diff --git a/VigilCareClinicalAPI/Configuration/PatientOptions.cs b/VigilCareClinicalAPI/Configuration/PatientOptions.cs
new file mode 100644
index 0000000..20a0409
--- /dev/null
+++ b/VigilCareClinicalAPI/Configuration/PatientOptions.cs
@@ -0,0 +1,7 @@
+public class PatientOptions
+{
+ public const string Section = "Patient";
+
+ public string MrnPrefix { get; set; } = "MRN";
+ public int MrnDigits { get; set; } = 6;
+}
diff --git a/VigilCareClinicalAPI/Migrations/20260621082241_AddMrnSequence.Designer.cs b/VigilCareClinicalAPI/Migrations/20260621082241_AddMrnSequence.Designer.cs
new file mode 100644
index 0000000..3e1e863
--- /dev/null
+++ b/VigilCareClinicalAPI/Migrations/20260621082241_AddMrnSequence.Designer.cs
@@ -0,0 +1,1261 @@
+//
+using System;
+using Microsoft.EntityFrameworkCore;
+using Microsoft.EntityFrameworkCore.Infrastructure;
+using Microsoft.EntityFrameworkCore.Migrations;
+using Microsoft.EntityFrameworkCore.Storage.ValueConversion;
+using Npgsql.EntityFrameworkCore.PostgreSQL.Metadata;
+
+#nullable disable
+
+namespace VigilCareClinicalAPI.Migrations
+{
+ [DbContext(typeof(AppDbContext))]
+ [Migration("20260621082241_AddMrnSequence")]
+ partial class AddMrnSequence
+ {
+ ///
+ protected override void BuildTargetModel(ModelBuilder modelBuilder)
+ {
+#pragma warning disable 612, 618
+ modelBuilder
+ .HasAnnotation("ProductVersion", "8.0.4")
+ .HasAnnotation("Relational:MaxIdentifierLength", 63);
+
+ NpgsqlModelBuilderExtensions.UseIdentityByDefaultColumns(modelBuilder);
+
+ modelBuilder.Entity("AlertThreshold", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("CriticalHigh")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("critical_high");
+
+ b.Property("CriticalLow")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("critical_low");
+
+ b.Property("DisplayName")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("display_name");
+
+ b.Property("ObservationCode")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("observation_code");
+
+ b.Property("SuppressionWindowMinutes")
+ .HasColumnType("integer")
+ .HasColumnName("suppression_window_minutes");
+
+ b.Property("Unit")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("unit");
+
+ b.Property("WarningHigh")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("warning_high");
+
+ b.Property("WarningLow")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("warning_low");
+
+ b.HasKey("Id");
+
+ b.HasIndex("ObservationCode")
+ .IsUnique();
+
+ b.ToTable("alert_thresholds", (string)null);
+ });
+
+ modelBuilder.Entity("ClinicalAlert", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("AcknowledgedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("acknowledged_at");
+
+ b.Property("AcknowledgedBy")
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("acknowledged_by");
+
+ b.Property("AlertType")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("alert_type");
+
+ b.Property("Details")
+ .IsRequired()
+ .HasColumnType("text")
+ .HasColumnName("details");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("ObservationId")
+ .HasColumnType("uuid")
+ .HasColumnName("observation_id");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("ResolvedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("resolved_at");
+
+ b.Property("Severity")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("severity");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("status")
+ .HasDefaultValueSql("'OPEN'");
+
+ b.Property("TriggeredAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("triggered_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "TriggeredAt");
+
+ b.HasIndex("PatientId", "TriggeredAt");
+
+ b.HasIndex("Severity", "TriggeredAt")
+ .HasFilter("status = 'OPEN'");
+
+ b.ToTable("clinical_alerts", null, t =>
+ {
+ t.HasCheckConstraint("chk_clinical_alerts_alert_type", "alert_type IN ('SEPSIS_WARNING', 'CRITICAL_HEART_RATE', 'CRITICAL_TEMP_C', 'CRITICAL_POTASSIUM_MEQ_L', 'CRITICAL_SPO2', 'CRITICAL_RESP_RATE', 'CRITICAL_WBC_K_UL', 'CRITICAL_SYSTOLIC_BP', 'CRITICAL_DIASTOLIC_BP', 'CRITICAL_LACTATE_MMOL_L', 'CRITICAL_AVPU', 'CRITICAL_GLUCOSE_MG_DL', 'CRITICAL_PAO2_MMHG', 'CRITICAL_PLATELET_K_UL', 'CRITICAL_BILIRUBIN_MG_DL', 'CRITICAL_CREATININE_MG_DL', 'WARNING_HEART_RATE', 'WARNING_TEMP_C', 'WARNING_POTASSIUM_MEQ_L', 'WARNING_SPO2', 'WARNING_RESP_RATE', 'WARNING_WBC_K_UL', 'WARNING_SYSTOLIC_BP', 'WARNING_DIASTOLIC_BP', 'WARNING_LACTATE_MMOL_L', 'WARNING_GLUCOSE_MG_DL', 'WARNING_PAO2_MMHG', 'WARNING_PLATELET_K_UL', 'WARNING_BILIRUBIN_MG_DL', 'WARNING_CREATININE_MG_DL', 'NEWS2_WARNING', 'NEWS2_EMERGENCY', 'RAPID_DETERIORATION', 'QSOFA_WARNING', 'QSOFA_SCREEN', 'GCS_CRITICAL', 'GCS_WARNING', 'SOFA_SEPSIS', 'SOFA_WARNING')");
