feature:

Full SOFA Score: Data Layer + Scoring Engine

Glasgow Coma Scale: Data Layer + Scoring Engine

VigilCareClinicalAPI/Domains/Entities/GcsScore.cs

@@ -0,0 +1,15 @@
+public class GcsScore
+{
+    public Guid Id { get; set; }
+    public Guid EncounterId { get; set; }
+    public Guid PatientId { get; set; }
+    public int EyeScore { get; set; }
+    public int VerbalScore { get; set; }
+    public int MotorScore { get; set; }
+    public int TotalScore { get; set; }
+    public string Classification { get; set; } = null!;
+    public DateTimeOffset CalculatedAt { get; set; }
+    public DateTimeOffset CreatedAt { get; set; }
+
+    public Encounter Encounter { get; set; } = null!;
+}

VigilCareClinicalAPI/Domains/Entities/SofaScore.cs

@@ -0,0 +1,20 @@
+public class SofaScore
+{
+    public Guid Id { get; set; }
+    public Guid EncounterId { get; set; }
+    public Guid PatientId { get; set; }
+    public int TotalScore { get; set; }
+    public int RespiratoryScore { get; set; }
+    public int CoagulationScore { get; set; }
+    public int LiverScore { get; set; }
+    public int CardiovascularScore { get; set; }
+    public int CnsScore { get; set; }
+    public int RenalScore { get; set; }
+    public bool IsBaseline { get; set; }
+    public int? DeltaFromBaseline { get; set; }
+    public string? StalenessFlags { get; set; }
+    public DateTimeOffset CalculatedAt { get; set; }
+    public DateTimeOffset CreatedAt { get; set; }
+
+    public Encounter Encounter { get; set; } = null!;
+}

VigilCareClinicalAPI/Domains/Enums/AlertType.cs

@@ -31,6 +31,21 @@ public enum AlertType
     RapidDeterioration,
 
     QsofaWarning,
+
+    GcsCritical,
+    GcsWarning,
+
+    CriticalPao2MmHg,
+    WarningPao2MmHg,
+    CriticalPlateletKUl,
+    WarningPlateletKUl,
+    CriticalBilirubinMgDl,
+    WarningBilirubinMgDl,
+    CriticalCreatinineMgDl,
+    WarningCreatinineMgDl,
+
+    SofaSepsis,
+    SofaWarning,
 }
 
 public static class AlertTypeExtensions
@@ -63,6 +78,18 @@ public static class AlertTypeExtensions
         AlertType.News2Emergency => "NEWS2_EMERGENCY",
         AlertType.RapidDeterioration => "RAPID_DETERIORATION",
         AlertType.QsofaWarning => "QSOFA_WARNING",
+        AlertType.GcsCritical => "GCS_CRITICAL",
+        AlertType.GcsWarning  => "GCS_WARNING",
+        AlertType.CriticalPao2MmHg       => "CRITICAL_PAO2_MMHG",
+        AlertType.WarningPao2MmHg        => "WARNING_PAO2_MMHG",
+        AlertType.CriticalPlateletKUl    => "CRITICAL_PLATELET_K_UL",
+        AlertType.WarningPlateletKUl     => "WARNING_PLATELET_K_UL",
+        AlertType.CriticalBilirubinMgDl  => "CRITICAL_BILIRUBIN_MG_DL",
+        AlertType.WarningBilirubinMgDl   => "WARNING_BILIRUBIN_MG_DL",
+        AlertType.CriticalCreatinineMgDl => "CRITICAL_CREATININE_MG_DL",
+        AlertType.WarningCreatinineMgDl  => "WARNING_CREATININE_MG_DL",
+        AlertType.SofaSepsis  => "SOFA_SEPSIS",
+        AlertType.SofaWarning => "SOFA_WARNING",
         _ => throw new ArgumentOutOfRangeException(nameof(t))
     };
 
