. //去除高频
  918. foreach (var item in freqCollection)
  919. {
  920. phr.Remove(item);
  921. }
  922. lastPhr = phr.FirstOrDefault();
  923. if (lastPhr?.MessageId == heartRate.MessageId)
  924. {
  925. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  926. _logger.LogInformation($"{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)");
  927. }
  928. }
  929. #endregion
  930. #region 高频心率计算胎心数据到iot设备
  931. // 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
  932. if (phrFreqstatus != null && isAbnormal != 0)
  933. {
  934. await _serviceIotApi.SetFetalHeartRateConfig(heartRate.Serialno, fetalHeartRate, sampleTime, isAbnormal);
  935. }
  936. #endregion
  937. var device = await _deviceCacheMgr.GetDeviceBySerialNoAsync(heartRate.Serialno).ConfigureAwait(false);
  938. var fhrMsgId = $"{heartRate.Serialno}-{sampleTime}-{Guid.NewGuid().ToString("D")[^3..]}";
  939. var fhrMsgTime = DateTimeUtil.GetDateTimeFromUnixTimeMilliseconds(long.Parse(sampleTime.Length < 13 ? sampleTime.PadRight(13, '0') : sampleTime)).ToString("yyyy-MM-dd HH:mm:ss");
  940. // 胎心数据推送到第三方
  941. var topic = "topic.push.third";
  942. var fhrThridMsg = new
  943. {
  944. messageId = fhrMsgId,
  945. topic = topic,
  946. time = fhrMsgTime,
  947. data = new
  948. {
  949. imei = heartRate.Serialno,
  950. value = fetalHeartRate,
  951. isAbnormal,
  952. type = "fetalHeart"
  953. }
  954. };
  955. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, 31, fhrThridMsg).ConfigureAwait(false);
  956. // 胎心数据推送到微信
  957. if (isAbnormal != 0)
  958. {
  959. topic = "topic.push.wx";
  960. var fhrMsg = new
  961. {
  962. messageId = fhrMsgId,
  963. topic = topic,
  964. time = fhrMsgTime,
  965. data = new
  966. {
  967. deviceId = device?.DeviceId,
  968. imei = heartRate.Serialno,
  969. alarmTypeId = 12,
  970. alarmDeviceName = heartRate.Serialno,
  971. alarmRemarks = JsonConvert.SerializeObject(new { fetalHeartValue = fetalHeartRate, isAbnormal = isAbnormal }),
  972. address = string.Empty,
  973. deviceKey = device?.DeviceId
  974. }
  975. };
  976. await _serviceMqProcess.ProcessIMEIEventMessageAsync(fhrMsgId, topic, fhrMsg).ConfigureAwait(false);
  977. }
  978. }
  979. private async Task SetIntervalTriggerAsync(string key, string imei, long interval, HisGpsHeartRate heartRate)
  980. {
  981. // var key = $"health_monitor/schedule_push/{type}/imei/{imei}";
  982. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  983. if (string.IsNullOrWhiteSpace(schedulePush))
  984. {
  985. var now = DateTime.Now;
  986. var timeNextRun = now.Add(TimeSpan.FromSeconds(interval));
  987. var data = new
  988. {
  989. imei,
  990. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  991. ttl = interval,
  992. next_run_time = timeNextRun.ToString("yyyy-MM-dd HH:mm:ss"),
  993. trigger = heartRate,
  994. };
  995. var result = JsonConvert.SerializeObject(data);
  996. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  997. }
  998. }
  999. /// <summary>
  1000. /// 高频延时计算触发器
  1001. /// </summary>
  1002. /// <param name="key"></param>
  1003. /// <param name="imei"></param>
  1004. /// <param name="interval"></param>
  1005. /// <param name="heartRate"></param>
  1006. /// <returns></returns>
  1007. private async Task SetFreqHeartRateTriggerAsync(string key, string imei, long interval, HisGpsHeartRate? heartRate=null)
  1008. {
  1009. var schedulePush = await _serviceEtcd.GetValAsync(key).ConfigureAwait(false);
  1010. if (string.IsNullOrWhiteSpace(schedulePush))
  1011. {
  1012. var now = DateTime.Now;
  1013. var data = new
  1014. {
  1015. imei,
  1016. create_time = now.ToString("yyyy-MM-dd HH:mm:ss"),
  1017. lease = interval,
  1018. trigger = heartRate,
  1019. };
  1020. var result = JsonConvert.SerializeObject(data);