+
+ t.HasCheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')");
+
+ t.HasCheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
+ });
+ });
+
+ modelBuilder.Entity("ClinicalAuditLog", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("Action")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("action");
+
+ b.Property("CorrelationId")
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("correlation_id");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("EntityId")
+ .HasColumnType("uuid")
+ .HasColumnName("entity_id");
+
+ b.Property("EntityType")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("entity_type");
+
+ b.Property("IpAddress")
+ .HasMaxLength(45)
+ .HasColumnType("character varying(45)")
+ .HasColumnName("ip_address");
+
+ b.Property("NewValueJson")
+ .HasColumnType("jsonb")
+ .HasColumnName("new_value_json");
+
+ b.Property("PreviousValueJson")
+ .HasColumnType("jsonb")
+ .HasColumnName("previous_value_json");
+
+ b.Property("Reason")
+ .HasColumnType("text")
+ .HasColumnName("reason");
+
+ b.Property("UserDisplayName")
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("user_display_name");
+
+ b.Property("UserId")
+ .HasColumnType("uuid")
+ .HasColumnName("user_id");
+
+ b.HasKey("Id");
+
+ b.HasIndex("CreatedAt");
+
+ b.HasIndex("EntityId");
+
+ b.HasIndex("EntityType");
+
+ b.HasIndex("UserId");
+
+ b.ToTable("clinical_audit_logs", (string)null);
+ });
+
+ modelBuilder.Entity("ClinicalUser", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("DisplayName")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("display_name");
+
+ b.Property("IsActive")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("boolean")
+ .HasDefaultValue(true)
+ .HasColumnName("is_active");
+
+ b.Property("LastLoginAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("last_login_at");
+
+ b.Property("PasswordHash")
+ .IsRequired()
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("password_hash");
+
+ b.Property("Role")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("role");
+
+ b.Property("Username")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("username");
+
+ b.HasKey("Id");
+
+ b.HasIndex("Username")
+ .IsUnique();
+
+ b.ToTable("clinical_users", (string)null);
+ });
+
+ modelBuilder.Entity("Encounter", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("AdmissionReason")
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("admission_reason");
+
+ b.Property("AdmittedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("admitted_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("AttendingPhysician")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("attending_physician");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("Department")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("department");
+
+ b.Property("DischargeDiagnosis")
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("discharge_diagnosis");
+
+ b.Property("DischargedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("discharged_at");
+
+ b.Property("EncounterType")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("encounter_type");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("RoomBed")
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("room_bed");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("status")
+ .HasDefaultValueSql("'SCHEDULED'");
+
+ b.HasKey("Id");
+
+ b.HasIndex("PatientId", "AdmittedAt");
+
+ b.HasIndex("Status", "AdmittedAt")
+ .HasFilter("status = 'ACTIVE'");
+
+ b.ToTable("encounters", null, t =>
+ {
+ t.HasCheckConstraint("chk_encounters_department", "department IN ('ICU', 'GENERAL_MEDICINE', 'EMERGENCY', 'CARDIOLOGY', 'SURGERY', 'PEDIATRICS')");
+
+ t.HasCheckConstraint("chk_encounters_encounter_type", "encounter_type IN ('INPATIENT', 'OUTPATIENT', 'EMERGENCY')");
+
+ t.HasCheckConstraint("chk_encounters_status", "status IN ('SCHEDULED', 'ACTIVE', 'DISCHARGED', 'CANCELLED')");
+ });
+ });
+
+ modelBuilder.Entity("ExternalResourceIdentifier", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("InternalId")
+ .HasColumnType("uuid")
+ .HasColumnName("internal_id");
+
+ b.Property("ResourceType")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("resource_type");
+
+ b.Property("System")
+ .IsRequired()
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("system");
+
+ b.Property("Value")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("value");
+
+ b.HasKey("Id");
+
+ b.HasIndex("ResourceType", "InternalId");
+
+ b.HasIndex("ResourceType", "System", "Value")
+ .IsUnique();
+
+ b.ToTable("external_resource_identifiers", (string)null);
+ });
+
