Files
vigilcare-clinical/VigilCareClinicalAPI/BackgroundServices/Notifications/DischargeSummaryWorkerService.cs
T

158 lines
6.2 KiB
C#

using System.Text;
using System.Text.Json;
using Microsoft.EntityFrameworkCore;
using Microsoft.Extensions.Options;
using Minio.DataModel.Args;
using RabbitMQ.Client;
using RabbitMQ.Client.Events;
public sealed class DischargeSummaryWorkerService : BackgroundService
{
private readonly IOptions<RabbitMqOptions> _rabbitOpts;
private readonly IOptions<MinioOptions> _minioOpts;
private readonly IServiceScopeFactory _scopes;
private readonly ILogger<DischargeSummaryWorkerService> _logger;
public DischargeSummaryWorkerService(
IOptions<RabbitMqOptions> rabbitOpts,
IOptions<MinioOptions> minioOpts,
IServiceScopeFactory scopes,
ILogger<DischargeSummaryWorkerService> logger)
{
_rabbitOpts = rabbitOpts;
_minioOpts = minioOpts;
_scopes = scopes;
_logger = logger;
}
protected override async Task ExecuteAsync(CancellationToken stoppingToken)
{
await Task.Delay(TimeSpan.FromSeconds(5), stoppingToken);
var o = _rabbitOpts.Value;
var factory = new ConnectionFactory
{
HostName = o.Host,
Port = o.Port,
UserName = o.Username,
Password = o.Password,
DispatchConsumersAsync = true,
};
using var connection = factory.CreateConnection("discharge-summary-worker");
using var channel = connection.CreateModel();
channel.BasicQos(0, prefetchCount: 3, global: false);
var consumer = new AsyncEventingBasicConsumer(channel);
consumer.Received += async (sender, ea) =>
{
await HandleDischargeSummaryAsync(channel, ea, stoppingToken);
};
channel.BasicConsume("notifications.discharge.queue", autoAck: false, consumer);
_logger.LogInformation("DischargeSummaryWorkerService consuming notifications.discharge.queue");
await Task.Delay(Timeout.Infinite, stoppingToken);
}
private async Task HandleDischargeSummaryAsync(IModel channel, BasicDeliverEventArgs ea, CancellationToken ct)
{
var payload = Encoding.UTF8.GetString(ea.Body.Span);
var doc = JsonDocument.Parse(payload);
var encounterId = Guid.Parse(doc.RootElement.GetProperty("encounterId").GetString()!);
try
{
var summary = await BuildSummaryAsync(encounterId, ct);
await UploadToMinioAsync(encounterId, summary, ct);
channel.BasicAck(ea.DeliveryTag, multiple: false);
_logger.LogInformation(
"[DISCHARGE-SUMMARY] Uploaded for encounter {EncounterId}", encounterId);
}
catch (Exception ex)
{
_logger.LogError(ex, "DischargeSummaryWorker failed for encounter {EncounterId}", encounterId);
channel.BasicNack(ea.DeliveryTag, multiple: false, requeue: true);
}
}
private async Task<string> BuildSummaryAsync(Guid encounterId, CancellationToken ct)
{
await using var scope = _scopes.CreateAsyncScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var encounter = await db.Encounters
.Include(e => e.Patient)
.FirstOrDefaultAsync(e => e.Id == encounterId, ct);
if (encounter is null)
return $"DISCHARGE SUMMARY\nEncounter {encounterId} not found in database.";
var obsCount = await db.Observations.CountAsync(o => o.EncounterId == encounterId, ct);
var alertCount = await db.ClinicalAlerts.CountAsync(a => a.EncounterId == encounterId, ct);
var orders = await db.Orders
.Where(o => o.EncounterId == encounterId)
.Select(o => new { o.OrderType, o.Description, o.Status, o.OrderedAt, o.ResultedAt })
.ToListAsync(ct);
var sb = new StringBuilder();
sb.AppendLine("=== VIGILCARE DISCHARGE SUMMARY ===");
sb.AppendLine($"Generated: {DateTimeOffset.UtcNow:u}");
sb.AppendLine();
sb.AppendLine($"Patient: {encounter.Patient.FirstName} {encounter.Patient.LastName}");
sb.AppendLine($"MRN: {encounter.Patient.Mrn}");
sb.AppendLine($"Date of Birth: {encounter.Patient.DateOfBirth:yyyy-MM-dd}");
sb.AppendLine();
sb.AppendLine($"Encounter ID: {encounter.Id}");
sb.AppendLine($"Type: {encounter.EncounterType}");
sb.AppendLine($"Department: {encounter.Department}");
sb.AppendLine($"Attending: {encounter.AttendingPhysician}");
sb.AppendLine($"Admitted: {encounter.AdmittedAt:u}");
sb.AppendLine($"Discharged: {encounter.DischargedAt:u}");
sb.AppendLine();
sb.AppendLine($"Observations Recorded: {obsCount}");
sb.AppendLine($"Clinical Alerts: {alertCount}");
sb.AppendLine();
if (orders.Any())
{
sb.AppendLine("--- Orders ---");
foreach (var o in orders)
sb.AppendLine($" [{o.Status}] {o.OrderType.ToDbString()}: {o.Description} (ordered: {o.OrderedAt:u})");
}
sb.AppendLine();
sb.AppendLine("NOTE: This summary is generated automatically. Clinician review required.");
sb.AppendLine("NOTE: HIPAA Notice — This document contains protected health information.");
return sb.ToString();
}
private async Task UploadToMinioAsync(Guid encounterId, string content, CancellationToken ct)
{
var mo = _minioOpts.Value;
var client = MinioClientFactory.Build(mo);
var bucket = mo.BucketName;
var exists = await client.BucketExistsAsync(
new BucketExistsArgs().WithBucket(bucket), ct);
if (!exists)
await client.MakeBucketAsync(new MakeBucketArgs().WithBucket(bucket), ct);
var objectKey = $"discharge-summaries/{encounterId}/summary.pdf";
var bytes = Encoding.UTF8.GetBytes(content);
await client.PutObjectAsync(new PutObjectArgs()
.WithBucket(bucket)
.WithObject(objectKey)
.WithStreamData(new MemoryStream(bytes))
.WithObjectSize(bytes.Length)
.WithContentType("text/plain"),
ct);
}
}