vigilcare-clinical/VigilCareClinicalAPI/Program.cs

using Elastic.Clients.Elasticsearch;
using Microsoft.EntityFrameworkCore;
using Serilog;
using StackExchange.Redis;
using System.Text.Json.Serialization;

Log.Logger = new LoggerConfiguration()
    .WriteTo.Console()
    .CreateBootstrapLogger();

try
{    
    var builder = WebApplication.CreateBuilder(args);

    // Serilog's reloadable logger can only be frozen once per process; skip in
    // integration tests where WebApplicationFactory may build multiple hosts.
    if (!builder.Environment.IsEnvironment("Testing"))
    {
        builder.Host.UseSerilog((ctx, services, config) =>
            config.ReadFrom.Configuration(ctx.Configuration)
                  .ReadFrom.Services(services)
                  .Enrich.FromLogContext());
    }

    builder.Services.AddDbContext<AppDbContext>(opts =>
        opts.UseNpgsql(builder.Configuration.GetConnectionString("DefaultConnection")));

    builder.Services.AddSingleton<IConnectionMultiplexer>(sp =>
        ConnectionMultiplexer.Connect(sp.GetRequiredService<IConfiguration>()["Redis:ConnectionString"]!));

    builder.Services.Configure<KafkaOptions>(
    builder.Configuration.GetSection(KafkaOptions.Section));

    builder.Services.Configure<ElasticsearchOptions>(
    builder.Configuration.GetSection(ElasticsearchOptions.Section));

    var esOptions = builder.Configuration
        .GetSection(ElasticsearchOptions.Section)
        .Get<ElasticsearchOptions>()!;

    builder.Services.AddSingleton(
        new ElasticsearchClient(new Uri(esOptions.Uri)));

    builder.Services.Configure<RabbitMqOptions>(
    builder.Configuration.GetSection(RabbitMqOptions.Section));
    builder.Services.Configure<MinioOptions>(
        builder.Configuration.GetSection(MinioOptions.Section));

    builder.Services.AddSingleton<RabbitMqTopologyProvisioner>();
    builder.Services.AddHostedService(sp => sp.GetRequiredService<RabbitMqTopologyProvisioner>());

    builder.Services.Configure<ReconciliationJobOptions>(
    builder.Configuration.GetSection(ReconciliationJobOptions.Section));

    builder.Services.AddScoped<IPatientService, PatientService>();
    builder.Services.AddScoped<IEncounterService, EncounterService>();
    builder.Services.AddScoped<IAlertThresholdService, AlertThresholdService>();
    builder.Services.AddScoped<IObservationService, ObservationService>();
    builder.Services.AddScoped<IObservationQueryService, ObservationQueryService>();
    builder.Services.AddScoped<IAlertService, AlertService>();
    builder.Services.AddScoped<IAnalyticsService, AnalyticsService>();
    builder.Services.AddScoped<SirsDetector>();
    builder.Services.AddScoped<UnacknowledgedAlertsCheck>();
    builder.Services.AddScoped<PendingOrdersCheck>();
    builder.Services.AddScoped<DisconnectedMonitorsCheck>();
    builder.Services.AddScoped<ReconciliationPublisher>();


    builder.Services.AddHostedService<ThresholdCacheLoader>();
    builder.Services.AddHostedService<KafkaTopicProvisioner>();
    builder.Services.AddHostedService<OutboxRelayService>();
    builder.Services.AddHostedService<ElasticIndexProvisioner>();
    builder.Services.AddHostedService<EsIndexerService>();
    builder.Services.AddHostedService<SepsisEngineService>();
    builder.Services.AddHostedService<NotificationPublisherService>();
    builder.Services.AddHostedService<PagingWorkerService>();
    builder.Services.AddHostedService<EscalationWorkerService>();
    builder.Services.AddHostedService<DischargeSummaryWorkerService>();
    builder.Services.AddHostedService<ReconciliationScheduler>();

    builder.Services.AddControllers()
        .AddJsonOptions(opts =>
        {
            opts.JsonSerializerOptions.ReferenceHandler = ReferenceHandler.IgnoreCycles;
            opts.JsonSerializerOptions.Converters.Add(new JsonStringEnumConverter());
            opts.JsonSerializerOptions.Converters.Add(new ObservationSourceJsonConverter());
            opts.JsonSerializerOptions.Converters.Add(new DepartmentJsonConverter());
        });
    builder.Services.AddEndpointsApiExplorer();
    builder.Services.AddSwaggerGen();

    var app = builder.Build();

    if (!app.Environment.IsEnvironment("Testing"))
    {
        using var scope = app.Services.CreateScope();
        var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
        var redis = scope.ServiceProvider.GetRequiredService<IConnectionMultiplexer>();
        await DataSeeder.SeedAsync(db, redis);
    }

    if (!app.Environment.IsEnvironment("Testing"))
    {
        app.UseSerilogRequestLogging(options =>
        {
            options.MessageTemplate =
                "HTTP {RequestMethod} {RequestPath} responded {StatusCode} in {Elapsed:0.000}ms";
        });
    }

    app.UseMiddleware<CorrelationIdMiddleware>();
    app.UseMiddleware<ExceptionHandlerMiddleware>();

    // Configure the HTTP request pipeline.
    if (app.Environment.IsDevelopment())
    {
        app.UseSwagger();
        app.UseSwaggerUI();
    }

    app.MapControllers();
    app.Run();

}
/***
dotnet ef tools use HostFactoryResolver which throws HostAbortedException internally as a control-flow mechanism to stop the host after discovering the DbContext. 
Your generic catch was swallowing it instead of letting it propagate, so EF saw the process exit abnormally.
***/ 
catch (HostAbortedException)
{
    throw;
}
catch (Exception ex)
{
    Log.Fatal(ex, "Application failed to start.");
    throw;
}
finally
{
    Log.CloseAndFlush();
}

public partial class Program { }