+ modelBuilder.Entity("GcsScore", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CalculatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("calculated_at");
+
+ b.Property("Classification")
+ .IsRequired()
+ .HasMaxLength(16)
+ .HasColumnType("character varying(16)")
+ .HasColumnName("classification");
+
+ b.Property("CreatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("EyeScore")
+ .HasColumnType("integer")
+ .HasColumnName("eye_score");
+
+ b.Property("MotorScore")
+ .HasColumnType("integer")
+ .HasColumnName("motor_score");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("TotalScore")
+ .HasColumnType("integer")
+ .HasColumnName("total_score");
+
+ b.Property("VerbalScore")
+ .HasColumnType("integer")
+ .HasColumnName("verbal_score");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "CalculatedAt");
+
+ b.ToTable("gcs_scores", null, t =>
+ {
+ t.HasCheckConstraint("chk_gcs_scores_classification", "classification IN ('MILD', 'MODERATE', 'SEVERE')");
+ });
+ });
+
+ modelBuilder.Entity("MedicationAdministration", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("AdministeredAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("administered_at");
+
+ b.Property("AdministeredBy")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("administered_by");
+
+ b.Property("Dose")
+ .HasPrecision(10, 4)
+ .HasColumnType("numeric(10,4)")
+ .HasColumnName("dose");
+
+ b.Property("DoseUnit")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("dose_unit");
+
+ b.Property("DrugName")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("drug_name");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("Route")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("route");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "AdministeredAt");
+
+ b.HasIndex("EncounterId", "DrugName");
+
+ b.ToTable("medication_administrations", (string)null);
+ });
+
+ modelBuilder.Entity("News2Score", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CalculatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("calculated_at");
+
+ b.Property("ConsciousnessScore")
+ .HasColumnType("integer")
+ .HasColumnName("consciousness_score");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("HasSingleParamThree")
+ .HasColumnType("boolean")
+ .HasColumnName("has_single_param_three");
+
+ b.Property("HeartRateScore")
+ .HasColumnType("integer")
+ .HasColumnName("heart_rate_score");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("RespRateScore")
+ .HasColumnType("integer")
+ .HasColumnName("resp_rate_score");
+
+ b.Property("RiskLevel")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("risk_level");
+
+ b.Property("Spo2Score")
+ .HasColumnType("integer")
+ .HasColumnName("spo2_score");
+
+ b.Property("SupplementalO2Score")
+ .HasColumnType("integer")
+ .HasColumnName("supplemental_o2_score");
+
+ b.Property("SystolicBpScore")
+ .HasColumnType("integer")
+ .HasColumnName("systolic_bp_score");
+
+ b.Property("TemperatureScore")
+ .HasColumnType("integer")
+ .HasColumnName("temperature_score");
+
+ b.Property("TotalScore")
+ .HasColumnType("integer")
+ .HasColumnName("total_score");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "CalculatedAt");
+
+ b.HasIndex("PatientId", "CalculatedAt");
+
+ b.ToTable("news2_scores", null, t =>
+ {
+ t.HasCheckConstraint("chk_news2_scores_risk_level", "risk_level IN ('LOW', 'LOW_MEDIUM', 'MEDIUM', 'HIGH')");
+ });
+ });
+
+ modelBuilder.Entity("Observation", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("IdempotencyKey")
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("idempotency_key");
+
+ b.Property("ObservationCode")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("observation_code");
+
+ b.Property("RecordedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("recorded_at");
+
+ b.Property("Source")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("source")
+ .HasDefaultValueSql("'MANUAL'");
+
+ b.Property("Unit")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("unit");
+
+ b.Property("Value")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("value");
+
+ b.HasKey("Id");
+
+ b.HasIndex("IdempotencyKey")
+ .IsUnique()
+ .HasFilter("idempotency_key IS NOT NULL");
+
+ b.HasIndex("EncounterId", "ObservationCode", "RecordedAt");
+
+ b.ToTable("observations", null, t =>
+ {
+ t.HasCheckConstraint("chk_observations_source", "source IN ('MANUAL', 'DEVICE', 'LAB')");
+ });
+ });
+
+ modelBuilder.Entity("Order", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("Description")
+ .IsRequired()
+ .HasColumnType("text")
+ .HasColumnName("description");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("OrderType")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("order_type");
+
