297 lines
16 KiB
C#
297 lines
16 KiB
C#
using System;
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using Microsoft.EntityFrameworkCore.Migrations;
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#nullable disable
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namespace VigilCareClinicalAPI.Migrations
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{
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/// <inheritdoc />
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public partial class InitialSchema : Migration
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{
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/// <inheritdoc />
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protected override void Up(MigrationBuilder migrationBuilder)
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{
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migrationBuilder.CreateTable(
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name: "alert_thresholds",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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observation_code = table.Column<string>(type: "character varying(50)", maxLength: 50, nullable: false),
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display_name = table.Column<string>(type: "character varying(200)", maxLength: 200, nullable: false),
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unit = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
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critical_low = table.Column<decimal>(type: "numeric(10,3)", nullable: true),
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warning_low = table.Column<decimal>(type: "numeric(10,3)", nullable: true),
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warning_high = table.Column<decimal>(type: "numeric(10,3)", nullable: true),
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critical_high = table.Column<decimal>(type: "numeric(10,3)", nullable: true),
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created_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()")
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_alert_thresholds", x => x.id);
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});
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migrationBuilder.CreateTable(
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name: "outbox_events",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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topic = table.Column<string>(type: "character varying(200)", maxLength: 200, nullable: false),
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payload = table.Column<string>(type: "jsonb", nullable: false),
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created_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()"),
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processed_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: true)
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_outbox_events", x => x.id);
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});
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migrationBuilder.CreateTable(
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name: "patients",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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mrn = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
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first_name = table.Column<string>(type: "character varying(100)", maxLength: 100, nullable: false),
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last_name = table.Column<string>(type: "character varying(100)", maxLength: 100, nullable: false),
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date_of_birth = table.Column<DateOnly>(type: "date", nullable: false),
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gender = table.Column<string>(type: "character varying(10)", maxLength: 10, nullable: false),
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status = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false, defaultValue: "active"),
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created_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()")
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_patients", x => x.id);
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});
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migrationBuilder.CreateTable(
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name: "reconciliation_alerts",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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check_type = table.Column<string>(type: "character varying(50)", maxLength: 50, nullable: false),
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encounter_id = table.Column<Guid>(type: "uuid", nullable: true),
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patient_id = table.Column<Guid>(type: "uuid", nullable: true),
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details = table.Column<string>(type: "text", nullable: false),
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resolved_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: true),
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created_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()")
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_reconciliation_alerts", x => x.id);
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table.CheckConstraint("chk_reconciliation_alerts_check_type", "check_type IN ('UNACKNOWLEDGED_CRITICAL_ALERT', 'PENDING_ORDER_NO_RESULT', 'ACTIVE_INPATIENT_NO_OBSERVATION')");
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});
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migrationBuilder.CreateTable(
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name: "encounters",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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patient_id = table.Column<Guid>(type: "uuid", nullable: false),
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encounter_type = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
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status = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false, defaultValueSql: "'SCHEDULED'"),
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department = table.Column<string>(type: "character varying(100)", maxLength: 100, nullable: false),
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attending_physician = table.Column<string>(type: "character varying(200)", maxLength: 200, nullable: false),
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admitted_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()"),
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discharged_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: true),
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created_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()")
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_encounters", x => x.id);
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table.CheckConstraint("chk_encounters_encounter_type", "encounter_type IN ('INPATIENT', 'OUTPATIENT', 'EMERGENCY')");
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table.CheckConstraint("chk_encounters_status", "status IN ('SCHEDULED', 'ACTIVE', 'DISCHARGED', 'CANCELLED')");
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table.ForeignKey(
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name: "FK_encounters_patients_patient_id",
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column: x => x.patient_id,
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principalTable: "patients",
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principalColumn: "id",
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onDelete: ReferentialAction.Restrict);
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});
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migrationBuilder.CreateTable(
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name: "clinical_alerts",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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encounter_id = table.Column<Guid>(type: "uuid", nullable: false),
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patient_id = table.Column<Guid>(type: "uuid", nullable: false),
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observation_id = table.Column<Guid>(type: "uuid", nullable: true),
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alert_type = table.Column<string>(type: "character varying(50)", maxLength: 50, nullable: false),
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severity = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
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details = table.Column<string>(type: "text", nullable: false),
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status = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false, defaultValueSql: "'OPEN'"),
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acknowledged_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: true),
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acknowledged_by = table.Column<string>(type: "character varying(200)", maxLength: 200, nullable: true),
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resolved_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: true),
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triggered_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()")
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_clinical_alerts", x => x.id);
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table.CheckConstraint("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')");
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table.CheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')");
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table.CheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
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table.ForeignKey(
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name: "FK_clinical_alerts_encounters_encounter_id",
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column: x => x.encounter_id,
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principalTable: "encounters",
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principalColumn: "id",
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onDelete: ReferentialAction.Restrict);
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});
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migrationBuilder.CreateTable(
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name: "observations",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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encounter_id = table.Column<Guid>(type: "uuid", nullable: false),
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observation_code = table.Column<string>(type: "character varying(50)", maxLength: 50, nullable: false),
