feat(health,ai): 后端服务优化 + 媒体文件处理

- erp-health: article/banner/consultation/media 服务层优化
- erp-ai: analysis/insight/prompt 服务增强
- erp-auth: auth/role/token 服务改进
- erp-workflow: executor 执行引擎修复
- erp-plugin: 服务层改进
- 新增媒体上传文件样例

crates/erp-server/src/dialysis_workflow.rs

@@ -108,7 +108,9 @@ async fn handle_dialysis_record_created(
         .ok_or("透析记录不存在")?;
 
     let mut active: erp_dialysis::entity::dialysis_record::ActiveModel = record.into();
+    active.version = Set(active.version.unwrap() + 1);
     active.workflow_instance_id = Set(Some(result.id));
+    active.updated_at = Set(chrono::Utc::now());
     active.update(db).await?;
 
     tracing::info!(