+ b.Property("OrderedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("ordered_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("OrderedBy")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("ordered_by");
+
+ b.Property("ResultSummary")
+ .HasColumnType("text")
+ .HasColumnName("result_summary");
+
+ b.Property("ResultedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("resulted_at");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("status")
+ .HasDefaultValueSql("'PENDING'");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "OrderedAt");
+
+ b.HasIndex("Status", "OrderedAt")
+ .HasFilter("status IN ('PENDING', 'IN_PROGRESS')");
+
+ b.ToTable("orders", null, t =>
+ {
+ t.HasCheckConstraint("chk_orders_order_type", "order_type IN ('LAB', 'IMAGING', 'MEDICATION', 'PROCEDURE')");
+
+ t.HasCheckConstraint("chk_orders_status", "status IN ('PENDING', 'IN_PROGRESS', 'RESULTED', 'CANCELLED')");
+ });
+ });
+
+ modelBuilder.Entity("OutboxEvent", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("PartitionKey")
+ .HasMaxLength(36)
+ .HasColumnType("character varying(36)")
+ .HasColumnName("partition_key");
+
+ b.Property("Payload")
+ .IsRequired()
+ .HasColumnType("jsonb")
+ .HasColumnName("payload");
+
+ b.Property("ProcessedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("processed_at");
+
+ b.Property("Topic")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("topic");
+
+ b.HasKey("Id");
+
+ b.HasIndex("CreatedAt")
+ .HasFilter("processed_at IS NULL");
+
+ b.ToTable("outbox_events", (string)null);
+ });
+
+ modelBuilder.Entity("Patient", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("Allergies")
+ .HasColumnType("text")
+ .HasColumnName("allergies");
+
+ b.Property("BloodType")
+ .HasMaxLength(5)
+ .HasColumnType("character varying(5)")
+ .HasColumnName("blood_type");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("DateOfBirth")
+ .HasColumnType("date")
+ .HasColumnName("date_of_birth");
+
+ b.Property("EmergencyContactName")
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("emergency_contact_name");
+
+ b.Property("EmergencyContactPhone")
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("emergency_contact_phone");
+
+ b.Property("FirstName")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("first_name");
+
+ b.Property("Gender")
+ .IsRequired()
+ .HasMaxLength(10)
+ .HasColumnType("character varying(10)")
+ .HasColumnName("gender");
+
+ b.Property("LastName")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("last_name");
+
+ b.Property("Mrn")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("mrn");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasDefaultValue("active")
+ .HasColumnName("status");
+
+ b.HasKey("Id");
+
+ b.HasIndex("Mrn")
+ .IsUnique();
+
+ b.ToTable("patients", (string)null);
+ });
+
+ modelBuilder.Entity("ReconciliationAlert", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CheckType")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("check_type");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("Details")
+ .IsRequired()
+ .HasColumnType("text")
+ .HasColumnName("details");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("ResolvedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("resolved_at");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId");
+
+ b.HasIndex("PatientId");
+
+ b.HasIndex("CheckType", "EncounterId")
+ .HasFilter("resolved_at IS NULL");
+
+ b.ToTable("reconciliation_alerts", null, t =>
+ {
+ t.HasCheckConstraint("chk_reconciliation_alerts_check_type", "check_type IN ('UNACKNOWLEDGED_CRITICAL_ALERT', 'PENDING_ORDER_NO_RESULT', 'ACTIVE_INPATIENT_NO_OBSERVATION')");
+ });
+ });
+
+ modelBuilder.Entity("SepsisBundle", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CompletedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("completed_at");
+
+ b.Property("ComplianceStatus")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("compliance_status")
+ .HasDefaultValueSql("'IN_PROGRESS'");
+
+ b.Property("DeadlineAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("deadline_at");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("RecognizedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("recognized_at");
+
+ b.Property("TriggeringAlertId")
+ .HasColumnType("uuid")
+ .HasColumnName("triggering_alert_id");
+
+ b.Property("TriggeringAlertType")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("triggering_alert_type");
+
+ b.HasKey("Id");
+
+ b.HasIndex("ComplianceStatus");
+
+ b.HasIndex("TriggeringAlertId");
+
+ b.HasIndex("EncounterId", "RecognizedAt");
+
+ b.ToTable("sepsis_bundles", null, t =>
+ {
+ t.HasCheckConstraint("chk_sepsis_bundles_compliance_status", "compliance_status IN ('IN_PROGRESS', 'COMPLIANT', 'NON_COMPLIANT')");
