feature: NEWS2 Composite Scoring Engine

This commit is contained in:
voltsrage
2026-06-18 17:39:31 +08:00
parent c3fbc20ddc
commit e6f7989298
31 changed files with 3118 additions and 45 deletions
@@ -0,0 +1,716 @@
// <auto-generated />
using System;
using Microsoft.EntityFrameworkCore;
using Microsoft.EntityFrameworkCore.Infrastructure;
using Microsoft.EntityFrameworkCore.Migrations;
using Microsoft.EntityFrameworkCore.Storage.ValueConversion;
using Npgsql.EntityFrameworkCore.PostgreSQL.Metadata;
#nullable disable
namespace VigilCareClinicalAPI.Migrations
{
[DbContext(typeof(AppDbContext))]
[Migration("20260618083117_AddNews2ScoresTable")]
partial class AddNews2ScoresTable
{
/// <inheritdoc />
protected override void BuildTargetModel(ModelBuilder modelBuilder)
{
#pragma warning disable 612, 618
modelBuilder
.HasAnnotation("ProductVersion", "8.0.4")
.HasAnnotation("Relational:MaxIdentifierLength", 63);
NpgsqlModelBuilderExtensions.UseIdentityByDefaultColumns(modelBuilder);
modelBuilder.Entity("AlertThreshold", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<decimal?>("CriticalHigh")
.HasColumnType("decimal(10,3)")
.HasColumnName("critical_high");
b.Property<decimal?>("CriticalLow")
.HasColumnType("decimal(10,3)")
.HasColumnName("critical_low");
b.Property<string>("DisplayName")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("display_name");
b.Property<string>("ObservationCode")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("observation_code");
b.Property<string>("Unit")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("unit");
b.Property<decimal?>("WarningHigh")
.HasColumnType("decimal(10,3)")
.HasColumnName("warning_high");
b.Property<decimal?>("WarningLow")
.HasColumnType("decimal(10,3)")
.HasColumnName("warning_low");
b.HasKey("Id");
b.HasIndex("ObservationCode")
.IsUnique();
b.ToTable("alert_thresholds", (string)null);
});
modelBuilder.Entity("ClinicalAlert", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset?>("AcknowledgedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("acknowledged_at");
b.Property<string>("AcknowledgedBy")
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("acknowledged_by");
b.Property<string>("AlertType")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("alert_type");
b.Property<string>("Details")
.IsRequired()
.HasColumnType("text")
.HasColumnName("details");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<Guid?>("ObservationId")
.HasColumnType("uuid")
.HasColumnName("observation_id");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<DateTimeOffset?>("ResolvedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("resolved_at");
b.Property<string>("Severity")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("severity");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("status")
.HasDefaultValueSql("'OPEN'");
b.Property<DateTimeOffset>("TriggeredAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("triggered_at")
.HasDefaultValueSql("NOW()");
b.HasKey("Id");
b.HasIndex("EncounterId", "TriggeredAt");
b.HasIndex("PatientId", "TriggeredAt");
b.HasIndex("Severity", "TriggeredAt")
.HasFilter("status = 'OPEN'");
b.ToTable("clinical_alerts", null, t =>
{
t.HasCheckConstraint("chk_clinical_alerts_alert_type", "alert_type IN ('SEPSIS_WARNING', 'CRITICAL_HEART_RATE', 'CRITICAL_TEMP_C', 'CRITICAL_POTASSIUM_MEQ_L', 'CRITICAL_SPO2', 'CRITICAL_RESP_RATE', 'CRITICAL_WBC_K_UL')");
t.HasCheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')");
t.HasCheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
});
});
modelBuilder.Entity("Encounter", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("AdmissionReason")
.HasMaxLength(500)
.HasColumnType("character varying(500)")
.HasColumnName("admission_reason");
b.Property<DateTimeOffset>("AdmittedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("admitted_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("AttendingPhysician")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("attending_physician");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("Department")
