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@@ -380,8 +380,9 @@ namespace HealthMonitor.Service.Resolver |
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var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate) |
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.Skip(1) //在高频第二条才能判断,所以要去除本条记录 |
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.First(); |
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_logger.LogInformation($"首条高频附近的3条:{string.Join(',', phr.OrderByDescending(i => i.LastUpdate).Take(3).Select(i=>i.MessageId))}"); |
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await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr); |
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_logger.LogInformation($"{heartRate.Serialno} 设置高频状态"); |
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_logger.LogInformation($"{heartRate.Serialno} 设置高频状态,首条高频心率ID:{freqFirstPhr.MessageId}"); |
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phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno); |
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HisGpsHeartRate freqFirstHR = new() |
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{ |
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@@ -430,18 +431,23 @@ namespace HealthMonitor.Service.Resolver |
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// 高频不停,15分钟内只下发一条 |
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if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate)) |
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{ |
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//await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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heartRate.HeartRate = (int)avgPhr; |
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//await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate); |
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// 最后一条高频心率 |
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var lastFreqHr = lastPhr.First(); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate); |
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// 判断是否够highFreqSampleTimes,540s |
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if (ts < highFreqSampleTimes) |
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{ |
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/// 不够10分钟最近12个数据的最小值生成胎心值 |
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_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值"); |
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heartRate.HeartRate = lastPhr.Select(i=>i.PregnancyHeartRate).Min(); |
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heartRate.LastUpdate = lastFreqHr.LastUpdate; |
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} |
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_logger.LogInformation($"{heartRate.Serialno} 高频数据触发连续12个值都是正常的的高频心率处理"); |
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await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR,highFreqSampleTimes ,upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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// 删除高频状态的首条记录 |
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@@ -492,13 +498,19 @@ namespace HealthMonitor.Service.Resolver |
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heartRate.HeartRate = (int)avgPhr; |
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//await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate); |
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// 最后一条高频心率 |
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var lastFreqHr = lastPhr.First(); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate); |
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// 判断是否够highFreqSampleTimes,540s |
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if (ts < highFreqSampleTimes) |
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{ |
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/// 不够10分钟最近12个数据的最小值生成胎心值 |
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_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值"); |
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heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min(); |
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heartRate.LastUpdate = lastFreqHr.LastUpdate; |
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} |
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_logger.LogInformation($"{heartRate.Serialno} 高频结束后的highFreqSampleTimes=0的高频心率处理"); |
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await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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} |
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@@ -527,7 +539,7 @@ namespace HealthMonitor.Service.Resolver |
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.Take(stopHighFreqSampleCount) // 计算最后12条 |
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.Select(i => i.PregnancyHeartRate).Average(); |
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_logger.LogInformation($"{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"); |
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//_logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒,约定的 {highFreqSampleTimes} 秒,即将结束高频状态,高频心率平均值:{(int)avgPhr},将下发指令"); |
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//计算高频 |
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//await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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heartRate.HeartRate = (int)avgPhr; |
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@@ -537,13 +549,20 @@ namespace HealthMonitor.Service.Resolver |
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var lastPhr = filterPhr |
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.OrderByDescending(i => i.LastUpdate) |
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.Take(stopHighFreqSampleCount); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate); |
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// 最后一条高频心率 |
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var lastFreqHr = lastPhr.First(); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate); |
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if (ts < highFreqSampleTimes) |
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{ |
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/// 不够10分钟最近12个数据的最小值生成胎心值 |
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_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值"); |
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heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min(); |
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heartRate.LastUpdate = lastFreqHr.LastUpdate; |
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} |
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_logger.LogInformation($"{heartRate.Serialno} 高频结束后的在highFreqSampleTimes>0 正常心率(通常情况)触发的高频心率处理"); |
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await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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} |
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else |
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@@ -607,12 +626,18 @@ namespace HealthMonitor.Service.Resolver |
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var lastPhr = freqCollection |
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.OrderByDescending(i => i.LastUpdate) |
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.Take(stopHighFreqSampleCount); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate); |
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// 最后一条高频心率 |
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var lastFreqHr = lastPhr.First(); |
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var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate); |
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if (ts < highFreqSampleTimes) |
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{ |
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/// 不够10分钟最近12个数据的最小值生成胎心值 |
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_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值"); |
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heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min(); |
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heartRate.LastUpdate = lastFreqHr.LastUpdate; |
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} |
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_logger.LogInformation($"{heartRate.Serialno} 高频结束后的时间倒序的正常心率触发的高频心率处理"); |
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await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd); |
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_logger.LogInformation($"{heartRate.Serialno} 高频数据个数{freqCollection.Count},触发高频开始时间{phrFreqstatus!.LastUpdate},时间倒叙"); |
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@@ -1236,6 +1261,23 @@ namespace HealthMonitor.Service.Resolver |
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} |
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} |
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/// <summary> |
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/// 高频胎心处理 |
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/// 1. 高频数据触发连续12个值都是正常的的高频心率处理 |
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/// 2. 高频结束后的highFreqSampleTimes=0的高频心率处理 |
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/// 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) |
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/// 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 |
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/// 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 |
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/// </summary> |
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/// <param name="heartRate"></param> |
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/// <param name="commonPHR"></param> |
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/// <param name="highFreqSampleTimes"></param> |
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/// <param name="upperAlarmThreshold"></param> |
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/// <param name="lowerAlarmThreshold"></param> |
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/// <param name="sampleTime"></param> |
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/// <param name="statStartTime"></param> |
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/// <param name="statEndTime"></param> |
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/// <returns></returns> |
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private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int highFreqSampleTimes, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime) |
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{ |
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// 计算胎心=孕妇心率*系数 |
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@@ -1499,6 +1541,7 @@ namespace HealthMonitor.Service.Resolver |
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} |
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else |
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{ |
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// 不断修改时长,直到最后的一条高频胎心 |
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await _serviceEtcd.PutValAsync(key, schedulePush, interval, false).ConfigureAwait(false); |
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} |
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