fix(health): 修复 5 角色测试发现的 4 个共性问题

- 权限路由守卫：静默重定向改为显示 403 页面，使用 useLocation 替代
  window.location.hash，补全缺失路由权限条目
- 随访状态筛选：usePaginatedData hook 添加 filters 变化监听自动刷新
- 告警操作：后端 acknowledge/dismiss/resolve 改返回 AlertResponse
  （含 patient_name），前端增加 active 状态兼容和错误反馈
- 咨询患者名：后端 create/get/close_session 增加 patient_name 和
  doctor_name enrichment，前端 EntityName 空字符串处理

apps/web/src/App.tsx

@@ -1,5 +1,5 @@
 import { useEffect, lazy, Suspense, useMemo } from 'react';
-import { HashRouter, Routes, Route, Navigate } from 'react-router-dom';
+import { HashRouter, Routes, Route, Navigate, useLocation, useNavigate } from 'react-router-dom';
 import { ConfigProvider, theme as antdTheme, Spin, Result } from 'antd';
 import zhCN from 'antd/locale/zh_CN';
 import MainLayout from './layouts/MainLayout';
@@ -84,52 +84,71 @@ function FrozenRoute() {
   return <Result status="info" title="功能暂未开放" subTitle="该功能正在优化中，敬请期待" />;
 }
 
+function ForbiddenPage() {
+  const navigate = useNavigate();
+  return (
+    <div style={{ display: 'flex', justifyContent: 'center', alignItems: 'center', minHeight: '60vh' }}>
+      <Result
+        status="403"
+        title="权限不足"
+        subTitle="您没有访问此页面的权限，请联系管理员"
+        extra={<button onClick={() => navigate('/')} style={{ cursor: 'pointer', color: 'var(--ant-color-primary)', background: 'none', border: 'none', fontSize: 14 }}>返回首页</button>}
+      />
+    </div>
+  );
+}
+
+const ROUTE_PERMISSIONS: Record<string, string[]> = {
+  '/users': ['user.list', 'user.manage'],
+  '/roles': ['role.list', 'role.manage'],
+  '/organizations': ['organization.list', 'organization.manage'],
+  '/workflow': ['workflow.list', 'workflow.read'],
+  '/messages': ['message.list'],
+  '/settings': ['config.settings.list', 'config.settings.manage'],
+  '/plugins/admin': ['plugin.list', 'plugin.manage'],
+  '/health/patients': ['health.patient.list', 'health.patient.manage'],
+  '/health/doctors': ['health.doctor.list', 'health.doctor.manage'],
+  '/health/follow-up-tasks': ['health.follow-up.list', 'health.follow-up.manage'],
+  '/health/consultations': ['health.consultation.list', 'health.consultation.manage'],
+  '/health/action-inbox': ['health.action-inbox.list', 'health.action-inbox.manage'],
+  '/health/follow-up-templates': ['health.follow-up-templates.list', 'health.follow-up-templates.manage'],
+  '/health/diagnoses': ['health.health-data.list', 'health.health-data.manage'],
+  '/health/consents': ['health.consent.list', 'health.consent.manage'],
+  '/health/realtime-monitor': ['health.device-readings.list', 'health.device-readings.manage'],
+  '/health/alert-dashboard': ['health.alerts.list', 'health.alerts.manage'],
+  '/health/alerts': ['health.alerts.list', 'health.alerts.manage'],
+  '/health/devices': ['health.devices.list', 'health.devices.manage'],
+  '/health/ble-gateways': ['health.ble-gateways.list', 'health.ble-gateways.manage'],
+  '/health/critical-value-thresholds': ['health.critical-value-thresholds.list', 'health.critical-value-thresholds.manage'],
+  '/health/articles': ['health.articles.list', 'health.articles.manage'],
+  '/health/points-rules': ['health.points.list', 'health.points.manage'],
+  '/health/points-products': ['health.points.list', 'health.points.manage'],
+  '/health/points-orders': ['health.points.list', 'health.points.manage'],
+  '/health/offline-events': ['health.points.list', 'health.points.manage'],
+  '/health/ai-prompts': ['ai.prompt.list', 'ai.prompt.manage'],
+  '/health/ai-analysis': ['ai.analysis.list', 'ai.analysis.manage'],
+  '/health/ai-usage': ['ai.usage.list'],
+  '/health/oauth-clients': ['health.oauth.list', 'health.oauth.manage'],
+  '/health/statistics': ['health.health-data.list', 'health.dashboard.manage'],
+  '/health/tags': ['health.patient.list', 'health.patient.manage'],
+  '/health/daily-monitoring': ['health.device-readings.list', 'health.device-readings.manage'],
+  '/health/alert-rules': ['health.alert-rules.list', 'health.alert-rules.manage'],
+  '/health/medication-records': ['health.medication-records.manage'],
+};
+
 function PrivateRoute({ children }: { children: React.ReactNode }) {
   const isAuthenticated = useAuthStore((s) => s.isAuthenticated);
   const permissions = useAuthStore((s) => s.permissions);
+  const location = useLocation();
 
