HUMS Hospital

Description:
Issue:
Patient page does not trigger notifications when care team changes or doctor referral is assigned.
Physicians are not alerted about referral (Dr A → Dr B) or transfer of care updates.
No escalation or audit trail for missed notifications.

Steps to Reproduce:
Open patient page.
Assign care team with attending doctor.
Admin initiates referral (Dr A → Dr B).
Observe notification panel in Clinicare.

Expected Result:
Notification sent to both attending and referred doctor.
Referral details (reason, date, specialty) logged in audit trail.
Escalation alert if referral not acknowledged within threshold (e.g., 2 hours).

Actual Result:
No notification triggered for referral or care team update.
Audit trail incomplete.
Escalation alerts missing.

Impact:
Physicians unaware of referral or transfer of care.
Workflow delays and medico‑legal risk.
Patient safety compromised due to missed actions.