.IsRequired()
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("department");
b.Property<string>("DischargeDiagnosis")
.HasMaxLength(500)
.HasColumnType("character varying(500)")
.HasColumnName("discharge_diagnosis");
b.Property<DateTimeOffset?>("DischargedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("discharged_at");
b.Property<string>("EncounterType")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("encounter_type");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<string>("RoomBed")
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("room_bed");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("status")
.HasDefaultValueSql("'SCHEDULED'");
b.HasKey("Id");
b.HasIndex("PatientId", "AdmittedAt");
b.HasIndex("Status", "AdmittedAt")
.HasFilter("status = 'ACTIVE'");
b.ToTable("encounters", null, t =>
{
t.HasCheckConstraint("chk_encounters_department", "department IN ('ICU', 'GENERAL_MEDICINE', 'EMERGENCY', 'CARDIOLOGY', 'SURGERY', 'PEDIATRICS')");
t.HasCheckConstraint("chk_encounters_encounter_type", "encounter_type IN ('INPATIENT', 'OUTPATIENT', 'EMERGENCY')");
t.HasCheckConstraint("chk_encounters_status", "status IN ('SCHEDULED', 'ACTIVE', 'DISCHARGED', 'CANCELLED')");
});
});
modelBuilder.Entity("News2Score", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CalculatedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("calculated_at");
b.Property<int>("ConsciousnessScore")
.HasColumnType("integer")
.HasColumnName("consciousness_score");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<bool>("HasSingleParamThree")
.HasColumnType("boolean")
.HasColumnName("has_single_param_three");
b.Property<int>("HeartRateScore")
.HasColumnType("integer")
.HasColumnName("heart_rate_score");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<int>("RespRateScore")
.HasColumnType("integer")
.HasColumnName("resp_rate_score");
b.Property<string>("RiskLevel")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("risk_level");
b.Property<int>("Spo2Score")
.HasColumnType("integer")
.HasColumnName("spo2_score");
b.Property<int>("SupplementalO2Score")
.HasColumnType("integer")
.HasColumnName("supplemental_o2_score");
b.Property<int>("SystolicBpScore")
.HasColumnType("integer")
.HasColumnName("systolic_bp_score");
b.Property<int>("TemperatureScore")
.HasColumnType("integer")
.HasColumnName("temperature_score");
b.Property<int>("TotalScore")
.HasColumnType("integer")
.HasColumnName("total_score");
b.HasKey("Id");
b.HasIndex("EncounterId", "CalculatedAt");
b.HasIndex("PatientId", "CalculatedAt");
b.ToTable("news2_scores", null, t =>
{
t.HasCheckConstraint("chk_news2_scores_risk_level", "risk_level IN ('LOW', 'LOW_MEDIUM', 'MEDIUM', 'HIGH')");
});
});
modelBuilder.Entity("Observation", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<string>("IdempotencyKey")
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("idempotency_key");
b.Property<string>("ObservationCode")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("observation_code");
b.Property<DateTimeOffset>("RecordedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("recorded_at");
b.Property<string>("Source")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("source")
.HasDefaultValueSql("'MANUAL'");
b.Property<string>("Unit")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("unit");
b.Property<decimal>("Value")
.HasColumnType("decimal(10,3)")
.HasColumnName("value");
b.HasKey("Id");
b.HasIndex("IdempotencyKey")
.IsUnique()
.HasFilter("idempotency_key IS NOT NULL");
b.HasIndex("EncounterId", "ObservationCode", "RecordedAt");
b.ToTable("observations", null, t =>
{
t.HasCheckConstraint("chk_observations_source", "source IN ('MANUAL', 'DEVICE', 'LAB')");
});
});
modelBuilder.Entity("Order", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("Description")
.IsRequired()
.HasColumnType("text")