   if (!isAuthenticated) return <Navigate to="/login" replace />;
 
-  // 路由级权限检查：如果用户对某个模块完全没有权限，重定向到首页
-  const path = window.location.hash.replace('#', '');
-  const routePermissions: Record<string, string[]> = {
-    '/users': ['user.list', 'user.manage'],
-    '/roles': ['role.list', 'role.manage'],
-    '/organizations': ['organization.list', 'organization.manage'],
-    '/workflow': ['workflow.list', 'workflow.read'],
-    '/messages': ['message.list'],
-    '/settings': ['config.settings.list', 'config.settings.manage'],
-    '/plugins/admin': ['plugin.list', 'plugin.manage'],
-    '/health/patients': ['health.patient.list', 'health.patient.manage'],
-    '/health/doctors': ['health.doctor.list', 'health.doctor.manage'],
-    '/health/follow-up-tasks': ['health.follow-up.list', 'health.follow-up.manage'],
-    '/health/consultations': ['health.consultation.list', 'health.consultation.manage'],
-    '/health/action-inbox': ['health.action-inbox.list', 'health.action-inbox.manage'],
-    '/health/follow-up-templates': ['health.follow-up-templates.list', 'health.follow-up-templates.manage'],
-    '/health/diagnoses': ['health.health-data.list', 'health.health-data.manage'],
-    '/health/consents': ['health.consent.list', 'health.consent.manage'],
-    '/health/realtime-monitor': ['health.device-readings.list', 'health.device-readings.manage'],
-    '/health/alert-dashboard': ['health.alerts.list', 'health.alerts.manage'],
-    '/health/devices': ['health.devices.list', 'health.devices.manage'],
-    '/health/ble-gateways': ['health.ble-gateways.list', 'health.ble-gateways.manage'],
-    '/health/critical-value-thresholds': ['health.critical-value-thresholds.list', 'health.critical-value-thresholds.manage'],
-    '/health/articles': ['health.articles.list', 'health.articles.manage'],
-    '/health/points-rules': ['health.points.list', 'health.points.manage'],
-    '/health/points-products': ['health.points.list', 'health.points.manage'],
-    '/health/points-orders': ['health.points.list', 'health.points.manage'],
-    '/health/offline-events': ['health.points.list', 'health.points.manage'],
-    '/health/ai-prompts': ['ai.prompt.list', 'ai.prompt.manage'],
-    '/health/ai-analysis': ['ai.analysis.list', 'ai.analysis.manage'],
-    '/health/ai-usage': ['ai.usage.list'],
-    '/health/oauth-clients': ['health.oauth.list', 'health.oauth.manage'],
-    '/health/statistics': ['health.health-data.list', 'health.dashboard.manage'],
-    '/health/tags': ['health.patient.list', 'health.patient.manage'],
-  };
-  const matchedPrefix = Object.keys(routePermissions).find((prefix) => path.startsWith(prefix));
+  const path = location.pathname;
+  const matchedPrefix = Object.keys(ROUTE_PERMISSIONS).find((prefix) => path.startsWith(prefix));
   if (matchedPrefix) {
-    const required = routePermissions[matchedPrefix];
+    const required = ROUTE_PERMISSIONS[matchedPrefix];
     const hasAccess = required.some((r) => permissions.includes(r));
-    if (!hasAccess) return <Navigate to="/" replace />;
+    if (!hasAccess) return <ForbiddenPage />;
   }
 
