feature: Clinical Data Model Expansion & Observation Vocabulary

VigilCareClinicalAPI/Services/EncounterService.cs

@@ -32,7 +32,7 @@ public class EncounterService : IEncounterService
     }
 
     public async Task<EncounterStatusTransitionResult> TransitionStatusAsync(
-        Guid encounterId, EncounterStatus targetStatus)
+        Guid encounterId, EncounterStatus targetStatus, string? dischargeDiagnosis = null)
     {
         var encounter = await _db.Encounters
             .Include(e => e.Patient)
@@ -50,7 +50,10 @@ public class EncounterService : IEncounterService
         encounter.Status = targetStatus;
 
         if (targetStatus == EncounterStatus.Discharged)
+        {
             encounter.DischargedAt = DateTimeOffset.UtcNow;
+            encounter.DischargeDiagnosis = dischargeDiagnosis;
+        }
 
         _db.OutboxEvents.Add(new OutboxEvent
         {
@@ -66,6 +69,8 @@ public class EncounterService : IEncounterService
                 newStatus = targetStatus.ToDbString(),
                 department = encounter.Department.ToDbString(),
                 attendingPhysician = encounter.AttendingPhysician,
+                roomBed = encounter.RoomBed,
+                admissionReason = encounter.AdmissionReason,
                 admittedAt = encounter.AdmittedAt,
                 changedAt = DateTimeOffset.UtcNow
             }),

VigilCareClinicalAPI/Services/Interfaces/IEncounterService.cs

@@ -1,6 +1,7 @@
 public interface IEncounterService
 {
     Task<Encounter> GetByIdAsync(Guid id);
-    Task<EncounterStatusTransitionResult> TransitionStatusAsync(Guid encounterId, EncounterStatus targetStatus);
+    Task<EncounterStatusTransitionResult> TransitionStatusAsync(
+        Guid encounterId, EncounterStatus targetStatus, string? dischargeDiagnosis = null);
     Task<object> GetTimelineAsync(Guid encounterId);
 }

VigilCareClinicalAPI/Services/PatientService.cs

@@ -18,6 +18,10 @@ public class PatientService : IPatientService
             LastName = req.LastName,
             DateOfBirth = req.DateOfBirth,
             Gender = req.Gender,
+            BloodType = req.BloodType,
+            Allergies = req.Allergies,
+            EmergencyContactName = req.EmergencyContactName,
+            EmergencyContactPhone = req.EmergencyContactPhone,
             CreatedAt = DateTimeOffset.UtcNow
         };
         _db.Patients.Add(patient);
@@ -84,6 +88,8 @@ public class PatientService : IPatientService
             Status = EncounterStatus.Active,
             Department = req.Department,
             AttendingPhysician = req.AttendingPhysician,
+            RoomBed = req.RoomBed,
+            AdmissionReason = req.AdmissionReason,
             AdmittedAt = DateTimeOffset.UtcNow,
             CreatedAt = DateTimeOffset.UtcNow
         };
@@ -103,6 +109,8 @@ public class PatientService : IPatientService
                 newStatus = encounter.Status.ToDbString(),
                 department = encounter.Department.ToDbString(),
                 attendingPhysician = encounter.AttendingPhysician,
+                roomBed = encounter.RoomBed,
+                admissionReason = encounter.AdmissionReason,
                 admittedAt = encounter.AdmittedAt,
                 changedAt = DateTimeOffset.UtcNow
             }),

VigilCareClinicalAPI/Services/PlausibilityValidator.cs

@@ -12,6 +12,11 @@ public static class PlausibilityValidator
         ["RESP_RATE"]        = (1,    80),
         ["WBC_K_UL"]         = (0.1m, 500),
         ["GLUCOSE_MG_DL"]    = (10,   1500),
+        ["SYSTOLIC_BP"]     = (40,    300),
+        ["DIASTOLIC_BP"]    = (20,    200),
+        ["LACTATE_MMOL_L"]  = (0.1m,  30),
+        ["AVPU"] = (0, 3),
+        ["SUPPLEMENTAL_O2"] = (0, 1),
     };
 
     public static bool IsPlausible(string observationCode, decimal value, out string? reason)