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");
}
}
}