.HasColumnName("description");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<string>("OrderType")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("order_type");
b.Property<DateTimeOffset>("OrderedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("ordered_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("OrderedBy")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("ordered_by");
b.Property<string>("ResultSummary")
.HasColumnType("text")
.HasColumnName("result_summary");
b.Property<DateTimeOffset?>("ResultedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("resulted_at");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("status")
.HasDefaultValueSql("'PENDING'");
b.HasKey("Id");
b.HasIndex("EncounterId", "OrderedAt");
b.HasIndex("Status", "OrderedAt")
.HasFilter("status IN ('PENDING', 'IN_PROGRESS')");
b.ToTable("orders", null, t =>
{
t.HasCheckConstraint("chk_orders_order_type", "order_type IN ('LAB', 'IMAGING', 'MEDICATION', 'PROCEDURE')");
t.HasCheckConstraint("chk_orders_status", "status IN ('PENDING', 'IN_PROGRESS', 'RESULTED', 'CANCELLED')");
});
});
modelBuilder.Entity("OutboxEvent", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("PartitionKey")
.HasMaxLength(36)
.HasColumnType("character varying(36)")
.HasColumnName("partition_key");
b.Property<string>("Payload")
.IsRequired()
.HasColumnType("jsonb")
.HasColumnName("payload");
b.Property<DateTimeOffset?>("ProcessedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("processed_at");
b.Property<string>("Topic")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("topic");
b.HasKey("Id");
b.HasIndex("CreatedAt")
.HasFilter("processed_at IS NULL");
b.ToTable("outbox_events", (string)null);
});
modelBuilder.Entity("Patient", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("Allergies")
.HasColumnType("text")
.HasColumnName("allergies");
b.Property<string>("BloodType")
.HasMaxLength(5)
.HasColumnType("character varying(5)")
.HasColumnName("blood_type");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<DateOnly>("DateOfBirth")
.HasColumnType("date")
.HasColumnName("date_of_birth");
b.Property<string>("EmergencyContactName")
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("emergency_contact_name");
b.Property<string>("EmergencyContactPhone")
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("emergency_contact_phone");
b.Property<string>("FirstName")
.IsRequired()
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("first_name");
b.Property<string>("Gender")
.IsRequired()
.HasMaxLength(10)
.HasColumnType("character varying(10)")
.HasColumnName("gender");
b.Property<string>("LastName")
.IsRequired()
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("last_name");
b.Property<string>("Mrn")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("mrn");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasDefaultValue("active")
.HasColumnName("status");
b.HasKey("Id");
b.HasIndex("Mrn")
.IsUnique();
b.ToTable("patients", (string)null);
});
modelBuilder.Entity("ReconciliationAlert", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("CheckType")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("check_type");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("Details")
.IsRequired()
.HasColumnType("text")
.HasColumnName("details");
b.Property<Guid?>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<Guid?>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<DateTimeOffset?>("ResolvedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("resolved_at");
b.HasKey("Id");
b.HasIndex("EncounterId");
b.HasIndex("PatientId");
b.HasIndex("CheckType", "EncounterId")
.HasFilter("resolved_at IS NULL");
b.ToTable("reconciliation_alerts", null, t =>
{
t.HasCheckConstraint("chk_reconciliation_alerts_check_type", "check_type IN ('UNACKNOWLEDGED_CRITICAL_ALERT', 'PENDING_ORDER_NO_RESULT', 'ACTIVE_INPATIENT_NO_OBSERVATION')");
});
});
modelBuilder.Entity("ClinicalAlert", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany("Alerts")
