Add remain services and fixes

2026-06-18 23:33:39 +08:00
parent 4b46c09f90
commit e2d40331b7
9 changed files with 291 additions and 40 deletions
@@ -0,0 +1,75 @@
+using Microsoft.EntityFrameworkCore;
+
+public class SepsisBundleMonitorService : BackgroundService
+{
+    private static readonly TimeSpan ScanInterval = TimeSpan.FromMinutes(5);
+
+    private readonly IServiceProvider _services;
+    private readonly ClinicalMetrics _metrics;
+    private readonly ILogger<SepsisBundleMonitorService> _logger;
+
+    public SepsisBundleMonitorService(
+        IServiceProvider services,
+        ClinicalMetrics metrics,
+        ILogger<SepsisBundleMonitorService> logger)
+    {
+        _services = services;
+        _metrics = metrics;
+        _logger = logger;
+    }
+
+    protected override async Task ExecuteAsync(CancellationToken stoppingToken)
+    {
+        _logger.LogInformation("Sepsis bundle monitor started. ScanInterval={Interval}", ScanInterval);
+
+        while (!stoppingToken.IsCancellationRequested)
+        {
+            try
+            {
+                await ScanOverdueBundlesAsync(stoppingToken);
+            }
+            catch (Exception ex) when (ex is not OperationCanceledException)
+            {
+                _logger.LogError(ex, "Sepsis bundle monitor error — will retry on next scan cycle");
+            }
+
+            await Task.Delay(ScanInterval, stoppingToken);
+        }
+    }
+
+    internal async Task ScanOverdueBundlesAsync(CancellationToken ct)
+    {
+        using var scope = _services.CreateScope();
+        var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
+
+        var overdue = await db.SepsisBundles
+            .Where(b => b.ComplianceStatus == SepsisBundleComplianceStatus.InProgress
+                     && b.DeadlineAt < DateTimeOffset.UtcNow)
+            .ToListAsync(ct);
+
+        if (overdue.Count == 0)
+            return;
+
+        foreach (var bundle in overdue)
+        {
+            bundle.ComplianceStatus = SepsisBundleComplianceStatus.NonCompliant;
+
+            _metrics.SepsisBundleComplianceTotal
+                .WithLabels("NON_COMPLIANT").Inc();
+
+            var incompleteCount = await db.SepsisBundleElements
+                .CountAsync(e => e.BundleId == bundle.Id
+                              && e.Status != SepsisBundleElementStatus.Completed, ct);
+
+            _logger.LogWarning(
+                "Sepsis bundle {BundleId} for encounter {EncounterId} marked NON_COMPLIANT — " +
+                "deadline {Deadline} passed with {Incomplete} incomplete elements",
+                bundle.Id, bundle.EncounterId, bundle.DeadlineAt, incompleteCount);
+        }
+
+        await db.SaveChangesAsync(ct);
+
+        _logger.LogInformation(
+            "Sepsis bundle monitor marked {Count} overdue bundles as NON_COMPLIANT", overdue.Count);
+    }
+}