feature: Live Capture (Track B)
This commit is contained in:
voltsrage
@@ -18,6 +18,8 @@ public class AppDbContext : DbContext
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public DbSet<Encounter> Encounters => Set<Encounter>();
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public DbSet<Observation> Observations => Set<Observation>();
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public DbSet<OutboxEvent> OutboxEvents => Set<OutboxEvent>();
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public DbSet<AlertThreshold> AlertThresholds => Set<AlertThreshold>();
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public DbSet<ClinicalAlert> ClinicalAlerts => Set<ClinicalAlert>();
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public DbSet<LiveEncounter> LiveEncounters => Set<LiveEncounter>();
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public DbSet<LiveObservation> LiveObservations => Set<LiveObservation>();
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@@ -0,0 +1,23 @@
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using Microsoft.EntityFrameworkCore;
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using Microsoft.EntityFrameworkCore.Metadata.Builders;
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public class AlertThresholdConfiguration : IEntityTypeConfiguration<AlertThreshold>
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{
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public void Configure(EntityTypeBuilder<AlertThreshold> builder)
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{
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builder.ToTable("alert_thresholds", "clinical");
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builder.HasKey(t => t.Id);
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builder.Property(t => t.Id).HasColumnName("id").HasDefaultValueSql("gen_random_uuid()");
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builder.Property(t => t.ObservationCode).HasColumnName("observation_code").HasMaxLength(50).IsRequired();
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builder.Property(t => t.DisplayName).HasColumnName("display_name").HasMaxLength(200).IsRequired();
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builder.Property(t => t.Unit).HasColumnName("unit").HasMaxLength(20).IsRequired();
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builder.Property(t => t.CriticalLow).HasColumnName("critical_low").HasColumnType("decimal(10,3)");
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builder.Property(t => t.WarningLow).HasColumnName("warning_low").HasColumnType("decimal(10,3)");
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builder.Property(t => t.WarningHigh).HasColumnName("warning_high").HasColumnType("decimal(10,3)");
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builder.Property(t => t.CriticalHigh).HasColumnName("critical_high").HasColumnType("decimal(10,3)");
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builder.Property(t => t.SuppressionWindowMinutes).HasColumnName("suppression_window_minutes");
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builder.Property(t => t.CreatedAt).HasColumnName("created_at").HasDefaultValueSql("NOW()");
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builder.HasIndex(t => t.ObservationCode).IsUnique();
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}
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}
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@@ -0,0 +1,81 @@
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using Microsoft.EntityFrameworkCore;
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using Microsoft.EntityFrameworkCore.Metadata.Builders;
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public class ClinicalAlertConfiguration : IEntityTypeConfiguration<ClinicalAlert>
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{
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public void Configure(EntityTypeBuilder<ClinicalAlert> builder)
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{
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builder.ToTable("clinical_alerts", "clinical", t =>
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{
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t.HasCheckConstraint("chk_clinical_alerts_severity",
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"severity IN ('WARNING', 'CRITICAL')");
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t.HasCheckConstraint("chk_clinical_alerts_status",
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"status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
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t.HasCheckConstraint("chk_clinical_alerts_alert_type",
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"alert_type IN (" +
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"'SEPSIS_WARNING', " +
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"'CRITICAL_HEART_RATE', 'CRITICAL_TEMP_C', 'CRITICAL_POTASSIUM_MEQ_L', " +
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"'CRITICAL_SPO2', 'CRITICAL_RESP_RATE', 'CRITICAL_WBC_K_UL', " +
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"'CRITICAL_SYSTOLIC_BP', 'CRITICAL_DIASTOLIC_BP', 'CRITICAL_LACTATE_MMOL_L', " +
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"'CRITICAL_AVPU', 'CRITICAL_GLUCOSE_MG_DL', " +
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"'CRITICAL_PAO2_MMHG', 'CRITICAL_PLATELET_K_UL', " +
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"'CRITICAL_BILIRUBIN_MG_DL', 'CRITICAL_CREATININE_MG_DL', " +
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"'WARNING_HEART_RATE', 'WARNING_TEMP_C', 'WARNING_POTASSIUM_MEQ_L', " +
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"'WARNING_SPO2', 'WARNING_RESP_RATE', 'WARNING_WBC_K_UL', " +
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"'WARNING_SYSTOLIC_BP', 'WARNING_DIASTOLIC_BP', 'WARNING_LACTATE_MMOL_L', " +
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"'WARNING_GLUCOSE_MG_DL', " +
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"'WARNING_PAO2_MMHG', 'WARNING_PLATELET_K_UL', " +
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"'WARNING_BILIRUBIN_MG_DL', 'WARNING_CREATININE_MG_DL', " +
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"'NEWS2_WARNING', 'NEWS2_EMERGENCY', " +
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"'RAPID_DETERIORATION', 'QSOFA_WARNING', 'QSOFA_SCREEN', " +
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"'GCS_CRITICAL', 'GCS_WARNING', " +
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"'SOFA_SEPSIS', 'SOFA_WARNING')");
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});
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builder.HasKey(a => a.Id);
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builder.Property(a => a.Id).HasColumnName("id").HasDefaultValueSql("gen_random_uuid()");
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builder.Property(a => a.EncounterId).HasColumnName("encounter_id");
