feature: Sepsis Engine Refactor: Remove SIRS, Rewire qSOFA + Bundle

Frontend: GCS Entry, SOFA Display, Sepsis UI Refactor

VigilCareClinicalAPI/BackgroundServices/SepsisEngineService.cs

@@ -34,13 +34,10 @@ public class SepsisEngineService : BackgroundService
         };
 
         using var consumer = new ConsumerBuilder<string, string>(config).Build();
-        // Subscribes to observation.recorded only.
-        // The es-indexer consumes all three topics; the sepsis engine only needs one.
-        // Subscribing to a superset of needed topics would waste CPU deserializing
-        // alert and encounter events that this engine discards immediately.
         consumer.Subscribe(_kafkaOptions.Topics.ObservationRecorded);
 
-        _logger.LogInformation("SepsisEngineService started — consumer group: sepsis-engine");
+        _logger.LogInformation(
+            "SepsisEngineService started — consumer group: sepsis-engine (qSOFA screening only)");
 
         try
         {
@@ -54,19 +51,9 @@ public class SepsisEngineService : BackgroundService
                     var evt = JsonSerializer.Deserialize<SepsisObservationEvent>(
                         result.Message.Value, EventJsonOptions)!;
 
-                    // Create a scope per message — both detectors are scoped and
-                    // each owns a fresh DbContext when creating alerts.
                     using var scope = _services.CreateScope();
-                    var sirsDetector = scope.ServiceProvider.GetRequiredService<SirsDetector>();
                     var qsofaDetector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
 
-                    var sirsOutcome = await sirsDetector.ProcessObservationAsync(
-                        evt.EncounterId,
-                        evt.PatientId,
-                        evt.ObservationCode,
-                        evt.Value,
-                        stoppingToken);
-
                     var qsofaOutcome = await qsofaDetector.ProcessObservationAsync(
                         evt.EncounterId,
                         evt.PatientId,
@@ -74,19 +61,12 @@ public class SepsisEngineService : BackgroundService
                         evt.Value,
                         stoppingToken);
 
-                    if (sirsOutcome.Outcome == SirsOutcome.AlertCreated)
-                        _logger.LogWarning(
-                            "SEPSIS_WARNING created via SepsisEngine " +
-                            "— encounter={EncounterId} code={Code} value={Value}",
-                            evt.EncounterId, evt.ObservationCode, evt.Value);
-
                     if (qsofaOutcome.Outcome == QsofaOutcome.AlertCreated)
-                        _logger.LogWarning(
-                            "QSOFA_WARNING created via SepsisEngine " +
+                        _logger.LogInformation(
+                            "QSOFA_SCREEN created via SepsisEngine " +
                             "— encounter={EncounterId} code={Code} value={Value}",
                             evt.EncounterId, evt.ObservationCode, evt.Value);
 
-                    // Commit only after successful processing.
                     consumer.Commit(result);
                 }
                 catch (OperationCanceledException)
@@ -98,8 +78,6 @@ public class SepsisEngineService : BackgroundService
                     _logger.LogError(ex,
                         "SepsisEngine failed on topic={Topic} offset={Offset} — not committing",
                         result?.Topic, result?.Offset.Value);
-                    // Back off before retrying so a persistent failure (e.g., Redis down)
-                    // does not spin the loop at maximum throughput.
                     await Task.Delay(2000, stoppingToken);
                 }
             }