using System.Text; using System.Text.Json; using Microsoft.Extensions.Options; using RabbitMQ.Client; using RabbitMQ.Client.Events; using Serilog.Context; public sealed class EscalationWorkerService : BackgroundService { private readonly IOptions _opts; private readonly IServiceScopeFactory _scopes; private readonly ClinicalMetrics _metrics; private readonly ILogger _logger; public EscalationWorkerService( IOptions opts, IServiceScopeFactory scopes, ClinicalMetrics metrics, ILogger logger) { _opts = opts; _scopes = scopes; _metrics = metrics; _logger = logger; } protected override async Task ExecuteAsync(CancellationToken stoppingToken) { await Task.Delay(TimeSpan.FromSeconds(5), stoppingToken); var o = _opts.Value; var factory = RabbitMqConnectionFactory.Create(o, dispatchConsumersAsync: true); using var connection = factory.CreateConnection("escalation-worker"); using var channel = connection.CreateModel(); channel.BasicQos(0, prefetchCount: 5, global: false); var consumer = new AsyncEventingBasicConsumer(channel); consumer.Received += async (sender, ea) => { await HandleEscalationAsync(channel, ea, stoppingToken); }; channel.BasicConsume("alerts.escalation.queue", autoAck: false, consumer); _logger.LogInformation("EscalationWorkerService consuming alerts.escalation.queue"); await Task.Delay(Timeout.Infinite, stoppingToken); } private async Task HandleEscalationAsync(IModel channel, BasicDeliverEventArgs ea, CancellationToken ct) { var payload = Encoding.UTF8.GetString(ea.Body.Span); var doc = JsonDocument.Parse(payload); var alertId = Guid.Parse(doc.RootElement.GetProperty("alertId").GetString()!); var encounterId = Guid.Parse(doc.RootElement.GetProperty("encounterId").GetString()!); using (LogContext.PushProperty("EncounterId", encounterId)) using (LogContext.PushProperty("AlertId", alertId)) { _logger.LogCritical("[ESCALATION] Paging on-call backup for alert {AlertId}", alertId); } try { var escalated = await UpdateAlertStatusEscalatedAsync(alertId, ct); if (escalated) _metrics.EscalationsTotal.Inc(); channel.BasicAck(ea.DeliveryTag, multiple: false); _logger.LogWarning( "[ESCALATION-DONE] Alert {AlertId} status → Escalated in PostgreSQL", alertId); } catch (Exception ex) { _logger.LogError(ex, "EscalationWorker failed for alert {AlertId}", alertId); channel.BasicNack(ea.DeliveryTag, multiple: false, requeue: true); } } private async Task UpdateAlertStatusEscalatedAsync(Guid alertId, CancellationToken ct) { await using var scope = _scopes.CreateAsyncScope(); var db = scope.ServiceProvider.GetRequiredService(); var alert = await db.ClinicalAlerts.FindAsync(new object[] { alertId }, ct); if (alert is null) return false; // Only escalate if still open — if acknowledged between NACK and TTL expiry, leave it. if (alert.Status != AlertStatus.Open) return false; alert.Status = AlertStatus.Escalated; await db.SaveChangesAsync(ct); return true; } }