5347. Triggers & Events: trigger deployment gate — Harden the workflow against privilege or data-exposure risks. — healthcare — Node.js + Express + mysql2

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Scenario: A healthcare application must handle trigger deployment gate. Harden the workflow against privilege or data-exposure risks. Explain the invariant, SQL strategy, transaction/locking behavior, failure handling, observability and test plan. Use MySQL 8-oriented syntax where applicable.
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