feature: Trend Detection & Alert Suppression Windows
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public record TrendHistoryEntry(decimal Value, DateTimeOffset RecordedAt);
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public record TrendObservationEvent(
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Guid EncounterId,
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Guid PatientId,
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string ObservationCode,
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decimal Value,
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DateTimeOffset RecordedAt);
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public record TrendResult(
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TrendOutcome Outcome,
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string? ObservationCode = null,
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decimal? RatePerMinute = null,
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bool AlertCreated = false);
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