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builder.Property(a => a.PatientId).HasColumnName("patient_id");
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builder.Property(a => a.ObservationId).HasColumnName("observation_id");
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builder.Property(a => a.AlertType)
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.HasColumnName("alert_type")
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.HasMaxLength(50)
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.HasConversion(
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v => v.ToDbString(),
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v => AlertTypeExtensions.FromDbString(v))
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.IsRequired();
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builder.Property(a => a.Severity)
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.HasColumnName("severity")
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.HasMaxLength(20)
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.HasConversion(
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v => v.ToDbString(),
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v => AlertSeverityExtensions.FromDbString(v))
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.IsRequired();
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builder.Property(a => a.Details).HasColumnName("details").IsRequired();
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builder.Property(a => a.ObservationCode).HasColumnName("observation_code").HasMaxLength(50);
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builder.Property(a => a.Status)
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.HasColumnName("status")
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.HasMaxLength(20)
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.HasConversion(
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v => v.ToDbString(),
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v => AlertStatusExtensions.FromDbString(v))
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.HasDefaultValueSql("'OPEN'")
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.HasSentinel((AlertStatus)(-1));
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builder.Property(a => a.AcknowledgedAt).HasColumnName("acknowledged_at");
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builder.Property(a => a.AcknowledgedBy).HasColumnName("acknowledged_by").HasMaxLength(200);
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builder.Property(a => a.ResolvedAt).HasColumnName("resolved_at");
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builder.Property(a => a.ClientAlertId).HasColumnName("client_alert_id");
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builder.Property(a => a.SyncedFromGateway).HasColumnName("synced_from_gateway").HasDefaultValue(false);
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builder.Property(a => a.TriggeredAt).HasColumnName("triggered_at").HasDefaultValueSql("NOW()");
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builder.Property(a => a.FeedbackReceived).HasColumnName("feedback_received").HasDefaultValue(false);
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builder.HasIndex(a => new { a.EncounterId, a.TriggeredAt });
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builder.HasIndex(a => new { a.PatientId, a.TriggeredAt });
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builder.HasIndex(a => new { a.Severity, a.TriggeredAt })
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.HasFilter("status = 'OPEN'");
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builder.HasIndex(a => new { a.EncounterId, a.AlertType, a.ObservationCode })
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.HasFilter("status IN ('OPEN', 'ESCALATED')");
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builder.HasIndex(a => a.ClientAlertId)
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.IsUnique()
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.HasFilter("client_alert_id IS NOT NULL");
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}
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}
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Generated
+1400
File diff suppressed because it is too large
Load Diff
+119
@@ -0,0 +1,119 @@
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using System;
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using Microsoft.EntityFrameworkCore.Migrations;
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#nullable disable
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namespace VigilCareRecordsAPI.Data.Migrations
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{
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/// <inheritdoc />
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public partial class AddAlertThresholdsAndClinicalAlerts : 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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schema: "clinical",
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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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suppression_window_minutes = table.Column<int>(type: "integer", 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: "clinical_alerts",
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schema: "clinical",
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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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observation_code = table.Column<string>(type: "character varying(50)", maxLength: 50, nullable: true),
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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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client_alert_id = table.Column<Guid>(type: "uuid", nullable: true),
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synced_from_gateway = table.Column<bool>(type: "boolean", nullable: false, defaultValue: false),
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feedback_received = table.Column<bool>(type: "boolean", nullable: false, defaultValue: false)
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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', 'CRITICAL_SYSTOLIC_BP', 'CRITICAL_DIASTOLIC_BP', 'CRITICAL_LACTATE_MMOL_L', 'CRITICAL_AVPU', 'CRITICAL_GLUCOSE_MG_DL', 'CRITICAL_PAO2_MMHG', 'CRITICAL_PLATELET_K_UL', 'CRITICAL_BILIRUBIN_MG_DL', 'CRITICAL_CREATININE_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', 'WARNING_PAO2_MMHG', 'WARNING_PLATELET_K_UL', 'WARNING_BILIRUBIN_MG_DL', 'WARNING_CREATININE_MG_DL', 'NEWS2_WARNING', 'NEWS2_EMERGENCY', 'RAPID_DETERIORATION', 'QSOFA_WARNING', 'QSOFA_SCREEN', 'GCS_CRITICAL', 'GCS_WARNING', 'SOFA_SEPSIS', 'SOFA_WARNING')");
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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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});