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value = table.Column<decimal>(type: "numeric(10,3)", nullable: false),
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unit = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
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source = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false, defaultValueSql: "'MANUAL'"),
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idempotency_key = table.Column<string>(type: "character varying(100)", maxLength: 100, nullable: true),
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recorded_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false),
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created_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()")
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_observations", x => x.id);
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table.CheckConstraint("chk_observations_source", "source IN ('MANUAL', 'DEVICE', 'LAB')");
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table.ForeignKey(
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name: "FK_observations_encounters_encounter_id",
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column: x => x.encounter_id,
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principalTable: "encounters",
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principalColumn: "id",
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onDelete: ReferentialAction.Restrict);
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});
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migrationBuilder.CreateTable(
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name: "orders",
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columns: table => new
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{
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id = table.Column<Guid>(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"),
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encounter_id = table.Column<Guid>(type: "uuid", nullable: false),
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order_type = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false),
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description = table.Column<string>(type: "text", nullable: false),
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ordered_by = table.Column<string>(type: "character varying(200)", maxLength: 200, nullable: false),
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status = table.Column<string>(type: "character varying(20)", maxLength: 20, nullable: false, defaultValue: "pending"),
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ordered_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()"),
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resulted_at = table.Column<DateTimeOffset>(type: "timestamp with time zone", nullable: true)
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},
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constraints: table =>
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{
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table.PrimaryKey("PK_orders", x => x.id);
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table.CheckConstraint("chk_orders_order_type", "order_type IN ('LAB', 'IMAGING', 'MEDICATION', 'PROCEDURE')");
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table.ForeignKey(
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name: "FK_orders_encounters_encounter_id",
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column: x => x.encounter_id,
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principalTable: "encounters",
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principalColumn: "id",
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onDelete: ReferentialAction.Restrict);
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});
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migrationBuilder.CreateIndex(
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name: "IX_alert_thresholds_observation_code",
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table: "alert_thresholds",
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column: "observation_code",
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unique: true);
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migrationBuilder.CreateIndex(
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name: "IX_clinical_alerts_encounter_id_triggered_at",
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table: "clinical_alerts",
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columns: new[] { "encounter_id", "triggered_at" });
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migrationBuilder.CreateIndex(
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name: "IX_clinical_alerts_patient_id_triggered_at",
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table: "clinical_alerts",
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columns: new[] { "patient_id", "triggered_at" });
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migrationBuilder.CreateIndex(
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name: "IX_clinical_alerts_severity_triggered_at",
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table: "clinical_alerts",
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columns: new[] { "severity", "triggered_at" },
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filter: "status = 'OPEN'");
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migrationBuilder.CreateIndex(
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name: "IX_encounters_patient_id_admitted_at",
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table: "encounters",
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columns: new[] { "patient_id", "admitted_at" });
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migrationBuilder.CreateIndex(
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name: "IX_encounters_status_admitted_at",
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table: "encounters",
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columns: new[] { "status", "admitted_at" },
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filter: "status = 'ACTIVE'");
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migrationBuilder.CreateIndex(
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name: "IX_observations_encounter_id_observation_code_recorded_at",
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table: "observations",
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columns: new[] { "encounter_id", "observation_code", "recorded_at" });
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migrationBuilder.CreateIndex(
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name: "IX_observations_idempotency_key",
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table: "observations",
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column: "idempotency_key",
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unique: true,
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filter: "idempotency_key IS NOT NULL");
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migrationBuilder.CreateIndex(
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name: "IX_orders_encounter_id_ordered_at",
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table: "orders",
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columns: new[] { "encounter_id", "ordered_at" });
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migrationBuilder.CreateIndex(
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name: "IX_orders_status_ordered_at",
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table: "orders",
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columns: new[] { "status", "ordered_at" },
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filter: "status IN ('pending', 'in_progress')");
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migrationBuilder.CreateIndex(
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name: "IX_outbox_events_created_at",
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table: "outbox_events",
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column: "created_at",
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filter: "processed_at IS NULL");
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migrationBuilder.CreateIndex(
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name: "IX_patients_mrn",
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table: "patients",
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column: "mrn",
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unique: true);
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migrationBuilder.CreateIndex(
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name: "IX_reconciliation_alerts_check_type_encounter_id",
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table: "reconciliation_alerts",
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columns: new[] { "check_type", "encounter_id" },
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filter: "resolved_at IS NULL");
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}
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/// <inheritdoc />
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protected override void Down(MigrationBuilder migrationBuilder)
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{
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migrationBuilder.DropTable(
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name: "alert_thresholds");
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migrationBuilder.DropTable(
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name: "clinical_alerts");
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migrationBuilder.DropTable(
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name: "observations");
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migrationBuilder.DropTable(
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name: "orders");
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migrationBuilder.DropTable(
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name: "outbox_events");
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migrationBuilder.DropTable(
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name: "reconciliation_alerts");
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migrationBuilder.DropTable(
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name: "encounters");
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migrationBuilder.DropTable(
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name: "patients");
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}
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}
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}
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