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Encounter", b =>
{
b.HasOne("Patient", "Patient")
.WithMany("Encounters")
.HasForeignKey("PatientId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Patient");
});
modelBuilder.Entity("News2Score", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany()
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Observation", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany("Observations")
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Order", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany("Orders")
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("ReconciliationAlert", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany()
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.SetNull);
b.HasOne("Patient", "Patient")
.WithMany()
.HasForeignKey("PatientId")
.OnDelete(DeleteBehavior.SetNull);
b.Navigation("Encounter");
b.Navigation("Patient");
});
modelBuilder.Entity("Encounter", b =>
{
b.Navigation("Alerts");
b.Navigation("Observations");
b.Navigation("Orders");
});
modelBuilder.Entity("Patient", b =>
{
b.Navigation("Encounters");
});
#pragma warning restore 612, 618
}
}
}
@@ -0,0 +1,63 @@
using System;
using Microsoft.EntityFrameworkCore.Migrations;
#nullable disable
namespace VigilCareClinicalAPI.Migrations
{
/// <inheritdoc />
public partial class AddNews2ScoresTable : Migration
{
/// <inheritdoc />
protected override void Up(MigrationBuilder migrationBuilder)
{
migrationBuilder.CreateTable(
name: "news2_scores",
columns: table => new
{
id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
encounter_id = table.Column<Guid>(type: "uuid", nullable: false),
patient_id = table.Column<Guid>(type: "uuid", nullable: false),
total_score = table.Column<int>(type: "integer", nullable: false),
risk_level = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
resp_rate_score = table.Column<int>(type: "integer", nullable: false),
spo2_score = table.Column<int>(type: "integer", nullable: false),
systolic_bp_score = table.Column<int>(type: "integer", nullable: false),
heart_rate_score = table.Column<int>(type: "integer", nullable: false),
consciousness_score = table.Column<int>(type: "integer", nullable: false),
temperature_score = table.Column<int>(type: "integer", nullable: false),
supplemental_o2_score = table.Column<int>(type: "integer", nullable: false),
has_single_param_three = table.Column<bool>(type: "boolean", nullable: false),
calculated_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false)
},
constraints: table =>
{
table.PrimaryKey("PK_news2_scores", x => x.id);
table.CheckConstraint("chk_news2_scores_risk_level", "risk_level IN ('LOW', 'LOW_MEDIUM', 'MEDIUM', 'HIGH')");
table.ForeignKey(
name: "FK_news2_scores_encounters_encounter_id",
column: x => x.encounter_id,
principalTable: "encounters",
principalColumn: "id",
onDelete: ReferentialAction.Restrict);
});
migrationBuilder.CreateIndex(
name: "IX_news2_scores_encounter_id_calculated_at",
table: "news2_scores",
columns: new[] { "encounter_id", "calculated_at" });
migrationBuilder.CreateIndex(
name: "IX_news2_scores_patient_id_calculated_at",
table: "news2_scores",
columns: new[] { "patient_id", "calculated_at" });
}
/// <inheritdoc />
protected override void Down(MigrationBuilder migrationBuilder)
{
migrationBuilder.DropTable(
name: "news2_scores");
}
}
}
@@ -0,0 +1,716 @@
// <auto-generated />
using System;
using Microsoft.EntityFrameworkCore;
using Microsoft.EntityFrameworkCore.Infrastructure;
using Microsoft.EntityFrameworkCore.Migrations;
using Microsoft.EntityFrameworkCore.Storage.ValueConversion;
using Npgsql.EntityFrameworkCore.PostgreSQL.Metadata;
#nullable disable
namespace VigilCareClinicalAPI.Migrations
{
[DbContext(typeof(AppDbContext))]
[Migration("20260618083259_AddNews2AlertTypes")]
partial class AddNews2AlertTypes
{
/// <inheritdoc />
protected override void BuildTargetModel(ModelBuilder modelBuilder)
{
#pragma warning disable 612, 618
modelBuilder
