feature: HL7 FHIR R4 Integration

2026-06-27 22:23:45 +08:00
parent 756cff332c
commit 5646dfddb4
27 changed files with 2658 additions and 16 deletions
@@ -0,0 +1,98 @@
+using Microsoft.EntityFrameworkCore;
+
+/// <summary>
+/// Seeds promoted clinical records aligned with Phase 9 demo batches for FHIR tests.
+/// DataSeeder creates digitization batches; this helper populates the clinical tables
+/// that FhirService reads.
+/// </summary>
+public static class FhirClinicalSeedHelper
+{
+    public static readonly Guid Patient1Id = Guid.Parse("b1000000-0000-0000-0000-000000000001");
+    public static readonly Guid Patient2Id = Guid.Parse("b1000000-0000-0000-0000-000000000002");
+    public static readonly Guid Encounter1Id = Guid.Parse("d1000000-0000-0000-0000-000000000001");
+    public static readonly Guid HeartRateObsId = Guid.Parse("e1000000-0000-0000-0000-000000000001");
+    public static readonly Guid WbcObsId = Guid.Parse("e1000000-0000-0000-0000-000000000002");
+    public static readonly Guid Batch1Id = Guid.Parse("c1000000-0000-0000-0000-000000000001");
+
+    public static async Task SeedAsync(AppDbContext db)
+    {
+        if (await db.Patients.AnyAsync())
+            return;
+
+        var now = DateTimeOffset.UtcNow;
+        var recordedAt = now.AddDays(-5);
+
+        db.Patients.AddRange(
+            new Patient
+            {
+                Id = Patient1Id,
+                Mrn = "VCR-000001",
+                FullName = "MARIA SANTOS",
+                DateOfBirth = new DateOnly(1978, 3, 15),
+                Sex = "female",
+                BloodType = BloodType.APos,
+                EmergencyContact = "Juan Santos - 555-0101",
+                NoKnownAllergies = false,
+                AllergiesJson = "[\"Penicillin\", \"Sulfa drugs\"]",
+                CreatedAt = now.AddDays(-3),
+                UpdatedAt = now.AddHours(-12),
+            },
+            new Patient
+            {
+                Id = Patient2Id,
+                Mrn = "VCR-000002",
+                FullName = "KENJI NAKAMURA",
+                DateOfBirth = new DateOnly(1952, 11, 8),
+                Sex = "male",
+                BloodType = BloodType.ONeg,
+                EmergencyContact = "Yuki Nakamura - 555-0202",
+                NoKnownAllergies = true,
+                CreatedAt = now.AddDays(-1),
+                UpdatedAt = now.AddDays(-1),
+            });
+
+        db.Encounters.Add(new Encounter
+        {
+            Id = Encounter1Id,
+            PatientId = Patient1Id,
+            AdmissionDate = recordedAt,
+            Department = Department.InternalMedicine,
+            RoomBed = "2A-04",
+            AdmissionReason = "Pneumonia with elevated WBC",
+            Status = "active",
+            SourceBatchId = Batch1Id,
+            CreatedAt = now.AddDays(-3),
+            UpdatedAt = now.AddHours(-12),
+        });
+
+        db.Observations.AddRange(
+            new Observation
+            {
+                Id = HeartRateObsId,
+                EncounterId = Encounter1Id,
+                PatientId = Patient1Id,
+                ObservationCode = "HEART_RATE",
+                Value = 88m,
+                Unit = "bpm",
+                RecordedAt = recordedAt,
+                Source = "digitization_backfill",
+                SourceBatchId = Batch1Id,
+                CreatedAt = now.AddHours(-12),
+            },
+            new Observation
+            {
+                Id = WbcObsId,
+                EncounterId = Encounter1Id,
+                PatientId = Patient1Id,
+                ObservationCode = "WBC_K_UL",
+                Value = 14.2m,
+                Unit = "K/uL",
+                RecordedAt = recordedAt,
+                Source = "digitization_backfill",
+                SourceBatchId = Batch1Id,
+                CreatedAt = now.AddHours(-12),
+            });
+
+        await db.SaveChangesAsync();
+    }
+}