+ });
+ });
+
+ modelBuilder.Entity("SepsisBundleElement", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("BundleId")
+ .HasColumnType("uuid")
+ .HasColumnName("bundle_id");
+
+ b.Property("CompletedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("completed_at");
+
+ b.Property("ElementType")
+ .IsRequired()
+ .HasMaxLength(40)
+ .HasColumnType("character varying(40)")
+ .HasColumnName("element_type");
+
+ b.Property("OrderId")
+ .HasColumnType("uuid")
+ .HasColumnName("order_id");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("status")
+ .HasDefaultValueSql("'PENDING'");
+
+ b.HasKey("Id");
+
+ b.HasIndex("OrderId");
+
+ b.HasIndex("BundleId", "ElementType")
+ .IsUnique();
+
+ b.ToTable("sepsis_bundle_elements", null, t =>
+ {
+ t.HasCheckConstraint("chk_sepsis_bundle_elements_element_type", "element_type IN ('BLOOD_CULTURES', 'SERUM_LACTATE', 'BROAD_SPECTRUM_ANTIBIOTICS', 'IV_FLUID_RESUSCITATION')");
+
+ t.HasCheckConstraint("chk_sepsis_bundle_elements_status", "status IN ('PENDING', 'COMPLETED')");
+ });
+ });
+
+ modelBuilder.Entity("SofaScore", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CalculatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("calculated_at");
+
+ b.Property("CardiovascularScore")
+ .HasColumnType("integer")
+ .HasColumnName("cardiovascular_score");
+
+ b.Property("CnsScore")
+ .HasColumnType("integer")
+ .HasColumnName("cns_score");
+
+ b.Property("CoagulationScore")
+ .HasColumnType("integer")
+ .HasColumnName("coagulation_score");
+
+ b.Property("CreatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at");
+
+ b.Property("DeltaFromBaseline")
+ .HasColumnType("integer")
+ .HasColumnName("delta_from_baseline");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("IsBaseline")
+ .HasColumnType("boolean")
+ .HasColumnName("is_baseline");
+
+ b.Property("LiverScore")
+ .HasColumnType("integer")
+ .HasColumnName("liver_score");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("RenalScore")
+ .HasColumnType("integer")
+ .HasColumnName("renal_score");
+
+ b.Property("RespiratoryScore")
+ .HasColumnType("integer")
+ .HasColumnName("respiratory_score");
+
+ b.Property("StalenessFlags")
+ .HasColumnType("jsonb")
+ .HasColumnName("staleness_flags");
+
+ b.Property("TotalScore")
+ .HasColumnType("integer")
+ .HasColumnName("total_score");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId")
+ .HasDatabaseName("idx_sofa_scores_baseline")
+ .HasFilter("is_baseline = true");
+
+ b.HasIndex("EncounterId", "CalculatedAt");
+
+ b.ToTable("sofa_scores", (string)null);
+ });
+
+ modelBuilder.Entity("ClinicalAlert", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany("Alerts")
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("Encounter", b =>
+ {
+ b.HasOne("Patient", "Patient")
+ .WithMany("Encounters")
+ .HasForeignKey("PatientId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Patient");
+ });
+
+ modelBuilder.Entity("GcsScore", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany()
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("MedicationAdministration", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany()
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("News2Score", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany()
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("Observation", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany("Observations")
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("Order", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany("Orders")
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("ReconciliationAlert", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany()
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.SetNull);
+
+ b.HasOne("Patient", "Patient")
+ .WithMany()
+ .HasForeignKey("PatientId")
+ .OnDelete(DeleteBehavior.SetNull);
+
+ b.Navigation("Encounter");
+
+ b.Navigation("Patient");
+ });
+
+ modelBuilder.Entity("SepsisBundle", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany()
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.HasOne("ClinicalAlert", "TriggeringAlert")
+ .WithMany()
+ .HasForeignKey("TriggeringAlertId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+
+ b.Navigation("TriggeringAlert");
+ });
+
+ modelBuilder.Entity("SepsisBundleElement", b =>
+ {
+ b.HasOne("SepsisBundle", "Bundle")
+ .WithMany("Elements")
+ .HasForeignKey("BundleId")
+ .OnDelete(DeleteBehavior.Cascade)
+ .IsRequired();
+
+ b.HasOne("Order", "Order")
+ .WithMany()
+ .HasForeignKey("OrderId")
+ .OnDelete(DeleteBehavior.SetNull);
+
+ b.Navigation("Bundle");
+
+ b.Navigation("Order");
+ });
+
+ modelBuilder.Entity("SofaScore", b =>