.HasAnnotation("ProductVersion", "8.0.4")
.HasAnnotation("Relational:MaxIdentifierLength", 63);
NpgsqlModelBuilderExtensions.UseIdentityByDefaultColumns(modelBuilder);
modelBuilder.Entity("AlertThreshold", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<decimal?>("CriticalHigh")
.HasColumnType("decimal(10,3)")
.HasColumnName("critical_high");
b.Property<decimal?>("CriticalLow")
.HasColumnType("decimal(10,3)")
.HasColumnName("critical_low");
b.Property<string>("DisplayName")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("display_name");
b.Property<string>("ObservationCode")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("observation_code");
b.Property<string>("Unit")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("unit");
b.Property<decimal?>("WarningHigh")
.HasColumnType("decimal(10,3)")
.HasColumnName("warning_high");
b.Property<decimal?>("WarningLow")
.HasColumnType("decimal(10,3)")
.HasColumnName("warning_low");
b.HasKey("Id");
b.HasIndex("ObservationCode")
.IsUnique();
b.ToTable("alert_thresholds", (string)null);
});
modelBuilder.Entity("ClinicalAlert", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset?>("AcknowledgedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("acknowledged_at");
b.Property<string>("AcknowledgedBy")
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("acknowledged_by");
b.Property<string>("AlertType")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("alert_type");
b.Property<string>("Details")
.IsRequired()
.HasColumnType("text")
.HasColumnName("details");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<Guid?>("ObservationId")
.HasColumnType("uuid")
.HasColumnName("observation_id");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<DateTimeOffset?>("ResolvedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("resolved_at");
b.Property<string>("Severity")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("severity");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("status")
.HasDefaultValueSql("'OPEN'");
b.Property<DateTimeOffset>("TriggeredAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("triggered_at")
.HasDefaultValueSql("NOW()");
b.HasKey("Id");
b.HasIndex("EncounterId", "TriggeredAt");
b.HasIndex("PatientId", "TriggeredAt");
b.HasIndex("Severity", "TriggeredAt")
.HasFilter("status = 'OPEN'");
b.ToTable("clinical_alerts", null, t =>
{
t.HasCheckConstraint("chk_clinical_alerts_alert_type", "alert_type IN ('SEPSIS_WARNING', 'CRITICAL_HEART_RATE', 'CRITICAL_TEMP_C', 'CRITICAL_POTASSIUM_MEQ_L', 'CRITICAL_SPO2', 'CRITICAL_RESP_RATE', 'CRITICAL_WBC_K_UL')");
t.HasCheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')");
t.HasCheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
});
});
modelBuilder.Entity("Encounter", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("AdmissionReason")
.HasMaxLength(500)
.HasColumnType("character varying(500)")
.HasColumnName("admission_reason");
b.Property<DateTimeOffset>("AdmittedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("admitted_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("AttendingPhysician")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("attending_physician");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("Department")
.IsRequired()
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("department");
b.Property<string>("DischargeDiagnosis")
.HasMaxLength(500)
.HasColumnType("character varying(500)")
.HasColumnName("discharge_diagnosis");
b.Property<DateTimeOffset?>("DischargedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("discharged_at");
b.Property<string>("EncounterType")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("encounter_type");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<string>("RoomBed")
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("room_bed");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("status")
.HasDefaultValueSql("'SCHEDULED'");
b.HasKey("Id");
b.HasIndex("PatientId", "AdmittedAt");
