/* Custom CPAP/Oximetry Calculations Header Copyright (c)2011 Mark Watkins <jedimark@users.sourceforge.net> License: GPL */ #include "calcs.h" #include "profiles.h" // Support function for calcRespRate() int filterFlow(EventList *in, EventList *out, EventList *tv, EventList *mv, double rate) { int size=in->count(); EventDataType *stage1=new EventDataType [size]; EventDataType *stage2=new EventDataType [size]; QVector<EventDataType> med; med.reserve(8); EventDataType r,tmp; int cnt; EventDataType c; //double avg; int i; /*i=3; stage1[0]=in->data(0); stage1[1]=in->data(1); stage1[2]=in->data(2); for (;i<size-2;i++) { med.clear(); for (quint32 k=0;k<5;k++) { med.push_back(in->data(i-2+k)); } qSort(med); stage1[i]=med[3]; } stage1[i]=in->data(i); i++; stage1[i]=in->data(i); i++; stage1[i]=in->data(i); */ //i++; //stage1[i]=in->data(i); // Anti-Alias the flow waveform to get rid of jagged edges. stage2[0]=stage1[0]; stage2[1]=stage1[1]; stage2[2]=stage1[2]; i=3; for (;i<size-3;i++) { cnt=0; r=0; for (quint32 k=0;k<7;k++) { //r+=stage1[i-3+k]; r+=in->data(i-3+k); cnt++; } c=r/float(cnt); stage2[i]=c; } stage2[i]=in->data(i); i++; stage2[i]=in->data(i); i++; stage2[i]=in->data(i); //i++; //stage2[i]=in->data(i); float weight=0.6; //stage2[0]=in->data(0); stage1[0]=stage2[0]; for (int i=1;i<size;i++) { //stage2[i]=in->data(i); stage1[i]=weight*stage2[i]+(1.0-weight)*stage1[i-1]; } qint64 time=in->first(); qint64 u1=0,u2=0,len,l1=0,l2=0; int z1=0,z2=0; EventDataType lastc=0,thresh=0; QVector<int> breaths; QVector<EventDataType> TV; QVector<qint64> breaths_start; int lasti=0; for (i=0;i<size;i++) { c=stage1[i]; if (c>thresh) { if (lastc<=thresh) { u2=u1; u1=time; if (u2>0) { z2=i; len=qAbs(u2-u1); if (tv) { // && z1>0) { // Tidal Volume Calculations EventDataType t=0; for (int g=z1;g<z2;g++) { tmp=-stage1[g]; t+=tmp; } TV.push_back(t); } breaths_start.push_back(time); breaths.push_back(len); } } } else { if (lastc>thresh) { l2=l1; l1=time; if (l2>0) { z1=i; len=qAbs(l2-l1); if (tv) { // Average the other half of the breath to increase accuracy. EventDataType t=0; for (int g=z2;g<z1;g++) { tmp=stage1[g]; t+=tmp; } int ts=TV.size()-2; if (ts>=0) { // TV[ts]=(TV[ts]+t)/2.0; } } } } } lastc=c; time+=rate; } qint64 window=60000; qint64 t1=in->first()-window/2; qint64 t2=in->first()+window/2; qint64 t; EventDataType br,q; //int z=0; int l; QVector<int> breaths2; QVector<qint64> breaths2_start; QVector<EventDataType> TV2; QVector<qint64> TV2_start; int fir=0,fir2=0; EventDataType T,L; do { br=0; bool first=true; bool cont=false; T=0; L=0; for (int i=fir;i<breaths.size();i++) { t=breaths_start[i]; l=breaths[i]; if (t+l < t1) continue; if (t > t2) break; if (first) { first=false; fir=i; } //q=1; if (t<t1) { // move to start of previous breath t1=breaths_start[++i]; t2=t1+window; fir=i; cont=true; break; //q=(t+l)-t1; //br+=(1.0/double(l))*double(q); } else if (t+l>t2) { q=t2-t; br+=(1.0/double(l))*double(q); continue; } else br+=1.0; T+=TV[i]/2.0; L+=l/1000.0; } if (cont) continue; breaths2.push_back(br); breaths2_start.push_back(t1+window/2); //TV2_start.push_back(t2); TV2.push_back(T); //out->AddEvent(t,br); //stage2[z++]=br; t1+=window/2.0; t2+=window/2.0; } while (t2<in->last()); for (int i=2;i<breaths2.size()-2;i++) { t=breaths2_start[i]; med.clear(); for (int j=0;j<5;j++) { med.push_back(breaths2[i+j-2]); } qSort(med); br=med[2]; out->AddEvent(t,br); //t=TV2_start[i]; med.clear(); for (int j=0;j<5;j++) { med.push_back(TV2[i+j-2]); } qSort(med); tmp=med[3]; tv->AddEvent(t,tmp); mv->AddEvent(t,(tmp*br)/1000.0); } delete [] stage2; delete [] stage1; return out->count(); } // Generate RespiratoryRate graph int calcRespRate(Session *session) { if (session->machine()->GetType()!