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调整高频时长不足10分钟，都不产生告警信息

datasub12_fetal_heart_rate_1
H Vs 3 tygodni temu
rodzic
04b8fcb2b9
commit
2ae9269a66
2 zmienionych plików z 74 dodań i 8 usunięć
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  1. +50
    -7
      HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs
  2. +24
    -1
      HealthMonitor.WebApi/Worker.cs

+ 50
- 7
HealthMonitor.Service/Resolver/PregnancyHeartRateResolver.cs Wyświetl plik

@@ -380,8 +380,9 @@ namespace HealthMonitor.Service.Resolver
var freqFirstPhr = phr.OrderByDescending(i => i.LastUpdate)
.Skip(1) //在高频第二条才能判断，所以要去除本条记录
.First();
_logger.LogInformation($"首条高频附近的3条:{string.Join(',', phr.OrderByDescending(i => i.LastUpdate).Take(3).Select(i=>i.MessageId))}");
await _deviceCacheMgr.SetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno, freqFirstPhr);
_logger.LogInformation($"{heartRate.Serialno} 设置高频状态");
_logger.LogInformation($"{heartRate.Serialno} 设置高频状态,首条高频心率ID:{freqFirstPhr.MessageId}");
phrFreqstatus = await _deviceCacheMgr.GetPregnancyHeartRateFreqStatusAsync(heartRate.Serialno);
HisGpsHeartRate freqFirstHR = new()
{
@@ -430,18 +431,23 @@ namespace HealthMonitor.Service.Resolver
// 高频不停，15分钟内只下发一条
if (string.IsNullOrEmpty(freqSaveAndPushFetalHeartRate))
{
//await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

heartRate.HeartRate = (int)avgPhr;
//await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate);
// 最后一条高频心率
var lastFreqHr = lastPhr.First();
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
// 判断是否够highFreqSampleTimes,540s
if (ts < highFreqSampleTimes)
{
/// 不够10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
heartRate.HeartRate = lastPhr.Select(i=>i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
_logger.LogInformation($"{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");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR,highFreqSampleTimes ,upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
// 删除高频状态的首条记录
@@ -492,13 +498,19 @@ namespace HealthMonitor.Service.Resolver

heartRate.HeartRate = (int)avgPhr;
//await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate);
// 最后一条高频心率
var lastFreqHr = lastPhr.First();

var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
// 判断是否够highFreqSampleTimes,540s
if (ts < highFreqSampleTimes)
{
/// 不够10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
_logger.LogInformation($"{heartRate.Serialno} 高频结束后的highFreqSampleTimes=0的高频心率处理");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

}
@@ -527,7 +539,7 @@ namespace HealthMonitor.Service.Resolver
.Take(stopHighFreqSampleCount) // 计算最后12条
.Select(i => i.PregnancyHeartRate).Average();

_logger.LogInformation($"{heartRate.Serialno} 高频状态已经持续{(FreqStatsEnd - phrFreqstatus!.LastUpdate).TotalSeconds} 秒，超过约定的 {highFreqSampleTimes} 秒,即将结束高频状态，高频心率平均值:{(int)avgPhr}，将下发指令");
//_logger.LogInformation($"{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");
//计算高频
//await SaveAndPushFetalHeartRateAsync(heartRate, commonPHR, upperAlarmThreshold, lowerAlarmThreshold, avgPhr, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
heartRate.HeartRate = (int)avgPhr;
@@ -537,13 +549,20 @@ namespace HealthMonitor.Service.Resolver
var lastPhr = filterPhr
.OrderByDescending(i => i.LastUpdate)
.Take(stopHighFreqSampleCount);
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate);

// 最后一条高频心率
var lastFreqHr = lastPhr.First();

var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
if (ts < highFreqSampleTimes)
{
/// 不够10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
_logger.LogInformation($"{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");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
}
else
@@ -607,12 +626,18 @@ namespace HealthMonitor.Service.Resolver
var lastPhr = freqCollection
.OrderByDescending(i => i.LastUpdate)
.Take(stopHighFreqSampleCount);
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)heartRate.LastUpdate!, phrFreqstatus!.LastUpdate);
// 最后一条高频心率
var lastFreqHr = lastPhr.First();

var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
if (ts < highFreqSampleTimes)
{
/// 不够10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{heartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
heartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
heartRate.LastUpdate = lastFreqHr.LastUpdate;
}
_logger.LogInformation($"{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");
await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(heartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);

