feature: Clinical Data Model Expansion & Observation Vocabulary

2026-06-18 15:00:42 +08:00
parent 3b4c5c524b
commit 7d630fbbd9
33 changed files with 2636 additions and 36 deletions
@@ -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
            }),