   // 冻结路由检查

apps/web/src/components/EntityName.tsx

@@ -7,7 +7,7 @@ interface EntityNameProps {
 }
 
 export function EntityName({ name, id, fallbackLabel = '未知' }: EntityNameProps) {
-  if (name) return <span>{name}</span>;
+  if (name !== undefined && name !== null && name !== '') return <span>{name}</span>;
 
   if (id) {
     return (

apps/web/src/hooks/usePaginatedData.ts

@@ -84,6 +84,18 @@ export function usePaginatedData<T, F = string>(
     }
   }, [shouldAutoFetch, refresh]);
 
+  // 筛选条件变化时自动刷新（解决 FollowUpTaskList 等组件直接调用 setFilters 不触发刷新的问题）
+  const isFirstRender = useRef(true);
+  useEffect(() => {
+    if (isFirstRender.current) {
+      isFirstRender.current = false;
+      return;
+    }
+    if (shouldAutoFetch) {
+      refresh(1);
+    }
+  }, [filters]);
+
   return { ...state, searchText, setSearchText, filters, setFilters, refresh };
 }
 

apps/web/src/pages/health/AlertDashboard.tsx

@@ -106,7 +106,7 @@ export default function AlertDashboard() {
       setAlerts((prev) => prev.map((a) => (a.id === id ? updated : a)));
       setSelectedAlert((prev) => (prev?.id === id ? updated : prev));
     } catch {
-      // 错误由 API client 统一处理
+      message.error('确认告警失败，请重试');
     } finally {
       setActionLoading(false);
     }
@@ -119,7 +119,7 @@ export default function AlertDashboard() {
       setAlerts((prev) => prev.map((a) => (a.id === id ? updated : a)));
       setSelectedAlert((prev) => (prev?.id === id ? updated : prev));
     } catch {
-      // 错误由 API client 统一处理
+      message.error('忽略告警失败，请重试');
     } finally {
       setActionLoading(false);
     }
@@ -132,7 +132,7 @@ export default function AlertDashboard() {
       setAlerts((prev) => prev.map((a) => (a.id === id ? updated : a)));
       setSelectedAlert((prev) => (prev?.id === id ? updated : prev));
     } catch {
-      // 错误由 API client 统一处理
+      message.error('恢复告警失败，请重试');
     } finally {
       setActionLoading(false);
     }

apps/web/src/pages/health/components/AlertDetailPanel.tsx

@@ -17,6 +17,7 @@ const SEVERITY_CONFIG: Record<string, { color: string; label: string; icon: Reac
 
 const STATUS_CONFIG: Record<string, { color: string; label: string }> = {
   pending: { color: 'orange', label: '待处理' },
+  active: { color: 'orange', label: '待处理' },
   acknowledged: { color: 'blue', label: '已确认' },
   resolved: { color: 'green', label: '已恢复' },
   dismissed: { color: 'default', label: '已忽略' },
@@ -42,7 +43,7 @@ export function AlertDetailPanel({
 }: AlertDetailPanelProps) {
   const severity = SEVERITY_CONFIG[alert.severity] ?? SEVERITY_CONFIG.info;
   const status = STATUS_CONFIG[alert.status] ?? STATUS_CONFIG.pending;
-  const isPending = alert.status === 'pending';
+  const isPending = alert.status === 'pending' || alert.status === 'active';
   const isAcknowledged = alert.status === 'acknowledged';
 
   return (