public interface ILocalAlertService
{
    Task<LocalClinicalAlert> AcknowledgeAsync(Guid id, AcknowledgeAlertRequest req, string clinicianId);
    Task<LocalClinicalAlert> ResolveAsync(Guid id);
    Task<PagedResult<LocalClinicalAlert>> ListAsync(Guid? encounterId, string? status, int page, int pageSize);
}