feature: qSOFA Scoring & Sepsis Bundle Compliance

VigilCareClinicalAPI/Domains/Entities/SepsisBundle.cs

@@ -0,0 +1,16 @@
+public class SepsisBundle
+{
+    public Guid Id { get; set; }
+    public Guid EncounterId { get; set; }
+    public Guid TriggeringAlertId { get; set; }
+    public string TriggeringAlertType { get; set; } = null!;
+    public DateTimeOffset RecognizedAt { get; set; }
+    public DateTimeOffset DeadlineAt { get; set; }
+    public SepsisBundleComplianceStatus ComplianceStatus { get; set; } =
+        SepsisBundleComplianceStatus.InProgress;
+    public DateTimeOffset? CompletedAt { get; set; }
+
+    public Encounter Encounter { get; set; } = null!;
+    public ClinicalAlert TriggeringAlert { get; set; } = null!;
+    public ICollection<SepsisBundleElement> Elements { get; set; } = new List<SepsisBundleElement>();
+}

VigilCareClinicalAPI/Domains/Entities/SepsisBundleElement.cs

@@ -0,0 +1,12 @@
+public class SepsisBundleElement
+{
+    public Guid Id { get; set; }
+    public Guid BundleId { get; set; }
+    public SepsisBundleElementType ElementType { get; set; }
+    public SepsisBundleElementStatus Status { get; set; } = SepsisBundleElementStatus.Pending;
+    public Guid? OrderId { get; set; }
+    public DateTimeOffset? CompletedAt { get; set; }
+
+    public SepsisBundle Bundle { get; set; } = null!;
+    public Order? Order { get; set; }
+}

VigilCareClinicalAPI/Domains/Enums/AlertType.cs

@@ -29,6 +29,8 @@ public enum AlertType
     News2Emergency,
 
     RapidDeterioration,
+
+    QsofaWarning,
 }
 
 public static class AlertTypeExtensions
@@ -60,6 +62,7 @@ public static class AlertTypeExtensions
         AlertType.News2Warning   => "NEWS2_WARNING",
         AlertType.News2Emergency => "NEWS2_EMERGENCY",
         AlertType.RapidDeterioration => "RAPID_DETERIORATION",
+        AlertType.QsofaWarning => "QSOFA_WARNING",
         _ => throw new ArgumentOutOfRangeException(nameof(t))
     };
 
@@ -90,6 +93,7 @@ public static class AlertTypeExtensions
         "NEWS2_WARNING"   => AlertType.News2Warning,
         "NEWS2_EMERGENCY" => AlertType.News2Emergency,
         "RAPID_DETERIORATION" => AlertType.RapidDeterioration,
+        "QSOFA_WARNING" => AlertType.QsofaWarning,
         _ => throw new ArgumentOutOfRangeException(nameof(v), $"Unknown alert type: '{v}'")
     };
 
@@ -136,7 +140,7 @@ public static class AlertTypeExtensions
             or AlertType.CriticalLactateMmolL or AlertType.CriticalAvpu
             or AlertType.CriticalGlucoseMgDl => false,
         AlertType.RapidDeterioration => false,  // trajectory alerts are never suppressed
-        _ => true  // all Warning* types and News2Warning
+        _ => true  // all Warning* types, News2Warning, and QsofaWarning
     };
 
     public static string? ObservationCodeForWarning(this AlertType t) => t switch

VigilCareClinicalAPI/Domains/Enums/SepsisBundleComplianceStatus.cs

@@ -0,0 +1,25 @@
+public enum SepsisBundleComplianceStatus
+{
+    InProgress,
+    Compliant,
+    NonCompliant
+}
+
+public static class SepsisBundleComplianceStatusExtensions
+{
+    public static string ToDbString(this SepsisBundleComplianceStatus s) => s switch
+    {
+        SepsisBundleComplianceStatus.InProgress   => "IN_PROGRESS",
+        SepsisBundleComplianceStatus.Compliant    => "COMPLIANT",
+        SepsisBundleComplianceStatus.NonCompliant => "NON_COMPLIANT",
+        _ => throw new ArgumentOutOfRangeException(nameof(s))
+    };
+
+    public static SepsisBundleComplianceStatus FromDbString(string v) => v switch
+    {
+        "IN_PROGRESS"   => SepsisBundleComplianceStatus.InProgress,
+        "COMPLIANT"     => SepsisBundleComplianceStatus.Compliant,
+        "NON_COMPLIANT" => SepsisBundleComplianceStatus.NonCompliant,
+        _ => throw new ArgumentOutOfRangeException(nameof(v), $"Unknown compliance status: '{v}'")
+    };
+}

VigilCareClinicalAPI/Domains/Enums/SepsisBundleElementStatus.cs

@@ -0,0 +1,22 @@
+public enum SepsisBundleElementStatus
+{
+    Pending,
+    Completed
+}
+
+public static class SepsisBundleElementStatusExtensions
+{
+    public static string ToDbString(this SepsisBundleElementStatus s) => s switch
+    {
+        SepsisBundleElementStatus.Pending   => "PENDING",
+        SepsisBundleElementStatus.Completed => "COMPLETED",
+        _ => throw new ArgumentOutOfRangeException(nameof(s))
+    };
+
+    public static SepsisBundleElementStatus FromDbString(string v) => v switch
+    {
+        "PENDING"   => SepsisBundleElementStatus.Pending,
+        "COMPLETED" => SepsisBundleElementStatus.Completed,
+        _ => throw new ArgumentOutOfRangeException(nameof(v), $"Unknown bundle element status: '{v}'")
+    };
+}

VigilCareClinicalAPI/Domains/Enums/SepsisBundleElementType.cs

@@ -0,0 +1,28 @@
+public enum SepsisBundleElementType
+{
+    BloodCultures,
+    SerumLactate,
+    BroadSpectrumAntibiotics,
+    IvFluidResuscitation
+}
+
+public static class SepsisBundleElementTypeExtensions
+{
+    public static string ToDbString(this SepsisBundleElementType t) => t switch
+    {
+        SepsisBundleElementType.BloodCultures            => "BLOOD_CULTURES",
+        SepsisBundleElementType.SerumLactate             => "SERUM_LACTATE",
+        SepsisBundleElementType.BroadSpectrumAntibiotics => "BROAD_SPECTRUM_ANTIBIOTICS",
+        SepsisBundleElementType.IvFluidResuscitation     => "IV_FLUID_RESUSCITATION",
+        _ => throw new ArgumentOutOfRangeException(nameof(t))
+    };
+
+    public static SepsisBundleElementType FromDbString(string v) => v switch
+    {
+        "BLOOD_CULTURES"             => SepsisBundleElementType.BloodCultures,
+        "SERUM_LACTATE"              => SepsisBundleElementType.SerumLactate,
+        "BROAD_SPECTRUM_ANTIBIOTICS" => SepsisBundleElementType.BroadSpectrumAntibiotics,
+        "IV_FLUID_RESUSCITATION"     => SepsisBundleElementType.IvFluidResuscitation,
+        _ => throw new ArgumentOutOfRangeException(nameof(v), $"Unknown bundle element type: '{v}'")
+    };
+}