Full SOFA Score: Data Layer + Scoring Engine

Glasgow Coma Scale: Data Layer + Scoring Engine
This commit is contained in:
voltsrage
2026-06-21 01:09:50 +08:00
parent 78c043e4d3
commit 93ea473d2b
62 changed files with 7133 additions and 72 deletions
@@ -0,0 +1,84 @@
using System.Text.Json;
using Confluent.Kafka;
using Microsoft.Extensions.Options;
public class GcsScoringService : BackgroundService
{
private readonly IServiceProvider _services;
private readonly KafkaOptions _kafkaOptions;
private readonly ILogger<GcsScoringService> _logger;
public GcsScoringService(
IServiceProvider services,
IOptions<KafkaOptions> kafkaOptions,
ILogger<GcsScoringService> logger)
{
_services = services;
_kafkaOptions = kafkaOptions.Value;
_logger = logger;
}
protected override async Task ExecuteAsync(CancellationToken stoppingToken)
{
var config = new ConsumerConfig
{
BootstrapServers = _kafkaOptions.BootstrapServers,
GroupId = "gcs-scoring",
AutoOffsetReset = AutoOffsetReset.Earliest,
EnableAutoCommit = false
};
using var consumer = new ConsumerBuilder<string, string>(config).Build();
consumer.Subscribe(_kafkaOptions.Topics.ObservationRecorded);
_logger.LogInformation("GcsScoringService started — consumer group: gcs-scoring");
try
{
while (!stoppingToken.IsCancellationRequested)
{
ConsumeResult<string, string>? result = null;
try
{
result = consumer.Consume(stoppingToken);
var evt = JsonSerializer.Deserialize<News2ObservationEvent>(
result.Message.Value,
new JsonSerializerOptions { PropertyNameCaseInsensitive = true })!;
using var scope = _services.CreateScope();
var detector = scope.ServiceProvider.GetRequiredService<GcsDetector>();
var outcome = await detector.ProcessObservationAsync(
evt.EncounterId,
evt.PatientId,
evt.ObservationCode,
evt.Value,
stoppingToken);
if (outcome.Outcome == GcsOutcome.ScoreComputed)
_logger.LogInformation(
"GCS scored via consumer — encounter={Id} total={Total} class={Class}",
evt.EncounterId, outcome.TotalScore, outcome.Classification);
consumer.Commit(result);
}
catch (OperationCanceledException)
{
break;
}
catch (Exception ex)
{
_logger.LogError(ex,
"GcsScoringService failed on topic={Topic} offset={Offset} — not committing",
result?.Topic, result?.Offset.Value);
await Task.Delay(2000, stoppingToken);
}
}
}
finally
{
consumer.Close();
}
}
}
@@ -27,7 +27,8 @@ public class KafkaTopicProvisioner : IHostedService
_options.Topics.AlertAcknowledged,
_options.Topics.EncounterStatusChanged,
_options.Topics.SepsisBundleCreated,
_options.Topics.SepsisBundleUpdated
_options.Topics.SepsisBundleUpdated,
_options.Topics.GcsScored
};
var specs = topicNames.Select(name => new TopicSpecification
@@ -44,7 +45,9 @@ public class KafkaTopicProvisioner : IHostedService
}
catch (CreateTopicsException ex)
{
var errors = ex.Results.Where(r => r.Error.Code != ErrorCode.TopicAlreadyExists).ToList();
var errors = ex.Results
.Where(r => r.Error.Code is not (ErrorCode.NoError or ErrorCode.TopicAlreadyExists))
.ToList();
if (errors.Count > 0)
throw new InvalidOperationException(
$"Failed to create Kafka topics: {string.Join(", ", errors.Select(e => e.Error.Reason))}");
@@ -0,0 +1,116 @@
using System.Text.Json;
using Confluent.Kafka;
using Microsoft.Extensions.Options;
public class SofaScoringService : BackgroundService
{
private readonly IServiceProvider _services;
private readonly KafkaOptions _kafkaOptions;
private readonly ILogger<SofaScoringService> _logger;
public SofaScoringService(
IServiceProvider services,
IOptions<KafkaOptions> kafkaOptions,
ILogger<SofaScoringService> logger)
{
_services = services;
_kafkaOptions = kafkaOptions.Value;
_logger = logger;
}
protected override async Task ExecuteAsync(CancellationToken stoppingToken)
{
var config = new ConsumerConfig
{
BootstrapServers = _kafkaOptions.BootstrapServers,
GroupId = "sofa-scoring",
AutoOffsetReset = AutoOffsetReset.Earliest,
EnableAutoCommit = false
};
using var consumer = new ConsumerBuilder<string, string>(config).Build();
consumer.Subscribe(new[]
{
_kafkaOptions.Topics.ObservationRecorded,
_kafkaOptions.Topics.GcsScored
});
_logger.LogInformation("SofaScoringService started — consumer group: sofa-scoring");
try
{
while (!stoppingToken.IsCancellationRequested)
{
ConsumeResult<string, string>? result = null;
try
{
result = consumer.Consume(stoppingToken);
using var scope = _services.CreateScope();
var detector = scope.ServiceProvider.GetRequiredService<SofaDetector>();
if (result.Topic == _kafkaOptions.Topics.GcsScored)
{
var gcsEvt = JsonSerializer.Deserialize<GcsScoredEvent>(
result.Message.Value,
new JsonSerializerOptions { PropertyNameCaseInsensitive = true })!;
var outcome = await detector.ProcessGcsScoredAsync(
gcsEvt.EncounterId, gcsEvt.PatientId, stoppingToken);
if (outcome.Outcome == SofaOutcome.EncounterNotFound)
_logger.LogWarning(
"Skipping stale gcs.scored event — encounter={Id} offset={Offset}",
gcsEvt.EncounterId, result.Offset.Value);
else if (outcome.Outcome == SofaOutcome.ScoreComputed)
_logger.LogInformation(
"SOFA re-scored via gcs.scored — encounter={Id} total={Total}",
gcsEvt.EncounterId, outcome.Score!.Total);
}
else
{
var evt = JsonSerializer.Deserialize<News2ObservationEvent>(
result.Message.Value,
new JsonSerializerOptions { PropertyNameCaseInsensitive = true })!;
var outcome = await detector.ProcessObservationAsync(
evt.EncounterId,
evt.PatientId,
evt.ObservationCode,
evt.Value,
DateTimeOffset.UtcNow,
stoppingToken);
if (outcome.Outcome == SofaOutcome.EncounterNotFound)
_logger.LogWarning(
"Skipping stale observation.recorded event — encounter={Id} code={Code} offset={Offset}",
evt.EncounterId, evt.ObservationCode, result.Offset.Value);
else if (outcome.Outcome == SofaOutcome.ScoreComputed)
_logger.LogInformation(
"SOFA scored via consumer — encounter={Id} total={Total}",
evt.EncounterId, outcome.Score!.Total);
}
consumer.Commit(result);
}
catch (OperationCanceledException)
{
break;
}
catch (Exception ex)
{
_logger.LogError(ex,
"SofaScoringService failed on topic={Topic} offset={Offset} — not committing",
result?.Topic, result?.Offset.Value);
await Task.Delay(2000, stoppingToken);
}
}
}
finally
{
consumer.Close();
}
}
}
public record GcsScoredEvent(Guid EncounterId, Guid PatientId, int TotalScore);