fix: Trend alert matching uses fragile LIKE pattern

2026-06-21 16:45:09 +08:00
parent 076e8364b2
commit 3eb937ef98
6 changed files with 1339 additions and 6 deletions
@@ -101,15 +101,15 @@ public class TrendDetector

        var affected = await db.Database.ExecuteSqlInterpolatedAsync($"""
            INSERT INTO clinical_alerts
-                (id, encounter_id, patient_id, alert_type, severity, details, status, triggered_at)
+                (id, encounter_id, patient_id, alert_type, severity, details, observation_code, status, triggered_at)
            SELECT {alertId}, {encounterId}, {patientId},
-                   'RAPID_DETERIORATION', 'WARNING', {fullDetails}, 'OPEN', {triggeredAt}
+                   'RAPID_DETERIORATION', 'WARNING', {fullDetails}, {observationCode}, 'OPEN', {triggeredAt}
            WHERE NOT EXISTS (
                SELECT 1 FROM clinical_alerts
-                WHERE  encounter_id = {encounterId}
-                  AND  alert_type   = 'RAPID_DETERIORATION'
-                  AND  details      LIKE {$"%{observationCode}%"}
-                  AND  status       IN ('OPEN', 'ESCALATED')
+                WHERE  encounter_id    = {encounterId}
+                  AND  alert_type      = 'RAPID_DETERIORATION'
+                  AND  observation_code = {observationCode}
+                  AND  status          IN ('OPEN', 'ESCALATED')
            )
            """, ct);