+ {
+ b.HasOne("Encounter", "Encounter")
+ .WithMany()
+ .HasForeignKey("EncounterId")
+ .OnDelete(DeleteBehavior.Restrict)
+ .IsRequired();
+
+ b.Navigation("Encounter");
+ });
+
+ modelBuilder.Entity("Encounter", b =>
+ {
+ b.Navigation("Alerts");
+
+ b.Navigation("Observations");
+
+ b.Navigation("Orders");
+ });
+
+ modelBuilder.Entity("Patient", b =>
+ {
+ b.Navigation("Encounters");
+ });
+
+ modelBuilder.Entity("SepsisBundle", b =>
+ {
+ b.Navigation("Elements");
+ });
+#pragma warning restore 612, 618
+ }
+ }
+}
diff --git a/VigilCareClinicalAPI/Migrations/20260621082241_AddMrnSequence.cs b/VigilCareClinicalAPI/Migrations/20260621082241_AddMrnSequence.cs
new file mode 100644
index 0000000..452d6ba
--- /dev/null
+++ b/VigilCareClinicalAPI/Migrations/20260621082241_AddMrnSequence.cs
@@ -0,0 +1,36 @@
+using Microsoft.EntityFrameworkCore.Migrations;
+
+#nullable disable
+
+namespace VigilCareClinicalAPI.Migrations
+{
+ ///
+ public partial class AddMrnSequence : Migration
+ {
+ ///
+ protected override void Up(MigrationBuilder migrationBuilder)
+ {
+ migrationBuilder.Sql(@"
+ DO $$
+ DECLARE
+ next_val bigint;
+ BEGIN
+ SELECT COALESCE(MAX(
+ CASE WHEN mrn ~ '^MRN-[0-9]+$'
+ THEN CAST(SUBSTRING(mrn FROM 5) AS bigint)
+ ELSE 0
+ END
+ ), 0) + 1 INTO next_val FROM patients;
+
+ EXECUTE format('CREATE SEQUENCE mrn_seq START WITH %s INCREMENT BY 1', next_val);
+ END $$;
+ ");
+ }
+
+ ///
+ protected override void Down(MigrationBuilder migrationBuilder)
+ {
+ migrationBuilder.Sql("DROP SEQUENCE IF EXISTS mrn_seq;");
+ }
+ }
+}
diff --git a/VigilCareClinicalAPI/Migrations/20260621083035_AddSepsisBundleUniqueInProgressIndex.Designer.cs b/VigilCareClinicalAPI/Migrations/20260621083035_AddSepsisBundleUniqueInProgressIndex.Designer.cs
new file mode 100644
index 0000000..274e8bb
--- /dev/null
+++ b/VigilCareClinicalAPI/Migrations/20260621083035_AddSepsisBundleUniqueInProgressIndex.Designer.cs
@@ -0,0 +1,1261 @@
+//
+using System;
+using Microsoft.EntityFrameworkCore;
+using Microsoft.EntityFrameworkCore.Infrastructure;
+using Microsoft.EntityFrameworkCore.Migrations;
+using Microsoft.EntityFrameworkCore.Storage.ValueConversion;
+using Npgsql.EntityFrameworkCore.PostgreSQL.Metadata;
+
+#nullable disable
+
+namespace VigilCareClinicalAPI.Migrations
+{
+ [DbContext(typeof(AppDbContext))]
+ [Migration("20260621083035_AddSepsisBundleUniqueInProgressIndex")]
+ partial class AddSepsisBundleUniqueInProgressIndex
+ {
+ ///
+ protected override void BuildTargetModel(ModelBuilder modelBuilder)
+ {
+#pragma warning disable 612, 618
+ modelBuilder
+ .HasAnnotation("ProductVersion", "8.0.4")
+ .HasAnnotation("Relational:MaxIdentifierLength", 63);
+
+ NpgsqlModelBuilderExtensions.UseIdentityByDefaultColumns(modelBuilder);
+
+ modelBuilder.Entity("AlertThreshold", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("CriticalHigh")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("critical_high");
+
+ b.Property("CriticalLow")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("critical_low");
+
+ b.Property("DisplayName")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("display_name");
+
+ b.Property("ObservationCode")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("observation_code");
+
+ b.Property("SuppressionWindowMinutes")
+ .HasColumnType("integer")
+ .HasColumnName("suppression_window_minutes");
+
+ b.Property("Unit")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("unit");
+
+ b.Property("WarningHigh")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("warning_high");
+
+ b.Property("WarningLow")
+ .HasColumnType("decimal(10,3)")
+ .HasColumnName("warning_low");
+
+ b.HasKey("Id");
+
+ b.HasIndex("ObservationCode")
+ .IsUnique();
+
+ b.ToTable("alert_thresholds", (string)null);
+ });
+
+ modelBuilder.Entity("ClinicalAlert", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("AcknowledgedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("acknowledged_at");
+
+ b.Property("AcknowledgedBy")
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("acknowledged_by");
+
+ b.Property("AlertType")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("alert_type");
+
+ b.Property("Details")
+ .IsRequired()
+ .HasColumnType("text")
+ .HasColumnName("details");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("ObservationId")
+ .HasColumnType("uuid")
+ .HasColumnName("observation_id");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("ResolvedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("resolved_at");
+
+ b.Property("Severity")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("severity");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("status")
+ .HasDefaultValueSql("'OPEN'");
