using System; using Microsoft.EntityFrameworkCore.Migrations; #nullable disable namespace VigilCareRecordsAPI.Data.Migrations { /// public partial class AddAlertThresholdsAndClinicalAlerts : Migration { /// protected override void Up(MigrationBuilder migrationBuilder) { migrationBuilder.CreateTable( name: "alert_thresholds", schema: "clinical", columns: table => new { id = table.Column(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"), observation_code = table.Column(type: "character varying(50)", maxLength: 50, nullable: false), display_name = table.Column(type: "character varying(200)", maxLength: 200, nullable: false), unit = table.Column(type: "character varying(20)", maxLength: 20, nullable: false), critical_low = table.Column(type: "numeric(10,3)", nullable: true), warning_low = table.Column(type: "numeric(10,3)", nullable: true), warning_high = table.Column(type: "numeric(10,3)", nullable: true), critical_high = table.Column(type: "numeric(10,3)", nullable: true), suppression_window_minutes = table.Column(type: "integer", nullable: true), created_at = table.Column(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()") }, constraints: table => { table.PrimaryKey("PK_alert_thresholds", x => x.id); }); migrationBuilder.CreateTable( name: "clinical_alerts", schema: "clinical", columns: table => new { id = table.Column(type: "uuid", nullable: false, defaultValueSql: "gen_random_uuid()"), encounter_id = table.Column(type: "uuid", nullable: false), patient_id = table.Column(type: "uuid", nullable: false), observation_id = table.Column(type: "uuid", nullable: true), alert_type = table.Column(type: "character varying(50)", maxLength: 50, nullable: false), severity = table.Column(type: "character varying(20)", maxLength: 20, nullable: false), details = table.Column(type: "text", nullable: false), observation_code = table.Column(type: "character varying(50)", maxLength: 50, nullable: true), status = table.Column(type: "character varying(20)", maxLength: 20, nullable: false, defaultValueSql: "'OPEN'"), acknowledged_at = table.Column(type: "timestamp with time zone", nullable: true), acknowledged_by = table.Column(type: "character varying(200)", maxLength: 200, nullable: true), resolved_at = table.Column(type: "timestamp with time zone", nullable: true), triggered_at = table.Column(type: "timestamp with time zone", nullable: false, defaultValueSql: "NOW()"), client_alert_id = table.Column(type: "uuid", nullable: true), synced_from_gateway = table.Column(type: "boolean", nullable: false, defaultValue: false), feedback_received = table.Column(type: "boolean", nullable: false, defaultValue: false) }, constraints: table => { table.PrimaryKey("PK_clinical_alerts", x => x.id); 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')"); table.CheckConstraint("chk_clinical_alerts_severity", "severity IN ('WARNING', 'CRITICAL')"); table.CheckConstraint("chk_clinical_alerts_status", "status IN ('OPEN', 'ACKNOWLEDGED', 'RESOLVED', 'ESCALATED')"); }); migrationBuilder.CreateIndex( name: "IX_alert_thresholds_observation_code", schema: "clinical", table: "alert_thresholds", column: "observation_code", unique: true); migrationBuilder.CreateIndex( name: "IX_clinical_alerts_client_alert_id", schema: "clinical", table: "clinical_alerts", column: "client_alert_id", unique: true, filter: "client_alert_id IS NOT NULL"); migrationBuilder.CreateIndex( name: "IX_clinical_alerts_encounter_id_alert_type_observation_code", schema: "clinical", table: "clinical_alerts", columns: new[] { "encounter_id", "alert_type", "observation_code" }, filter: "status IN ('OPEN', 'ESCALATED')"); migrationBuilder.CreateIndex( name: "IX_clinical_alerts_encounter_id_triggered_at", schema: "clinical", table: "clinical_alerts", columns: new[] { "encounter_id", "triggered_at" }); migrationBuilder.CreateIndex( name: "IX_clinical_alerts_patient_id_triggered_at", schema: "clinical", table: "clinical_alerts", columns: new[] { "patient_id", "triggered_at" }); migrationBuilder.CreateIndex( name: "IX_clinical_alerts_severity_triggered_at", schema: "clinical", table: "clinical_alerts", columns: new[] { "severity", "triggered_at" }, filter: "status = 'OPEN'"); } /// protected override void Down(MigrationBuilder migrationBuilder) { migrationBuilder.DropTable( name: "alert_thresholds", schema: "clinical"); migrationBuilder.DropTable( name: "clinical_alerts", schema: "clinical"); } } }