fix: finish all patient related upgrades

2026-06-23 18:17:13 +08:00
parent 7751d6df06
commit 5d46200941
20 changed files with 985 additions and 19 deletions
@@ -278,6 +278,74 @@ public class GapAnalysisFixTests : IAsyncLifetime
            b.GetProperty("complianceStatus").GetString() == "IN_PROGRESS");
    }

+    // -------------------------------------------------------------------------
+    // P1 — encounter timeline endpoint
+    // -------------------------------------------------------------------------
+
+    [Fact]
+    public async Task EncounterTimeline_ReturnsMergedEventTypes()
+    {
+        using var scope = _fixture.Services.CreateScope();
+        var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
+
+        var patient = new Patient
+        {
+            Id = Guid.NewGuid(), Mrn = "MRN-TL-001", FirstName = "TL", LastName = "Test",
+            DateOfBirth = new DateOnly(1980, 1, 1), Gender = "M",
+            CreatedAt = DateTimeOffset.UtcNow
+        };
+        var admittedAt = DateTimeOffset.UtcNow.AddHours(-6);
+        var encounter = new Encounter
+        {
+            Id = Guid.NewGuid(), PatientId = patient.Id, EncounterType = EncounterType.Inpatient,
+            Status = EncounterStatus.Active, Department = Department.Icu,
+            AttendingPhysician = "Dr. TL", AdmittedAt = admittedAt,
+            CreatedAt = DateTimeOffset.UtcNow
+        };
+        db.Patients.Add(patient);
+        db.Encounters.Add(encounter);
+
+        db.Observations.Add(new Observation
+        {
+            Id = Guid.NewGuid(), EncounterId = encounter.Id,
+            ObservationCode = "TEMP_C", Value = 38.8m, Unit = "C",
+            Source = ObservationSource.Manual, RecordedAt = admittedAt.AddHours(1),
+            CreatedAt = DateTimeOffset.UtcNow
+        });
+        db.ClinicalAlerts.Add(new ClinicalAlert
+        {
+            Id = Guid.NewGuid(), EncounterId = encounter.Id, PatientId = patient.Id,
+            AlertType = AlertType.QsofaScreen, Severity = AlertSeverity.Warning,
+            Details = "qSOFA screen", Status = AlertStatus.Open,
+            TriggeredAt = admittedAt.AddHours(2)
+        });
+        db.Orders.Add(new Order
+        {
+            Id = Guid.NewGuid(), EncounterId = encounter.Id,
+            OrderType = OrderType.Lab, Description = "Blood cultures",
+            OrderedBy = "Dr. TL", Status = OrderStatus.Pending,
+            OrderedAt = admittedAt.AddHours(3)
+        });
+        db.MedicationAdministrations.Add(new MedicationAdministration
+        {
+            Id = Guid.NewGuid(), EncounterId = encounter.Id,
+            DrugName = "Ceftriaxone", Dose = 1m, DoseUnit = "g", Route = "IV",
+            AdministeredAt = admittedAt.AddHours(4), AdministeredBy = "RN TL"
+        });
+        await db.SaveChangesAsync();
+
+        var resp = await _client.GetFromJsonAsync<JsonElement>(
+            $"/api/v1/encounters/{encounter.Id}/timeline");
+
+        var items = resp.GetProperty("data").GetProperty("events");
+        var types = items.EnumerateArray().Select(e => e.GetProperty("type").GetString()).ToList();
+        types.Should().Contain("status");
+        types.Should().Contain("observation");
+        types.Should().Contain("alert");
+        types.Should().Contain("order");
+        types.Should().Contain("medication");
+    }
+
    // -------------------------------------------------------------------------
    // P4 — qSOFA history endpoint
    // -------------------------------------------------------------------------