+
+ b.Property("TriggeredAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("triggered_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "TriggeredAt");
+
+ b.HasIndex("PatientId", "TriggeredAt");
+
+ b.HasIndex("Severity", "TriggeredAt")
+ .HasFilter("status = 'OPEN'");
+
+ b.ToTable("clinical_alerts", null, t =>
+ {
+ t.HasCheckConstraint("chk_clinical_alerts_alert_type", "alert_type IN ('SEPSIS_WARNING', 'CRITICAL_HEART_RATE', 'CRITICAL_TEMP_C', 'CRITICAL_POTASSIUM_MEQ_L', 'CRITICAL_SPO2', 'CRITICAL_RESP_RATE', 'CRITICAL_WBC_K_UL', 'CRITICAL_SYSTOLIC_BP', 'CRITICAL_DIASTOLIC_BP', 'CRITICAL_LACTATE_MMOL_L', 'CRITICAL_AVPU', 'CRITICAL_GLUCOSE_MG_DL', 'CRITICAL_PAO2_MMHG', 'CRITICAL_PLATELET_K_UL', 'CRITICAL_BILIRUBIN_MG_DL', 'CRITICAL_CREATININE_MG_DL', 'WARNING_HEART_RATE', 'WARNING_TEMP_C', 'WARNING_POTASSIUM_MEQ_L', 'WARNING_SPO2', 'WARNING_RESP_RATE', 'WARNING_WBC_K_UL', 'WARNING_SYSTOLIC_BP', 'WARNING_DIASTOLIC_BP', 'WARNING_LACTATE_MMOL_L', 'WARNING_GLUCOSE_MG_DL', 'WARNING_PAO2_MMHG', 'WARNING_PLATELET_K_UL', 'WARNING_BILIRUBIN_MG_DL', 'WARNING_CREATININE_MG_DL', 'NEWS2_WARNING', 'NEWS2_EMERGENCY', 'RAPID_DETERIORATION', 'QSOFA_WARNING', 'QSOFA_SCREEN', 'GCS_CRITICAL', 'GCS_WARNING', 'SOFA_SEPSIS', 'SOFA_WARNING')");
+
+ t.HasCheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')");
+
+ t.HasCheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
+ });
+ });
+
+ modelBuilder.Entity("ClinicalAuditLog", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("Action")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("action");
+
+ b.Property("CorrelationId")
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("correlation_id");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("EntityId")
+ .HasColumnType("uuid")
+ .HasColumnName("entity_id");
+
+ b.Property("EntityType")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("entity_type");
+
+ b.Property("IpAddress")
+ .HasMaxLength(45)
+ .HasColumnType("character varying(45)")
+ .HasColumnName("ip_address");
+
+ b.Property("NewValueJson")
+ .HasColumnType("jsonb")
+ .HasColumnName("new_value_json");
+
+ b.Property("PreviousValueJson")
+ .HasColumnType("jsonb")
+ .HasColumnName("previous_value_json");
+
+ b.Property("Reason")
+ .HasColumnType("text")
+ .HasColumnName("reason");
+
+ b.Property("UserDisplayName")
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("user_display_name");
+
+ b.Property("UserId")
+ .HasColumnType("uuid")
+ .HasColumnName("user_id");
+
+ b.HasKey("Id");
+
+ b.HasIndex("CreatedAt");
+
+ b.HasIndex("EntityId");
+
+ b.HasIndex("EntityType");
+
+ b.HasIndex("UserId");
+
+ b.ToTable("clinical_audit_logs", (string)null);
+ });
+
+ modelBuilder.Entity("ClinicalUser", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("DisplayName")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("display_name");
+
+ b.Property("IsActive")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("boolean")
+ .HasDefaultValue(true)
+ .HasColumnName("is_active");
+
+ b.Property("LastLoginAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("last_login_at");
+
+ b.Property("PasswordHash")
+ .IsRequired()
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("password_hash");
+
+ b.Property("Role")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("role");
+
+ b.Property("Username")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("username");
+
+ b.HasKey("Id");
+
+ b.HasIndex("Username")
+ .IsUnique();
+
+ b.ToTable("clinical_users", (string)null);
+ });
+
+ modelBuilder.Entity("Encounter", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("AdmissionReason")
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("admission_reason");
+
+ b.Property("AdmittedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("admitted_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("AttendingPhysician")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("attending_physician");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("Department")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("department");
+
+ b.Property("DischargeDiagnosis")
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("discharge_diagnosis");
+
+ b.Property("DischargedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("discharged_at");
+
+ b.Property("EncounterType")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("encounter_type");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("RoomBed")
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("room_bed");
+
+ b.Property("Status")
+ .IsRequired()
+ .ValueGeneratedOnAdd()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("status")
+ .HasDefaultValueSql("'SCHEDULED'");
+
+ b.HasKey("Id");