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migrationBuilder.CreateIndex(
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name: "IX_alert_thresholds_observation_code",
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schema: "clinical",
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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_client_alert_id",
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schema: "clinical",
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table: "clinical_alerts",
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column: "client_alert_id",
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unique: true,
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filter: "client_alert_id IS NOT NULL");
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migrationBuilder.CreateIndex(
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name: "IX_clinical_alerts_encounter_id_alert_type_observation_code",
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schema: "clinical",
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table: "clinical_alerts",
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columns: new[] { "encounter_id", "alert_type", "observation_code" },
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filter: "status IN ('OPEN', 'ESCALATED')");
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migrationBuilder.CreateIndex(
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name: "IX_clinical_alerts_encounter_id_triggered_at",
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schema: "clinical",
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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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schema: "clinical",
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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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schema: "clinical",
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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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}
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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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schema: "clinical");
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migrationBuilder.DropTable(
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name: "clinical_alerts",
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schema: "clinical");
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}
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}
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}
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@@ -21,6 +21,66 @@ namespace VigilCareRecordsAPI.Data.Migrations
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NpgsqlModelBuilderExtensions.UseIdentityByDefaultColumns(modelBuilder);
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modelBuilder.Entity("AlertThreshold", b =>
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{
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b.Property<Guid>("Id")
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.ValueGeneratedOnAdd()
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.HasColumnType("uuid")
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.HasColumnName("id")
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.HasDefaultValueSql("gen_random_uuid()");
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b.Property<DateTimeOffset>("CreatedAt")
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.ValueGeneratedOnAdd()
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.HasColumnType("timestamp with time zone")
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.HasColumnName("created_at")
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.HasDefaultValueSql("NOW()");
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b.Property<decimal?>("CriticalHigh")
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.HasColumnType("decimal(10,3)")
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.HasColumnName("critical_high");
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b.Property<decimal?>("CriticalLow")
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.HasColumnType("decimal(10,3)")
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.HasColumnName("critical_low");
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b.Property<string>("DisplayName")
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.IsRequired()
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.HasMaxLength(200)
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.HasColumnType("character varying(200)")
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.HasColumnName("display_name");
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b.Property<string>("ObservationCode")
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.IsRequired()
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.HasMaxLength(50)
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.HasColumnType("character varying(50)")
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.HasColumnName("observation_code");
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b.Property<int?>("SuppressionWindowMinutes")
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.HasColumnType("integer")
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.HasColumnName("suppression_window_minutes");
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b.Property<string>("Unit")
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.IsRequired()
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.HasMaxLength(20)
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.HasColumnType("character varying(20)")
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.HasColumnName("unit");
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b.Property<decimal?>("WarningHigh")
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.HasColumnType("decimal(10,3)")
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.HasColumnName("warning_high");
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b.Property<decimal?>("WarningLow")
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.HasColumnType("decimal(10,3)")
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.HasColumnName("warning_low");
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b.HasKey("Id");
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b.HasIndex("ObservationCode")
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.IsUnique();
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b.ToTable("alert_thresholds", "clinical");
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});
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modelBuilder.Entity("AuthAuditEvent", b =>
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{
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b.Property<Guid>("Id")