b.HasIndex("Status", "AdmittedAt")
.HasFilter("status = 'ACTIVE'");
b.ToTable("encounters", null, t =>
{
t.HasCheckConstraint("chk_encounters_department", "department IN ('ICU', 'GENERAL_MEDICINE', 'EMERGENCY', 'CARDIOLOGY', 'SURGERY', 'PEDIATRICS')");
t.HasCheckConstraint("chk_encounters_encounter_type", "encounter_type IN ('INPATIENT', 'OUTPATIENT', 'EMERGENCY')");
t.HasCheckConstraint("chk_encounters_status", "status IN ('SCHEDULED', 'ACTIVE', 'DISCHARGED', 'CANCELLED')");
});
});
modelBuilder.Entity("News2Score", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CalculatedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("calculated_at");
b.Property<int>("ConsciousnessScore")
.HasColumnType("integer")
.HasColumnName("consciousness_score");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<bool>("HasSingleParamThree")
.HasColumnType("boolean")
.HasColumnName("has_single_param_three");
b.Property<int>("HeartRateScore")
.HasColumnType("integer")
.HasColumnName("heart_rate_score");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<int>("RespRateScore")
.HasColumnType("integer")
.HasColumnName("resp_rate_score");
b.Property<string>("RiskLevel")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("risk_level");
b.Property<int>("Spo2Score")
.HasColumnType("integer")
.HasColumnName("spo2_score");
b.Property<int>("SupplementalO2Score")
.HasColumnType("integer")
.HasColumnName("supplemental_o2_score");
b.Property<int>("SystolicBpScore")
.HasColumnType("integer")
.HasColumnName("systolic_bp_score");
b.Property<int>("TemperatureScore")
.HasColumnType("integer")
.HasColumnName("temperature_score");
b.Property<int>("TotalScore")
.HasColumnType("integer")
.HasColumnName("total_score");
b.HasKey("Id");
b.HasIndex("EncounterId", "CalculatedAt");
b.HasIndex("PatientId", "CalculatedAt");
b.ToTable("news2_scores", null, t =>
{
t.HasCheckConstraint("chk_news2_scores_risk_level", "risk_level IN ('LOW', 'LOW_MEDIUM', 'MEDIUM', 'HIGH')");
});
});
modelBuilder.Entity("Observation", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<string>("IdempotencyKey")
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("idempotency_key");
b.Property<string>("ObservationCode")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("observation_code");
b.Property<DateTimeOffset>("RecordedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("recorded_at");
b.Property<string>("Source")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("source")
.HasDefaultValueSql("'MANUAL'");
b.Property<string>("Unit")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("unit");
b.Property<decimal>("Value")
.HasColumnType("decimal(10,3)")
.HasColumnName("value");
b.HasKey("Id");
b.HasIndex("IdempotencyKey")
.IsUnique()
.HasFilter("idempotency_key IS NOT NULL");
b.HasIndex("EncounterId", "ObservationCode", "RecordedAt");
b.ToTable("observations", null, t =>
{
t.HasCheckConstraint("chk_observations_source", "source IN ('MANUAL', 'DEVICE', 'LAB')");
});
});
modelBuilder.Entity("Order", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("Description")
.IsRequired()
.HasColumnType("text")
.HasColumnName("description");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<string>("OrderType")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("order_type");
b.Property<DateTimeOffset>("OrderedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("ordered_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("OrderedBy")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("ordered_by");
b.Property<string>("ResultSummary")
.HasColumnType("text")
.HasColumnName("result_summary");
b.Property<DateTimeOffset?>("ResultedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("resulted_at");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("status")
.HasDefaultValueSql("'PENDING'");
b.HasKey("Id");
b.HasIndex("EncounterId", "OrderedAt");
b.HasIndex("Status", "OrderedAt")
.HasFilter("status IN ('PENDING', 'IN_PROGRESS')");
b.ToTable("orders", null, t =>