  1021. await _serviceEtcd.PutValAsync(key, result, interval, false).ConfigureAwait(false);
  1022. }
  1023. else
  1024. {
  1025. await _serviceEtcd.PutValAsync(key, schedulePush, interval, false).ConfigureAwait(false);
  1026. }
  1027. }
  1028. /// <summary>
  1029. /// 去除高频数据
  1030. /// </summary>
  1031. /// <param name="phr"></param>
  1032. /// <param name="highFreqSampleInterva"></param>
  1033. /// <returns></returns>
  1034. private static List<PregnancyHeartRateModel> GetNonFreqPregnancyHeartRate(List<PregnancyHeartRateModel> phr,int highFreqSampleInterval)
  1035. {
  1036. //phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1037. //var result = new List<PregnancyHeartRateModel>();
  1038. //PregnancyHeartRateModel? previousItem = null;
  1039. //foreach (var item in phr)
  1040. //{
  1041. // if (previousItem != null)
  1042. // {
  1043. // var timeNextDiff =(previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  1044. // if (timeNextDiff > highFreqSampleInterval)
  1045. // {
  1046. // result.Add(previousItem);
  1047. // }
  1048. // }
  1049. // previousItem = item;
  1050. //}
  1051. //// 添加上一个
  1052. //if (previousItem != null)
  1053. //{
  1054. // result.Add(previousItem);
  1055. //}
  1056. //return result;
  1057. #region 反向
  1058. var phr1 = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1059. var result = new List<PregnancyHeartRateModel>();
  1060. PregnancyHeartRateModel? previousItem1 = null;
  1061. foreach (var item in phr1)
  1062. {
  1063. if (previousItem1 != null)
  1064. {
  1065. var timeNextDiff = (previousItem1!.LastUpdate - item.LastUpdate).TotalSeconds;
  1066. if (timeNextDiff > highFreqSampleInterval)
  1067. {
  1068. result.Add(previousItem1);
  1069. }
  1070. }
  1071. previousItem1 = item;
  1072. }
  1073. // 添加上一个
  1074. if (previousItem1 != null)
  1075. {
  1076. result.Add(previousItem1);
  1077. }
  1078. #endregion
  1079. #region 正向
  1080. var phr2 = phr.OrderByDescending(i => i.LastUpdate).ToList(); ;
  1081. var freqCollection = new List<PregnancyHeartRateModel>();
  1082. PregnancyHeartRateModel? previousItem = null;
  1083. foreach (var item in phr2)
  1084. {
  1085. if (previousItem != null)
  1086. {
  1087. var timeNextDiff = (previousItem!.LastUpdate - item.LastUpdate).TotalSeconds;
  1088. if (timeNextDiff <= highFreqSampleInterval)
  1089. {
  1090. freqCollection.Add(item);
  1091. }
  1092. }
  1093. previousItem = item;
  1094. }
  1095. //去除高频
  1096. foreach (var item in freqCollection)
  1097. {
  1098. phr2.Remove(item);
  1099. }
  1100. #endregion
  1101. // 交集
  1102. var commonElements = phr2.Intersect(result).ToList();
  1103. return commonElements;
  1104. }
  1105. /// <summary>
  1106. /// 获取高频数据
  1107. /// </summary>
  1108. /// <param name="phr"></param>
  1109. /// <param name="highFreqSampleInterval"></param>
  1110. /// <returns></returns>
  1111. private static List<PregnancyHeartRateModel> GetFreqPregnancyHeartRate(List<PregnancyHeartRateModel> phr, int highFreqSampleInterval)
  1112. {
  1113. phr = phr.OrderByDescending(i => i.LastUpdate).ToList();
  1114. var freqCollection = new List<PregnancyHeartRateModel>();
  1115. PregnancyHeartRateModel? previousItem = null;
  1116. foreach (var item in phr)
  1117. {
  1118. if (previousItem != null)
  1119. {
  1120. var timeNextDiff = (previousItem.LastUpdate - item.LastUpdate).TotalSeconds;
  1121. if (timeNextDiff <= highFreqSampleInterval)
  1122. {
  1123. freqCollection.Add(previousItem);
  1124. }
  1125. }
  1126. previousItem = item;
  1127. }
  1128. // 检查最后一条是否高频
  1129. if (previousItem != null && (phr.Last().LastUpdate - previousItem.LastUpdate).TotalSeconds <= highFreqSampleInterval)
  1130. {
  1131. freqCollection.Add(previousItem);
  1132. }
  1133. return freqCollection;
  1134. }
  1135. }
  1136. }