scarver2 / ehr-portal / 23982340674

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feature: clinical patient search with risk scoring (#64)

* feature: clinical patient search with risk scoring

- Add risk_score/risk_level columns to patients with migration and backfill job
- Introduce RiskScoreService (0-100 scorer: conditions, surgeries, encounters)
- Add RecalculateRiskScoreJob for async score recalculation
- Extend Patient model with search scopes: by_risk_level, highest_risk, with_condition, with_surgery
- Add patientSearch GraphQL query ranked highest-risk first
- Add risk_score/risk_level fields to PatientType
- Add shoulda-matchers ~> 6.4 to test group with rails_helper config
- Add /api/mcp/search Next.js proxy route forwarding to GraphQL
- Add RiskBadge and PatientSearch components to portal
- Wire PatientSearch into dashboard under Clinical Patient Search card
- Update CLAUDE.md: PR approval/CI verification workflow

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>

* chore: fix launch.json to use mise absolute path for api server

Non-login shell subprocesses don't have mise on PATH; use absolute path
to ensure the correct Ruby version is used when launching the dev server.

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>

* fix: populate shoulda-matchers checksum in Gemfile.lock

Bundler 4 requires CHECKSUMS entries to have sha256 values. The initial
lockfile entry had an empty checksum, causing CI deployment-mode bundle
install to fail with a frozen lockfile error.

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>

* docs: add absolute paths for all Homebrew tools to CLAUDE.md

Documents gh, bun, kamal, Redis, PostgreSQL paths so Claude doesn't
need to search for them across sessions.

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>

* fix: resolve RuboCop and Steep CI failures

- Migration: add frozen_string_literal comment; use change_table bulk: true
  to satisfy Rails/BulkChangeTable cop
- Patient model: prefix joins with all. for Steep type inference; suppress
  Rails/Redundan... (continued)

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