=MT_CPAP) return 0; if (session->eventlist.contains(CPAP_RespRate)) return 0; // already exists? if (!session->eventlist.contains(CPAP_FlowRate)) return 0; //need flow waveform EventList *flow, *rr, *tv=NULL, *mv=NULL; if (!session->eventlist.contains(CPAP_TidalVolume)) { tv=new EventList(EVL_Event); session->eventlist[CPAP_TidalVolume].push_back(tv); } if (!session->eventlist.contains(CPAP_MinuteVent)) { mv=new EventList(EVL_Event); session->eventlist[CPAP_MinuteVent].push_back(mv); } int cnt=0; for (int ws=0; ws < session->eventlist[CPAP_FlowRate].size(); ws++) { flow=session->eventlist[CPAP_FlowRate][ws]; if (flow->count() > 5) { rr=new EventList(EVL_Event); session->eventlist[CPAP_RespRate].push_back(rr); cnt+=filterFlow(flow,rr,tv,mv,flow->rate()); } } return cnt; } EventDataType calcAHI(Session *session,qint64 start, qint64 end) { double hours,ahi,cnt; if ((start==end) && (start==0)) { // much faster.. hours=session->hours(); cnt=session->count(CPAP_Obstructive) +session->count(CPAP_Hypopnea) +session->count(CPAP_ClearAirway) +session->count(CPAP_Apnea); ahi=cnt/hours; } else { hours=double(end-start)/3600000L; cnt=session->rangeCount(CPAP_Obstructive,start,end) +session->rangeCount(CPAP_Hypopnea,start,end) +session->rangeCount(CPAP_ClearAirway,start,end) +session->rangeCount(CPAP_Apnea,start,end); ahi=cnt/hours; } return ahi; } int calcAHIGraph(Session *session) { if (session->machine()->GetType()!=MT_CPAP) return 0; if (session->eventlist.contains(CPAP_AHI)) return 0; // abort if already there const qint64 winsize=30000; // 30 second windows qint64 first=session->first(), last=session->last(), f; EventList *AHI=new EventList(EVL_Event); session->eventlist[CPAP_AHI].push_back(AHI); EventDataType ahi; qint64 ti; for (ti=first;ti<last;ti+=winsize) { f=ti-3600000L; ahi=calcAHI(session,f,ti); if (ti>=last) { AHI->AddEvent(last,ahi); break; } AHI->AddEvent(ti,ahi); ti+=winsize; } AHI->AddEvent(last,0); return AHI->count(); } int calcLeaks(Session *session) { if (session->machine()->GetType()!=MT_CPAP) return 0; if (session->eventlist.contains(CPAP_Leak)) return 0; // abort if already there if (!session->eventlist.contains(CPAP_LeakTotal)) return 0; // can't calculate without this.. const qint64 winsize=3600000; // 5 minute window qint64 first=session->first(), last=session->last(), f; EventList *leak=new EventList(EVL_Event); session->eventlist[CPAP_Leak].push_back(leak); const int rbsize=128; EventDataType rbuf[rbsize],tmp,median; qint64 rtime[rbsize],ti; int rpos=0; int tcnt=0; QVector<EventDataType> med; for (int i=0;i<session->eventlist[CPAP_LeakTotal].size();i++) { EventList & el=*session->eventlist[CPAP_LeakTotal][i]; for (unsigned j=0;j<el.count();j++) { tmp=el.data(j); ti=el.time(j); rbuf[rpos]=tmp; rtime[rpos]=ti; tcnt++; rpos++; int rcnt; if (tcnt<rbsize) rcnt=tcnt; else rcnt=rbsize; med.clear(); for (int k=0;k<rcnt;k++) { if (rtime[k] > ti-winsize) // if fits in time window, add to the list med.push_back(rbuf[k]); } qSort(med); int idx=float(med.size() * 0.0); if (idx>=med.size()) idx--; median=tmp-med[idx]; if (median<0) median=0; leak->AddEvent(ti,median); rpos=rpos % rbsize; } } return leak->count(); } int calcPulseChange(Session *session) { if (session->eventlist.contains(OXI_PulseChange)) return 0; QHash<ChannelID,QVector<EventList *> >::iterator it=session->eventlist.find(OXI_Pulse); if (it==session->eventlist.end()) return 0; EventDataType val,val2,change,tmp; qint64 time,time2; bool ok; qint64 window=PROFILE["PulseChangeDuration"].toDouble(&ok); if (!ok) { PROFILE["PulseChangeDuration"]=8; window=8000; } else window*=1000; change=PROFILE["PulseChangeBPM"].toDouble(&ok); if (!ok) { PROFILE["PulseChangeBPM"]=5; change=5; } EventList *pc=new EventList(EVL_Event,1,0,0,0,0,true); pc->setFirst(session->first(OXI_Pulse)); qint64 lastt; EventDataType lv=0; int li=0; int max; for (int e=0;e<it.value().size();e++) { EventList & el=*(it.value()[e]); for (unsigned i=0;i<el.count();i++) { val=el.data(i); time=el.time(i); lastt=0; lv=change; max=0; for (unsigned j=i+1;j<el.count();j++) { // scan ahead in the window time2=el.time(j); if (time2 > time+window) break; val2=el.data(j); tmp=qAbs(val2-val); if (tmp > lv) { lastt=time2; if (tmp>max) max=tmp; //lv=tmp; li=j; } } if (lastt>0) { qint64 len=(lastt-time)/1000.0; pc->AddEvent(lastt,len,tmp); i=li; } } } if (pc->count()==0) { delete pc; return 0; } session->eventlist[OXI_PulseChange].push_back(pc); session->setMin(OXI_PulseChange,pc->min()); session->setMax(OXI_PulseChange,pc->max()); session->setCount(OXI_PulseChange,pc->count()); session->setFirst(OXI_PulseChange,pc->first()); session->setLast(OXI_PulseChange,pc->last()); return pc->count(); } int calcSPO2Drop(Session *session) { if (session->eventlist.contains(OXI_SPO2Drop)) return 0; QHash<ChannelID,QVector<EventList *> >::iterator it=session->eventlist.find(OXI_SPO2); if (it==session->eventlist.end()) return 0; EventDataType val,val2,change,tmp; qint64 time,time2; bool ok; qint64 window=PROFILE["SPO2DropDuration"].toDouble(&ok); if (!ok) { PROFILE["SPO2DropDuration"]=10; window=10000; } else window*=1000; change=PROFILE["SPO2DropPercentage"].toDouble(&ok); if (!ok) { PROFILE["SPO2DropPercentage"]=3; change=3; } EventList *pc=new EventList(EVL_Event,1,0,0,0,0,true); qint64 lastt; EventDataType lv=0; int li=0; const unsigned ringsize=10; EventDataType ring[ringsize]; int rp=0; int min; for (int e=0;e<it.value().size();e++) { EventList & el=*(it.value()[e]); for (unsigned i=0;i<el.count();i++) { val=el.data(i); if (!val) continue; ring[rp]=val; rp++; rp=rp % ringsize; if (i<ringsize) { for (unsigned j=i;j<ringsize;j++) { ring[j]=val; } } tmp=0; for (unsigned j=0;j<ringsize;j++) { tmp+=ring[j]; } tmp/=EventDataType(ringsize); val=tmp; time=el.time(i); lastt=0; lv=val; min=val; for (unsigned j=i+1;j<el.count();j++) { // scan ahead in the window time2=el.time(j); val2=el.data(j); if (val2<min) min=val2; if (val2 <= (val-change)) { lastt=time2; li=j; //lv=val2; } else if (val2 <= lv) { lv=val2; //lastt=time2; //li=j; } else break; } if (lastt>0) { qint64 len=(lastt-time); if (len>=window) { pc->AddEvent(lastt,len/1000,val-min); i=li; } } } } if (pc->count()==0) { delete pc; return 0; } session->eventlist[OXI_SPO2Drop].push_back(pc); session->setMin(OXI_SPO2Drop,pc->min()); session->setMax(OXI_SPO2Drop,pc->max()); session->setCount(OXI_SPO2Drop,pc->count()); session->setFirst(OXI_SPO2Drop,pc->first()); session->setLast(OXI_SPO2Drop,pc->last()); return pc->count(); }