{
t.HasCheckConstraint("chk_orders_order_type", "order_type IN ('LAB', 'IMAGING', 'MEDICATION', 'PROCEDURE')");
t.HasCheckConstraint("chk_orders_status", "status IN ('PENDING', 'IN_PROGRESS', 'RESULTED', 'CANCELLED')");
});
});
modelBuilder.Entity("OutboxEvent", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("PartitionKey")
.HasMaxLength(36)
.HasColumnType("character varying(36)")
.HasColumnName("partition_key");
b.Property<string>("Payload")
.IsRequired()
.HasColumnType("jsonb")
.HasColumnName("payload");
b.Property<DateTimeOffset?>("ProcessedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("processed_at");
b.Property<string>("Topic")
.IsRequired()
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("topic");
b.HasKey("Id");
b.HasIndex("CreatedAt")
.HasFilter("processed_at IS NULL");
b.ToTable("outbox_events", (string)null);
});
modelBuilder.Entity("Patient", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("Allergies")
.HasColumnType("text")
.HasColumnName("allergies");
b.Property<string>("BloodType")
.HasMaxLength(5)
.HasColumnType("character varying(5)")
.HasColumnName("blood_type");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<DateOnly>("DateOfBirth")
.HasColumnType("date")
.HasColumnName("date_of_birth");
b.Property<string>("EmergencyContactName")
.HasMaxLength(200)
.HasColumnType("character varying(200)")
.HasColumnName("emergency_contact_name");
b.Property<string>("EmergencyContactPhone")
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("emergency_contact_phone");
b.Property<string>("FirstName")
.IsRequired()
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("first_name");
b.Property<string>("Gender")
.IsRequired()
.HasMaxLength(10)
.HasColumnType("character varying(10)")
.HasColumnName("gender");
b.Property<string>("LastName")
.IsRequired()
.HasMaxLength(100)
.HasColumnType("character varying(100)")
.HasColumnName("last_name");
b.Property<string>("Mrn")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("mrn");
b.Property<string>("Status")
.IsRequired()
.ValueGeneratedOnAdd()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasDefaultValue("active")
.HasColumnName("status");
b.HasKey("Id");
b.HasIndex("Mrn")
.IsUnique();
b.ToTable("patients", (string)null);
});
modelBuilder.Entity("ReconciliationAlert", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<string>("CheckType")
.IsRequired()
.HasMaxLength(50)
.HasColumnType("character varying(50)")
.HasColumnName("check_type");
b.Property<DateTimeOffset>("CreatedAt")
.ValueGeneratedOnAdd()
.HasColumnType("timestamp with time zone")
.HasColumnName("created_at")
.HasDefaultValueSql("NOW()");
b.Property<string>("Details")
.IsRequired()
.HasColumnType("text")
.HasColumnName("details");
b.Property<Guid?>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<Guid?>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<DateTimeOffset?>("ResolvedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("resolved_at");
b.HasKey("Id");
b.HasIndex("EncounterId");
b.HasIndex("PatientId");
b.HasIndex("CheckType", "EncounterId")
.HasFilter("resolved_at IS NULL");
b.ToTable("reconciliation_alerts", null, t =>
{
t.HasCheckConstraint("chk_reconciliation_alerts_check_type", "check_type IN ('UNACKNOWLEDGED_CRITICAL_ALERT', 'PENDING_ORDER_NO_RESULT', 'ACTIVE_INPATIENT_NO_OBSERVATION')");
});
});
modelBuilder.Entity("ClinicalAlert", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany("Alerts")
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Encounter", b =>
{
b.HasOne("Patient", "Patient")
.WithMany("Encounters")
.HasForeignKey("PatientId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Patient");
});
modelBuilder.Entity("News2Score", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany()
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Observation", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany("Observations")
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Order", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany("Orders")
