feature: qSOFA Scoring & Sepsis Bundle Compliance

2026-06-18 22:52:43 +08:00
parent 3c54feb38a
commit 4b46c09f90
34 changed files with 2351 additions and 18 deletions
@@ -13,6 +13,8 @@ public class AppDbContext : DbContext
    public DbSet<OutboxEvent> OutboxEvents => Set<OutboxEvent>();
    public DbSet<ReconciliationAlert> ReconciliationAlerts => Set<ReconciliationAlert>();
    public DbSet<News2Score> News2Scores => Set<News2Score>();
+    public DbSet<SepsisBundle> SepsisBundles => Set<SepsisBundle>();
+    public DbSet<SepsisBundleElement> SepsisBundleElements => Set<SepsisBundleElement>();

    protected override void OnModelCreating(ModelBuilder modelBuilder)
    {
@@ -0,0 +1,47 @@
+using Microsoft.EntityFrameworkCore;
+using Microsoft.EntityFrameworkCore.Metadata.Builders;
+
+public class SepsisBundleConfiguration : IEntityTypeConfiguration<SepsisBundle>
+{
+    public void Configure(EntityTypeBuilder<SepsisBundle> builder)
+    {
+        builder.ToTable("sepsis_bundles", t =>
+        {
+            t.HasCheckConstraint("chk_sepsis_bundles_compliance_status",
+                "compliance_status IN ('IN_PROGRESS', 'COMPLIANT', 'NON_COMPLIANT')");
+        });
+
+        builder.HasKey(b => b.Id);
+        builder.Property(b => b.Id).HasColumnName("id").HasDefaultValueSql("gen_random_uuid()");
+        builder.Property(b => b.EncounterId).HasColumnName("encounter_id").IsRequired();
+        builder.Property(b => b.TriggeringAlertId).HasColumnName("triggering_alert_id").IsRequired();
+        builder.Property(b => b.TriggeringAlertType)
+            .HasColumnName("triggering_alert_type")
+            .HasMaxLength(50)
+            .IsRequired();
+        builder.Property(b => b.RecognizedAt).HasColumnName("recognized_at").IsRequired();
+        builder.Property(b => b.DeadlineAt).HasColumnName("deadline_at").IsRequired();
+        builder.Property(b => b.ComplianceStatus)
+            .HasColumnName("compliance_status")
+            .HasMaxLength(20)
+            .HasConversion(
+                v => v.ToDbString(),
+                v => SepsisBundleComplianceStatusExtensions.FromDbString(v))
+            .HasDefaultValueSql("'IN_PROGRESS'")
+            .HasSentinel((SepsisBundleComplianceStatus)(-1));
+        builder.Property(b => b.CompletedAt).HasColumnName("completed_at");
+
+        builder.HasOne(b => b.Encounter)
+            .WithMany()
+            .HasForeignKey(b => b.EncounterId)
+            .OnDelete(DeleteBehavior.Restrict);
+
+        builder.HasOne(b => b.TriggeringAlert)
+            .WithMany()
+            .HasForeignKey(b => b.TriggeringAlertId)
+            .OnDelete(DeleteBehavior.Restrict);
+
+        builder.HasIndex(b => new { b.EncounterId, b.RecognizedAt });
+        builder.HasIndex(b => b.ComplianceStatus);
+    }
+}
@@ -0,0 +1,50 @@
+using Microsoft.EntityFrameworkCore;
+using Microsoft.EntityFrameworkCore.Metadata.Builders;
+
+public class SepsisBundleElementConfiguration : IEntityTypeConfiguration<SepsisBundleElement>
+{
+    public void Configure(EntityTypeBuilder<SepsisBundleElement> builder)
+    {
+        builder.ToTable("sepsis_bundle_elements", 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')");
+        });
+
+        builder.HasKey(e => e.Id);
+        builder.Property(e => e.Id).HasColumnName("id").HasDefaultValueSql("gen_random_uuid()");
+        builder.Property(e => e.BundleId).HasColumnName("bundle_id").IsRequired();
+        builder.Property(e => e.ElementType)
+            .HasColumnName("element_type")
+            .HasMaxLength(40)
+            .HasConversion(
+                v => v.ToDbString(),
+                v => SepsisBundleElementTypeExtensions.FromDbString(v))
+            .IsRequired();
+        builder.Property(e => e.Status)
+            .HasColumnName("status")
+            .HasMaxLength(20)
+            .HasConversion(
+                v => v.ToDbString(),
+                v => SepsisBundleElementStatusExtensions.FromDbString(v))
+            .HasDefaultValueSql("'PENDING'")
+            .HasSentinel((SepsisBundleElementStatus)(-1));
+        builder.Property(e => e.OrderId).HasColumnName("order_id");
+        builder.Property(e => e.CompletedAt).HasColumnName("completed_at");
+
+        builder.HasOne(e => e.Bundle)
+            .WithMany(b => b.Elements)
+            .HasForeignKey(e => e.BundleId)
+            .OnDelete(DeleteBehavior.Cascade);
+
+        builder.HasOne(e => e.Order)
+            .WithMany()
+            .HasForeignKey(e => e.OrderId)
+            .OnDelete(DeleteBehavior.SetNull);
+
+        builder.HasIndex(e => new { e.BundleId, e.ElementType }).IsUnique();
+    }
+}