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
@@ -626,6 +626,111 @@ namespace VigilCareClinicalAPI.Migrations
                        });
                });

+            modelBuilder.Entity("SepsisBundle", b =>
+                {
+                    b.Property<Guid>("Id")
+                        .ValueGeneratedOnAdd()
+                        .HasColumnType("uuid")
+                        .HasColumnName("id")
+                        .HasDefaultValueSql("gen_random_uuid()");
+
+                    b.Property<DateTimeOffset?>("CompletedAt")
+                        .HasColumnType("timestamp with time zone")
+                        .HasColumnName("completed_at");
+
+                    b.Property<string>("ComplianceStatus")
+                        .IsRequired()
+                        .ValueGeneratedOnAdd()
+                        .HasMaxLength(20)
+                        .HasColumnType("character varying(20)")
+                        .HasColumnName("compliance_status")
+                        .HasDefaultValueSql("'IN_PROGRESS'");
+
+                    b.Property<DateTimeOffset>("DeadlineAt")
+                        .HasColumnType("timestamp with time zone")
+                        .HasColumnName("deadline_at");
+
+                    b.Property<Guid>("EncounterId")
+                        .HasColumnType("uuid")
+                        .HasColumnName("encounter_id");
+
+                    b.Property<DateTimeOffset>("RecognizedAt")
+                        .HasColumnType("timestamp with time zone")
+                        .HasColumnName("recognized_at");
+
+                    b.Property<Guid>("TriggeringAlertId")
+                        .HasColumnType("uuid")
+                        .HasColumnName("triggering_alert_id");
+
+                    b.Property<string>("TriggeringAlertType")
+                        .IsRequired()
+                        .HasMaxLength(50)
+                        .HasColumnType("character varying(50)")
+                        .HasColumnName("triggering_alert_type");
+
+                    b.HasKey("Id");
+
+                    b.HasIndex("ComplianceStatus");
+
+                    b.HasIndex("TriggeringAlertId");
+
+                    b.HasIndex("EncounterId", "RecognizedAt");
+
+                    b.ToTable("sepsis_bundles", null, t =>
+                        {
+                            t.HasCheckConstraint("chk_sepsis_bundles_compliance_status", "compliance_status IN ('IN_PROGRESS', 'COMPLIANT', 'NON_COMPLIANT')");
+                        });
+                });
+
+            modelBuilder.Entity("SepsisBundleElement", b =>
+                {
+                    b.Property<Guid>("Id")
+                        .ValueGeneratedOnAdd()
+                        .HasColumnType("uuid")
+                        .HasColumnName("id")
+                        .HasDefaultValueSql("gen_random_uuid()");
+
+                    b.Property<Guid>("BundleId")
+                        .HasColumnType("uuid")
+                        .HasColumnName("bundle_id");
+
+                    b.Property<DateTimeOffset?>("CompletedAt")
+                        .HasColumnType("timestamp with time zone")
+                        .HasColumnName("completed_at");
+
+                    b.Property<string>("ElementType")
+                        .IsRequired()
+                        .HasMaxLength(40)
+                        .HasColumnType("character varying(40)")
+                        .HasColumnName("element_type");
+
+                    b.Property<Guid?>("OrderId")
+                        .HasColumnType("uuid")
+                        .HasColumnName("order_id");
+
+                    b.Property<string>("Status")
+                        .IsRequired()
+                        .ValueGeneratedOnAdd()
+                        .HasMaxLength(20)
+                        .HasColumnType("character varying(20)")
+                        .HasColumnName("status")
+                        .HasDefaultValueSql("'PENDING'");
+
+                    b.HasKey("Id");
+
+                    b.HasIndex("OrderId");
+
+                    b.HasIndex("BundleId", "ElementType")
+                        .IsUnique();
+
+                    b.ToTable("sepsis_bundle_elements", null, 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')");
+                        });
+                });
+
            modelBuilder.Entity("ClinicalAlert", b =>
                {
                    b.HasOne("Encounter", "Encounter")
@@ -698,6 +803,43 @@ namespace VigilCareClinicalAPI.Migrations
                    b.Navigation("Patient");
                });

+            modelBuilder.Entity("SepsisBundle", b =>
+                {
+                    b.HasOne("Encounter", "Encounter")
+                        .WithMany()
+                        .HasForeignKey("EncounterId")
+                        .OnDelete(DeleteBehavior.Restrict)
+                        .IsRequired();
+
+                    b.HasOne("ClinicalAlert", "TriggeringAlert")
+                        .WithMany()
+                        .HasForeignKey("TriggeringAlertId")
+                        .OnDelete(DeleteBehavior.Restrict)
+                        .IsRequired();
+
+                    b.Navigation("Encounter");
+
+                    b.Navigation("TriggeringAlert");
+                });
+
+            modelBuilder.Entity("SepsisBundleElement", b =>
+                {
+                    b.HasOne("SepsisBundle", "Bundle")
+                        .WithMany("Elements")
+                        .HasForeignKey("BundleId")
+                        .OnDelete(DeleteBehavior.Cascade)
+                        .IsRequired();
+
+                    b.HasOne("Order", "Order")
+                        .WithMany()
+                        .HasForeignKey("OrderId")
+                        .OnDelete(DeleteBehavior.SetNull);
+
+                    b.Navigation("Bundle");
+
+                    b.Navigation("Order");
+                });
+
            modelBuilder.Entity("Encounter", b =>
                {
                    b.Navigation("Alerts");
@@ -711,6 +853,11 @@ namespace VigilCareClinicalAPI.Migrations
                {
                    b.Navigation("Encounters");
                });
+
+            modelBuilder.Entity("SepsisBundle", b =>
+                {
+                    b.Navigation("Elements");
+                });
 #pragma warning restore 612, 618
        }
    }