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("ReconciliationAlert", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany()
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.SetNull);
b.HasOne("Patient", "Patient")
.WithMany()
.HasForeignKey("PatientId")
.OnDelete(DeleteBehavior.SetNull);
b.Navigation("Encounter");
b.Navigation("Patient");
});
modelBuilder.Entity("Encounter", b =>
{
b.Navigation("Alerts");
b.Navigation("Observations");
b.Navigation("Orders");
});
modelBuilder.Entity("Patient", b =>
{
b.Navigation("Encounters");
});
#pragma warning restore 612, 618
}
}
}
@@ -0,0 +1,36 @@
using Microsoft.EntityFrameworkCore.Migrations;
#nullable disable
namespace VigilCareClinicalAPI.Migrations
{
/// <inheritdoc />
public partial class AddNews2AlertTypes : Migration
{
/// <inheritdoc />
protected override void Up(MigrationBuilder migrationBuilder)
{
migrationBuilder.Sql("""
ALTER TABLE clinical_alerts DROP CONSTRAINT chk_clinical_alerts_alert_type;
ALTER TABLE clinical_alerts ADD CONSTRAINT chk_clinical_alerts_alert_type
CHECK (alert_type IN (
'SEPSIS_WARNING',
'CRITICAL_HEART_RATE', 'CRITICAL_TEMP_C', 'CRITICAL_POTASSIUM_MEQ_L',
'CRITICAL_SPO2', 'CRITICAL_RESP_RATE', 'CRITICAL_WBC_K_UL',
'CRITICAL_SYSTOLIC_BP', 'CRITICAL_DIASTOLIC_BP', 'CRITICAL_LACTATE_MMOL_L',
'CRITICAL_AVPU', 'CRITICAL_GLUCOSE_MG_DL',
'WARNING_HEART_RATE', 'WARNING_TEMP_C', 'WARNING_POTASSIUM_MEQ_L',
'WARNING_SPO2', 'WARNING_RESP_RATE', 'WARNING_WBC_K_UL',
'WARNING_SYSTOLIC_BP', 'WARNING_DIASTOLIC_BP', 'WARNING_LACTATE_MMOL_L',
'WARNING_GLUCOSE_MG_DL', 'NEWS2_WARNING', 'NEWS2_EMERGENCY'
));
""");
}
/// <inheritdoc />
protected override void Down(MigrationBuilder migrationBuilder)
{
}
}
}
@@ -246,6 +246,80 @@ namespace VigilCareClinicalAPI.Migrations
});
});
modelBuilder.Entity("News2Score", b =>
{
b.Property<Guid>("Id")
.ValueGeneratedOnAdd()
.HasColumnType("uuid")
.HasColumnName("id")
.HasDefaultValueSql("gen_random_uuid()");
b.Property<DateTimeOffset>("CalculatedAt")
.HasColumnType("timestamp with time zone")
.HasColumnName("calculated_at");
b.Property<int>("ConsciousnessScore")
.HasColumnType("integer")
.HasColumnName("consciousness_score");
b.Property<Guid>("EncounterId")
.HasColumnType("uuid")
.HasColumnName("encounter_id");
b.Property<bool>("HasSingleParamThree")
.HasColumnType("boolean")
.HasColumnName("has_single_param_three");
b.Property<int>("HeartRateScore")
.HasColumnType("integer")
.HasColumnName("heart_rate_score");
b.Property<Guid>("PatientId")
.HasColumnType("uuid")
.HasColumnName("patient_id");
b.Property<int>("RespRateScore")
.HasColumnType("integer")
.HasColumnName("resp_rate_score");
b.Property<string>("RiskLevel")
.IsRequired()
.HasMaxLength(20)
.HasColumnType("character varying(20)")
.HasColumnName("risk_level");
b.Property<int>("Spo2Score")
.HasColumnType("integer")
.HasColumnName("spo2_score");
b.Property<int>("SupplementalO2Score")
.HasColumnType("integer")
.HasColumnName("supplemental_o2_score");
b.Property<int>("SystolicBpScore")
.HasColumnType("integer")
.HasColumnName("systolic_bp_score");
b.Property<int>("TemperatureScore")
.HasColumnType("integer")
.HasColumnName("temperature_score");
b.Property<int>("TotalScore")
.HasColumnType("integer")
.HasColumnName("total_score");
b.HasKey("Id");
b.HasIndex("EncounterId", "CalculatedAt");
b.HasIndex("PatientId", "CalculatedAt");
b.ToTable("news2_scores", null, t =>
{
t.HasCheckConstraint("chk_news2_scores_risk_level", "risk_level IN ('LOW', 'LOW_MEDIUM', 'MEDIUM', 'HIGH')");
});
});
modelBuilder.Entity("Observation", b =>
{
b.Property<Guid>("Id")
@@ -570,6 +644,17 @@ namespace VigilCareClinicalAPI.Migrations
b.Navigation("Patient");
});
modelBuilder.Entity("News2Score", b =>
{
b.HasOne("Encounter", "Encounter")
.WithMany()
.HasForeignKey("EncounterId")
.OnDelete(DeleteBehavior.Restrict)
.IsRequired();
b.Navigation("Encounter");
});
modelBuilder.Entity("Observation", b =>
{
b.HasOne("Encounter", "Encounter")