@@ -94,6 +121,18 @@ public static class AlertTypeExtensions
         "NEWS2_EMERGENCY" => AlertType.News2Emergency,
         "RAPID_DETERIORATION" => AlertType.RapidDeterioration,
         "QSOFA_WARNING" => AlertType.QsofaWarning,
+        "GCS_CRITICAL" => AlertType.GcsCritical,
+        "GCS_WARNING"  => AlertType.GcsWarning,
+        "CRITICAL_PAO2_MMHG"        => AlertType.CriticalPao2MmHg,
+        "WARNING_PAO2_MMHG"         => AlertType.WarningPao2MmHg,
+        "CRITICAL_PLATELET_K_UL"    => AlertType.CriticalPlateletKUl,
+        "WARNING_PLATELET_K_UL"     => AlertType.WarningPlateletKUl,
+        "CRITICAL_BILIRUBIN_MG_DL"  => AlertType.CriticalBilirubinMgDl,
+        "WARNING_BILIRUBIN_MG_DL"   => AlertType.WarningBilirubinMgDl,
+        "CRITICAL_CREATININE_MG_DL" => AlertType.CriticalCreatinineMgDl,
+        "WARNING_CREATININE_MG_DL"  => AlertType.WarningCreatinineMgDl,
+        "SOFA_SEPSIS"  => AlertType.SofaSepsis,
+        "SOFA_WARNING" => AlertType.SofaWarning,
         _ => throw new ArgumentOutOfRangeException(nameof(v), $"Unknown alert type: '{v}'")
     };
 
@@ -111,6 +150,10 @@ public static class AlertTypeExtensions
         "LACTATE_MMOL_L"   => AlertType.CriticalLactateMmolL,
         "AVPU"             => AlertType.CriticalAvpu,
         "GLUCOSE_MG_DL"    => AlertType.CriticalGlucoseMgDl,
+        "PAO2_MMHG"        => AlertType.CriticalPao2MmHg,
+        "PLATELET_K_UL"    => AlertType.CriticalPlateletKUl,
+        "BILIRUBIN_MG_DL"  => AlertType.CriticalBilirubinMgDl,
+        "CREATININE_MG_DL" => AlertType.CriticalCreatinineMgDl,
         _ => throw new ArgumentOutOfRangeException(
             nameof(observationCode), $"No critical alert type for observation code '{observationCode}'")
     };
@@ -127,6 +170,10 @@ public static class AlertTypeExtensions
         "DIASTOLIC_BP"    => AlertType.WarningDiastolicBp,
         "LACTATE_MMOL_L"  => AlertType.WarningLactateMmolL,
         "GLUCOSE_MG_DL"   => AlertType.WarningGlucoseMgDl,
+        "PAO2_MMHG"        => AlertType.WarningPao2MmHg,
+        "PLATELET_K_UL"    => AlertType.WarningPlateletKUl,
+        "BILIRUBIN_MG_DL"  => AlertType.WarningBilirubinMgDl,
+        "CREATININE_MG_DL" => AlertType.WarningCreatinineMgDl,
         _ => throw new ArgumentOutOfRangeException(
             nameof(observationCode), $"No warning alert type for observation code '{observationCode}'")
     };
@@ -139,7 +186,9 @@ public static class AlertTypeExtensions
             or AlertType.CriticalSystolicBp or AlertType.CriticalDiastolicBp
             or AlertType.CriticalLactateMmolL or AlertType.CriticalAvpu
             or AlertType.CriticalGlucoseMgDl => false,
-        AlertType.RapidDeterioration => false,  // trajectory alerts are never suppressed
+        AlertType.RapidDeterioration => false, 
+        AlertType.GcsCritical => false, // trajectory alerts are never suppressed
+        AlertType.SofaSepsis => false,
         _ => true  // all Warning* types, News2Warning, and QsofaWarning
     };
 
@@ -155,6 +204,10 @@ public static class AlertTypeExtensions
         AlertType.WarningDiastolicBp    => "DIASTOLIC_BP",
         AlertType.WarningLactateMmolL   => "LACTATE_MMOL_L",
         AlertType.WarningGlucoseMgDl    => "GLUCOSE_MG_DL",
+        AlertType.WarningPao2MmHg        => "PAO2_MMHG",
+        AlertType.WarningPlateletKUl     => "PLATELET_K_UL",
+        AlertType.WarningBilirubinMgDl   => "BILIRUBIN_MG_DL",
+        AlertType.WarningCreatinineMgDl  => "CREATININE_MG_DL",
         _ => null
     };
 }

VigilCareClinicalAPI/Domains/Enums/GcsOutcome.cs

@@ -0,0 +1,6 @@
+public enum GcsOutcome
+{
+    NotGcsCode,
+    IncompleteComponents,
+    ScoreComputed
+}

VigilCareClinicalAPI/Domains/Enums/SofaOutcome.cs

@@ -0,0 +1,6 @@
+public enum SofaOutcome
+{
+    NotSofaTrigger,
+    EncounterNotFound,
+    ScoreComputed
+}

VigilCareClinicalAPI/Domains/Enums/SofaValueStatus.cs

@@ -0,0 +1,6 @@
+public enum SofaValueStatus
+{
+    Current,
+    Stale,
+    Expired
+}