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@@ -59,6 +119,117 @@ namespace VigilCareRecordsAPI.Data.Migrations
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});
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});
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modelBuilder.Entity("ClinicalAlert", b =>
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{
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b.Property<Guid>("Id")
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.ValueGeneratedOnAdd()
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.HasColumnType("uuid")
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.HasColumnName("id")
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.HasDefaultValueSql("gen_random_uuid()");
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b.Property<DateTimeOffset?>("AcknowledgedAt")
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.HasColumnType("timestamp with time zone")
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.HasColumnName("acknowledged_at");
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b.Property<string>("AcknowledgedBy")
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.HasMaxLength(200)
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.HasColumnType("character varying(200)")
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.HasColumnName("acknowledged_by");
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b.Property<string>("AlertType")
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.IsRequired()
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.HasMaxLength(50)
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.HasColumnType("character varying(50)")
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.HasColumnName("alert_type");
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b.Property<Guid?>("ClientAlertId")
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.HasColumnType("uuid")
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.HasColumnName("client_alert_id");
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b.Property<string>("Details")
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.IsRequired()
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.HasColumnType("text")
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.HasColumnName("details");
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b.Property<Guid>("EncounterId")
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.HasColumnType("uuid")
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.HasColumnName("encounter_id");
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b.Property<bool>("FeedbackReceived")
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.ValueGeneratedOnAdd()
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.HasColumnType("boolean")
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.HasDefaultValue(false)
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.HasColumnName("feedback_received");
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b.Property<string>("ObservationCode")
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.HasMaxLength(50)
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.HasColumnType("character varying(50)")
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.HasColumnName("observation_code");
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b.Property<Guid?>("ObservationId")
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.HasColumnType("uuid")
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.HasColumnName("observation_id");
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b.Property<Guid>("PatientId")
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.HasColumnType("uuid")
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.HasColumnName("patient_id");
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b.Property<DateTimeOffset?>("ResolvedAt")
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.HasColumnType("timestamp with time zone")
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.HasColumnName("resolved_at");
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b.Property<string>("Severity")
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.IsRequired()
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||||
.HasMaxLength(20)
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.HasColumnType("character varying(20)")
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||||
.HasColumnName("severity");
|
||||
|
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b.Property<string>("Status")
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||||
.IsRequired()
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||||
.ValueGeneratedOnAdd()
|
||||
.HasMaxLength(20)
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||||
.HasColumnType("character varying(20)")
|
||||
.HasColumnName("status")
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||||
.HasDefaultValueSql("'OPEN'");
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||||
|
||||
b.Property<bool>("SyncedFromGateway")
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||||
.ValueGeneratedOnAdd()
|
||||
.HasColumnType("boolean")
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||||
.HasDefaultValue(false)
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||||
.HasColumnName("synced_from_gateway");
|
||||
|
||||
b.Property<DateTimeOffset>("TriggeredAt")
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||||
.ValueGeneratedOnAdd()
|
||||
.HasColumnType("timestamp with time zone")
|
||||
.HasColumnName("triggered_at")
|
||||
.HasDefaultValueSql("NOW()");
|
||||
|
||||
b.HasKey("Id");
|
||||
|
||||
b.HasIndex("ClientAlertId")
|
||||
.IsUnique()
|
||||
.HasFilter("client_alert_id IS NOT NULL");
|
||||
|
||||
b.HasIndex("EncounterId", "TriggeredAt");
|
||||
|
||||
b.HasIndex("PatientId", "TriggeredAt");
|
||||
|
||||
b.HasIndex("Severity", "TriggeredAt")
|
||||
.HasFilter("status = 'OPEN'");
|
||||
|
||||
b.HasIndex("EncounterId", "AlertType", "ObservationCode")
|
||||
.HasFilter("status IN ('OPEN', 'ESCALATED')");
|
||||
|
||||
b.ToTable("clinical_alerts", "clinical", 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', 'CRITICAL_SYSTOLIC_BP', 'CRITICAL_DIASTOLIC_BP', 'CRITICAL_LACTATE_MMOL_L', 'CRITICAL_AVPU', 'CRITICAL_GLUCOSE_MG_DL', 'CRITICAL_PAO2_MMHG', 'CRITICAL_PLATELET_K_UL', 'CRITICAL_BILIRUBIN_MG_DL', 'CRITICAL_CREATININE_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', 'WARNING_PAO2_MMHG', 'WARNING_PLATELET_K_UL', 'WARNING_BILIRUBIN_MG_DL', 'WARNING_CREATININE_MG_DL', 'NEWS2_WARNING', 'NEWS2_EMERGENCY', 'RAPID_DETERIORATION', 'QSOFA_WARNING', 'QSOFA_SCREEN', 'GCS_CRITICAL', 'GCS_WARNING', 'SOFA_SEPSIS', 'SOFA_WARNING')");
|
||||
|
||||
t.HasCheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')");
|
||||
|
||||
t.HasCheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')");
|
||||
});
|
||||
});
|
||||
|
||||
modelBuilder.Entity("DigitizationBatch", b =>
|
||||
{
|
||||
b.Property<Guid>("Id")
|
||||
|
||||
Reference in New Issue
Block a user