diff --git a/.dockerignore b/.dockerignore index c2a8783..0cd08de 100644 --- a/.dockerignore +++ b/.dockerignore @@ -15,7 +15,10 @@ infra/ VigilCareClinicalAPI.Tests/ VigilCare.WardGateway.Tests/ VigilCare.ClinicalContracts.Tests/ -VigilCare.Simulator/ +# Keep scenario JSON for the API image; exclude the rest of the Simulator tree. +VigilCare.Simulator/** +!VigilCare.Simulator/Scenarios/ +!VigilCare.Simulator/Scenarios/** vigilcare-dashboard/ *.log .env diff --git a/.env.example b/.env.example index 0340cab..c9b06a0 100644 --- a/.env.example +++ b/.env.example @@ -88,3 +88,8 @@ SEED_NURSE_DISPLAY_NAME=Charge Nurse SEED_PHYSICIAN_USERNAME=physician SEED_PHYSICIAN_PASSWORD=CHANGE_ME SEED_PHYSICIAN_DISPLAY_NAME=Attending Physician + +# ---- clinical simulation (UAT / training; leave enabled only on synthetic data) ---- +SIMULATION_ENABLED=true +SIMULATION_RUNNER_PASSWORD=CHANGE_ME +# SIMULATION_MAX_CONCURRENT_RUNS=8 diff --git a/VigilCare.Simulator/Scenarios/List/mimic-s30876334.json b/VigilCare.Simulator/Scenarios/List/mimic-s30876334.json new file mode 100644 index 0000000..3e83a7d --- /dev/null +++ b/VigilCare.Simulator/Scenarios/List/mimic-s30876334.json @@ -0,0 +1,1761 @@ +{ + "scenario": { + "id": "mimic-s30876334", + "name": "MIMIC-IV — Trauma SICU (TSICU) (F, ~59y)", + "description": "Real de-identified MIMIC-IV data. Subject 10019568, stay 30876334. Female, age ~59. ICU LOS: 0.8 days. Care unit: Trauma SICU (TSICU). 130 observations, 25 medications. Discharged to HOME.", + "durationMinutes": 1174, + "tags": [ + "mimic-iv", + "real-data", + "icu", + "surgical", + "trauma" + ] + }, + "patient": { + "firstName": "MIMIC-10019568", + "lastName": "S28710730", + "dateOfBirth": "1967-07-01", + "gender": "Female" + }, + "encounter": { + "department": "Icu", + "encounterType": "Emergency", + "attendingPhysician": "MIMIC-Physician", + "roomBed": "ICU-34", + "admissionReason": "MIMIC-IV admission (EW EMER., from EMERGENCY ROOM)" + }, + "events": [ + { + "offsetMinutes": 9, + "type": "observation", + "data": { + "code": "RESP_RATE", + "value": 16, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 9, + "type": "observation", + "data": { + "code": "SPO2", + "value": 99, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 10, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 98, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 12, + "type": "observation", + "data": { + "code": "DIASTOLIC_BP", + "value": 86, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 12, + "type": "observation", + "data": { + "code": "SYSTOLIC_BP", + "value": 152, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 13, + "type": "observation", + "data": { + "code": "RESP_RATE", + "value": 28, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 13, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 100, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 13, + "type": "observation", + "data": { + "code": "SPO2", + "value": 98, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 16, + "type": "observation", + "data": { + "code": "GCS_MOTOR", + "value": 6, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 16, + "type": "observation", + "data": { + "code": "GCS_EYE", + "value": 4, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 16, + "type": "observation", + "data": { + "code": "GCS_VERBAL", + "value": 5, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 26, + "type": "observation", + "data": { + "code": "TEMP_C", + "value": 36.8, + "unit": "°C", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "observation", + "data": { + "code": "GCS_MOTOR", + "value": 6, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "observation", + "data": { + "code": "GCS_VERBAL", + "value": 5, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 100, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "observation", + "data": { + "code": "GCS_EYE", + "value": 4, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "observation", + "data": { + "code": "SPO2", + "value": 93, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "observation", + "data": { + "code": "RESP_RATE", + "value": 16, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Heparin", + "dose": 5000, + "doseUnit": "UNIT", + "route": "SC", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Multivitamins", + "dose": 1, + "doseUnit": "TAB", + "route": "PO/NG", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "0.9% Sodium Chloride", + "dose": 100, + "doseUnit": "mL", + "route": "IVPCA", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Famotidine", + "dose": 20, + "doseUnit": "mg", + "route": "PO/NG", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Thiamine", + "dose": 100, + "doseUnit": "mg", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Thiamine", + "dose": 100, + "doseUnit": "mg", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "HYDROmorphone", + "dose": 20, + "doseUnit": "mg", + "route": "IVPCA", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Acetaminophen", + "dose": 650, + "doseUnit": "mg", + "route": "PO/NG", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "5% Dextrose", + "dose": 50, + "doseUnit": "mL", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "Syringe", + "dose": 0.2, + "doseUnit": "mL", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "FoLIC Acid", + "dose": 1, + "doseUnit": "mg", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "FoLIC Acid", + "dose": 1, + "doseUnit": "mg", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 69, + "type": "medication", + "data": { + "drugName": "HYDROmorphone (Dilaudid)", + 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Medical/Surgical Intensive Care Unit (MICU/SICU) (F, ~72y)", + "description": "Real de-identified MIMIC-IV data. Subject 10003400, stay 34577403. Female, age ~72. ICU LOS: 2.9 days. Care unit: Medical/Surgical Intensive Care Unit (MICU/SICU). 172 observations, 35 medications. 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b/VigilCare.Simulator/Scenarios/List/mimic-s34617352.json new file mode 100644 index 0000000..9e1f835 --- /dev/null +++ b/VigilCare.Simulator/Scenarios/List/mimic-s34617352.json @@ -0,0 +1,2659 @@ +{ + "scenario": { + "id": "mimic-s34617352", + "name": "MIMIC-IV — Medical Intensive Care Unit (MICU) (M, ~52y)", + "description": "Real de-identified MIMIC-IV data. Subject 10006053, stay 34617352. Male, age ~52. ICU LOS: 1.8 days. Care unit: Medical Intensive Care Unit (MICU). 192 observations, 43 medications. 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Subject 10002930, stay 35629889. Female, age ~48. ICU LOS: 0.7 days. Care unit: Medical/Surgical Intensive Care Unit (MICU/SICU). 99 observations, 19 medications. Discharged to PSYCH FACILITY.", + "durationMinutes": 977, + "tags": [ + "mimic-iv", + "real-data", + "icu", + "surgical", + "medical" + ] + }, + "patient": { + "firstName": "MIMIC-10002930", + "lastName": "S25922998", + "dateOfBirth": "1978-07-01", + "gender": "Female" + }, + "encounter": { + "department": "Icu", + "encounterType": "Emergency", + "attendingPhysician": "MIMIC-Physician", + "roomBed": "ICU-89", + "admissionReason": "MIMIC-IV admission (EW EMER., from EMERGENCY ROOM)" + }, + "events": [ + { + "offsetMinutes": 16, + "type": "observation", + "data": { + "code": "SPO2", + "value": 99, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 18, + "type": "observation", + "data": { + "code": "RESP_RATE", + "value": 22, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 18, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 103, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { 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"Device" + }, + "note": null + } + ], + "expectedOutcomes": null +} \ No newline at end of file diff --git a/VigilCare.Simulator/Scenarios/List/mimic-s38017367.json b/VigilCare.Simulator/Scenarios/List/mimic-s38017367.json new file mode 100644 index 0000000..6658d0a --- /dev/null +++ b/VigilCare.Simulator/Scenarios/List/mimic-s38017367.json @@ -0,0 +1,1918 @@ +{ + "scenario": { + "id": "mimic-s38017367", + "name": "MIMIC-IV — Neuro Surgical Intensive Care Unit (Neuro SICU) (M, ~60y)", + "description": "Real de-identified MIMIC-IV data. 