+
+ b.HasIndex("PatientId", "AdmittedAt");
+
+ b.HasIndex("Status", "AdmittedAt")
+ .HasFilter("status = 'ACTIVE'");
+
+ b.ToTable("encounters", null, t =>
+ {
+ t.HasCheckConstraint("chk_encounters_department", "department IN ('ICU', 'GENERAL_MEDICINE', 'EMERGENCY', 'CARDIOLOGY', 'SURGERY', 'PEDIATRICS')");
+
+ t.HasCheckConstraint("chk_encounters_encounter_type", "encounter_type IN ('INPATIENT', 'OUTPATIENT', 'EMERGENCY')");
+
+ t.HasCheckConstraint("chk_encounters_status", "status IN ('SCHEDULED', 'ACTIVE', 'DISCHARGED', 'CANCELLED')");
+ });
+ });
+
+ modelBuilder.Entity("ExternalResourceIdentifier", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CreatedAt")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at")
+ .HasDefaultValueSql("NOW()");
+
+ b.Property("InternalId")
+ .HasColumnType("uuid")
+ .HasColumnName("internal_id");
+
+ b.Property("ResourceType")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("resource_type");
+
+ b.Property("System")
+ .IsRequired()
+ .HasMaxLength(500)
+ .HasColumnType("character varying(500)")
+ .HasColumnName("system");
+
+ b.Property("Value")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("value");
+
+ b.HasKey("Id");
+
+ b.HasIndex("ResourceType", "InternalId");
+
+ b.HasIndex("ResourceType", "System", "Value")
+ .IsUnique();
+
+ b.ToTable("external_resource_identifiers", (string)null);
+ });
+
+ modelBuilder.Entity("GcsScore", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CalculatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("calculated_at");
+
+ b.Property("Classification")
+ .IsRequired()
+ .HasMaxLength(16)
+ .HasColumnType("character varying(16)")
+ .HasColumnName("classification");
+
+ b.Property("CreatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("created_at");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("EyeScore")
+ .HasColumnType("integer")
+ .HasColumnName("eye_score");
+
+ b.Property("MotorScore")
+ .HasColumnType("integer")
+ .HasColumnName("motor_score");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("TotalScore")
+ .HasColumnType("integer")
+ .HasColumnName("total_score");
+
+ b.Property("VerbalScore")
+ .HasColumnType("integer")
+ .HasColumnName("verbal_score");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "CalculatedAt");
+
+ b.ToTable("gcs_scores", null, t =>
+ {
+ t.HasCheckConstraint("chk_gcs_scores_classification", "classification IN ('MILD', 'MODERATE', 'SEVERE')");
+ });
+ });
+
+ modelBuilder.Entity("MedicationAdministration", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("AdministeredAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("administered_at");
+
+ b.Property("AdministeredBy")
+ .IsRequired()
+ .HasMaxLength(100)
+ .HasColumnType("character varying(100)")
+ .HasColumnName("administered_by");
+
+ b.Property("Dose")
+ .HasPrecision(10, 4)
+ .HasColumnType("numeric(10,4)")
+ .HasColumnName("dose");
+
+ b.Property("DoseUnit")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("dose_unit");
+
+ b.Property("DrugName")
+ .IsRequired()
+ .HasMaxLength(200)
+ .HasColumnType("character varying(200)")
+ .HasColumnName("drug_name");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("Route")
+ .IsRequired()
+ .HasMaxLength(50)
+ .HasColumnType("character varying(50)")
+ .HasColumnName("route");
+
+ b.HasKey("Id");
+
+ b.HasIndex("EncounterId", "AdministeredAt");
+
+ b.HasIndex("EncounterId", "DrugName");
+
+ b.ToTable("medication_administrations", (string)null);
+ });
+
+ modelBuilder.Entity("News2Score", b =>
+ {
+ b.Property("Id")
+ .ValueGeneratedOnAdd()
+ .HasColumnType("uuid")
+ .HasColumnName("id")
+ .HasDefaultValueSql("gen_random_uuid()");
+
+ b.Property("CalculatedAt")
+ .HasColumnType("timestamp with time zone")
+ .HasColumnName("calculated_at");
+
+ b.Property("ConsciousnessScore")
+ .HasColumnType("integer")
+ .HasColumnName("consciousness_score");
+
+ b.Property("EncounterId")
+ .HasColumnType("uuid")
+ .HasColumnName("encounter_id");
+
+ b.Property("HasSingleParamThree")
+ .HasColumnType("boolean")
+ .HasColumnName("has_single_param_three");
+
+ b.Property("HeartRateScore")
+ .HasColumnType("integer")
+ .HasColumnName("heart_rate_score");
+
+ b.Property("PatientId")
+ .HasColumnType("uuid")
+ .HasColumnName("patient_id");
+
+ b.Property("RespRateScore")
+ .HasColumnType("integer")
+ .HasColumnName("resp_rate_score");
+
+ b.Property("RiskLevel")
+ .IsRequired()
+ .HasMaxLength(20)
+ .HasColumnType("character varying(20)")
+ .HasColumnName("risk_level");
+
+ b.Property("Spo2Score")
+ .HasColumnType("integer")
+ .HasColumnName("spo2_score");
+
+ b.Property("SupplementalO2Score")
+ .HasColumnType("integer")
+ .HasColumnName("supplemental_o2_score");
+
+ b.Property