_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");
@@ -1236,6 +1261,23 @@ namespace HealthMonitor.Service.Resolver
}
}

/// <summary>
/// 高频胎心处理
/// 1. 高频数据触发连续12个值都是正常的的高频心率处理
/// 2. 高频结束后的highFreqSampleTimes=0的高频心率处理
/// 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）
/// 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
/// 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
/// </summary>
/// <param name="heartRate"></param>
/// <param name="commonPHR"></param>
/// <param name="highFreqSampleTimes"></param>
/// <param name="upperAlarmThreshold"></param>
/// <param name="lowerAlarmThreshold"></param>
/// <param name="sampleTime"></param>
/// <param name="statStartTime"></param>
/// <param name="statEndTime"></param>
/// <returns></returns>
private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int highFreqSampleTimes, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime)
{
// 计算胎心=孕妇心率*系数
@@ -1499,6 +1541,7 @@ namespace HealthMonitor.Service.Resolver
}
else
{
// 不断修改时长，直到最后的一条高频胎心
await _serviceEtcd.PutValAsync(key, schedulePush, interval, false).ConfigureAwait(false);
}



+ 24
- 1
HealthMonitor.WebApi/Worker.cs Wyświetl plik

@@ -352,12 +352,18 @@ namespace HealthMonitor.WebApi

// 判断是否够highFreqSampleTimes,540s
var lastPhr = phrInFreqstatus;
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)triggerHeartRate.LastUpdate!, phrFreqstatus!.LastUpdate);
// 最后一条高频心率
var lastFreqHr = phrInFreqstatus.First();
var ts = DateTimeUtil.GetTimeDifferenceInSeconds((DateTime)lastFreqHr.LastUpdate!, phrFreqstatus!.LastUpdate);
if (ts < highFreqSampleTimes)
{
/// 不够10分钟最近12个数据的最小值生成胎心值
_logger.LogInformation($"{triggerHeartRate.Serialno} 不够10分钟最近12个数据的最小值生成胎心值");
triggerHeartRate.HeartRate = lastPhr.Select(i => i.PregnancyHeartRate).Min();
triggerHeartRate.LastUpdate = lastFreqHr.LastUpdate;
}
_logger.LogInformation($"{triggerHeartRate.Serialno} 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");

await SaveAndPushFetalHeartRateEndFreqHeartRateAsync(triggerHeartRate, commonPHR, highFreqSampleTimes, upperAlarmThreshold, lowerAlarmThreshold, DateTimeUtil.ConvertToTimeStamp(phrFreqstatus!.LastUpdate).ToString(), phrFreqstatus!.LastUpdate, FreqStatsEnd);
}
else
@@ -2083,6 +2089,23 @@ namespace HealthMonitor.WebApi
}
}

/// <summary>
/// 高频胎心处理
/// 1. 高频数据触发连续12个值都是正常的的高频心率处理
/// 2. 高频结束后的highFreqSampleTimes=0的高频心率处理
/// 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）
/// 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
/// * 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
/// </summary>
/// <param name="heartRate"></param>
/// <param name="commonPHR"></param>
/// <param name="highFreqSampleTimes"></param>
/// <param name="upperAlarmThreshold"></param>
/// <param name="lowerAlarmThreshold"></param>
/// <param name="sampleTime"></param>
/// <param name="statStartTime"></param>
/// <param name="statEndTime"></param>
/// <returns></returns>
private async Task SaveAndPushFetalHeartRateEndFreqHeartRateAsync(HisGpsHeartRate heartRate, PregnancyCommonHeartRateModel commonPHR, int highFreqSampleTimes, int upperAlarmThreshold, int lowerAlarmThreshold, string sampleTime, DateTime statStartTime, DateTime statEndTime)
{
// 计算胎心=孕妇心率*系数


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