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Subject 10006580, stay 38329661. Female, age ~63. ICU LOS: 0.9 days. Care unit: Cardiac Vascular Intensive Care Unit (CVICU). 142 observations, 26 medications. 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"value": 47, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 697, + "type": "observation", + "data": { + "code": "GCS_EYE", + "value": 4, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 697, + "type": "observation", + "data": { + "code": "RESP_RATE", + "value": 15, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 697, + "type": "observation", + "data": { + "code": "SPO2", + "value": 93, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 697, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 96, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 697, + "type": "observation", + "data": { + "code": "SYSTOLIC_BP", + "value": 138, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 697, + "type": "observation", + "data": { + "code": "TEMP_C", + "value": 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"RESP_RATE", + "value": 13, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 817, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 93, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 817, + "type": "observation", + "data": { + "code": "SYSTOLIC_BP", + "value": 101, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 817, + "type": "observation", + "data": { + "code": "DIASTOLIC_BP", + "value": 38, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 817, + "type": "observation", + "data": { + "code": "SPO2", + "value": 95, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 817, + "type": "medication", + "data": { + "drugName": "Ondansetron", + "dose": 4, + "doseUnit": "mg", + "route": "IV", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 877, + "type": "observation", + "data": { + "code": "SYSTOLIC_BP", + "value": 129, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 877, + "type": "observation", + "data": { + "code": "DIASTOLIC_BP", + "value": 52, + "unit": "mmHg", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 877, + "type": "observation", + "data": { + "code": "RESP_RATE", + "value": 14, + "unit": "/min", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 877, + "type": "observation", + "data": { + "code": "SPO2", + "value": 95, + "unit": "%", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 877, + "type": "observation", + "data": { + "code": "HEART_RATE", + "value": 92, + "unit": "bpm", + "source": "Device" + }, + "note": null + }, + { + "offsetMinutes": 937, + "type": "observation", + "data": { + "code": "GCS_MOTOR", + "value": 6, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 937, + "type": "observation", + "data": { + "code": "GCS_EYE", + "value": 4, + "unit": "score", + "source": "Manual" + }, + "note": null + }, + { + "offsetMinutes": 937, + "type": "medication", + "data": { + "drugName": "Aspirin", + "dose": 81, + "doseUnit": "mg", + "route": "PO/NG", + "administeredBy": "MIMIC-RN" + }, + "note": null + }, + { + "offsetMinutes": 937, + "type": "medication", + "data": { + "drugName": "Omeprazole", + "dose": 20, + "doseUnit": "mg", + "route": "PO", + "administeredBy": "MIMIC-RN" + }, + "note": null + } + ], + "expectedOutcomes": null +} \ No newline at end of file diff --git a/VigilCare.Simulator/Scenarios/sessions.json b/VigilCare.Simulator/Scenarios/sessions.json index 0ba60a3..2664851 100644 --- a/VigilCare.Simulator/Scenarios/sessions.json +++ b/VigilCare.Simulator/Scenarios/sessions.json @@ -42,6 +42,20 @@ "uti-sepsis-elderly-01", "sepsis-sofa-progression-01", "neurological-decline-gcs-01", "post-op-hemorrhage-01" ] + }, + { + "id": "session-e-mimic-ward", + "name": "Session E — MIMIC-IV real stays", + "goal": "Exercise alert quality on de-identified MIMIC-IV ICU trajectories across care units.", + "estimatedMinutes": 45, + "defaultSpeed": 240, + "scenarios": [ + "mimic-s35396193", + "mimic-s38329661", + "mimic-s30876334", + "mimic-s38017367", + "mimic-s31248398" + ] } ] } diff --git a/VigilCareClinicalAPI/Dockerfile b/VigilCareClinicalAPI/Dockerfile index 7c68f6c..5e36026 100644 --- a/VigilCareClinicalAPI/Dockerfile +++ b/VigilCareClinicalAPI/Dockerfile @@ -15,10 +15,14 @@ RUN dotnet restore VigilCareClinicalAPI/VigilCareClinicalAPI.csproj COPY VigilCare.ClinicalContracts/ VigilCare.ClinicalContracts/ COPY VigilCare.Simulation.Core/ VigilCare.Simulation.Core/ COPY VigilCareClinicalAPI/ VigilCareClinicalAPI/ +# Scenario catalogue + session presets for in-app Simulation (UAT / training). +COPY VigilCare.Simulator/Scenarios/ VigilCare.Simulator/Scenarios/ FROM src AS build RUN dotnet publish VigilCareClinicalAPI/VigilCareClinicalAPI.csproj \ - -c Release -o /app/publish --no-restore + -c Release -o /app/publish --no-restore \ + && mkdir -p /app/publish/Scenarios \ + && cp -a VigilCare.Simulator/Scenarios/. /app/publish/Scenarios/ # Scrub development secrets from the published appsettings.json (Step 4). # Production supplies Jwt / PHI / API keys via environment variables only. @@ -27,6 +31,7 @@ RUN sed -i \ -e 's/"SearchTokenKey": "[^"]*"/"SearchTokenKey": ""/' \ -e 's/"Gateway": "dev-[^"]*"/"Gateway": ""/' \ -e 's/"ApiKey": "dev-integration[^"]*"/"ApiKey": ""/' \ + -e 's/"RunnerPassword": "[^"]*"/"RunnerPassword": ""/' \ /app/publish/appsettings.json # Self-contained EF bundle for CD (docker build --target migrate). diff --git a/VigilCareClinicalAPI/appsettings.Production.json b/VigilCareClinicalAPI/appsettings.Production.json index 4c86fc9..0e849cd 100644 --- a/VigilCareClinicalAPI/appsettings.Production.json +++ b/VigilCareClinicalAPI/appsettings.Production.json @@ -41,8 +41,16 @@ "Swagger": { "Enabled": false }, "Seeding": { "EnableDemoData": false }, "Simulation": { - // Patient-safety gate: never expose scenario replay against real care data. - // Flip only for dedicated training/staging environments with synthetic patients. - "Enabled": false + // UAT / clinical evaluation: in-app scenario replay is on so testers can + // exercise the ward without a terminal. Patients created here are marked + // IsSimulated; Reset ward only deletes those rows. Do not enable against a + // database that also holds real care data — use a dedicated UAT DB. + "Enabled": true, + "ScenarioDirectory": "Scenarios/List", + "LoopbackBaseUrl": "http://localhost:8080", + "RunnerUsername": "simulation.runner", + "MaxConcurrentRuns": 8, + "MaxSpeed": 600, + "RunHistoryLimit": 50 } } diff --git a/VigilCareClinicalAPI/appsettings.json b/VigilCareClinicalAPI/appsettings.json index 3221545..9aac65c 100644 --- a/VigilCareClinicalAPI/appsettings.json +++ b/VigilCareClinicalAPI/appsettings.json @@ -233,10 +233,11 @@ "Physician": null }, "Simulation": { - "Enabled": false, - "ScenarioDirectory": "Scenarios", + "Enabled": true, + "ScenarioDirectory": "../VigilCare.Simulator/Scenarios/List", "LoopbackBaseUrl": "http://localhost:5270", "RunnerUsername": "simulation.runner", + "RunnerPassword": "DemoSimulation1!", "MaxConcurrentRuns": 8, "MaxSpeed": 600, "RunHistoryLimit": 50 diff --git a/docker-compose.prod.yml b/docker-compose.prod.yml index 083d9c7..f8fe357 100644 --- a/docker-compose.prod.yml +++ b/docker-compose.prod.yml @@ -68,6 +68,15 @@ services: Seeding__GatewayCode: "${GATEWAY_CODE:-GW-ICU-1}" Seeding__GatewayDepartment: "${GATEWAY_DEPARTMENT:-ICU}" Swagger__Enabled: "false" + # UAT clinical simulation — scenarios ship in the image under Scenarios/List. + # SIMULATION_ENABLED defaults on for this evaluation environment; set false + # when promoting to a DB that holds real care data. + Simulation__Enabled: "${SIMULATION_ENABLED:-true}" + Simulation__ScenarioDirectory: "Scenarios/List" + Simulation__LoopbackBaseUrl: "http://localhost:8080" + Simulation__RunnerUsername: "simulation.runner" + Simulation__RunnerPassword: "${SIMULATION_RUNNER_PASSWORD}" + Simulation__MaxConcurrentRuns: "${SIMULATION_MAX_CONCURRENT_RUNS:-8}" volumes: # CRITICAL: the Data Protection keyring encrypts patient PHI. If this # volume is lost, every encrypted patient record becomes unreadable.