feature: qSOFA Scoring & Sepsis Bundle Compliance

VigilCareClinicalAPI/Observability/Metrics/ClinicalMetrics.cs

@@ -11,7 +11,7 @@ public sealed class ClinicalMetrics
         "Total observations ingested, labeled by observation code and source.",
         labelNames: new[] { "observation_code", "source" });
 
-    // Labeled by alert_type (THRESHOLD_BREACH, SEPSIS_WARNING) and severity
+    // Labeled by alert_type (THRESHOLD_BREACH, SEPSIS_WARNING, QSOFA_WARNING) and severity
     // (Critical, Warning) so the dashboard can show Critical vs Warning rates separately.
     public readonly Counter ClinicalAlertsTotal = Metrics.CreateCounter(
         "clinical_alerts_total",
@@ -46,6 +46,15 @@ public sealed class ClinicalMetrics
         "Total alert suppression windows set after acknowledgment.",
         labelNames: new[] { "alert_type" });
 
+    public readonly Counter QsofaDetectionsTotal = Metrics.CreateCounter(
+        "qsofa_detections_total",
+        "Total QSOFA_WARNING alerts generated by the qSOFA scoring engine.");
+
+    public readonly Counter SepsisBundleComplianceTotal = Metrics.CreateCounter(
+        "sepsis_bundle_compliance_total",
+        "Sepsis bundle compliance outcomes.",
+        labelNames: new[] { "status" });
+
     // --- Histograms ---
 
     // Measures the full ingest transaction: Redis cache lookup + alert evaluation +