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feature: qSOFA Scoring & Sepsis Bundle Compliance

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This commit is contained in:
voltsrage
2026-06-18 22:52:43 +08:00
parent 3c54feb38a
commit 4b46c09f90
34 changed files with 2351 additions and 18 deletions
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VigilCareClinicalAPI/BackgroundServices/SepsisEngineService.cs
+19 -5
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@@ -54,24 +54,38 @@ public class SepsisEngineService : BackgroundService
var evt = JsonSerializer.Deserialize<SepsisObservationEvent>(
result.Message.Value, EventJsonOptions)!;
// Create a scope per message — SirsDetector is scoped and
// owns a fresh DbContext for each observation processed.
// Create a scope per message — both detectors are scoped and
// each owns a fresh DbContext when creating alerts.
using var scope = _services.CreateScope();
var detector = scope.ServiceProvider.GetRequiredService<SirsDetector>();
var sirsDetector = scope.ServiceProvider.GetRequiredService<SirsDetector>();
var qsofaDetector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
var outcome = await detector.ProcessObservationAsync(
var sirsOutcome = await sirsDetector.ProcessObservationAsync(
evt.EncounterId,
evt.PatientId,
evt.ObservationCode,
evt.Value,
stoppingToken);
if (outcome.Outcome == SirsOutcome.AlertCreated)
var qsofaOutcome = await qsofaDetector.ProcessObservationAsync(
evt.EncounterId,
evt.PatientId,
evt.ObservationCode,
evt.Value,
stoppingToken);
if (sirsOutcome.Outcome == SirsOutcome.AlertCreated)
_logger.LogWarning(
"SEPSIS_WARNING created via SepsisEngine " +
"— encounter={EncounterId} code={Code} value={Value}",
evt.EncounterId, evt.ObservationCode, evt.Value);
if (qsofaOutcome.Outcome == QsofaOutcome.AlertCreated)
_logger.LogWarning(
"QSOFA_WARNING created via SepsisEngine " +
"— encounter={EncounterId} code={Code} value={Value}",
evt.EncounterId, evt.ObservationCode, evt.Value);
// Commit only after successful processing.
consumer.Commit(result);
}