Fix: FHIR bundle processing has no rollback on partial failure
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@@ -66,7 +66,10 @@ public class ObservationService : IObservationService
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{
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using var timer = _metrics.ObservationIngestDuration.NewTimer();
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await using var tx = await _db.Database.BeginTransactionAsync();
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// Re-use an outer transaction (e.g. FhirBundleProcessor) when one is already active.
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await using var tx = _db.Database.CurrentTransaction is null
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? await _db.Database.BeginTransactionAsync()
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: null;
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try
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{
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// Step 4 — insert observation
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@@ -96,10 +99,6 @@ public class ObservationService : IObservationService
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ClinicalAlert? alert = null;
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// Step 6 — critical threshold detection (synchronous)
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// WARNING detection is intentionally deferred to the Kafka consumer.
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// A critical potassium of 2.1 mEq/L is immediately life-threatening — the alert
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// must exist before this API call returns. A warning heart rate of 95 bpm warrants
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// attention but not an emergency page; the additional Kafka latency is clinically safe.
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if (IsCriticalBreach(req.Value, threshold))
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{
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alert = new ClinicalAlert
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@@ -116,7 +115,6 @@ public class ObservationService : IObservationService
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};
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_db.ClinicalAlerts.Add(alert);
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// Step 6b — outbox event for the alert (relay picks this up in Phase 3)
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_db.OutboxEvents.Add(BuildOutboxEvent("alert.generated", new
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{
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alertId = alert.Id,
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@@ -149,7 +147,7 @@ public class ObservationService : IObservationService
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// Step 8 — COMMIT
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await _db.SaveChangesAsync();
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await tx.CommitAsync();
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if (tx is not null) await tx.CommitAsync();
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_metrics.ObservationsIngestedTotal
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.WithLabels(req.ObservationCode, req.Source.ToDbString())
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@@ -173,9 +171,7 @@ public class ObservationService : IObservationService
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}
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catch (DbUpdateException ex) when (IsUniqueViolation(ex))
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{
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// Race condition: two concurrent retries both passed the pre-check above.
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// The unique partial index caught it. Roll back and return the existing row.
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await tx.RollbackAsync();
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if (tx is not null) await tx.RollbackAsync();
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var existing = await _db.Observations
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.AsNoTracking()
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.FirstOrDefaultAsync(o => o.IdempotencyKey == req.IdempotencyKey);
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@@ -185,7 +181,7 @@ public class ObservationService : IObservationService
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}
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catch
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{
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await tx.RollbackAsync();
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if (tx is not null) await tx.RollbackAsync();
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throw;
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}
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}
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@@ -113,9 +113,14 @@ public class OrderService : IOrderService
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order.ResultedAt = DateTimeOffset.UtcNow;
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order.ResultSummary = req.ResultSummary;
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await using var tx = _db.Database.CurrentTransaction is null
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? await _db.Database.BeginTransactionAsync()
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: null;
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await _db.SaveChangesAsync();
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var bundleService = _serviceProvider.GetRequiredService<ISepsisBundleService>();
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await bundleService.OnOrderResultedAsync(order.Id);
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if (tx is not null) await tx.CommitAsync();
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return order;
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}
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}
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